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HomeMy WebLinkAboutMiscellaneous - 125 ROCKY BROOK ROAD 4/30/2018 125 ROCKY BROOK ROAD 21 O/090.q_Op57_0000.0 �l Location : ;I7C-�C f-� !► a�4tJ!'. No. 9017 Date /Q` t�" (}/ i - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# � / , Building Inspector i� Commonwealth of Massachusetts Sheet Metal Permit Date: 10/24/16 Permit# 8100.00 Estimated Job Cost: $ Permit Fee: $ Plans Submined: YES ❑ NO Plans Reviewed: YES ❑ NO Business License# 52 Applicant License# 469 Business Information: Property Owner/Job Location Information: Central Cooling and Heating,Inc. Jack Sheehan Name: Name: 9 North Maple St. 125 Rocky Brook Rd. Street: Street: Woburn,MA 01801 N Andover,MA 01845 City/Town: City/Town- (781) 933-8288 ity/Town:(781) 933-8288 (617) 967-2094 Telephone: Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES X NO Staff Initial J-1 C 1�I-l�unrestricted license J-2/My-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family U Condo/Townhouses 0 Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq.ft. over 10,000 sq. ft. Number of Stories: 2 Sheet metal work to be completed: New Work: Renovation: HVAC ✓ Metal Watershed Roofin n Kitchen Exhaust System gL1 Y Metal Chimney/Vents❑ Air Balancing Provide detailed description of work to be done: We are replacing the existing Fan Coil Unit(FCU) in the attic and condenser outside on the ground. We're also going to install(2)new supplies through closets to the first,floor. INSURANCE COVERAGE: r I:have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes® NoE] If you.have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity El Bond OW.NER'S.INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 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 boxE,I hereby certify that all 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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By 0 Master Title Il Master-Restricted UUU Cityrrown ❑Journeyperson Signature of Licensee Permit# OJourneyperson-Restricted License Number: Fee$ El Check at www.mass.gov/dpi Inspector Signature of Permit Approval Pagel of 4 � I Central Coolin g W' D"- n WINKMAREA & Heating Inc. �$1) C K !► y NEWTON= �vT (617)see a of 9 NORTH MAPLE STREET WOBURN, MA 01801 YOUR c°Nrf00, I September 16,2016 Jack Sheehan 125 Rocky Brook Rd. N.Andover,Ma.01845 (617)967-2094 iacksheehanna,comcast.net Project Manager: Dale Colburn AC Replacement Proposal Equipment: . I Carrier 24ACC636AO03 3 Ton AC Condenser 1 Carrier FX4DNF037L00 3 Ton Fan Coil Unit 1 Carrier TC-PAC Programmable Thermostat System Ratings: AHR1#6937636,SEER 16,EER 13 Work included: • Removal of the existing cooling system in the attic. • Installation of equipment listed above. • The new equipment will be installed in the same location as the existing. • Disconnection and reconnection of the duct distribution system. • Add two new supplies to the first floor family room. We will install these new supplies through the closets in the master bedroom. • Disconnection and reconnection of the power and control wiring to the existing service with a licensed electrician. • Installation of a safety switch in the auxiliary drain pan which is designed to shut off the system if it gets wet. • All permits, inspections and fees. • Our office will contact you to schedule the necessary inspection after the installation has been completed. f Your Comfort is Our Priority... Since 1966 Serving the Boston Area (781)932-9017 fax www.ccntralcooling.com tum to ihlt exFxirtat; : Pa e 2 of 4 Start up,check system and explain operation. All material and labor is warranted for 2 complete years including a maintenance tune-up after one full year of operation. Work Not Included: Fire caulking,carpentry,patching,painting,cutting and or coring of masonry, warranty on any existing equipment and upgrade of existing electrical panel. We propose hereby to furnish material and labor-complete in accordance with the above specifications, for the sum$9,865.00 dollars. 1/3 deposit upon acceptance,progress bills to be submitted at the end of the month to be paid on the 10`h of the following month,balance due to the service technician at the start up of the system. Past due balances will be charged 1 1/2%interest charged per month which is an annual percentage rate of 18% on past due amounts. Rebate: I Carrier Rebate This system is eligible for a$75.00 from Carrier Corporation (must be purchased from September 1,2016, installed and paid in full by November 15, 2016.) We are being reimbursed directly from Carrier for providing you this rebate. Mass Save Rebate The above system is eligible for a$250.00 rebate for Eversource or National Grid customers only(subject to available funding.) To claim eligible rebates the system must be purchased, installed and paid in full by 12/31/2016. Rebate applications must be received by the electric company before 1/31/2017. It is the customer's responsibility to pursue available rebates. After system is paid-in-full, Central Cooling&Heating will provide the customer with the appropriate invoice and rebate forms(please allow us 10-12 weeks from the date we start up the system to provide the invoice and rebate forms. System must be paid-in-full before we can provide the required invoice.) We will need a copy of your electrical invoice to process this rebate. i Authorized Signature: Date: September 16, 2016 Dale Colburn Your Comfort is Our Priority... Since 1966 Serving the Boston Area ?' t. (781)932-9017 fax www.centralcooling.com tUm tO the C%pCrtByir' P12 Central Cooling Project Summary Jo: Se 16,2016 & Heating Inc. p Entire House By: Dale Colbum Project InWmation For. Jack Sheehan 125 Rocky Brook Rd., N.Andover, Ma. Notes: Design Infor,mation Weather: Gloucester, MA, US Winter Design Conditions Summer Design Conditions Outside db 5 OF Outside db 86 OF Inside db 68 OF Inside db 75 OF Design TD 63 OF Design TD 11 OF Daily range L Relative humidity 50 % Moisture difference 25 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 52629 Btuh Structure 29456 Btuh Ducts 5029 Btuh Ducts 1101 Btuh Central vent (0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 57658 Btuh Use manufacturer's data n Rate/swing multiplier 0.91 Infiltration Equipment sensible load 27807 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 2353 Btuh Ducts 1408 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area(ft') 3094 3094 Equipment latent load 3761 Btuh Volume(ft') 24752 24752 Air changes/hour 0.42 0.19 Equipment total load 31568 Btuh Equiv.AVF (cfm) 173 78 Req. total capacity at 0.70 SHR 3.3 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 0 HSPF Efficiency 0 SEER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1559 cfm Actual air flow 1559 cfm Air flow factor 0.027 cfm/Btuh Air flow factor 0.051 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.89 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. A. —Z Wrl ht:soft" 2016-Oct-2410:50:11 � 9 Right-Suite®Universal 2015 15.0.02 RSU15857 EN FOLDER1Dale Colburn1oad Calc\Sheehan AC.rup Calc=MJ8 Front Door faces:N Pagel Central C ColingJob: Load Short Form & Heating Inc. Date: Sep 16,2016 Entire House By: Dale Colbum Project I • • For: Jack Sheehan 125 Rocky Brook Rd., N.Andover, Ma. Design Information Htg Clg Infiltration Outside db(°F) 5 86 Method Simplified Inside db(°F) 68 75 Construction quality Average Design TD (°F) 63 11 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 50 50 Moisture difference(gr/Ib) 45 25 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 0 HSPF Efficiency 0 SEER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1559 cfm Actual air flow 1559 cfm Air flow factor 0.027 cfm/Btuh Air flow factor 0.051 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.89 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) 1st fl 1120 18969 10071 513 514 family room 416 12286 7340 332 375 2nd fl 1558 26403 13146 714 671 Entire House d 3094 57658 30557 1559 1559 Other equip loads 0 0 Equip. @ 0.91 RSM 27807 Latent cooling 3761 TOTALS 3094 57658 31568 1559 1559 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. - - wrightsoft" Right-Suite®Universal 201515.0.02 RSU15857 2016-Oct-24 10:49-.41Page 1 ACCA ...EN FOLDEROale ColbumtLoad CaldSheehan AC.rup Calc=MJ8 Front Door faces:N E AS�SA�CHi�7�S�ETT1S� tj _ I� - �; + NE1ME�w eunldER 30 LIBERTY ST N ANDOVER W. MA 01845 335y 12.17-814 Rev 07-1&.2009 n Ownaa CH Sio .", ® ® ® e m ® ® e SHEET 11RE L WOR66�. E BSSUES THE!:FOLLOWING Lob"e'N5AS A A s T£R.t1NF3E$ CTEID �., DOUGLAS A 11AlI9BIL9'Ofd ` EAT �ilAI , E ST ET V.RN;�VA 6-12014 :469, '. 17J26/201.7.'•: 637 •. a e� � - j ® SHEET 1GDlr're4L'V1fO�tK�l4.e3`.' i ISSUES THE FOLLOWING LICEINS£AS A BUSINESS . DOUGLASA HAMILTt:1Nt " I_NTRAL COOLBIIPa AN®FIE ►TIR9GINC • '" i R i 9 NORTH�AAPLE�STREPI `IIVOBURN,IIIA 018®1 Y _ 52x q .; Q�13-®/ 016- 113 t (- Mma �; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 - W Wt Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual) Central Cooling and Heating, Inc. Address:9 North Maple St. Ci :Woburn,Woburn, MA 01801 Phone #: (781) 933-8288 Are you an employer? Check the appropriate box: Type of project(required): L Q I am a employer with 75 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. E]New construction employees (full and/or part-time). 2.0 I am a sole proprietor or partner- listed on the attached sheet. . 7. E]Remodeling ship and,have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. F]Building addition [No workers' comp: insurance comp. insurance.: required.] 5. E] We are a corporation,and its 10. Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself o workers' com . right of exemption per MGL, y p 12:0 Roof repairs . insurance required.] t c. 152, §.1(4),and we have no employees. [No workers' 13.❑■ Other HVAC comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp..policy number. I am an employer that is providing workerscompensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arbella Indeminty Insurance Company Policy#or Self-ins. Lic. #:0048681113' Expiration Date:11/30/16 . 125 Rocky Brook Rd. North Andover, MA 01845 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 ce ify rider pa and hies of perjury that the information provided above is true and correct. 10/24/16 Si nature: � Date: Phone#: 781 9338288 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute an employee is defined as"...eve person in the service of another under an contract of.hire, "...every r Y express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to 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 may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where.a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 7-2013 www.mass.gov/dia ACCORL>® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 4/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:'l If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate.does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Risk Strate ies Company CONTACT g P Y. NAME: Risk Strategies Com an 15 Pacella Park Drive, Suite 240 PHONE FAX Randolph, MA 02368 A/c Ext): 'C' 1C No p , E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p www.risk-strategies.com INSURERA: Navigators Ins.Co. INSURED INSURER B: Arbella Protection Ins Co Central Cooling &Heating, Inc 9 North Maplet INSURERC: Woburn MA 01801 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29492177 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS A V COMMERCIAL GENERAL LIABILITY NY15CGL1767151C 11/30/2015 11/30/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTED PREMISESEa occurrence CLAIMS-MADE ✓ OCCUR $ 50,000 ✓ $25,000 DEDUCTIBLE MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓ POLICY JE O LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 1020009316 11/30/2015 11/30/2016 EOMMaccidentSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNEDSCHEDULED AUTOS ONLY BODILY INJURY✓ AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE✓ $AUTOS ONLY ✓ AUTOS ONLY Per accident A UMBRELLA LIAB ,/ OCCUR NY15EXC8588021C 11/30/2015 11/30/2016 EACH OCCURRENCE $ 5,000000 ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$10,000 B WORKERS COMPENSATION0048681113 11/30/2015 11/30/2016 �/ STATUTE ETH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ SOO,000 OFFICER/MEMBER EXCLUDED? � NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below I I I I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 Osgood Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building 20, Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover MA 01845 AUTHORIZED REPRESENTATIVE Michael Christian ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 29492177 1 2015-2016 Ma stet I Allison Petkiewich-Sousa 1 4/18/2016 9:11:14 AM (EDT) I Page 1 of 1 NORTH Town of E ndover 0 .A 0% +A—afA a C% � ver, Mass 3 O� h / d 0 COC"'MI S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ......C.e.. �� ........000C'I ! a A � *4�h„ BUILDING INSPECTOR ......... .. ................. .. ... ....... ......... .............n . ...� .�0 .. .� .r . Foundation has,permission to erect .......................... buildings on ......... ..... _ e Rough to be occupied as ....... .. .. . ... .... ....... .... . . ..fconf�ormto .. . ... ... .. ................. Chimney provided that the person accepting this permit shall in every respec the terms of the application Final " on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration an Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR -- VIOLATION of the Zoning or Building Regulations Voids this Permit. 1 N�a� ��,� Rough ® PERMIT EXPIRES IN 6 MONTHS V Final ELECTRICAL INSPECTOR _._.._ .. UNLESS CONSTRU N SjARTS aRough Service .... . .. ...... .................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 440LOT NO. / ® 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE SJB DIV. LOT N +// F :..:... �/ LOCATION/ PURPOSE OF BUILDING OWNER'S NAME NO OF STORIES 41ZE - OWNER'S ADDRESS Jie C'�� BASEMENT OR SLAB J ARCHITECT'S NAME J ,Zy J J�`J 91ZE OF FLOOR TIMBERS IST 2ND R. BUILDER'S NAME 57tr� .{ �J L,l� SPAN DISTANCE TO NEAREST W-ALDING DIMENSIONS OF SILLS ✓� �� DISTANCE FROM STREET y POSTS •�% L.y/,/yr DISTANCE FROM LOT LINES — SIDES �6 '� i/� REAR �O y GIRDERS 3 air/ f AREA OF LOT /-do, aV 0 7 FRONTAGE l�Q / HEIGHT OF FOUNDATION �j THICKNESS /O IS BUILDIIIIG NEW -T� S / ( SIZE OF FOOTING X ='7 ,l IS BUILDING ADDITION MATERIAL OF CHIMNEY G IS BUILDING ALTERATION" , IS BUILDING.ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF COD ��✓ s IS BUILDING CONNECTED TO TOWN WATERv /✓��, BOARD OF APPEALS ACTION. IF ANY n� (/TT IS BUILDING CONNECTED TO TOWN •EWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS ] PROPERTY INFORMATION LAND COST SEE BOTH SIDES tST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 S Km IRS.-- f}w P�yR_ EST. BLDG, COST PER • . FT. - - Y► EST. BLDG. COST PER ROOM ' PAGE 2 FILL OUT SECTIONS-�1 - 12 Illin FM-- /'�� - /� SEPTIC PERMIT NO. WEELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING —MME KRmff$ / 00 � 4 ]PROVED BY - 5 ATTACHED GARAGES MUUT CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR - y/ � DATE FI ED ��✓ �'� BUILDING IHSPSActal • TU OF OWNER OR AUTHORIZED AGENT N F E E `OWNER TEL N '���� d a' PERMIT GRANTED CONTR.TEL t 19 CONTR.LIC./ t1 1 :. , BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S� I S THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY ' oFFICEf LOT LINES AND EXACT DIMENSIONS CW BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION B INTERIOR FINISH CONCRETE I!dd' I__ 7 1J CONCRETE BI K. PINE _ BRICK OR STONE HAROW'0 PIERS 'PLASTER , DRY V/All `. UNF IN. 3 JASEMENT AREA 'FULLFIN. B'M'i' AREA _ /,\ y. FIN. ATTIC:AREA i NO B M'T FIRE PLACESWE � a• �8 #1 HEAD ROOM _ MODERN KITCHEN •r 4 wAus ( 9 ►Loons CLAPBOARDS JI 1 7 J �� 5 DROP SIDING CONCRETE t WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"/'0 ' ASBESTOS SIDING _ COMfAGN _ VERT. SIDING, _ ASPH.-,IE _ STUCCO ON MASONRY _ STUCCO ON FRAME ' BRICK ON MASON ATTIC STRS. 6 FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING - _ - STONE ON FRAME SUPERIOR POOR _ ' ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH p flx.l GAMBREL MANSARD TOILET RM. 12 FIX.1 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 6 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DAG 6 FRAMING i l HEATING - W000 JOIST PIPELESS FURNAfE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM ' STEEL BMS. 6 COLS. HOT W-T-R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS - GAS " - .. 7 NO. Of ROOMS : . .. .OIL B'M'T 2�d _ ELECTRIC 1 p I Jed I NO HEATING .�: •: k :..,, � a.yc...,ti +s '.3;;.,:+r^xw.z.�a�yaa'".'t'u h t.tit-: Location No Date a f ICA « *TN TOWN OF NORTH ANDOVER . .• Op All, 0 A c .Certificate of Occupancy $ Building/Frame Permit Fee $ -160 3 CHUSE`� Foundation Permit Fee $y _ } Other Permit,Fee $. Sewer Connection Fee $ Water Connection Fee $ F TOTAC: $ Bulding-insp for- 3 Div. Puti1 -w s _ t NO 783 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 19 Application by the undersigned is hereby made to connect with the town water main in 1.� l - Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. /Z5 'V. Street or subdivision lot no. Owne Address Contractor Address pplicant's gnature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to 00/1 v1 r� n L �C. 7 - to make a connection with the water main at �e9 (c- ZY Street subject to the rules and regulations of the Division of Public Works. Board Df Public Works By Inspected by "/Z Date See back for rules and regulations J c RULES AND REGULATIONS GOVERNING .THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the.finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.-Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 41/2 foot rod and brass plug type cover. FORM U LOT RELEASE FORM INSTRUCTIONS: This form rm is used to verify that all have �enlobainedfrom Boards and De t1eC8nuary This does Departments having jurisdiction landowner from compliance with not relieve the regulations or re any applicable PPlicant and./or quirements. local or $tate law ****************Applicant fills out this segtion****** ' APPLICANT: U✓✓ .d�/./ A' .� *********** � Phone ( `� "dq a LOCATION: Assessor's Map Number Subdivision oc Parcel 00�'- Street 6 Lot(s) /0 � St. • Number *******official Use REQ DATIONS OF TO � AGENTS aL Co servation Administrator Date Approved q -7 Date Rejected Comments a•� � T wn Planner Date Approved Comments Date Rejected � Food Inspecfior-Health Date A roved Date Rejected Septic Inspector-Health Date Approved /p Comments Date Rejected - /VES Public Works - sewer/water connections - driveway permit Fire Department ' 4V �� Received by Building Inspector . Date T TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 GEORGE PERNA Telephone(508)685-0950 DIRECTOR Fax(508)688-9573 NORTH OF tE= q 0 0 S t- '/ 9SSACFHUSEt DRIVEWAY PERMIT Date: 097 LOCATION: BUILDER: phone: OWNER: ��iv � phone: The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office,before finish grading and surfacing for approval ` of such entry.,, FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: i i r NEE Long long] loll son] NEE Offil son -_� _---- .■. — _ - _Mono I soy _— tt�t- UNA aM -- --t M atm N �N. -N �_t.�ttttt �t�tt�t =_ Em - .. — ■t■ ------- �_ - --— ---_--_-_ --oil _ continuous Ridge vent 2 x 12 Ridge Board 1 x 8 Collar Ties 6 4'0" O.C. 12 9 � OOFIu Composite Roofing Building Paper ' Sheathing a _ _ p 2 x S 0 ib" O.C. ' CEILING 1=ascia Board �E 2 x8 In 16" O.C. Overhangin soffit with vents � R30 insulation g ng �., E3 CL vapor Barrier m ° ° 1/2 Wallboard. s �o FLS - 3/4" Sheathing 2 X lD Q16 O.C. -— WALL Siding, Air Barrier Sheathing, 2 x 4 -S 16" O.G. R11 Insulation, vapor Barrier V2" Wallboard - - - - FLOOR - - - - - 3/4" Sheathing SiLL 2 X b 'uation lits O . i - 2 x 6 P.T., 1 - 2 x 6 K.D. L 3402 . 8 . 4 I - — InsuContinuous Sill Gasket 1/2" Dia. x 12" Lg. Anchor Bolts _ • - 3 - 2 x 12 Center Beam � 80' O.C. (max) a e a 3 172" Dia. Lally Columns a d With 2'6" wide strip foot" e °D (see foundation plan for locations) e FOUND,4TfON b" Concrete Wall / 8'0" Pour 10" Pp x 1'8" W Cont. Footing 4" Concrete Slab Dampproof exterior surface -CT-VON THRU HOUSE 1/4" • 1'0" 10814 (o-1C Continuous Ridge vent SECTION GENERAL NOTES= 2 x 12 Ridge Board I, Floor design live loads are based on let Fir 6 40#/sq, ft., 1 x 8 Collar Ties 6 4'0" O.C. 2nd Fir.Q 30#/sq,ft, and nonusable attics Q 20#/sq. ft. Roof design loads are 30#/eq. ft. live load and l#/sq. ft. dead load. C 3405 . 14 Table 3406-6 I 12 _ _ 2. Minimum ceiling height for habitable rooms is 1'3'. in a room with a sloping ceiling the prescribed ceiling height is required in only one half 9 ROOFING of the area of the room. No portion of the room measuring less than 5 feet finished shall be included in calculating minimum area C 3401 , 6 , 13 . Composite Roofing 3, Stairway Headroom= Stairs between lot 4 2nd rima and 2nd 4 usable attics , _ SheathingPier shall have a minimum headroom of 6' 8H measured vertical from stair nosing. O 2 x 8 ' O.C. Basement stars shall have a_minimum headroom of 6' 6", 13401 , 10 . 8 , Fig, 3401-14 816 . 2 . 2 I 4, Fiestopping shall be provided to cutoff all concealed draft openings CEiLING Fascia Board (both vertical and horizontal) and form an effective fire barrier between 2 x 8 6 16" O.C. stories,and between a top stort and the roof space C 3403 . 2 . 1 I . R30 Insulation Overhanging soffit 5. insulation minimum total R value requtements for vapor Barrier with venting Exterior walls Is 12.5, Floor over unheated space is 20,0, Roof/ceiling 1/2 Wallboard, assemblies is R30,and Finished basements walls is R12.5, C Table 3423-13 . 6. A vapor barrier or 1.0 perm or less shall be installed on the winter warm side of walls,ceilings and floors enclosing a conditioned space C 3422 . 11 FLOOR 1. When eave vents are installed, adequate baffling shall be provided 2 X O Sheathing to deflect the incoming air above the surface of the insulation with 2 X 10 1Z' O.C. a 2 inch minimum clearance under the roof deck L 3421 . 1 . 3 1 . _ WALL Sid's,At Barrier Sheathing, 2 x 4 aQ 16" O.C. insulation, vapor Barrier 1/2" Wallboard �n r- FLOOR 3/4' Sheath ng 2X10e16" O.C. R20 insulation SiLL _ 1 - 2x6P.T., 1 - 2x6K.D. [ 3402 . 5 . 43 Continuous Sill Gasket GARAGE FiN15H 3 - 2�x 12 Center Beam a 1/2' Dia, x 12" Lg, Anchor Bolts _ 3 L"2 Dia. Lally Columns 8 D O.C. (max) All wood constructed walls and (M FDN PLAN FOR LOCATIONS) ceiling to have 5/8" type 'X' fire e O rated Wallboard installed ( C 3401 , 13 , 2 I e FOUNDATION 10" Concrete Wall / 8'0" Four 10" DP x I'8" W Cont. Footing Dampproof exterior surface 4" Concrete Slab WING SECTIOE', • 10814 I-IC GENERAL< *I O T�C: 4 Siln anc}�or have a baits a f: of 8'inpof W In oured concaste., 6.rm botb��pow of a foundation shall be a mhU A of 4'O' I V I T}�shall be a minhm of 2 anchor bolts per section of sal plate. bslloo rmbh gads. P.O. 5cx 231 Maxb=space shall be 8'O.C. Z Stud.t+a frarod knommils shall be 14' mh.b length and when the „ I.Foundation walls shall extend at least 8°above migh orale 5.Conerste slabs on grade shall have contraction,joints wfth kr�sasail is gs� �n 4'0' In helaht,it shall be of the stns roquted � �eLi ttlet1 1"la. �i$d�i - G_3� lGrisawaila eFiail ba thorouahlu and effective) i 2 i Z Exterior surfaces of maeom fourdatom at josfno baeemsrtts a depth of at least V4 the slab thekneas. These shall be spaced for an add tfo+ai sem,}• � G118. ('✓G8� CGZ.. - X0.8 shall be damproofed. not mons than 30' h each dtection. Contraction,joints shall be crow-brecAvd" Fax (5OS) 6c*o - 3561 3.The uitmata eoex�ssive-strem4th of eonGzsta Fcundatons placed where offsets are more than 10' 8.Er+ds of mood 3�enterN maeorry or concrete wails shall be at 28 days shall be not[ass thrrt ZOOO IbsJaa.ft. Contraction,;ohms as not nmqufesd where 6xb-6/6 welded wt�s «provided �vX at aoacra ort lop,stns and arch urtiexs approved dwabla Fabric or equivalent b pieced at a mid-depth of the slab. b used. 51'—Ow I - - Q Q =-- - - - - - --- _ - Q _ - - - =s_ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 o n' o e s o -- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ _ _ o I I --- - - - � tic I 'cc i I 24'-O" i I ! '�I 4'CONr-RETE SLAB I I I SLOPE�!4"/Fr. I I a I I I >D I is t 6'4 6-$' T-e' E'-2" i •. 1 r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I I mC � _ j-I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �- -1 - - - - L � I xr L- _ _ _ _ _ _ _ _ _ r.; _ L�_ � Q I $TE?BEAM 4-1X10 BEAM� a,S 8°� _ I > FCR fiUS4 I;E:1CFi EAM PCG zr I I I 4°ST F---1 LALLY COL',:MNS i S-REC"'UIRED I I i t i CD cc I ori I I •► I I I I I I I I 8'WXB' 4T,Xa' DE= I ! I-- - - - - - - - - - - - - - - - -1 o BEAM POCKET I 1 .4 'o LI- - - - - - - - - - - - - - - � . l- - v- - - v - . - - - - - - - — - - - - - -s= - - IT - - - - - - - - - - - - - - - J o��w - - - - - - - - - - - - - - - - - -1 II - - - - - - - - - ` Jr- 14'-O" FOUNDATION ELAN[ DRAWING # CL 219-A PAGE= 1=0UNDATiON 5CAL� 3/16" = If 56'0' q 13'0" 777-30 26 7.5'pq 2'bq 8bq 12'0" 41011 3pq 26 66 66 r---- b,0q SLIDINCs I=,4MmL1' ROOM KITCHEN 3RfGI=St LAY T STUDI' -7 2'0" 3'h" - O O 6.. _ N - cv = 63/411 13/4 " 2'b" 2jaq O �p z m O m m N_ O m LIQ in }� UP o DINING ROOM FOYER _ :r LIYfNCs - "__ J CV 4'p4'p.. 3 6 2 6 3 6 3 6" 2'6" 3'6° 1'O" 3'6" 14'O I6,0' 12'O" � 0 40'O" Fr I aT PLOOR FL. — 7Nlmt'N(3 l =j 0 N 0-0� I -a rZ rrl '� � rrZ r r „U ,4 � •a-.O .v—t�l •OT's LJ •a-,£ •a—r*.6.t x-s-X C- I nlv�xvt+ rn rn 1 I- o I ! 0 r - - o0 I I o I I a I ! I I N " - Ne�7c I I O NYW s ! N ! I a oL LA 1- ,- N cl 1- co afjt$ I I � I N I a ® cc O , a a N �s ,- taj — — — — — — — — — — L_JJ I N N I I CY) Ci I-lz tri r7 s*!� ry -y(a— tr8 ti aal•—rr —t£ •ai-,Y aa!—� .a—r/ •Gi—ra! 198 - 989 (805) XP-4 8209 - Z89 (805) "�9 LcZO - kjr810 "eW us nLls?W LSZ xog 'O"cl ani ao E5ull jojc Svmoj j a> i Area with double shear lap In floor,Jobt ° MAXIMUM ALLOWABLE SPANS FOR HEADER x n SUPPORTiNG WOOD FRAME WALLS All.Span of Headers - f Stre of Wood Sorting One Story Two Stories In Garages or in Walls I Header Roof Above Above not supporting Floors or roofs 2-2X 4 4' 6' - - 2-2X 6 4'to6' - 4' 6' to8' 2 -2 X S 6' to 8' 4' to 6' 4' S' to b' 2-2X 10 S' to 10' 6' to 8' 4' to 6' 10' to 12' 2-2X iZ 10' to 12' 8' to 106' to e' 12' to ib' ,411 members are 2 x 10 IT 16' OZ,(U,NAJ iRst FLOOR FRAMIN z FRAMING GENERAL NOTES: L All structural materials shall be void of any defects that may diminish their capacity to function in an adequate manner. 4 Structural Engineering or any other professional services that nay be required shall be provided by others. p o 2, Framhq lumber.Spruce-Fine-Fir,No,2 or better,with a Design n value in Bending Fb of 1000 for normal duration.L Table 3403-3D I c� 0 3. Minimum bearing for,forst shall be 11/20.13405 .2.4 I u 4, Use built-up 2 x 4 posts under all beams (4 minimum). X pluh Framed Beam 5. Double up floor,Joist under partition walls above. n 9 All members are 2 x )0 ,0 16,1 O.G.iUN.Oa i FLOOR FRAMiNr-,r 10014 S-1( M—TrrrMTMF } MAXIMUM ALLOWABLE SPANS FOR JOISTS/RAFTERS Flush Framed Floor Beame my others) r "a" 12- D 14- Attic access to be located by builder All members 2 x 8 9 16' O.C.01N.0a / /ftp �/fi/yam FIRST z x b�6 2 x 10/66 2 x Mrp 2 x� 2 x 12/16 1 ATTICLOOR FRAMINa AT=RMxD 2xe,� 2x1,/1 2xb,>6 2x 2xIDAZ t2/16 �,mc nium:Roo�+a 2x10/16 2 x B/ib VS" = It ATTIC 2 x 6/16 2 x 6/12 2 x 6/16 2 x W1b 2 x 8166 wo Pirow ROOM 2 x BM ATTIC 2 x 6/16 2 x bAb 2x 6/16 2 x bnb 2 x 6/62 C„4PES"OR LESS 2 x 8116 ROOT 2 x 6/12 2 x BAb 2 x 8/12 2 x 10/16 2 x 10/66 OYM ATM 2 x 8/16 2 x 10/* CATHEDRAL 2 x 8/16 2 x/12 2 x 10/16 2 x 10/16 2 x�� JOISTS/RAFTER SPAN NOTES= I I. Span Tables for-Fiat floor joist 13405-2 I ! Second floor t useable attic joist 134054 I Att>c (no nitro rooms)I 3406-11 Gape attic floor joist 13406-2 I x 12 Ridge Board Roofs over attics C 3406-6 1 Cathedral Roof Rafters 13406-3 1 2 x 1Z Ridge Board I 2. Maxim span for 2 x 8 ceilk�g joist for cape attics is ISS Il' C 3406-2 1. i All members are 2 x 8 9 I6" O C.41N.0) RO I/S" , ron 10014 9 —1� I Continuous Baffled Ridge vent Ridge Board _ 2 x 4 Bottom Plate I x 8 Collar Ties 6 41011 O.C. Roof Rafter 2x Band Joist ' Roof RaftersMaintain 2' min.clearance Floor Sheathing - - 2x Floor Joist ----- ----- Fascia Board _---_ -__-- Ceiling Joist overhanging soffit 2 - 2x 4 Top Plate with venting Rides D.Stall 5 Sorrit DetailExterior„ ' , „ „ , „ G Int(srm, Fir. p _� 11 1/2 10 1/2 10 1/Z 10 2 x 4 Bottom Plate 2 x 4 Bottom Plate2 x 4 Bottom Plate 2x Fire Blocking —2x Band Joist Floor Sheathing R20 insulation ' 2x Floor Joist R20 insulation WA + ---4-2x Floor Joist 2x Floor Joist 3 - 2 x 12 Center Beam Lally Column Cap Plate 1 - 2x6 P.T.4 1 - 2x6 K.D. Sill 2 - 2 x 4 Top Plate fasten to Center Beam w/Sill Sealer 1A NR _ D _ 3 1/2” Dia, Lally Column - i/2” D ia. x 12" Lg, Anchor Boit D Internal i Fir. 1 „ _ , �, E Ceer m5eam „ : , „ F Sit 1 Concrete Foundation ./2 1 O 1/2 10 1/Zu ° 1�0 Flashing Decking 4 2x Deck framing (P TJ ' Joist Hanger Concrete Foundation C Stair/Deck Conn. n _ , „ 10814,/2 . 10 1® -10 NORT o jAndover oVM L No. � - _ . ; * Z dover, Mass 19 O s ��KE COCMICM WICK Z7V '9S 0 E S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... +�. � :. I. ..D..............,., ...... .. ...................... Foundation ... .... ......... ..... ...... build' : ' ..,, ..� ........ ....... Rough` has permission to erect.... ......:.. ........ .:. gs o ......... A to be occupied as... ......50- A;v. "� .... �.3 .. . , ...� ?.�. .......................................................... Chimney evdry� h ifi respect conform to a terms of the application on.file in provided that the person acceting this permit shaFinal this office, and to the provisions of the Codes and By-Laws relating to the Inspe tion; Alteration and Con ruction of Buildings in the Town of North Andover. PLUMBING INSPECTOR IOLATION of the Zoning or Building Regulations Voids this Permit. Rough iS' Final PERMIT EXPIRES IN 6 MONTHS - �- ELECTRICAL INSPECTOR z UNLESS CONSTRUCTION�T�§T S`` c` Rou h ...... ............... Service .......... .......... .. .. �� ................... BUILDING IMP—ECTOR 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 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner �(;��•-� l�/� � Street No. Smoke Det. C 46& ��� � CERTIFICATE OF . USE & OCCUPANCY Town of North Andover Building Permit Number 527 Date Jl� 11, 1998 THIS CERTIFIES THAT THE BUILDING LOCATED ON 125 Rocky Brook Rd MAY BE OCCUPIED AS -qin lo IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. oq "ONTH CERTIFICATE ISSUED TO Ogonquit Hanes Inc. . • ti ° 345 Ste St No. MA 01845 ADDRESS SA us uilding Inspec i I I Town of Y No. Sd m AiF* _ dover, Mass • 0� 19a', - LAKE , �. '9A_COCHICHEWI CK �'�• OgarED PP`s A 77 OF JHTALTH. Food/Kitchen rL il .lVi I I I U - 1 L Septic System L ..............•.•..•.•..... B LDING INSPECTO ft THIS CERTIFIES THAT..... .: . . ..{r►..i.T'......44owte.;.. .....��C h Foundation has permission to erect ...... build' gs o . ....... -0iRp�l. ...... ... ...... Bough to be occupied as....S��r�, '� � ............................................................ Chimney provided that the person ac ting this permit sha(ir ry respect conform t e terms of the application on file in in this office, and to the provisions of the Codes and By-Laws relating to the Inspe tion, Alteration and Con uction of /a4� Buildings In the Town of North Andover.' e to PLUMBING INSPFOO VIOLATION of the Zoning or Building Regulations Voids this Permit. Gni����3'f' 4CvR4* PERMIT EXPIRES IN 6 MONTHS err_3�04111n_�L ELE IC FA7R UNLESS CONSTRUCTI T o ......... Service . . ...... ... ........... B LDING Final Occupancy Permit Required to Occupy Building GAS INSPECTOR _ Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner � n Q4401IL9 l 2/1 y Street No. • /�_QG. Smoke Det. v tviAQ*%%oaawgjL-a av vasal ental vn rii�rQttU411; 1•;, „• VMg`��'v. (Type or Print) , it ^1 NORTH ANDOVER 'Mass. i:�; , pate; IP/gF•- � Building Location IM411 0 _ . Permit -3, 'T'' _ .. Owners Name (,x"40,�1) • x 1 New �' Renovation n ' Replacement Plans Sylbmitted II • Fl TURFS X at Cl q O F• q J �• V < z Y W W W X .j P. ..< h h O d Ic H Z. q 4 sC ¢ S ? O z g 4 7 q as dc In z ILL O. J fn % V ' a to x 0. O < 4 < Q 1C o a a < �, ac < W o < q X a ac k 1 _ wx � �' WHO n .� qcc aC .� oIs. Ac t• tJ < Y X a z x. �G tL 0 ~ x Z < W IL X W < h• r O to to 7 to U 2 O p a1 W ~ O < h < < X .. < d < J J < cc tt W, < O 3 yc .A a g a a ./ � = t- to 16 a a a < � ttc a 4 , SUB—►BSMT. • BASEMENT oo IST FLOOR F 1 f 2ND FLOOR q � / 11 1 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check one: Certificw,� Installing Company Name g Ui;TT1 1-;12v, 1-176 Corp Address L/! /31110 /4-dyz) /1/�' Partner. -r 41 /-sNal ly � � [J Firm/Co. Business Telephone Ss/ V/1 1-o Name.of Licensed Plumber: G6,0/? 6115 = Insurance Coverage: Indicate the type of insurance coverage by checking the i , appropriate box: Liability insurance policy Other type .of indemnity Bond s7; Insurance Waiver: I, the undersigned, have been made aware' that the licensee of this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner Aged% (� •, I . 1 I limbr testify pial all of die details and infosnutioa I have submittcd(oc cntcscd)in abo.e applicalioe is Isut assd ate 10 IIN beat r� I �•- kswwkdgc lduiad all plunsbin=work and installations I•csfnsnIcd undcs rcrulit issucd(os This appikatiost Wil(be M otIM1)11ii11q .1.h all PMS VWQ"Of lbs Maaaacbmalls Stalc Numbing Code and Q aptct 142 of dic(:mall Laws. I 0%. ! By j I Title • Signature of �Licensed Plumber j I Type of Plumbing License i City/Toon: /�4ol , I . AgDPnvFn IOFFICF USE ONLY) License Number ❑ Master M Journeyma ,.:; ;,dy��t��.r..-•:,�a�_.�4.�+'.t,..:.u;ds'Li `!�-'�a.Y"r"-,�:""� -""lPd+�ry r- g _ 7 Date N2 3594 / ?�,<��•°„•."�o TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING Fw— ` Q/,' o•�n°� CMU�'(h 11'7 *. SSAS tL This certifies that ait? .0. ?l` . . ���. . . . . . . . . . . . .. . . . . . has permission to perform . . .A!C. A-. . A.?!u.C . . . . . . . . . . . . . . . plumbing in the buildings of /74 r. . . . . . . o+ at 'oc.k.x.f3A'go,. . . . . . . . . . . . . .. North Andover, Mass: Fee22"3;3t". . .Lic. No./.-..eA . . . o PLUMBING INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer