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Miscellaneous - 140 COLONIAL AVENUE 4/30/2018 (2)
140 COLONIAL AVENUE 2101107.13-0136-0000.0 i Date. .? .Z�9, g +C, 3709 3 • NOR7q �` TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSAcHub This certifies that . . . . . 3 has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . /4. !?:e!-.i . . . . . . . . . . . . . . . at. . . . .`l.v. . CSG�� .�.�'.<. . , , , . . . ., North Andover, Mass. Fee. . f.? '.Lic. No.. . .: C' 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 05122/98 08:38 15.E PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer qj(T MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ype or print) NORTH ANDOVER,MASSACHUSETTS ,! Date Building Locations '0 v-e Permit # .3?0 T Amount Owner's Name r,4 VV New Renovation ri Replacement Plans Submitted 1 1 FIXTURES z F W a O vP6 x � d O a d w aw W Q W O z x a G F O SLID 3M &141VII�if isr RDM r mn FLOCR 3RD>f 4nRFLOCR 5H4 FUM 61R FLOOR 7IH FLO(R sM)FI" (Print or type) 7— / Check one: Certificate Installing Company Name F1 Corp. Address S� 61-1Y K10 0- 1 Partner. I L4,1 Business Telephone U 'K G a Z U Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 13— Other type of indemnity 0 Bond ❑ 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 F 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus State P mbingC e and C ter 14 f the General Laws. By Igna re ST Licenseaum Type of Plumbing License Title a3 c. City/Town t-Tc-e-n's7 Tq um ner Master � Journeyman ❑ APPROVED(OFFICE USE ONLY MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING UI11 ype or print) )NORTH ANDOVER,MASSACHUSETTS Date Building Locations Permit # Amount Owner's Name New 0 Renovation 0 Replacement 1:1 Plans Submitted n FIXTURES z rA W ¢ W a O "Z" z rA y F A; 0-4CC 0-4x a rA a d � a a o w a z a i x w x O E. O O O d d a StRESMC B4SENM M Rf= 2M2 FUM IM Fl" 4M FIJOI]t 5IFI FIDQt 6IH FIDCJE2 7Hi FWM SIH FIJCICR (Print or type) Check one: Certificate Installing Company Name El Corp. Address E] Partner. Business Telephone El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ri Other type of indemnity ❑ Bond ❑ 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 ri 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signature ot LicensectPlumber Type of Plumbing License Title City/Town Se Num5er Master ❑ Journeyman ❑ APPROVED(OFFICE USE ONLY N° { J 6 Date.... e l /..!...7 NORTH Q of°;<�``°..��"°°� TOWN OF NORTH ANDOVEREE PERMIT FOR WIRING ,SSAC11USE� This certifies that ..... a has permission to perform ...... `e. ..... . .dam. ...........................� o, ''nnes o wiring in the building of....... . .: -.:..... &..J .........................................: CU at.... ...... a..(. «. .. }-U .................... .North Andover,Mass. Fee.. . Lic.No..��/ ............... ................ .............................. ELECTRICAL INSPECTOR C,� 14(:�t31-f WHITE: Applicant CANARY: Building Dept. PINK:Treasurer s U94: The Commonuwealth of AfossachusettsL Dcpartmcnt of Public Safety BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 . r.. a«t.t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AD work to be paiormtd In aecotdance,&Rh tht Mauachueeru f7eetriea1 Code.S27 CMR 1,2:00 (PLEASE PRINT iH INK OR TYPE AM IHFORHATZOH) Date - it City or Town of_ '/a T���r��L� To the Inspector of Wires: The undersigned applies for a permit to rform the electrical work described below. Location (Street & Number)_ (� �� 7 J Owner or Ietunt /-►- C- a j ��L b Owner's Address 3 (i1//4L Ila /�_J � Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building k S/, Utility Authorization NO. 7 l 40 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service O 0 AmpsA L/V Volts Overhead ❑ Undgrd No. of Mete;s� Number of Feeders and Ampacity. L t� Location and Nature of Proposed Electrical Work (,y No. of Lighting Outlets No. of Hot Tubs No. of Iransformers Total No. of Lighting Fixtures Above In- KVA (� Swimming Pool grnd. ❑ ❑ Generators KVA grnd. No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Cas Burners FIRE RHS ALINo. of Zones No. of Ranges No. of Air Cond. I Total L No. of Detection and tons Initiating Devices No. of DisposalsNo. of Heat Total Total PumpsTons }u No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑Municipal ❑Other Connection s No, of Water Heater — KR Not °f °• ° Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs ' No. of Motors Total HP OI11ER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts Central Laws I have a current Ltability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES[] NO I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of'coverage by checking the appropriate box. _ INSURANCE ® BOND ❑ 01 ❑ (Please Specify) f.iy/r/�q� Estimated Value of Electrical Work S Q D "� ` J j/ iration ace Work Co Start Inspection Date Requested: Roca h/ / / w Final 8 Signed under the penalties of perjury: -LIC. NO. �� y Licensee /� J�=-'�.a�/ ���/�"'.4.��// 70 �- .n. - Signature .��..� LIC. NO. Address 7,q � /1� 6,WA — M e Bus. Tel. No. l/Sr/-03('•3 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I as aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Hassachusetts Central wsTi, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Ielephone No. PERMIT FEE S Signature of Owner or Agent Date. 9426 TOWN OF NORTH ANDOVER ` PERMIT FOR PLUMBING : ,SSACHUSfc� This certifies that . . .!d.© r t!C/ ?.� '' . . . . . . . . . . . . . . has permission to perform . . . �fa . . . . . . . . . . . . plumbing in the buildings of . . . . F,!q!? ? i? '. .. . . . . . . . . . . . . . . at . . .lye. C: )o /��l. . . . . . . . . . . .. orth Ando ver, Mass. Fee. 2,,�4. .Lic. No..�. .7Of . . . . . . . . . . . PLUMBING INSPECTOR Check # �' i— I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE PERMIT# JOBSITE ADDRESS _ LQ OWNER'S NAME 1 1 POWNER ADDRESS TELJ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: ®1 RENOVATION:b REPLACEMENT: PLANS SUBMITTED: YES® NO® FIXTURES 7 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE I DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM j DEDICATED GREASE SYSTEM A DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER —J DRINKING FOUNTAIN FOOD DISPOSER L. FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY _ I ROOF DRAIN SHOWER STALL SERVICE/MOP SINK I TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES _ _I WATER PIPING j OTHER j I . 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 CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY © BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER M AGENT E SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application a 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 b' ' o pli nce 'th I Pertinent provision of the Massachusetts State Plumbing ode n Chap er 142 of the General Laws. 1-414 PLUMBER'S NAME LICENSE# SIGNAT RE MPo1 JP DI C RPORATION E1# PARTNERSHIP # LLC COMPANY NAME ADDRESS CITY STATE ZIP TEL FAX CELL MAIL z ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES 0 Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ �Z FEE: $ PERMIT# PLAN REVIEW NOTES N ry The Commonwealth ofMassachusetts , - Department oflndustrigl Accidents Office oflnvestigations qu 600 Washington Street Boston,MA 02111 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/ContractorsfFIectricians/Plumbers Applicant Information Please Print Ledb Name(Business/Organization/Tndividual) Address. lw4 1-111' ) 6 MIA City/State/Zip• Phone#: Are you an employer?Check the appropriate box: Type of project(required): .❑ I am a employer with 4. El *1 am a general contractor and I N7O New construction employees(full and/orpart-time).* have Hired the sub-contractors2. I am a sole proprietor orpartner- listed on the attached sheet.tRemodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working forme in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑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. 0.152,§1(4),and wehave no 12.❑Roofrepairs insurance required.]t employees.[No workers' 13.❑other comp.insurance required.]p q ] ?Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Y Homeowners who submit this affidavit indicating they ere doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 isproviding workers'compensation insurance formy employees. Below is thepolicy andjob site information. Insurance Company Name: LIQYAP I Policy#or 8 elf-ins.Lic.#: C Expiration Date: Job Site Address: City/State/Zip:4/Ac�V Attach a copy of the workers'compensation policy$ claration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.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 ofu t a of this statement maybe forwarded to the Office of p to$250.0 a day ainst the violator. Be advised that copy s y Investigations the D for insurance coverage verification. Ido hereby rt r the pai s andpenalties ofperjury that the information provided abov is t u/a and correct. - Si ature: Date: G Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...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� g 1 entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic 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(ifnecessary)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. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not relayed to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Co oxawoalt�o£M-assocahmotts - Deparlmert ofhadustdal.Accidents gf�iee Q£Iuyestigati�ous 6.00 Waft&,a a Sire-.t Boston?MA 02111 TA,#617-727-.4900 QA406 or 1-57T MASSAF.E Revised 5-26-05 Fay,4 6X7,727-7749 ,www.mass,govfdia. Date............................... {. H°kTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�cHusf� This certifies that ....................<.':.i.. .........4. ..'..-....:........ has permission to perform ......... -rw................................................. wiring in the building of................ !'d</yl�. l.1.4! ....................................... at......... , rth,NpAndover,Mass. r Fee.`- ...� "".. . Lic.No.,r,? 6 ... . EII,46CAL INSPECTOR Check # 10863 commonwealth ofMassachusettts Official Use only - Department of Fire Services PemmtNo. _ 7 , BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev.1/071 (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 (PLEA SEPRINT)NINKORTYPEALLINFOAWTl0119 Date: S-3d' I Z City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)IYA--caZP,�41 J t Let Owner or Tenant Im RS• Telephone No. 61 7-5-V- 90>>� Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / VdIts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1,34ei a E1C ► i..Z L • ( S S.ew i/i. LA-. &d :..c 1 lloc t-u,b M cJ ki gkkk%ro-dw, Com let— o` !follow, table maybe walvedby the Inspector Qf Wires. No.of Recessed Luminaires d� No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency Lighting rnd, rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Sones No,of Switches No.of Gas Burners No.of Detection and Initiating Devices No,of Ranges No.of Air Cond. TonsTotaTotaNo.of Alerting Devices LNo. of Waste Disposers Heat Pump Number Tons : KW No.of Self-Contained Totals: _._...._...._ ..._....._.............. ........._. Detection/Alertin Devices of Dishwashers Space/Area Heating KW Local Municipal❑ Connection ❑ Other of Dryers Heating Appliances K'VVo.of Water No.of Devices or E uivalent No.of No.of Heaters � Si s Ballasts Data Wiring: No.of Devices orE uivalent No.Hydromassage Bathtubs No.of Motors Total B:P Telecommunications Wiring: OTHER: No.of Devices or uivalent Attach additional detail tf desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: r-jU- (Z 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 its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9. BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of,per,jury,that the information on this application is true and cor:plEte. FIRM NAME: LL L 7 CTO ir LTC.NO.:_ Licensee:_p,cAma-rA �_Signature LIC.NO.: SJ 61l V/ 6 (Ifapplicable,enter`exempt"in the license umberline. a Bus.Tel.No.;1`7 �d'�-�f/��' Address: P 6 (3CaC 3�Y� ��fc(�P yh(� -r Alt.Tel.No.: *Per M.G. c. 147,s.57-61,security work requires Department ofPublic Safety"S"License: Lie.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/Agent [I owner's agent. Signature Telephone No. PERMIT FEE:$ r • �E c TRX�y{{A■ P WORT: : _ J:/X-tJ..(V.+•+�\.l ��Jf.J�-1Vr+'.V.a.0.fir• • .. ._ � � 1 � R 1.PIOKG . X'assetl-�[ �+'ailed�j ) �e-�spection xegt�ixec�($�O.UO)•-( ] Inspectors'commo Its: ' Passed-- F'affed--( � Xtexnspectloxtxequired($x0.00) [ luspectoxs'commextts; (ffis&ctorsv gignt6a no Wilals) Data V TMR�' OTJND�T ' CTXoSV; d--[ 1 3'affed--j lte-insp action requixea(M.00)-[ ] ctors"copaments: , (lnspec$ors} ignafure-uoiniflals) Date DATE,C.ArIMiaW ONM7 G911 : HAM: kassed—[ )' X+alied--( Re-bspedlonxequired($50-00-11 luspectbrs'eom eits: (Cuspectors"slgagtuxe-io initials) Date r ' .INBPXCTXON-•OMR:" . 'assed•-j ) X+aiSed--j )- 'Re-IRSpectlottxequizea 050.00)-•[ ) isp ectors'cox8anents: (w-spactors" Igxtature x�oinitials} Date D0OR TAGN An TO BE F ELED 0 AND Y W OX BITE M TBE.APXA TO BE INS'ECTED 19 NOT ACCEMBEAND.A.MWRECTI®NOF=00INTOBY,CMRGED. The Commonwealth of Massachusetts Department of lndustrigl Accidents Office of Investigations VV 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividual): M P 5 �,I-e yk–r,, Address:_ City/State/Zip:_ P�ec,.bo c& WkX 0\q SgC) — Phone#: _ �ik-ko-y-moi gy Are you an employer?Check the appropriate box: Type of project(required): 1.KI am a employer with ( 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/orpart-time).* have hired the sub-contractors 2.[:11 am a sole proprietor or partner- listed on the attached sheet. �• E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g• El Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑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,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' .13.❑Other comp,insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. lNd r fol L 4,'h tA% nn Policy#or Self-ins.Lic.#: Expiration Date: ? 3�' •2. Job Site Address: Nd COI dh, a k. City/State/Zip:_ aCy1, Ary%g .erc rV1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requi redunder 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Si afore: Date: -57'3 d— Phone#: T 7 k-;Vy—!p11& Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other - - - Contact Person: Phone#: F i 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 employmenUbe deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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 y 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 o Y f Investigations has to contact you regarding g the applicant. Y g g 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 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: Tho C=a?a.onwealth of Massachusetts - Depazt antofIndustrial.A,ccidents Qfte of Investigations 600 Wasbingtoa Streot Boston}MA,021 It T01,#617-727-4900 at 406 or 1-877-MASS.AFF, Revised 5-26-05 Fax#617727-7749 www.xnass,govlda x PEA111T NO. PAGE 1i APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP d-40. LOT NO. 2 RECORD QF OWNERSHIP 115ATE BOOK PAGE ZONE �jf SUB DIV. L NO. /40 7 s✓ PURPOSE OF BUILDING ? �� LOCATION > h9 le laelli � OWNER'S NAME NO. OF STORIES �w7�''1"1,,i -mss OWNER'S ADDRESS X2'2 //b n d BASEMENT OR SLAB Ares -)a4.X 2L 4�►c.M1•�,�C ARCHITECT'S NAME �J.!/ \ Ci � SIZE OF FLOOR TIMBERS IST a7z/b 2ND 17X/6 3RD 977a L rs BUILDER'S NAME / Ile (5) lwm ;t - SPAN /�G 1 2 DISTANCE TO NEAREST BUILDING w (,o 1, DIMENSIONS OF SILLS��a/�. DISTANCE FROM STREET 3o/–e le POSTS /T+j� G x 4 DISTANCE FROM LOT LINES-SIDES ca DISTANCE ® p REAR 0 f.-��r " GIRDERISe#) pA j O AREA OF LOT $ /n FRONTAGE �j(� HEIGHT OF FOUNDATION Q' /1 •� THICKNESS IS BUILDING NEW LOS' Vl SIZE OF FOOTING D /n/J V X / f t IS BUILDING ADDITION /If� MATERIAL OF CHIMNEY b �areTl�e 7 1� l o�C� IS BUILDING ALTERATION /Vi/Vn IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE VeS IS BUILDING CONNECTED TO TOWN WATER Jye's BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER o IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES '' pp [L� 'r EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 dj0 N�•�1^1'�Nu7t �4 V^� EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 • . EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE -03 D � \ �9UILDNQTOR 1GNATURE OF OWNER OR AUTHORIZED AGENT O FEE ��3s�_ 00 OWNERTEL.# ��`3J BLDG. PERMff ME 4 PERMIT GRANTED LESS FDA FEc._.. � — 1 C2 d- - - - CONTR.TEL.# n '9DUE FRAME PERMIT$.l0 3? 1 7 CONTR.LIC.# .m► c.n�►a t=c� �sD°� 1 1I b W/ FoA P ;11 H.I.C.# �� 58 c 7 sy BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 (3 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D _ — PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 1/2 % FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 J 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY _ ATTIC STRS.& FLOOR BRICK ON FRAME .I. CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I__I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE1 HIP BATH (3 FIX.) — GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES. LAVATORY _ WOOD SHINGES. KITCHEN SINK - SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING rt I.+ WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. ....» Ti ;*C t 1 ?";33 TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR !s WOOD RAFTERS AIR CONDITIONINGxs"" I�f9 �u a RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GASOI L B'M'T 2nd _ ELECTRIC Ist 13rd I NO HEATING 0 _.. -----iii-- -;•ti --_- .... �._ a.---- - - - ----- __ _--_ - - __ - -_ 2 NORTH Town of over 0 No. ,4 8G * dower, Mass., Ste'. P.S. 199-1 s IRE Y '� 9A_COCNICNE MICR y �• BOARD OF HEALTH Food/Kitchen PERMIT T Septic System • THIS CERTIFIES THAT.......................1�.-.C.. BUILDING INSPECTOR ...�c���,.�j�2�S � �'," �. ........................................................... Foundation has permission to erect.�.. .............. buildings on ... 40...d-oAro».1.oAfl. — ,�.o�' /li Rough to be occupied '...rl +rv► �.. .. .. w ...... ... "cort ... .l�, QSa`...... !V ..... Chimney provided that the person accepting this per mK shall in every respe conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in; the Town of North Andover. : C �eT MCC SSW &-p PLUMBING INSPECTOR M ATION of the Zoning or Building Regulations Voids this Permit. v M P~ �� Rough �2 o � � j PERMIT EXPIRES IN 6 MONTHS rn Final Q UCTION STARS ELECTRICAL INSPECTOR REGULATED BY PARA. S. B.C. Rough CD r .........................Q.......................................... ............ Service BUILDING INSPECTOR LATE FEE PAID Final h— w � Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner (pNTV . Ltt,, OIl�ZgZ / Z L3 Street No. Smoke Det. s .. GENERAL BUILDING NOTES/CHECKLIST 8/95 i POST ALL LOT NUMBERS AND PERMITS (copy ok) . .or no insps. INSPECTIONS: (Minimum) Excav, Ftg, Fnd, Frame, Insul, Final. ! FOOTINGS: Continuous Full 2x4 Keyway —Continuous strip footings for interior piers FOUNDATIONS: Rebar as required Anchor bolts or straps Damproofing Foundation drain- pipe/stone/fabric filter cover FRAME: Fireblock - over girts/plates between floor joists Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters- watch bearing at walls. Ridge & Hip-- Provide proper connections. Cathedral roof rafters- Use "Hurricane Clips" tie to plate. Stair stringers- watch cuts and heal support Joist hangers- fully nailed w/ hanger nails . Sill plates 2-2x6 ( lpt) w/ sill seal . Girts- solid brick or steel plate bearing at foundations 1/2" air space at sides in foundation pockets. Lateral bracing at ends . Certified calcs. required for Beans/LVL's/Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances- stairways, under beams. Attic Access . (min. 22x30 w/3 'headroom above) . Crawl space access . (min. 18x24) Bath exhaust fans to have metal duct. Firecode S/R wood frame of "0" clearance fireplaces & stoves • Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. 1/2 of required glazing shall be openable. Bedrooms require min. 20x24 egress window or door. Vent attic spaces- "proper vents" , soffit and required ridge vents Firecode under stairs if used for storage. FIREPLACES: Separate permit required. ! Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. surf. DECKS: Lag to house, provide flashing. Rails min. 36" high, Balluster max space 6". Over 8' abv. grd. , use 6x6 posts w/ lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Ready to move-in FORD U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and De artnents having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirasents ****************Applicant fills out this section***************** APPLICANT: A • C U U 1 (CA L�'S .,!. G Phone LOCATION: Assessor's Map Number � Parcel Subdivision W0QJ ( ESTLp ijL5 Lot(s) �1 Street Colon-,J L St. Number ************************Official Use Only************************ / RBC 'EDATIONS OF TOWN AGMS: Date Approved Conservation Administrator Date Rejected Comments Date Approved own Planner Date Rejected Comments t qq\ ___ Date Approved ' Food Inspector-�Healtlh. _r Date Rejected _ ��.�� 3/_ZZDate Approved Septic Inspector-Health rate Rejected Comments -Public Works _ sewer/water connections ��I�K>q( 7 - driveway permit Fire Department ._ Received by Building Inspector e t � NO 766 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 4 .3 19 Application by the undersigned is hereby made to connect with the town water main in `���1 Q� �' ( JP Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 4 C76 1 rC7 Street or subdivision lot no. ILOwner Address Contractor jAddr ss plicant's Signature 8 PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �, /Rr ��� 5 to make a connection with the water main at �D IJ�I�1(�� -f ef- Street subject to the rules and regulations of the Division of Public Works. Boarcloof rli Works By /Ox Inspected by Date See back for rules and regulations r RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. D Y1 N I A N D rT ER D i V I S 0 0 F P U B L I C "V4 0 R K S GEORGE PERNA Telephone(508)685-0950 D j R 0 Fax(508)688-9573 Y1 y S C H'-'- DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: phone: The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: mw�L Approval: + � 6 pup U A v ---77\ hoz 04 / 1 UE 4 I .4 ;76 t 50, N w/o4 � 1 R-0-1 \ � r o� o ' s6•:�o i �r.�, s7 0, 50�.PRD . , ;�,N� -/A- , 77 tv �.j .,�`► . , � ZOO � �,� I �f Al / p_ rd7-77� Growth Management Bylaw 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 Building Permit(below) Address of Property for Permit(below) w?* aeks a0,t.� / , l� roAlhiC3 / P Ve Map and Parcel : Purpose of Application (check below) PhRon N tuber of Applicant: • _V •Single Family _Two Family 1 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 iq issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on 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. is is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in exis nce as of the effective date of this by-law,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 in ion, or the checkin ff of an above item which does not comply,whether done to my knowledg r is gro ds for re y the Building Department to issue a Building Permit. igdature o Owner or Authonz d Agent who signed the Attached Building Permit D to This form must be attached to the Building Permit upon application for such permit. _ The Commonwealth of Massachusetts f = ( ' Department of Industrial Accidents 600 Washington Street - � ?' Boston,Mass. 02111 Workers' Compensation Insurance Affidavit _ A.C. BUILDERS name: location: 1.1 WALKER ROAD city NO. ANDOVER M ASS . 01845 phone# 508-685-8350 C] I am a homeowner performing all work myself. C] 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. _. ciimar r�ste address. — ph4P insurancecos:: poliep#F axi am a-sole propriet eneral contr tor, r homeowner(circle one)and have hired.the.contractors listed below who have the following workers' es: om�nytrame. BO ISSONEAUL7 ELECTRIC CORP_ address. 47 'SALEIi ROj1D P O� ':.Box 639 DRACU. T.. MASS ...... 0`18:2.6 phone# 50$=454=03$3 . r ins ` t # ....... comhanv,name. J &. J H:EATIIV:G & PAIR CONDT.'Z'ZONING address.. 17 ARL.TNGTOari STREET z ctty DRACIJT� :MAR:,q:: (1 A9A phone# r, GES . — — (18 4:` R61 tn r.a CNA' INSIJRANC<E CO. o+ 11. .2: 129:40.54:x$ Failure to secure coverage as required under Section 25A of 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. do hereby certify u e pains nd pen of perjury that the information provided above is true andAcorrem Signature Date Print name a ye e Phone# k) 7ck ly do not write in this area to be completed by city or town official permit/license# riBuilding Department pLicensing Board mediate response is required C]Selectmen's Office C]Health Department n: phone#; 0Other (revised 3/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 anotherwho-employspersons 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a Iicense 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. iAjx r The Department's address,t; V 33 WALKER ROAD NORTH ANDOVER , MA 01845 ( 508 ) 185- 0 350 �Q Effl 00 ap 44 c - o0 as � 28 '40 COLONIAL 4 BEDROOM — 21/2 BATHS — 16 X 24 FAMILY ROOM — 2 CAR GARAGE UNDER . 1046-10414 iii - � _ ■■■ - � � ■■ iii _ = iii - � ^ iii = � .. MEN ONE on = iii ■■ ■■■ ■■ii � . u Omni MEN ■■■ ONE = - - =_ ■■■ -_ ■i■ - = ■■■ -_ ■■■ i 1 • _t ( 1 1 • i1 1 � — ---- — -- --- ---- mom iii ■■ !■■ ■!■ —� --__ ISO - � ■■■ iii '� iii ■■■ ■!■ � '_= ■■■ ■■■ ■■. 11 11 ■■■ ■■■ -Isom __= _ ■ ■■■ ■■■ —= = ■■■ ■■■ —L■■■]= 11 11 ■■■ ■■■ __ s ■■■no c . ■■■ ■■■ allson son ■■■ ■■■ _— s ■■■ ■■■I HE ■■/ • • • • - - • • • • • • • • • • • 40 ■glass // _ _■ • - • • . • . • • • • r • 1 1 �� a •• • • • • •• • � 1 i • • • • • • • 1 : is 16'13/4 20'21'2 5'6" 14'13/4" 3'0" 2,6„ 5,0" 2,6„ 3,134„ 3,10'/4" 118 4,81/4„ 2,9„ 2,9" 7,0" 7,13/4" 6'0" SUING - o BREAKFAST KITCHEN STUDY oFAMILY ROOM op Obo(Vaulted) - - — — — — — — — — — — — — — — 2�4 o 0 Ln 12'2jL2'0"1 3'6' d- O 276" 21$" - 00 -a O cV � C) — — — — — — — — — — — — — — — — s N 4'0" o r- s OO cD s d- O up DINING ROOM FOYER LIVING ROOM � o O YJ 2'0" 300" 10, Ms X1L"7 CL O 410" 616"- 3'6" 3'0" 3'0" 3'0" 3'0" 3'6" 616" 410" 4'6" 7'0" 416" 1410" 12 0" 14'0" 16'0" 40'0" FIRST FLOOR PLAN, 3/16" = 110" 10414 3-9 14'13/4" 10'4'/4" 894' 7'2" 7'0" 7'13/4 5'4/4" 5'0" 314" 590" FLOOR PLAN GENERAL NOTES: 1. Smoke detector systems shall be Type I I I in conformance with �� �0 [ 3401 . 14 . 1 1 ]. Detectors shall be located as follows BEDROOM #4 _ A minimum of one per floor and basement, one per each 1,200 sq. ft = or part thereof. One shall be located outside of each separate Q _ a m CL o WALK-IN o sleeping area and/or near the base of,but not within, each stairway. m M 2,0" CLOSET [ 3401 . 14 . 2 ] i 2. Ventalition:Kitchens and bathrooms shall have mechanical venting "' 3 0 systems that provide 20 cfm/occupant Bathrooms with a window which � d- opens directly to outside air, no mechanical ventilation shall '6" 2'4 2'4" be necessary [ Table 3401-2 , 3401 .5 .2 . 1 ] . = 2 — 3'0" N < 3. Light and ventilation:All habitable rooms shall be provided with N CLOSET aggregate glazN area of not less than eight (8) per cent of the 00 floor area of such rooms. One—half (1/2) of the required area of � CLOSET 1, - N glazing shall be openable. � , M 4. Hall and stairway widths shall be a minimum of 3 feet clear. 2 — 30 C4" 2'6" Handrails may project no more than 3 1/2" into the required width. 47- [ 3401 .10 .4 .2 , 3401 .10 .8 ] 8'0" 6'13/4" CL. N BEDROOM 13 . BEDROOM #2SO M BEDROOM #1 co Floor of closet N has a sloped floor to maintain headroom clearance for the stairs below 4'0" 6'6" 3'6" 6'0" 6'0" 3'6' 6'6" 4!0"' 14'0" 12'0" 14'0" 40'0' SECOND FLOOR PLAN, 3/16" = 1-0- 10414 4-9 22,0„ 17'1" 9'9" 7'2" 5'6" 510" 11'6" r --------- , 1 1 r----, 1 ----------------------------------- ------------------- 1 --------- ----�--------------------- ------------------- --------- ► 1 1 ^ ; GARAGE FINISH FOUNDATION o .o .Q All Wood constructed Walls and Ceiling 10 Concrete Wall / 8'0" Pour / E I to have 5/8" type 'X' Fire Rated " 10" Dp x 1'8" W Cont Footing 2 — 3 1 2 Dia. Lally Columns 1 ►. ; I Wallboard installed 1 With 2 6 x 4,6" x 10 Deep I ' Footing 0 req'd) 3 — 2 x 12 Center Beam r pI , , " r r n r a r n J8"n • " r " / 1 80 80n 60 66 , 68. 68 610 66 1 ; ' 302" o � I � � •. 1 0 r r r r r 1 N O , I r •--1--- `--L-- i r r 1 r r r I r r t 1 r 1 1 O 00 r �' 1 , i CN I 4" Concrete slab M _ ' r BEAM POCKET ; ';• 1 I Slope 1/8" per foot - - Shim beam w th St ell Shims ►, ; 1 E I o or Hard Brick ' C) m I 4"(min) Step down into Garage------, arag M ; 0 1 ( ---_---------------------------- 31/2" Dia.Lally Columns ► .r 1 1 2'6 t S 1'0" Deep With q. x1 .► - -------------------------------- Footing 1 9 req d) ►. , ' 0 1 ► i i .•. i 1 . t 1 - - _ - [of, r-----------------11 1 : t - - • 1 fill, - - 1 1 ►' —— — ---- 160 140 1 N ; _- • ; 1 - 1 FOUNDATION GENERAL NOTES: 6'0" 3'0° 1. Concrete slabs on grade shall have contraction joints with a depth 12'0" 14'0" of at least 1/4 the slab thickness.These shall be spaced not more than 30 feet in each direction.Contraction joints shall be placed where 6. Lally column spacing is determined by [ Table 3405-6 pg.34-76 ] offsets are more than 10 feet Contraction joints are not required where 6x 6--6/6 welded wire fabric 7. Wall pockets Ends of wood girders entering masonry or concrete walls or equivalent is placed at mid—depth of the slab.[ 3405 .3 . 1 . 1 ] shall be provided with 1/2" air space on top,sides and end, unless approved 2- The ultimate compressive strep th of concrete foundations at 28 days durable or treated wood is used. [ 3402 .8 .6 ] shall be not less than 2,000 lbs. sq. ft.[ 3402 .2 .1 ] 8. Studs in framed kneewalls shall be 14" minimum in length and when the kneewall is greater than 4'0" in height,it shall be of the sv-e required 3. Foundation walls shall extend at least 8" above fnish grade for an additional story.Kneewalls shall be thoroughly and effectively [ 3402 .3 . 1 ] cross—braced.[ 3402 .7 & 3402 .7 .1 ] FOUNDATION PLAN 4. The bottom of any point of a foundation shall be a minimum of 40 9. Foundation anchor bolts shall be a minimum of 1/2" in diameter. 3/16" = 1'0" below finish grade. [ 3402 . 3 . 4 ] They shall have a m'in'imum embed of 8" in poured concrete. 5. The exterior surfaces of masonry foundations enclosing basements shag There shop be a minimum of two anchors per section of sill plate. 10276 5-9 be dam pproofed.[3402 . 6 ] Maximum space shag be 8'0" on center.[ 1704 .8 ] SECTION GENERAL NOTES: Continuous Baffled Ridge Vent 1. Floor design live loads are based on 1st Ar 0 40#/sq. ft, 2nd Ar.0 301/sq. ft and nonusable attics ® 20#/sq.ft 2 x 10 Ridge Board Roof design loads are 30#/sq ft five load and 7#/sq ft dead load. [ 3405 .1 & Table 3406-6 ] 2 Minimum ceiling height for habitable rooms is 7'3".In a room with a 12 sloping ceiling the prescribed ceiling height is required in only one half _ -- , _ of the area of the room.No portion of the room measuring less than 5 feet 9 1 x 8 Collar Ties ® 4'0" O.C. finished shall be included in calculating minimum area[3401 .6 .1 ]. ROOFING 3. Stairway Headroom:Stas between 1st & 2nd firs,and 2nd & usable attics shall have a minimum headroom of 6' 8" measured vertical from stair nosing. Composite Roofing " Building Paper Basement stairs shall have a minimum headroom of 6 6". Sheathing [ 3401 .10 .8 ,Fig.3401-1 & 816 .2 .2 ] 2 x 8 0 16" O.C. 4. Frestopping shall be provided to cutoff all concealed draft openings (both vertical and ho(zontal) and form an effective fire barrier between stories,and between a top story and the roof space [ 3403 .2 .7 ] . 5. Insulation minimum total R value requirements for -" Exterior walls is 125,Floor over unheated space is 20D,Roof/celing CEILING Fascia Board assemblies is R30,and Finished basements walls is R125.[ Table 3423-1Co ]. 2 x 8 ® 16" O.C. 6. A vapor barrier of 1D perm or less shall be installed on the winter warm R30 Insulation Overh n soffit Vapor Barrier °n9 9 side of walls,celings and floors enclosing a conditioned space [3422 .1 j 1/pwith venting 2» Wallboard. 7. When eave vents are installed,adequate baffling shall be provided =L to deflect the incoming air above the surface of the insulation with 3 a 2 inch minimum clearance under the roof deck [3421 .1 .3 ]. o FLOOR 1-0 3/4" Sheathing 2x10016" OC. WALL - Siding,Air Barrier Sheathing,2 x 4 0 16" O.C. R11 Insulation,Vapor Barrier 1/2" Wallboard 00 FLOOR 3/4" Sheathing 2X10016" OC. -_ R20 Insulation SILL 1 = 2x6PT,1 - 2x6KD. [3402 .8 .4 ] Continuous Sill Gasket 1/2" Dia.x 12" L Anchor Bolts 3 - 2-x 12 Center Beam ® 8'0" OC.(max 31/2" Dia.Lally Columns o With 2'6" Sq x 10" Dp Footing (see foundation plan for locations) FOUNDATION 10" Concrete Wall / 8'0" Pour 10" Dp x 178"x Cor surface SECTION THRU HOUSE 4" Concrete Slab q Dampproof exterior surface - - - 1/40 = f.0» Lf 10414 6-9 Continuous Baffled Ridge Vent 2 x 12 Ridge Board 12 8 — 10d Nails 9 per connection (typ) ROOFING Composite Roofing Building Paper Sheathing CEILING 2 x 10 0 16" O.C. 2 x 8 ® 16" O.C. R30 Insulation 6 R30 Insulation Vapor Barrier Fascia Board 1/2" Wallboard. Overhanging soffit with venting 0 CD oN WALL F_ FLOOR Sid'ng,Ai- Barrier Sheathing,2 x 4 @ 16" O.C. ' 3/4" Sheathing R11 Insulation,Vapor Barrier " ' 2 X 10 ® 16" O.C. 1/2" Wallboard R20 Insulation SLL 1 - 2x6PJ - 2x6KD. [ 3402 .8 .4 ] 3— 2 x 12 Center Beam Continuous Sill Gasket GARAGE FINISH 1/2" Dia.x 12" L Anchor Bolts All Wood constructed Walls and Ceiling 31/2" Dia.Lally Columns ® 8'0" O.C.(max to have 5/8" type 'X' Fire Rated With 2'6" Sq x 10" Dp Footing Wallboard installed (see foundation plan for locations) ao FOUNDATION 10" Concrete Wall / 8'0" Pour 10" Dp x 1'8" W Cont.Footing 4" Concrete Slab Dampproof exterior surface F _ aARAGE-SECTION- 1/4 _ 1'0" 10414 7-9. Flush Framed Beam . . . . . . . . . I tl I I I I I I I U1 Lower Roof All members are 2 x 10 0 16'O.C. All members are 2 x 10® 16" OAC.(UM.) FIRST FLOOR FRAMIN.G SECOND FLOOR FRAMING ile=1'0' 1/8 =1'0" FRAMING GENERAL NOTES: MAXNUM ALLOWABLE SPANS FOR HEADER SUPPORTING WOOD FRAME WALLS 1. AN structural materials shwa be void of any defects that may diminish their capacity to function in an adequate manner. AL Span of Headers Struchiral Engineering or any other professional services that Size of Wood may be required shall be provided by others. portng One Story Two Stories n Garages or n Walls • Header apf Above Above not supporting 2 Fromng lumber.Spruce—P'ne—Fr,No.2 or better,with a Design Floors or roofs Value n Bending'Fb'of 1000 for normal duration.[Table 3403-30] 3. Wr inum bearing for joist shall be 11/2'.[3405.2.4] 2-2X4 4' 4. Use bust 2 x 4 under all beams 4 minimum). 2-2X6 4'to6' 4' 6'to8' � � ( )• 2—2 X 8 6'to 8' 4'to 6' 4' 8'to 10' S. Double up floor joist under pa-Mon walls above. 2-2X10 8'to10' 61to8' 4'to6' 10'toIT 2-2X12 10'to12' 8'to10' 6'to8' &tow r 10414 8-91 r IIII fill [ if [ 111 [ -1 1 1 1. z VLL Flush framed Beam 2 x 10 Hip&Ridge Rafters(typ) All members 2 x 8®16' O.C.(UND) Ah members are 2 x 8® 16'OD.(UNA) ATTIC FLOOR FRAMINGROOF FRAMING MAXNUM ALLOWABLE SPANS FOR JOISTS f RAFTER SPAN NOTES: JOISTS/RAFTERS 1. Span Tables for.First floor joist[3405-2] Second floor do useable attic joist3405-1] 7Y 13 W 15 1� Attic(no future rooms)[3406-1 f Cape attic floor jo t[__3406-2] FIRST 2 x 8/12 2 x x/12 Roofs over attics 3406-6 2x70/16 2 x 10/16 2x10/16 2 x �� 2x12/16 Cathedral Roof Rafters[3406-3 ] ' 10/12 TMRX c WM COND2 x 8/76 2 x 8/1' 2 x 10/16 2 x 10/16 2 z 2 Maximum span for 2 x 8 ceiing joist for cape attics is 19'11"[3406-2]. 12/16 ATTIC 2 x 6/16 2 x 6/12 2 x 8/16 2 x 8/16 2 x 8/16 xDPJWMaa 2 x 8/16 CMM at u� 2 x 6/16 2 x 6/16 2 z 6/16 2 x 6/16 2 x 11 aa0nc 2 x d/16 2 x 8/16 2x 2 2 12 1216/16 2x10/16 2x10/16 . CATHEDRAL 2x8/16 2 x 8�j� 2 x 10/16 2 x 10/16 2 x 112 116 10414 9-9 NORT,y �► Town of Andover No. 8G � m ' S LAKE dover, Mass., terv* "•. Z8 1997 '9 CO CHI CHEW ICK Y'�• �s 0A�E D►PA`s �� PERMIT T D BOARD OF HEALTH Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT........................... .'.C.-... t�,�l,.ItE?i.Z.. .. N.�'.-.......................... .... ............................... Foundation has permission to erect..... ...•.....••... buildings on ..Kq. • ••• Rough to be occupied as...%.�*,3 ..: r�{A,.�..... ...�..W �.f.�4?.�'...... ....P�'4�1lkm ..W?*9eQls`......K1V ..... Chimney provided that the person accepting this per shall in every respe conform to the terms of thea application this office, and to the provisions of the Codes and By-Laws relatin to the Ins action, pp on on fife in Final Buildings in the Town of North Andover. p Alteration and Construction of 1.?�tr � Ca O I.i o1' ��+ ,�Sg y ap,0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids thiPermd. to*%Ibt �t " �� Cs vgm% Rough V %*t*"W 1.1 p(.y4 N N . PERMIT EXPIRES IN 6 MONTHS Final PER— "RUCTION STARS ELECTRICAL INSPECTOR REGULATED BY PARA. S. B.G. Rough �it.lb —+� ............................. ....................... .......... Service ..................... .. ... . LATE FEE PAID BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT NT)2 . L l Bumer Street No. # 41Smoke Det. CERTIFICATE OF USE & OCCUPANCY ; a Town of North Andover Building Permit Number Date Z 7 { THIS tCERTIFIES THAT THE BUILDING LOCATED ON 'l O O '0 N Qq OF MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STA'' BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. f MORIN .. . n o ,,,.. ,, do CERTIFICATE ISSUED TO —,Elk I �Q ADDRESS urlding Ins or ,t „ Y x4oRT L OT (o 0 of 4 over No. / � 1998 * s . dover, Mass., -COCf'.9 oA,1 E D S BOARDJOF HEALTH PERMIT T Food/Kitchen Septic System ALt. f ' BUILDING INSPECTOR C� 'HIS CERTIFIES THAT •�• �'�-�� ... .... ........ " ""' iFoundlation as permission to erect........................................ buildings on .... ...... ....:.....C.dugh . ... . � t, Chimney be occupied as 1.../1�..�.�. /�'� ................................................. . . . . . .. . ....... ...........* ................ rovided that the person accepting this permit shall in eve respect conform to the terms of the plication on file in p p g p every pP�'�' ina As office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Iuildings in the Town of North Andover. PLUMBING SP CTOR 110LATION of the Zoning or Building Regulations Voids this Permit. aG r 4 C_� PERMIT EXP !/ IBES IN 6 MONTHS ELE IC E UNLESS CONSTRUCTION Rough ' .... . ... . . .. . /.. .. ......................... BUILD INSPECTOR in Occupancy Permit Required to Occupy Building GAS INSPECT& Display in a Conspicuous Place on the Premises — Do Not Remove Rough . No Lathing or Dry Wall To Be•Done FIRE DEPARTMENT la,.,� lentil Inspected and Approved by the Building Inspector. Burner R DEPART � „T Street No. } tg • 4 •"� Smoke Det.