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HomeMy WebLinkAboutMiscellaneous - 15 GREENWOOD EAST LANE 4/30/2018 15 GREENWOOD EAST LANE I '� 210l098.C-0076-0000.0 l� 1 I Location No. Date 1 GRT" TOWN OF NORTH ANDOVER ?Of�,•"`•o I_••hO� f R Certificate of Occupancy $ CMS t� Building/Frame Permit Fee $ cj p CJ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4�l?a Check # 30q� 17 1 8 6 A Building Inspector TOWN OF NORTH ANDOVER t BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: b S Cf 4 -13 -° SIGNATURE: BuildindCommissioner/InTeclor of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: The 7-1 Map Number Parcel Number f 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Waterly Mrm .G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 'I?"private ❑ Zone Outside Flood Zone �, Municipal ❑ On Site Disposal System, ❑ _J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT IStoric District: Yes No 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 i;`tarter of Record: Nami Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor:: Not Applicable ❑ D1010 22 Licensed Constructio S ipervisor: L-J License Number Addre ,% ?-71a c Expiration Date St turd Telephone 3.2 Registered Home Improvement Contract �7- Not Applicable ❑ l� Company Name M Registration Number r rM Address z Expiration Date ^ Signature Telephone !�/ 0 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.......s No.......❑ SECTION 5 Description of Proposed Workcheck all a lrcable New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: /3.472010XCIV Xil 14Y 5/w,/_ ;y SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be (Dollar) OFFICIA:LUSE ONLY Completed b ermit a licant � z 1. Building (a) Building Permit Fee D ®� Multiplier 2 Electrical (b) Estimated Total Cost of yD © o Construction l 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection — r. 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 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 h 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 i Print Name Signature of Owner/A ent Date ; NO.OF STORIES SIZE BASEMENT OR SLAB " t SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIlvIENSIONS OF GIRDERS r HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I I *. � �ft.6 Tj(t7)tOTt-ditUiP��� O( ��(fXQdIIClltCG3�y(q BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' Number: CS ' 023647 birthdate: 04/27/1953 Expires: 04/27/2004 Tr,no: 21497 Restricted: 00 i ANTHONY C DIDIO _ 549 WINTER ST N ANDOVER, MA 01845 Administrator u a The Commonwealth of Massachusetts Department of Industrial Accidents � d Office of Investigations tie .� Boston, Mass. 02111 1b Workers'Compensation Insurance Affidavit Name Please Print Name: D, 010 to 10 /c'l --� Location: 571 J a r y fF70S/' 191d lt4 e City Ne k l ei Phone # F-1 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for roy employees orkingon this job. Company an name: t D W h C/ _Address o Gil/!/�v ® City Phone ® ,-42 #: e Insurance.Co. � �lo�� ��I Po # Company name: Address City: Phone#: Insurance Co. Poligy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment.as-we0_as_civil.,penattiesin.fhefnrm-of-a_STOP WORK_ORDER.and afine.of_($100.00)..a day.against.me. 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 a pains and penalties o erju f the information provided above is true and correct. Signature Date Print name IA �'!:L-A �, 1)"42-e Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone A ❑ Health Department ❑ Other ' y North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S'54, a condition of.Building Permit Number is that the debris resulting from this work shall be , disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: e C414 (Location of acility) i jgnaturof Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector V4/U4/ZVV4 U4:U4 YM - ulna amc+ L'e x' sir aio uu +c, ci , a AGREEMENT This Agreement is made on this theZday of February,2004: between the Owners, William Di 4darno and Heather Clark.. 15 Greenwood East Lane,North Andover, MA 01845; and the Contractor Angelo C. DiDio Building and Realty, Inc., P.O. Box 395, North Andover,Ma 01845; The Project is a renovation at home of the Owners 15 Greenwood East Lane, North Andover,MA; The Architect for the Project is David Whitney,49 Linden Street,Arlington; MA 02476. ARTICILE 1 TIRE WORK OF THIS AGREEMENT 1.1 The Contractor shall execute the entire work described in this Agreement and attachments hereto,expect as specifically indicated in this Agreement to be the responsibility of others,as follows: The work as described in the plans entitled: Clark/DiAdamo dated September 27, 2003,including: 1. providing shoring,demolition and removals; 2. provide rough frame alterations; install beam,footing column and hangers 3. prepare for bath and mechanical work;repair as necessary 4. provide electrical rough and finish; 5. rough and finish for bath and mechanicals; 6. sheet rock and blue board and veneer plaster, 7. mill work and doors per schedule; 8. galvanized metal and installation; 9. floor file and carpet installed; 10. installation of all fixtures; 11.painting. The Owners shall provide the following fixtures which shall be installed by the Contracton lighting,faucets,cabinet hardware,bathroom accessories. The contractor shall carry the installation of all fixtures in the base bid. The Contractor shall not be responsible for any delay caused by the Owners failure to provide said fixtures. 1 6.3 The contract Documents shall not be construed to create a contractual relationship of any kind(l) between the Architect and Contractor.(2) between the Owner and a Subcontractor or Sub-subcontractor or(3)between any persons or entities other than the Owner and Contractor. 6.4 Execution of the Contract by the Contractor is a representation that the Contractor has visited the site and become familiar with the total conditions under which the Work is to be performed. 6.5 The term"Work"means the construction and services1required by the Contract Documents,whether completed or partially completed,and includes all other labor, materials,equipment and services provided or to be provided by the Contractor to fulfill the Contractors obligations. The Work may constitute the whole or a part of the Project. ARTICLE 7 CONTRACTOR 7.1 The Contractor shall supervise and direct the Work, using the Contractor's best skill and attention. The Contractor shall be solely responsible for and have control over construction means,methods,techniques, sequences and procedures and for coordinating all portions of the Work under the Contract, unless Contract Documents give other specific instructions concerning these matters. 7.2 Unless otherwise provided in the Contract Documents,the Contractor shall provide and pay for labor,materials,equipment,tools, construction equipment and machinery,water, heat,utilities, transportation,and other facilities and services necessary for the proper execution and completion of the Work, whether temporary or permanent and whether or not incorporated or to be incorporated in the Work. 7.3 The Contractor shall enforce strict discipline and good order among the Contractor's employees and other persons carrying out the Contract.The Contractor shall not permit employment of unfit persons or persons not skilled in tasks assigned to there. 7.4 The Contractor warrants to the Owner and Architect that materials and equipment furnished under the Contract will be of good quality and new unless otherwise required or permitted by the Contract Documents, that the Work will be free from defects not inherent in the quality required or permitted, and that the Work will conform with the requirements of the Contract Documents. Work not conforming to these requirements,including substitutions not property approved and authorized may be considered defective. The Contractor's warranty excludes remedy for damage or defect caused by abuse,modifications not execrated by the Contractor, improper or insufficient maintenance,improper operation,or normal wear and tear under normal usage. a ., 7.5 Unless otherwise provided in the Contract Documents, the Contractor shall pay sates, consumer, use,and other similar taxes which are legally enacted when bids are received or negotiations concluded,whether or not yet effective or merely scheduled to go into effect,and shall secure and pay for the building permit and other permits and governmental fees, licenses and inspections necessary for proper execution and completion of the Work. 7.6 The Contractor shall comply with and give notices iequired by laws,ordinances, rules,regulations,and lawful orders of public authorities bearing on performance of the Work. The Contractor shall promptly notify the Architect and Owner if the Drawings and Specifications are observed by the Contractor to be at variance therewith. 7.7 The Contractor shall be responsible to the Owner for the acts and omissions of the Contractor's employees,Subcontractors and their agents and employees, and other persons performing portions of the Work under a contract with the Contractor. 7.8 The Contractor shall provide the Owner and Architect access to the Work in preparation and progress wherever located. 7.9 To the fullest extent permitted by law,the Contractor shall indemnity. '�and d hold harmless the Owner,Architect,Architect's consultant,,and agents and . g employees of any of them from and agaarast claims,damages,losses and expenses, includin�g but not limited to attorneys' fees, arising out of or resulting from performance of the Work, provided that such claim,damage,loss or expense is attributable to bodily injury, sickness, disease or death,or to injury to or destruction of tangible property (other than the Work itself)including loss of use resulting therefrom,but only to the extent caused in whole or in part by negligent acts or omissions of the Contractor,a Subcontractor,anyone directly or indirectly employed by them or anyone for whose acts they may be liable,regardless of whether or not such claim,damage,loss or expense is caused in part by a party indemnified hereunder. Such obligation shall not be construed to negate, abridge,or reduce other rights or obligations of indemnity which would otherwise exist as to a party or person described in this Paragraph. 7.10 In claims against any person or entity indemnified under this Paragraph 10 by an employee of the Contractor,a Subcontractor, anyone directly or indirectly employed by theta or anyone for whose acts they may be liable,the indemnification obligation under this Paragraph 10 shall not be limited by a limitation on amount or type of damages,compensations or benefits payable by or for the Contractor or a Subcontractor under workers' or workmen's compensation acts, disability benefit acts or other employee benefit acts. 7.11 The obligations of the Contractor under this Paragraph 10 shall not extend to the liability of the Architect, the Architect's consultants,and agents and employees of any of them arising out of(1)the preparation or approval of maps, drawings, opinions, reports, surveys,Change Orders, Construction Change Directives,designs 4 L'3!U4/ZUU4 U0:U7 FM Ui AQamo Law LLP 978 b60 4211 a!'t • or specifications,or(2)the giving of or the failum to gave directions or instructions by the Architect,the Architect's consultants,and agents and employees of any of them provided such giving or failure to give is the primary cause of the injury or damage. ARTICLE 8 ADMINSTRATION OF THE CONTRACT 8.1 The Architect will not have the control over or change of and will not be responsible for construction means,methods,techniques,sequences orTrocedures, or for safety precautions and programs in connection with the Work,since these are solely the Contractor's responsibility. The Architect will not be responsible for the Contractor's failure to c the spry out Work an accordance with the Contract Documents. 8.2 All claims or disputes between the Contractor and the Owner arising out or relating to the Contract,or the breach thereof,shall be decided by arbitration I accordance with the Construction Industry Arbitration Rules of the American Arbitration Association currently in efTect unless the parties mutually agree otherwise and subject to an initial presentation of the claim or dispute to the Architect as required under Paragraph 17. Notice of the demand for arbitration shall be filed its writing with the other party to this Agreement and with the American Arbitration Association and shall be made within a reasonable time after the dispute has arisen.The award rendered by the arbitrator or arbitrators shall be final,and judgment may be entered upon it in accordance with applicable law in any court having jurisdiction thereof. Except by written consent of the person or entity sought to be joined,no arbitration arising out of or relating to the Contract Documents shall include,by consolidation,joinder or in any other manner,any person or entity not a party to the Agreement under which such arbitration arises, unless it is shown at the time the demand for arbitration is filed that (1)such person or entity is substantially involved in a common question of fact or law, (2)the presence of such person or entity is required if coanplete relief is to be accorded in the arbitration,(3)the interest or responsibility of such person or entity in the matter is not insubstantial,and(4)such person or entity is not the Architect or any of the Architect's employees or consultants: The agreement herein among the parties to the Agreement and any other written agreement to arbitrate referred to herein shall be specifically enforceable under applicable law in any court having jurisdiction thereof, ARTICLE 9 SUBCONTRACTS 9.1 A Subcontractor is a person or entity who has a direct contract with the Contractor to perform' a portion of the Work at the site. 9.2 Unless otherwise stated in the Contract Documents or the bidding requirements, the Contractor, as soon as practicable after award of the Contract; shall furnish in writing to the Owner through the Architect the navies of the Subcontractors for each of the 5 03/04/2004 04:08 PM Dikdamo Law LLP 378 885 4271 6:7 princspaI portions of the Work. The Contractor shall not contract with any Subcontractor to whom the Owner or Architect has made reasonable objection. Contracts between the Contractor and Subcontractors shall i 1) require each Subcontractor, to the extent of the Work to be performed by the Subcontractor, to be bound to the Contractor by the terms of the Contract Documents, and to assume toward the Contractor all the obligations and responsibilities which the Contractor, by the Contract Documents, assumes toward the Oymer and Architect, and (2) allow to the Subcontractor the benefit of all rights, remedies and redress afforded to the Contractor by these Contract Documents. Y ARTICLE 10 CHANGES IN THE WORK 14.1 The Owner,without invalidating the Contract,may order changes in the Work consisting of additions,deletions or modifications,the Contract Sum and. Contract Time being adjusted accordingly. Such changes in the Work shall be authorized by written Change Order signed by the Owner,Contractor and Architect, or by written Construction Change Directive signed by the Owner and Architect. 10.2 The Contract Sum and Contract Time shall be changed only by Change Order. 10.3 The cost or credit to the Owner from a change in the Work shall be determined by mutual agreement. ARTICLE 11 TIME 11.1 Time limits stated in the Contract Documents are of the essence of the Contract. By executing the Agreement the Contractor confirms that the Contract Time is a reasonable period for performing the Work. 11.2 The date of Substantial Completion is the date certified by the Architect. 11.3 If the contractor is delayed at any time in progress of the Work by changes ordered in the Work,by labor disputes,fire,unusual delay in deliveries,abnormal adverse weather conditions not reasonably anticipatable,unavoidable casualties or any causes beyond the Contractor's control, or by other causes which the Architect determines may justify delay,then the Contract Time shall be extended by Change Order for such reasonable time as the Architect may dewrrnine. ARTICLE 12 PAYMENTS AND COMPLETION 12.1 Payments shall be made as provided in Articles 4 and 5 of this Agreement. 6 VJ/V414V Va 1J4'V3 rM UI AU R M 0 L&Ve L L r a/0 0 a U 1411 12.2 Payments MaY be withheld on account of(1)defective Work not remedied, (2) claims filed by third parties,(3) failure of the Contractor to awake payments Properly to Subcontractors or for labor,material:or equipment,(4)reasonable evidence that the Work cannot be completed for the unpaid balance of the Contract Sutra,(5)damage to the Owner or another conn r,(6)reasonable evidence ffim the Work will not be completed within the Contmet Time and that the unpaid balance would not be adequate to cover actual or liquidated damages for the anticipated delay,or(7)persistent failure to cavy out the Work in accordance with the Contract Documents. f 12.3 Final payment shall not become due until the Contractor has delivered to the Owner a complete release of all liens arising out of this Contract or receiptsin Rill covering all labor,materials and equipment for which a Bert could be frl S satisfactory to the Owner to indemnifythe Owner or a bond against such lien.If such lien remains unsatisfied after payments are made,the Contractor shall refund to the owner all money that the Owner may be compelled to pay in discharging such lien, including all costs and reasonable attorneys'fees. ARTICLE 13 PROTECTION OF PERSONS AND pROPERTy 13.1 The contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the perfoatnw=of the Contract. The Contractor shalt take reasonable precautions for safety of, and shall provide reasonable protection to prevent damage,injury or loss to: a. employees on the'Work and other personas who may be affected thereby, b. the Work and materials and equipment to be incorporated therein;and c. other property at the site or adjacent thereto. The Contractor shall give notices and comply with applicable laws, ordinances,rules,regulations and lawful orders of public authorities bearing on safety of persons and property} and their protection from damage,injury or loss. The Contractor shall promptly remedy damage and loss to property at the site caused in whole or in part by the Contractor,a Subcontractor,a Sub- subcontractor,or anyone directly or indirectly employed by any of them, or by anyone for whose acts they may be liable and for which the Contractor is responsible under Subparagraphs a,b,c,except for damage or loss attributable to acts or omissions of the Owner or Architect or by anyone for whose eats either of there may be liable,and not attributable to the fault or negligence of the Contractor.The foregoing obligations of the Contractor are in addition to the Contractor's obligations. ARTICLE 14. 7 14.1 The Contractor shall p=110c hom and rnainWn in a company or companies lawfully authorized to do business in the jurisdiction in which the Project is located insurance for protection from claims under workers' or workmen's compensation acts and other employee benefits acts which are applicable,claims for damages because of bodily injury, including death,and frora claims for damages,other than to the Work itself,to property which may aria out of or result from the Contractor's operations under the Contract,whether such operations be by the Contractor or by a Subcontractor or anyone directly or indirectly employed by any of them.This insurance shall be written for not less than limits of liability specified in the Contract Documents or required by law,whichever coverage is greeter,and shall include contractual liability insurance applicable to the Contractor's obligations under Paragraph 12. Certificates of such insurance shall be filed with the Owner prior to the commencement of the Work. 14.2 The Owner shall be responsible for purchasing and maintaining the Owner's usual liability insurance. Optionally, the Owner may purchase and maintain other insurance for self-protection against claims which may arise from operations under the Contract.The Contractor shall not be responsible for purchasing and maintaining this optional Owner's liability insurance unless specifically required by the Contract Documents. ARTICLE 15 CORRECTION OF FORK 15.1 The Contractor shall promptly correct Work rejected by the Architect or failing to conform to the requirements of the Contract Documents, whether observed before or after Substantial Completion and whether or not fabricated, installed or completed and shall correct any Work found to be not in accordance with the requirements of the Contract Documents within a period of one year from the date of Substantial Completion of the Contract or by terms of an applicable special warranty required by the Contract Documents. The provisions of this Article 15 apply to Work done by Subcontractors as well as to. Work done by direct employees of the Contractor. ARTICLE 16 AUSCELLANEOlUS 16.1 The Contract shall be governed by the law of Massachusetts. 16.2 If the Contractor defaults or persistently falls or neglects to carry out the.Work in accordance with the Contract Documents or fails to perform a provision of the Contract,the Owner,after seven days' written Notice to the Contractor and without prejudice to any other remedy the Owner may have;may make good such deficiencies and may deduct the cost thereof:,including compensation for the Architect's services and expenses made necessary thereby, from the payment then or thereafter due the Contractor. Alternatively,at the Owner's option,and upon 8 VJi V9/LV V4 114:Z P-M - VIRUAMC Law LLr au uova. i certification by the Architect that sufficient cause exists to justify such action, the Owner may terminate the Contract and take possession of the site and Of all materials,equipment,tools,and construction equipment and machinery thereon owned by the Contractor and may finish the Work by whatever method the Owner may deep expedient. If the unpaid balance of the Contract Sure exceeds costs of finishing the Work, including compensation for the Architect's services and expenses made necessary thereby, such excess shall be paid to the Contractor,but if such costs exceed such unpaid balance, the Contractor shall pay the difference to the Owner. This Agreement entered into as of the day and year first written above. OWNER: CONTRACTOR: ki� (sign�uc 1 i5�8rue�s+�e) William H. DiAdamo Anthony Didio President and Owner Angelo C.Didio Building and Realty,Inc. 9 NORTH—Nd Town of Andover ® No. YLAK dower, Mass., 0 1. COCHiCHE WICK 0RA T E D BOARD OF HEALTH Food/Kitchen PERM. IT T D Septic System THIS CERTIFIES THATWO).lam XAC14"D BUILDING INSPECTOR ........................ ..................................................................... ................................... Foundation has permission to ......... buildings on ....(.%T.......Cw. w.uA wv 0 c A....E.4%4.. LA36 Rough .. ....... ...... ..... ... .... ..... ...... .............. .. ......... to be occupied as..... .......a fow�% Chimney ........................................ . .... ....... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection Alteration and Construction of Buildings in the Town of North Andover. M S co I (I to . A)� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EVIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough e. ................... Service BUILDING INSPECTOR Final -rmit Required to Occupy Building Occupancy PL GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and.Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDELjj Smoke Det. DAVID WHITNEY A R C H I T E C T 49 LINDEN STREET ARUNGTON.AAA MV6 781 643 ASM • I I Unfinished Storage Z II W W Ln 00 REMOVE EXISTING COLUMNS & BEAM. PROVIDE TEMPORARY I M SUPPORT FOR EXISTING FRAMING L_— — — — — — — — — `- - — z ABOVE DURING CONSTRUCTION. — — — — — — — F- Play Room 0 Q / HallA Hall B O 0 Q,I CD < - - UP A wLj (D 0 In za II II Q -17 SPACE Finished StorageUNDo STAIRS I i I i II II � II II 'Q+ V ELEC PANEL i Mechanical Room TITLE: Demolition Plan • SCALE: DATE: 1/4" = V-0" 9.27.03 j DRAWN 8Y: FILE: DWW PLANS SHEET i Demolition Plan T �J S 1'-0" e �1. DRAWING NORTH L 1 J� © DAVID WHITNEY AIA DAVID WHITNEY 9'-6" A R C H I T E C T- 49 UNDEN STREET ARLINGTON,MA 02476 781 W AM Office Unfinished Storage Z FUR OUT NEW WALL W AS REQ'D TO ALIGN--/ ON BOTH SIDES CHROME ROD &1 EXISTING PLAYROOM WALLS ARE FINISHED ONLY TO HEIGHT OF EXISTING — WOOD SHELF W CEILING. NEW CEILING WILL BE HIGHERLn EXTEND WALL FINISHES AS REQUIRED. . 00 ALIGN . .. —� CD — — —Coat Closet Q M Lli 7 - - - - - - - - - - - Cqt•�•� Z 2 g I- T - - - W PlayRoom 0 �, Hall A JAMBS FLUSH Hall 5 Lel U z WITH WALLSk Z CASED OPENING- HEIGHT < t� & WIDTH ALIGNED WITH a VANITY TO BE SPECIFIED BY 4 EXISTING DOOR TO GARAGE p Q- - - - - - - - - - - - - - - - - - - - - - - - - - - OWNERS. RECESSED MEDICINE CABINET: NUTONE 533124. ^` UP Z - - - - - - - - - - - - - - - - - -- - - - - - - - . - w . Awe REPLACE EXISTING BEAM WITH W1Ox22 OR (5) 1 y CABINETS ` LLIJ Lj WOOD POST: (4) 2x4s 3/4 x 11 7/8" LVL BEAM - SEE DETAILS. PATCH _ O O CO UMNI OCATIONSGAS REQUIREDSLAB ISACCOMMODATE OH FLOOR AT — — — — — — Mud Room •,..I z n: EXISTING ELECTRICAL AND PLUMBING AT BEAM Q LOCATION. COORDINATE WITH ARCHITECT. ALIGNOf A = jth tn 3" DIA. STEEL COLUMN ON 2'-0" x 2" CLEAR BETWEEN o2'-0" x 1'-O" CONCRETE FOOTING W/ BFRAMING & CHIMNEY z SEE SHEEfS A4.1,(3) #5 BOTTOM & TOP EACH WAY. _ Li A6.2 & A6.3 mPROVIDE 1/2" PLATE TOP & BOTTOM. i m �I CABINETS & CUBBIES r�ELEC PANEL f Mecbanical Room EXISTING BASE CABINETS TO REMAIN. NEW i GALVANIZED COUNTER & BACKSPLASH. NEW TITLE: SINK & FAUCET SET - SEE A5.1. NEW REL'.`)CATE EXISTING UPPER CABINETS TO MATCH UPPER MECHANICAL EQUIPMENT ALL DIMENSIONS TO Floor Plan CABINETS AT FOOT OF STAIRS - SEE A4.1 AS 2EQUIRED FOR NEW FACE OF FRAMING BATHROOM SCALE: DATE: ` 1/4" = 1'-0" 9.27.03 p DRAWN BY. FILE. _. DWW PLANS 3 SHEET A1 .1 DRAWING NORTH © DAVID WHITNEY AIA 1 " ALIGN CABINETS AT FOOT OF STAIRS DAVID WHITNEY A R C H I T E C T / / \ / SE WINDO - SEE A6. `j / \ ARIJINGTON.MA 02476 78160 45M 04 / EXISTING DOOR SKIM COAT OPE1 I CUBBIES: 1 COUNTEIRE& TO REMAIN PLASTER CL INTERIOR EPTH BACKSPLASH rT� co W cn MM z BENCH SEE F� BENCH SEE A6.2 \ SEE A6.2 11:1E O Q = W U FlXED PANELS AT THESE o � 6'-0" 2 OPENINGS I__3'-0" O Q Mudroom-East Elevation �1 Mudroom-South Elevation z � 1 SCALE: 1/2" _ ,'-o" SCALE: 1/2" _ ,'-0" SAI w Lj �+ o .,..I In z a A = o z SKIM COAT PLASTER W 0 0 0 0 0 0 0 V e a0 GALVANIZED METAL I N CASEWORK SHOP DRAWING SUBMITTAL REQUIRED 0 0 0 0 0 0 o TITLE: GALVANIZED METAL Intedor Elevations so SCALE: DATE: I 1/2" = V-0" 9.27.03 SHOE NOOK - SEE A6.2 DRAWN BY: FILE: } DWW DETAILS r SHEET • .,x,4.1 Mudroom-West Elevation 3 SCALE: 1/2- / © DAVID WHITNEY AIA i q dr 4 Finish ScheduleHardware Schedule DAVID IN H I T N$Y A R C H I T E C T ROOM NAME FLOOR WALLS CEILING NOTES 49UNDENSIREET POCKET DOOR SET ARUN=N.MA 02476 NORTH SOUTH EAST WEST MATERIAL RAILS & ROLLERS: JOHNSON 200PD POCKET DOOR HARDWARE SET 781643 ASM PLAY ROOM CARPET EXISTING TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN SKIM COAT PLASTER SEE A6.1 CEILING DETAILS EDGE PULLS: BALDWIN 0265. (1) PER LEAF OFFICE CARPET SKIM COAT PLASTER SKIM COAT PLASTER SKIM COAT PLASTER SKIM COAT PLASTER SKIM COAT PLASTER SURFACE PULLS: BALDWIN 0394 (2) PER LEAF BATH TILE PLASTER/TILE PLASTER/TILE PLASTER/TILE PLASTER/TILE SKIM COAT PLASTER BATHROOM SEf HINGES: (2) EMTEK SQUARE CORNER HINGES PER LEAF HALL A CARPET SKIM COAT PLASTER EXISTING TO REMAIN N/A N/A EXISTING TO REMAIN LATCH SET- EMTEK PRIVACY LOCK SET, FINISH BRUSHED NICKEL KNOBS: EMTEK PROVIDENCE KNOBS HALL B CARPET EXISTING TO REMAIN EXISTING TO REMAIN SKIM COAT PLASTER N/A EXISTING TO REMAIN STOP: BALDWIN 4045 MECHANICAL UNFINISHED SLAB TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN CLOSET SET UNFINISHED STORAGE UNFINISHED SLAB TO REMAIN EXISTING TO REMAIN EXISTING TO REMAIN GWB EXISTING TO REMAIN EXISTING TO REMAIN RAILS & ROLLERS: JOHNSON 20OSD SUDING DOOR HARDWARE SET MUD ROOM TILE SEE INT ELEVATIONS SEE INT ELEVATIONS SEE INT ELEVATIONS SEE INT ELEVATIONS EXISTING TO REMAIN SURFACE PULLS: BALDWIN 0394 (2) PER LEAF COAT CLOSET TILE SKIM COAT PIASTER SKIM COAT PLASTER SKIM COAT PLASTER SKIM COAT PLASTER SKIM COAT PLASTER 11.. FINISH: BRUSHED NICKEL, FOR ALL HARDWARE ELEMENTS. 2. CABINET HARDWARE: PROVIDE DRAWER GLIDES AND HINGES. ALL NOTES: DRAWER AND CABINET PULLS TO BE PROVIDED BY OWNER. �T� F+y ALL E.WALL � CONTRACTOR TO CARRY INSTALLATION IN BASE BID. L HO E AND DOOR AND WINDOW CASINGS TO MATCH EXISTING ON MAIN FLOOR OF ♦ � 2. BATHROOM: CARRY TILE TO 48" AFF, TO CEILING AROUND TUB. TILE TO BE DETERMINED. CARRY - V J 00 $15/SF MATERIAL ALLOWANCE, CARRY INSTALLATION IN BASE BID. LLI Z Z Cn F- gw O I- Ln Q = Door Schedule Plumbin Schedule Lno Plumbing � 3: NUMBER SIZE DOOR HW NOTES REM MANFMODEL NOTES w A HEIGHT WIDTH THICKNESS MANF MODEL MATERIAL FINISH PLAYROOM SINK ELKAY ELV-3118 F~ � j 1 6'-8" 2'-8" 1 3/4" CUSTOM SEE DETAILS MAPLE CLEAR POCKET POCKET DOOR W/ GLASSPLAYROOM FAUCETS TO BE PROVIDED BY OWNER. CARRY INST TION IN BASE BID. CD 0 2 6'-8" 4'-0" 1 3/4' CUSTOM SEE DETAILS MAPLE CLEAR POCKET POCKET DOOR W/ GLASS BATH LAV AMERICAN STANDARD CADET ROUND "~ Q 3 6'-8" 2'-8" 1 3/4" SIMPSON SHAKER 720 MAPLE CLEAR BATHROOM BATH LAV FAUCETS TO BE PROVIDED BY OWNER. CARRY INSTALTION IN BASE BID. A 4 6'-8" 4'-3" (VIF) 1 3/4" CUSTOM SEE DETAILS MAPLE CLEAR POCKET POCKET DOOR TOILET AMERICAN STANDARD CADET ELONGATED p 5 6'-8" 6'-0" 1 3/4" SIMPSON SHAKER 720 MAPLE CLEAR CLOSET SUDING DOORS TUB AMERICAN STANDARD PRINCETON RECESS z TUB/SHOWER SET TO BE PROVIDED BY OWNER. CARRY INSTAL TION IN BASE BID. P4 FINISH - SEE FINISH FINISH - SEE FINISH _ FINISH - SEE FINISH EXISTING FOUNDATION SCHEDULE SCHEDULE SCHEDULE R19 BATT INSULATION MOISTURE BARRIER _ R19 BATT INSULATION (FOR ACOUSTICS) (FOR ACOUSTICS) 2X4 SLEEPERS 0 16" OC FRAMING: 2x4 0 16" OC FRAMING: THICKNESS AS FRAMING: 2x6 0 16" OC REQUIRED - SEE PLAN 1 1/2" RIGID INSULATION BETWEEN FAMILY ROOM CONTINUOUS VAPOR & OFFICE i •, BARRIER FINISH - SEE FINISH FINISH - SEE FINISHSchedules FINISH - SEE FINISH FINISH - SEE FINISH SCHEDULE SCHEDULE SCHEDULE SCHEDULE SCALE: DATE: /^L 1/4" = V-0" 9.27.03 !v DRAWN BY. FILE: r' DWW SCHEDULM SHEET n Wall Assemblies 1 SCALE: 1 1/2" = i'-0" A5.1 © DAMD WHITNEY AIA j DAVID WHITNEY A R C H I T E C T 49 LINDEN STREET ARLINGTON,MA 02476 781 6434550 rT� EXISTING SUBFLOOR & FIN EXISTING SUBFLOOR & FINW Ln FLOOR ABOVE TO REMAIN FLOOR ABOVE TO REMAIN ul) 00 CD w z � Q ' w O � cn :D w v U) o cn ocn< O Q ^ z F-� w � w w c_D O L� Q EXISTING FLOOR JOISTS \�'EXISTING FLOOR JOISTS Q TO REMAIN TO REMAIN \ o z NEW JOIST HANGERS NEW JOIST HANGERS �y (5) 1 3/4" x 11 7/8" SOLID BLOCKING W/ 1/2° LVL BEAM DIA. BOLTS • 2'-0" OC a NEW SKIM COAT PLASTER (� CEILING. FLUSH, NOT W10x22 INTERRUPTED BY BEAM. FUR DOWN AS REQUIRED. NEW SKIM COAT PLASTER CEILING. FLUSH, NOT INTERRUPTED BY BEAM. FUR WOOD BEAM OPTION STEEL BEAM OPTION DOWN AS REQUIRED. TITLE: Details ''Ae�Z1�OF ASA �G;:•' if� SCALE: DATE: •• RICHMDiVD ••• AS NOTED 9.27.03 o • g:. g= DRAWN 8Y: FILE: Q DWW DETAILS ;-I SHEET ATE96 New Playroom Beam-2 options A6.1 © DAVID WHITNEY AIA DAVID WHITNEY A R C H I T EC T 49 LINDEN STREET ARLINGTON,MA 02476 781"345M SKIM COAT PLASTER 1 x4 FLUSH TO WALL, W/ Z PEGS BY OWNERS W W Ln Do o GALVANIZED SHEETMETAL SKIM COAT PLASTER M w ,_ Z ADHERED TO WALL - F++ ILL.L. SUBMITTAL REQUIRED Oul DEAD SPACE UNDER STAIRS La U Q 1x4 FLUSH TO WALL, W/ O N PEGS BY OWNERS 3 < A w � w w o GALVANIZED SHEETMETAL ^� Q ADHERED TO WALL - CONTINUOUS CHROME PIANO A = SUBMITTAL REQUIRED HINGE ~ O Z (2) LAYERS CLEAR MAPLE PLYWOOD, WITH SOLID STOCK CLEAR MAPLE AT PERIMETER AS SHOWN n/ CASING - MATCH EXISTING W UPSTAIRS (DO NOT SCALE 2" OFF DRAWINGS) 0 � COMPACT FLUORESCENT V LIGHT FIXTURE - SEE Ell 3/4" MDF, PAINTED 3/4' I TITLE: 1'-6" SKIM COAT PLASTER PERFORATED SHEETMETAL PLATFORM - SAMPLE SUBMITTAL REQUIRED FRONT AND SIDE: 3/4" DS s ' PLYWOOD WRAPPED IN SCALE: DATE: GALVANIZED SHEET METAL 1x3 FRAME AS NOTED 9.27.03 N �c CUSTOM GALVANIZED SHEET DRAWN 131: FILE: N METAL REMOVABLE DRIP TRAY DWW DETAILS SHEET Shoe Nook Mud Room Bench A6.2 1 SCALE:, 1 1/2" 1'-O" SCALE: 1 1/2" = 1'-O" © DAVID WHITNEY AIA f e DAVID WHITNEY A R C H IT E C T . 49 UNDM STREET ARUNGTOK MA 02476 781 6434550 ALIGN TOP WITH TOP OF DOOR TO GARAGE FRAME NEW NICHE AS SHOWN: HINGES - FINISH 2x4'S ® 16" OC. HANG FROM MATCH DOOR HARDWARE EXISTING GARAGE CEILING FRAMING ABOVE. rT� (4) CUSTOM SASHES: h+l FROSTED GLASS, FRAMES OF TEMPERED FROSTED GLASS. 1x POPLAR. GLASS SAMPLE iv SAMPLE SUBMITTAL REQUIRE . SUBMITTAL REQUIRED. FINISH GARAGE SIDE W/ 5/8" W Ln FIRE CODE X GWB 00 M w Ln h+4 Z FINISH INTERIOR OF NICHE W CASING TO MATCH EXISTING W/ 3/4" MDF, PAINTED O Q ZD W U REMOVABLE STOPSQ O U) Q o C) � MAPLE STILES & RAILS - COMPACT FLUORESCENT A w Q� LIGHT FIXTURE - SUBMITTAL WIDTHS TO MATCH w w REQUIRED MANUFACTURED DOORS. SEE DOOR SCHEDULE. O o 0 .1,,I L2 z � Q A = \ o z 10" �t �I 11 3/4.1 a Section Elevation V T� TITTL�LE::�� . a Deta is yv- SHOP DRAWING SCALE: DATE: AS NOTED 9.27.03 SUBMITTAL REQUIRED DRAWN BY. FILE: `t DWW DETAILS ,i SHEET F A6.3&SiN Md Room False Window Custom boors 1 1/2" = 1'-0" SCALE: 3" = 1'-0" © DAVID WHITNEY AtA _ 1 j DAVID WHITNEY A R C H I T E C T 49 UNDEN SIREEI ARLINGIIDN.MA 02476 781 643 455fl 2 0612 2 A A 26612 6612 Offic Unfinished Storage Z 12 NO ELECTRICAL WORK A A A A A A W LO _ 00 12 Coat Closet CD pq w Cn z � D A AYRU p A Hall - - - - - -- - - -- 0 Q A A A A En O Q - - - - - - - - - - - - - - -- - - - - - - - - - - — UPSTAIRS � � z 42 A w w 12 000 A A A p R3 — — — — — — Mud Room ..-I A = O Bath z A A A A NO ELECTRICAL WORK V 12 12 Mechanical Room TITLE: Electric Plan SCALE: DATE: s SEE SHEET AO.1 1/4" = V-0" 9.27.03 FOR ELECTRICAL NOTES & LEGEND DRAWN BY: FILE: 2 DWW PLANS 7 SHEET t ]ELI DRAWING NORTH © DAVID WHITNEY AIA l Date...Y.:.Pik- ? ... __ 3?;r„`` .•�,"ao� TOWN OF NORTH ANDOVER p PERMIT' FOR WIRING ,SgACNUSE� t: This certifies that ..... , � ......A�,�=l T............................... has permission to perform .... ��!! . wiring in the building of..........b.bipAA1.0....................................... at ./3 l'sE dd........................... ..... ............ ............... ,North Andover,Mass. t Fee:S.S............ Lic.No.. .a96 ...................... ..... ...................r.. ELECTRICAL INSPECTOR Check # ;k {'']-5 } e 661) 0 THE COMMONWEUTHOFMASSACHUSETIS Office Use only DEPARTN1EW0FPUBL1CS4F= Permit No. & e5l BOARD OFFMPREVFVHONREGULAHONS527O R12.W Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK, ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12;00 -11-06 7 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 7 C•6"� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant / LL ,d/iq/Jgy1�y Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) �f Purpose of Building Utility Authorization No.� Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps_ Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �✓� (0/y '�G,�ctd.41® �� �' No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round 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 No.of Self Contained Detection/Sounding Devices 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 h>vin-aroeCovelage.RustlanttotllelagtlaarpnCsofMassadi>seusGerrialLaws Ii- eaatnaltLiabkkm m=PolicymkximgCmVic CoverdWorilssubstatmalequMiaY YES NO IhaNesthTuWdvandproofofsametotheOffioe,YES //� Y)cuhawchdYES,pleaseindic�thetypeofcovngaby checkingtlr ff x ` " �INSURANCEBOND r7 MIE R � (Please Sparfy) EonDate Z .7_ ® Est coaled Value dlicbical Wcdc$ WodcmStatt hq)ecicnDaeRapesed Rtxo Final Signed tmderTie arialties of pajwy. nom,' ` FIRM NAME 40407 &2'Z7fiG Iiar>SeNo. l`l f,'3 Lioa>see �(.�`71/J/� /i��aL.9l> Stgnahne Lice=No Business Tel.No. Ir 2-4.y Atctecc V v �i w� ST S Ah Tel No. 3 7 OWNIIt'S INSURANCE WAIVER;I am aware that the Lic w does nothare the insularloe oovelaW orits sural Nmvalalt as ogmed by Masmdai,em Galaal Laws and that my sigrlatiue on this pembt app}irabon wars this mq<mmnalt. (Please check one) Owner Agent Telephone No. PERMIT FEE$ Signature ot Owner or Agent �I c j� Date. x. . .. ..y i NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . .✓.. .. . . ... . .. . . . . . . . . .."v has permission to perform . . . `. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of : . . . . . . . . K. North Andover, Mass. _3 - Fee.moi4lor .e.Lic. No. � . . . . . . . . . . . PLUM IN "INSPECTOR Check # �a��9 (� 576 Date 7.767..... ........... NORTH -0 TOWN OF NORTH ANDOVER 0 , PERMIT FOR WIRING Cow .P'000�� This certifies that ............... .... ............................ has permission to perform ......... . ...................................................... ............ wiringin the building of...................... ............................................................ /,57 (;4ejFC--v at............................................... ............................ North Andover,Mass. Fee..:3 ..... Lic.No. ....... . ......... ELEcmc SPE R Check # 797 6774 r Commonwealth of Massachusetts orrcialse only /u Department of Fire Services Permit No. 6 7 7� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dater 7-yL City or Town of: 4b4pf A&c ),L To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) /�� 7- Owner or Tenant 16/LL ,QV�Q Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building ®® UtilityAuthorization No. - / Existing Service2g � 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: ,P � 72�/j�: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.o Total Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In ❑ o.o Emergency ig ung rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.o Self-Contained 1, 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 Kms, No.o No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent y OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. R Estimated Value of Electrical Work: (When required by municipal policy.) V' Work to Start: "7'"Z�6 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 suchcovera is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND ❑ OTHER ❑ (Specify:) I certify,under the pains an enalties of perjury,that the information on th' application is true and complete. FIRM NAME: 1A 12) 4 iz />tc LIC. NO.: l 314 Licensee: ,rl ,L41eA4,e- Signature LIC. NO.: (If applicable, enter " mpt"in the license number line.) Bus.Tel. No.: '71T02-'71T02-9?-", xe Address: � -7ZPC11--4 ST 44-o�4C--- Alt.Tel. No.: fff 32S"S-23�E *Security System Contractor License required for this work; if applicable,enter the license number here: 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. 1,am the(check one)❑ owner ❑ owner's agent. Owner/Agent [PERMIT FEE. $ Signature Telephone No. -r— i '` U r f C r .= 4 ' Date. "...... .. by NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACHUSE� CrvT_^,f Thiscertifies that ............................................................. ................................ has permission to perform ! "Q` ^-*~ ....................................... wiring in the building of......................- c,... ........................................ >; at./15........ .................................: -,�-�?... ........ ,North Andover,Mass. X24 f Lic.No.:........... Fee`............. f `� ..................... ............................. ELECTRICAL INSPECTOR Check # 5243 THE C0MM0NWE4LTH0FM4SS4CHUSE7TS Office Use only DEPARTMEN7'OFPUBLICSAF= Permit No. `z 3 BOAMOFFREPREVEVH01NRWULAHI 527CM 11010 Occupancy&Fees Checked "PUCATTONFOR PERMIT TO PERFORMELECMCAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:01 1 11 7/U (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical rwork dlescnIb4/dbelow. Location(Street&Number) �l/^�en l-ed ' 7`�j�T n -e Owner or Tenant (,7rin A P / eVn-0 Owner's Address Is this permit in conjunction with a buildi g permit: Yes No (Check Appropriate Box) Purpose of Building 1a)V 4WV Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work R'SQm W e TTXt.13 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA roun ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets (� No.of Gas Burners "Ob.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 f Pumps Tons KW Initiating Devices i No.of Dishwashers Space Area Heating KW NQ,of Sounding Devices M ofSelf Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other F.Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP i .OTHER' ftUTXte,Coverage.PtitsuatxtOdrW4MMC ltsOfNb%WtauetfsGEMWLaws [bavea6pMLiabflitylr>st &= bLyincbdingCompletoCoveageoritsmbsta Uegtti'valait YES NO lbawsubnW2dva1dproofofsameto1he0ffiM YES Fyoubamded<edYES,pkaseitxhcatetheM)eofcoveiageby :Aeclmtg�ihe box BOND r MH M p (Please Spec,��wvv ■■■ l^ IVSURANCEy> J q j?f% l )-UPJJ_ EVhfionD $ Estkt>ared ValueofE�arical Wotk �v�ktOSatt .� �y ���� Final LA-/ >igneduroerTielbnalfiesof MMNAME (�`'' IiomseNo. io nsee L JC/�i �/lU �Cl G Signattue Iicmsf--No z 0u C Y 1 `i'° BusinessTel No. Alt Tel NO. I'fi N 'S INSURANCEWAIVER lam awmdiattheLiowsedoesnothavetheit>ruta=ooNmgeoritssulswhalegttivalartasregimedbyMassachuscmGeneral Laws xl dmi my signahue.on tAispeutut apphcation waives tllis tegtmement ?lease check one) Owner ® Agent Telephone No. PERMIT FEE$ rgnature oT Owner or 7genT u The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations R� Boston; Mass. 02111 �cro1M Syey`�W Workers'Compensation insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policv# t e Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as_well.as_civil.penattiesin.lheform-of-a_STOP WORK ORDER..and_a fine_of_(.$1DO.OD)_aday.against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone# i$ Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required Licensing Board 0 Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other i to, MASSACHUSETTS UNIFORM AP �ICATION FOR PERMIT TO DO PLUMBING Type or print)NORTH ANDD MASSACHUSETTS Date uilding Locations Permit # ---5 � Amount 7*70 /3/// PlAl Owls ow 1 New Renovation Replacement Plans Submitted F1 FIXTURES wV. w F a a z a d w Bos v)m / ISE RDM Z PW R 3t fRW"M 4111 FI)R 5M FUM 6IH Rf= 7M FL" 9111 FIDm Check o 7�� Certificate (Print or type) L 4/G• / c Installing Company Name Corp. Address ❑ Partner. Business Telephone Firm/Co. 'Name of Licensed Plumber: Insurance Covera-e: Indicate the type nsurance coverage by checking t®appropriate box: ❑ (Liability insurance policy Other type of indemnity Bond Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner (�� Agent D 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 perform er Permit Issued for this application will be in compliance with all pertinent provisions of the Massach setts S to um Ing C Chapter 142 of the General Laws. By. wgrialure 01 L1UUn-9WT1um5er T 6 of Plumbing License Title - 6 Er El �n mer Master Journeyman APPROVED(OFFICE USE ONLY