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HomeMy WebLinkAboutMiscellaneous - 1492 GREAT POND ROAD 4/30/2018 1492 GREAT POND ROAD 210/Og2300.0000.0 1� I I Date..../�..f.`'....� ....... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING < CHus�s u � This certifies that ...............................J(.......................................................... has permission to perform ......, o s /`-'Z 6°' xx...''............./................................................................................ wiring in the buildingrof......... /VG ~" I � ........,North Andover,Mass. at ............................................................................................... . Fee..............................Lic. No./......3�1°. .................................................................................... ELECTRICAL INSPECTOR Check# ��� i D Official Use Only � Commoiuvealt�i o/Va6aac�elt� / eCJep lt..t o/-ire Seraicea Permit No. /�0n I 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/17/2015 City or Town of.N,Andover To the Inspector of Wires: C By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Numb 149Great Pond Owner or Tenant NAk, Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes x❑ No ❑ (Check Appropriate Box) Purpose of Building yes Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install lights and power in 2nd floor bath and kitchen fit up. ' Completion o the following table may be waived by the Inspector of Wires. t No.of Recessed Luminaires No.of Ceil: No.o Total Susp.(Paddle)Fans Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Luminaires Swimming Pool d. ❑ grud. ❑ Battery Units No.of Receptacle Outlets 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. Ton No.of Alerting Devices Heat Pump Number Tons I.KW No.o Self-Contained No.of Waste Disposers Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Co nnneectiocho n [I Other Oth Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters I Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irmg: No.of Devices or Eq uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6,800.00 (When required by municipal policy.) Work to Start: 11/17/2015 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information 'rue and complete FIRM NAME: TMB Electric,Corp _ LIC.NO.: 1136MR Licensee: Thomas M Buia Signature ,'t,^> _ LIC.NO.: (Ifapplicable,enter "exempt"in the license number line) tl �J' ° ;us.Tel.No.: 603-365-9927 Address: 40 Lowell Rd Salem NH 03079 «t Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Pub: 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 a ent. Owner/Agent PERMIT FEE. $ Signature Telephone No. .- � � r } J �� ��� � � ( Om MONH/ gLTH OF o o . 15SUE5 £. CTR l G 1 ANS TH ..FOLLOWINGGCNSE As. , EREp IAST ;. L E GTR f e-j.At4 n% Mf 3 LECTR I C CORP i NOMAS < i ..., 40 LOwt Rf. f 1 I • r The Commonwealth of Massachusetts Q) Department of IndustrialAccidents 1 Congress Street, Suite 100 j Boston,MA.02114-2017 www.mass.gov/dia SJ• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY- Applicant UTHORITY.A licant Information II Please Print Ltgjh1Y Name (Business/Organization/Individual): �✓� E�eCf1 c Cc-1 Address: qO to,✓ ,(( C AJO LM,{f City/State/Zip: 5atew, AJO O-07e( Phone#: Co 3 — 365_- 9'1-&7 Are you an employer?ChecIc the appropriate box: Type of project()required): 10 1 am.a employer with employees(full and/or part-time).* 7. 0 New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. n Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3..Q I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 10 ❑Building addition <1 I am a homeowner and will be hiringcontractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t Other 6.FJ We are a corporation and its off gers have exercised their right o£exemption per MGL c. 152,§1(4),and we have no.employees.[No workers'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 are 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 state whether or not,those entities have employees. If the sub-conlracfors have employees,ttiey mut provide their works'comp.policy number. I am an employer that is pi•ovidthg workers'compensation insurance for my employees.•Below is the policy and jolt site information. ` ^ Insurance Company Name: Policy#or Self-ins,Lie.#: Expiration Date: pp ," Job Site Address: l of �x �- �0r� 1 d City/State/Zip: /�f A Ak Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. Ido lier'eby certify under the pains andpenalties of perjury that the information provided above is true and correct. Si riature / C Date: I I1 aU//.r phone#: q `3C() `7To3 - Official use only. Do not write in this area,to be completed by city or town officiax. 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 8 hire, express or implied,oral or written." An employes 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"tee 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 rrequired." 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-contractox(s)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 Depat(went 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-in'sur6d companies should'enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-NUSSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia �t,TRYFj . c r� e NORTH ANDOVER BUILDING DEPARTMENT �• a a<o :<.. 4 �s R~rEn �5 1600 Osgood Street saccus North Andover Tel: 978-698-9545 . Fax: 978-688-9542 BUS SSFO"FOR TOWN CLERK DATE: NAIL: ti/41,1i Z C0P14 0 pl,'r C Ti UA-1� ZT TYPE OF13USINES : BUILDING LAYOUT PROVIDED: YES NO AMMAILARICH k AR MG SPAMS: ZONINGBYLAWUSA.GE: YES NO BUILDING PE TM SIGNATURE BUSINESS FORM FOR TOWN CLERK 2.40 Rome Occupation(1989132) .An accessory use conducted within a dwelling by a msideat who resides in.the dwelling as his principal address, which is clearly secondagy to the use.of the building for living purposes, Home occupations shall 'iiiclizde,-bu't not'Jimited to the following uses; personal services such as fun�ished by an artist or instuctor, but not occupation involved witft motor vebiole repairs, beauty parlors, animal fennels, or the conduct of retail business,or the manufacttui6g ofgoods,whi&impacts ilia residential nature ofthe neighborhood; 4. For use of a dwelling in any residential district or multi-family disitict for a Borne occupation,the following conditions shall apply: a. Not more than. a:total of three (3) people may be employed in tho.tome occupation, one of whom shall be the=owaier ofthe home occupation anal residing in said dsrielliug; b. The use is carried.on strictly within the principal building; e. There shall be no exYterior alterations, accessory buildings, or display which are not customary with residential buildings, - d. Not more than twentyr fiizo (25) percent of the existing gross floor area of fho dwelling Init. so used, not to exceed one thousand (1.400) square feet, is devoted to'such use. 7n connection with such use,there is to be,kept no stock in trade, commodities or products which owupy space beyondthese limits; e. There will be no display of goods or wares-visible,from the street; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; -g. Any such building shalt include no features of design.not cust6m@�)T in buildings for residential use. signature D 1 , Location No. ` Date MaRTM TOWN OF NORTH ANDOVER a�Oi�t`•D '�,M�O s L • i ; , Certificate of Occupancy $ �•�s° °'�t�' Building/Frame Permit Fee $ J^GNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .7 t Building Inspector° TOWN OF NORTH ANDOVER j BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: {—�� DATE ISSUED: SIGNATURE: /U&f Building Commissioner/12§3ector 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 Distrid Proposed Use Lot Areas Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40.11 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 __4 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record \ Name(Print) Addressor Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 00 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 O3 Q�A9 O License Number Address \—L— \Z1 \ Expiration Date Signature Telephone r gistered Home Improvement ctor Not Applicable E)3. ev Company NameC m Registration Number r Q_o0A Address r ` n ars (a 3 (co Expiration Date ^z �Vina Telephone Y/ 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 applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief caption of Proposed Work: I " SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY om leted b permit applicant I. Building / (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 BUII.DING 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 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 i a ure oI caner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2ND 3PD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE eo —oa"q�-4&mwa I ; HOME IMPROVEMENT CONTRACTOR Registration 103317 x Type - DBA Expiration 07/07/00 CASTRICONE ROOFING & SIDING C RaT-. T. Castricone ADMINISTRATOR N. Andover MA 01845 ... '"°..:• �1tC "(/�049?/YI2O02CIIBCLLUZ ����1 - ,,,,.,� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 034049 Birthdate: 12/08/1923 I Expires: 12108/2001 Tr.no: 10391 Restricted To: 00 MARIO T CASTRICONE � : 31 COURT ST N ANDOVER, MA 01845 Administrator The Commonwealth of Massachusetts 4 _( Department of Industrial Accidents ' gme o1/nvesUy2tl0ns s 600 Washington Street Boston,Mass. 02111 1 Workers' Compensation Insurance Affidavit namesQ — location: 'i C-OA V6 N O city_ ❑ 1 am a homeowner performing all work myself. ❑ f am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. T co 0311v address �� � 1r.R� �a��" '• . 11 insorance:Ce. "UM ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnany name y ditty W. X. -.: .S} ..:vv:wi.::'::•}•+ ..;.. ..![•. ... ,t 3. Y} •.,1::'iX.'•i':1 } 'C..:..<!!^-0^!S+•I' w::J. ......:!•:is"•.!v y:...... ..: + ry ' '. :....:...�:.:i'?Y4:iii:.::::•:'::' is x:.• :. r;::'':::%`:;:;:::,:!lo-:::';:::: ;i:::•::::::° :`!'.Q'i; address. ........ city. ,.insurancd cosy Failure to secure coverage as required under Section 25A of MGL 152 can lend to the Imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pen ties of perjury that the information provided above is true and eorre L Signature Date fJV v1 Print name_ �`�kck_ ° . i C-0 ILE Phone# [contact ly do not write In this area to be completed by city or town official permit/license# -Building Dj OLlcensing B mediate response is required Dselectmen'OHeatth Dep : phone#; -Other (Mvired 7/95 PIA) NORTH Town ® = 4 ®ver 0 +.. �A . No. - - __ O �_ dover, Mass., ��' Z • Zo�w � l AO COC MIC((( WIC Q� `y-`d DRATE D P"? 5 S H � BOARD OF HEALTH PER Food/Kitchen Septic System IT T BUILDING INSPECTOR THIS CERTIFIES THAT....... ...................♦................................. ................... Foundation has permission to ere buildings on/441z...... .... . ....................... Rough tobe occupied as .......... a................................................................................................................................ Chimney .. . . .. . . . . provided that the person acceptin his permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 0; ' drof PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. • Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR Rough .......................................................................... ................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT r Street No. SEE REVERSE SIDE Smoke Det. Tel, 682-4266 ASTRICONE ROOFING & SIDING CO. 31 Court St, No. Andover, Mass. 01845 C� C)c� Location No. .Q 4 Date Z 9 �oRTM TOWN OF NORTH ANDOVER pCertificate of Occupancy $ `sz) 40 4L I Building/Frame Permit Fee $ 'Ss�cMusE` Foundation Permit Fee $ ' Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL 0 $ �k"22t'L Building Inspector 2/25:5 10:01 440-CO PAID 790 Div.Public Works PER111T NO. © 4--Zfs APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. f I LOT NO. eo 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE — ZONES? IV. LOT O. LOCATION �5`v� / f42 PURPOSE OF BUILDINGW�-' OWNER'S NAM ` - i/� / �! NO. OF STORIES SIZE t, OWNER'S ADDRESS BASEMENT OR SLAB . ,•Sa:n ARCHITECT'S NAME SIZE OF FLOOR TIMBERS ST Cg"< 2ND 3RD BUILDER'S NAME f, R�� Y' /�{Q�2�y_ SPAN DISTANCE TO NEAREST BUILDING /1YJ7 � C� DIMENSIONS OF SILLS --- DISTANCE FROM STREET ! ZjV POSTS �x / DISTANCE FROM LOT LINES-SIDES �.� �, REAR 0 4- GIRDERS y O AREA OF LOT3SFRONTAGE /j-0 HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW •/ `� SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO"REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY TT IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS3 PROPERTY INFORMATION I•-(_,�C//7 e �I ,/)�,4.�,� LAND COST SEE BOTH SIDESI / 'J _/ EST. BLDG. COST 6 � PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 FILED G�-G�l/ Z [ �/ iU1LDiNa iNir6CTOR SIGNATURE OF OWNER OR AAJTHORIZED AGENT �X F E E Cj' OWNER TEL.# ('/ `y z- PERMIT GRANTED CONTR.TEL.# n 19ly, CONTR.LIC.# 6� Z. Zy� H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY Si ORIES 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 I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. s CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 2 13 s CONCRETE BL K. PINE HA BRICK OR STONE RDW D PIERS PLASTER _ _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T AREA _ 1/1 '/+ V. FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD\V D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME ICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13ATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT I 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 WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd 11 NO HEATING NORT Town of � � � - RAndover No. 0 4 5 =j * - Z 5 _ -fort dower, Mass.,�'��Ae-`( 190 T Q . LAKE /�� CU(Y11C11tWICK % "40RATED �� H E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... !;.r .rs�!4.!r..... 4!4 ,.....j.' �r.�'.l L4:tt� % ................................................................. �. ! Foundation has permission to ereet..A.oUe. AP.AL(L buildings on �:A .t i:z?�.... '-��................................... gc,u. to be occupied as...Quafi11.e....E M► ��1.rY --.... I?J�.�r IQ. p ... A�. ..`�.............. ..... .. Chimney provided that the person accepting this pe�tnit shall In evbry respect conform to the terms of the application on file In inal I this offlce','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. PLUMB/ G/ NS),'E s , p VIOLATION of the Zoning or Building Regulations Voids this Permit. R° PERMIT EXPIRES IN 6 MONTHS ELE ICAL IN PE CONS 'R C OT T `.. .)-S- UNLESS ......................................... ..... .................. BUILDIN INSPECTOR in A&VVie. , " cupancy Permit Required to Occupy Building GAS INSPECTOR y.f Po z 4��i" Rough s lay in, a ;Conspicuous Place on the Premises '— Do Not Remove Final _ No Lathing or Dry Wall To Be Done FIRE�DEP�RTM) T , ' Until Inspected and Approved by the Building Inspector. Burner ,�Cl/ PLANNING FINAL CONSERVATION FINAL Street No f� Smoke Det. SEWER/WATER JINAL DRIVEWAY ENTRY PERMIT Town oft rth, dover � o ' Ido. 0 4 5 y ' ortAndover, Mass., uAQ`( Z 19 S w�CK �L rem nP i�' UILD BOARD OF HEALTH Food/Kitchen ., - PERMIT Septic System s BUILDING INSPECTOR =' THIS CERTIFIES THAT...Cot ort is .... !.!-4-! f�... E�IF. .uPn1 .............................................................. Foundation has permission to ereet..A.(,T*e QEP.A..l.lL buildings on ..1.J.A.0....&R..�,r4T..1��.....Ao.......................•••.•••••••• Rough to be occupied as...211araL �... Y�. . chimney provided that the person accepting this e�lnit shall in evb respect conform to the terms of the application on file in P P P 9 P ry P PP 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 t Final PEP,M1T E.XPM F S IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS' 'N,( 1 I, Irl'- R Rough :... .... . ...................................................... ...................... Service BU ILDIN INSPECTOR Final Occupancy Pemiit Required to Occl,tpy Builclirlg GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT woo KNSINFEF,446HO COMPANY 3 WACHINCOT ON SQVARE. PO aC)X 1244 "AVERHI ;-. MASSACIIUiETTS f)I A!'I LNGINEEFiS AND -AND SUP.VEYC'MS ------- post.jo Fay Note 7671. pram —E January 31, 1944 FTOr Colonial V1.11496 Roki Istato PrAr.e+r I Fara fs FAX 0 Re I Ott �CtLLrwl Inaper-tIon li'40,; Greet Pond Road Morth Andover,, XA near Kr. Stronyc -�4*otad by you,, Peter D. Maurits, a structural engineer with §radtox, ,arjAq C,0MV&ny, Vtgtt*4 and Jnapectq4 the ok�ove roisroncad pros:oortV for th- .408s, 6f aggegoing the ot"otur4l damage ceased by a fire in the basomoat C .ht hmq. The fire began in the front left basewnt Of the how &no spread thtough the I(, portion of the basement. The fir* resulted in charring to the floor 5014t, t carrying Loam and portions of the plyw000 *"athtng- Typically tht) layer of Cho wase astiAoted at between 1/8" to 1140 thick, with isolated 41:4 sustaini4v mcrN 1X0404iVQ d"&96I, in exposed to the high h#4 Ut tomporatare of fire, it will dacay t- ..A) :t jnsuJatLnq layer of char : -t retards further degradation 0.0 the wood. !,&A 4 low thormal cond"attvity which means the un-charr*4 croaD s4ctiona- -wrielns at a low tc -,*rwture and can continue to carry load. Aq the attune 0, woad moml:Iar 4.a %at 16'orm through the inane of the section and the urbvk on of the member. -jtain6 its strangrth, the load carrying capacity: rrzar member is diminlahtd only In proportlr,n tQ its Ions of iie being tha c&6*, atrvc,=&l maixbors were, chocked for exceas i.facts of small section loss on the ze=er cayaqtty teras joists for the first floor consist of 2 x Iola at 16" on center. The front span ,Asasurns 1-41 maximuz while the rear span mesavras 11 feet. The fo"xt**n foot joint Axe already at capacity and section load as largo as 1/80 will result in an overetreAs. However, the eleven foot joists Can tolerate a 10GS of up to 1/4' along each aide and bottom of the member. The main carrying beam, most hsavkly d4rdaged at the left end of the hoQ06 sp"s eight lopt while supportiftg only the first floor area, Tinder these conditionq, the 5* x * I 1/4" C&cl�,Ylxq beam can tolerate a 1/$f- lose along the sides and bottom at the be&rj` &r*U And & 1/4" loss near midaptn. It you shoos* to sandblast the structural members free Of the char layer, rosulbern with looses lees th&t speoitiod Above can remain in a*rvLca. YAkrbarn with groattir losses cni,, L+a roinfoxcad or replaca4. Nsew joists can be "sistdred" alonq 4146 existing jotats. True span of the os.rrylAq beam can be redwood by InOt4lllnO A, new column car tho C6rryLng b4A4 Can be repl.aced. I would recorro6nd that afto- Sand-bl3r-Ting thX v4VAbocs C166ne the M*MbOrf be to- inspected to determine wt tad roo4jlin and ?rich need tc be replaced. Regarding the plywood sheat,ii.ng, much ;i rho plywood ahiolded from k,vxoLng and choXring by the Inavlation between the 10 'ate. UndA-4"944 of plywood can remain. TtA structural integrity of piywood that r. chorred in quoct!onable ao tht heats Affect on thw adhootvau batween tAc plion may CABult M6.—&... to 4p +.hat tha charred vortWniF of FEE', 0 =,� WET< 04 :0A F't1 Miw..o...... ...-..^•• -- - --- - 1500 Great Fond Road North Milovor, Xk Pager 2 the p. ywood be rmz=vad a ld roplaoad. A.bova the baeaeme nt. level, damago from trio t�Lre is limited to *mok* &ftd wster damave. Thetas was no airp4tart struator4l damage. I nope the above information is of use to you in aaaeasing the condition of the property. Should you have any questiona or require any 444ktional LnfOrmationa plaasaa do riot h*aitat>a to Coll. very truly yot%ra, D V �,.�= : Peter D. kauritr p.s. Structural Bngin**r Bradford Sngineerring Company �,�r� w axe.achrnent � (�,r�� 7 w �f�`y #t �. ell Shtlt NO Mqf�"..r.._. Cam - - ---- — Dote. ..... `0` _ �' - .. ,_., GnacK._,_.•.�, Cant. No. ,r 6 .S a� � •� Ip = 2�.� ,�,� 6 ��5'��. '��t " lass � s��. ��'"a�,, ��r �, � ,� �,:.� 1� �.•^.,�. r�0 a r7 Y+4c+. Y` ` J Z �a I•J J j I �6 I,q Z,1(n 1 —10 .�..�.r�a.kC �, � ori "c d.�.,r� cSac,L��►,.�•• �� r� 1� C�.t� � ttvn lkjr "jb . t Gv4,S+ 1 l,oir't �•- GL�t , Err iY,� �' Cl G+'tS•t. r'rca,r'1 � �`..f� t�.•..�,� �,��s)������ r —7( � ,rig lam. �Y{' cam,? cv^a,.•ck C.s,la,/I�� � �`� )t�,��3')/�[, �`"�'•i ^ �`';(•� Am No, 8hoot No. of Date—i4ai-1 9 —Ia— Pam Com. No. C61 ;74T BRADFORD BRADFORD ENGINEERING COMPANY,3 WASHINGTON SQUARE. P.O. BOX 1244.HAVERHILL.MASSACHUSETTS 01831, TEL.(508)373-2396 REGISTERED CIVIL ENGINEERS AND LAND SURVEYORS FAX: (508)373-8021 February 22, 1995 Colonial Village Real Estate Att: Mr.Doug Strong Re: Structural Inspection 1500 Great Pond Road Noi-th Andover,MA Dear Mr. Strong: As requested by you, Peter I:. Mauritz, a structural engineer with Bradford Engineering Company, performed a follow up inspection of the above referenced property for the purpose of assessing the work to repair fire damage to the structure. A recommended course of action was presented in my letter to you dated January 31, 1995. The frairing in the basement was sand blasted to clean woad,removing the charred portions of the timber members. The section loss of some of the timber joists was greater than specifiedin my previous letter to you.These joists have been reinforced with new 2 x 10's adjacent to the existing joist. Portions of plywood have been removed at the left rear corner of the house. Otherwise, the plywood did not experience any structural deteeiorafio,>;.The remaining plywood in good structural condition. The main carrying beam has also been sand blasted clean A steel pipe column Witt be installed within the rust span, reducing the span to roughly four feet. The 9"by 5" carrying beam;s sufficient to suppstr t the first floor tributary area. The work performed to date is satisfactory and within the intent of the previous letter. The renovid;ons are structurdly adequate. I hope the above information is of use to you in assessiag the condition of the property. Should you have any questions or require any additional information, please do not hesitate to call. Very truly yours, D. Peter D.Mauritz P.E. ae �It,3Et+ Structural Engineer M '°`-+� Bradford Engineering Company 40 + .y, a { 4 CERTIFICATE OF USE & OCCUPANCY � . , Town of North Andover 9, Building Permit Number Q5- 04S DateW ► 3, qa y- ` f THIS CERTIFIES THAT THE BUILDING LOCATED ON � 12 CQ-�'aT holl� MAY BE OCCUPIED AS IN ACCORDANCE i� WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND , ' SUCH OTHER REGULATIONS AS MAY APPLY. i 4f s , pO111N �0 V L LL SMB ' o ,,.•• .,do CERTIFICATE ISSUED TO ADD tA s����s Bui rng Inspec of I f , . t ' 4 i :s I t Tn 2246 Date.,7 . : 3 ' e� } Of ,0 oT a TOWN OF NORTH ANDOVER o 0_ " o° PERMIT FOR GAS INSTALLATION 9 �9SSACHUSE�5 This certifies that . 4�74 S-1 c!e tti f'/� � /9 s� -t . has permission for gas installation . .0 Xg. . . . . . . in the buildings of . .P.I. r... . . . . . . . . . . . . . . . . . . . . at S,l.. . . . . . . . . .. North Andover, Maw F � Lic. No.. . GAS INSPECTOR o WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GO) F' MASSACHUSETTS UNIFORM APPLICATION FOA PERMIT TO DO GASFITTING (Print or Type) ` Mass. Date �J 19 q6 Pe mit / // Building Location l/ Cl Owner's Name a7k/l/ Type of Occupancy �!J/,(� New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N N � W N Y Z ¢ N N 0 U CC y ¢ N ¢ O N = F W J 0 W 0 V m o } W a m of F- y w 0 a c 0 N 6 N V V W = y Z < fr O a W W W N_ J = a 2 W ¢ CW7 ¢ W ~ W V 2 ~ J ~ F- N r N Om 2 O ~ �" 0 t~A X w S X a a ¢ a W > z w < ¢ a < 0 o W G o w f- ¢ 'x 0 0 S a 3 c v J c> a > o a h 0 SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR I 4THFLOOR STH FLOOR 6TH FLOOR 7THFLOOR 8TH FLOOR Installing Company Name E a_.s t e r n P r o n 2 nf� t=?.s 1-i C Check one: Certificate Address 131 W2.*e r Street Corporation Danvers , I:tA 01923 ❑ Partnership Business Telephone ( 5 0 S) 774-1930 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a curreg liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Yes, please indicate the type 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. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner[] Agent ❑ Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge al laws. BY T e of License: Plumber SignaWle of Udlensed Plumber or Gas Fitter Title asfitter / Master License Number t0 2— City/Town Journeyman APPROVE IC USE ONL j BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. _. APPLICATION FOR PERMIT TO DO OASFITTING NAME A TYPE OF DUILDING LOCATION OF BUILDING PLUMOER OR GASFITTER LIC.NO. PERMIT GRANTED DATE 19 GASINSPECTOR 5.51 2 Date,/ HORTN TOWN OF NORTH ANDOVER Frpyj„aO '°,ti o9 PERMIT FOR GAS INSTALLATION . �o�� a �,SSACNUSEt This certifies that . . . . . . . has permission for gas installation . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee. :.� . . . . Lic. No.. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 2a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N . A Y)d t)ie r ,MA Date G 3Q 19Y_ Receipt# ic# 3 Building Location er'sName �� O�C Map: Lot: Zone: Type of Oocu cY 1"'� S c d!r f7 GC- New Renovation O Replacement Plans Submitted: Yes 0 No 0 Fee: ,a ai = y Y W ¢ W N H N V 2 F ¢ W ¢ y ¢ O ¢ W x r O W ¢ O 0 �' U) Z J ¢ W H �, m Z .� ¢ Q O W ~ < ¢ 2 D O 2 W Q ¢ O O W F W W O _ d N ¢W. ul t7 V W N Z < U) O ¢ > W C W F F x CC Z, J Z W W a O � W F W J F W 1 Z Q W - Q ¢ - f' ! N m 2 O Z ¢ O Q W > ¢ W n 2 R ¢ < < O O W O W ¢ x O c� x a 3: 10 0 _. n ¢ > c a f- O • SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name AS nr- Checkone: Certificate Address 13 L)&a Ft' �f-� _DanVSrr5 Y'rl a 0 q a 3 Corporation EstimateValueofWork: 0 Partnership Business Telephone 1- rl o - ;. -to G O Firm/Co. Nameof Licensed Plumber orGas Fitter Q V\ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Qf No O If you have checked Xes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 511' Other type of indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: Owner❑ Agent 0 signature of Owner or Owners 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 thatall plumbing work and installations performed underthe permit issued for this application will be in compliancewith all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Law . By Type of License: &'_ — Plumber tidnature of Licensed Plumber or Gas Fi r Title Gasfitter �J Master License Number l L City/Town Journeyman APPROVED (OFFICE USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTINO NAME S TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC.NO. PERMIT GRANTED DATE 19 GASINSPECTOR 2532 Date. .s ./;'����'.�....... / l p h NORTH TOWN OF NORTH ANDOVER O PERMIT FOR GAS INSTALLATION � p '1s'ISS .1CeMUSE�I( .r 1 i This certifies that . . A/. Ct. . . . `. .�. .S . . . . .i. . . . . . . . . N has permission for gas installation /P. I�'/-I �. . . . .Q. in the buildings of . . . . . . . . . . . . . . . . . �. at . ./.y.� . . ��?� .{. ��': . . . . . . . .. NqTth Andover, Malts. a .. Lic. No.Fee./� AS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File s MASSACHUSETTS UNIFORM APPUCATIOH FOR PERMIT TO DO GASFITTINtG (Print or Type) t NORTH ANDOVER Mass. Date z ; ,y /�, %99 tuilding Location 141- 7',Z Permit P, "V/JduOwners Name ' New �� Renovation II Replacement Plans Submitted m c US ai U2GI ai as U F- c Go o - C to H W W - - - = ums C .of to -2 _Q ua C o� W '[ G rC- n Y � L., - - - - ar — o c L W cs 1 - — - O LLI C C > ti Y CJ 1 t- to - - {) 11 ..I.- aASE&IEYT I A.( :.l I ► f 1 ! i I I I i I i I ..:( � :�.:: - :" � _.� {{ t 11ST FLOOR 2Nn FLOOR 1Ra FLOOR S,H FLOOR ..I_. ..I - ._.{L I. - I 5TH FLOOR 6TH FLOOR I I I I I I I I I I I ( I I I I I II I I I I I I I TTK FLOOR STH FLOOR (Print or Type) / Check one: Certificate Installing Company Name Corp. Address %j ��v,'�� 7�,GL /9/J� Partner. -_.... /7�7G 7 �zpN 01o, FirmICo. Business Telephone: "/ Name of Licensed _Plumber _or..Cas Fitterj9��� Leu/),f Insurance Cove- race: lndica:e t -e ;•ape a' insurance coverage by checking the appropriate. box:. Liability. insurance ,policy �-Ot^er type or indemnity ,=....Bond Insurance Waiver: I, the undersigned, have been made aware that -the licensee of this application ,does not have any one O; the above three insurance._coyerages._". ., Signature of owner/agent of property Owner Agent I hcrchy cc,rtify thst ill of the devils and information 1 have auhmitted (or entcred)in above application are true and arcuate to the best o!my ic-zowtedre and tfut sa plumbin; wort and inatatutioca ;aiarme; undue ttrrnit i:=ed fo: this sppiic tion will be In wmp(iutos with alI yatSaeat Provisiona of the titarsaG4use(1a State Cat C,3de and C%Aptcr 14.1 et t.`_a CC_nc� Lyra• — 3v TYPE LICZNS=' �� Ti..le I Gasiitter Signature of License: City/Tcwn.- Master Plumber or Gasfitter Journeyman /% APPROVED (OFFICE USE ONLY] License Number •