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Miscellaneous - 145 COLONIAL AVENUE 4/30/2018 (2)
145 COLONIAL AVENUE 210/107.13-0135-0000.0 Date. 10990 r TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 04 This certifies that..��...jf"-&�............. ............................................... has permission to perform.. ?.0.5...... . .... plumbingin the building o ............................................................................................. atl ........ .....e................................. North ndover,Mass. 7 - .............. Fee- 0� .....Lic. No. ..... . ... ... U BING INSPECTOR ChecklMr MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 14 n1 � 20 /� Permit# r - _ n Building Location Owner's Name GjSv�tp Owner Tel# x/79 6 N Z Z Type of Occupancy 2)Wt-Z.UAI� New ❑ Renovation N( Replacement ❑ Plan Submitted: Yes ❑ No ER FIXTURES w xx w � � z U)w o ° o x x z p w H �" a z z o E; w Q Cor � 9 o x 0 z F o W w W w — a x W ¢ W a x H > z W W W W Q9 "4 < = d x � W g W 0 W F x U) ..l z Q w - Q z �. W w 0 0 > ,, r W a f- w a ,A a H C- M z o z o m x w X = O 0 = w 3 A CQ7 00 a > A a !W 0 SUB-BSMT BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4T"FLOOR 6`FLOOR N 6T"FLOOR 7T"FLOOR 8T"FLOOR 1 1++ Installing Company Nam C-/?E6 ,%4 Check one: Certificate Address & f"� /Z("A/ Corporation 0 ,50 50 7 ❑ Partnership c�G Business Telephone# (Y' L2 F- 2 663 jW Lt(l ❑Firm/Co. Name of Licensed Plumber or Gas Fitter 64f—& 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 Les,please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ 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 Mass.Gl Laws,and that my signature on this permit application waives this requirement. Check one: ' Owner 0 Agent ❑ Signature of Owner orO is Agent I hereby certify that all '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 the permit W d for this tion will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral L w . By Type of License: dumber ature If L censed Plumber or Gas Fitter Title - Gas fitter G —aster License Number mt�e! �/ City/Town - Journeyman APPROVED(OFFICE USE ONLY) 1 6 Date..... .................................. OF�10RTIt,� 0TOWN OF NORTH ANDOVER PERMIT FOR WIRING 0. c►,usst This certifies that ...................................... r, . � �..�,./.q ....................................................... has permission to perform ............l<...17 .................................................... wiring in the building of................6r .. ...S.. sr~. A.. .......................................... z `.......... North Andover,Mass. d Fwe.. ...:......—......Lic.No.t ...............1 , .. . ... ...�. _ , .. PEC1'OR I r .Check# 11688 Commonwealth of Massachusettsssachusetts Official se nl r�r� Permit No. � � � Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code QvIE�C1 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 6 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives noti e of his or her intention to perform the electrical work described below. Location(Street&Number) S' O. Owner or Tenant �,$'�yp ��=T� ,t/� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 051 No ❑ (Check Appropriate Box) Purpose of Building �+n,C �f�,�/G- Utility Authorization No. Existing Service Oa Amps /ZO / D Volts Overhead❑ Undgrd ESi-," No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: D Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of .. Total Transformdrs KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets Q No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat pump Number Tons KW No.of Self-Contained p 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 KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eq uivalent ' OTHER: Attach additional detail if desired,or as required by the Inspector of 97res. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: — 4� 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 ins rance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,tinder the pains and penalties of perjury,that the information on this appli ionis it nd complete. : id FIRM NAMEAJ Q LIC.NO.: Zo 33 Licensee: AAAf4 r ��(IQQSignature LTC.NO.: (If applicable,enter "exempt"in the license mimber line.) Bus.Tel.No.• L Address: lff 011ZIP Alt.Tel.No.: -j 7 G4 *Per M.G.L c. 147,s.57-61,security work requires Department of Pu lic 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 PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule R—Permit/Date Closed: ` ** Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: A Trench Inspection Pass Failed 0 Re=.Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date, PARTIAL ROUGH INSPECTION: Pass F?1 Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: r ROUGH INSPECTION: Y Pass Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass r ? Failed Re=Inspection Reg6ired($.)❑5 Inspectors C6mm nts: Inspectors Signature: AJ Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com .e i The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations qu 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/Individual): AIC./ d e,6 Address: City/State/Zip:. �>`2,..4 C_ u 7,4Q� �,6 Phone#: �d— 3 7GZ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction Kam'0asole yees(full and/or part-time).* have hired the sub-contractors 7. UR:effo- 2. proprietor or partner- listed on the attached sheet.Idehng ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.F1 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' comp.insurance required.] 13.❑Other -'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they ai-e 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 information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 dip 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 verage verification. I do IzerebJZ,1,,epain dpenalties ofperju at the information provided above is true and correct.Si azure: Date: -� `21 " 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#: ,l Informati®n 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 bean employer." N MGL-chapter 152,§25b(6)`ai lso 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 an contract for the y 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 self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or , town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the F 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: . r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigaflons 604 WasMogton Street Boston,MA.02111 Tel,#617-727-4900 eat 406 or 1.-877�,MASSAFE Revised 5-26-05 l{ax#617-727-7749 t�ww.mnass.govfdia 10055 C Date Y'SxLF;hl�v A� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i This certifies thatlrC� . . . . . . . . . . . . , , , , , has permission to perform . . . � l? , . , 1� P U. . 1 . . . . _ . . plumbing in the buildings of. , , , , , , , , , , , , , , , , at . . . . .�`� . �.c��c)ti,,� �►! . , , , North Andover, Mass. Fee �j.�. . . . Lic. No.�►� b. . . . `:�'-'. . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check# �51 (° 11-5 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY - i _ - -_ .. d-- --_ MA DATE / - PERMIT#_J_Ub�5 J06S1TE ADDRESS OWNER'S NAME a- I OWNER ADDRESS - -- -- - - - - -- - --- TEL -- FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL Q RESIDENTIAL-0--- I PRINT CLEARLY NEW:Q RENOVATION.-2' REPLACEMENT.E] PLANS SUBMITTED: YESE] NO�,U'- i -r - FIXTURES 7 FLOOR Bs[.T_ 1__ 2 3 1 b- I 6 - 1 -8 9_ 10 11 12 t3 -14-� BATHTUB ----------------- .-.. - ----- �.DDIO CROSS-CONN ECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM AL_J= DEDICATED GASi01L/SAND SYSTEM DEDICATED GREASE SYSTEM -- -_ — DEDICATED GRAY WATER SYSTEIb1 ® ® C DEDICATED WATER RECYCLE SYSTEM -' ® DISHWASHER DRINKING FOUNTAIN 1 - ---------- �:4_ .�9� — - - - FOOD DISPOSER FLOOR;AREA DRAIN O ®LCL I INTERCEPTOR(INTERIOR) _ , � _ KITCHEN SINK .--T- - T T ROOF DRAIN SHOWER STALL r �SERVICE ft10P SINK URINAL ---- ---- -- --------, - -'� � 00. � TOILET WASHING MACHINE CONNECTION . T - ` WATER HEATER ALL TYPES WATER PIPING PIPING � L� 0 ! OTHER - -- INSURANCE COVERAGE: I I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO t IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW okN 1 _ LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITYE] BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts neral Laws,and th my,ignature on this permit application waives this requirement. I I ------------- - _ -- __-. --. CHECK ONE ONLY: OWNER 'AGENT 0 SIGNATURE OF OWN AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing murk and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. I PLUMBER'S NAME /fes -_ -- LICENSE# .- -__. SIGNATURE NIP[' JPQ CORPORATION Q# PARTNERSHIPQ# LLCE]# 1 COMPANY NAME ADDRESS /&� CITY STATE ZIP Q- t TEL - _ ,!/ _V-_J -- FAX71 - - 7d 7V +re S Y s i V7 s. �dIV[MONVUEALTH OF MASSACHUSETTS '« PLUMBERS AND GASFITTERS t x- LICENSED AS A.MASTER PLUMBER r }SSUES THEABOVE LICENSE TO: ':,MGREG0RY G PHEL.AN . \ 1 � - - 1�+ ' FOX' RUN LN " � f SALEM �. NH 03079-121 9718 05/01/14 187549 Date •.��,'C'1'LNUly'o•, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . {:�Z . . . . . in the buildings of. . �. I•. . . .Q. . . . . . . . . . . . . . . . . . . . . . . at . . . . . . JJC�: . �`. d� !`. �. . '�.� , North Andover, Muss. Fee Lic. No. ��.�. . . . . GASINSPECTOR Check# b 8784 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WOR CITY _ _� .. MA DATE _ S_ _.I 3 PERMIT I JOBSITE ADDRESS04_qL_.__..___, OWNER'S NAME CO. _m'. - — OWNER ADDRESS TELj - ... FAX - I I'll m OCCUPANCYTYPE COMMERCIALE] EDUCATIONAL[j RESIDENTIALQ� 1)RI\T 1 CI.F:�Itl.l i NEW:I RENOVATION:l'J REPLACEMENT:Q PLANS SUBNIITTED: YES® NO® APPLIANCES 71-- -- —r — �- �— —t -- --T--- — - FLOORS-� + BSN1 1 1 2 3 4 5 ' 6 l 7 S 9 10 11 12 13 + 14 L__JL__j � �. + BOOSTER ������� � ��� CONVERSION BURNER COOK STOVE(C-d0A--T >A-) DIRECT VENT HEATER DRYER �I �® FIREPLACE FRYOLATOR FURNACE � � 0 � ' GENERATOR ��� GRILLE �_ . �. .� . INFRARED HEATER m t � _ _ _ _ - _ LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM r SPACE HEATER �_ - ROOF TOP UNIT _ _ I TEST UNIT HEATER UNVENTED ROOM HEATER _ WATER HEATER 11 11 11L, "i OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [:]NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW + Z LIABILITY INSURANCE POLICY ® OTHER TYPE INDEMNITY BOND I I OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General ws,kn .. h ny s'gnature on this permit application waives this requirement. _ _ _ . __.—_—, __ - CHECK ONE ONLY: OWNER GENT SIGNATURE OF OWN �R AGENT I iierei�y certify that all of the details anc' fo...atio+i I have submitted or entered regarding this application are true acid 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws, PLUMBER-GASFITTER NAME�� (� _ -_..___. . _.._... � LICENSE# _f SIGNATURE I MP 5dldGF E] JP E] JGF[] LPGI® CORPORATION E]# PARTNERSHIP E]# LLC®#I__ I COMPANY NAME: J ADDRESS CITY ' _., `_ - STATE ��ZIP a.,�_d_7 _ TEL FAX ! ' . Z--U/ MAIL2GGd✓1�._ � �7 ���r �U Ak 1 r �� �//��/.8 U� � �a� � �1� �/z �� ��. �� �� FA , c:�MMONWEALTH OF MASSACHUSETTS '>? ,- pLUM:t3ERS AND GASFITTERS LICENSED ASA.MASTER .PLUMBER - `. ISSUES THEABOVELICENSE TO: y �\ l `f GREGORY.. r, PHEL.AN sI t4' . FOX RUN `L'N , fc. , .SALEM NH 03079-12II1 } 9718 05!01/14 187544 Date -{° 3 • `Ct�'�RDy . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION .1 G5e �V4 I� UJl7 This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation. in the buildings of. . S�n.. . . . � te. ` S.c . .u�. . . . . . . . . . S C o lQ,, at . . . . Nort ndover, Mass. . i. . . . . . . . . . . . . . . . . . . . . . . .*. � - Fee . . . . . . . . . Lic. No. . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# S S 8771 R r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK _ _. CITY ! U r p MA DATE[ — I ERMIT# G JOBSITE ADDRESS � OWNER'S NAME— -----a OWNER ADDRESS TELL—__ FAX� TYPE OR PRINT OCCUPANCY TYPE COMMERCIALEDUCATIONAL RESIEIENTIAI CLEARLY [J RENOVATION: 'RENOVATION:� REPLACEMENT: (( PLANS SUBMITTED: YESD NO® APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 r, BOILER I 10 11 12 13 14 BOOSTER I CONVERSION BURNER ! COOK STOVE DIRECT VENT HEATER I { DRYER ! .t FIREPLACE FRYOLATOR ! FURNACE a GENERATOR GRILLE ! INFRARED.HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN I POOL HEATER ROOM/SPACE HEATER i L— ROOF TOP UNIT TEST UNIT HEATER io.. UNVENTED ROOM HEATER WATER HEATER r OTHE I I I INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL;Ch.142 YESNO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY c OTHER TYPE INDEMNITY [] BOND OWNER'S INSURANCE WAIVER: I am aware that the lice see 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ® AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and rate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliant !i all Pertinent pro v.sion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME � t SIG RE LICENSE#i r MP MGF JP JGF LPG CORPORATION!, # PARTNERS LLC # COMPANY NAME: ADDRESS CITY STATEt�I pZIPTELL _ � I € r O „ FAX CELL� x � w1EMAILi .� �. 60 —e-11 �, ,�,t \I �J The Commonwealth of Massachusetts Department of Industrial Accidents i ' Office of Investigations 600 Washington Street _ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Ble(2tr1eians/Plumbers Applicant Information Please Print LaiN Name(Business/Organization/Individual): Townseud Oil Company, Inc. Address: 27 Cherry Street PO Box 90 City/State/Zip: Danvers, MA, 01923 Phone#: 978-777-0700 Are you an employer?Check the appropriate box: t 1.® I am a employer with 60 4. [] I am a general contractor and I TYP:1 projeet(required): employees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. T emodeling ship and have no employees These sub-contractors have 8. 0 Pilemolition working for me in any capacity. employees and have workers' insurance.' 9. Building addition comp.[No workers' comp.insurance P• required.] 5. E] We are a corporation and its 10.[I electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[3 plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.['1 Roof repairs insurance required.]t c. 152,§1(4),and we have no 13 Gither employees. [No workers comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy hoirnkioa. t Homeowners who submit this affidavit indicating they are doing all work,and then hire outside contractors must subAit sinew affidavit indicathtg smh. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whetla r or not those entities have employem if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my enrployees BelowW the policy antijob sfte information. �.., ----� rem V, Insurance Company Name: l� h!✓ �����,.,p�!( . J Policy#or Self-ins.Lic.#: t tj' Expiration Date:_ Job Site Address: I L City/State/Zip:- 0 i Attach a copy of the workers'compensation policy declaration page(showing the policy Httriber and expiration bate). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impost ioln 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 Sf 6O WORD 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 IA for insurance coverage verification. I do hereby certi u der the pains and enalties ofperjury that the information provided above is true and correct Si ature: � Date: 1::j �> Phone#: Offw use only. Do not write in dds 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 :i,Plumbing Inspector 6.Other Contact Person: Phone#: ' Date... R goRTM 7 3jO`,��to'+•�"a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �Ss�cHusf� q This certifies ........................... has permission to perform ::... ... wiringin the building'of.......:.............................. ........................................... :. at.... ......................................................... j ,North Andover, (Mass. � Fee ��1.... .... Lic.No...n.I.Q .......... .l �� .t✓Z`dam a!�'� ' ELECTRICAL INSP •R � ..� Check # W-20-2009 02:17P FROM:TOWN OF NORFOLK BUIL 508 541 3300 TO:819782565804 P:1/2 t„ossresroswuatth of a�eaohuesltl Offteitl Urea Oel ' Permit No... 0 . �eparlaunl of�lrr�ervksl _ BOARD OF FIRE PREVENTION REGULATIONS R vc llo cy and Fee Checked ) leave blank APPLICATION FOR PERMIT`TO PERFORM ELECTRICAL WORK All work to bo performed in accordmcrwith the lAusaehusetts Electrical Codv!, W).527 CMR 12.00 (, LEASE.PRINT IN INK OR TYPE AL1;IiuF'0$1 mr[ON) Date-. a\d G City or Town or: -Q,d$rn-4-,_Prn, .)nuei - I To the Inspector of Wires: By this application the undersign gives.4ce of his or her intention to perform the electrical work described below. Location Street do Number ( l t�t� CLc�� ilaL �y� Owner'or Tenant QEST Telephone No. 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 Sgfviee _ .Amps / Volts. Overhead❑. Undgrd ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: U QZ) ':?CC t-.r completion o the following sable may be waived by rhe Ins ecior of Wires No.of Recessed Luminaires No.of Cell.-Sus , addle Fans No.of rota P �' ) Transformers KVA No.of Urninalre Outlets No.of Hot Tubs lGengrators KYA No.of Luminaires Swimmi pool Above. ❑ In- No.o mergency Lighting rnd. rnd, C3 lBettery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones — - - and No.of Switches No.of Cas Bu Hers. o,o Detection D vi i' Initiating Devices No.of Ranges No.of Air'Cond. • Toa No.of Alerting Devices No.of Waste Disposers eaToRms um er onsKW No.of belt-Untained DetectIon/Alerting Devices No,of Dishwasher: Space/Area Heating KW Loca{❑ Connection ❑ Other No.of Dryers Heating Appliances KW eCNo of Detvices or Equivalent o.of Water KW o.of No.of Data Wiring: I Heaters Signs Ballasts No.of Devices or E ulvrstent No. Hydromassage Bathtubs No.of Motors 'Total HP a No of Dcrices or E uiva�ent OTHER: Attach additional detall if desired,or as required by the lrupecror of lvirti 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 lieeiueo provides proof of liabllitylnsurance Including"completed operation"coverage or its substantial equivalent The undersigned certifies that sucb v rage is In force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the paIW anda altlss o perjury,chat the Inform ton.on thiIs application Is true and complete. 2 FIRM NAME: '(Yl L LIC.NO.: �I�w Licensee: {enatureLi C.NO.:_Q I142"JL (ljappllcable,enter"exempt"in the llesnrs number lined Bus.Tel.No.: Address: Alt.Tel.No.: 'Per M.G.L.e. 147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER:, 1 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. l am the(check one)❑owner ❑owner's ascot Owner/Agent [PERMIT FEE: 3 Signature Telephone No. MAY-20-2009 02:17P FROM:TOWN OF NORFOLK BUIL 508 541 3300 TO:819782565804 P:1f2 t�,onrssontuea a� a(f j 0mcial Ussee Ong .[1aParlasanf ofG+r Jirt!ku Permit No. co Occupancy and Fee Checked; Z r BOARD OF FIRE PREVENTION REGULATIONS Rev, 1/071 leave blink APPLICATION FOR PERMIT"TO PERFORIN! ELECTRICAL WORK All work to bo porformed In aceordanee•with the Masaehusetts Electrical Cod o�SQC).527 CMR 12.00 {PLEASE AR1NT!N INK OR TYPE,tLL lNFO$1ylrsTlONJ Date-- City or Towo on ort2 1-4�,'R(� y�� To the Inspector of Wires. By this application the undersigned gtves.ngttce o is or her intention to perform the electrical work described below. Location(Street&Number)_ C;,,,o�t�r i1aL Owner'or Tenant QEST pt �} �) Telephone No. Owner's Address Is this permit In conjunction with a ballding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / YoYts Overhead❑ Undgrd❑ No,of Meters New Seal Amps Volts. Overhead❑. Underd ❑ No,of Meters Number of Feeders and Ampacfty Location and Nature of proposed Electrical Work: N p U N l7 1. Com letton pLihefollowing table may be waived b the Inspector of wire$ No,of Recessed Luminaires No.of Cell.-Susp,(Paddle)Fans No,of ota Transformers KVA No.of Lutninalre Outlets No,of Hot Tubs Generators KVA , No.of Luminalres Swimmin pool, Above. ❑ n- . of o,o mergency Lighting rnd, rnd, Battery Units No,of Receptacle Outlets No,of Oil Burners FIRE ALARMS No.of Zones No,orSwitches No,of Gas Burners. [nitlatlntion and Devices No,of Ranges No.of Air•Ccnd, • TtaTon; No.of Alerting Devices " eat um um er ons o,o e - enter ne No,of Waste Disposers T°tail — _ Detection/AlertingDevices No,of Dishwashers S ace/Area Hcadn KWMunicipal P I: Loca}❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systemsi. No.of Devices or Equivalent No.o Heaters KWer °'° o•of Data Wiring: SI ns Ballasts No,of Devices or E ulvalent No.Hydromassage Bathtubs No.of Motors Total HP I a ecommun cat onsr ngg: t No,of Devices or E ui2ent OTHER: :w attach additional detail if desired,or as required by the irupector of Wins 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,to pemmit for the performance of electrical work may issue Unless the liee`ttsce provides proof of liability'insurance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such v rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) !certify, under the pains and a altta`ojperJury,that the Inform ton.on this application!s true and complete. 2 FIRM NAME: '{Yl L LiC.NO.: q 1(Q j Licensee: lenalure LIC.NO.: (llapplicabla,atter"exempt"in!ha lieenu number lAS) ifSus.Tel.No.: Address: 'Per M.G.L.c. 147,3.57-61,security work requires Department of Public Safety"S"License: Alt,Lic'No. OWNER'S INSURANCE WAIVER:. I am aware that the Licerisec does not have the liability insurance coverage normally required by law. By my Signature below,I hereby waive this requirement. !am the(check one owner Owner/Agent ❑owner's agent Signature Telephone No. PERMIT FEE: S L4S� i �� ��D ore � - � �� e v Location ns- No. Date NORTH TOWN OF NORTH ANDOVER F A Certificate of Occupancy $ s'•°•E�� Building/Frame Permit Fee $ s�cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �J Check # a VA r J Building Inspector r ` to - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. / / DATE ISSUED: 3_ SIGNATURE: Buildin Comn:Ilssionefflnspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 0 1.7 Water Supply M.G.L.C.40.11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No m 2.1 Owner of Record C��n1r� 1 7Pt5cbe u--S-�)v Nom, Na Print) Address for Service NlSinature I y Telep ne 2.2jOwner of Record: '. me Print Address for Service: M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 93 Licensed Construction Supervisor: ,�y O �c X �� V License Number Mn Address Q� M,* ? a /7 testis 7 ��' �F Expiration D to ic Signature Telephone r Xp"4;4 C1 g-31 S a 7 3 0/ -< 3.2 Registered Home Improvement Contractor Not Applicable ❑ a Company Name O M Registration Number r Address z Expiration ate G) Signature Tele hone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a ticable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work:0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be (} + �IA)r,USE:{} y s Completed by perruit a licant 1. Building d _— (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date ; SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ; I, as Owner/Authorized Agent of subject r property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Aent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2 ND3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X c' MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM�'.7 INSTRU �4 CTIONS: This form is used to verify that aWnecessary approval/perrnrts ry rf-`��`r. Boards and Departments.having jurisdiction have been obtained. This does not relieve the applicant and'or landowner from compliance with any applicable requirements. !lR....■f.\...■1....tl....■....i..-.l..........l.■\-!!.■a:f.11.!!.!.!!!,!!l.l...■ APPLICANT CQ Q PHONE j S"9 0/ - (n"1?� ASSESSORS MAP NUMBER Q�I b LOT NUMBER SUBDIVISION LOT NUMBER STREET �-�`�►'�i �', STREET NUMBER I . .................................................\...\......................\.. OFFICIAL USE ONLY RECO ATIONS OF TOWN AGENTS �.\.■ 7U/66 ............r.�......a....a..■ . ....■ DATE APPROVED S/ CONSERVATION ADMMS TOR DATE REJECTED CON/MNTS s D TOWNPLANNER ATE APPROVED DATE REJECTED COMMENTS DATE APPROVE© FOOD INSPECTO HEALTH DATE REJECTED DATE APPROVED e� SOiSFI&AOR-WALTH DATE REJECTED COMMENTS All PUBLIC WORDS—SEWER!WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE -. .. .... ..... .... Sent By: ; 978-688-2427; May-10-04 4:12PM; Page 111 Feb- 10 04 10:56e NORTH A AOV6R . 9786889542 p.4 OL Ito." i 0 Qf'S/GN LWA.• / \ _ LOT ARC� di `P V NUAA C 1 ,,, now QML Y ROW 4 i •yam~':----�.. SEP;7C TANK i SEP19C TAW + AJ S vI e.•r V 17AIL. LE40Y AREA I i LucArAO 4 BR 0 CLAS fir'►oz.s, +`f�'a.s� y t�MOO �11S£ CLASS u AL6 440 LEACH ARFAP goyML4- 44, a j(44x1 176 S.F. f 91 TOTAL IfACH. ,ttN.�17��0 f?I i 0• 45 ANI -lzza (1) Gsox �� f�17 r5, GL i per +: r t .. r i SURFACE i �fQ f . i j STATIC 1irAT! E37IA�)'L"D . post-It'"b d fax transmittal memo 76Tti N u 15-96 SG wax F..• • 00"-07' 07174 i • t _ i .ST.l17C Wi �E=165.0 £S77i�11EL ' `, i i ; t t4'3 l z�raF U C I° c� .�pt�.}p �y� 17 a.rf Yt- R 2i y s. � r w I 1 2 i L 07 J 36 , c / a _ Lo-l- l S aP, CC) L ,? - o IST�C�``�; �ROFMONAJ- LJI►F SIJRVEYET#F, l HEREBY dERTIFY.'THAT TMIE AMERICAN S°U fy"100 I;: PANY COVE MORTGAGE- NSPECTICY 1264 Milds Street, WWalth�rarn, M 02 3`f ( �> id477 AN WAS PRE FAR OR so D IS NOT WITHA�1 IIooRTGAf ►NNECTIbN NTENDEO cOR REPRI$• l NTEb TO BE A LANn:<3H:1?ROPERTY ' IE $LJRVE`f. NO GCi13NHRS wjME. TME LOCATIOIW OF THE OfR�t&ill?d441Y SEC JiT' GO JIrTY RtGISTT. IT CANNOT BE WQ` FOR ES, 'tWLLIHOWN HEREON. RY OF:DEEJS d C:. rt. ' ®LIS14040 FENCE :.H;EDGE O SMAS IN C,OWLIANCE 1k141'fi PPE.'LOCAL . 'LAN IRS ' ILDMGLINES.THE 1ANPASSHOWN 'APPLICABLE ZoANme BYLAWS* EF '''��iAVUNi�ll�Tt�1k► MON IS OA�SED ON-.CWENT FI„JFI- ffCT W14IN CO*ISTRUCTED 1A/I�H FI$ ;Ii�axlP N A.JAL / t j� ASSr�SsSQR'S SHED 41�POpF�dATION'ARID FRAY BE, SPECT TO HORIZONTAL f1K i 10MAL Ad�DF�E'll}5..:' G QA ED. ibJECT TO FWRTHER O.UT-SALES,; $WOUIREN4ENTSONLY),Oft IB owTv= KKWGG,EASIaRIEENTI 4:jglC:41TSOF PAOM VIC LATION ENFORCEI IT At '.WA:AoWj6*- " IY RES PONW SIOTY IS EX TION UtSIVIER MASS G.L.TITLE Mlf4..CHAP. NLaE 04EREINTO*r:JANDOWN R: 4©A, SEC. 7, UNLESS OTHIc Wf�E Susala I IEI.�t;. LOS F I OCCUPANT, IT I5 NO7'.#NTENDEC' NOTED OR SHOWN HEREON. A CO.N AS Shti�Wd+l ISN NA ITL F40 U' NCE.PF bWAM FL p B4.SIE-LOADED FII+IIr4ATORY INSTRUMENT SURVEY IilVBUTAAh4C�RASE QATED�-IJP '2. )R 1S ADVISED WHEN STRUCTWRIS AfrfE C©MIu1L6NITY RAt L ' ATE 6 : _ �. .LENT SHOWN SHOWN TO BE t' OR LESS Fa�II�C "a Ian Jc . .KENT REFI#o a[J' PROPERTY OR REQUIRED ZONING ;BY SETBACK LINES. { l TATE /o- —p II= 'n F.B..:.�....PGE: 60- 4- cr"i< i -��n cn I : ' i� � � •j W tia LU o� [7-:77-7 I i 41 ,Feb SO 04 10: 56a NORTH RNDOVER 9786889542 p. 2 Town of North Andover,Massachusetts BOARD OF HEALTH Date: July 30, 1998 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed (X ) or repaired ( ) by Charles Zaher at#15 Puritan Circle, North Andover, MA 01845 has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit#849 dated September 15, 1997. The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Qa-AAZr oard of Health SS/c' 1P Revised: 7/20/98 s reb 1'0 04 10: 56a NORTH RNDOVER 9786889542 p, 3 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System K) constructed; ( )repaired; by located at L,> t was installed in conformance-with the.North Andover Board of Health approved plan, System Design Permit 9 l y , dated s ¢ 1'197, with an approved design flow of gallons per day. The material's used weze in conformance with those specified on the approved plan;the system was installed ia-accordance with the provisions of 310 CMR 15.000,Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Installer: Lic. K: Date: Design Engineer: Feb 10 04 10: 56a NORTH RNDOVER 9786889542 p• 4 DES/GN DATA: v LOT AREA: 22, NUMBER OF B DESIGN 0 FLOW.- OA&Y FLOW 4 ;..---•~-- - SEPTIC TANK i ✓,�--� ���;�.�., SEPTIC TANK AS S UJ L'r Q,67-,A - LEACH AREA I L0CATto 6-4-58 4 SR ® CLAS `i.,71.34 o lzi-0,51 1- 1-7+78 srp,,E: I„, zo' (USE CLASS ° ALL cN 40 440 GPD10.5E LEACH AREA P BOTTOM.• 44' a n 4.88 S%DES.- (44'x1 ` 'S 176 S.F. -f 91 °,,�''S�,<►5' USE 3-44' x i,n2.61 ►.��3.�d3 ° �� TOTAL L54CH INV=174.80 (1) INV.=17.Y 60 (2) INV=172.40 (3) p 8u x Q"T r 5.0 1= DEPTH h 15' r 1 SURFACE 5' 00"43" 4J'!-58- 58 !-116 3"-58- 58=116 GROUND STATIC WA TZ ESTIMATED . d W1TH/N 15-96 SL 7TH (j) 00 -07" . � 07"24" 24=120 " STATIC W, BASE=165.0 CSTIMATEL NORTH Town of over ^�./ 60�113100?( o� COCH,C CN dower, Mass., AORATED P? Cl S H � BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT.. i�i.�.�v...�............� ........�r.S �� Foundation has permission to erecUPP..�� /Y�....�, ..�d ........4A..U.r... Rough p ...................... buildings on ... .......... to be occupied as......hA...K1.4........ 0.....to Y.�.� ....0.���.....���.�........................... Chimney provided that the person accepting.this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws rela7iosr tthe Inspection, Alteration and Construction of Buildings in the Town of North Andover. ) 0 7 8 PLUMBING INSPECTOR 40 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number D /0 Date 'c2R 92 THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED A IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS S ATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO 10 ADDRESS C ' 34CH,S� Building Inspector 4 NORTjy Town of _ over o m No. d G z dower, Mass., 1998 s w MLAKE Og4TE0 �P��. L� BOARD OF HEALTH Food/Kitchen P IT T ERM Septic System Ir vt t ^�- . ................................, .. t....15 BUIL ING INSPECTOR THIS CERTIFIES THAT....................................�..x...�•..........�............Q.�........ F has permission to erect...................... buildings on ........��}. ......s` ..l.C� .N...�. ......./�v ...... �.................. buildin CG� tobe occupied as.................................................. /.......6...4..z.........?CAS /.....5..}/.............................................. Chimney provided that the person accepting this permit shall in every respect conform to the ters 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. PLUMBINP INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ug -S Y/! Q PERMIT EXPIRES IN 6 MONTHS ELE C—M ICAL INSP CTO UNLESS CONSTRUCTION STAR ........................................ . ... ... . ... .... ..... .. ...... 1 BUI ING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPEFTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected ,and Approved by the Building Inspector. Burner Street No. Smoke Det. IA"�AN2 1 -, 48 Date........� -/ . TOWN OF NORTH ANDOVER lee. 0 f. p PERMIT FOR WIRING 4L This certifies that ........ ........ ....... has permission to perform ........wi- ........S.y.�.L .................. wiring in the building of.......AS...........C-Os�...�,nxl&......................... at....I..V ..0(o .................... .North Andover,Mass. .... Fee.....)7..�'t! .. Lic.No..... . ......................................lINsp....EcrOR................. C� 46/26/98 ()8:59 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ' Office Use Only Permit No_ 7P£et MMS4Z7W 057?Jl4$S,46);;WS577S Occupancy&Fee Checked I BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �'. All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date 6 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. L� � Location(Street&Number / ��/� [ed �D�( Owner or Tenant LSU 1 L 12 F/?_ Owner's Address Is this permit in conjunction with a building permit Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building_ ��s !612r1 fi(l� ' Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity t [1 Location and Nature of Proposed Electrical Work �t UI(1 4L,7 rT f/ "IA' Total No.of Light8ng Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Bumers FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices . Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers S ace/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massagee`Tuds No. P of Motors Total H OTHER: l et)Ut(1 A QJl I U" ` INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Complied Operations Coverage or its substantial equivalent YES VNO = have submitted vplid proof of same to the Office YES"0 = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE AC BOND = OTHER = (Please Specify) y� (Expiration Date) Estimated Value of Electrical Work$ y®o_o-1/ Work to Start Inspection Date Resquested Rough Final Signed underth Pen es of pedury: NAME r- LIC.NO. 2 ;2- FIRM 7 jJ ]�1 4- u!a L^ Signature f LIC.NO. � �� Licensee L�f� r ���I g 02 7 / -i/ li/1 G( �T Bus.Tel No. 717��j/2 6 / / / Address !Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) I Date.�� :�..'y/�• l;` 3685 pORTM ? o TOWN OF NORTH ANDOVER WWI PERMIT FOR PLUMBING '. SSACMUS This certifies that ��.�: . . . . . . . . . . . . . . , has permission to perform . .A-c. . ./v.�. <., . . . . . . . . . . . . . plumbing in the buildings of ./` . . . / � i �.r. .t�.� . . . . . . . . . . . at 5-. <'A l,!<.': y�. . . . . . . . . . . , North Andover, Mass. Feed: . .Lic. No.. '?.51!.7 . . . 2 ZLUMBING INSPECTOR 04/22/98 08:43 M-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 7. -Ewa* ` f i MASSACHUSETTS UNIFORM APPLICATION FOPERMIT TO DO PLUMBING �. (Type or print) NORTH ANDOVER,MASSAC4 SE� L /�v_ r Date ` 9� Building Locations (� �� /7 G Permit # Amount �2-�� Owner's Name " / New Renovation 0 Replacement Plans Submitted rl L FIXTURES z z z w w W zrA � E~ Q a a S RBM I��vr 2M MM �t�ooR 4M HO R 5M RfM tM R M 7Hi RfM 8M RfM (Print or type) Check one: Certificate Installing Com ny Name Corp. Address Partner. Dplygo—UT7 Business Telephone q�-7 —/y5 `Y Firm/Co. Name of Licensed Plumber: /kF C•� �' Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy 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 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 Mass (setts StAe Pl n ode and Chapter 142 of the General Laws. By: Signature o (cense um er Type of Plumbing License '. Title /I/,, /7 City/Town License Number Master Journeyman I APPROVED(OFFICE USE ONLY I f N° 1535 Date....._... f HoRTN 1 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING r 1 SAcmus�� Thiscertifies that ...........a... ............ ..................................................... has permission to perform ....... ............ .... ..... .. ........... wiring in the building of....I ......... . ... `. .................................. at............................................................................... .North Andover,Mass. Fee... .. ...?Lic.No.............. ............................................................... / ELECTRICAL INSPECTOR 44/17/98 13:13 247.44 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer P �, The Commonwealth of Mossachusetts A Dcparlmcnt of Public Sojcty 0" nc� t !c. a.ackct BOARD OF FIRE PREVENTION REGULATIONS SZI CMR 1200 3190 0 APPLICATION All wvck 6*FPerformed� accordance Electrical ec. z 7 CMR 12:00 OR PERMIT TO PERFORMELE(7RICAL WORK (PLEASE PRI2TT ZH nTK OR TIDE ALL IN/FORMATION) Date_ 4�� J City or Toon of �/i 'A,, .1,7L/`A Io the Inspector of Wires: The undersigned applies for a permit to perforce the electrical work described below. Location (Street & Number) J�� 00,� Owner or Ienant_ C. Owner's Address 3 3 -W,4L-111'/1 Is this permit in conjunction with a building permit: Yes [A No ❑ (Check Appropriate Box) Purpose of Buildinb VSUtility Authorization NO. efCJ- Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service oy Amps (a 0 /;L YO volts Overhead ❑ Undgrd No. of Kete:s- Nuaber of Feeders and Ampacity i9 L (� Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Iransformers "Total 1CVA No. of Lighting Fixtures Swimming Pool Above ln- b grnd. ❑grnd. ❑ Generators KVA No. of Receptacle Outlets Q No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Cas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. I TCotos 4LHo. of Detection and No. of Disposals No. of Heat total Iotal Initiating Devices P s I)ns KSI 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❑Manicipal Connection0Other No. of dater Heaters Sir Ballasts Low voltage Kirin No. Hydro Massage Tubs ' No. of Motors Total RP OTI{ER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO I have submitted valid proof of sane to this office. YES❑ NO C If you have checked YES, please indicate the type o�'coverage by checking the appropriate box. - INSURANCE ® BOND I] 01 ❑ (Please Specify) r ti. �l Estimated value of Electrical Work S--Q Op i atio ate Work to Start Inspection Date Requested: Rough LLcL [t- Final Signed under the\penalties of perjury: IRtI NAME .LIC. NO. Licensee-&&j �/0'3 nture Si c ! gM — LIC. N0._ Address Y? LILA,, Bus. Tel. No -0 3 el Alt. Tel. No. OWNER'S IKSURAHCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its to - stantial equivalent as required by Massachusetts General wsal and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Slgnature of Owner or Agent FORM - U - LOQ'RELEASE FORM[ INSTRUCTIONS: This form is used.to verify that ail-necessa approval €runt` ' ry appap 1, ' Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and'or landowner from compliance with any applicable requirements. ia■aaaasais�sasss.s.ssssaa.a..s.ss.s.a.MZEJssss.sequiresss.aas Mouse a.awoos t APPLICANT 5 _CQ 5010 PHONE 7 c1 - (Q"7 7� ASSESSORS MAP NUMBER I LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET NUMBER i•■aaasua.asa■■sa■■.sassas.■rssa.asss■aaasa■.sea mamas a..aas.aaaaassaasa:�asa OMCUL USE ONLY IMS a!aa■a:sa_sa.sa as was a s a"aaa Wa:asaa.We*aasa.asa.aas..a.a a a..a.s a a....a a s a.a...s.We'=a RECO. : AT!ONS OF TOWN AGENTS .aa..o ason.aaasa-a „a a..sa.......a...s.........a.a. V' ■asaraaa.asasi..ssaaaaaa.a■ CONSERVATION ADAMM TOR DATE APPROVED--4/0 DATE REJECTED COMMENTS s TOWN PL ANNER DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTO` HEALTH DATE REJECTED SE TH DATE APPROVED OR- DATE REJECTED COMMENTS All PUBLIC WORDS—SEWER!WATER CONNECTIONS _ DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BIJILDING INSPECTOR DATE Sent By: ; 978-688-2427; May-10-04 4:12PM; Page 1/1 Fe-b- 10 04 10: 56a NORTH R =VER . 9786689542 p.4 i - ► Of I �` p£�YGAI `/ ; + LOT AREA: 22,. DL 6w now. LW/L Y ROW 4 SEP77C MW SEE� AAS� IIII�' T ' S aaii7a z PtjL. LE40Y AREA � At AtE 9 6.4-4 8 LASE CLASSS :r7+78 SCALL: 1"; 'L.01 \ At L. pr�a t i�•►4 v .' � 440 Gp u5t LEACH ARFA F ,_rz,so �.r��3.6q S� BllJ7A1.• 44" a 1 f ,��n4.8�? s• SJDES j(44'xl 1 m SF. f 91 {�1 3.V i 4 ��• TOTAL LEACH. e 1 � 1Li12.G1 oD 0W..�i��-o e3J Ds3°'�o,T i=rs2o i DEPTH 1 SURFACE i -116". i r r SUM WAfi fS7lArtglrFD post-it",b d fax transmittal memo 7M a tom• 157 4"A #77H/N t •tet 15-96 Si, o�c Picone N / Fare MM //��7 0 "V/ r i 07 2y� t 24 —120 i t _ I .STATIC lie E�SE=165.0 £s7wT-L Location ry R 7 No. d 6 Date' w 1( { r NORTH TOWN OF NORTH ANDOVA Ena? .a�o� Certificate of Occupancy $ Building/Frame Permit Fee $ _-~ < Foundation Permit Fee /D s $ s�cNuse Other Permit Fee }$ Sewer Connection Fee $ 0 Water Connection Fee $ b� Z TOTAL $ 7, 4+ B ' 'n ;tispPd& "A2^42 20.E Div. Pu c I�Vorks PERJiIT leo. - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 k�AP igo./o LOT NO. f� 2 RECORD OF OWNERSHIP jDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. SysLOCATION PURPOSE OF BUILDING. ny/ OWNER'S NAME , NO. OF STORIES �1 /-SIIZZE�� OWNER'S ADDRESS A ' BASEMENT OR SLAB o1C ARCHITECT'S NAME /1 , SIZE OF FLOOR TIMBERS 1STqy NDa y�b 3RD.,fx BUILDER'S NAME 4t•;./rely r/'�;PQM SPAN DISTANCE TO NEAREST BUILDING 7G / �6 // DIMENSIONS OF SILLS -- DISTANCE FROM STREET JU/ D POSTS /�� ��'��(•��j DISTANCE FROM LOT LINES-SIDES ryb,_ D 1/ REAR nU/_O N " " GIROERS(y/ !Px/7O AREA OF LOT h nl ,rl �/ ooLL FRONTAGE✓ !�gL It HEIGHT OF FOUNDATION /_ar/b THICKNESS IS BUILDING NEW O/ "c SIZE OF FOOTING /b x IS BUILDING ADDITION 4/4!5 /b MATERIAL OF CHIMNEY b Gl ea r '4nV .t'P IS BUILDING ALTERATION 1/AJ0 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER /D 4 BOARD OF APPEALS ACTION. IF ANY 7 IS BUILDING CONNECTED TO TOWN SEWER 7A)D IS BUILDING CONNECTED TO NATURAL GAS LINE /W 1 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST $'8b. (DoM 6 SEE BOTH SIDES EST. BLDG. COST COST PER S BLDG. Q. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. ' PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM t 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 ANDAPPROVEDBY BUILDING INSPECTOR DAT F / \ BUILDING INSP[CTO11 IG ATURE OF OWNER 01i AUTHORIZED AGENT F E E OWNERTEL. ��� br�5 X356 PERMIT GRANTED' CONTR.TEL.# /A 19 LESSM CONTR.LIC.# f�F�!` writ H.I.C.# �UILDLNG RECORD I 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 I 8 INTERIOR FINISH CONCRETE tII d 1 2 3 �. CONCRETE BL K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER _ _ DRY WALL -GN FIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/. 1/I '/. FIN. ATTIC AREA _ NO 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 1 2 3 _ DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD 4'D _ t ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY ` STUCCO ON FRAME 1 BRICK N MASONRY ATTIC STIRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE C 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBQEL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY- WOOD AVATORY-WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER YL ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. 5� 7141 1 rZ TIMBER BMS. 6 COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR '1 ^ WOOD RAFTERS AIR CONDITIONING •B RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC t 1:t ( 3rd I NO HEATING �_r10RT own of - over No. dover, Mass., 1998 0 - IAKE 9A.G0 CNICN EW ICK A_ TED rG BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR .,c...ti..r•.......... .�..`.V. -..r�...... THIS CERTIFIES THAT Foundation .................................... has permission to erect....................1.................. buildings on ........ ........CO.-10N...h ......./. .v> ..,.... Rough tobe occupied as.................................................. j... .�Q. .........lCi ' i....l!}/.......................................:...... chimney provided that the person accepting this permit shall in every respect conform to the terfhs of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough ........................................ .... ..... Service ... . . .. ... .................. .. .... ....... BUI ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fi ugh Fnal No Lathing or Dry Wall To Be Done .FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. • FORM U - LOT RELEASE FORM INSTRUCTIONS: This fora is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or regnirenents. ****************Applicant fills out this section*****************' APPLICANT: A C, UUI1JY5 Inc, Phone 05-8350 LDCATION: Assessor's Map Number Parcel W00J Subdivision 14AJ Lot(s) Street colon-11a AJL St. Number I45 ******************** ***0 ical Use Only************************ RECO TI S OS: Date Approved AA///; ConservatYon A i ator Date Rejected Comments ,.� L ( ! u- i 5►L�`� v�.� 7 'L,,, �( (kit&._& Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Y Date Approved 16.1-,?9h7' Sep is Inspector-Health Date Rejected Comments -Public Works - sewer/water connections ' �Dloe A?7 - driveway permit Fire Department Received by Building Inspector Date ti TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 GEORGE PERNA Telephone(508)685-0950 DIRECTOR Fax(508)688-9573 AORTk OF "Er 'q�0 O ,n � A • 1 �f1"� # SAC US DRIVEWAY PERMIT Date: X997 LOCATION: BUILDER: phone: OWNER: AQ, phone: �;,d The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: NO 789 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. n `� 19 g r ' Application by the undersigned is hereby made to connect with the town water main in f>Z/�cz �'`� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. � '� ���G'� `� Ale— Street or subdivision lot no. !� A.0 L)I Owner Address Contractor Addres pplicant's Signature 5 ;r CIO PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at �� ��` [� Street subject to the rules and regulations of the Division of Public Works. B rdP blit Works Y Inspected by B Date See back for rules and regulations 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 4Ys foot rod and brass plug type cover. J - 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. Narfiie,qf Appy ant on Building Permit(below) Address of Prope� for Permit (beloo Map and Parcel : Purpose of Application (check below) Phone Number of Applicant: ✓Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is 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. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. AzThe 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.c are 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 iDkrmation, or the c ing off of an above item which does not comply,whether done to my knowled ot, is ounds r r sal by the Building Department to issue a Building Permit. 4 jol n nature of Owner or Au orized Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit i r N79'220✓ , \ o D 4lN p0 L OT 25, 675 S.F. 1 . 00:J . t�2 0p P0 . 0 .298„10 £ : L Or 14 27,998 S.F. p Y o 'A=52'19'4B" o J 30.R= 00 587V7:Y4 L=27.40 _'. pE 2.38.,36 fl 3 cp c J -A * m A=7426'.14" cn Q dh00 / sett `-OT 15 L=,38.98 22,254 S.F. tO"o dh 1 � . 0 (set) �"srh "'•'�•:. ss��j. .SSSS ��2 1• QQ p"0529'48` R-125.00 68 /1� 01Q L=11.99 dh� ('sett 6 s � 9 .03 N80.3232 E [' R O. �. � �.. `• sett . �o F •� �j O V�'I D 254.40 ss ':sr / 3�'32 �r dh mpo'32 32 Builders, Inc . 33 Walker Road North Andover, MA 01845 (978 ) 685 -8350 1=1 EM 00 00 .............................. 28 X 40 C0l01118l Family Room - 2 Gar Garage 4 Bedrooms - 2 1/2 Baths - 2,618 SQ . FT. Pi20JECi a 1418 ■t ■1 IIIIIIIIIIIIIIIIIIIIIIIIIIII � YIIII��IY Ii�NINIiiWiN �IIIiiNllliiiii ► IIIIIIIIIIIIIIIIIIIIIIIIIIII ' IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII �IIIIINII II ■. ■■ II I ■■ ■■ nmmun , 'NIIIIIIIYIIIIIIIIi��' ��IIII�IINII a a a lOEM I No iii� [J� ME ■� �� III :: :: Illalllll� IIII�N I :: is I'1'I'11I'I1111'I'111'I'111'I'I'I�I�I'I'I'1'I'111'1'111'111'I'I'I'111'I III 1111111I1111111111111111111111111-d11111111111I11111111111111111111i '��l �1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII i ii IIIIIIIIIIIIIIIIIIIII :SEE:, ��� ��' O I I 111 I� �IIIIIIIII/111 'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III • • 1 ■■■■ MIN ME � it ► UPON Rol ■■■■ ■■ ■■ I ME M NO II�IIIIIIIIIIII II.■■■■ fillllllllllllll � 11111IIII 11 ;111111111 1 11111111111111 1111111111111 1 111111111 �I11 11�II 1;1111_' I;l11;11111;! ;111 1;11 1;1 !11 I;I; �I!Idll IJ!1!I!I:I;illlllli 111111111111111 i ii ii 1(013/4 20'21/2" 0 14'13/4„ a � 3,°" 216" 5,0„ 2'6' 3'13/48 3'1 l'/4 � Toll x13/4„ 311. me �l IE DIN i 6'0" SLIDING _ _ _ _ I L _ 4- FAMILY -FAM Y5R < FST � I�C�� � STUDY _ O (Vaulted) O S2 - - — — — — — — — — — — — — — — — — — — — —U O 2'4„ O AaWal cab kust layout - I O O O ,n gay vary ,., I N 013 m 2'4" 210" 316' 2 - 2'6" O 4'O„ 3'c 11 3'41/4" N -11EX1/4� — 2'6" 3'0" O �Q 1 z 1 a c �. n i v uP DINING OYER NO L IV INN F If t 2'0' 3,0„ 2'0' 416„ 4'6,. CL CL. o 160" 4'0" 6'6' 3'6" 3'0" 3'0" 3'0" 3'O" 3 6" 6'6" 410" CE .16 1410' 12'0" 1410" FIRS' FLOOR PLAN- 40'0" 11418 - 3 "4 ° 14'13411 10'6t44� 81 411 10" T13/4" 5'4�/4n 5'2" 2'10" 5'611 O O IBEDROOM #4 < < UJALK-IN CL- ° CL05ET o 0 21011 P1�Y CV - o 2'(o" 2'4" 214" .1i6�/4n J, 3")" 3 -�44 2 31011CL05ET _ o CL05ET - o+ 2 - 3'O" "� n S'O° 6'13/4 -------- I r I p 03 Closet floor slopes CA — to maintain headroom BEDROOM #3 for atahuay below S'2,�z" 3'6" � 1„� BEDROOM # 1 N BED #2 1. =;-�. I TO AO 4'011 6'6" 3'6" 6'O" 6'O" 3'6 6'6" 410 14'0 12'O' 14'O' 400' SECOND FLOOR FLAN 1,411 = l'O' 11418 - 4 22,0.1 5,61. 51011 11,61, 1 r ------------- - 0 1 1 e e 1 _____' ' , , gyp' '__-______-__-_____-----_______ - 1 -e- =--s _----a--=-----s --=-e_----_-_ ----�-e----e-=----------- --------o--a--=--- 1 1 .r--------------1------L---------------------------------- - - - - 1 GARAGE FiN15H � FOUNDATION o All wood constructed walls and 4" Concrete Slab 8" or 10" Concrete Wall / 8'0" Pour (+/-) ; ce111ng to have 5/8" type IX' fire 6 x 6-6/6 welded wire fabric 10" deep x 20" wide continuous footing 1 T rated Wallboard installed placed at mid-depth of the slab. Dampproof exterior surface 03 ca � 810. 6,011 4'0' 6,OY _ 6,01, 61011 (0,0„ 5z. 1 10 4V2N 5,11/2 --- I r jL ' ---�---' LP) 2 - 3 1/2111D1a. Lally ColumnsWith 2 6 x 46 x 10 dp, footingw/2 - #5 rebar each way, bottom L L 11 1I 3 - 2 x 12 Center Beam 1 O 11 BEAM POCKET ; >-- 1 I ;0 3 1/2 Dia. Lally Columns —1 J 6 W x 6 Dp x 9 H P, With 2'6' s x 1'O' d footing _ _ _ Shim beam with steel 1 , m ' X 4" Concrete Slab O q" p" 9 ' Cn w/2 - $5.rebar each way, bottom _ _ shims or hard brick a, Slope V8' per foot (8 req'd) _ _ (1 Req'd) I , uP i , t 4"(min) Step down into Garage ; *---------- , 20 minute fire door (min.) ' , - e o e - e - � - o - ' •p 1 - -------------------------------------------- �• ' 1 ,P 1 Q Q 1 ' ------------ ------------------------ r-------------------------------------- - ---------------------- e o e o o 0 1 1 o s o - o• 1 t e v o - s - 1 -.---------------------------------- , 16 O n , L ------ ------ -' 3 14'0' 310" 610" 310" 14,0" FOUNDATION PLAN 11 1 IV � 1/4Y a I1O 11 .................. ...... ....... ...... 2x 12 Rides Board I..-.. FlushFramsd Bea4 t I RTE HII I I I I I J Double Shear Lap Splice—/ Lower RooF All members are 2 x 10 Q 16' 0,C. All members are 2 x 10 0 16" OZ.UN.0) FURSTFLOOR FRAMINn R PR A M IN ----------- Flush Framed Bea i H - Flush Framed Beam ----------- 0. 1-77.1 .......... All members 2 x 8 Q 16" O.G.UN-O) 2 x 12 Hip 4 Rldge Rafters (tw) ATTIC FLOOR FRAMINrl A I I members are 2 x 10 Q 16" O.C.01N.0) ROOF FRAMING 11415 - 6 Continuous Baffled Ridge Vent 2 x 12 Ridge Board 12 -- -- _ ROOFING 1 1/2 1 x 8 Collar Pies Qa 4'0" OC. Composite Roofing Building Paper Sheathing 2x10 016" OL, r Attic _ _ __ -- - , `�Fascia Board 20 ]be _ D.L. 10 lbs G�— LfN�x 7 2 x"8 @ 16" O.C. m insuplation SOFfit _ Q Vapor Barrier with venting p °s 1/2' Wallboard. CIA FLOOR r o°Lo 3/4" Sheathing WALL Second -- 2X10 u� 16" OL. Siding, Air Barrier,Sheathing 10" 2x4 Q16° OL, or 2x6 Q16 O.G. _ _ - L.L. = 30 lbs insulation, Vapor Barrier D.L. = 10 lbs 1/2" Wallboard N FLOOR T 3/4" Sheathing 2X106161O.C. f=irst Insulation SILL 1 - 2x6P.T., I - 2x6K.D. - - - - Continuous Sill Gasket 40 lbe _ 1/2' Dia. x 12" Lg. Anchor Bolts D.L. = 10 lbs _ 2X Fire Blocking @ 6,0" O.C. (max) 3 - 2 x 12 Center Beam _ 3 1/2" Dia, Lally Columns FOUNIDATION 8' or 10" Concrete Wall / 8'0" Pour 10" deep x 20' wide continuous footing Basement- - 4" Concrete Slab Dampproof exterior surface V =cTION THRU Houst= Q 1/4' = 1'0' I 5 r f I' t . Continuous Baffled Ridge Vent 2 x 12 Ridge Board I x S Collar ties aQ 4'0" O.C. K f 12 •11/2 _-_ _-_ ROOFING Composite RoofTng Building Paper Sheathing 2 x 10 Q CEILING Insulation 2 x S aQ 16" O.C. Insulation Vapor Barrier �1=ascia Board 1/2' Wallboard. � Soffit with venting . ; p WALL Sid Ing, A it Barrier, Sheath in FLOOR 2x4 '@ 16" O,C. or 2x6 0 16 D.C. g `A 3/4' Sheathing insulation, Vapor Barrier r 2 X 10 16" O.C. 1/2" Wallboard 't First insulation V-111 - - - - SILL L.L, = 40 lbs 3 - 2 x 12 Center Beam 1 - 2 x 6 P,T,, 1 - 2 x 6 K,D, D.L, = 10 lbs Continuous Sill Gasket Anchor Bolts or approved equivalent 3 1/2" Dia. Lally ColumnstP e_ CfJ a �- FOUNDATiON 81 or lo" Concrete Wall / 8'0" Pour 4° Concrete Slab lo' deep x 20" wfde continuous footing Basement Dampproof exterior surface WING 6ECTION1 FIREPLACE DETAILS Fire clay flue lining 23116 11 x I" steel straps cast in chimney and to frame by 2 - 1/2" bolts or 6 - l6d nails per strap. Where joints are parallel to chimney straps to be connected to third joist From Face of chimney. { ool Non-combustble lintel Support I fining . on masonry S.. 1.8.. 11411 '0. -1 -�- HORIZONTAL SECTION a � D 4 4 A _ O Footing to extend into NOteS" ` natural undisturbed ground Where dampers are used, the shall be not less than No. 12 a, below frost line. . metal and when "fully openly the damper opening shall be not I less than 100°9. of the required flue area. d G C d V P R 1t I C A L t "al o _ o _ 0 0._ AC.. For additional information see Massachusetts State Building Code e n : '' '.: SECTIO Section 3408.0 Chimneys Fireplaces and Connector Pipes STANDARDNOTE5 f- GENERAL NOTES= SECTION GENERAL NOTE6 FOUNDATION GENERAL 140TE5= 1, All dimensions are to be field verified by the Contractor and any 1. Floor design live loads are based on let Fir aQ 40#/aq. Ft., 1. Concrete slabs on grade shall have contraction joints with a depth adjustments made accordingly. 2nd Fir. 9 30#/sq, ft. and nonusable attics Q 20#/sq. ft. of at least 1/4 the slab thickness. These shall be spaced not more . All work shall be completed in compliance with all applicable Roof design loads are 30#/eq. ft. live load and 1#/sq. Ft, dead load. than 30 feet in each direction. Contraction joints shall be placed where l3uilding, Plumbing, Electrical codes. Any other local, state and/or t 3405 . 1 4 Table 34064 I offsets are more than 10 feet. federal codes that may apply, to this project shall be considered as 2. Minimum ceiling height For habitable rooms is 1'3'. In a room with a Contraction joints are not required where 6 x 6-6/6 welded wire fabric part of the construction documents. sloping ceiling the prescribed ceiling height is required in only one half or equivalent is placed at mid-depth of the slab.13405 . 3 . 1 . 11 3. All waste materials shall be removed and disposed of properly of the area of the room. No portion of the room measuring less than 5 feet 2. The ultimate compressive strength of concrete foundations at 28 days 4. Numbers set within t I reference that section of the Massachusetts finished shall be included in calculating minimum area C 3401 . 6 . 1 I . shall be not less than 2,000 ibaJaq. ft. C 3402 . 2 . I I State Building Code for additional information. 3. Stairway Headroom. Stairs between let 4 2nd Fire,and 2nd 4 usable attics 3, Foundation walls shall extend at least 8" above finish grade.13402 . 3 . 13 5. These drawings were prepared per guidelines set Forth in the shall have a minimum headroom of 6' 8" measured vertical from stair nosing. g p p p g Basement stairs shall have a minimum headroom of 6' 6 4. the bottom of any point of a foundation shall be a minisium of 4'0' Mass. State Building Code Section t 34 I for 14 2 family dwellings. C3401 . 10 . 8 , Fig. 3401-1481(o-.2 . 21 v below finish grade.13402 . 3 . 4 I 6. Window gazing shall be considered hazardous when used in doors, 4. Firestopping shall be provided to cutoff all concealed draft openings 5. The exterior surfaces of masonry foundations enclosing basements shall within 5V of a doorway or closer than 18 to the floor. Windows used be dam roofed. t 3402 . 6 I For emergency, egress shall have a minimum o eni size of 20" x 24° (both vertical and horizontal) and form an effective Fire barrier between pp in either encdirefog and shall not be more than opns above the Finished stories, and between a top story and the roof space C 3403 ,2 . 1 I . 6. Lally column spacing is determined by t Table 3405-6 pg, 34-1b I. floor, t 3401 , 1 .2 4 3401 . 10 , 3 I 5, insulation minimum total R value requirements for 1. Wall pockets: Ends of wood girders entering masonry or concrete walls Exterior walls is 125, Floor over unheated space is 20.0, RooF/ceiling shall be provided with 1/2" airs ace on top, sides and end,unless a r'd 1. All walls next to stairways shall have fire stopping installed assemblies is R30, and Finished basements walls is R12.5, t Table 3423-12 . p p 5 pp adjacent to and parallel with the stringers per t Fig. 3401 - 1 7 . durable or treated wood is used, t 3402 . 8 . 6 I S. When plans are used in conjunction with specifications and any 6. A vapor barrier or 1.0 perm or less shall be installed on the winter warm 8, Studs 1n framed kneewalls shall be 14' minimum in length and when the discrepancy occurs, the specifications will supercede the drawings. side of walls, ceilings and Floors enclosing a conditioned space 13422 . 11 kneewall is greater than 4'0" in height, it shall be of the size required 1. When save vents are installed, adequate baffling shall be provided for an additional story. Kneewalls shall be thoroughly and effectively to deflect the incoming air above the surface of the insulation with cross-braced. t 3402 . 1 4 3402 . 1 . i I a 2 inch minimum clearance under the roof deck t 3421 . 1 , 3 I . 5. Foundation anchor bolts shall be a minimum of 1/2' in diameter. They shall have a minimum embed of 8" in poured concrete. There shall be a minimum of two anchors per section of sill plate. FLOOR PLAN GENERAL NOTES: FRAMING GENERAL NOTES= Maximum space shall be 5'0" on center. t 1104 . 8 I 1. Smoke detector systems shall be Type I I I in conformance with 1. All structural materials shall be void of any defects that may E 3401 . 14 . 1 .11 . Detectors shall be located as follows: diminish their capacity to Function in an adequate manner. A minimum of one per floor and basement,one per each 100 sq. ft. Structural Engineering or any other professional services that or part thereof. One shall be located outside of each separate may be required shall be provided by others. sleeping area and/or near the base of,but not within, each stairway. 2. Framing lumber= Spruce-Pine-Fir, No.2 or better,with a Design E 3401 . 14 . 2 I value in Bending "Po" of 1000 for normal duration, 2. Ventilation= Kitchens and bathrooms shall have mechanical venting t Table 3403-3D I systems that provide 20 cFm/occupant.Bathrooms with a window which opens directly to outside air, no mechanical ventilation shall 3. Minimum bearing For joist shall be 11/2", t 3405 . 2 . 4 I be necessary t Table 3401-2 , 3401 . 5 .2 . I I . 4. Use built-up 2 x 4 posts under all beams (4 minimum) . 3. Light and ventilation= All habitable rooms shall be provided with 5. Double up floor joist under partition walls above. aggregate glazing area of not less than eight (8) per cent of the ' floor area of such rooms. One-half (1/2) of the required area of glazing shall be openable. 4. Hall and atainway widths shall be a minimum of 3 Feet clear. Handrails may project no more than 3 1/2' into the required width. E 3401 . 10 . 4 .2 ,3401 . 10 . 8 I JOIST/RAFTER SPANS - HEADER SiZE5 - LALLY COLUMN SPACING MAXIMUM ALLOWABLE SPANS FOR HEADER MAXIMUM ALLOWABLE SPANS FOR SUPPORTiNG WOOD FRAME WALLS JOISTS/RAFTERS All. Span of HeadersDesign Size of Wood Supporting One Story Two Stories in Garages or in Walls Floor Span 12' 13' 14' 15' 16' Header Roof Above Above not supporthg Floors or roofs FIRST 2 x 8/12 2 x 101ib 2 x 10/16 2 x 10/12 2 x 12/16 2 - 2X4 4' 6' 2x10/16 2xi2/16 2 - 2 X 6 4' to 6' 4' 6' to 8' SECOND2 x 8/12 2 x 10/12 2 - 2 X 8 6' to 8' 4' to 6' 4' S' to 10' ATTIC FUTURE ROOMS 2 x 8/16 2 x 10/16 2 x 10/16 2x10/16 2 x 12/16 2 - 2 X 10 8' to 10' 6' to 8' 4' to 6' 10' to 12' - 2 - 2 X 12 10' to 12' 8' to 10' 6' to S' 12' to 16' ATTIC2 x 6/12 NO FUTURE ROOMS 2 x 6/ib 2 x 8/16 2 x 8/16 2 x 8/16 2 x 8/ib ATTIC 2 x 6/16 2 x 6/16 2 x 6/16 2 x 6/16 2 x 6/12 CAPES 3/12 OR LESS 2 x 8/16 TRUSS ROOF 2 x 6/12 2 x 8/12 OYER ATTIC 2 x 8/16 2 x 8/16 2 x 10/16 2 x /16 2 x 10/Yo TRUSS 10 FSF Z x 8/12 2 x 10/12 30 PSF 30 FSF CATWEDRAI_ 2 x 8/16 2 x 10/16 2 x 10/16 2 x 10/16 2 x 12/16 40 FSF 40 IFSP 1 40 PSF 40 PSF JOISTS/RAFTER SPAN NOTES- I S = i/2 W I 1. Span Tables for; First floor ,Joist 13405-2 I Girder Second floor 4 useable attic ,Joist 13405-1 I i ' W Attic Ino future rooms) C 3406-11 Cape attic floor joist C 3406-2 I CA6E I CASE 11 CA&E IIi CASE iV Roofs over attics 13406-6 I Cathedral Roof Rafters C 3406-3 I COLUMN SPACINGS UNDER GIRDERS ' 2. Maximum span for 2x 8 c Joist for cape attics fs 19 11 C 3406-26-2 3 . E Table 3405-6 ] Girder size 3 - 2 x 12 5-13 5-14 5-15 5-16 Fb = 1000 CASE I 9 .111 8._g.. CASE 1i a'-8° CASE i(( T-411 . �'-oil CASE IV 6'-9" (0'-6" 6'-4" 6'-1" Column sizes - 4" x 4" or 3 1/2" diameter steel Footing Size - 2'-6" x 2'4" x 10"d Y Continuous Baffled Ridge Vent R * _ 2x Bottom Plate Ridge Board 2x Band Joist 1 x S Collar Ties @ 4'0" O.G. Roof rafter ' Maintain 2" min. clearance Floor Sheathing Roof Rafters - - 2x Floor Joist Fascia Board --- Ceiling Joist Overhanging soffit _ — 2 - 2x Top Plate ----- - - with venting RidgeDetafl ; � Detail „ . ,O„ Exterior Interm, Fir.1I,1/2„ 1,O ,/21/ „ O „ - 2x Bottom Plate 2x Bottom Plate - 2 x 4 Bottom Plate 2x Fire Blocking 2x Band Joist Floor Sheathing RIC Insulation 2x Floor Joist , R20 Insulation 2x Floor Joist 3 - 2 x 12 Center Beam 2x Floor Joist Lally Column Cap Plate 1 - 2x6 PT, 4 1 - 2x6 K.D. Sill x� 2 - 2x4 Top Plate fasten to Center Beam40 w/Sill Sealer NR 3 1/2” Dia, Lally Column - 1/2” Dia, x 12" Lg, Anchor Bolt I� Internal 1 Flr, E„ _ „ Center 5eam „ : , „ 5 i l l Concrete Foundation i/2 - 1 O 1/2 1 O 1/2” Flashing • Decking 2x Deck framing (PT,) Jo1st Hanger a Concrete Foundation COLONIAL STANDARD DETAILS C� Stair/Deck Gonn. „2„ : 1�0„ Date NOR7M TOWN OF NORTH ANDOVER = PERMIT FOR WIRING ,SSACMUS� !/Y, This certifies that ....................................... ..................................................... has permission to perform•%,... .............................................. wiring in the building of.... ................... at... .........�- ���-La .................. .Northover,Mass. Fee .... ....... Lic.No `� �•... `-----ELECTRICAL INSPE Check # � 5537 Office Use only MECOMMONWEUMOF SACHUSETIS DEPARTMMTOFPUBLf'S4MY Permit No. BOARD OFFMPREVEMONRBGUL4HONS527 CMR]2:010 Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE�R'ITH TI#,MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIO ) Date ToN'n of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical ork described below. Location(Street&Number) 150 "/ca yy ' Owner or Tenant c ; Owner's Address Is this permit in conjunction with a building permit: Yes=Ko M (Check Appropriate Box) Purpose of Building S(r-4C n( Utility Authorization No. Existing Service Amps �Volts Overhead M Underground EE No.of Meters New Service Amps Volts Overhead r7 Underground 1:3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices t No.of Self Contained Detection/Sounding Devices y! No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hm==Govmge.Ptusuarxmthet mt a>csofNlassada tsGa�eralLaws lhaveaamemliabl1rt'yIr>s m=PbhcyirtckxkgCornplee CDmmg�oritssubsuitalegtwmktt YES NO lave submrtrodvalidproofofsatnetothe Offm YES F)whawdrdodYES,plmindcatethetypeo oDmmgeby 6pl7e NSURANCEbox BOND OIHQt F11—•JC/C(�/T/ (Please Speffy) � `` '- ae'(7 �V/� ✓ fl�i�G✓c3rr�C �`il�h(;a. ' Estimated ValleofEiechicalWak$ WodcroStant kOV hWearonDateRecltested Rao Final Signed undaTie Res of perjury: FIRMNAME Lice=No. li�see I /�Y]t-/ �/✓�r a rr e Signahne LkawNo � ,J. Bu�Tel.No. t' � -� A �A/')60/c/� C/60 %VCS?116 yNC ln4 ()&V(-/ Alt.Tel No. O)A7NER'SINSURANCEWAIVER;IamawarethattheL=wdoesTrothavetheinstrtar=coverageoritssubstantiale nvakdasregtmedbyNlmdmsezGema]Laws andthatmysigiakoonthispemmapplcationwaivE ftregt u (Please check one) Owner Agent Telephone No. PERMIT FEE$ signature or Owner or Agent