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Miscellaneous - 14 BEECH STREET 4/30/2018
/ A BEECH STREET 210/033.0-0044-0000.0 Date.;141411 . .... ... . OF NORTH o� 6 TOWN OF NORTH ANDOVER f P • PERMIT FOR GASINSTALLATION �,SSACMUSEt / This certifies that has permission for gas installation . . . S / .'.�' .f'��'�?. . . . . . . i in the buildings of /. 1�T�.h. . . ��f !'?5. . . . . . . . . . . . . . . . . . . . . at . . . A/. .,�y'4�? . ,W< . . . . . . . . . . .. North/Andover, Mass. Fee.,?4,.4PP! Lic. No.. GAS INSPECTOR Check# . ac) 7940 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 11 IN I NORTH ANDOVER,MASSACHUSETTS Building Locations I q &C h 0-c- Permit# A' 36 — I M () lArd L-2--- Owner's Name 'Ken C 6L l l n S Amount$ � New Renovation ❑ Replacement ❑ Plans Submitted ❑ s� USt C) z a a g2 � a W w U z z z O F^ w I a w < x w 17- a~ m j 31R,' G w w z. d z a a w w iz, z v a z Q w 4 a F w0 Z O z Q w > w z Q a Q Q O O w0 U � v x > a, F o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR yy 7TH . FLOOR �I 8TH . FLOOR (Print or type) Check one: Certificate Inst lling Company Name Simmons h'�.uvn 1'JI!4 i�RC. ® Corp. o�d 51)C Address P.a • -box 1199 ❑ Partner. P(��1rQ()� M14 039-7q�usinessss Te epT ions So ep: q a cl - ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter (�� (�(� Si ryl Bows. &-0-LC& L-i- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ If you have checked}_es,please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I W aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. e ra aw+�,a y'si ature on this permit application waives this requirement. �+ Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed un r Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus�at�GasCCfiapt r 142 of General Laws. Al .CeC+q+Y fah By: Signature of Licensed Plumber Or Gras Fitter FAly Title knela p Plumber g,�C— City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman s - The Commonwealt1i ofMassachusetts Department of Industrial Accidents Office of Investigations e 9!"" Li/noloixnfnra C'troot //KJIiH��Lv/•iJ Boston,MA 02111 www.inass.gov/dia Workers' Compensation Insurance Af%avit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLibly Name(Business/Organization/Individual): ��M in C) Of A-' Address: R 0' SOX City/Rare/Zip: 3 2-E-1j, vv,-i •- i i uvuv rr. Are you an employer? Check the appropriate box: Type of project(required): 1.i�"1 am a employer with PD 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors -- - 7 Remodeling `.'.... listed on the attached sheet. . emo eling - � r.,.., o o.,f--nrnnhatnr.^.:narfriPi-_---�- ..-- .-.. ._'- ship and have no employees These sub-contractors have 8. F-1 Demolition working for me in any capacity. workers'comp.insurance. 9• ❑Building addition [No workers'comp. insurance 5. 0 We are a corporation and its . required.] officers have exercised their ME]Electrical repairs or additions 3.❑ i am a homeowner doing all work right of exemption per MGL 11. Plumbing repairs or additions ❑ myself. [No workers'comp. c. 152,§i(4),and.we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that chccG box#I must also fill out the section below showing their'workers.'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees..Below is the policy and job site /nformation. l Insurance Company Name:t&o-dla o4R✓W 'U V-36 .. ,See G �/,36 n_i__.. __c�..Il:.,., T .- ai l)r' t1,.��raLU.1/)�r�1",-1�lcu,•(-cl'��•?Cvb�a.Wc�. Expiration Date:, roll 4 Cir Sel -uw.,.,,.....M..�. —,—�- _ Job Site Address: )y �C< C.�'1 �� City/State/Zip: A AyidtyyP Am 018gS Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c..152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of tip 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. r ' 1 do hereby certiunder.the airs and penalties ofperjury that the information provided above is.trite and correct. -Si nature: Date: Phone M goo a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Llcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Commonwealth of Massachusetts \ 100062476 _--� Asbestos Notification Form ANF-001 Decal Number Important: When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less?❑✓ Yes [:]No to move your cursor-do not b. Provide blar .tsecal number if applicable: use the return Blanket Decal Number key. 2. Facility Locatiorr- DAVID WALSI-7 14 BEECH AVENUE a.Name of Fa b.Street Address north andover IMA 101845 —� c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Loc=�= 1.All sections of this THROUGHOLTIF form must be a.Building N - _ tion b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? ❑✓ Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Com and the Division of Occupational. JAIR QUALITYS INC 40 LOWELL RD UNIT 1 Safety(DOS) a.Name b.Address notification SALEM � 03079 6038946465 requirements of 453 CMR 6.12 c.Cit /Town d.Zip Code e.Telephone Number AC000167 f.DOS License Number- g. Contract Type: ❑✓ Written ❑Verbal h.Facilitv Contact:— s I.Contact Person's Title 6' ABEL J Ste?A21A SR I JAS032998 a.Name of On-SL-- JForeman b.Supervisor/Foreman DOS Certification Number 7' N/A a.Name of Prujer-LYtzfzy b.Project Monitor DOS Certification Number $' N/A a.Name of A =sem.- l Lab b.Asbestos Analytical Lab DOS Certification Number 10-- 10/17/2007 10/17/2007 9' a.Project Start b.End Date mm/dd/ 0 7AM-3PM N c.Work hours Mor-T d.Work hours Sat-Sun. �o 10. a. What type of this? ==�o ❑ Demolition l Renovation ❑ Repair Other, please specify: b.Describe 11. a. Check abaternpmcedures: 0 0 Glove bag ❑ Encapsulation o ❑ Enclosure ❑ Disposal only ❑ Cleanup ❑✓ Other, specify: 1WHOLE PIECE REMOVAL -- ❑ Full containment b.Describe —z �Q 12. Is the job being conducted: ❑✓ Indoors? ❑✓ Outdoors? anf001 ap.doc•10/02 Asbestos Notification Form•Page 1 of 3 A Date ' ",ORT:'�o TOWN OF NO tH>/ANDOVER �? 0 PERMIT FOR PLUMBING ,SSACHUSf� This certifies that . . . . d `� = E. ` . has permission to perform . . . . -.�/�-�. -/�E4�. .. . . . . . . . . . . . . . plumbing in the buildings of . . at . . . .tel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee„l .714:: Lic. No.. ? . . . . . . . ✓.�!` . . . . . . PLUMBING INSPE&OR Check # 7560 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTSDate ,�jQ12W16MI-14,;-Permit Building Location&&h Owners Name c1h& # Amount Type of Occupancy New Renovation 13 Replacement 13 Plans Submitted Yes ❑ No FIXTURES W Cr Cn O w O W F xrAV WC40Z W o CC w w x a F A � xa zAWAx Qn CA O 3 a � A SWIERMC )&ASEVENr M HIM 2 4M11fM MHJOCR r s>i>f - 7M KAOCR gm (Print or type) Chec one: Certificate Installing Company Name�& oje— hf Corp. Address ;u Partner. business Ie ephone &3 37(f QQ20 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy KI Other type of indemnity ❑ Bond ❑ Insurance Waiver: 1,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 ❑ I hereby certify that all of the details and information I have submitted(or ntered)in above application are true and accurate to the best of my knowledge and that all plumbing work and' tall ions pe ed under Permit Issued for this application will be in compliance with all pertinent provisions of the M t Stat n ode and Chapter 142 of the General Laws. By: igna ury0cee um er pe ofing License Title T�/ � 7 1 City/Town icense um er / Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date.�1. !xG.7....... . NORTH 1r 3r TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SS^CHUSEt . This certifies that . . (:C. 7111. . . . . . . . . has permission for gas installation . . .)k.L ... . . . . . . . . in the buildings of .� < <{n�. .:(. . <-°: . . . . . . . . . . . . . . . at ./i y . . Pn,:. ,. . . . . . . . . . . . . . . . . .. Noortthh,Andover, Mass. Fee,M Lic. NolS'¢K ?. . . . . . . ., . . . . . . . AS INSPECTORd' Check# 1� 6208 MASSACHUSETTS UNIFORM APPLICATON FOR PERMPT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations ��/ !/� ��/ �� Permit Amount$ �r Owner's Name New Renovation Replacement Plans Submitted Ed V� W C, c W w m Vj Z W F W O O a O Z C GC z U xoxo w a > 4 CW7 F z [� Z F W W C7 > cr. F U y W z w > x z d z c d O o w C x u z > a a O SU B -BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOGR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR �/m (Print or type) /, -W'/� Check one: Certificate Installing Company Name J' �'C �j/� /� �7y /t✓� rwCorp. Address ElPartner. Business a ep one 37 _U.j2d Firm/Co. Name of Licensed Plumber'or Gas Fitterg��'Zi /j/2zof✓� INSURANCE COVERAGE Check one• I have a current liability Insurance,policy or it's substantial equivalent. Ye� NoO If you have checked Les,please indicate the type coverage by checking the appropriate bo:f. Liability insurance policy rcl�7 Other type of indemnity D Bond 13 Owner's Insurance Waiver: I,am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 0 Agent 0 hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and in ions perform e er Permit Issued for this application will be in compliance with all pertinent provisions of the Mass use State G e d Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town. 13 Gas Fitter License Number 12 Master _ APPROVED(OFFICE USE ONLY Journeyman Air Quality Experts, Inc. (603) 894-6465 Asbestos Removal (800) 621-1189 23 Hall Farm Road Residential-Commercial-Industrial (603) 894-7044 FAX Atkinson, NH 03811 AirQualityExperts@AQENH.com October 5, 2007 RECEIVED N.Andover Health Department OCT 10 2007 OF NO51TH 146 Main Street TOWNHEALTHDEPARTMENTER North Andover, MA 01845 Dear Sir: Enclosed please find a copy of notification sent to the state for an Asbestos Abatement Project. The job will take place on 10/17/2007. Project: David Walsh 14 Beech Avenue Any questions concerning this matter should be directed to my attention. Sincerely, Christopher Thompson President Commonwealth of Massachusetts _ 100062476 Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed, or encs sulated: _ 20 —�— a.Total pipes ords _Mar ft) b. I otal other surface (square ft) c.Boiler,breaching,duct,Tank C� C� d.Insulating cement surface coatings Lin.ft. Sq.ft. Lin Sqlf e.Corrugated or layer- paper 20 pipe insulation Lin.ft. Sq.ft. f.Trowel/Sprayer coatings ((Lin.ft. Sq.ft. g.Spray on firepro Lin Sq�. h.Transite board,wall board Lin.ft. Sq.ft. I.Cloths,woven fi � II j.Other,please specify: 2000 Lin.ft_ Sq.ft. Lin.ft. S .ft. . k.Thermal,solidcore--_�_ SIDING insulation Lin.fL Sq.ft. I.Specify 14. Describe the domination system(s)to be used: WHOLE PIECE REMOVAL AND GLOVE BAG PROCEDURES 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): WET 2 PLY POLY 16. For EmergencrA s Operations, the DEP and DOS officials who evaluated the emergency: a.Name of DEP Offmial b.Title c.Date(mm/dd/v',z�Cxvization d.DEP Waiver# e.Name of DOS GMciA t.IJUS OfficialTitle N g.Date(mm/dd/vyyy ,;�_3z&Eirization h.DOS Waiver# —0 17. Do prevailing wage iates as per M.G.L. c. 149, §26, 27 or 27A–F apply to this project? ❑Yes❑✓ No B. Facility Damon o 1. Current or prior === ility: RESIDENTIAL i 0 2. Is the facility owrE-x=upied residential with 4 units or less? D Yes ❑No DAVID WALSH 14 BEECH AVENUE 3' a.Facility Owner fVanm � b.Address 'Ik NORTH ANDOVER, � 01845 o c.Ci /Town d.Zip Code e.Telephone Number(area code and extension) a.Name of Facies Owner's On-Site Manager b.On-Site Manager Address Q F City/Town d.Zip Code e.Telephone Number(area code and extension) anf001 ap.doc•10/02 Asbestos Notification Form•Pa e 2 of 3 Commonwealth of Massachusetts 100062476 1 Asbestos Notification Form ANF-001 Decal Number i �. Facility Description (cont.) CHESTNUT WAY CONSTRUCTION 12 CHESTNUT WAY 5' a.Name of General Contractor b.Address METHUEN, MA 01844 978-337-7839 c.Cit /Town d.Zip Code e.Tele hone Number area code a�tension) f.Contractor's Worker's Comp.Insurer g.Policy Number h.Exp.Date mm/dd/ 6. What is the size of this facility? I a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary): AIR QUALITY EXPERTS, INC. a.Name of Transporter Note:Transfer I b.Address Stations must comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19.000 SERVICE TRANSPORT GROUP, INC. PO BOX 2132 a.Name of Transporter b.Address BRISTOL, PA —� 19007 (877) 999-9559 c.Cit /Town d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner b.Address I [_ c.Cit /Town d.Zip Code e.Telephone Number 4. A& L SALVAGE INC a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 11225 STATE ROUTE 45 LISBON c.Final Disposal Site Address d.Cit /Town OH 7 44432 M e.State f.Zip Code g.Telephone Number �o D. Certification __ The undersigned hereby states, under the CHRISTOPHER THOMPF penalties of perjury, that he/she has read the a.Name b.Authorized Signature o Commonwealth of Massachusetts regulations 1PRESIDENT for the 10/03/2007 Removal Containment or Encapsulation c.Position/Title d.Date(mm/dd/vvvv) 310 CMR 7 15�and stt at thinformation 53 CIVIR and (603)894-6465 AIR QUALITY EXPERTS o contained in this notification is true and correct e.Telephone Number f.Representing �. to the best of his/her knowledge and belief. 40 LOWELL ROAD, UNIT ONE .Address amu_ ISALEM, NH 03079 h.Cit /Town Y i.Zi Code Z P anf001ap.doc•10/02 Asbestos Notification Form-Page 3 of 3 x Date...... .-.. ........ .. NOR711 TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACNUSEt This certifies that ........... ....�r .�.... `....... ...... �..................G..... has permission to perform ............`!�&ie� .......................... . ................................ wiring in the building of..�yb3 Tti` �' / i ................................... ............................................. at....�. G ......//....S�....................... . rth Andover,Mass. Fee 43.f.da Lic.No. !`S Z.SZ�........... ... ... (� ELECT ICAL INSPECTOR Check # f 7947 ANCommonwealth of Massachusetts Y } Official Use Only Permit No. 7 Department of Fire Services Occupancy and Fee Checked I 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 Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /_- City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or,her inten 'on to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building &Pt.&-,a-e Utility Authorization No.32 j 323 P Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service l / J— Amps JICI /ZZG Volts Overhead Undgrd ❑ No.of Meters l/ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion o the ollowin table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimming Pool Above [IIn- ❑ o,o mergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of SwitchesNo.of Gas Burners No.of Detection and Initiatin Devices 2 No,of Ranges No.of Air Cond. Total Tons ,J No.of Alerting Devices No.of Waste Disposers Heat Pump Number I Tons I KW„ o.of Self-Contained Totals: ��•���� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW NO.°f Ballasts of Data Wiring: Signs Basts . No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired, or as required l,y the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: 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 i P g is substantial equivalent. The undersigned certifies that such ch coverage is in force,and has exhibited proof of same to the permit issuing office. l CHECK ONE: INSURANCE K BOND ❑ OTHER ❑ (Specify:) I certify,under=ew d penalties ofp rjury, tha.the information on this application is true and complete- FIRM NAME: r C C LIC.NO.: 5-1_4 Licensee: , Signature LIC.NO.: (If applicable, enter"exem t"in the lic PP p nse numbe e) Bus.Tel.No. --,� -7 Address: i 'y & * Alt.Tel.No.. a Per M.G. c. 147,s.57-61 securitywork re uir q es Department of Public 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: I , t t II? , The Commonwealth of Massachusetts � ! Department of Industrial Accidents .. Office of Investigations 1'�-�t 600 Washington Street Boston, MA 02111 t t www.ntass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aliplicant Information Please Print Ledbl Name (Business/Organization/individual): S C_ (if c Address: I- v� City/State/Zip: � Phone #• .�?�l� ��r-C��a C� Are you an employer?Check the appropriate box: Type of project(required): 1.P I am a employer with 4. ❑ I am a general contractor and I 6. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. Q Demolition working for me.in any capacity, workers' comp.insurance. 9, Q Building addition [No workers' comp, insurance 5• ❑ We are a corporation and its 10.El Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.Q Plumbing repairs or additions myself. [No-workers'comp, c. 1,52, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.❑Other "Any applicant that checks bo-W#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional shestshowing the name of the sub-contractors and their workers'comp.policy information. I ant 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. Lie.#: Expiration Date: Job Site Address: /�ze-ec City/State/Zip: (FAQ A„- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert'y under a pains and penalties of perjury that the information provided above is true and correct Signature: Date: - — Phone#: Offxial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance'coverage required." Additionally, MGL chapter 152,§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should, be returned to the city or town that the application for the permit or license is being requested,not-the Department of ,. Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self.-insured companies should enter their I sell-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 firtture 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 NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations y` 600 Washington Street Boston, MA 02111 Tel. #617-7274900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax#617-727-7744 www.mass.gov/dia V 74 �R, ! tj January 13, 2008 Mr. Gerald Brown IftSPWor of Buildings Town of North Andover 1600 Osgood Street North Andover,MA 01845 RE: 14 BEECH AVE:WE NORTH ANDOVER,MA STRUCTURAL INSPECTIW4 Dear Mr. Brown: Martel EnSiacei-ijig is pleased to provide you with this letter to confirm that the above retbrence property was constructed in accordance with the structural plans and there design intent. The change in the attic floor framing over the stair are is approved by the structural engineer of record. The structural framing for residential house was constructed in accordance with the Massachusetts State BuiWhig Code and the contract documents. Should you have any questions regarding this subject, please feel free to contact our office. Sincerely yours, MARTEL ENGINEERING 'x 00 0. OkOF MICHAIE MART Vichael F. Martel P A STRUCTU Principal Engineer No.41674 ,;�-SIONALU Oct 17 07 04:13p Steve Pouliot - CWC 978,655.1890 p.2 CHESTNUTWAY CONSTRUCTION Fine Hoare Deaign a Consfrvctron 12 CHESTNUT WAY,METHUEN,MA 01844 PH 978.337.7839 FAX 978A73A1S9 October 17,2007 DearNeighbors, e�ur�ose ofAbis letter is to inform you of my plans to raze the existing structures 14&fficb Ave,North�Andover. Once the structures are razed a new home will be constructed on the site. Demolition is planned within a few days subject to Town approves. My intent is to leave this notice on the door of each neighbor a day or two before demolition. If you have any questions please coated we at 978-337-7839. Thank you, $teve Pouliot,Manager Chestnut Way Construction,LLC. Oct 17 07 04:12p Steve Pouliot - CWC 978.655.1890 p.1 CHESTNUT WAY CONSTRUCTION Fane Home Design 8 Construction PH 978.337.7839 FAX 978.665.1890 paulq@comcast.net Fax Attention: Gerry Brown—Building Inspector company: Town of North Andover Fax#: 978.688.9542 From: Stere Pouliot Date* 10.17.07 Subject 14 Beech Are,North Andover Pages: 3 Dear Mr.Brown, Attached please find the letter I hand delivered to the abutters;of 14 Beech Ave. I have also attached my updated insurance k tbrmatbm to be added to the 14 Beech Ave job file in your office. I look forward to future dealings with you and the Town of North Andover. Thank you, Sbeve Pouliot;Manager Chesbmt way Construction(CWC) Oct 17 07 04:13p Steve Pouliot - CWC 978.6551890 p.3 Sent 9y: H & K Insurance Agency, Inc-; ' pxTptrLuotxYYm LOf17/Q7 ACORUn CERTIFICATE OF LIABiL{TY INSURANCE AN�M1DASA MA TEROFII MATIDN T 1FICATE PRooucER ONLYAND CONS NO RIGFITS UPON t�C�E.XTH�D QR H 4 K Ins, Ager=y, Inc. hmmt.THO CERTM,%TE0M NCR P.O. Sox 344 ALTfRTHEC(OV9�1GEAFFORD®SY EPOIICtB58B.OW. 182 Main Street i (LAIC it fiatortowtT. FA D2472 INSumd AFFORDING COVERAGE psuRmoL Harleysville Groul?!Nt¢rcester -IWIR� Chestnut Way Construction LLC ;INSurteRe.Hartford Insurance 12 Chestlnut Way tRSLIRER c Methuen, M& 01844 c,suRERa iNsuREnE cOV ERAGES THE POUCIES OF INSUR M ACRE C CDSeLOIN HAVE TION ANY GON�TRIACT ORO ER OOCUEAENT WITTi SPECOOVMICH THISC I DTg IW1Y Be ISSUED WITHNOTWITHSTANDING ANY RECUIREMEN .TER MAY PERT/JN.THE INSURANCE AFFORDED BY THE POLICIES OESGAIDED THER HEREIN IS WITH RT TO ALL TME TERMS,flICLUS- SAND COHt]ITIONS:)F SUr" POLICIES.AGGREGATE L1015 SHOWN MAY HAVE BEEN REDUCED BY PMD C' C .---. 1A 1 FouCY ptPQlAibM 1J61S INSIEADO' -• iOLICYNUNSER EACH OEGU cE ;= r000,000 C�gIp,LWBiLITY -DAMACSTO � s 100,000 i 9f1/07 9/1/09;pREutsES bc.aercc) I A r_0WMMCtAt GEMERALLWKrrY ,GL CM3991 i s 5,000 'ME0"Pt wepwow cLq&*NIDE ;X i DCGUR vrasa+AL s w,vaY s 1.000,000 .. GENEAALA�GATE i 2,000 ,aQd VRODIICTS•coMPap ACCs -E 2,000,000 GENtAGOAEGATELMpIT.APPLAMPER. j - • =POUCY: •JECT I-Lac �'�����-��"" MITOMOB-M.EIJMILRY COMB-MF.DS U= 8 (Ea aoa011t1 ANY AUTO 180DILY NAM MS ILL OMNED AUTOS :tPa pe.aae) scRFm%tE0A TOS ' HIAED AUTOS 1 BUDIL7 N s . � IPe-2cOd3M1)I i NON•OVOM AUTOS I PROPERTY(AMAAE S AUTOONLr 1EAACCIOENT •S GARAGE LNBRTY t EAACC ±t ARYAUTO :AU OILY: ! ACG:i EACH DC ENCE S EiCMUNBRE'LLALIABUfY - - OCCUR CLAMS MADE AGOREGILT S i S - ( 5 I DEWXTIBLF 1 S •RETENTION S TORY ITS; ER WOMMSCONPENS&ON ANDEL EAtik (',IDEIiT s g . ETR.OYER6-UA9UTY fi560U8-5626C35-8-07: 9/12/07 9112/085 100,00 /WrVROPRkTCR1PMTNER4XECVYKF E.tDIsEAS •FAAEMPLOYEE i 100,000 OFFCER:MEMSE2 E7LCLJIOEO'! "- Itg��•CMGlbev ELOtSEASd-POUCG LVIT S 500,DOO .3PEpAt PROVL9OJ®I>ebrr ' oT►-ER � � { O1SCRPYION OF O)EMTIONS I WCAlIONS f VFItCLE51 EYICLUS10N3 A00f3f BY EeIDORSEN INTI g/ET:ML PROLnSgNS � i t } i I CERTIRCAT£FOLDER CANC9.LATION SHOULD MICOFTHEAWWCN $VeE0 POUCIE3 RZ CAM MLLET)BUD$&TIEEVIRNPON CAnTHEREOF,TME 136UtRGMURERWILL TO MNL 10 DAVSWRITTEM Town of North Andover NonCETOTNECMTIPICMTENOLDERNANEOTo "HE LEFT.MYFALURET000303NALL IRPOSENO 09LIGATN)II OR LIABLRY OF ANY KIND UPON THE IMSOREM,LT6 AGENTS OR iTEMIE56NTATVES AUTKOR22DREntzg"TATME John R. Ra=lihy ACORd25(2001/08} 10 ACORDCORPORATION 1M I t I I ORTH ANDOVER RORTM•� 'roN Is OF N EXAMINATION pt tea°Baa Hpp pLAN APPLICATION F Date Received: MgSSACHusE Permit ND: mfete all item IMPORT ANT: App s on this page Date Issued: licant must comp 4 L) �' f G.� LOCATION /I��� OWNER f7 Print G DISTRICT: I RTY ZONING o t PARCEL: CT YES i STpgIC DISTRI Mp,P NO.:� HI OF BUILDING Non-Residential ' TYPE AND USE VEMENT PROPOSED USE OF INiPRO Residential ❑industrial TYPE One family ' il �TWO or more famy ercial J NeW Building No of units: CO1T`m Ad ' fon Bldg { Iteration ❑Assessory � Others: 0 Repair,replacement � ❑Other � o Demolition tic Moving(relocation) o ED NOF WORK TO BE pREgORM 0 Foun CRIPTIOonI I DES 1 e or Print Clearly) Identification Please Typ phone: vv R. Name ignature �_ '1 OWNS �, � �� � �0 I .S Phone" � I S �S �� 1'71I4- Address: ,� N CTOR ame % j 191d,* TRA CON Exp• Address: q 0 coon License: EXP. Date: Supervisor s Constru _---- oard of copy and Home Improvement License: Name: CTIENGINEER Reg No ARCHITE COST BASED ON$125.00 PER S.F. SS: R$1000.00 OF THE TOTAL10 OOESTIMAFEE'$_ r Address' MIT:$10.000pk r`1 FEE SCHEDULE:BULDING P ,°/��p "J tNo : '7 - project Cost :� 7 Receip I Total Check N pabe lof 4 i TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ c- Public Sewer Tobacco Sales j Well ❑ Private(septic tank,etc. ❑ Permanent Dumpy+- be Ob"Akred• NOTE: Persons contracting w, e to i to pe`mi� t� Signature of Agept'�� �sol,�e4 jotoe aPpc°pt v Plans C'-' � ef,{{ed t° °vt ed{o�sra o{ ts �e o\`o,�j°9 Ls °r4 eC 9dab,>>tiati� g .1re{ $'"tev�ot e cati,° �1ce,�ses r 't Nppd '."k 01 C sti. 'es � t'VC °1Co -Vol e �� 01 C00 rte� o t °� pG oVr° oO V1 0V 4r O 1 ° k �d �ydYa� ; ° eek cati�o� C��k�e�4 CONS. •ti�or Or NVVerges NN Vtb p+aa1 ���4 eC o 4�ar aav't C 5� tic osea�l OCk COMMS. ° �`�>>deyed�o p C PSI 0�4�°�' ,�eable� y °1 c atl°r41a� � NVV 0 4�°t° COV ont'�a°neable� eege'4° o y O sect pli >>asy O C°oo��0 ,�s(X Apy COO �a HEALTH O VXa cu�at�ec � d`t`N0 C ass c� k •r$�e COMMENTS e to° � cti�°r�5� ��,�` e 4e C L the XO VV Zoning Board of Appeals. � °Sed S. $eR afCom of IOV S. Zoning Decision/receipt sub O 1 �eV01d C �aav, oSpeea Cel o�Y�• P�f 4�an tic tamQ �St<y Planning Board Decision: ° V°t° C°op 'X60g <Xf NV � 'dusts�eye$ o orke�sts jv�,at"°'�s cege�° C`eCksatt Conservation Decision: o �°�e c Ca�C t >>a� e,�o,0o ettb'vs g O 1�y&I"N C°�tCacY$y CO p o'<eatosttie t°ll Water& Sewer connection si natu. o ne as Yea pt R` ��ca Copy creck� eCm`t vie apQt��i S'VVk% p Temp Dumpster on site yes ,--no—' O gS j%a�p C� eav a s e 'qe to � Q o tth O vat`a�c;pet`oaps`tteJ`N Building Permit Approved and Issuses��the aQ ovist SJ FOUL t t e Page 2of4 NNVVe%jVe oCa�o� CVSo�Qp��M�Nce S Pa�cA�(A NORTp % TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �9SS�CHU`'Et Permit NO: 00 Date Received: ` o Date Issued: 6 IMPORTANT: Applicant must complete all items on this page LOCATION �� ��G� /AL."? n Prinj PROPERTY OWNERll� L Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑Ad • ion ❑Two or more family ❑Industrial Iteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving(relocation) ❑ Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: D lg-yL'D yk/,4 L S Phone: ignature Address: �'� /J l e CONTRACTOR Name: " �s �.�D Phone: 97d �� 7c7 I Address: c�� P6e_gp /IY I /1'� / J'/ 1JZ°/� ��� �z� Exp. >9 �� Supervisor's Construction License: (� � Ex P• Date: Home Improvement License: ��� k Exp. Date: a� �I ARCHITECT/ENGINEER Name: Phone: � Address: Reg.No. FEE SCHEDULE:BULDING PL#MIT:$10.00DPDFR$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ V� x10.00=FEE:$ Check No.: ` Receipt No.: / Page 1 of 4 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ 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 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:BPFORM05 Page 4 o1'4 t Location��l eeecA An—, No. 00 � Date ,.ORT1y TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ Building/Frame Permit Fee $ — Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �r%p 1902 `�- Building Inspector TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ F1g Public Sewer K Tanning/Massage/Body Art Well ❑ Tobacco Sales Food Packaging/Sales❑ 11 Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ NOTE: Persons contracting with unregistered contractors do not have access to the gua ty and Signature of Agent/Owner Signature of Contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ StaP m e Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Temp Dumpster on site yes 'no— Fire Department signature/date Gni '" Y 7 Building Permit Approved and Issued by: Page 2 of 4 _ L Building Setback ( Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan.2000 NORT#q Town of : t Andover No. o _ -ti , ;;: ; 0% dover, Mass. T O �LA 1 1 COCMICKEWICK "'�A-rED �`�- BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... d 6 - !.!.... ...................................................................................................................................... — Foundation has permission to erect........................................ buildings on... ........ .......... .c................... Rough to be occupied as......... .%h.� ........f...../ZC..�O. '�..... L ..5............................................. .. Chimney provided that the erson acce ti�his ermR shall in eve es eP P g P p ct conform torms 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 Ole PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC 'TARTS_ ELECTRICAL INSPECTOR Rough ............. ..... Service BUIL 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 Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. The Colmnomccalth ol'lilassachtiseffs Vepal-Imettt o/-Itrdrt.strial Accidelits Office of Ittpcsfi, tlfiorts d 600 1Vashitigioll Street Boston, AIA 02111 shsov.ttrass.gvlv'rfia «fol-kcal-S' Colrtpellsation Insurance Allid�avit: ➢Iriilde►s/(.'ontraclors/➢ ➢cctrieialls/1'lailull' is A i )licant Please Print LS. gibly Nallic (13usiness/Organization/inciivi(ivai): 4`` �_�' -"W I✓O6/S Address: �V'�. �(✓��a S �/%. — `�'/ -- ...--- . _ . City/State/lip: ��� l�il%Of�'rJ�/t? ' _!��_ 1'hc)nc It: Are you.an employer? Check the appropriate box: Type of project (I quire-): 1,El 1 ani a employer with 4. i ata a gctscral contractor arld 1 6,. ( Ncw consintction cmployccs (fall and/or pall-time)." have hired the sub-conuaclms 2.❑ 1 ani a sole proprietor or partncr- listed nn tire. attachccf :;hect. t ? �_.] (Zctnndclinn ship and have no cmployccs T}icse sub coniactofs have R. ( ] 1)cnlrrlilion woikin for me in all ca ',icil workers' comp. insut;tnc.c. r). C3uiidin tdclilion g Y P� Y- L.� g [No workers' comp. insuranec 5. ❑ We ate a corporation and its IO.(_] { icctlicil repails or additions tequired.J officers have cxcrciseel their 3.❑ 1 and a honicownct doing all work right ofcxcmption pci M(;1, I l.(-j Plurtrbing rcpails or additions myself. [No workers' comp. c. 152, §1(4), an(1 we have no 12.1---1'-_ Roof rcpaiis insurance required.) t employees. INo workcls' l a[ -� Otiler comp. utsm ancn.c.I cqu cci _ ..- 'tiny applicant that checks lx)x fit mast also fill out the section lxtlow showing their workers'conq,enrntiun policy inkmlintion------— - t llontcowners who sulmtit this affidavit indicating they nre doing all work and then hitt outside conttncims most summit n new ntlidnvit indtcnl itt£such. lConhnclots that check lhishox must attached an additional sheet showing the mmlie orthe sill,0mlroctrns and Iltcir workcls'comp.policy inforntnlion. I all, nn crrrlrl(►er t/rat is providing workers'cvrrrpcnsrttior insurance for rrrp crrrlrlr>pcc.�. 13clart is the polic.1 and job .site information. insurance Company Name: A )ft' /409 A Policy 11 or Sclf-ins. Lic. #: IV4, L �. d D 1'.xpiralion Uatc: 11- 141- 06 Job Sitc Address: Attach i copy of the workers' compensation policy declaration page (showing file policy number awl expiration dale). Failure to secure coverage as tegtiired aider Scction 25A of MGL c. 152 can lead to tlle.imposition of criminal per,ilties of a line up to$1,500.00 and/or one-year irilpriso nnicnt, as well as civil penalties in the form of a STOP W(:)RK OIZi)F,R and a line of up to$250.00 a clay against the violator. Be advised that a copy of this statement flay be forwarded to thc.Office o f ] ne he IA for insurance c verification.covcra nvcstigatw , of 1 D g I do hereby co-ti J' ander fire pains and penalfies of ler' r1'that tlrc in f ill rwrttiarr lrrrrwided abore is true and corrr•r•t— ---- 'i S1 nature: --�----- - ------- -- --- ---.------ - 777 Photictl: 73-7 OfJic•ial use only. Do not write in this arca,to be completed by city or town v%Tcial. City or Town: _t'er-nlif/I,iccIlse 11 Issuing Md6rity (circle one)- � m 1. hoard of health 2.Building q)eprt. ent 3.t'ityfrovyn Clerk 4. h.iectri(:al inspector 5. Plurtcltitah Inspector, 1. Other ti Phone 11: Contact Person: -- i 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 at: JL( 6C04 &'t"` is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL - 11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Fire Department Sign n off: p g Dumpster Permit 2- G-- o-6 Date � �O ���� Pae# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh A Sons or 55 Pleasant Street 1-866-AJWALSH North Andover, MA 01845 Proposal Submitted To: Job Name Job# Address �� Job Locant Date O / Date of Plans Phone# Fax#` Architect rWe hereby submit specifications and estimates for:..__.. /` �G + � C� We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum $ ���/�� (/��-� Dollars with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order, and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays �� / beyond our control. Note—this proposal may be wittrdrawn by us if not adapted within (Jays. S.captanct of J)ro I The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature Date. . .. .. . .`. .. No 4733 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i o� � • ,S$ACMUSE� r This certifies that . .�. . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .`'. . f. . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . 1-.P. . . ... . ... . . . . . . . . . . . . . . . . . . . . at. . !. . . . . : .'. . . . . . . . . .. . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . .`:. . . .Lic. No.. /. . . . . . . . . . . . . . . I.—?. ,-,... . . . . . P.)UMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) L Jy Mass. Date 4' 7 1W�_ Z# 733 Par j Building Location _ 16e,LI, AYC Owner's N e M 12At"i- < Type of Occupancy New ❑ Renovation C.l Replacement N--., Plans Submitted Yes ❑ No Ls- FEATURES z U z z Y H W Ui U) J fn } O Q U) z W W M Ir U) Z (n H w cl = ~ Z O z a Z) J (A W to U U 1- U Q (n W z ? f- U z M m m 0 � � s u � � ¢ a 0 ¢ a R 3 x w i ~ W o _ tt ¢ Q Y ►_- O = a z v=i Y o_ O z z ¢ w u_ Y w Y J m U) D o g UJ X H a) LL 0 D o <¢ � � m 0 SUB-BSMT. BASEMENT w 1ST FLOOR 2ND FLOOR r 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR �J Installing Company Name 1P, , fills 1-11901 Check one: Certificate Address P 17 Corporation "` 17 Partnership - — Business Telephone ✓ 4-ffrm/ Co. Name of Licensed Plumber___ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity I1 Bond CJ OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Si nature of Owner or Owner's A ent — wner ge I hereby certify that all of the details and information I have sub ' r entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and i ations pe formed under the permit issued for this application will be in compliance with all pertinent provisions of the M ach e t um ' Code and Chapter 142 of the General Laws. By Signature o icense um er Title Type of License: Master j;J--- Journeyman ❑ City/Town License Number_. APPROVFr)OFFICF USF OW Y) BELOW FOR OFFICE USE ONLY FEE NO: APPLICATION FOR PERMIT TO DO PLUMBING OWNER: NA:E & TYPE OF BUILDING LOCATION OF BUILDING: PLUMBER OR GASFITTER: LICENSE NO: PERMIT GRANTED DATE: 19 PLUMBING INSPECTOR 4 i J Date.. . . .. .....` ........ 40RTN TOWN OF NORTH ANDOVER 6'41 ' + pp PERMIT FOR GAS INSTALLATION t o+ 9SS^CLAUSES This certifies that . . . .r. . .��.. . . . . t has permission for gas installation . . A. . !:1. . . . . . . . . . . . . . . . . . . . in the buildings of . . . .: /! I at . . . . . . . . . . .. North Andover, Mass. Fee. . Lic. No. . . . . . . .. . . . . . . GASINSPECTOR I WHITE:Applicant CANARY: Building Dept. PINK:Treasurer - ( MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING C1 (Print or Type) Mass. Date e- ? i'!I' _Permit Building Location 7 / G� /� Owner's Name �d�J Id- Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted Yes ❑ No Cgs Y W co U) (n U) V CC ¢ W w CMC Q COcc 0 = F- m z W H Q> - Z j OO I- w m U) I- W w p U) a cr w F- w a = z 1 cn Q W W w W W z Q = tt ¢ W w l- 0 H = Z Q W J Q Q F_ F-Pz >_ (� Z 1.... W J 1- W cc = O c(7 z LL D 3 o t�7 � > o a O SUB-BSMT. BASEMENT 1 i ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 8TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name ,l/�'_ / Check one: Certificate Address �j ��U 171 Corporation ® Q�f 7✓�S�te`z �� ��� 1.1 Partnership Business Telephone_ r /Cr� Name of Licensed Plumber or Gas Fitter ✓+n LP Af'rL c:j INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 0----No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability Insurance policy Other type of indemnity 1-1 Bond LJ OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: I r r n r' A nt Owner I hereby certify that all of the details and Information I have submitted (or en—te—re-ay in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Plum a and Chapte 142 of the General Laws. ByTvpe,ef License umber Title ❑ Gasfer igna censed Plumber or as Fitter CilyfTown tnt,Master nn O Journeyman License Number r1VEtl OFF-ITT, _ .�- LYl - BELOW FOR OFFICE USE ONLY FEE NO: APPLICATION FOR PERMIT TO DO GASFITTING OWNER: NAME & TYPE OF BUILDING LOCATION OF BUILDING: PLUMBER OR GASFITTER: LICENSE NO: PERMIT GRANTED DATE: 19 GAS INSPECTOR • i i if I J I I I ' I I i i i! I " I i ! ! t if Foot print Di men s Ion s • ;-��--f-�-- �' -- �-�1 _'__�;��� � �;-r-,,--�,� --1--, ��'� 1 , ��-'- 3? -� _�- � 1�- 1 ` 'i.�?- � �;--I+ -t`jT�-'-I-`1�'-i� IHH III ; ;"T` `i;.-r-T-'-:,_.,�_,_.7�`_?`i :-t � � �Li`. •,-�.T 14 LI '- (_ I rLT� = I� I ' LF i if dt, •` Prv,/eet /0eat1017- ---'--- ------- _ __ -- —_ ---- ---"----- /V40/t/7 417doYe1,@ /4olassach�setts �'_ -r-r T iff Ill LLU -if - Second -1.1 _1 1_-= - Cvntractor - Ch��t��t Cc'/a Co�str�ctio� __ Fm FT FFH y _ 9 W-3.3 7- 79.39 FIT fT- 11 J6SA9 BasemenfIAPA6 7-P M �2 �a 2� 0 accard/17 /. ,4//d/mens/vna to be f%/d ver/fYed and Changes made g'y # �xteror sdlny, trim, moa/dines and detai/s are per bui/dBr spec�'icatt�ns. # Fintsfi grade /s shoran as /6 be/ow top of'!oun-rat,�n, e See REScheck Fnergy.4na/ys/s Report ibr a//IrW/a11017 R Ya/Les. COE !U/ndoru d Dvvrs- l`/f r, size, desmon, /ayvut and Beta//s per bu//der. # lUhe17 th,s draur/ng/s //x /7, /t/s the sca/e as /nd/sated, �� 0180 ,l,2raur/ngprint out date. /0//9/07 Ian ,box 5066, Qi7G7r0v�r IFFTI HEIN I I I I 'll Ill) !11111 I llllll!I!I! Illi' I III illi) III Ili I I ! ® !il illj!I ®I �;!I� i Hill!�Iliiil Ili I iii!;Ii�li II! Iii11111 -,wili II IN ii ! lil LU { II! !I.! l li ism M-MI ® i' il!' ! ! ® I�I� Il,.11 ii II!jl !i i ,il,lll II i i'I lil ® .Ill. II!I �!il III ! jr. Iiil' IIII II' ill I, 1 i� i !lii� Ili!i,l l! I !I I' H11,111 H ill ® li (il. 11111171117111 H-119PI i Ii ipiuu--�l iii' li ® 179 " r ------------- t � , 1 O , 1 , 1 ry ---------- ----I L------------------- - -- -------- ____________ - - ———— ----- --Top ol'Fdn — r----------------- ----------------------------------- --- ------ -------------------ZB"X/3" ----� E. /05.67 4"(m,Yi,1 Coxrete S/ab p b ' Ta of fdn 41117h approved var ; `a 1 ,_,rbar/erbeneafh 1 � � 1 i 51. 1 rapaf'Fdn Ga'a�ge fihr(sh N, t 1 p QTo of fdn 1 ' © Rei E/- rf�O66 5/8 type -X �/?6"6q-xgivi r 1 - eqIM ' :- ff t O 1 To 0/16/ 1 — — W Orlbs r 1 1 t 1 ;; or----- .J _ t j._ Roll. t , �Y� CenterBeam 1 ' , of , Splices t ' ! co/umns artd staggered ' p 4 pi Beam Packet b Tapoffdn -------- atrefoeu/tbeam � � "5 ; `� @ Garage//%uae Entry Door M- - ' 1 r;$ ' 0 ` 1D mrt7ute(mi7✓f'ne rafin z Rel;E/- �y q� w4h 4'Ste1V down/ng&age D rap of fdn E/- V4-DO - $�✓r'�i m�i�(� 9'x 7'Ga-a-----------e Door 9'x faiara---------------- ---------- e Door = Tap ol'Fdn ' ------ ---------------------- ------------ - n ' - - - - - - - - - - - - - - - - - - - - - - - - - - - Rel'E/ rt�567 1 /O"Concrete foundath ' 1 1 - - Q vr�7h d pprF�o gig 1 1 t. H. -------------------------------------------------------- - __ __ ___ -_----------- -------------------- ___-_ a ' L " O 1 r 1 r ' Bottom ollrast ura//loot/ng�40 be%mgrade L --------- -------- -------; L------------ --J ;-------------------------- 6 D" ' m d O" " 34" 4" L ------------- 343 ' �2bp loo" 80" roo" oF �j$�A, A,4�+ /b"d/a corcretep,�r i �_ - - ' t� botfom 40"be/alagrade v � MICHAEL E. yN , `..�T- - - - If���e T—- - —� % f —i % �� 1 (4/LgGdJ o MARTEL R' ► L--�--J L--�--J r a L--- STRUCTURAL R /¢a 88" �Q BB !4 or No. 41674 J SOA/0 "TUEE -o �i9o9FIST • �' F,�ld venYy a/!d�nsrons. U4"=/b" # pram/rg date /Q/?D/07 F?d34" 70 3�" 76" r' 36" 54" 36" s " 43Gd 933 " 6B14" 30" 416a y (o 2%D"X35" 26"X35" , - - 2I0"X49" ?ID"X49" 60 'SLID/NCf 11 V I a - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 B. I 1 1 ,moi AN 1 Itchen ,L /L I , II oo � p ; ,4ctua/ca5inet/aYout I =_ 1 bI ME I I ZkRI 1 ' I 26 d S b - Y /fsdccgiy ` O" --- --- -20 h 0 DN g � " - -----Post MI m 1 _ 5 - y F=— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 4 --------- IN r -_ ?a"X49" Z EME OR TO, 1%O"X49" 2%0"X49" P05f Pasf mm- HIM 01 O/'ch 280" very a//dimens/�ns. - I51 AlDor # �empe�d G/az�ig near fobs IB"ar c/ase-to!/oar Di�aing eW& ,(0//9/07 I/4"=/0" 46" 3h" 50" 46 " 3G" 46" MOM;n h a oRII I QQ afhedrm 3 1 a 45 C'4 z r 36 59" 30" O U ------ Q V kRME IF J�1,S�drm I I3csdrrn ? a o -- a � h Zk7"X 4'9" C/05�t Post .7e X49" y Post d IN cfifij AV y4-,?" h 56" 46" 4b40" 46" 56" 7r 7f LCJ O" I tis= # Fk7ld Yer/1y a//d/merr�� d it Tem emd G/azin ne"r tubs of/8"or closer to Aoan # Dr V addle=/O/%O7 Cieneral Notes: Construction Materials: Ircv Framinc�► flans: - 41ftor /nclicates Smoke Detector location n"'" : Spruce P!„e F!r No. 2 or betfPr Sta/rway !1//dth : 36” clear width above rail. Bea~/ng / //2"(min.) bea-Ing on wood or metal, \J Wall Stud Slze : 2 x 6 W 16" O.C. R/eer = 8 1/4" <max.> Tread = 9" lm/n,) Notches /n the top or bottom of ,joists shall All substitution and/or devlatlons from wall Stud Length: 92 S/B" Noe/ng ProPlle I��1/2" lmax.) �� not exceed 1/6 depth/foist these plans are the respons/b!1lty of the Heac�Foom : 64 minimum 6-8 minimum No greater than 1/3 the depth/,joist contractor. Contractors spec/flcations take Windowe : Harvey Industr/es Vicon Not be /n the meddle 1/3 span, precedent over any information presented /n reveal O e t 7n Kmax..t/one prevent obfecf 5" (max.) these drawings, ,411 dimensions are to be Triangular space tv riser E tread 6" dla. (max,) Max[mum Allocwa[�le Clear-Spans fie/d verified by the contractor and any -I aca'Justments made accordingly. eati MFor ✓o/sts/Rart Property Zoning, �rs Dimensional Set Backs, all8 : Naving 34 min. E max. height Sept/c Issues, etc., are the responsibility Measured vertically from the n nosing Spruce-P/ne-Fir Csrade No.2 or better of the owner. Livia ,4rea (excet�t_ sleety/ng rooms) Foundation f' an. -1 hg/l Gr/tom S/ze : Live Load 40 psf; Dead Load 10per Smoke Detectors : Circular cross section: 1 I/4" min. E 2" max. Vapor Barr/er with 6 (min..) over la In Other sh es, er/meter: 4" min. E 6 1/4" max. 2 x !O 16 0,C, = 15 - l 112" ' 1. In the immediate vicinity of bedrooms, p pp g `� p 2, In all bedrooms. Joints under concrete slab. Cross-sectional: 2 1/4" max. Roof: 3. In each story of a dwelling unit, including Snow Load 35 psf, Dead Load 15 psf basements and cellars, but not Including Beam Pocket Shim beam with steel shims or --- 2 x 10 g 16 " 0,C, = 16'-2" crawl spaces and uninhabitable aft/cs: hard brick. The ends of wood beams shall 4, I for every 1200 scy, ft. unit. have a maintain 1/2 lm/n.) air space on top, 34n - 38. high All structural materials shall be void of any sides $ end. handrail (typ.) defects that may diminish their capacity to Ulfndows located near tubs, whirlpools shall function In an adequate manner. Structural have tem eyed lazing. h91nlmum Glazin Garage Flre Separation SIB Inch Amin,) Type clearance above floo�IB': g X gypsum board applied to the garage Fng/neer/ng or any other professional s/de services that may be recru/red shall be brev/ations Abbreviationsi provided by others. , b )- Clearance Basement ventilation: Install 4 <min, SJ/d/ng 34" h h min. 36" high (min.) CIr.Conc. - Concrete or Awning type wind1.ows for every 00 sq Stair Guardrail I Horizontal d/a. - Diameter ft, of floor area Guardrail dp. - Deep 610,1 l�O 11 E/. - Elevation Exp. - Expansion (max.) Handrail/Guardrail Ft_ - Foot or Feet Ft g: - Footing - p X -' 'O L VL - Laminated Veneer Lumber _ E max, - Maximum - - mln. M/n/mum Anchors bolts or / -_-'-- __- 0,C, - On Center App'cl Equivalent PSL - Parallel Strand Lumber q, ft. = Square Feet anchor Bolt &pacing TEG Tongue $ Groove T,O,C, - Top c f concrete T_O,F, - Top of Foundation U.N.O. - Unless Noted Otherwise Flan. 652 01 a 8O" 9 " d6" 8!J" Meta/DrlpEdve - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I /ce itNfler Shield I � Composite iPoof7ng • I I Z - - - - 0 ( I ( Q - - - - - - - - - - - - - - - - - - - - I / \ - I g_ -/nd/cates roof's/ope direction 17,7d Pitch!n/2 fnche9 Of ILvy • �' Smake Detector/n!Ua/kms.4tt/c. � Rooi'/ng mat'/. -Bu//der Spec a Drm ng date- /D//B/D 7 ,4ccounf corp/umb/hg' • duhs /n th/s area - h d mg JL LIL Basellle/!tL Beam _ _ 1 lip : r, a _ _ h� -------- Beam , 2. Tim ------ Utz,Him be/var e. 118NN CHI x; _ -------- 17KL'W� ' !RI.�k _ -------- , v h n•�V MM ME y-zt� R�ts �r zx(v P -zx6Rn> = _milto OHIO 111 _ IO O y /O O r -7_T T_I Ga-va Door f/eaa'er be%ur -0,&.e v,5-RSA-"In 0,d :5JOO TP I I I I I I I I i l l l I I VERSA -i-Am 1,' �GSoSP %�4 4 t ' 1XB 0 .T.✓ 6 ra gyp' VERS 1-L4/►'1 Z65-0 SP 2' �y X Ow i I I I I 8 ZX�o 5?F IAI i'1�vAcE L._.L_�=_L_=L-1 - L ✓XAAAAA44 ♦►' ZA4FAfgss®vv .4//members a'e.7X V 'N/6 y0,C, v yc MICHAEL E. Gu, 1V - c MARTEL i 465 A5-2-- /651 Alr, ArAegg" 4 v STRUCTURAL H y° # fAV/d Vero a//d//,Wnsivns, d//,WW/0`,7S, -No. 41674 y_ r o m # B&.rhg= ///?"(minJ l/'� -/O 90 9FG S-r # BJy!I -Beam by ethers. �o zz�o0 # prera,�ig date= V119/O7 ' ® 1 ..�. 4 _-OM IM-Emmm J - _- al 11 — � _ =_ �I _ its Ll Em EM -------- r i'= a ^ im _ --————— Hill SVV I i - iYR __... R......__ ........ _.. ......_ .............. __...__. ._ ��apAA,�a4d �® `VH OFTI 1( ►��� qc+ • MICHAEL o MART=Ll I LLL J '4 EL P 0 STRUCTURAL � ac No.41674 t r -741 No t�8= # fIB/d vc9ri/y a//dimens,fa� ,4//members a-e?x/O �/8"O.C. (U.N.0,1 _ # Bim_f -Beam�by others. 4 D/.,W* 'date: /O/?oX P44 a Q z L fill I �t //4'6hryikage flep (mei l 3/4'Sheath�iq } Q O � O S&Ir'f'hg L//$ Dorrb/e Shea- ;1Z Beam AA/Ab Armed eeklm lu -u- u J u u u u Nit 13M-tl Z/.6- styAAAAA D©USLe x qAf V, %- %14 OF 9c- B�� g� MICHAEL E. yG V MARTEL m AI Z�'Sb 5P B O p STRUCTURAL y � No.41674 ► D u&c /3/"r X q1,1 �.,q�sFcisTEA� �e . ►� N A membx V 016'O.C. iVQW) /VOtBS= YJ �' 411lic r� # A7eld veri?y A" Aw ��_� -Beam r0;by ofherr,. # Dra- k date= ,0/(�/0 7 --- -- --- --- -- -- --- --- -- -- -- --- --- -- -- --- --- -- -- --- -- --- --- --- -- -- --- --- -- -- --- -- IRI I I I I I I I ( I t i 1 i I ( I I i I I I I a I I i I I ( I I I I I I I I I I I I i I ( t � ( I I I I I I I I I � I I I i I I I I I � I e I I i I ' ' I I I I ' I I I � I I ' I I I ' I I I I I I I I I I I I I I I I i I � i t i ' I I �AXAA 444I ---------- ---------- I ` '✓ 'tH OFA of I I MICHAEL E. o MARTEL mt ; I 1 x 6 19/6 STRUCTURAL ' No. 41674 ca i -o FGIS — ��S/ AL fa/z ® 2x/?R�qe Boa-d ,4//msmbers a�s?xV 19l6'Oa (U.Na) i O 161, &WJ2 0 # 1c e/d verily a// # asarv-1 ///7"477bi # /O//B/O 1 P�-'ge l�,; ccntf~uaua) F4i/sh 1Yoo� - Zx/ZR/a' a Boated Shnpeon Strong//e _ -�Sabi'/oor g Re/nlorctng,4ag/a /? Z.5 Sao(/each s,C/e J /x B Co/% �14b'O.C. Roof�g ; //7'P/y�ood ?x4//ewer ' Sfai•strhger . Cei/,i� Fram' �Faac,�a ?x/O ffl/6 O SolM ur/Yenfinq gal)" Top metal/ 9' tread zr------ Sheafh�iq /I Znd Fri ams�g � � 2X,6 g1/6 O- 1x,f2 ?D/6"O,C. Exterior lUa// C ✓oiw hanger Poet C� � _� ,- dLatera/Bracing supports centra/ - �j � ,' 5ub!/oor stringer , ' f=J /�/eadar C� 4=j ,- 11 Locate!/oor header a0 4=J --' to A716r�cf sr/fh o�hposf T= bottom ol'sir,�ger 4=J /Sf F/r; Framhg Sfa,�tease pefa/I Post C-P 3/4"1'15 Shaath*g Deck,i�g 4= - Zx/0 0 A6'OC, (P.V _ , -; 5iW Poet B ee �poX v F,h/ah Grade _- dLatera/Bracing T S/ -' cvr�: ,fir S�pso CC �_'-,-' L YL CenferBeam '. _ La// I or equa/ Conc. Fdn, �Ftg y /O dp. ifg. qr W '� 4=, column La//y boftam 1 base La/ly Column 1 R plata embedded -� Wi comate s/a5 ` 4=� 4'(mmyi.JConcrefe S/a5 ``i -: /40` za//y Cc?14 06 al/ ��t�S= very a//d�fnens/ons. f �' San RESchack !or/nsu/afhn R Ya/uae, 0/-.Vkgprmt out date=V12010 . Riage Yent tcontHwous% 1 x/1 Rdge Board 1 AAF� ndgeCo//a- Ties tv 4=0"O.C.99 1,6'70,in ,� ----- ' ?x k7 ��f6"O.C. Sol7/t udventixg R�dg�e Board Zndf/r. Framing AV J, Rooi'Ra!fer q� 3/4'TfG Sheathyig 1 x v a 16'cza Exteror/Ua// /flww/d1n Maintain /"min. c%a: x,6 67/6"O.C. a�space --- � //?"Sheathing ,-�, `•� . _ ?x k7 So%ta'fie B/ock,hg "•='-�' • dLatera/Bracing i'� ' Fast/g Board 1604M w1h v&Nh 6 afld4 drad 947)r/t ,lst F/r,Framrg 3/4''T!G Sheathhq 1 x v 67 16,70"-, Si// 1x Bottom P/ate dpp�X ?x/O So//a'Fie B/ock/� Zr Band�o/st FHi/ah Csraa'e dLatBra/Bracirxg /nsu/atfcn 1x F/oor✓o,�t S///-A,&6 P,T, A&6 K.D. YL Canter Bean yr/S///Sea/er -' Conc.fdn d ftg: � La//y Co/umn lft y � AncharBo/is fourxa'atmn 4"(1971m)Concrete Slab /20 OtBS= # Fje/d very a//dhnenshns. # /'fater�/6 -Builder Spec e //4"=IO ' • # See REScheck /or/amu/atbn R Ya/uez Drandngprht out date= V1,70/07 U�Ej S/m 8on c/ each.4bls Fhg B/ock,hg Ridge vent (contkuoas) each,/o/st Zx aRage Do v-d ?x Floor Jo%f /7 6 • /X S Calla- Ir/& L YL CenferDeam • . " tv 40 o,a Roof;�ig 4J l/7"P pod X ma//board Ca//,� Frain ?X/O 8116 O.G_ rur a OU&7 Bean ZX e 99.6"o,C -< - dscllf Garage Y,L Beam SOM?ra/Yen hg Exter/or Bla// cseach i'e �F�B/ock/�ig Zx 6 t1/6"O.C. each,joist ZX Nailer P/ale //?"Sheafh/ng � %StOor ; balls 9F 24 p0 C not staggelvd /st F/r_Framhg 3/4"tltl shad th 7g Slee/Center Beam Zx/0 0 l6"o,C, (Zl-Layers 5/8"tube X ,I ma//boa-d rur�ground _________________3 ZxNa//erP/ate Stee/Beam!!L JLAM Gareg'e Beam roarage ✓r'ted// ,4lterr�afe C�ag�e Beam ,t�etaf/8 4"(vk,)Cowrete.S/ay Conc, Fdn, tFtg; m/S///Sealer ' 4 .4nchorBo/fs Minn - -i- - Conc�fe Ffoundaf/am U4"=/b" /YO ES= # F!e/d ver�3y a//dtiiens/ons. , # I'leter,�s/s -Bui/der Spec # See REScf�ck for/nsu/afbn R Ya/ues. # Orad hg pnht out date-/0/20/07