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Miscellaneous - 126 FRENCH FARM ROAD 4/30/2018
126 FRENCH FARM ROAD-+ 210/035._ 0-0078-0000.0 io,�o v N° Date............�...... .. .. f p°RTM 1 TOWN OF NORTH ANDOVER ° - ' PERMIT FOR WIRING �ssACHUS This certifies that ....... r . ...... •I•f '( C has permission to perform ...... ....... ...................... wiring in the building of at...../.; ...... fc..e. ...........,�North/A - Fee.. r,MassLic.No. .�. .:��7-`7............�:..�: ......... ELECTRICAL IN WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THECIOMWON WE4LTHOFM45&4G�IIS M office Use only 1 DEPARTAfENT0FPUBLIC&4= Permit No. BOARD 0FFIREPREYE7M0NREGU7A770AS_V(W 12.00 — Occupancy&Fees Checked U49PPLIC.ATIONFOR PIIZMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 0,11112:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datg�P�IL9 , Dd d Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1d6 FX eIV(h )CXIIyl XMIJ Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ,/ No (Check Appropriate Box) Purpose of Building FA/hIL y �(JU/ �� f/Y/�fS, �iIJ�`�9/�C/>1 Utility Authorization No. Existing Service zoo Amps )20� /ZV4 Volts Overhead a Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity :cation and Nature of Proposed Electrical Work ^ NG VICF iL / vDh� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total - Total No.of Detection and Pumps Tons KW Gtitiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Locala Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP L7 gTHER' • 0 hsuatceCo�Pt�iatmthet�anatsaflViass<.+ C�Laws Iha%eaanetLiabatyhmm=Pofcymdj gCargide CaaaWcritsaksta We*iveien YES NO Iha,,esubr�Nandptocfofsanelothe011r=YES U NO If}cuha%edniodYES,pfemhfiakthetypecfwvwa bydukrgam INK AN E� 1 BOND ma U Eskn9kdValuedE6cl icW Wade$ WaicbSlat �p�j kispertim Dal ;R =_W Ra# o?,`(01 2 V,= FbW Stijl L C-f 16- NAME �J/�al T I T. .1'P iti /�ioC1 /<�C� eNo ,dab Ltoa>s� �f1�rQ� T, .I�� f9/1� _ Sigraae Isa i&=;— C-11 Bt TdNa ,cZ), 7 a oZaZ�1-ANDY AVP, 41? l�P:�✓1��� olfyi A)<TdNa S�/f9P OWNER'SINSLRANCEWAIVER;Iamawaethattheldx mraro wo2getritW30ri agmkrtasmpredbyIvfasadnsetSCxrtealLaws andiAnrysigratsa cnftpmniWpficadmvaiNesthistt'nat Z, (Please check one) Owner F-1Agent �l Telephone No. PERMIT FEE2�4, (/ V ' Office Use Only u � LrQmmunwr# of Massar4a rtt$ Permit No.— /6 Y_� flepartrittttt of Public _Aafttq Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 L 3190 peave blank) lug APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR :00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date SX* or Town of_ NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to to perform the electrical work d cribed below. Location (Street & Nun Aer) Owner or Tenant of/ U C, Owner's Address Sam-e— - Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _! Valts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _T No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures I Swimming Pool Above In- grnd. ❑ grnd. I Generators KVA No. of Emergency Lighting No. of Receptacl9 Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices 1 No. of Dryers Heating Devices KW Local Municipal ❑Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws `/ 1 have a current Liability Insurance Policy including Com`ol" Operations Coverage or its substantial equivalent. YES v NO = I have submitted valid proof of same to the Office. YES 4f NO = If you have checked YES, please indicate the type of/Covrage by checking the ap'py�nate box:INSURANCE 4t BOND = OTHER , (Please Specify) / Estimated Value of Electrical Work 5 /001 4X (Ex tration Oatet Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME g LIC. NO. Licensee 'Gt/� LtC Signatuo LIC. NO. 270727 Bus. Tel. No. Address .Of (O S r I \/I ti!� 3 l) Alt. Tel. No. �* OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE 3 (Signature of Owner or Agent) '7q / x 5565 III ® 1 Date.....? NoRTM TOWN OF NORTH ANDOVER 0 p PERMIT FOR WIRING ,SSACMusEt This certifies that ............... .......................................... has permission to perform .. :. ..za ....................... wiring in the building of..................... ............................................ at....,�.� .�......... North Andover,Mass. -�.� .. Lic.No.............. . Fee. ..... .............................................................. 9972li5/97 ELECTRICAL INSPECTOR 14:10 3100 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Location {� f rr'Jt>/ �ir. rpt {,,r No. -� �'� Date >> C c/9 NORT1y TOWN OF NORTH ANDOVER 3?o�,t�•o •,MSG - Op Certificate of Occupancy $ Building/Frame Permit Fee $ l'- Z.,CHU Eta' Foundation Permit Fee $ s� Nus Other Permit Fee $ v Sewer Connection Fee $ v Water Connection Fee $ TOTAL $ Building Inspector . ; u Div. Public Works / IL PEItNIIT NO. c�v�s APPLICATION FOR PERMIT TO BUILD****** *NORTH ANDOVER, NIA AIAP NO. �r LOTN 2. RECORD OF OWNERSIIIP DATE BOOK PAGE ZONE- J� � SUB DIY. LOT NO. / I _ /` PURPOSE OF BUILDING �p��� �C7Q�/� (L LOCATION ✓� 6 F✓u11G L'� Y�I1 O\1'NER'S NAME NO.OF STORIES SIZE BASENIENTORSLAU Oi\'NER SADIIRESS ) � /• ��1� ��5���� ' ' / �� (%//1Li ✓ Oc, 2N) -y It! • ' - 1RCIRTECT'SNAM E /r SILE OF FLOOR TIMBER$` f S l/1!1 /Cr �'C t� BUILDER'S NAME - SPAN - -i II[STAN CE TO NEAREST U1)1LDINC UIINIENSION$OFSILLS J DISTANCE F1tOA1S'II(EET 3Q'�-- D11(IENSIONSOFPUST'S DIST-ANCEFItONILO'ILINES-SIDES 3©*-REA DIAIENSIONSOFGIRDERS AREA OF LOT �3 FRONTAGE �G HEIGHT OF FOUNDATION' 'THICKNESS gag _ • IS BUILDING NE\Y SIZE OF FOOTING X. IS BUILDING ADDITION AIA7ERIALOF,CIIIA(NEY IS BUILDING ALTERATION Y IS BUILDING ON SOLID OR FILLED LAND yLS BUILDING CONNECTE TO TON%N IYATER 11'11"L BUILDING CONFORM TO REQUIREMENTS OF CODE /�i P BOARD OF APPEALS ACTi6 N':IFANyl IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NAT URAL CAS LINE S WSY UCT►ONS 3. PROPERTY INFOIUIIATION LAND COST EST. BLDG. COST PAGE,I_FILL*OUT SECTIONS 1-3. EST.BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM I LE1 TRIC IjETERS S1UST BE ON OUTSIDE OF BUILDING SEPTIC 1'ERAIIf NO. ATFACIIED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED IIY: C PLANS"AAJST RE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR UATE FILED O\1'NERS TELA/ ✓ 7rf Ca�� f7 / CONTR.7ELI/ q7 CJ 1-17.5904O CONTR.LICII - S1(:NA-TURF OF OWNER OR AU111ORIZED AGE UUU �D 6 tr Q I1 � S � Et: 5 0. 1 5 I'LIMH GRANIEu 19 ae,�sl(1 si�i99 JA1 ` ! / BUILDINiG DEP'�ARTMEN iT FORM-U --LOT--RELEASE FORM r, INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from, Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *** *AF�LICAI�T FILLS OUT THIS APPLICANT 1� �d4 e_ PHONE 93" LOCATION: Assessors Map Number 0 3 5 PARCEL 00 7 SUBDIVISION,+ ) � LOT (S) STREET �n(� �i�er�� J",- y 1'h ST. NUMBER /0�6 USE RECOMMENDA T IONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE.APPROVED `< iy n DATE REJECTED COMMENTS �- .._ No �SSul,e 3 K tit 11 .. TOWN PLANNER DATE APPROVED DATE REJECTED ~ COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS ,\ PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEiVED BY BUILDING ii ISPECTOR DATE Revised 9\97 jm The Commonwealth of Massach usetts .j o Department De Industrial Accidents P —= Office offaye0gations 600 Washington Street Boston Mass. 02111 .Workers' Compensation Insurance Affidavit 1a rr leas' RM-8440 name: location: city phone# EJ I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 7 , . .,;.mow, I am an employer providing workers' compensation for my employees working on this job. company name.... h y 0 dr of _J cit— /�/�lrf'')t�G v / � phone# insurance co. 'o policy# E] I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation,poIices: company name: ' address: city: shone#• insurance eo. oli'cy# cot tpany na'mei V dress: City: phone#• insurance co. policy# Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the forst of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the airs and n ltie f perjjuuryyth.,at/ttthe information provided above is true and rrect. Date Signa 7 _ C U �-•; Print name Phone# Echeck do not write in this area to be completed by city or town official . perinit/license# nl3uilding Department ❑LiunsingB6ard ate response is required Selectmen's Officeoliealth Department phone#; —Other (revised 7/95 PJA) • � t �. - -; ✓1� C�orvr�w�eaecr�l! o�,.Gl,��aetta L BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052262 Birthdate: 05/14/1959 Expires: 05/14/2001 Tr.no: 9728 Restricted To: 00 WILLIAM A HURLEY r 9 BARTLETT ST#102 _i 4'rA-. ANDOVER, MA 01810 Administrator x /fie tianvrnanu eall/z a�✓ 4 'uetto up HOME IMPROVEMENT CONTRACTOR Registration 106898 Type - PRIVATE CORPORATION Expiration 07/28/00 E.M.N. CONSTRUCTION CO. William A. Hurley 5/11 1 �artlett Street, Suite 102 ADMINISTRATOR Andover MA 01810 ' I I MAScheck COMPLIANCE REPORT { i Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 { I I I Checked by/Date I I I CITY: Lawrence STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-15-1999 PROJECT INFORMATION: Jerry and Nancy Bolduc 126 French Farm Road No. Andover Ma 01845 COMPANY INFORMATION: EMH Construction Corporation 9 Bartlet St Suite 102 Andover Ma 01810 978-475-8203 COMPLIANCE: Passes Maximum UA = 146 Your Home = 144 Area or Cavity Cont. Glazing/Door , Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 720 30.0 0.0 25 WALLS: Wood Frame, 16" O.C. 600 19.0 0.0 36 GLAZING: Windows or Doors 120 0.310 37 DOORS 42 0.320 13 FLOORS: Over Unconditioned Space 700 19.0 0.0 33 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the de ign load as specified in Sections 780CMR 1310 and J / ��% Builder/Designees Date / A/V r MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 11-15-1999 Bldg. l Dept. l Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: L l I 1. Wood Frame, 16" O.C., R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: [ l I 1. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.32 I Comments/Location I I FLOORS: [ ) I 1. Over Unconditioned Space, R-19 I Comments/Location I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. i VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. 1 I MATERIALS IDENTIFICATION: [ l I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I r I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed • I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. i I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. i I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ l I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- M 0 R T 8 A 6 E INSPECTION PLAN Cit /Town: til As:1D0�/Ef� Stitt: MA µnm y -- '--------- ----------- ------------ �Ep�111 F M Dite:.t�J f?1!_:_!_� 1_�9 _ scat, 40 40•__----- tOSFc��� s Dwners gaLGVG ---------•----------------- curers----Nf ---------- Deed ItI._3 005/I Zip-_--- P1 in No. Dravn per City/love of NA Tax Assessors Map. LOT 42 LoT 43 LoT 4-+ 30DRAINAGro EASLMtru'r. L- r I L oT 48 Lvr 4.7 43, 728 u� IQ 0 1dXy - b1 PcjoL O - N )-199 Po 3 6. r ,90 iz�N G FARM R0AC) . To:MPAT ACPS �11V/�►NG��V SER�✓tGES� NG'_---- __-- I hereby certify that the above Mortgage inspection Plan was prepared for use in connection with a Rev Wattage and is not intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , Valls or building lines. No responsibility is extended herein to the land owner or occupant. The location of the original building(s) as shown herein was in Compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal dimensional requirements, to lot lines or is exempt from violation enforcement action under Mass B.L. Title VIIe Chip. 40A, Sec. 7, unless othcivise shown herein. Subject building(s) 1:es in a flood zone designated Zones }� and shown on -- ---------------- - — FIRM map Cossurity-Panel t__2S___�_'_O___9___$_-------------------------------- G___- Oated:_�_�_�_1 9 �_ Job PONS 4 AUTUMV LANE METHUE11 MA 01844 508-683-9931 JCO, INCORPORATEt!, LAND USE A DEVELOPMENT , , TAORTH . of Oown L Over �fm dover, Mass., i 1 ,p DRATED Pl'? \L �5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System TIP r►O �� BUILDING INSPECTOR THIS CERTIFIES THAT. C. ....................................... '���"� Foundation has permission to erect.. .. . .. I ` F > . ........ buildings on ........... ........................ r'e Ne � rw! � Rough ............................. to be occupied as....... 1111...8 w1�...�. V 1N �.`�... ....A O.� ! '� 1 r Chimney .. .. ..................................................... . provided that the person accepting this permit shall in every respect conform to the terms 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 3 S PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU TION T S ELECTRICAL INSPECTOR � � Rough ................................................ Service BUILDING INSPECTOR 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 Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Dec. ¢Location 'No. xf Date N0RT1y TOWN OF NORTH ANDOVER F3 �. • O� Certificate of Occupancy $ not" W Building/Frame Permit Fee $ - ;�sE<� Foundation Permit Fee $ 4C 14US Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 11.37 Building Inspector _. . 25.00 PAID Div. Public Works Location No. Date NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ * ; ; Building/Frame Permit Fee $ a Foundation Permit Fee $ sACMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works P,ERIV,IT NO. APPLICATION FOR PERMIT TO BUILD"******NORTH ANDOVER, MA NIAP NO. LOT.NO. 78 2. RECORD OF O%%`NERSl11P DATE BOOK PAGE ZONE SUB DIY. LOT NO. LOCATION 126PURPOSE OF BUILDING S OWNER'S NAME NO.OF STORIES = - SIZE v 1 OWNER'S ADDRESS /_ �r< BASEMENT OR SLAB ARCHITECT'S NAME C!� SIZE OF FLOOR TIMBERS I 2 3 RD BUILDER'S NAME le%, �' � � PyG / �, r�J. C ��f�� SPAN DISTANCE TO NEAREST BUILDING 74- G DIMENSIONS OF SILLS DISTANCE FROM STREET /� /- DIMENSIONS OF POSTS - DISTANCE FROM LOT LINES-SIDES SD REAR DIMENSIONS OF GIRDERS AREA OF LOT tJZ�l FRONTAGE IIEIGLFT OF FOUNDATION THICKNESS IS BUILDING NEW ! SIZE OF FOOTING X IS BUILDING ADDITION U MATERIAL OF CHIMNEY ISBUILDING ALTERATION /V IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ��f IS BUILDING CONNECTED TO-TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED fO NATURAL GAS LINE INSTVCTIONS 3. PROPERTY INFORMATION _ LAND COST EST.BLDG.COST PAGE I FILL OUT SECTIONS 1-3 EST. BLDG.COST PER SQ.FT. �r EST. BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: . s PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Btf l l.DING INSPECTOR DATE FILED yZ� OWNERS TEL#(4')!I'0'-f'7y-de/y CONTR.TEL# CONTR.LIC'# SI A RE OF OWNER OR AUTIIORIZED AGENT $ � � H.I.C.# APR 2 1 �qo� PERMIT GRANTED 7� �/X19 FORM U - LOT RELEASE FORM e INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *** ***********APPLICANT FILLS OUT THIS SECTION*********************** /APPLICANT �s ,� G! ; dLLJvU PHONE_ z-� C�y7YS'8y"y (LOCATION: Assessor's Map Number PARCEL 7J_ (/ UBDIVISION LOT (S) ZS_TREET / 12W _LR *************OFFICIAL USE ONLY **** RECOM DATIONS HOE TOW GENTS: V CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS A—Se /Ind .L l�tJl ( AL 106 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE M 0 R T 9 A 6 E INSPECTION PLAN 06" a City/Tovn: N+MiDOVEIZ state: MIA ��tiH OF 1,,1,���,� Date: ---�--40 -------- t`�a� JOSE�It ws'^ --� ----------- Scale: Ovner'_—P,-aLI�UG------------ Buyers----"O----- ------ ^3 Deed R/f._3 0050 2c0__--- Plan No. Zoo_____-- : Dravn per City/Tovn of N14 ___ Ta: Assessors Map. 's2�'a°"'`'� a LoT q-2 L.o T 3 LoT 4-+ 30� (�R/al N�4 f�tc e^SL,►�t8 T II°1 L-47 ItI L o7' 48 LoT' 4-7 AQP -4.3, 7 z 8 sQ,I--r. u� °`f 35 WDoD 2 5`T-pizY' TotM�tZTG/.�GG __�1N�NG1/�►V 52�/lGE5�� NIG•-----_ ------ her I eby certify that the above Mortgage Inspection Plan was prepared for use in tonnection with a new Mortgage and is not intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , Valls or building lines. No responsibility is #%tended herein to the land owner or occupant. The location of the original building(s) as shown herein was in comlliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal dimensional requirements, to lot lines or is exempt from violation enforcement action under Mass B.L. Tit!# VII, Chap. 40A, Sec. 7, unless otherwise shown herein. Subject building(s) lies in a flood tone designated ioneixand shown on FIRM map Community-Panel 1_ 25009E; — 00015 G____ Dated:_ 2_�9.,�_ Job JCD, INCORPORATED, LAND USE 6 DEVELOPMENI CONSULTANTS 4 AUTUMV LAME, METHUEN, MA 01844 508-683-9931 r10RT Town of - over No. Idl 1998' 2 - dover, Mass., Z _CO CLAKE MICMEWICK V S E BOARD OF HEALTH PER .M IT T. Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................................. � ' .t +�,.......... o.l� ..�.................................................. .l.� Foundation has permission to erect.................... ................... buildings on ........ ........FR:F !C.-,or..... �W!Q.M. . ......... Rough CO be OCCUpled as.............. ................�!S. `!`.�r ........................................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms'of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 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 ST ELECTRICAL INSPECTOR TS Rough 021 ............................... Service UILD 16. INSPECTOR Final Occupancy Permit Required to 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. Smoke Det. ArrucgTlON FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP-NO. 8 V LOT NO. 7� 2 RECORD OF OWNERSHIP DATE �`�- ' r • BOOK PAGE ZOI+iE SUB DIV. LOT NO. I i. LOCATION27 PURPOSE OF BUILDING ( r r� OWNER i NAME �O�vG �JWQVC OuL f NO SIZE OF STORIES SIZE OWNER'S ADDRESS 1Z6 �� 2-26,40 BASEMENT OR BLAS y ARCHITECT f NAME SIZE OF FLOOR TIMBERS 1ST 2N0 BUILDER'! NAME 3RD DISTANCE TO NEAREST BUILDING �• _� V DIMENSIONS OF fILLi + DISTANCE FROM STREET /7 -_ - - G '� �^ POSTS DISTANCE O FROM LOT LINES -SIDESR _ EAR L /L AREA OF LOT GIRDERS y3 T/G FRONTAGE HEIGHT OF FOUNDATION HICKNESS IS BUILDING NEW SIZE OF FOOTING iS BUILDING ADDITION ' MATER:AL OF CHIMNEY IS BUILDING ALTERATION \ IS BUILDING ON SOLID OR FILLED LAND WILL BVILDING CONFORM TO REQUIREMENTS OF CODE CS IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LI -------------------- INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES LAND COST EST. BLDG. PAGE I FILL OUT SECTIONS 1 - S EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 ' EST. BLDG. COST P[R ROOM ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4 APPROVED BY PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE F LED - Z SIG ATU E OF OWNER OR AUTHORIZED AGENT UILDING INSPECTOR F E E 0 OWNER TELSa8 PERMIT GRANTED C� CONTR.TEL t (� CONTR.UC. q35 "1 H.I.C. 1 ' FORM II - LOT RELEASE FORM INSTRIICTIONS: This- form is used to verify that all necessary i 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. i ****************Applicant fills out this section***************** APPLICANT: /�, �� //, �! o/�� Phone LOCATION: Assessor's Map Number S Parcel Subdivision Lot(s) Street �P�.�eff 6,4es�l �e.4,o St. Number /Z62 ************************Official Use Only************************ RECOMMENDATIONS OF TO AGENTS: Date Approved 7/111f't Conservation Administra or Date Rejected Comments q -7 Date Approved . , Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments f Public Works - sewer/water connections �1 Q��'2 /S 6dkjx O j � - driveway permit Fire Department Received by Building Inspector Date MORT8A6E IN9pECT, ION PIAN City/Tovn:N.�4NJVER___ stat:: Mf,a ''A -------------------- V"i of, Date: "a .toSEn11 scale: L= 40A. s. Ovner: . 4PL d U G 0^�t0. 1n. �.. / y ----------- ------------ Deed Buyer:----N{ ---------- Oeed Ref.----------- ----------- plan No. r y Dravn per City/Town of NA Tax Assessors leap. LOT 4Z L v T 3 Lo-r- 4-+ l 30' (JR/ai N,ti GroE,s$LME ?- I t po T. Ldr 4b 47 4.3, 7 Z 8 w i0 / �o � N K% b, 35 W pnD i Waco + i To:M o2TiAi4GE _ 1=1 NJAW e—OAL.- SEIZytGESa» NG_ _ i hereby certify that -the above Mortgage Inspection plan was prepared for-rse In connection vith a Rev Mortgage and is not intended or represented to be a property line or land survey. It tannot be used for estlilishing fence, hedge , Valls or building lines. No responsibility is extended herein to the land ovner or occupant. The Iotatlon of the original bvildinl(s) as shove herein vas in compliance vith the local 1pplicable zoning bylays in effect AM tonstructed, vith respect to horizontal dimensional requirements, to lot lines or is exempt frog violation enfortM Nt action under Mass I.L. Title YIIr Chap. 40A Sec. 7, unless othervise shove herein. Subject buildinq(s) lies in a flood tone designated toner an � FiRN sap Cossunit -panel 1 25 o O S / - ------------ ------- d shown on y --- ------— $__0 00 -F-z1{ Job No. JCD, INCORPORATED, LANG USE 1 DEVELOPMENt CONSULTANTS 4 AUTUMN LANE, METHM, MA 01044 508-683-"32 POOL SME SCHEDULE B 'B' (INSIDE DIMENSION) SIZE 'A' 'B' C' D' E' F' 'G' 'H' J' 'K' DET 17-0' x 21-0' 12'-0' 21'-0' V-1' C-C 1'-0' C-0' 8'-0' C-0' 11-0' 1— ' _ IL'-O' x 32'-0' IC-0' 32'-O• 3'-1' 8'-0' 1'-0' C-0' H-0' 8-0' 8'-0' 11-0' 18-O• x 3C-O' 181-0' 3C 0' 3'-1' 8'-0' 1-0' C-0' 11'-0' 17-0' 8'-0' S-0' ul CL H it 20-0' x 10'-0' 20'-0' 10'-0' 3'-1' 8'-0' V-O' 8'-0' IC-O' I21-0' 8'-0' C-0' II o n co (� coW VINYL LINER j II a S� I OVER `� SLOPE_ SLOPE W PANEL 7 ' HS 1 1/2• x 1 1/ I z � x 11 GA. GALV. I Iui MN ETAL ANGLE u IM, • I I 1 1/7 x 1 1/2' x 11 GA. 11-0' O.C. I ANGLE GALVANIZED METAL H U u CORNER POST DETAIL NOT TO SCALL' N II Fi u N AL 9NUM COPING T M—� B .. M x 18 ST GALVANIZED v '� METAL STUDS • ANI O.C. POOL PLAN ALUMINUM L NOT TO SCALa COPING FINISH GRADE Z 1' x 18 GA. GALV. LU METAL STUDS X • 1'-1' O.C. W/ 18 GA. TOP 1 BOTTOM TRACKS 0 Q ii Iv7xIv7 1 I/2• x I I/7 MULTIPLE 8'-0' OR 10-0' PANELS AS REQ-0 PANEL i i x N GA. GALV. x N GA. GALV. i METAL ANGLE METAL ANGLE ALUM COPING BRACE • A BRACE • 1'-0' O.C. 1'-0' O.C. tVINYL eCONCRETE • x 2'-O' i i �-- LINER POOL WALLS BELT AROUND _* W V W •3 x 18' REBAR 93 X I'-�' REBAR 4—H EP CONCRETE 2' CONCRETE N PIN • EACH BRACE BELT AROUND POOL FLOOR PANEL ELEVATION NOT TO SCALA TYP. PANEL SECTION z NOT TO SCALD O Z r FINISH GRADE OR WALK ALUMINUM COPING FINISH GRADE OR WALK WATER LINE WATER LINE ALUMINUM COPING Q o � O EVINYL LINER OVER 2' CONCRETE FLOOR in r q v c SiCTM A-A Wr TO SCALZ ACTION d-d�E VINYL LINER OVER I 2• CONCRETE FLOOR NOT TO SCALA 1]J 1/11/41 NORT Town of over ' No. s L,X dover, Mass., 19� 94.C O CHICHEWICK '4 rE o ►► 'C U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....................................;('z 0Ia!e............zc,/,. C................................................. Foundation has permission to erect...........] 1::P./.......... buildings on ....../. -.�....... Rough to be occupied as 'Z. .� ``f ............. - .G' .0>.u. ......... �1 C:....................... Chimney p' ............................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ........................... ........ Service ,....... .... ..... ......... LDING INSPECTOR Final Occupancy Permit Required to 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Town of North Andover BUILDING pEPARTMENT Homeowner License Exemption 'Lease print) DATE JOB LOCATION //2Z(;;,0 ell A,L4 41 Number . Street Address Section of town )MEOWNER" Name Home Phone Work Phone ,RESENT MAILING ADDRESS City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied- dwellings of six units or less and to allow such homeowners to engage an - individual for hire who does not possess a license, provided that the owner acts as ' supervisor. (State Building Code, Section 109. 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is , or is intended tq. be, a one to six family dwell- ing , attached or detached structures accessory t.o such use and/or farm ; tructures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form' acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109.1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . Phe undersigned "homeowner" certifies that he/she understands the Town of ,orth Andover Building Department minimum inspection procedures and _�quirements and that he/she will comply with said procedures and equirements . IOMEOWNER' S SIGNATURE t/ ',PPROVAL OF BUILDIN OFF CIAL ,Jute : Three family dwellings 35 ,000 cubic feet, or larger, will be .-equi.red to comply with State Building Code Section 127 .0, Construction •:�ntrol . Date. . .. .!' No HpRTFr TOWN OF NORTH ANDOVER p� �.w ,•14'O r PERMIT FOR PLUMBING r • d ' k � a s SS US This certifies that . . . . . :t-�' has permission to perform . . . . . . . . . . . . .'. ..... . . . . . . . . . . . . . . plumbing in the buildings of . . ^.`.rf/��.c.-. . . . . . . . . . . . . • . . . r at . . . . . . . . .f ... . North Andover, Mass. Fee d?.�` Lic. No.. :: . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTSr r� !VC n�J✓ �D Date Building dad-ovw Owners Name FO + G Permit# `� ire dU flncf ov-e� Amount s Type of Occupancy< de'n ✓��l % New Renovation Replacement 0 Plans Submitt es No ❑v" FIXTURES w WCn F W W � � W a a a Si8>E� BPMWW ISE RaR 1 I 1 I M HUR 3M FIOQt 4M FI M 5IHFIOQt 6IHRO R 7M FIO(R 9M ROM ° (Print or type) / Check one: Certificate . Installing Company Nam eJ *SC �O n's Corp. Address -26 '%k 135 1)ZWZi`O 1 //la' 112219V2' � Partner. Business Telephone q?S -7 - U6 T LJ rirm/Co' �n G Name of Licensed Plumber L !�;n G. kus,-04-*I S �L Insurance Coverage: Indicate the lype of insurance coverage by checking the appropriate boic Liability insurance policy Other type of indemnityEl 0 Bond Insurance Waiver I,the undersigned,have been made aware that the licensee of this application does nothave any one of the above three insurance Signature Owner 0 Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installati 5efforp6d der Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts P bin 9de and Chapter 142 of the General Laws. By: ,gn o er Type of Plumbing License Title 263 City/Town cense um e , r Masten D Journeyman APPROVED(OFFICE USE ONLY • NORTH ANDOVER, Maaa. Date '7-3/ r Location_,�.� o �� Permit Owner+.— None J PT UC New Renovation O Replacement p Plant Submitted: Yea Q . No. FIXTURES ——— w ss to < w w o s ►- w N O r w a w a s < 10' = 0 O a t es 0 • a N .�I w s a S w K al O t ! M ` - a Y 10- 2 r < M S < w A O s L O O ` _ ! st a • o o ! s M i i i l. asi O ti s i o eAelr�NT • IST FLOOR IND FLOOR lll10 FLOORAll 4TH FLOOR iTM 'LOOR eTN FLOOR tTN FLOOR - - eTM FLOOR - - A' Check one: CerlMicsla Installing Company Named g /u�„ . bra Q colp. Address O Parinerahip i - O Firm/Co. -- - - --- -- - Business Telephone--t-- 5- vti �L _ Name of Ucensed Plumber - INSURANCE COVERAGE: ec one _'._: ........ _.. I have a current liability Insurance policy or Its substantial equivalent. Yet O No O .� N you have checked M. please Indicate the type coverage by checklnp the approprlals box A liabilityInsurance policy _-O Other type of Indemnny 0 Bond Q - OWNER'S INSURANCE WAIVER: 1 ins aware that the licensee does not have the lnsurance�coveripe iequlrec! by Chapter 112 d the Masa. Genera! Laws. and that my $19nature on thla permit application.wabres.this _. Check one: .. cs4ulreazeaaR _. an........ ... . _.. . . . Owner Q ..,...., :- .. a urs 0 ot.or ors , .. ./►QenQ(3.�_`. I Mroby cerUy that ail of the dataAs and(nlamatlon I have wbn�ftt.d(or«,l«od)ti above appRnatbn acs hes aAdaocuratsf talhabeµct.,pyr. ttwwlodgo and that ail Plumbing Irak and Installations patfa�uWw the ponM issued for R applkallon will be.In psAlnan provision of th•Massachusetts Stale Phm�bkp Code end Chaplar N2 of the r,WWW oompAana wius aA ! This nature sod Mumbell City/Town ' Ucense Number /0 2-;L, f l4PPt10VED(OFFICE USE ONLY) Type of Rumble 0 License:Marler � ! Josnnsymarl, O <_ .. . . j Location No. 1el- 3 Date TOWN OF NORTH ANDOVER , 9 ` Certificate of Occupancy $ �'�;'••• E Building/Frame Permit Fee $ G s�CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '� Check # -Building Inspector 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 11&Secflwfor0WkidUse0o1y 111 BUILDING PERMIT NUMBER: P ATEISSUED:3� 3 -a003 � SIGNATURE: /� C ic Building Commissioner/12TEtor of Buildings Date Z SECTION i-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �2-���ct.e vc�t.�A c�v.•.� . pas Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 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 ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record \\ 7:Q \qKL`l 'R3 C)\C�yC \'C NA JN U gV-w` Name(Print) Address for Service Signature Telephone —1 2.2{owner of Record: Name Print Address for Service: O Z M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: \ Not Applicable ❑ Lice,Aed Construction Supervisor: License Number mnh Expiration Date Signature V Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ -b 2\� Company Name rn Registration Number r Ad re \` �"\'�-�V\ Expiration Date ^� Signature Telephone Y�' SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit st be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the bui diXpermit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check auapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other pecify Brief Description of Proposed Work: �-)C,S Q, e— \N, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by perinit applicant 1. Building (a) Building Permit Fee p Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC f p7 C� 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS GENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, "I w,a o C CA >- o as Owner/Authorized Agent of subject property Her v r ho e to act on � My it r elative to work authorized by this building permit application. Signature of dwnW Date ` SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name a Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3RD SPAIN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IIEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE � _ �� `4', ✓�iC ��a:htOJ.lrXttfi4 c�. {[�rWsilr't BOARD OF BUILDING REGULATIONS , &License: CONSTRUCTION SUPEI!VISOR i Number. CS 071344 Birthdate: 07/23/1967 .y Expires:071232004 Tr.no: 77344 Restricted To: 00 RONALD E FINOCCHIARO JR F • 65VMTER STREET NO AMOVER, MA 01845 Admtnisfttor �- & � t �r Customer Name: + CARPENTRY Address: City/State/Zip: 65 Water Street Phone Number: Job No. No. Andover, MA 01845 978-794-2446 LJKitchen & Bath Install L) Builders Change U-01 ther Descr:i tion Prig T.t r - , I ` 0751 T C . . ........... leu return cif materials after 30 days—I tatted items and special orders Tire not returnable) SubtLlttt� Deposit" ' Sala Tax (if 41r>~ rlicable} Balbhce tatu . . In -�j Customer Signature Date R & M Carpentry Re sentative I Date r Comments: * Payment is to be made as follows: ❑ 50% Deposit/50% on receipt White-Customer Yellow- Office R&M CARPENTRY 65 WATER STREET NO.ANDOVER MA 01845 JERRY & NANCY BOLDUC 126 FRENCH FARM RD NO.ANDOVER MA 01845 **BASEMENT REMODEL** FRAMING SEGMENT** FRAME ALL BASEMENT WALLS ACCORDING TO DESIGN SUPPLIED BY HOMEOWNER AND LOCAL BUILDING CODES. WALL CONSTRUCTION** WALLS CONSTRUCTED OF 2X4 KD WITH A PRESSURE TREATED BOTTOM PLATE. ALL DOORWAYS FRAMED ACCORDING TO ROUGH OPENINGS. WALLS TO BE INSULATED WITH R11 INSULATION WITH VAPOR BARRIER. WALL FINISH WITH 1/2 " BLUE BOARD WITH A PLASTER VANEER. ELECTRICAL** ALL ELECTRICAL TO BE DONE ACCORDING TO LOCAL BUILDING CODES. ELECTRICAL SEGMENT 14 WALL OUTLETS 12 2X2 SUSPENDED CEILING LIGHTING 2 24" FLORECENT CLOSET LIGHTING INTERIOR TRIM** TO MATCH EXSISTING HOUSE 2 1/2 " COLONIAL CASING TO BE APPLIED TO DOORS AND WINDOWS. 3 1/2 " COLONIAL BASEBOARD TO BE APPLIED IN BASEMENT AREA. BEED BOARD TO BE APPLIED TO 1/2 WALL AREA FINISHED WITH A PINE TOP SHELF. STROAGE AREAS" SHELVING AND STORAGE AREAS WILL BE CONSTRUCTED WITH 2X4'S AND 3/4" PLYWOOD.STORAGE AREAS ARE NOT INCLUDING SUSPENDED CEILING. DISPOSAL OF ALL DEBRIS JOB SITE WILL BE KEPT CLEAN AT ALL TIMES ALL WORK WILL BE CONDUCTED PROFESSIONALLY AND EFFICIENTLY ACCORING TO SPECS. TOTAL COST MATERIAL AND LABOR $25.771.00 50% DEPOSIT IS REQUIRED 1/4 PAYMENT DUE AFTER PLASTERING BALANCE DUE UPON COMPLETION OF JOB. 6 LIGHT SWITCHES 1 ZONE HEATING HOOK-UP BATHROOM HOOK-UP T.V. CABLE AND PHONE HOOK-UP 2 REGULAR CEILING FIXTURES TOTAL COST OF ELECTRICAL $3100.00 PLUMBING** ALL PLUMBING TO BE DONE ACCORDING TO LOCAL BUILDING CODES. 1/2 BATH HOOK-UP WITH TOILET AND SINK ALSO SEWER EJECTION PUMP. A LAUNDRY SINK HOOK- UP. 1 ZONE HEATING HOOK-UP. MOVE AND RELOCATE OIL TANK. TOTAL COST OF PLUMBING $4100.00 SUSPENDED CEILING** WHITE TRACKS WITH 2X2 TILE'S. TOTAL COST $3500.00 TILED FLOOR** V T C COMMERCIAL TILE $310.00 CABINETS" PANTRY STORAGE CABINETS, GAME ROOM STORAGE CABINETS. OLD SALEM STYLE $3400.00 BURLINGTON STYLE $4718.00 INTERIOR DOORS 2 3'X6' 8" 6 PANEL PINE STORAGE DOORS WITH HARDWARE. 1 2'8"X6'8" BATH DOOR. 2 6'X6'8" BIFOLD CLOSET DOORS. 1 POCKET DOOR 5'X6'8" 6 PANEL PINE. r 4 / (f C1 I i t r ! T � y cc f ! NORTH E r ON" Of Andover No. 363 °� =CoC�,� �Q dover, Mass., A0RATE D P'P�G,`�� S 4 BOARD OF HEALTH Food/Kitchen P RM I I I Septic Svstem BUILDING INSPECTOR THIS CERTIFIES THAT..............e.rr.. �/9 N� ��Q . .......u..................................._ ........ Foundation has permission to erect.....�t".t.'vl .............. buildings on ......../.. ..fir......... �!.!t'!�.L.! .... � A�''� . .................. ; Rough �mo wl I� A 1 t /9')�twr �y r a Q /'� /� Chimney to be occupied as.................. ............................./................. ......................................................................................_............. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and Construction of ,5 A Buildings in the Town of North Andover. Q 'a dp — 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 Occupancy Permit Required to 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. D o ate 7 . �r. ...... .. HpRTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION F F ♦ s ♦ �+ ♦ S ,SSACHUSE� � � V This certifies that . . pz/.q . . .. . . . .tr ! ... . . . . . . . . has permission for gas installation . . G , l�l.�:! �r�Z CU in the buildings of . .�.: .�'.+ .�� . . . . v. .. . . . . . . . . . r' . at f�.0/.:/a�:dr c,/ /�/'�< j. c1 N Andover, MPs. Lic. No..,�.Q.�.� . . . . . . . AS INSPECTOR WHITE:Applicant CANARY:Building De t. PINK:Treasurer Date. a 4 NORTH A r,;•<;��` "oo TOWN OF NORTH ANDOVER PERMIT FOR WIRING SA MU This certifies that .....1..�.GK.�......:. U'........................ fl C ................................... has permission to perform .r......... wiring ins the building of...... :.����' l .................... �.... .................... %�c / • / r���............ orth ver Mass. Fee. ....:..!! Lic.No.:� .. .: 1....�,�....'...:. .................................. /J /ELECCRICAL INSPECTOR Check # �, JJ _ 7ECOAMOATWEALMOFMAS,SACHUSE77,S' Office Use only DEPARTAffiW0FPUBIICS4FMY Permit No. BOARDOFFMPREVEN7MONREGUTAHONSS27CMR120 Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERFORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perforin the electrical work described below. Location(Street&Number) Owner or Tenant /.30 So z-y u e, Owner's Address 5 � -e- Is this permit in conjunction with a building permit: Yes2D No F-1 (Check Appropriate Box) . Purpose of Building Utility Authorization No. _ Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Workv /-2u,1✓l No.of�,lghting Outlets / .y No.of Hot Tubs No.of Transformers Total / I KVA . No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 1:1round No.of Receptacle Outlets /(I No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets / C/ No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices ' ------ � No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local ^ Municipal Other uConnections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER h19==CoW1age',A»atbthemgmenientsofMwmd>BcMG=rALaws Ibawaamsl Lmb&ykmancePbhynri.IdmgCo nplete COveMg-,OntsgkStdiale"valerrt YES NO IhaNemb iWdvaMptcofcfsarr 1otbeOffice.YES (� If}ouhaeedrdkudYES p thetypeofco by drd&Igthe_- box IT�1S[1RAIVCE BOND MIER �- rinse pecify) Q�CG'/f�iy�f G�✓JLY�Ic� ExpiafimDale Est�r"VakrofH chralWotk$ WCdCOStart 1q)eWmDrat;ReWes&ed Rough Fsk] Signed urrpi•�ieFPnatties of perjtny. EIRMNANM E044 lCcLiceWNo 3 azsS Lich d6�r7 !�/.p vv✓ i J/L Signa�te IkuwNo jj�-.3e-217S � � Busirm1e]No Goa 7(J-45-4 43s72 Al Tel.No. G�3 Plr 3o�'G OWNER'SINSURANCEWAAUE lam awatelhatth Lxffwe nothavetheinstnarmcomyageoritsaton MaivalentaslequiralbyMassachtmasGar6,,,s Mthatmysignatttleonthisp=tapphcationwaives thisragtm mmt Please check one) Owner ® Agent �' Telephone No. PERMIT FEE$ Igna ure ot Uwner or Agent