Loading...
HomeMy WebLinkAboutMiscellaneous - 120 EDGELAWN AVENUE 4/30/2018 i �: NOR' Z .' TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 9SS�CMUSEt This certifies that . . . . . has permission for gas installation . j�. .y. . A'• in the buildings of . . (� �t.� �►F. ��.�!... . . . . . . . . . . . . . • • • Y at . .l�.G . . � .` L! ``. `. . • • • • • • • • •1, North Andover, Mass. Fee.',�-1..'�. Lie. No:?�. .Y. : . . 0. . .�-�. .�. . . . . . . • . . . . . /GAS INSPECTOR Check# �d 7058 MASSACHUSETTS UNIFORM?APPLICATION FOR PERMIT TO DO GAS FITTING F,� l` � �� Permit# vt � .� ► Af1COV Q.'�'' , MA. Date:�� City/Town:-'o �gV�r� Ownr 1°►a1� �T"'CQQh Building Location:,Z����Q• ers Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ® Plans Submitted: Yes❑ No Qin©nQ. ` FIXTURES co W co v� UJ Z U = co to iri m xco t9 Uj LU U z W M 0 IW— Z Z Z O W D w O Q I- O W U) W m 0 a a t- W = X W t- a W w W z v) x w o t� z W W z w } W N = A a M w O z O y > z x b v o o cal 0 z _ � O c0. � M tW- D D > � 0 SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR T-FLOOR 5 FLOOR 6FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name:�7" c Corporation .. Address. ��'�h�6� City[Town �c.S��n State ❑Partnership Business Tel: r03�1 FElax: Firm/Company Name of Licensed Plumber/Gas Fitter:t-94 91T tt� FNRA—NECCOVERAGE: current liabilit insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes) No❑ave checked Yes,please indicate the type of coverage by checking the appropriate box below. ity 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 Massachusetts General Laws,and that my signature on this permit application waives thisrequirement. Check OneOnly Owner ❑ Agent ❑ Si nature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and tallations performed under the permit issued for this application will be in accurate to the best of my Knowledge and that all plumbing work and ins compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ®Plumber ❑Gas Fitter Signature o Licensed Plumber/Gas Fitter Title [A Master C� ❑.journeyman License Number: `Co�C CitylTown ❑LP lnstaller APPROVED OFFICE USE ONLY —'— FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS-INSPECTIONS) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING I LOCATION OF BUILDING SKETCH i I. PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER:" PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR Date.. . . . . . ` . NORTH pf „ao ,°1h0 3? °` 0 TOWN OF NORTKr'NDOVER O 9 • - PERMIT FOR 6S INSTALLATION s a l �9SSACHUSEt This certifies that . . . . . . . . . . . . . . has permission for gas installation . . . . in the buildings of . . fU1 at 1C. '. . . . . . .. North Andover, Mass. Fee ? . Lic. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# Vlio� 6978 MASSACHUSETTS UNIFORM APPLICATION FOP, PERMIT TO DO GAS FITTING CitylTown-N , 1''Cy1�OVtt-`C MA. Date: 0 0�1 Permit# Building Location.\Z O 'G. ltj.&\ y\ Owners Namur t`a►C�4. Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: ❑ Alteration: ❑ Renovation: ® Replacement: ® Plans Submitted: Yes❑ No Q�'acas�� FIXTURES vi Z W Y _ IX D W p to M = cn iii CO x wU' J v W Lu N 0 2 w z I!- z 0 W D W Q t=- O W cn w m 0 Q a h- G1 0 w x > Z N O W N O t+- W U Lu Z W W w z = W ~ fn s z w W W > U W Z O J H F- O Z --I C7 U- F W I— Z W y cn J Q Q m W O Z O H F- o o LL i i g 0 a °� > > > o SUB BSMT. BASEMENT TsT FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5rwFLOOR 6 FLOOR 7 FLOOR _8"'FLOOR �� �� Check One Only Certificate# Installing Company Name. �� 50 Corporation Address \�+svv%r t City/Town �c, 9 n State: ❑Partnership Business Tel:kw raVI\ 'A%'-%, Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy X 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;1 hereby certify that ail of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ® Plumber ��q __ ❑Gas Fitter Signature of L' nsed Plumber/Gas Fitter Title (j Master Q City/Town ❑.journeyman License Number: \ 2� APPROVED OFFICE USE ONLY ❑ LP Installer FINAL INSPFCTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING r I NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH I PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER-- PERMIT GRANTED DATE: ' ff M Y GAS FITTING INSPECTIOR { Date.. . HORT/y pf ao '..6 \ TOWN OF NOtR7,M ANDOVER • PERMIT FOR GAS INSTALLATION r SACHUSEt This certifies that has permission for gas installation . . .-S . . . . . . . . . . . . . . . . in the buildings of . . . . . . `-- . . . . . . . . . . . . . . . . . . . . . at . . ./.?.'�. . .Lam. `` . .. .... . , North Andover, Mass. Fee. .k �". bc. No.. X—P:.U . GAS INSPECTOR l Check# O 6361 MASSACHUSETTS UNIFORM APPUCATON FOR PERIVIPT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS/ Building Locations f?'� �O��,P�Ga,`, i4 Permit# Amount$ Owner's Name L) x Q A. New Renovation Replacement Plans Submitted Ed W 9 a07 y F W a p O p z Ew. a V U W x Z > d a w A m z d w z H F w O > W F > W z a d O O w O x o x 3 0 .a ae > c a H o SUB -BASEM ENT BASEMENT IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) j� Check one: Certificate Installing Company Name_ -le 14 �z,t-C 4.16 Corp. Address � ^ + � ZU Partner. G'Business a ep one O' 1) /0 n'^ 13-Firm/Co. Name of Licensed Plumbeior Gas Fitter 6-J10 INSURANCE COVERAGE Check one: I have a current liability Insurance"policy or it's substantial equivalent. Yes ©' NoO If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 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 13 Agent 13 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 installatios p rformed under Penn' Issued for this application will be in compliance with all pertinent provisions of the MassachusettAtat Gas Code a Chapt 142 of a General Laws. gy; gig, of Licen d Plumber Or Gas Fitter Title Plumber 3 City/Town, ❑ Gas Fitter ricenSe Number D—Master APPROVED(OFFICE USE ONLY) Journeyman TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl ic BUILDING PERMIT NUMBER: DATE ISSUED: ,• • Oq Z f' SIGNATURE: 0 �' BmIding Commissi2alWMr of Buildings Date , `1.1 Property 1.2 Assessors Map and Parcel Number: �)Ua O`/a O� Map Number (•/ Parcel Number G/ 1.3 Zoning Information: 1.4 Property Dimensions: Zonin Distrid Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS(ft) 171 Front Yard Side Yard Rear Yard Provide Required Provided ReWired, Provided f' r 1.7 Water SapplyM.GLC.40. 54) 1•s. Flood zoo bdomstioo 1.8 Saw-V Disposal System: f PobHc 0 Private ❑ Zone Outride Flood zono 0 Mmicpal On site Diapasal System ❑ MENSIMMMMEW I. 2.1 Owner of Record /w Name(Print) Address Servs : Telephone rn 1-2 All- -zap Z.2 rizod Agent �,�/,�� ����, _ �• Jame PrintD Address for Service: Z iigttue Telephone90 Z 1.1 Licensed C psuuctim Supervisor U,41 Not Applicable ❑ L. Ji License Number o t icensod ConsttuSUPC rvisor: / f 2 atJ 4„r (�/ — a — 2 F-ira�ion Date :r Telephone j 2 RAlistemd Home ent Cpn ^ Not Applicable ❑ v v 7 , :ompany Name a 01 J Yl S �' '; D vt Registration Number 7,5?"-PJ X� �< — �—" 0 3 Date z i Telephone i . x�F 4 v :fNO 2•}y 1 r9C.� 2fKc:y" Workers.Compensation Insurance alhdavif 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. ySXy]��yi ed-affidavit Attached Yea No.......0 ' FW RAIII, 5.1 Registered Architect: i Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expilation Date Signature Total Not applicable ❑ } Name: 1 Registration Number l Address Signature Telephone Expiration Date y' r i Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Not Applicable 0 Company Name: Responsible in Charge of Construction —[New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: I I USE GROUP Check as a licable CONSTRUCTION TYPE \ .A Assembly 0 A-1 0 A-2 0 A-3 0 1A ❑ A4 0 A-5 0 1B 0 B'Business 0 2A ❑ j C Educational 0 2B 0 F Factory ❑ F-I 0 F-2 0 2C 0 H High Hazard 0 3A 0 1Institutional ❑ I-1 ❑ I-2 0 1-3 ❑ 3B 0 M Mercantile 0 4 0 R residential ❑ R-1 0 R-2 0 R-3 0 5A ❑ S Storage ❑ S-1 0 S-2 0 5B 0 U utility 0 Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUR DING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include . Basement levels Floor Area per Floor s Total Area Total Height ft i I Independent Structural gR&ecfiM Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN I_ OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4 as Owner of the subject property Hereby authorize to act on My behalf;in all matters relative two work authorized by this building permit application r i` Signature of Owner Date I- I �H 4 R ,ry.�, d k �`c Y R� tnesxvt �Nj."� c '�+x. �keM•<r 2Y? w .v c. win':-� ..:.�.-!.s. �.a'.t be.7ec.?�.exu•..G4x.5.rpc.,,1,.y�.y+.a.n:,Mr.aw. s...Mioge6aosr�;ueau�?.aP�.a..,:?„�<vv ..,,,e..x-.ad.,%»dD.,3:ea_.�,.,. as Owner/Authorized 00 ;,�• "/ : are ttCtle statements and 1 ormation on the foreg6ing aj�phcationand axurate, / the best of my knowledge and belief. PridNa,W,F Estiniated Cost(Dollars)to be Completed by pe= applicant r _ Multiplier �. 1 1Estimated1 Total Construction1 ► c► e ■ • : 1 i i rr�: ,ti. -t�7{tky."1N:"1h. Y" �'r t}/. �:5!'S Yti' fT� ?'�1P: +u -+'jtetrr�l�""� v� '�' '�}5,ar .sx*,. •' �- z. a. i as •r +; n ..< < n '�`t}xt• t f �'9 �g �.• �+,i.�K, � r E�i'� � ;r s�3°?7�� y r5tn"! ��FY„t'S :d'i�. ir•? ',�n� .:n�f'a�v � �_ r i��'yl y`���QQ;��'• �p;. ¢�ra7?�rF���(i �;�ty,>'"�F%ih,1�q, ,�r �, ��� �a _r s� ?���f M+�C �,,� u����?�n{jc�r� ;a,;tax��I3�'n���y^'��h��r�pv', `��•''�{% `t' r �. ,�:?�.,��4q. S� f vN3F A� 4 a r�`f• •.`,CtF, g� �n`�-f� F,� 't �" �; }�?�t# , x i�x ��'?: �?n y..,F3•�'� � ,.a�� �t�Nc'�,✓+�,�; �v,'Fg�� . �. ', ,��. fFt�kbfi� i9�� 9,:�u-}.�,��w.a"���A'A.Bv���1'r��°. 6�.vs�:t,�f�`n"����F�.•��£°; '.��.�������11`.»a���+^.t������ �j'� �IiP.S,�F`i��i`.�'��?�P��� N� ��� • OF STORIES BASENffiNT •• SLAB SIZE OF FLOOR TWBERS I ST 2 R"1 b DEMENSIONS OF i DENIENSIONS OF POSTS DIMENSIONS OF, r • HEIGHT OF • • THICKNESS SIZE OF •• i MATERIAL OF RA IS BUILDING ON SOLID OR FILLED LAND IS BUILDING • TO NATURAL GAS LINE .{�:.'�r'iy 7,ni�`�,¢*1"r7{`ti.l�d3 wYK-Iib}tq t�P�rr�ry�+�+,1rA•�.�s�' ���"'�'�i,�a'�'n'��rd�"^e�� 't- �y`'sri" � � a�„5 � rj'2_•G d•+A..,.'ts t F`, :��.ti t'..s:43��.r�::• :'��ap�'��"1^f�5"'�4?"�`^x},a'i•.�.. ,�R a 'j. 7 a'i4` tl�}ry<�'f.yµ yv� t.&�u.:aJgFit�"r�t�-Nn{ �0a�F1�Cm�' S��;E4� yR�i -l�q:s'`t1�4r say,.�t;,b `��x fd'�r .x�i f'�'ky „,� .aS7i-vp�`kl 'hS� tiF.-°,(���;a 3! hY,.-; kt''�•,'r �` :tv�'rYt.%�A.?:��b:�'a'�s'Y,�#,*1��.'efr..�P�L':S,�x'Frs�';£'11:..�•�'$�� ��': k3�:rt�' ,Aii�a".'nY.'�.-.,.�a�z:� amk;tfi�"S"c1.�'a..��`�i$?, ��'��rS�" y.�?.'x�".�5 ���.a .�X.# XAORT#1 Town of Andover 0 "A No. sa Af CO, o dover, Mass.,- coc"l- ORA TE D BOA"OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTORINSPECTORTHIS CERTIFIES THAT K.. ... ..7W..... .........................................0 0............... Foundation has permission to erect........................................ buildings, on/Q V..... . Rough to be occupied as ............................... ......................................... 70 . .......... Chimney provided that tre-person cepting this perm shall In every respect conform to the terms of the application on file in Final I to this office, and to the p slons 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 hrmC' Rough PERMEXPIRES IN 6 MONTHS Final ELECTRICAL INS?WMR UNLESS CONSTRUCTION fWS 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. 09/28/2004 12:55 5088656609 LEO TURNER PAGE 02/04 �MT7Y i� 7! ,frVir �Rw� (r TEST RESULTS Harvey Manufactured Windows and Doors U•Factor in accordance with NFRC-100-97. + Air infiltration in accordance with teased on whole window value ASTM E 283 0 1.57 PSF (25rnph) Harvey vinyl windows and standard size Harvey vinyl patio doors with Low-E'Argon qualify for the ENERGY STARO program throughout the United Stites. Pe i&A 8!25104 pg 1 of 2 Clear Inmlated Low-E Low-E/Argon Air Paetar R-value -1F3ctsr R-VU-PActer 119VItrafl= e&WW yjN�,.,WINQ4VYS Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 Clss-sic Double Hung(Welded Sash& Frame) 0.49 2.04 0.30 2.70 0.33 3.( 3 .14 Classic Acoustical Double Hung STC40 0.33 3.03 0.25 4.00 0.24 .4., , .17 Signature Double Hang (Mechanical) 0.50 2.00 0.37 2.70 0.34 2,94 04� Slimlirre Double Hung (Welded Sash &Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Slimline Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 U.33 3.03 .16 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Designer Shapes 0.49 2.04 0.33 3.03 &2.9 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3. ' .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03 .09 (2-lite) 'W rm&are based on a rrirneraal sr w NOW Test results for oUw WV wrdows aalLaYe upon Tempered Tempered Tempered Dhl.Temic Air Clear LOW-E Low-E/Argon Low r:,'An, Inftlaluon PAM QQ U-Freta R-Vahw U-Pac yr R-Vahw U-Faclor R-Wae U-Forfar R-ViJi - &0111V frd.Vr, I ry Pstio'Door 0:50 .2.00 0 41 -:2-44 ''Natvey So . .:... ;All vinyl windows with Low-FJAr+gvn qualify for the ENERGY STAR prograrn throughout the U.S. The use of tempered Low-E gf=may efted ENERGY STAR qualification its yo,r region. All volueh are et*4ect to change without notice due to p©rkAic re-testing. 05/28/2004 12:55 5088656805 LEO TURNER PAGE 03/04 shall dose the door around *.he Jamb frame adding additional security and tightness. The sash shall have a removable interior wrap-in glazing bead, which will allow C replacement of glass without taking the entire sash apart. ANAt PRIDDOM A vinyl snap on interlock cover shall be applied to each of the meeting rail styles. Vinyl Patio Door Soe"ConsOucftn: The door soreen frame shall be of y heavy tubular aluminum, reinforced at the comers with 1410"', vinyl Fano t700r extruded corner keys for rrtaximurn strenoth. Insert Applicalfons: Residential screening shall be 18 x 16 non-glare fiberglass mesh hold Light Commercial in place with avinyl screen spline. Available Fht{shes: Shell be solid vinyl throughout in Disttngulshing Features white and almond, Custom Manufactured to Size Weld aa5h GOMM Weatherstrtpping: VVvuU!rtt;1jipping on Urn hair frame Reinforced Sash Panels perimeter shall be silicone treated woolpile with a Size Un9tatlons polypropylene alll contain one course of fin r. Esc: t1hemt1pping and ila fin-type Pp''�I Standard Sizes: 5488,6068,8068 positive interlock for a triple seal, Custom size—Max. opening: 24ite Width 96" Height 92" Max UI 180 Hardware: A variety of hardware and locking systems are 34ite Width 144' Height 92" Max UI 228 available. See options. 4-4ite V*b 19Z Height 92" Max UI 276 Glazing: Insulating glass shall have an overall thickness of 7/8" with a minimum s/8" z;ii space. Insulating glass ARCHITECTURAL SPECIFICATIONS. sandwich shall use a one-piece steel "annul design glass spacer, and shall have a desiccant matrix extruded General: Manufactured by Harvey Industries,Inc. into the base of the U.c,nar,nel. A butyl sealant shhall be extruded around the entre perinwte- of the spacer to Operatiaat: Openattng panel shall glide on tandem nylon achieve a seal. All glass shall be: tempered type 8 wJjuAwbIv wherels. Wlreals shell glide on a solid anvc6zod domestic float type. A dual duromewr snap In glazing aluminum monorail. Stationary panel shall be foxed at bead shall mc-ure the grass In place along the inside. head and sill with an aluminum angle_ Panels shall have Peer, postlive interlock at the meeting rail when in the coxed Options: Grids - colonlal contoured aluminum In-glaw. mon blazing-Low-E,Argon-filled Low-E,and beveled gds. 3 Yalerials: Frame extrusion shall be 100% ftln PVC. Lite Units, 4 Ute Units are a.F,lable. Hardware -Mite, Jamb frame shall have a minimum of 8 hollows, and have almond or bright brace fu:i;h ),anc&tot -ith dual-pant a nominal wall thieknoss of 0.140". locking system and keylvck, standard. Optional mult<- peint Incidng system a.so available. Flush mount Frame Construcoon:Corners shall be ratted with a closed deadbolt. Corrosion resistant stainler,s steel rollers are cell foam sealtitg pad, butt-joined and mechanically available, fastened with four stainless steel screw's per comer, fn5taNatiott: installation 04!: b® in ,(,=dance with the ancher6d into integral oxtuwon screw bosses. Srngen track and nagfin are integral to the frame, The head and manutacturer5 printed Insuac*i�rts. jamb extrusion shall have a minimum of 8 hollows, and Warranty Info rmatfon:Avai:abie upon-equest have a nominal wail thicImess of 0.100'.The sill shall have six tubular holows and a nominal wall th€ckrtess of 0.100". A vinyl cwrer shall be snapped onto the fixed jamb inside leg to give jamb a finished appearance. Saah Construction: Sash panels shall have mitered and Refer to Narveylnduios ecfuaf warranty, Won welded comers. Sash profiles shall have a nominal wall thickness of 0.100 Szrh frame 0211 hwe five for cc npt;re daWls. tubular holtows and shall be reinforced with a 0.080"thick extruded aluminum channel in the meeting rails and iocl lm stiles.A unique pocket perimeter on the door panel RE.J 07A?4 09/28/2004 12:55 5088656809 LEO TURNER PAGE 04/04 4 9116' D13LJ �``� �QoHarvey InduStries, Inc. �UD� Vinyl Patio Door ® (1/2 Scale) lu 4 15/16" Q D D D 0 OO z 3 4 11/16' O � 5 ............. a o � 0 p PM o 0 +------ 4 112' REV. 1/04 AS 307 z � s'wiact fl xooQ�ximr�rs } 1 4R. F� 4 C 'rv�a�s n ' c aooq emang r N N cr) — -+ (D W ff C F Ln A ��9 cr H a Of J NOTES 0 1. 16 OZ.LEAD COATED COPPER FLASHING TO EXTEND BELOW THE BALCON DECK,AND DRIP EDGE BRAKED I" 1 2. FLASHING TURN-UP IS TO BE THE WIDTH OF THE DOORJAMB,AND PLACED TIGHT TO THE'ROUGH OPENING. THE TURN-UP IS TO BE SEALED BETWEEN THE FLASHING AND THE WALL WITH SEALANT OR MASTIC TO PREVENT WATER BY PASSING THE FLASHING TURN-Up. 3. TOP EDGE IS TO BE RETURNED TO STIFFEN THE COPPER FLASHING. r 4. ALL CORNERS ARE TO BE SOLDERED,ALTERNATE IS TO PLASH THE ENTIRE AREA WITH BITUTHENE MEMBRANE,OR PERMA-BARRIER TAPE A MANUFACTURED BY WR GRACE CO. CL C 5. FLASHING IS TO BE SET FLUSH WITH THE FLOOR,AND THE CONCRETE PTL w REPLACED OVER THE FLASHING. CONCRETE FILL IS TO BE HELD%:"BACK n FROM THE EDGE OF THE BALCONY TOP ALLOW WATER DRAINAGE. m A N G) SOLID VINYL PATIO DOORSLIMITED CD WARRANTY A www.harveytnd.eorn 1.8004*111R11EY LO Harvey Solld VW Patio Doors are rrtiarnrfactured from raw This warranty covers onry nunafacturing defects,is materials of the hfgftest qualdy using the most up-lo-ate 11mW to repairing or replacing defective parts or and modem productiontechraques.They ars warranted W components and paying for the eosts of return CLAIMS PROCEDURE LnCD residential installations as tallows_ transportation to the marc lwtww's neatest plate of m business, and does not ktclude tabor or other costs Tc make a claim under this%arranty, he buyer should UPETIME UJARRANTY inevroed in the rernovat, replacement, irtdallation,or contact the seller from whona the product was purchased m The eArjded, solid vinyl members, screening and reinstalUtion of the product or any part or component within a reasonable tins after he discovery of the defect. co component mechanical parts are warranted agains` of the product. If the buyer has riot received a satisfactory response from CD defects in material and wort!manship for as long as the the seller, you must then notify Harvey industries, irm, `O or6ginal purchaser owns and •ealdes in itua house In which Thiswamartty is made ib tare orlortat purchaser only. Customer Service Department, 725 Huse Road, They are Installed. E&nchedrter, NH 03103. The cialm ahoutd Iderbly the The Ue rr* coverage offered by this ✓warranty vdil oder number, product type, data product was hatalled, TtrE4TY YEARWARRANTYautorm icaity cease upon the sate of the properly or death and be defect. Procuct Information Is avallable from a Insulating Gtass.insulating glass is warranted against of the last of the original owners of the property.The labs{attached to itte product in an tnoonspicuous place_ material obstruction of transparency resulting from film Ifetfine coverage in this warrentf is irtterded to c"r brrnathn or dust collection on the htterlor surfaces for a inclMduai homeowners end does not apply to products period of hventy years,according to the fotbviing fornutla: purchased by or installed upon property awned by, for PURCHASER i HOMEOWNER 0-10 years 10096 example ocrporalloM gove-mer" agencies, 11-15 years 50% pad nershkm tmasts, reilttloum organt motions, schools or Same til-23 yeara 25% coopembve housing arrangements. or installed on � apartownt buUngs or any other type of bulcifts or rr EXCLUSIONS AND UMMATMS premises not used by Individual homeowners as :hair Address The above warrant.periods commence on the oats of residence. For such purchassm cr entldes to whach this — shipment from the inanufactving facility. Iffethna coverage does not.apply,the warranty period will; Cly.St,Zip 71 be(t g)years following dts date of original installation. 2 rr This warranty doesnot ooverbroken glas torn screening: Phone i I damages resulting from Improper installation;damages The statements contalned hereln set forth the only caused by airborne pollutants such as Bait or sold rein. express warmrAosofthe above products.Any i< led Negligence or unrsasonabie use (rtcluding failure % warranties Imposed by law,such as htplNd warranties provide reasonable and necessary rnaintenanoe); shoes of marchantaWitty or fitness foz a particular purpose. DEALER CONTRACTOR resulting from localized appiication of heat that causes are limited In time tothe dunyNon oftker above express emesetve temperature dlfferendal over the glass surface wafrantdes. MFna #1650131—Hedt oe Green Corxiaminturn frust or the edges of the unit; damage resulting from tae. lighining, windstorms, earthquakes, windbome objects, The xranufattum shall moot be iable to tete buys;for City,St X011-Ulf AZO strain applied to the unit by movement of the building of incidental orconsequestiel darnagesfor breach ofany inadequate provision for expansion or oontactlon of Written orlmpledwarranty. taming nternbers;condensation on windows as a natural Installation Date recruit of humldty within the house and the difference Some skates do not allow limitations on how long an between he Irdemel and exterior tsmpsrstwes;Installation impiied warranty Iasis,and some statee do not allow the Order 0 0 0 In ships,cehtores,or outside the oonttr*rAel tlnked States; exclusion or Imitatlon of Incidental or ox►rraequenttal seal failure U the seal has been subject to Immereion In damages,so the alcove 11mbdions or excltrsione may not water;ant of God or other causes beyond the control of apply to you.This vvarfardy gives you speoft legal fights, Phone [ the manufacluter, end you fray have other rights which vary Atm state to [ state. REV 10re4 r C r C • a ..9f V0�I77/IYIMt�.L�LlGlit 't I . BOARD OF BUILDING REGULAT16 4 License: CONSTRUCTION SUPERVISOR Number: CS 065281 ' m ,.. <', Birthdate: 09/28/1961 Expires: 09/28/2005 Tr:n 6728.0 Restricted: 00 PAUL,BRUNO 184 1!2 SU MNERSI` ,p ' ,E BOSTON MA 02128 Administrator MiDD1YYYY) ATE(M .AC��. CERTIFICATE OF LIABILITY INSURANCE DATE PRODUE (617)472-3000 FAX (617)472-7248 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burgin, Platner, Hurley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Franklin St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Quincy, MA 02169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Joanne Pilling INSURERS AFFORDING COVERAGE NAIC# INSURED B & M Restoration & Contracting, Inc. INSURERA: Employer's Fire Ins Co 20648 107 Orleans St INSURER B: One Beacon Insurance 20621 East Boston, MA 02128 INSURER C: AIG INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMfDD1YYl LIMITS GENERAL LIABILITY FBR4409SS 03/17/2004 03/17/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $PRFM .100,000 CLAIMS MADE R OCCUR MED EXP(Any one person) S S'000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 POLICY JECT LOC AUT OMOBILEE LIABILITY QBXB26SIO 12/13/2003 12/13/2004 COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ — - WORKERS COMPENSATION AND WC7687928 V 06/10/2004 06/10/2005 X "IR ST^TU- oTM EMPLOYERS'UAMUTY . 1 1ER C ANY OFFICER/MEMBEROPRIET EXCLUDEEXVEE.ECUTNE E.L.EACH ACCIDENT $ 100,000 If yes,desaibe under E.L.DISEASE-EA EMPLO $ 100,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB I$ OTHER 500 OQO DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS OB: HERITAGE GREEN CONOMINIUMS, N ANDOVER, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AFFINITY REALTY & PROPERTY MANAGEMENT LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 63 ATLANTIC AVENUE OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. BOSTON, MA 02110 AUTHORIZED REPRESENTATIVE Michael Prendergast/DFM- y ACORD 25(2001/08) ©ACORD CARPORATInN 1QRR Location No. �� B Date NORTH TOWN OF NORTH ANDOVER Oit. ° , 1hG 9 Certificate of Occupancy $ �'�b''•°'''��� cwusBuilding/Frame Permit Fee $ - Ss� E Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ 5 Check # 15567 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING VKAM BUILDING PERNUT NUMBER: i H DATE ISSUED: j"_ 0(9 5 1 A i? SIGNATURE: •� Building Commissioner/IR§Roaor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ry U W A Map Number Parcel Number 1.3 Zoning Information: J`✓ 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Frontage ft 1.6 BIJU DING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Provided ' ed Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Hood Zone]ufonnation: 1.8 Sewerap Disposal system: a Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipat 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record tLC y cove r', r �1. ►�a�o%r Name(PriAddress for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone. 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. Not Applicable 0 " T +-Z- _ 5 a5 Licensed Con ction Supeer`viisor. /� o �� SCO Jf. _ ._IPIeaC111?PhCG��I MA- 6011 License ' eMn Address 1 2.,/ f�l CO �33 Expiration Date e_ Signature Telephone r y 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address z Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ ExistingBuildit`g ❑ Repair(s) ❑ Alteration's(s) ❑ \,\Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify , Brief Description of Proposed Work: Ge-f-o& SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by permit applicantgo1. 11 1�1 M IN 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of. Construction 3 Plumbing Building Permit fee(a)x {�) 4 Mechanical AC CC^ 5 Fire Protection �•57 • — 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT.OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 jl ( oS. 1, � etCZamil t CE'S as Owner/Authorized Amt 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 Prin am I sz o Si ature of A en Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS 1ST 2 ND3 SPAN - DM ENSIONS OF SILLS DIMENSIONS OF POSTS DIA4ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERLAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE. � .JttF Lr't}9t?3Ztl�?lfld�A�dC�L t�+..rfCQJJ[lC�lld�� BOARD OF BUILDING REGULATIONS 1 License: CONSTRUCTION SUPERVISOR Number: CS 075259 + Birthdate: 1219411965 Expires: 12/1412002 Tr.no: 75259 RestrictBd To: 00 BRADLEY J SONTZ 7 PINE BILL ROAD SWAMPSCOTf, MA 01907 Administrator { The Commonwealth of Massachusetts Department of Industrial Accidents Office or"Investigations Boston, Mass. 02111 Workers`Compensation Insurance Affidavit t , Please Print rail 111111 Name: Location: City Phone am a homeowner performing all work myself. =1 am a.sole proprietor and have no ono working in any capacity 1 am an employer providing workers'com ng . pensa�ti^on for my employees working on this job. c,ompanynarne,• n Address cft Phori k %I 553-23oo- sucance Ca . C # Cs�rx�raacry name: - - - Address CFty' 1� Phone#- tnsuranoe Go CNr'f Ilcy:# C I r1°Cj 5 6 ) FaiFure fn secuM cavorage as ni!qunder Secdon 25A or hV:,L t52 can Wd toft= d c*rkld pie�+ta�:da fine and/or one years•imprisonment w well as dWl penatti+es in the.totm d a STOP WORK and afire of 310Q: erp to me. I.00 ' understarlci the a copy of this statement may be forwarded to the t3ffice of i M a day against-me. t Noris of the 0tA for coverage verit3callori. /do henry certify under the p ns pd. ales of perjury Uratthe k*m►ation pm*bd'above:is tree and.Correct Signature Date 5 o Print namedl1e. Phone Official use only do not write in this-area to be completed by city or town dftal' E) Building Dept OCheck if immediate response is required Building Dept © Licensing Board El S,ectman`s otfic& Confect person: Phone# Q Health Department ofher WORKMAN'S COMPENSATION North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: kc, (Location of FacilityA C AA1I�bQ�I st -oice.5 Inc, Pre�Q�evt� S ature of- rmit Applicant 4b O Z. Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Nc�R�_ry Town . of ' over No. G 2 ~ '- . dover, Mass., RATED A?a�y�5 S H BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT 'C� '�/ a 1�V V IV C110440,80ddO BUILDING INSPECTOR q............................... .. .S aC has ��R t � � Foundation permission to erect... buildings on . �07.?,,,. C �.f �/►/V Rough to be occupied as.... .... ^ '/►� O �p "•' Chimney provided that the person accepting this permit shall in every respect conformto the t ms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ........ ........... ........................ .. Service .. . ............................................. BUILDING INSPECTOR Final OCCI.tipC ncy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. � r i F TOWN OF NORTH ANDOVER BUILDING DEPARTMENT Vj OPPLICATION TO CONSTRUCT REPAIR.RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUH.DING OTHER THAN A ONE OR TWO FAMILY DWELLING j Section for Official Use ODIic BUILDING PERNUT NUMBER: DATE ISSUED: A A �3-o- /- 3 . 0 SIGNATURE: IU&lf 0 Building Commissioner r of Buildings Date 1.1 Propaty 1.2 Assessors Map and Parcel Numbs: lL9 �r U 0✓(»1 ` O / Map Number Parcel Number C /� (v �7� gam-- p/d o ~' c90 t 1.3 Zang Information: 1.4 Property Dimensims: v Zoom District Use Lot Area Frata 1 1.6 BUILDING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide ReWiredpry Required Provided l.a waw supply hLQLC.4o. 54) 1.3• Flood Z0O0 1.8 sewara®e Dnposd sy.&— POM 11 Private 0 zow Oanlde Flood Zone o Municipal On Sim n;spoal systau 0 i 2. of Record q0c) &e4c� Name(Print) Addressfor Servi : ' i Telephone Z.2 Ages GD�PQ>� = t I Jame Print Address for Service: Z 0 signature Telephone z M 90 i.I Licensed Qpslzmetion Supervisor U,,l f 1 ' Not Applicable ❑ i n �+� �C ZS l License Number o lceased Supervisor a:Lld X,2� b1l) �Q-Z- .i Tel .2 Registered Home t tractor Not Applicable 0 v Name Registration Numberlea 5 i r C) Expirafm iDom � i Telephone M MIMI,. PINE- 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.o€the building mit. Signed affidavit Attached Yea.......❑ No.......❑ f t ^, SO .'� . Registered Architect: Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expgation Date Signature Total Not applicable 0 Name: Registration Number 7. �I u i Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date " Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date NOIbany Name: Not Applicable 0 Responsible in Charge of Construction r. a+ Sf New Construction p E��g Building 11 , Repair(s) • Accessory Bldg. El X' 0 Demolition 0 Alterations(s) 0 Brief Dem -ption of Other C1Specify Addition 0 �0p°�/Wor�k.,/ A Assembly 0 A-I 0 USE GROUP 4Check as a B-Busia A-4 0 A-2 0 A-3 liable + C0.MM ❑ A-5 0 0 CONSTRUCTION TYPE n F Facto 0 ]A 1B 0 H Hi Hazard 0 F-1 I E��onal p ❑ F-2 0 2B 0 AMtile �e 0 2C 0 D 1-2 ❑ I-3 p A D S St a R-I 0 3B 0 U Utili 0 S-1 ❑ R-2 0 R-3 0 M Mixed Use 0 Specify: S-2 0 0 4 ❑ SA S Special Use Specify: SB 0 MI'LETE TffiS SE Specify; ❑ i ONIF E �T>rIG B Exrstmg Use Group: MGUNDERGOING RENOVATION ADDITIONS AND OR EC'HgNGE IN USE I' �°�Hazard Index 780 chM 34: hVosed Use Group: PrOPosed Hazard Index 780 CMR 34: Number of UII.DING OOrs or Stories Include EXIS BaSement levels TING if a licable Floor Total Area Floors PROPOSED otal He" t ft ndent Structu En ' =CTION ISintchtral Peer K'NEReview RS AGENT�r Co TO BE COMP Yes p OR TED W� No p �'�ES FOR BUILD ' ING PERMIT by authorize as Owner of tate subject Property rehab to all matters relative two work authorized by this bui • lding Permit application to act on tune of t Date K nr,:t^vu,:,},au;, r� , R`G'.T•c"'�¢ A r 7r t a. ,...-5.... �f a'P:u..x•+.•..< ..Js�stta ..a -,a.ac. .,..wau .r sxi�:Lvo,.2,..a., ;a.-.f ,,J n,>_ rs _ „ nt /// lare t the statements and ffiformation on the foregoing applicauon.are true and accurate,to the best of MY knowledge and belief. "dfpedury • 7 PridNal,.,b, W110 ri"Z41. DA 8EKED- 7411W, >FveE•.erma4•i+:n3x:Pc =ice arxa.'acr.� -eA••co ati..-yt,� d Tfuura cD w y y,say«[rvP yJtu,7,, r u a+aow k} , * "'-@ rx. =wl � d (a) Building Permit Fee I r Total (1+2+3+4+5) KGJ iMql Z !r�V.�.SYg,r.ri7p". ilTf' .F„`.�rt'xYs^I^P rl SGS.'`.tr;..,.,�_lSr�i'Y.Y'.'tp.''{t','•ihNZ RlN.✓'!t-g£'. ��rlYl�1}.,.. (It :,dr 1S P'� J/-{f �•.SfY Y? a15�AP4�tt t�',{�c,}l+�rk!�N;�ly aquil<�7,,,+,,1r�, � 'ry1.:, ,N"'�r`7;"V.3;y�t C,{,'.�'.t. T �•1�s l�rt��z;,,f ft i�5s ta.�tS� ,�.;rl z..�nA .t�,'.� �K kS z�. I".cq{ 11r?:�.`�`�!t.ztl,1 e'I,:.yr'lt�l,li��gt�'-.iv{t'�' c.,.9✓r�-t .q���!' �7•�.r+s: ;'1�.A-N"3', '�•,�h.{`,49r,q.s<+ �i�'7y'''an'2�'is�t+! i:r4'•1�.y, ..tSL tl.� �P �'!r �J, N?f l;k.y r f(�iriin J��, t'n�d�'!c�,.•�:�F:!:.na'd�:�:,. h i! r S?! ,�;?�•v�.;'d �,�1•?.yrJ s�r��4¢S.;wa'1.- f r0'Ca s<h.'�4;} Jw•�tm,. '� �%�•1�nst r!�..,.,1 t��P..r ',MiE��'<'S�pp'l�lY,z�..�;.i);.rin.t•r.;.i a,.�jz� S.IW(��?; ?^ ,<l Nt in,1�tN�i�� e�[��6}�,.r s �. _}7,1Y'< 1(ri•,(�•,�,1t .:.II,S7,t.�:rb�V �r.r s�). td?t+.",[y ?a.�y?t P4�t7;� ��'�t '`t;.. �.� 7-.a�;��a l.�t,r^���0'•4^{(ty•1.'+, Sl+�,+d.,r J',�zF}•t,��Y�Q( ♦{1�iui,a� .rhS,1Y�}W�z�y4,,ar,„:..z,,�Pv'y'�� �1:r�j�;yr;�r H S_'�(dj".r�yE�t�,y�=t�`:�,�"3`•},7j!,`(�(,/f,z�N'`,{(,p,�p4l,�lIt11;tSJTM�+c�i.1)k•7.•y"*b 7' s 2"„�y'K�s� i,y5.? 5 f.•r�G ��,i}Qz ��tDJ. la't?a ::iY.'t�1N�4191r1YkL.ulY',.t"'�,.Q.,+�,et�{l+'YJr.�,a�;�l�V3'i>�'�����Atrh'4.fWY'3Y±W�14%N•�'diL34.tlj' �}�$�sLl�[.'(f :1Y:�f1ei�NfiSF.,bYt:�.'�Sitn�/,34%�UxC�_i.�wA.rtd�7�k,41�'.Y.'f+:01,',s'A,P�nT m'9'd��lV����t�'� :'. S�+F • OF ••IE SIZE OF FLOOR TIMBERS I ST eD 3 RD DEMENSIONS OF i 111 IF i • • •• DIMENSIONS OF r • HEIGHT OF • • nECKNESS IS BUILDING ON SOLID OR FILLED LAM IS BUILDING • TO NATURAL GAS LINE Eat �(r �,�„ __F6.4;.,�r'f 4�- 4t �`T `a,) r v• ° � j, t f >y } f .,i! { .. k #'��?+�y”�xHc�','j-.M1V p:� sti }, lFs�xr r n izrl Ir a •• �t r s n 1r � l ; t i h '�`i!4"J �'vu�F;/YU.�bub.ov4., ;?�..T.,_�k...,rt�zr,#'A�:.r Pr:,rCd_.L-Pis, u7.,$�:3:,..e..,C-a..r.....rF.... ...,r,....._.w_xa-z,..: �¢..3 L•�a.,re:� ..lEt7��,vro<'rx? .r....;0�3..1�i_ 0 J J