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Miscellaneous - 130 CHRISTIAN WAY 4/30/2018 (2)
Commonwealth of Massachusetts City/Town of 0 C T - S 2003 System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Lcation* forms on the computer,use only the tab key Address to move your cursor-do not Ci6f own State Zip Code use the return key. 2. System Owner: te6 Name Address(if different from location) Citylrawn Statej�, !�_,,,ZiCode Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 2-go If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System- 6. System u ,�v \ V\ Namk --� Vehicle License Number Comp 7. Locatio eret contgnts we isposed: Si r Date t5foffn4.doc•06/03 System Pumping Record•Page 1 of 1 4-1 ` Date.... ......................U Of NORTH,M 3? -,•�.�o� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSACMUS� fiP l !' ........................�.........................� This certifies that .... ...................... ... has permission to perform .......... ...... wiring in the building of � 'Q ................ .... ............................................... at.................. %r2i.c.T� r✓ •� .^,North Andover,Mass. Fee—l-?.......'Lic.No....S.J.,,13,,.5.......... � ELECTRICAL INSPECTOR u v. Check # `r Z�S a :a ClImmonwea&o f kamacoelb Official Use Only NEWcc� Permit No. �DEl eC .pa . rh .t of-c7 ire Service Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod C),5 7 CMR 12.00 (PLEASE PRINT W INK OR TYP L O TION) Date: ", City or Town of: _ 0 To the Inspector of ices: By this application the undersigned gives notice of his or her i tention to perform the electrical work described below. Location(Street&Number) Owner or Tenant /dl Telephone No. Owner's Address 34W1 510 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building S t hUtility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -.1 r4 96►2Ti co - *4e ill) , Completion o the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- F1o.o cy Lighting d. nd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers eatump umber. _ons - _ o.ofSelf-Contained Totals: -� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unicipa ❑ Other Connection No.of Dryers Heating Appliances KW SecuritySystems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent A OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 1 Estimated Value of ectrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force,and has exhibited proof of same the perm t issuing office. / CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) /nivel ��/� I certify,under the pains and penalties of perjury,that the information on this application is true and complete.!! FIRM NAME: LIC.NO.: 3 Licensees OZ, iUJ424 Signature 1 LIC.NO.: (If applicable,efiler "exeoip in the license numbf�li e.) ,�� / Bus.Tel.No.; Address: J i Cwt tG�"/Zl h S /�� ��il C�JUf/1 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security rk requires Department of Pub is Safety"S"License. Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ enerators Residential& c)each additional meter..$10.00 TowN OF ANDOVER Commercial: Sewer Ejection Pump: $25.00 ELECTRICAL PERMIT FEES a)including photovoltaic& Signs: $25.00 each ballast (E ecttve March 12, 20 generating Equip Per KVA $1.00 Smoke&Heat Detectors& ,- re 9 f b)un-interruptible power systems, Initiating.Devices: ^ .A per KVA$1.00 Residential: $1.00 each r, Q c)batteries over 100 amp. hours,per Commercial: $60.00 up to 10 NO SE CABLE ON cell$1.00 devices over 10-$1.00 each OUTSIDE OF BUILDING Heat Devices: $1.00 each Space Heaters: Air Conditioners: $40.00 each Heat Pumps: $40.00 each area heating$1.00 each Alarm Systems Security: (for fire Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00 systems see smoke/heat detectors) Tubs: $20.00 each Swimming Pools: Residential: $40.00 Lighting Fixtures $1.00 each Residential: Commercial:up to 10 Devices Lighting Outlets: $1.00 each Above Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) Inground: $50.00 $1.00 each $20 each Commercial Pool: $100.00 Carnival Equipment: $50.00 each Motors: (per hp or fractional part Switches: $1.00 each Ceiling Fans: $1.00 each thereoo $2.00 Temporary Service: Commercial New Construction or Oil/Gas Burners: Must have Utilith Authorization Number Residential$20.00 each Residential$25.00 Alterations: $100.00 per 1,000 Sq.Ft. of Commercial$20.00 each Commercial $100.00 Per circuit$10 Transformers:g Office Furnishings:Construction Space Commercial Service Change/ elocatable Partitions/Cubicles) a)capacitors,Per KVA $1.00 Repair: Outlets&Fixture: $1.00 each b)ducts,conduit&conductors Must have Utility Authorization Number Ovens Built in/Counter Top Units: (Associated w/Padmount Transformers)$25 $100(first 100 amperes or fraction,one $10.00 each c)each manhole$10.00 meter) Panel Change/Circuit Breaker: d)each handhold$5.00 a each additional 100 amperes Residential: $20.00 e)per KVA$1.00 capacity or fraction. $30.00 Commercial: $25.00 0 primary feeders,$25.00 each(over 600 volts,non-utility owned) d) each additional meter$25.00 Phone Jacks: See vaults and equip. $25.d) each Commercial Temporary Service: data/telecommunications Washers: $15.00 each $100.00 Ranges $15.00 each Waste Disposals: $5.00 each Must have Utilit}Authorization Number Receptacle Outlets:$1.00 each Commercial Repair and/or Water Heaters: $30.00 each Recessed Fixtures: $1.00 each Maintenance Permit: (Blanket Re-inspection Fee: $25.00 Permit)up to 2 Electricians$150.00 Repair to Service Residential: *For Multi-Family & per pair of Electricians over 2$50.00 $20.00 Large Commercial Project Data/Telecommunication: Residential New Construction Residential: $1.00 per port (Dwelling): $220.00 see Wiring Inspector for Commercial: $30.00 up to 10 pricing: devices over 10-$1.00 each (with service up 200 amps) Paul Kennedy 978 Must have Utility Authorization S Number ( ) 623-8306. Dishwashers&Disposals: for services over 200 ams see below (Office Hours 8 ani to 10 ant) ' $5.00 Each a)for each 100 amps capacity or Dryers: $15.00 Each fraction add$20.00 *Inspection Schedule: Emergency Lighting(Battery Units) b)each additional meter$10.00 p $ 1.00 each unit c)each additional panel/sub panel 1 ROUGH Feeders or Sub-feeders: $25.00 1 FINAL each 100 amp capacity of fraction 1 TRENCH (if applicable) thereof Residential Additions/Alterations: Residential: $5.00 each $220.00 maximum Commercial: $15.00 each Residential Service Change or ADDITIONAL Gas/Oil Burners: Underground Service: INSPECTIONS *$25.00 (if Residential: $20.00 each $40.00 applicable) Commercial$20.00 each Must have Utility Authorization Number Pp ) a)one meter,up to 100 amp capacity $40.00 (revised 07/05) b)each additional 100 amp capacity or fraction$20.00 No / Date:........................�...... O� ko TN,N ,.t;�``.-.••.oo� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �S" cmusE� 7 This certifies that ......:.%... ....................................................................... has permission to perform ...........;!r ......................................................... wiring in the building of .c- ....+t` `...'...::::?. .� ... �:':..`.--`� North Andover Mass. Fee-. ...(:r.......... Lic.No.............. .............................. .......................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use only TBE00W01 WE4LTHOFI�RS.S'AQ7USLTIS DEPARTAMATOFPUBLICS4FM Permit No. BOARD 0FFMPREVEW0NRE9JL4TT0AS5270012.G0 0.� � Occupancy&Fees Checked APPUCATIONFOR PERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat " 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) Owner or Tenant - Owner's Address Is this permit in conjunction with a building pe rmi Yes No a (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps_ / Volts Overhead Underground M No.of Meters New Service . AmpsZ4& Volts Overhead M Underground of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound No.of Receptacle Outlets D No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Somers No.of Ranges No.of Air Cond. ----1 otal 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 Locala Municipal Other A Connections No.of Water Heaters KW No.of No.of Signs Bailasis P'Js.Hydro Massage Tubs No.of Motors Total HP OTHER' I(1Qt' =CuAnge.PlISl1C1fYYJ111et�tIQHi SOfM 119C1��7H1H'dlL3WS Iha%eaaxretLiabtldyhiam=PcbLymAxkgCcn*e Cmaagea•its�tiale*ivalat YES NO Ihmea nilledvAidptoofofsarielotheOsimYES NO a Ifjwhmeda:ledYFS,pleaseit�hc&thetypeof WpoprimebcK INSURANMBOND o C oftmesped ) EsmrmiedVakXcfFJearical c' $ WodcmSlalt h pecxionD*Re4rested Raul Fatal /� Figs XVAEiePtrtalties FIRM N.�ME Lica>,seNa Licaisee Signanrte Lioa�seNo Business Tel Na /��'-�r"f-do�d AltTel.Na OWNER'S INSURANCEWANEE;[am awatetAftLioarsed mW ►+ethe CalaalLam anddratn y neatElispmntappiir bmwaitthisrgm mat. (Please check one) Owner a Agent Telephone No. PERMIT FEE$ \J The Commonwealth of Massachusetts °"�Use Only U�7 P�T� �. l�'71Department of Public Safetya rmd No s Fee checked /S"7/BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave wank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of ti• 4`7JOVy/ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1- 4- # '71 f �� H Owner or Tenant J IF 4 n Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building a o w ,,h Utility Authorization No. Y06-570 _ Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service -200 Amps VZO /®��/o- Volts Overhead n Undgrd 3- No.of Meters f No / Date..�....%. ........... M HORTIy 04 TOWN OF NORTH ANDOVER No.of Transformers �- TSA PERMIT FOR WIRING Generators KVA No.of Emergency Lighting .y ,+,r.o ,�•��, Battery Units ,ss'ACMUS� FIRE ALARMS No.of Zones A No.of Detection and This certifies that .................... ...................•...-...... ................................ Initiating Devices No.of Sounding Devices has permlSSlOri t0 perform-.... ............. No.of Self Contained wiring in the building of..:.:........:/ .................................. Detection/Sounding Devices Municipal Low❑ Connection[:]Other at J •.........4 ---1- �'..J ..,North Andover,Mass. Low voltage ........ n 5 Wiring kFee ........... Lic.No.........7.. .............................:.................................. ELECTRICAL INSPECTOR WHITE:Applicant CANARY: B 'I 'g Dept. PINK:Treasurer 09/10/9911:27 250.00250.00 �� -'�^�-v��^�*� �U��^r^��•a�."I-y-nK,w1„y-c,v1np,a«vvperauons coverage or ns sunstantial equivalent. YES E3 NO ❑ 1 have submitted valid proof of same to this office. YES El"' NO ❑. If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE BOND❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work$ 3wo.,moo (Expiration Date) Work to Start V— 9- 5 7 Signed under the penalties of perjury: FIRM NAME � . � LIC.NO. fi/S6 7 7 Licensee Signal LIC. NO. Address � QD�c '61"7 S tjw p/e-76 Alt.Tel.No. us.Tel.No. r:S~'7-00V O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) Location 1 kfi r? S-p atR �Nha7 �' l No. Date NORTq TOWN OF NORTH ANDOVER cA Certificate of Occupancy $ J ©� +1� r Building/Frame Permit Fee $ ITS CH st< Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 1! - 8 Water Connection Fee $ .oc� 0 TOTAL $ 02 Building Inspector 07/22/99 13:18 1,311.00 PA Div. Pub wor s PERMIT NO. APPLICATION FOR PERMIT TO BUILD *****NORTH ANDOVER, MA MAP NO. 104D LOT NO. 4 , 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE: R2 SUB DIV.LOT NO. #7 02-24-99 107321,7088 476,527 LOCATION: CHRISTIAN WAY EXTENSION /J PURPOSE OF BUILDING:SINGLE FAMILY RESIDENTIAL OWNER'S NAME: MANGANO DEVELOPMENT CORP NO.OF STORIES: TWO SIZE: 28X56 INCLUDES 16X24 FM OWNER'S ADDRESS: 36 HILLMAN ST UNIT#12 BASEMENT OR SLAB: BASEMENT ARCHITECT'S NAME: COLONIAL DRAFTING SERVICE SIZE OF FLOOR TIMBERS: 1ST 291X10" 2ND 2"X1O" 3RD BUILDER'S NAME: JAMES MANGANO SPAN: 16"O.C. DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS: 21'X 6"P.T. DISTANCE FROM STREET: 164' DIMENSIONS OF POSTS: 3%11 LALLY COLUMN DISTANCE FROM LOT LINES-SIDES: 321,32' REAR: >230' DIMENSIONS OF GIRDERS: 2"X 12"TRIPLE AREA OF LOT: CBA 56,338 SQ FT FRONTAGE: 150.06' HEIGHT OF FOUNDATION: 8' THICKNESS: 10" IS BUILDING NEW: YES SIZE OF FOOTING: 2' X 10" IS BUILDING ADDITION MATERIAL OF CHIMNEY: ZERO CLEARANCE WOOD 1;#BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND: SOLID ,'.ILL BUILDING CONFORM TO REQUIREMENTS OF CODE: YES IS BUILDING CONNECTED TO TOWN WATER: YES WARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER: NO IS BUILDING CONNECTED TO NATURAL GAS LINE NO INSTU lo,;-, 3.PROPERTY INFORMATION LAND COST: - EST.BLDG.COST: 4 €!99 q (7 Q d PAGE-1 FALL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ.FT. 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: • f FLANS MUST HE FUID AND APPROVED BY BITTI DYNG INSPECTOR BUILDING INSPECTOR --A Cf DATE FH ED OWNERS TEL# CON'TR.TEL# ` CONTR.LIC# nb a S S SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE $ 1311" H.LC.# PERMIT GRANTED 7 0 19 Lq Revised 5/5/99 JM Xr FORM U Z LOTS RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION******************* APPLICANT /140 4ann DevcLaymeriT Carp, PHONE 972-9--51''5'3/1 LOCATION: Assessor's Map Number 10q D PARCEL 1 SUBDIVISION 8`ook Fa rm LOTS)_ STREET EX%r1S/DY1 ST. NUMBER USE ONLY******** * **** * *** *** RECOMMENDATIONS OF TOWN AGENTS: ti A, CONSERVATION ADMINISTRATOR DATE APPROVED 191 DATE REJECTED COMMENTS b)e!lJKkkla C3 i� T N LANNER eell, ATE APPROVED DATE REJECTED COMMENTS �t FOOD INSPECTOR-HEALTH DATE APPROVED \ �7�— DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS aBX� � oax� ys 5 eh 1� . off PUBLIC WORKS -SA ER/W*R CO CTIONSAr DRIVEWAY PE FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Y `C �- � �C Revised 9197 jm X Growth Management Byfaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Buildin Permit(below) Address of Property for Permit(below) `�— .� � %�� ��`t r to;�-f���, `��,c<:. •�:j�C'�;5,=°�v�-.. ��j�J Map and Parcel : Purpose of Application (check below) P—q N mber of Applicant: Single Family _Two Family 47X-5 i-7Sr1 I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for an the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-iaw, provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowie a or not, is gr units far refusal b the Building Department to issue a Building Permit. Sign ure or Owner or Authonzed Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA MAP NO. 104D LOT NO. 07 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE: R2 SUB DIV.LOT NO. #7 02-24-99 107321,7088 476,527 LOCATION: CHRISTIAN WAY EXTENSION PURPOSE OF BUILDING:SINGLE FAMILY RESIDENTIAL OWNER'S NAME: MANGANO DEVELOPMENT CORP NO.OF STORIES: TWO SIZE: 28X56 INCLUDES 16X24 FM OWNER'S ADDRESS: 36 HILLMAN ST UNIT#12 BASEMENT OR SLAB: BASEMENT ARCHITECT'S NAME: COLONIAL DRAFTING SERVICE SIZE OF FLOOR TIMBERS: 1ST 299X10" 2ND 2"X10" 3RD BUILDER'S NAME: JAMES MANGANO SPAN: 16"O.C. DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS: 21'X 6"P.T. DISTANCE FROM STREET: 164' DIMENSIONS OF POSTS: 3%11 LALLY COLUMN DISTANCE FROM LOT LINES-SIDES: 329,321 REAR: >230' DIMENSIONS OF GIRDERS: 2"X 12"TRIPLE AREA OF LOT: CBA 56,338 SQ FT FRONTAGE: 150.06' HEIGHT OF FOUNDATION: 8' THICKNESS: 10" IS BUILDING NEW: YES SIZE OF FOOTING: 2' X 10" IS BUILDING ADDITION MATERIAL OF CHIMNEY: ZERO CLEARANCE WOOD BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND: SOLID WILL BUILDING CONFORM TO REQUHtEMENTS OF CODE: YES IS BUILDING CONNECTED TO TOWN WATER: YES BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER: NO y IS BUILDING CONNECTED TO NATURAL GAS LINE NO INSIUCTIONS 3.PROPERTY INFORMATION LAND COST: - EST.BLDG.COST: $147,345.00 PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ.FT. $55.00 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: pj.ANS MITST BE FH ED AND APPROVED BY RIMMING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# CONTR.TEL# c SIGNATURE OF OWNER OR AUTHORIZED AGENT CONTR.LIC# FEE H.I.C.# $ PERMIT GRANTED 19 Revised 5/5/99 JM r ^ t 7 h The applicant must meet with the Town Planner in order to ensure that the plans conform to the Board's decision.A full set of final plans reflecting the changes outlined above,must be, submitted to the Town Planner for review endorsement by the Planning Board,within ninety (90) days of filing the decision with the Town Clerk. j) The Subdivision Decision for this project must appear on the mylars. k) All documents shall be prepared at the expense of the applicant,as required by the Planning =4` ' Board Rules and Regulations Governing the Subdivision of Land. 3) Prior to ANY WORK on the site, a) Orange fence or yellow caution tape must be placed at the edge of the tree canopy of the limit of clearing line as shown on the plans. The Planning Staff must be contacted prior to any cutting and or clearing on site. As many trees as possible must be preserved on the site outside of the limit of clearing line. b) All erosion control measures as shown on the plan and outlined in the erosion control plan must be in place and reviewed by the Town Planner. 4) Prior to any lots being released from the statutory covenants: a) Three(3) complete copies of the endorsed and recorded subdivision plans and one(1) certified copy of the following documents: recorded subdivision approval,recorded Covenant(FORM I), *'@6er-ded Q;ough��^T�a.. P^+�� e��;**�P^*S�hP� � and recorded FORM M must be submitted to the Town Planner as proof of recording. Ger-ovJ YY)0r)0' Q n-QJ t_ r1Ofi"�C�l✓1✓'2c� -CU1 _�✓G'lCj�r�11�� b) All site erosion control measures required to protect offsite properties from the effects of ork on the lot proposed to be released must be in place. The Town Planning Staff shall determine <;Q&VY`Qt' whether the applicant has satisfied the requirements of this provision prior to each lot release and shall report to the Planning Board prior to a vote to release said lot. c) The applicant must submit a lot release FORM J to the Planning Board for signature. d) A Performance Security in an amount to be determined by the Planning Board,upon the recommendation of the Department of Public Works, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this conditional.approval. The bond must be in the form of a check made out to the Town ofNorth Andover. This check will then be placed in an interest bearing escrow account held by the Town. Items covered by the Bond may include,but shall not be limited to: = i) as-built drawings ii) sewers and utilities 3 ' S t t .z i -, ✓fie BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r Number: CS 062575 Birthdate: 01/03/1956 Expires: 01/03/2000 Tr.no: 4877 ' Restricted To: 00 ROBERT V MAIDA 108 PRINGLE S7 TEWKSBURY, MA 01876 " ! Administrator f�,. ORTly Town o Andover 0No. y 0yndover, Mass., O T �= LAKE T COC MIC ME WICK 11 Of?A SSA T E DU S5 '� CH 4 MAP 0IT PARCEL FOR EXCAVATION ANDND ® U ATI N THIS CERTIFIES THAT .... .. v...........e Po400....... has permission to excavate and pour foundation at 4cje� for the purpose of...... t. ...rm. .. :...-....F �...M.... �.... ......�. ....r..... ..e................ .�....�......�..l.. The person accepting this permit must return to the office of the BuildingIV�Pctor a certifed lot plan show of ow � of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. C ........ .... .................................. ............... BUILDING INSPECTOR NORTH own of ` D0 over 0 Co,H, E dover, Mass., %ps RATED 7 5` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....AAA�J.04*0......... .V........... ...0 f�. . . ......... ............ ........... .�........................... Foundation /� has permission to erect...........�.......................... buildings on ..X.Of:/..l#�3D�.�� �s � .... 1..�� Rough �N '�14'�/ �� �'r / JVND Chimney -to be occupied as ................... �i�. , r............................. ........ ................. ....i'�... ...................... .... 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 MAP o LESS CONSTRUCTIONART ELECTRICAL INSPECTOR PARCEL P" Rough ...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Continuous baFFled ridge vent Composite rooFin 12 9 5tarb urst cm T Attic_— � m CO m X _ Second Siding Window eyebrowe, LLoa F irgt 0000 _ Ap�rox_ Finish ' Grade ' a� L------------- 4'0" (min.) below grade _Basement ________________ _ _____ -' -------------------------'----------------------------- ' i �- 1 = F-ront Elevation Man ano Construction 3(o it 12 Hillman 5rook Living Room Tewksbur�, MA 01816 Room Christian Wa Extension (910) 051-1311 Room North Andover, Massachusetts Kitchen 5reakfa-st ■ ■iiIIIIII'lwINIwtt■1 ./r\■ /rw/1\rw/Irr■/iq./Irtwntrwn/tw/1■tw/Itt■ntrwn ■■ntl tl■/tltl//tltl\/■tlt■■■It.■ti//.\I\/Nit/■rl\.■■1/.■\i/\■/1■t■\i/\■/1//.tl.\■/i./■■It\■\I./■\i/r.ri/■■\II ■■I■■■1■■■■■■■■■■■I■■■■■■■■■■■.■■■I■■t■■■■■■■•■■■■■■■■■■■■■■■■I■■■1■■■i■■■1■t\I■■I w■■I■■■Iww■Iww■I■w■Iw■■1ww■Iw■■/■■w1w■wlw■.1■w■/■■■Iw■■/w■ 1w■■1w■■■■■■It■■■1■■■1■/ stud� i1/■wI1\rw■I ttt111■■■Ilttt111■■■11/tw■1\twtlttwll\rw■I/t■/Ittw/1/rw■I r\w/It\L/irt■/1\\w■Ittw/I■r■■Ittw/I■I ■1■/■■1■■.■I■■.■1■/■■■■■■■..■1....1....1....1..■tl■■■■1■.■■1■■■■1■■■■1■■.■■.■■1/■■\i■■■■1■■■■t■■■■11 i■tI■■■1■■tIw■tI■■tltl■■I■■/Iw■■I■■tltl■tIw■■I■wrI■■tltl■rI■■1\/w■t1t1■rl■■tI tlwrl■.■I■tI Iw■m.auo■uowu\r.mouownuwno■nowu■untNuuw/lowuownuwuownrt■/uouo■/lu �lu■mouu.too■lu.■n■a■utuu\nutn■Nuunu■muwuunou/w\wumr■un.uu■■■ ■tI■■■1■■■I■■■I■■■I■■■■■■■■■■t■■■■1■■tt■■t■■■■I■■■■■■\I■■■I■■■I■■■i■■■I■■■I■.\I■. ■■■1N■I■■IliI ww■INr1Iww■I■■ttlw / ■t11■■■Iw■■1 � 1■ww1 w ■■.I ■■1w■.1■■■fit1■■■Iw■.1■■. 11- 1l . it■■II\twIII/10■n\■w11O■IIUwnO■/i\tw/1/twliltll\rr •.'�Itt■■10■■10■/It[lilt■]lilt wlilt[■nttw 1nto ■Ittw /1■ Fill wuu.rlilt ol■umouo.nn■muuuwtlr •�.un■nn■\w\■nuNnuuuomNu/■ou.to 1■■1■■■1■■■■■■■■■■■.■■■■■■■1■■■I■■■I■� ■■■■■■■■■.■■■I■■■I■■■1■■tl■■■■■■ti■. � ■■I■■■Iww■liltI■w■I■w■1■w■Iww■liltIw■.Iw■�' ' I[ Ilil ' ' [liltIII 'a..wtlttw/Irrw/IO.nttw/IOwntt■/It■■tl■ il\uuuoluNu■ouuuu■uuwrut■r/ `:u.nu.onou/w\nuuuwuu■au■uI 1■n■■o■Nu■n■■a■■■I■oI■■u� ` _ / '..v■n■■n■ooNl■.■u■■■■.■1■■ ____ w■■I■■w/■w■Iww■IN■I■■■I■■.Ii` /� .•'.�NIw ■INw1o.IN■1■NIN■1■. �—�_ n■wuuolu.uuwuo■uowno■u�• �,rwu■�twmon■twnuwno■/Ittol■1 ,_�___ Garage — tw/wnuwuuoluwtlowuo.tlu�: ` •.•ou/wu/ttuuuroum/.uu■tu.�....�...��...��...M...�....�...�... ,� tI■■■Ito■■/■tlrl■■t/tltl■I■■tIw■r/w■1 olilt uwnr■■■/■■■wuu■■■nu■u■■wnn ■■■ ■■■ O O ■■ ■■■ ■■ -_ ■■■ — ■■■ u1■■■I■■n■■n■oI■oit uNlIt■■nIt I C ■■■ ■■■ �_ ■■ ■■■' ■■ O ■■■ ■■■ olwul■■■u..I■■toow/owlN■IN III 5asement �.■■lon■■■nunn■■uuotnn■.....1....1....1....1....1...It I1....... ■■■ ■■■ _ ■■ ■■■' ■■ = - i'■■■ � ■■■ ■■uou■■Iw■■Iwulo.IN.IN■lu In■■t1 ■I■■■■■■nNu1/u■■/■\I■u■■■I■■■■u■uI■■tu■nlm■n■1■o\o■/uu.uu■uuwuu [lilt 4 5edrooms 2 1/2 13 aths IFTTA irI■■t1■NI■■tI■wrI■■tIw■r1■■tlwwl ■■Itl■■1w■twww■I■■■1 w■■/■■■Iw■■Iw■ — ■■■ � ■■■ — Ji m— 1 2 j x 56 Colonial 25 x 4 • Main House. 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I.■t...1■..1..■1. 11!0..1■.■.1■ 1■ANON, 1.. "I'll,.11 t..1Imago,.11■\■Il. r� : 61 r a t O t S M infimm unlfornly O iatributed �- Live Loads (lbs. / sq. Ft) i. All notes and details contained within these drawingis are to ba used 6th Edition Mas sac hose tts Building Code _ as they would applt to the house being constructed. LiVE 2 When plans are used in conjunction with builder specifications and Notes and details apply as necessary to the house design, u S LOAD (psi) any discrepancy occurs,the speamations will supercede the drawings. Access to Crawl Space 13603 . 9 ,1 3 Balconies and decks 60 y 3. Ail substitutions are the responsblity of the Builder. r, Opening 18" x 24" (min.) � Garages (passenger cars only) 50(I } 4. All dimensions are to be field veriFied by the Contractor and any - Attics (roof slope 3/i2or less,no storage) 10 adjustments made accordingly. Access to attic 13603 , 9 , 21 " ' 5, All work shall be completed in compliance with all applicable 22 x 30 (mina for attics with a height greater than 36Attics (limited storage) 20 Building,Plumbing,Electrical codes. Any other local',state and/or Livings Areas (except sleeping rooms) 40 Federal codes that may apply to this project shall be considered Girder Ends 13603 , 22 , 4 , 4 I m n9 p p 9 as part of the construction documents, the ends of wood girders shall have a I/2 air space on top,sides end. 0 Sleepin�J. Rooms 30 6. All waste materials and debris shall be removed and disposed Fire Separation I 3603 . 5 . 2 ] Stairs 40(2) of properly. The garage shall be separated from the resldence and its attic area by 5/8 inch (min.) type x gypsum board applied to the garage side. Guardrails and Hand�atls id 200 1. Numbers set within I I reference that section of the 6th Edition or (6N16 concentrated load at any point along top) the Massachusetts State Building Code. 11 Minimum Calling Weight L 3603 , 5 • 11 Note= S. These drawings were prepared per guidelines set forth in the Minimum ceiling height=Habitable rooms, except kitchens, shall have a (2) Stair treads shall be designed for a single concentrated Mass. State Building Code Section [ 36 I For 14 2 Family dwellings, ceiling height of not less than 1' 3" For at least 5O% of their required areas. load of 300 lbs,over an area of Four square inches. Legend: rj -Smoke Detector Floor Surface C 3603 , 5 , 3 I Design Dead Load = 10 ibis,per square Foot Q Garage floor surfaces shall slope to facilitate drainage toward the E Tables 3605 , 2 . 3 , la, 3605 , 2 .3 , b 4 3605 , 2 . 3 . lc I `'' main vehicle entry/exit doorway, looJoist tinder Bearing Partition 13605 , 2 . 3 , 2 I MinWam Glazing Area 13603 , 6 , 4 , 2 I Joists under parallel load bearrng partitions shall doubled or a Exterior glazing area of not less than 8% of the area 1/2 of the required beam of adequate size to support the load. area of glazing shall be openable. Bearing t 3605 . 2 , 41 Safety Glazing t 3603 . 20 ,4 , 2 I The ends of all joists,beams or girders shall have 11/2" (min.) of All doors and fixed side panels with 24" to either side of a door. bearing on wood or metal and 3" (min.)on masonry. Exposed bottom edge less than 18" above floor. Bridging 13605 , 2 , 5 . 1 1 individual panels that are greater than 9 sq.ft. Bridging shall be installed at intervals of 8' (max.) Basement Ventilation C 3603 , 6 , 5 , 2 , 1 I Chimncs clearances 13610 .2 , 5 Exception= Cantlevered joists shall be laterally braced Basements and cellars not used as habitable, occupiable space shall y at points of support be provided with a minimum of four sliding type,or awning type basement Chimneys shall extend at least 2' higher than any portion of the windows For every 1500 sq. Ft.of Floor area. building within 10' but shall not be Tess than 3' above the imum allowable spans for header point were the chimney passes through the roof. MaxSleeping Room Window O n 13603 , 10 , 4 , 1 I supporting wood frame walls p� p 9 Garage / Nouse Separate 13603 , 5 . 1 I _ 33 aq, ft.,20" x 24' 1n either direction, Openings From a private garage with either solid wood doors 13/4" %QSize Suppert'g Headers in 1 Story 2 Stories Walls not thick (mina or 20-minute Fire-rated doors, self closin devices-and �.. Roof Ventilation R9 uiwd C 3603 , 6 , 2 1 g Header only Above Above supporting q fire resistive rated door frames are not req'd. All door openings y floors or roof Every room or space intended for human occupancy shall be provided %Q Ibetween the garage and the dwelling shall be provided with a raised o with natural or mechanical ventilation.. . sfil with a 4" min. height. � 2-2x4 ¢ Exception: Every bathroom and toilet room shall be equipped with a Smoke Detectors C 3603 , 16 , 10 I 2-2x6 6 4 mechanical exhaust fan. Smoke detector/heat detector locations; 2-2x,3 i. In the immediate vicinR of bedrooms. � 2-2x10 10 8' 6' �' Exit Doors 13603 . 11 , i I � y . . 1 - 36 wide x 6'6' high,others 2'8 wide min. . . 2. In all bedrooms. 2-2x1Z 12' 10' $� 16' 3. In each story of a dwelling unit, including basements and cellars, Interior Doom 13603 11 , 2 I but not including crawl spaces and uninhabitable attics: 1. Nominal Four-inch thick single headers may be 30" wide x 6'6" high (min.) 4. 1 for every 1200 sq. ft,unit, substituted for double members, Exception= Roof and Attie Ventilation 13603 , 6 , S . 1 , 13 2. Spans are based on No.2 Grade Lumber with 1. Bathrooms ZS" (mina ventilating area shall be V15O of the space.This can be reduced 10 trbutary Floor and roof loads. 2. Existing Bathrooms 74" (min.) 1/300 when a vapor retarder is installed. . 560" . 34'0" 2210" 30, 1 33/4 n g'bu 1�'21�4u 11'bu 5'On 5'bn r - r r r ------------------------------------ -------------------------- ------- ---- ------------------- ----------------------------------------------------------- t r ' —i,---;,i--------------------------------- --------------------------`•----+----------- ' -------------21411 X 11311 24, x I3 CSE Finish ;' •. Foundation "\' -4" Concrete Slab 5/S" type X gypsum wallboard •. 10" Conc. Wall / 8'O" Pour (+/-} 6 x 6-6/6 welded wire fabric shall be installed to.t ie Garage �= 3,000 ph.i. concrete placed at mid-depth of the slab. side of wall(s) and tailing or 3 10 dp. x 20 w. cortin. ft g. 2,500 p.s.i. concrete-� attic for fire separation n O ; rX 3aseme�t Garage � -O ,.a � 1 n ' _ - _ b'113/4 5'6" 5'O" 5'O" 4'21,4" 6'O" 8'O" B'0" 61Mjs O i 3'6" r--!.-, � Cz L. _; 4" Concrete Slab = ' 3 - 2 x 12 Center Bcam ' Slope for drainage -60,' I ; CO ' `" 3,500 phi concrete Beam Pocket 6 x 6-6/6 welded wire fabric �� I , o O 6" W x 6" D x 9" H - 2 - 3 1/2" Dia. Lally Columns = placed at mid-depth of the slab. I `=' PP " ' " , Shim beam with steel With 2 6 x 4'6" x 13 dp. ft g. I - r ' r ; 4"(min)Step down into Garage O rx shims or hard brick uP r 20 minute Fire door (min) I_ _ _3 1/Z Dia. !_allu Columns r-------------- W/Z'6" sq. x 1'3" dp. footing . . ' ' -. . . 34" high (min.? O . • (s req d) r-------------------------- ---- ' ; Guardrail - T r n O r - ----------------------------- r------------------ --------- i `t r rr-----------------rr - lull, � --- ------- ----------- -----� r r �, ``� 6'0 u c�a iv ; r 14'0" 3'0" 6'0" 3'O" 14'O" 40'0 1( 1011 0 S31 : F-nundation Plan Notes:1, All dimensions to be field verified and changes made accordingly, 1' " 2. f=oundation drainage shall be provided around all concrete or masonry Foundations enclosing habitable or usable spaces located below grade. L 3604 . 5 . 1 and table 3604 . 5 . 11 3. Foundation walls enclosi habitable or storage space shall be Garage area sq. rt. 552 • dampprooFed From the top of the Footing to finished grade. Basement area sq, Ft, = 1313 C 3604 . 6 . 1 I . - 1 '14'33/4�� 5'4" 20'1'/2" 16'23,410 " 1'33/4" 1'O° 2,6 2'10" 4'8/4 11 10'51/4° 1 0 11, 3123/4" 216" 510" 1 6" L. 3'0" 210" X 3'5�/2 p V4A 3'4" X 3 54bCNk - 5'9vz" X 4,9�i" 6'0"Its 2'10" X 4'9yz" 2'10" X 4'9vz' r---' • a Li-=-f---- S.E.L/. :. Fan (D ' O ' 5t�d l,av m o K Itchen 5reakfast O r _ 1 o y 4 ° - o ^� 2'4' x O O^ Actual cabhrt layout M n � cv r!vim! " 4A ii 2 - 21611 21211 S Fatt1 it - O .t,,, =Y � O O n�, 3�4'/4�� 3IS �` ----- ----- ------ -- Vaulted ceiling x n Post 2,aIt-r 2'(o - Post ---- ---- aD — tt a O p - - 6" 3Ig1/<" = — — — — — — — — — — — — — — — — `r L 1v 1n 34 high (min.) �in In O x Guardrail �7 `t 30 - 38 high " " " �, �� 210 X 4 LJ/z 210 X 4 9�/s handrail ( typ. ) all 'veil 2'10" X 4'91'2" 2'10" X 4'91'2" 2,10" X 4'9vz" 2'10" X 4'S/2" ,6 ON L3'01110 3'0" 4,0" 6,6 3'6" 3'O" 3'0" 3'6" 6'6" 410" 14'O" 12,0" 14'0 4'6" 110" 4'6" 40'0 16'0" 1. All dimensions to be Field verified and changes made accordingly. 6-31 : ; Innr F lan 2. Window rough opening sizes are for Merrimack Valley window units. 3/16" = 1,0" ti 3. P. E. D. - Primary egress doorway Livine area sq. T t. � 2 S, E. D. - Secondary egress doorway ` TOn 8'6n 10'2/4" 14'33/4" 314115'0 5,2 4a 1133/411 TO 2'10" X 3'51Y 2'10" X 3'511 # Ven! Vena ' 591/2" ' X 4$1'2" Nt _ o - _ F�n Bedroom 04 lo Walk-in ° Closet 0 o � o 21411 21 411 2.6.1 3 O 34 high (min.)r 2 - 2'6" n 4" Guardrail Closet N 1. Post O Post W Post _ g Closet n Ck n ® 2 - 2'6," 2�bn 30" - 38" hlgh -- s handrait ( typ. ) 1�10�/z 633/4 n B10" r _ _ - ��f o� M Bedroom #1 2 4 Gloeet Floor elopes o $edroom #3 to matitatn headroom for slafnuey below X # � O �' bedroom #2 - C4 2'10" X 4'51,1" 2'10" X 4'BV2" 2'10" X 4'5%2" 2'10" X 4'>;,,zn n Post ° # # 2'10" X 4151,2" in J r- - _L _�. 2'2" X 4'5/2" # 2'2" X 4'5 2" 4'O" 6'6" 3'6" 6'O" 6'0" 3'6" 6'6" 4'0" 14'0 12'0 14,0„ 40'0" -31 = Second Floor F Ian 3/16" = 1'O" 1_ All dimensions to be field verified and changes made accordingly. 2, Window rough opening sizes are for Merrimack Valley window unitsr .3. 0 - Indicates egress window units. L 1v Ine area sq. T t. :r IF -i IF -+ IF l _Q _ CV -- - -- -- - - 3 - 2 x 12 L LL — Center beam 3 - 2 x 12 _ _ _ below Center beam - - - - - - below Es - -7 rT r i IQ n O O r -i r -i X r cs1 Double Shear Lap Splice Jo let hanger 2 x 10 12" C.C. Simpson !_US hanger LLf or equivalent ` All members are 2 x 10 lb" D.C.(UND,) ra 14'5/2" Flush Framed Beam' BM-1 1 l r -i r -r r 'T t r r r � 2 x 86 lb" O.G. Joist hanger 2 Simpson LUS hanger , or equivalent All members are 2 x 10 0 16" O.G. (U.N.0) Sannn 3/16" , 1'O" 14'331° il'6�4" Flush Framed Beam- BM-2 1 11 J j LL 1 11 11 a 731 , LJ L J L JI LJ L JUL IL J Joist hanger Simpson LUS hanger or equivalent 12'0 Flush Framed Beam= RM-3 All members are 2 x S 6 16" O.C. (U.N.0) A wc I to to r Pram ins f O N O O n a O ' d- , 2 6.0.. 6.0.. , 2 x 12 Rfdge 5oard All members are 2 x 10 1@ 16° O.C. (U-14,O) 3/16" = 1,0" `- Standard Soffit snl • _ 2x Bottom Plate •� Slab Stepdown 2x Band Joist cA fir Girder 4 Column a12ac ' � TRuss Insulation Roof Rafter E TRuss 2x Floor Joist Maintain 1" min.clear. - _ TRUSS -3o PSF 1 - 2x6 P.T. A a - ' ' .-3o P6r- 30 9F 1 - 2x6 K.D. Sill Fascia Board 4 P9F 40 PSF _ w/Sill Sealer 40 PSF Ceiling Jols Soffit One Story Two Story Three Story Anchor Bolt or 4' with venting Mudsill Anchor Straps min. _ COLUMN SPACINCsS UNDER GIRDERS y Concrete Foundation E Table 3405-6 I 1 3/8' = 1'O" 3/8" ■ 1'°�� Csirder s>ze ` 12 Step Footing Standard Soffit 3 - 2 x a W - 24 W - 26 W - 28 W - 32 Center Beam Ore story 101-311 9 1_10119-6 It 8-il 2x Bottom Plate Two Mo Z'-8" 7'-4" 1'-1" 6'-8° Roof Rafter 'y � �� � �� � 2x Fire Blocking 4'-0" _ 4'-0' _ _ TMs*spry 6-4 6 -1 5'-111 51411 � Maintain 1" min,clear. Insulation - Column sizes - 4" x 4" or 3 1/2' diameter steel 2x Floor Joist Q Hurricane clip Footing Ste:2'-6" x 2'-6" x 1'-3"d ' Center Beam Ot Fascia Board SPRUCE - PINE - FIR No.2 Lally Column Cap Plate Modulus of Elasticity "E' - 1,400,000 fasten to Center Beam " Soffit Fb: 2 x 4 - 1 ,510 2 x 10 - 1 , 105 _ with venting - _ � 2 x 6 1 ,31 O 2 x 12 1 ,Grf Lally Column 2 x 8 1 ,210 I TABLE 3605 •2 , 3 , Id I 3/8' = I'O" 3/4' = 1'0" 3/8 MAXIMUM ALLOWABLE SPANS FOR Exterior interni. Flr. JOISTS/RAFTERS Ridge Beam r'tudsill Anchor Joist Continuous Baffled Spacing Pian size 2 x 6 2 x 5 2 x 10 2 x 12 Ridge vent Floor 3'-6" 1`_0" 2x Bottom Plate Ridge Beam iZ" OL_ 10 -11/Z 13-4 1/2 n-1 1/2 -4 1!2 g (max.) (max,) - 2x Band Joist F(r5t 16' O.G. S-11/2 12-1 i/2 15-11/2 M-5 1/2 2 x 8 R6 16" O.C. Floor Sheathing 5PG0�1d 12' OL 11- 1 >R 14 -9 U2 8 - 10 1/2 22-4 1/2 Roof Rafters r 111 d t�► a 4 Q X 16' O.G. 10 -1 1/2 13-41/2 16 -8 i/2 19-9 1/2 — E 2x Floor Joist14 -131/2 --- --- o r A tt IG 12" OL. 11- 1 UZ Simpson Muds111 d ° _- Future Rooms 16" or— 10 - i in 13-41/2 16 -8 1/2 M -S In - _ - _ _ - - Anchors 'MA6" 2 - 2x Top Plate A tt IC 12' OL. 12- 131/2 I6-10 1/2 21 -11/2 See note '5111 Anchorage" E3604.3.1aI No future rms 16' OZ. 11-11/2 15-41/2 19 -11/2 = „ _ 1,011 3/8" = I'O" 12" O.C. 16 - 1 i/2 21 -31/2 21-31/2 3/8 1 O N.T.S. �tt I G ----------------------------------- capsa 3/12(ne 16" OL. 14 -1 i/2 19-41/2 24 -8 UZ — Ridge Board Anchor Bolt --- Cantilever R O 0 F 12" O.G. 12 - 1 15 -3 18 -8 21-8 Spacing Ply Continuous Baffled Over attic 16" O.C. 10 -5 13-3 16 -Z 18 -9 Ridge Yent 1'_0" Floor Sheathing '00f 12' O.C. 11 -0 13-11 11-9 20 -6 Ridge Board (max.) (max) Solid Blocking 2x Bottom Plate Cathedral 16" O.C. 9-6 12-1 5-4 R-9 Notas� 1 x 8 Collar ties b • C 1 \\ 2x Band Joist 1@ 4'0' O.C. X 2x Floor Joist t All structural materials shall be void of any defects that may _ o _ e ga diminish their capaclty to function in an adequate manner. Roof Rafters ' a C. a baa =- Insulation Structural Engineering or any other professional services that --- t -- ---- .a - 2 - 2x top Plate Cantilever may be required shall be provided by others. --- _-- Anchors bolts or Overhang 2. Use built-up 2 x 4 posts under all beams (4 minimum) . _ _ _ - _ _ App'd Equivalent -- See note "Sill Anchorage" C36043.1aI 3, Bu(1t-11p Beams,Flush Framed Beams and/or Substituted Beams 1'0" shall be sized by the contractor. 3/8" = 1'0' W2401301 Continuous Baffled Ridge Vent 2 x 12 Ridge Board .y I x S Collar ties 6 4'0" O.C. located in the upper third ofAhs height of the roof,measured from 9 -- F -- the sill plate to the ridge. Composite Roofing No. 15 Bullding.Paper Ceiling 1/2" Plywood 2 x S Q 16' O.C. 2 x 10 6 16" O.C. R30 insulation Vapor Barrier Fascia Board i/2' Wallboard. � Soffit with venting O n Cedar clapboard siding � Air Barrier I/2" Plywood. 3/4�4"""TT t Cs Advantec 2 x 6 tea? 16" O.C. ' Q16 OZ. RIB Insulation Z X 10 " Va�or barrier A.First RIS Insulation _ _— i/Z' Wallboard �3arade Finish Fie Blocking . 5/8" t X sum wallboard 3 -2 x 1Z Center Beam I -2 6 P.T., I - 2 x 6 _- type gyp Continuous Sill C=asket1 shall be installed to the Garage 1/2" O.D. Anchor Bolts Q 6'O" O.C. 51de'of wall(a) and ceiling or • attic for fire separation Foundation 3 112" D Ia. Lally Columns 10' Concrete Wall / 8'0' Pour 3,000 psi concrete 10' dp, x 20" w, cortin. ft'g. Basement 4' Concrete Slab Dampproof exterior surface - -— - Perimeter drain (typa r 4' perforated PVC pipe • Crushed stone Filter membrane cover 5 • u F I Garaos _ 13604 ,5 Foundation Drainage I ' St table 3605 .5 - 1 I 1/4" = ISO" 2I S - Two L • it Colonial ' Y , DraFting Framind tion Detail Stairway Width: Services ode �3603-13 .1 I Width=starwaye shall rot ba lase than 36' in clear width.. 110 Main St., Unit #204 �tin Edition M aSg. Bide. C TewksbuN, M A o 18110 Treads and Risers (C318) 851- 330 C 3603.13.2 I Treads and risers:The maxlnum rber height shall be 8 U4" and the minium tread depth shall be 9' Tolerance bet", an adjacent risers=3/16" J Total riser dkenslon tolerance 3/8" Nosing Profile= 2x Header 2x Floor oist 2 - 2x Header C 3603.13 .2.13 Nosing profile=A nosing shall not extend more than 11/2" beyond the race of the rber below. lbeyond)ds m � l�eadroom� — 9 minimum — n n Cal R30 Insulation [3603.13 .3 ]Headroom=They mhirtum headroom h all parte of the C L t read _ I R30 insulation stahuay shall not be less than between in platform n stringers . C' �- 2 x 12 Stringers 1=irestopping- I2 x 4 l=ire 5lockingg L 3606 .2.11 Ftastopphg shall be provided to cut ofr all concealed Placed parallel wfEh stringers spaces between stat stringers at the top and bottom of the run. XInsulate wall Guardrail Details= r}' 2x Header ' 2x Head �'> L 3603.14 .2.1 I Guardrail details=Porches,balconies,decks or i' 't C;lsfiw,�;� -. S�c_; 2x Floor Joist raised floor surfaces located more than 30" above the floor or grade ------ i below shall have guardrails not lase than 36 h heighL Open sides I m o Center Beam or stairs with a total rise of more than 30" above the floor or grade I u below shall have guardrail,which shall also serve as handrails, `o i I a 2 n not less than 34" inhaight measured vertically from the noshe I m m I of the treads. s ' :z X ' ' U =1 ' Guardrail Opening Umitations= m C'4 ' I (3 I Lally column (beyond) balconies, 3603.14 .2.2!Exc.I: Required guardrails on open side of stahuays, balconies,porches,decks and raised floor areas,shall have htennedlate rails W- I 2 x 12 Stringers� I g balusters or ornamental closures which prevent the passage of an object 5" or more in diameter. i n Exception=Triarguiar spaces rornad by the riser,tread and bottom rail of a guard at the open side of a etatvray may be of size to prevent the passage of a sphere 6" in diameter. Minimum tread =9° Handrails= 13603 . 14 , 1 , 1 I Handrails having 30' min.and 38" max. heights respectively,measured vertically from the nosing of the treads, shall be provided on at least one side of stairways of 3 or more risers. Exceptions= I. Handralls shall be permitted to be intemipted by a newel post at a turn. 2. The use of a volute,turnout or starting easing shall be allowed over the lowest tread. Handrail Grip Size= 5tatway circular handrail cross section= 11/4' min.and 2" max. Other shapes,perimeter•4' min. and 6 1/4" max. Cross-sectional dimension of 2 5/8" max.13603 . 14 . 1 .2 1 • 12' X 18 ' DECKI II II I ' 1 II 1 it 18,0" I1 I I r---}-------------------- -------------------- ----i i I I I , _ 1 � O c' - - - - ' i l^t -- I 1 � 1'0" Dia.Concrete Pier Number of risers and ' O treads may vary due _ �. to site conditions O ' O 2 x 8 '9 16" O.G. O � ' I Joist 14anger(typ) ' 2 x 10 Ledger Lag bolted 6 ib" O.C. FOUNDATION DECK - FIRAMI_ L3 V411 11C)II 1/4 Voil Flashing 5Clear(Max) Rail Lag bolts 9 16" O.C. Decking p Post ---+--2x Deck.framing (P.TJ fi 3 - 2x10 Joist b x 6 Post Hangar Grade Post Anchors ° _ a , Concrete Foundation D a ° o 1/211 : 110 SECTIONt 1/4" - 1'0" • • TITLE: Classic House Plan # S-31 ~ MAScheck INSPECTION CHECKLIST MAScheck COMPLIANCE REPORTpermit # i Massachusetts Energy Code Massachusetts Energy Code MAScheck -Software version 2 .01 Release 3 MAScheck software version 2.01 Release 3 i DATE: 6-2-1999 checked by/Date Bldg. 1 Dept. 1 TITLE: Classic House Plan # S-31 Use CITY: North Andover CEILINGS: STATE: Massachusetts [ ] i 1. R-30 HDD: 6322 Comments/Location CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) WALLS: DATE: 6-2-1999 [ ] i 1. wood Frame, 16" O.C. , R-19• PROJECT INFORMATION: Comments/Location Brook Farm Estates, Christian Extension North Andover, Massachusetts [ ] i WINDOWS AND GLASS DOORS: 28 x 40 Colonial , 4 Bedrooms - 2 1/2 Baths - Family Room 1. U-value: 0.49 2 Car Garage under - 2 ,678 sq. ft. For windows without labeled u-values , describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No COMPANY INFORMATION: Comments/Location Mangano Construction [ ] i 2 . U-value: 0.5 36 Hillman Street - Unit 12 For windows without labeled u-values, describe features : Tewksbury, MA 01876 # Panes Frame Type Thermal Break? [ ] Yes [ ] No (978) 851-7311 Comments/Location [ ] i 3. U-value: 0.48 NOTES: For windows without labeled U-values , describe features : Merrimack valley "Northeaster" Primed wood Series window units # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] i 4. U-value: 0.47 COMPLIANCE: Passes For windows without labeled U-values , describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No ti Maximum UA = 514 Comments/Location Your Home = 505 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value-_U_Value-___-UA DOORS:[ ] i 1. U-value: 0.14 1580 30.0 0.0 55 Comments Location CEILINGS 2710 19.0 0.0 163 [ ] i 2. U-value: 0.35 WALLS: wood Frame, 16 O.C. 330 0.490 162 Comments/Location GLAZING: Windows or Doors 40 0.500 20 GLAZING: windows or Doors 36 0.480 17 FLOORS: GLAZING: Windows or Doors 12 0.470 6 [ ] 1. over Unconditioned space, R-19 GLAZING: Windows or Doors 0.140 3 Comments/Location 20 DOORS 0.350 6 [ ] i 2. over outside Air, R-19 17 DOORS 72 Comments/Location FLOORS: Over Unconditioned space 1525 19.0 0.0 1 FLOORS: Over Outside Air 15 19.0 0.0 HVAC EQUIPMENT: HVAC EQUIPMENT: Furnace, 80.0 AFUE _________________ [ ] 1. Furnace, 80.0 AFUE or higher -------------- ( Make and Model Number COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans , specifications , and other calculations [ ] i AIR LEAKAGE: submitted with the permit application. The proposed building has been Joints, penetrations , and all other such openings in the building designed to meet the requirements of the Massachusetts Energy code. envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures The heating load for this building, and the cooling load if appropriate, shall meet one of the following requirements: has been determined using the applicable standard Design conditions found 1. Type IC rated, manufactured with no penetrations between the in the Code. The HVAC equipment selected to heat or cool the building inside of the recessed fixture and ceiling cavity and sealed or shall be no greater than 125% of the design load as specified in gasketed to prevent air leakage into the unconditioned space. _ Sections 780CMR 1310 and J4.4. ( 2. Type IC rated, in accordance with Standard ASTM E 283, with no Builder/Designer Date more than 2 .0 cfm (0.944 L/s) air movement from the the • Project Number 8t Title: S'� 10 2� �cC '�"�'�' ►— � Project Number & Title: S.- �i = �8 P( 4 c C c,Lx)w1 C alculatimn� for square Footage(s) of Ceiling(s) _ (Calculations for Square !Footage of Malls y,uited or Cathedral -Illna Fiat etl(na `- a a -----------+- L2 I H 1st Floor El Fran B D 2nd Floor Plan � Fr ----- -----_ -----------1- 1 H3 (LI + L2 + L3)X W = Area wlatn w) - E 2nd Floor Length L) Planvleut Perimeter I (PI) = A + B D+ G + Perimeter 2 (F2) = A + B + G + NZ LXW = Area D + E + F + G + H i «'ork area P1 X HI = 1st Floor wall area (Al) H' P2 X 1-12 = 2nd floorperimeter area (42) I Ist Floor t _ P3 X H3 = 2nd Floor wall area (A3) Al + A2 + A3 Total wall area s� S ion 0" 0 Work Area 2� Q -Z' � �{ (I A .7 I 0 275q, 77 a7 ( (:fj Colonial Colonial Drafting DrafUr9 Q Seme-e e 5ervlces e no Main St.,Unit 0204 Tewksbureb St,A 01816 !1204 Tewksbury,MA 01816 Ty, (518)851-1330 (918)851133300 Project Number & Title: 5'-�J( ' ,q8 V- �al�ulat�on� for MOM Project Number & Title: S s _ �-8 A6 • calculations for Windows & Doors - Table of areae for Double Hung windows Table of areas foXrIM�wlpnuwindows • Floor PlanAPPROXIMATE WIDTH 3'0• 3'2' 3'4• 3'6' 1'5" 1'8• 2'0• 2'4' 2'10• 3'0• 3'5' 4'0' 4'9• 6'0' 1'10' 2'2• 2'6• 2'8• 2'10' 3'5' 6.26 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11.96 2'0• 2.83 3.34 4.0 4.66 5.66 6.0 6.83 8.0 9.5 12.0 e -0 3'9' 6.87 8.13 9.38 10.0 10.61 11.25 11.88 12.49 13.13 2'4• 3.26 3.89 4.66 5.43 6.59 6.99 7.96 9.32 11.07 13.98 s O 4y' 7.47 8.85 10.21 10.89 11.67 12.25 12.9-1 13.60 14.29 OX 3'0' 4.25 5.01 6.0 6.99 8.49 9.0 10.25 12.0 14.25 18.0 3IF= 45. 8.18 9.57 11.04 11 .78 12.6213.25 14.10 14.71 15-58 D 3'5• 4.84 5.71 6.83 7.96 9.67 10.25 11.68 13.67 16.23 20.5 M 4'9' 8.80 10.29 11.88 12.67 13.57 14.2515.16 15.82'16.75 m 4'0• 5.67 6.68 8.0 9.32 11.32 12.0 13.67 16.0 19.0 24.0 m 5'1• 9.30 11.02 12.71 13.56 14.39 15.25 16.10 16.�3 17.79 m 5'0• 7.08 8.35 10.0 11 .65 14.15 15.0 77.09 20.0 23.75 30. Length Q) - G�5'5' 10.03 1 1 .74 13.54 14.45 15.46 16.25 17.28 18.04 19.09 =5'S• 7.67 9.OS 1U.83 12.62 15.33 16.25 18.51 21.67 25.73 32.5 1_ X W Area 4 6'f 11.13 13.18 15.21 16.22 17.22 18.25 19.26 20.26 21.29 6'0° 8.5 10.02 12.0 13.98 16.98 18.0 20.5 24.0 28.5 36. tltork Area Calculation table for Casement windows Calculation table for D.N,windows Unit size Area of unit X quanllu Total Unit size Area of unit X quenHy Total itioned (unheated) a ace (L X W) Area of floor over uncond p 2 Calculation table for other lazi�11Q`� calculation table For Glass Doors Unit size Area of unitX quanfty Total Unit size Area of unit X quanfty • Total �Y � a e C 40 .12 1� 0 �a Calculation table for exterior doors Calculation table for interior doors Door size Area of unit X quanfty • Total Area of floor over outside alr X W) Door size Area of unit x quenity Total Total area of Interior doors Colonial Total area of exterior doors g DraftinftinDrafting 2'6 l� = 6 .67 5'0" = 33 .35 $a ,Unit it2o 4 Services 2'g" _ �7 ,81 6'0�� = 4 0 .0 0 Ilo Mein St Tewksbury, O#816 170 Man St,Unit/204 3'0" = 20.0 8'0" = 53 .36 (918)851-1330 Tewksbury,MA 01876 (978)851-7330 Area of versus doom 66'8" height) I 170-180 0.5` I 1.0 1. 5 2 .0 conditioned space to the ceiling cavity. The lighting fixture I I 0.5 1.0 1. 5 I I 140-160 0.5 shall have been tested at 75 PA or 1.57 lbs/ft2 pressure i 100-130 0.5 I 0.5 0.5 1.0 I difference and shall be labeled. t I VAPOR RETARDER: ----NOTES TO FIELD (Building Department Use only) [ ] I Required on the warm-in-winter side of all non-vented framed g p ------------------------- I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] i Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values , glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications . - I DUCT INSULATION: [ ] I Ducts shall be insulated per Table 74.4.7.1. I DUCT CONSTRUCTION: I [ ] iAll accessible joints, seams , and connections of supply and return ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be 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 TEMPERATURE CONTROLS: [ ] j 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 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 74.4. 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. HVAC PIPING INSULATION: [ ] HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) i HEATING SYSTEMS: TEMP (F) 2' RUNOUTS 5 1.1.5 2 . 5-4" 1. Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2 .0 COOLING SYSTEMS: 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: [ ] I Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I I 2 .0+" HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2 .0" r Location No. �� _ Date P-1,11 n . O� NORT1y , TOWN OF NORTH ANDOVER `9 Certificate of Occupancy $ } ° Building/Frame Permit Fee $ J ..__. : . Foundation Permit Fee $ s�c14U Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ //f- Building Building Inspector c f Div. Public Works a'c de�'e s'c sic �e PERMIT NO. �'3 APPLICATION FOR PERMIT TO BUILD ORTH ANDOVER, MA MAP NO. 104D LOT NO. #7 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE: R2 SUB DIV.LOT NO. #7 02-24-99 107321,7088 476,527 LOCATION: CHRISTIAN WAY EXTENSION -5 0 PURPOSE OF BUILDING:DECK PERMIT OWNER'S NAME: MANGANO DEVELOPMENT C06 NO.OF STORIES: SIZE: 12'X 16'DECK OWNER'S ADDRESS: 36 HILLMAN ST UNIT#12 BASEMENT OR SLAB: BASEMENT ARCHITECT'S NAME: COLONIAL DRAFTING SERVICE SIZE OF FLOOR TIMBERS: 1sr 2"X8" 2ND 3RD BUILDER'S NAME: JAMES MANGANO SPAN: 16"O.C. DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS: DISTANCE FROM STREET DIMENSIONS OF POSTS: 4X6&4X4 DISTANCE FROM LOT LINES-SIDES: REAR: DIMENSIONS OF GIRDERS: AREA OF LOT: FRONTAGE: HEIGHT OF FOUNDATION: THICKNESS: IS BUILDING NEW: SIZE OF FOOTING: 4'SONIC TUBE' IS BUILDING ADDITION MATERIAL OF CHIMNEY: IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND: SOLID WILL BUILDING CONFORM TO REQUIREMENTS OF CODE: IS BUILDING CONNECTED TO TOWN WATER: BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER: IS BUILDING CONNECTED TO NATURAL GAS LINE FNSTUCTIONS 3. PROPERTY INFORMATION LAND COST: — EST.BLDG. COST: Y PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. 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: r PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED , p i, ( ct q OWNERS TEL# 978-851-7311 / ( CONTR.TEL# 978-758-2039 CELLPHONE Fn. R r coNTR.LIc# CS062575 SIGNATURE OF OWNER OR AUTHORIZED AGENT 11 (wVTo v FEES O2v, � H.LC.# PERMIT GRANTED , q 19 4, q I BU1LDING DEPARTMENT Revised 5/5/99 JM I . u v The Commonwealth of Massachusetts m = Department of Industrial Accidents w d Office of Investigations �~ Boston, Mass. 02191 1b Workers'Compensation Insurance Affidavit Please Print Name: -MQVI GI C(Y10 Location: ��D IILLta U'I S7" �1�Gt� �- City LP(Vilma- Phone am a homeowner perfo g all work myself. ®I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policy# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 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 form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do herby certify under the pains and penafBes of perjury that the information provided above is true and correct. Signature 7 Date /©f//`/9g Print nameMA Of11Q Q14 Phone# 9Z€''���"� Official use only do not write in this area to be completed'by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Lincensing Board F-1 Selectman's Office Contact person: Phone#: Health Department Other n North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: AZI- S�91-re C"q r7-/M!A Tnt (Location of Facility) Signatu of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from- Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******* ***********-*******AFFLICANT FILLS OUT THIS APPLICANT nCIV 6 Z:) PHONE LOCATION: Assessors Map Number 10q D PARCEL SUBDIVISION T rOQ(4- :4111 F� c4ACS LOT (S) _ STREET C i✓ rla/ /Uvt LUCW &TePAIQK- ST. NUMBER *mak********** ******O FF1C 1AL USE ONLY*** E****** ************ * * R VMENDAIION§ OF TOWN AGENTS: L CO !SERVATION ADMINISTRA R DATE APPROVED IU yy DATE REJECTED COMMENTS 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/WATE.R CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY BUILDiNG ii ISPECTOR DATE Revised 9197 jm EDGE OF BORDERING PLOT PLAN VEGETATED WETLAND LOT 7 CHRISTIAN WAY N0. ANDOVER , MASS . SCALE : I "= 60' JUL . 27 , 1999 TROY , MEDE (A ASSOCIATES REGISTERED LAND SURVEYOR .►�0 O 936 EAST STREET- TEWKSBURY , MASS. \`L so `op C. 4 � _ F obi+IS/'/I,, �09� L G' �, I IT OF Wor-� a � `YT d /0 � a ti /Y \1a 9 X25 00, 4 N I HEREBY CERTIFY TO THE BUILDING INSPECTOR I: TO THE STONEHAM COOPERATIVE BANK THAT THE DWELLING IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE TOWN OF NO. ANDOVER ZONING REGULATIONS `lo OF REGARDING SETBACKS FROM STREETS AND LOT LINES. p �1gJf9 I FURTHER CERTIFY THAT THIS DWELLING ISNOT LOCATED IN THE RICHARD FEDERAL FLOOD HAZARD AREA AS SHOWN ON MAP DATED JUN. 15 1983 o J. MEDE JR. - ��_� 250 098 0 #A36864 REGISTERED LAND SURVEYOR �i FF�ISTER�� bio ,THIS PLAN IS NOT FOR BOUNDARY DETERMINATION OyA` [ANDS BOUNDARY INFORMATION TAKEN FROM : EXISTING RECORDS. • NORTH O S�' Oown ofL do' ver OSA -coc13%p rtdover, Mass., "0 1 \ DRAT E D P? � 1 S 5� BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 1J� 10 /�1•Nift n ..............................................P """""..' " Foundation -has permission to erect...... . ..�.�I........... buildings on .L.0...I...'�!' ..�.3 �1 s IAL...WA.y I -Rough to be occupied as.. P�N PAN.< < R Ar` O '� p I�......................................1.................s.... ........................ .....�.�1..u....�al........ w Int � 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 r!r1 104 b PERMIT EMPIRES IN 6 MONTHS Final UNLESS CONSTRUCT NT TS 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. Town o �� Andover 0 �( Y LAKO dover,- Mass., COC HIC HEwICK AORATED P?a\�-11�5 �SSACHUs�� MAP B PARCEL i E,KCAVATION AND FOUNDATIONN'kN THIS CERTIFIES THAT .. 6,40J®.. ......... .*e(Jf.........�u. °............. ..... . . has permission to excavate and pour foundation at ... ® ... .. .... �a ......... for the purpose of......�S.l..�.�. . .... .... �.... .......�. .��!�. ...... .... /1- 64 ... N The person accepting this �" p p g hes permit must return to the office of the Building1 ector a certified lot plan show P P of building thereon before Foundation will be inspected. VZA4t:5 7)� g VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. Co 00e#"100j.0eV 1111: .................. BUILDING INSPECTOR / EDGE OF BORDERING c*�7 PLOT PLAN VEGETATED WETLAND LOT 7 CHRISTIAN WAY N 0. AN DOVER , MASS . SCALE : I 60' JUL . 27 , 1999 TROY , MEDE G ASSOCIATES REG/STEREO LAND SURVEYOR 0 - 936 EAST STREET- TEWKSBURY , MASS. �4 C2 h�O Lo��oyTG' L /T of ��j tiv oy\ 'o. i ti0 yss S,Ss, (o. ti a tia Ck I 3� •e, ro Ki S� 0 I Cl <��F 'q R:12S,pp1 _ N I HEREBY CERTIFY TO THE BUILDING INSPECTOR THAT THE DWELLING IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE TOWN OF NO. ANDOVER ZONING REGULATIONS SH OF REGARDING SETBACKS FROM STREETS AND LOT LINES. I FURTHER CERTIFY THAT THIS DWELLING ISNOT LOCATED IN THE �� RICHARd FEDERAL FLOOD HAZARD AREA AS SHOWN ON MAP DATED JUN. 15 1983 J. MEDE JR. 250 098 0 #36864 0 RE G I STE RED LAND SURVEYOR �`rJi �F�TSTER�� THIS PLAN IS NOT FOR BOUNDARY DETERMINATION BOUNDARY INFORMATION TAKEN FROM : EXISTING RECORDS. 4ORTH I 10 '6 OO L Orig a ? toc�wwncw v1' ��SSAC HU`����y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : / 30 C k r rA1/a ►ti "7 DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 101Q9 /?g FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK'AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED �° ROUTING P Old CONSERVATION N PLANNING DPW -WATER METER 10�i�j NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMIT AL OF THE OCCUPANCY/INSPECTION REQUEST DPW Si nat re File: oC form revised 618198 OCT 21 m 1 13UILDING DERTMENi' Date�-j13; 5, 5i, "'O RT:�ti, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� / ,o This certifies that / '�?�-�'�Y. .�.f tel- //C.G. . . . . . . . . . . . . . . . . . . hps permission to perform . . s.0 . fl.�E !. : . . . . . . . . . . . • . . . plumbing in the buildings of A t 7. . . . v. . . . . . . . . . . L c� %rX,�: LI-14 f R 7— at. . . .G. {. . . . . . . . . �5'. . . . North �ndover, Mass. rG Fee?-.(.?, -.Lic. No..��.�. .'. . . . . . �� . .�✓.cc:��7. . :. . . . . . . . . PLUMBING INSPECTOR 08/23/99 13:44 217.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MAP MASSACH SETTS UNIFOR PERMIT TO DO PLUMBING ARCEL eorp N SETTS- PARCEL // Date Building Location Lit 7 C/1�/Se/ W,q Owners Name i Permit# / 6�rk.n S/o Amount �G Type of Occupancy New Renovation Replacement ❑ Plans Submitted Yes No FIXTURES z x W x 4. . ., w 'A Cr Ln low ce .66 R 3MM"HIM MFLOOR a 7FIM - (Print or type) � Check one: Certificate Installing Company Name lc2rlPy Co rr 70 /Ve�✓ ,TP/'-re R�f Partner. Address - a.: . . 7ecs/AsbOrZ — Business Telephone. .978 - Sa Fum/Co. 4 cl l 7 Name of Licensed Plumber: Al/C l a e /e Insurance Coveraae: Indicate the type:of insurance coverage by checking the appy iate+box Liabilityinsurance policy Other type of i idernity �` $ond ❑,' 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 Signature Owner Agent El — I hereby certify that all of the details,and information I have submitted.(or entered).in above.application,are.true and.accurate to the. _ best of my knowledge and that all,plumbing work and installations performed,unde Permit Issued.fbZthis applicati a-will.be in compliance with all pertinent provisions of the Massachusetts State.Plumbing Cnd ChapteX 142 of the G a1.Laws. By: 1gna e ot Licenseaum e Type of Plumbing License t Title City/Town cense� fe .um ems-`'.Master'-,' Jaurn APPR&VED-(tVRCE USE ONLY CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date O d q THIIS CERTIFIES THAT THE BUILDING LOCATED ON /0�' / 7!613C7 MAY BE OCCUPIED AS VIN l'L F-4'"'`/ 64// v0de9 IN ACCORDANCE (J�V ,NS WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "T", CERTIFICATE ISSUED TO ADDRESS 34 JJ' dm-A,vS� ti,4 c,?0 �'J"CMU'�` Building Inspector F IAORTH s own of over 41L o� �o�H� dover, Mass., ADRATED i � 74 BOARD OF HEALTH Food/Kitchen Septic SysPERMIT T D tem BUILDING INSPECTOR THIS CERTIFIES THAT.... A. . . . .........3>ry........... ...O.! ... ............ ........... ..................... ,K��,,,,_ Foundation A p J f has permission to erect...........�..::...................... buildings on ..x.'0f1. .....� .. ....� .�'�5...��+w....�...��, 'Rou�h� s to be occupied as.........� �N "�4'Ae�►� ��, �a / Chimn�ey`P ����� .l ........................... ............../.. .�:..., ......................�........................� 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 SP L) VIOLATION of the Zoning or Building Regulations Voids this Permit. R �%�t -� PERMIT EXPIRES IN 6 MONTHSl ktAP _l A_ ELECTRICAL INSPECTOR t UNLESS CONSTRUCTION ` ART Rouj.".' PAkCEL -- gh ' ., ........ .... ... ........... .................. Service BUILDING INSPECTOR /�/�t�,- ;,r in G Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough / Display in a Conspicuous Place on the Premises — Do Not Remove Final " No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - 4, 6 Street No. (D SEE REVERSE SIDE smoke Det. r G gars BUILDING PERMIT 0 NORr" qti tt,,eD TOWN OF NORTH ANDOVER C a . APPLICATION FOR PLAN EXAMINATION * ,� Permit NO: 69 Date Received 7 ORATED fi �SSACHU`��� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ..t. PROPERTY OBER Prrctt MAP NO. PARCI=L; ZONING DjSTRICM 1 istorlc£district dies o "Machine Shop Village yes no, TYPE OF IMPROVEMENT PROPOSED USE Residen ' Non- Residential New Building One family Addition Two or more family Industrial tion No. of units: Commercial Repair replacement Assessory Bldg Others: emolition Other Septic Well `Rocn_ Wetlands Waters ed Distnot Water/Sewer pESCRIPTION OF WORK TO BE PEFORME : M" s a e e-lav t N e.w l o.,� &r C Identification Please T}�;�Pe or Print Clearly) OWNER: Name: acs � �.c. ( �,,c (�,r Phone: ��`� "79 Address: 3'� CAn risme �Ja, CONTRACTOR Nam,e: _ -1,� hone: Address- vJ S-upeT l�isor's 0onIstruction,bcense, C;'a �b -1 Exp_ Hate. Li : t Hora1e Improvement License., � �. S � ,E�c�- Oaten i � � �� o e C, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Od FEE: $ �v Check No.: 106,6 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guars ty fund •, g'r�ature of ► ent/O er, Signature iQ,f contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH 4 COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site Vires no Located at 124 Main Street Fire Department-signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. �b Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of.Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location ,56 r P'• No. S Date MORTo, TOWN OF NORTH ANDOVER � A 9 ` Certificate of Occupancy $ s•►cMusE`� Building/Frame Permit Fee $ �r Foundation Permit Fee $ Other Permit Fee $ e TOTAL $ c Check # 20 ' Building Inspector NORTH Town of Andover No. SZ --� - - 0 dover, Mass.,_z_//f/_c1)1r;;1 0 ta- LAK COC MIC H ICK 4 0RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ............................................................................................... Foundation has permission to erect........................................ buildings on ...1,421-111111-4- ��Xy.... ......................... Rough Chimney to be occupied as........... ..0 :��4.............�I. ......................... provided that the person accepting this permit shall in evi(ry respect conform to the terms of the application an file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. �_ �. �., ., � ✓fze iilomvnzaizusea� a��aaaaclu�aelld Board of Building Regulations and Standards h HOME IMPROVEMENT CONTRACTOR x Registration: 137557 k Expiration:`11/26/2008 Tri 125535' Type: DBA KENNETH ROY PROPERTIES t ROY KENNETH 1 CAMPBELL RDZ N.ANDOVER,MA 01845 Admmistrat' Board of Building-Regulations and Standards Construction Supervisor License License: CS 80721 Birthdate: 4/29/1968 'Expiration: 4/29/2009 Tr# 13371 Restriction: -00 KENNETH R ROY_ 1 CAMPBELL RD N ANDOVER,MA 01845 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: ]Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ll%L Address: City/State/Zip: /V AV we<- N12- Phone.#: q 7 q - 7 Z c 5 0 LZ:: , Areyou an employer?Check the appropriate boa: Type of project(required):. 1.❑ I am a employer with 4. 0 I am a general contractor and I r employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' [No workers' comp,insurance comp. insurance.# ' 9. ❑Building.addition required] 5. ( We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work 7� officers have exercised their 11.0 Plumbing repairs or additions myself: [No workers' comp, right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no 12•Q Roof repairs employees. [No workers' 13.7 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infomnation. t Homeowner;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-contractorshave employees,they must provide their workers'comp;policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#` Expiration Date: Job Site Address: 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 tothe 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 cert' nder the pains d�pe �, s of perjury that the information provided above is true and correct Si atur`e: Date: 3 r Phone'#: Official.use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuinb 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 as d Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." i 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"ever state or local licensing agency shall withhold the issuance or renewal of a license or permit to,bperstte=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 1.52,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificates)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 maybe 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 bum leaves etc.) said person is I*TOT 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 Mas=husetts Departnent of lncttstral Accidents Office of Investigations ons 644 Washington Street Boston, MA 02111 Tel.#617-727-4900 ext.406 or 1-877-MASSAFE ` Fax # 617-727-7749 Revised 1122-06 www.mass-govldia AGREEMENT FOR SERVICES This CONTRACT satisfies all basic requirements of the State's Home Improvement Contractor Law(M.G.L.c. 142A),but does not preclude parties from adding language to protect their specific interests. Seek legal advice if necessary.Before agreeing to any home improvement work on your residence you should obtain a free copy of"Consumer Guide to Home Improvement Contractor Law"by calling the Office of Consumer Affairs and Business Regulation's Information Hotline at 617-973-8787. You may cancel this Agreement if is has been signed by a party thereto at a place other than an address of K&R Contractors,Inc.,which may be its main office or branch thereof,provided you notify K &R Contractors,Inc.,in writing at its main office or branch by ordinary mail posted,by Telegram sent or by delivery,not later than midnight of the third business day following the signing of the Agreement. See Attached Notice Of Cancellation For An Explanation Of This Right. Homeowner Information Contractor/Owner Name: James and Debbie Carter Kenneth Roy,President 130 Christian Way Business Street Address No.Andover,Ma 01845 K&R Contractors,Inc. 1 Campbell Road North Andover,MA 01845 Business Phone:978.726.5062 Federal Employer ID:000961723 Salesperson(s): Kenneth Roy,President Contractor Registration:80721 Exp.Date:4/29/09 MA Sup.License: 137557 WORK TO BE PERFORMED AND MATERIALS TO BE USED Contractor Agrees To Do The Following Work For Homeowner:Remove front porch and install new front porch and portico. Contractor to remove and dispose of existing front porch. Contractor to build new front porch and portico. Porch will be framed out of pressure treated lumber. Decking shall be timber tech. Lattice and trim will be PVC. Balusters will be made of pressure treated wood.Railing shall be cedar. Posts will be made of primed pine. 2 12"columns will be fiberglass. Portico shall contain similar trim and building designs as photos supplied to contractor by owner. Ceiling will be tongue and groove pine. Roofing materials shall be EPDM rubber. Not included in the contract are the purchase of paint or stain,painting or applying stain. No electrical work is included in the contract. The following schedule will be adhered to unless circumstances beyond the contractor's control arise* Work Scheduled To Begin:3/18/2008 Expected Date Of Completion:4/8/2008 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to perform the work,furnish the material and labor specified above for the SUM OF$8,900 Payments will be made to the following SCHEDULE: $1,000 upon signing contract $4,000 payment is due upon start of project $3,900 payment is due upon completion of project. Law requires that any deposit or down payment required by the contractor before work begins may not exceed the greater of: (a)one-third of the total contract price or (b.)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule*)No final payment shall be demanded until the contract is completed to the satisfaction of the parties thereto. OTHER IMPORTANT PROVISIONS You are dealing with a Registered Home Improvement Contractor and are entitled to certain rights under the provisions of 780 CMR R6 and M.G.L.c. 142A. Payments: If payment is not received as per the Contract,then the Owner shall be responsible for all attorneys' fees,court costs,and other costs incurred by the Contractor and enforcing Contractor's rights hereunder. Pets: Homeowner agrees to keep all pets out of the work area and take whatever steps are necessary to safeguard them from any harm that may come to them as a result of the work being performed under this Contract,including but not limited to injury on or outside the Premises or ingestion or inhalation of,or contact with,hazardous substances. Company assumes no responsibility for any harm to the pets as a result of the work performed under this Contract. Further,Homeowner shall take all steps necessary to protect Contractor,its agents,servants,contractors and employees,from any harm as a result of contact with said pets. Characteristics of wood: Wood is a hygroscopic material. Wood swells and/or shrinks in relation to the humidity,temperature and environmental conditions of its surrounding. Generally,wood flooring is expected to shrink in any conditions and expand when exposed to moist conditions. Natural wood also contains variations of graining,texture,hardness and/or knots,depending on the wood chosen.Contractor cannot be responsible for the natural features of the wood chosen. Contractor is not responsible for shrinkage,checking,swelling,or other conditions which are the normal condition of wood or the result of household or environmental humidity,heat,cold,or other conditions. Colors: You may choose colors and finishes for the parts being used in your remodeling project. It is important to remember that a color or finish you see at the store or in a showroom may not look the same in your home,especially after all of the different colors and finishes are brought together upon the completion of a project. In addition,one manufacturer's named color is not the same as another manufacturer's named color.The Contractor cannot be responsible for the appearance or lack of coverage from Homeowner/chosen paints and/or stains and finishes. Building Officials: Any additional costs incurred by Contractor as a result of decisions made by Building Officials will be the responsibility of the Homeowner.The costs of additional work will be calculated as follows:cost of materials plus an hourly rate of$45 per man hour. Liens: In the event of non justifiable non-payment,Homeowner's residence or property may be subject to a Mechanic's Lien as a consequence of signing this Contract. Utilities: The Contractor will use reasonable efforts to notify the Homeowner in advance of any interruption of utility services. However,there may be instances where the Contractor must shut down these services without advanced notice. Homeowner must arrange for emergency backup service for any utility critical equipment such as medical devices and computers. The Homeowner must also notify the Contractor at the start of the work day if you will be engaged in any utility critical activities in that the Contractor makes a notification in writing in the daily log book or otherwise. Additional work: Any additional work requested by the Homeowner which is beyond the scope of the work to be performed as set forth in this Agreement,shall be the subject of a separate agreement,and/or if not,subject to the same terms and conditions as set forth in this Agreement and billed on a time plus cost of materials basis at Contractor's normal hourly rate. Contractor's normal hourly rate per man hour is$45. In the event that additional work is to be performed on an hourly plus cost of materials basis,the Homeowner shall be required to execute a Change Order which shall include Contractor's best estimate as to the time required,together with the cost of labor as well as the type and cost of materials necessary. Delays: Contractor is not responsible for delays attributable to Homeowner initiated modifications or additions,or for delays incurred due to the actions or inactions of city/town officials,strikes,acts of God,unfulfilled customer obligations,vendor delays,interference by other tradesperson,customer supplied items or other delays beyond Contractor's reasonable control. Contractor will use reasonable efforts to stay on each job until substantial completion by allotting specific time periods to each Homeowner to complete each job in as timely a manner as possible. In the event that Homeowner does not allow Contractor and/or his employees or sub-contractors access to the residence or property so as to allow Contractor to perform his obligations and/or to complete the scope of work in as timely a manner as possible,other than for reasons of safety or other reason mutually agreed to between Homeowner and Contractor,then the Homeowner shall be responsible to pay Contractor the sum of $500.00 per day,on a pro rata basis,to cover the costs of delay. Contractor reserves the right to suspend work and/or delivery of materials in the event of unjustified non-payment. In such event,the Contractor shall have no liability to the Homeowner for alleged delays or damages due to said suspension. Punch-list Items: The Homeowner agrees that routine"punch-list"or repair items after substantial completion are outside the agreed scope of services,and covered by Contractor's warranty obligation and will be completed as soon as practicable and according to Contractor's and Homeowner's mutual availability. Homeowner agrees that it shall use his/her best efforts to make himself/herself available to observe and/or sign off on the completion of any such punch-list Items,and that the approval of one Homeowner regarding the completion of any such punch-list items,as well as change orders shall be binding upon all Homeowners. Unforeseen Condition/Circumstances: Contractor shall not be responsible for any changes at the request of the Building inspector. Contractor shall also not be responsible for any unforeseen bedrock/ledge or latent defects such as structural and/or dry rot or insect damage to the existing structure,or for preexisting faulty or inadequate wiring or plumbing. Contractor shall also not be responsible for any pre-existing code violations or responsible for correcting contiguous work completed by others not under the Contractor's authority. insurance: Homeowner agrees to cavy fire,theft,vandalism,liability and all other necessary insurances to protect their personal property while construction is in progress. Contractor will carry all required and necessary insurances including worker's compensation insurance. Contractor will enure that all personnel including sub-contractors will be covered by all required and necessary insurance including worker's compensation insurance. Homeowner's Cancellation Rights: In addition to the rights the Homeowner has,as set forth in the attached Notice of Cancellation,the Homeowner may have rights under other Massachusetts Statutes, including M.G.L.c.93 §48,M.G.L.c. 140D, § 10 and M.G.L.c.255D§ 14. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Identical copies of the contract should go to the homeowner and the contractor. Homeowner's Signature: k j Jed <�a, Date: ") -0 C=R Contractors,Inc.: Date: 1 o R By: Kenneth R Its: President You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation for an explanation of this right. NO WORK WILL BEGIN UNTIL BOTH PARTIES SIGN THE CONTRACT AND THE OWNER RECEIVES A COPY REQUIRED PERMITS The following building permits are required It is the obligation of the contractor to secure such as the homeowners agent: Electrical rough and finish Plumbing rough and finish Insulation Framing insp. Finish and occupancy NOTE:Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. EXPRESS WARRANTY All workmanship and materials to be free of material defect for a period of one(1)year. During the Warranty period,the Company may,at its option,either repair or replace products or workmanship which prove to be defective. This Warranty shall not apply to defects or damage arising from improper or inadequate maintenance by the customer,customer's applied products,unauthorized modification or misuse,damage incurred as a result of acts of God or civil strife,or normal characteristics of the materials such as wood shrinking,expanding and otherwise reacting to moisture or environmental conditions. The Company's liability is limited to the repair or replacement,at its option,set forth herein and Company shall not be liable for any consequential,sequential,incidental or other damages not set forth herein.The Warranty set forth herein is exclusive,and no other Warranty,whether written or oral,is expressed or implied. Company specifically disclaims the implied Warranties of Merchantability and Fitness for a Particular Purpose. NOTE:All home improvement contractors and subcontractors shall be registered and any inquires about a contractor subcontractor relating to a registration should he directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,MA 02108 617-727-8598 Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence, ARBITRATION The contractor and the homeowner hereby mutually agree in advance that in the even the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the c nsumer sh 11 he ranuired to submit to such arbitration as provided in M,G,L.c.142A. Contractor: ?Date: /r[ -C) Homeowner: C� Date: NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETFLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOTSEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecurity-A Contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems hint/herself to be financially insecure. Contractor's Financial Insecurity-In instances where a contractor deems himself/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. Homeowner agrees to allow reasonable access to allow Contractor to reasonably attempt to remedy any outstanding uncompleted,disputed or non-satisfactory item. If you have general questions or need additional information about The Home Improvement Contractor Law,contact: Consumer Information Hotline Commonwealth of Massachusetts Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170 Boston,MA 02116 617-973-8787 If you have questions about Contractor Registration,contact: Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One Ashburton Place,Room 1301 Boston,MA 02108 617-727-3700,x25205 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE (3)BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN(10)BUSINESS DAYS FOLLOWING RECEIPT BY THE CONTRACTOR OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT;OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN TWENTY(20)DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE CONTRACTOR AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO K&R Contractors,Inc. I Campbell Road,North Andover,MA 01845 NOT LATER THAN MIDNIGHT OF TBD. I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: Received: , � 1 I , I I I i , r _ l LAI I t I I 'I i I � I I � . 1 �. I + • I � I r I , 110, I , I I � I _ I I t I { : , I I i L ( ( je.�2 Z 5(3U_�S _ MIN' ►w �--- - - — - Q; t 4J,_Iecl : t tD C6-Pt's . •--� _t_� � _ - -- - -- - ! i - . jj , f , I i , 1 I ' jr � { i I 1 ----1—_E r � t 741 Base in Casio 3r2/2008 MIMS all LP 1! IF _• 34 Poll mm t i: &"a n t �V 3/2/ 3/2/2006