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Home My WebLink AboutMiscellaneous - 15 NUTMEG LANE 4/30/2018 / 15 nwTMEC, I-AnE ! �� ►err- t 1 i i I Date...... ......... NORTIy TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;�ss�cHusE� This certifies that " v <C- w................................�..l.......................... has permission to perform .......PLO -T U6. .............................................. wiring in the building of.................... ... .f'•... at T�/OZ—A/ ,North Andover,Mass. —... ..................................... Fee.. /- .... Lic.No.....-�..�.,.33 ............. .��....f" . ............. ELECTRICALINSPECT/O`R Check # woof v 9020 C-\ Commonwealth of Massachusetts Official Use Only No. Department of Fire Services Permit kip BOARD OF FIRE PREVENTION REGULATIONS Rev-1P/07 cy and Fee Checked � 1 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q f C,' City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her tgntion o perform the electrical work described below. Location(Street&Number) T 1, Owner or Tenant Ue P6, Telephone No. Owner's Address S ? Is this permit in conjunction with a buil g permit? Yes ❑ No (Check Appropriate Box) Purpose of Building r� 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: Completion o the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency ig g rnd, grnd. Batte Units No.of Receptacle Outlets No.of OR Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners o.of Detection and InitiatingDevices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number .Tons .W No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loca ❑ l Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or E uivalent No.of Water KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of lectrical Work: (When required by municipal policy.) Work to Start: /� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: 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 cove ge is in force,and has exhibited roof of s etc P %e permit issy�i ce. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 3 05 I certify,under the pain and�`naltie of perj „tot the information on his application is true an complete. FIRM NAME: Z7v Z�/ tC l4��' LIC.NO.: 33 Licensee: "(' JU6,4 Signature LIC.NO.: (If applicable, enter" mpt" 'n he c a number line.) / _ - Bus.Tel.No. Address: t7 (iyJVZ Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work re fres Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ �'� �.onvxortwaaU{t o f��a�crs�a� For Office Use Only ryry�� c7� (Rev.i 1199) 1JsParfinsal a�}in��yKy Permit Number. J! BOARD OF FIRE PREVENTION REGULATIONS oaupancy Fee APPLICATION FOR PERMIT TO PERFORM' ELE (ALL WORK To BE PERPoRMED WrrH THE MASSACHUSEWS� CACODE , CAL WORK PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: City or Town of: /� ,_� o To the Inspector of Wires: By this application the-unfersigned gives notice of his or her intention to perform the electrical work described below. Location: (Street&Number) Owner or Tenant: Owner's Address: f � i Is this permit in conjunction with a Building Permit? Yes Q---,;�o o (Check Appropriate Box) Purpose of �lz Utility Authorization# Existing Service: Amps i2- / z d Volts Overhead p . Underground.M-�- #of Meters New Service: Amps Volts. Overhead CI Underground.❑ #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: !/, No.of Recessed Fixtures j G No.of Cell:Susp.(Paddle)Fens No, of Transformers Total INA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground a In Ground o #of Emergency Lighting Battery Units No.of Receptacle Outlets / No. of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices No.of Switches �U No.of Gas Burners #of Sounding Devices: #of Self Contained No.of Ranges No, of Air Conditioners TOTAL TONS: Detection/Sounding Devices Local a Municipal Connection a Other o Na. of Waste Disposals Heat Pump Totals: Number. TONS: KW: Security systems: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: INV Data Wiring,No..of Devices or Equivalent: No.of Dryers _ Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent No. of Water Heaters KW No. of Signs*_#of Ballasts: OTHER; #of Hydro Massage Tubs No, of MotorsTotal HP INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liablydy insurance including*completed operation'coverage or Its substantial equlvale The undersigned certifies that such coverage is In force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND O OTHER a Please specify: Estimated Value of Electrical Work$ (When required by municipal policy) Work to Start cart/fyInspections to be requested In accordance with MEC Rule 10,and upon completion. 1 ,under the pains and penalties of perjury,that the Intonation on this application is true and complete. Firm Name: l / f 3� LIC.#_ -� Licensee: l;7` Signature: LIC.# (if applicable,an r" pt"in the a 'er lino) Address:3 Bus.Tel.#AKIL7—2 l Alt.Tel.# 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 c OR Agent a Signature of Owner/Agent Telephone# C7 YE WT NEE:S X p MORih Fva•f � CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number c/,3 Date: �` �S- 0-S THIS CERTIFICE/S THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS J��c n w -y,q 7% IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CEIRIUICATE ISSUEDTO• DIA010 ^/cti EI' �op� Building Inspector r10RTly T 0" o _ ;� Andover No. (0 ~ g O7 - VONOWLA over., Mass.,- T/.R 0 COCHICHEWICK\V * V ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System *4 BUILDING INSPECTOR THISCERTIFIES THAT ........... .......... .... ................................. ............................................. ? 1%!�v Y - `../1J.0 has permission to erect..... ......... buildings on..,/,5.:..../V .............. . ......... . ................ Rough tobe occupied as..... ... ................ ............................................................... Chimney 711,s /d 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. a 8 / 07 a PLUMBING INSPECTOR VIOLATION of the Zoning or Building,�'gulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION START ELECTRIC XL INSPECTOR 01 - '�Eu> &k .................................. Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building 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 SIDE__Jl Smoke Det. Location ,�y No. �P {'3 Date o?� NORTh TOWN OF NORTH ANDOVER f 9 • Certificate of Occupancy $ Building/Frame Permit Fee $ {`9 s�CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ;�/1,4 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: /` DATE ISSUED: �,-- a, O M SIGNATURE: Building commissioner/125pector o SECTION i-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 15 Nutmeg Lane North Andover, MA 01845 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R 3 Finished Basement 29,379 261.28 Zoning District Pr Use LA Area T" Re ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Regaired Provided RzqWred Provided v 1.7 Water Supply M.G.L.C.40.ti 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ zone outside Flood Zane M Municipal IX On Site Disposal System ❑ SECT N 2-PROPERTY OWNERSHIP/AUTHORMD AGENT '�'�'�' 11ct(!Ct: N''?s P.f o �_ M 2-1 Owner of Record (11 nnd Mir'hplp Popp 15 Nutmeg Lane, North Andover, MA OTS45 1' a)me(P ' Address for Service 0 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z t M Si �ture Tele hone SECTION 3-CONSTRUCTION SERVICES h 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 License Number -n Address Expiration Date 3 Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number ra M r Address 00000 z Expiration Date Signature Telephone 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 a8 a cable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Cj; Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Finish basement- including istallation of 2x4 walls, insulation, drywall. Electric 1 including the installation of outiets, and tVVJYn-d--re11: Windows wil be trimed. Floor to be carpted. Bath to be installed. A suspended ceiling to be installed with recessed lights. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item 10,000.00 Estimated Cost(Dollar)to be OMICUL USE ONLY Completed b permit applicant I. Building 1,500.00 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 2,000.00 Construction 3 Plumbing 00 Building Permit fee(a)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 L as Owner/Authorized Agent of subject property He by uthorize to act on M ..beh ;it iatt elative to work authorized by this building permit application. Signature of er 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 Ln:e and accurate,to the best of my knowledge and belie �1v PrintA�am 3- a� Signature of Owner/.A nt Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1' 2 ND 3 SPAN M ENSIONS OF SILLS DUV ENSIONS OF POSTS DIMENSIONS OF MDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X — MATERIAL OF CH ANEY 1S BUILDING ON SOLID OR FELLED LAND IS BUII DING CONNECTED TO NATURAL GAS LINE l 1� f NpRTM TOWN OF NORTH ANDOVER OFFICE OF ' p BUILDING DEPARTMENT 400 Osgood Street �1+0 :�ti�• North Andover, Massachusetts 01845 ssA "WU D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: April 16 2005 JOB LOCATION: 15 Nutmeg Lane, North Andover, MA 01845 210/038 0284 Number Street Address Map/Lot HOMEOWNER David S Pope Name Home Phone Work Phone PRESENT MAILING ADDRESS 15 Nutmeg Lane. " North Andover, MA 01845 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies th she understands the Town of North Andover Building Department minimum inspection procedures and r uem is and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE o S °' APPROVAL OF BUILDING OFFICIAL 131).\Rll C)F,\l'PE:\I.S 60-9541 CONSFR\ATION 688-9530 11EALT11(,380540 PLANNING O R-)535 NORTH own of _ RAndover 0 No. �i 4d h 0 %-- g Q �—� � �o == LA a - dower, Mass., ,Sz 11 COCHICHEWICK AERATE D O`Pp` 5 �`T � BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System r � , ` � BUILDING INSPECTOR THISCERTIFIES THAT... ....... . .......... ..........�.....' ....... .. ................................................... Foundation has permission to erect.....r*W!4.44........ buildings on.../.r....... .....� ................. Rough` to be occupied as 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. 3 S PLUMBING INSPECTOR VIOLATION of the Zoning or Building;Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR C Rough . . . .. .. .. ...... .... ....... ...... ............ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building 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 SIDE Smoke Det. f i O C9 01) t � 1 tt- e �ns , NORTH OE tD '�ti0 O 9 NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street SscNus� Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE: _Z NAME: ADDRESS: 15 S- �JS Oc?� S �< /T 1 �yy-eel ZONING DISTRICT: TYPE OF BUSINESS: c `/� n.Y BUILDING LAYOUT PROVIDED: YES O -,A V c-�c AVAILABLE PARKING SPACES: 2`e s 'l I,e 14 Ai e 6 ( �r c ,-e.._ ZONING BY LAW USAGE: YES/ NO BUILDING INSPECTOR SIGNATURE Revised �:I BUSINESSSS FO FORM FOR TOWN CLERK Date... .... .. . ........ NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACHUSE� c r t This certifies that ............... .. .........F...l.P.4 ...`..C................... ,,QQ has permission to perform ....... -- .caJ�............l... tQPI-.- �,,,........................... wiring in the building of...... at..... N.T. r .......................... . orth ver aSs. Feelj J�l................ Lic.No � ....... ..... .. .... .......... ............... LE RICAL SPECTOR Check # 5204 Official Use Only Permit No. E C091o (�EVMII � SAC7 ,SE`I7S rDepan'menOccupancy&Fee Checked BOARD OF FIRE PREVEIONS 527 CMR 12:00 APPLICATION FOR PRFORM ELECTRICAL WORK All work to be performed in actssachusetts Electrical Code 527 MR 1 .00 (Please Print in ink or type all information) Date j Z. U To the In pest of Wires: Town of North Andover The undersigned applies for a permit to perform the electripal work described below. Location(Street&Number /(fJ�P Owner or Tenant F`l�/C��{� jJ6 Owner's Address J "� Is this permit in conjunction with a building permit Yes 0 No (Check Appropriate Box) Purpose of Building /`{� Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgmd 0 No.of Metas New Service Amps Voits Overhead 0 Undgmd 0 No.of Metas Number of Feeders and Ampacity. /00 06 U/4t-7T t 4"j'"' / n Location and Nature of Proposed Electrical Work ` (JI(AI ( T/.1 \ ( T--t%/Y Vr(,U (UC f Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting Fixtures Swimming Pool gmd 0 gmd 0 Generators KVA No.of Emergency Lighting 5 No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners 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 Diposal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW I Signs Bailases Wiring No.Hydro,Massage Tuds No.of Motors Total HP OTHER: y INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES 0 0 c have submitted valid proof of same to the Office YES O NO 0 If check940 YES please indicate the f co by checking the appropriate box INSURANCE i, BOND 0 OTHER 0 (Please Specify) a d Estimated Value of Electrical Works (Expiion e) Work to Start Inspection D to Resquested Rough Final Signed under-the Penalties of pery FIRM NAME Q�j LIC.NO. Licensee ✓ t v n Signature LIC.NO. ( e i-1✓1 It Tel No._ 179 O j O Q Address V� Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware th a 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) r Telephone No. PERMIT FFA 3 (Signature of Owner or Agent) z a The Commonwealth of Massachusetts Department of Industrial Accidents d Office of Investigations F< Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name Name: Location: Phone city # I am a homeowner performing all work myself. 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. Coma name: Address Phone# Ci!y: Insurance Co Policv# Company name: V Address ` Ci Phone#: 1 - 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$1,500A and/or one years'imprisonment-as well_as-civil.penaltiesin.2hefnrm da STOP WORK ORDER. a fine of.(.$1.00.00)-atiay.against-me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Date Signature Phone# Print name official use only do not write in this area to be completed by city or town official' i PermitiLicensin City or Town ❑ Building Dept E] Licensing Boal ❑Check if immediate response is required ❑ Selectman's C Phone A ❑ Health Depart Contact person. Other Date. . �. / �v . ... . ,aORTN p TOWN OF NORTH ANDOVER . PERMIT FOR GAS INSTALLATION ° '�s +O+..a c•'��qh .` CHUSE� This certifies that . . . . . has permission for gas installation ':1 ..... .l in the buildings of ��--. ././� r�.�..... . . . . . . . . . . . . . . . . . at , North Andover, Mass. r D // GAS INSPECTOR Check# �-k7 � 8 MASSACHUSETTS UNIFORM APPL.ICATON FOR PERMrr TO DO GAS FTITLNG (Type or print) Date y/1 NORTH ANDOVER,MASSACHUSETTS Building Locations P Permit# 70 0 Amount$ Owner's N m New Renovation ❑ Replacement Plans Submitted ❑ V) � y U a a z z O E" w go co) H Q C) O D O W E. c� W Q w F -- a' a W z w x W w ° A F 0 F CO) F z Fx Fw W O O w H W .a F W z Q > WWQ z Q 9 Q d O O W — O W F > O x w A A C7 .a U cx A w F O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . F L O O R 4 T H . F L O O R 5TH . F L O O R 6 T H . F L O O R 7TH . F L O O R 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name C` ( q- (e ku c2t. e /" � l'j ❑ Corp. Address �U �:7J �` �V �'� ❑ Partner. Busines one L ❑' irm/CO. Name of Licensed Plumber or Gas Fitter �3�� 5 /,,a liLlyzl FINSURANCE COVERAGE Check one: t liability Insurance policy or it'ssubstantial equivalent. Yes Noecked Yes,please indicate the type coverage by checking the appropriate box_ance policy ED— 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations p ormed under Pe Issued for his application will be in compliance with all pertinent provisions of the Massach efts Stat as ode a d Chap r 142 of eneral Laws. Signature of Licensed Plumber Or Gas Fitter Plumber Tit 423 L Title City/Town ❑ Gas Fitter ricense Nurnmr �tVlaster APPROVED(OFFICE USE ONLY) ❑ Journeyman a •Location °7 l /t/!�' T ftttc� /4A) No. j Date NORTH TOWN OF NORTH ANDOVER 3?O�,t`•o ,•,�O 41 F w 9 s "; ; ; Certificate of Occupancy $ �O+�r•o•r`� ,SSACMUSEtBuilding/Frame Permit Fee $ 1310, Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # l cf ' Building Inspector PLAN OF LAND /N N04o AND 0 VER IVA 55o SCALE.• 1' = 40' ,/ULY 2,f, 2001 /AYES ENG/NEER/NG, INC. ► 603 SALEM STREET CML ENGINEERS & WAKEFIELD, MASS. 01880 LAND SURVEYORS M. (781) 246-2800 / CERTYY THAT THIS FOUND477ON /S LOCr47ED ON THE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SEMCK REOIIIREMEN75 OF TH£ZONING BY—LAWS OF THE TOWN OF NO. ANDOmR / FURTHER CERTIFr THAT THIS PROPERTY DOES NOT LIE WITHIN A ;Z 000 HAZARD AREA (ZONE A OR V) AS SHOWN ON FLOOD INSURANCE R4 , AAP COMMUNITY PANEL NUMBER 250098 0010 B,• EFFECTIVE DATE.- JUNE 15, 198POF yG SIDNEY a'c� DATE. ✓ULY 2.3, 2001 — f" FIEIC. --------------------- — L — — =— ---- — No.16320 PRO /OVAL LAND SURVEYO o Qv f !C'ctii l� 31� 3�iftvE-TrANs�' N3626'57"E 217.76 GRAIN 213 EASEMENT EX/STING FOUNDAT/ON 01 I / i 4.5 N 21.1 145 g cr LOT 14 O 7-OP 176.55 o � � 29..37.9 S.F. ELEK_176.55 � R-127.08 Z st� 41.01 NE ¢ DRAIN <1 '15 NUReC .1 EASEMENT - - 60,9000, �~.. R-20.00 ZONE- R-3 L=37.51 MIN/MUM 5:667BACKS. FRONT = 30' SIDE = 20' REAR = 30' MIN. LOT AREA = 25,000 S.F. ' M/N. FRONTAGE = 125' OR 7 A i e-ti ySL �Y y7s wcwus� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number - Date THIS CERTIFIES THAT THE BUILDING LOCATED ONja)�� MAY BE OCCUPIED AS 611Uy- 0)1/ ./�e,�I/itJel IN ACCORDANCE WITH THE PROVISIONS OF E MASSAC USETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO /l e �/ �� iw -e— (� O T Building Inspector NORTH ova o Andover ~ No. 38cl - - _.. �oC HIC LA y dower, Mass., RATED H BOARD OF HEALTH PERMIT TFood/Kitchen Septic System I J D . • BUILDING INSPECTOR THIS CERTIFIES THAT !7 .....: k ........... .. ...... .. .................................................................. Foundation//;WC ILIV)4.y has permission to erect............. +o....... ...... /..S... .......V . L�ve Rough /?� / c( . 4%*0 � ! .�!�i. I /1hV +!r � /� I/y Chimney to be occupied as.. .. .. .. .. .... provided that the person accepting this permit shall in every respect-conforni to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatirw to the Inspection, Iteration and Construction of &16k 11vC;7, Buildings in the Town of North Andover. /!7 8. p Jiy �3�0� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. % Zo PERMEXPIRES IN 6 MONTHS ma IT UNLESS CONSTRUCTION STARTS ELECTRIC INSP TO 00 II�� ................ . .... ........ .......... .............. .S BUILDING INSPECTOR a 1 Occut� � Permq � g GAS INSPECTO it Required to Occupy Building � 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 SIDE smoke Det. .' \ q Town of North Andover VAORTy Building Department �? g°:,� ».'6 0 27 Charles Street 0 -= North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 -pQ cocrwc iw.cw� ACHUS try APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS LOT NUMBER � SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION �-- FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIA USE ONLY ROUTING CONSERVATIONC�/%I�/� DATE 5 PLANNING DATE D.P.W. —WA R ME DATE l� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P TO THE INSPECTION ST D TE. �� G ATURE/DP AUTHORIZATION �JJs N°- 7 . 7 Date..... -/. U v... . pORTH °t'"`°;•�"� TOWN OF NORTH ANDOVER O 9 t PERMIT FOR WIRING SACNUS� This certifies that ...........................tCr � (M .............. . .........:..................... has permission to perform ...........��(.-�......f1.ulsl.................................. ... .... ........ wiring in the building of........ �.... ............................................... at.7...f.5...... ( ..i. .t?T.� ........... .!......./.�.^.... ,North A nd over,Mass. Fee.. d..: ... Lic.No:4.. 7 / �=f,-_: C.�'...y�. .... � ELECTRICAL INSPECTOR ' r Check # may"j WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 77 ECO,ILVIOAWF9I.7NOFMISS9CHUS'EM office Use only ' DLPARTAbSAT0FPUBLACS4FE7Y Permit No. 3 BOARD 0FFW1REVJ51M0NRE'G L4H0M527OW?l2.00 Occupancy Fees Checked i APPLICATIONFOR PE AET TOPERFORMELECTRICAL WORK ALL WORK TO BE PERFOF-MED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 2 S rte/ (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 work described below. MAP PARCEL Location(Street&Number) /S �v /tl/� 'X . Owner or Tenant ,i r it/C-- Owner's Owner's Address �•-✓'�`'`- Is this pen-nit in conjunction,^with a building permit: YesNo (Check Appropriate Box) Purpose of Building , Hle. / 'e Utility Authorization No.6-7Y` 2— Existing Existing Service Amps / olts Overhead F-1 Underground No.of Meters New Service Z_ Amps / Volts Overhead Q Underground ©� No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work A,,,' �— No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground El ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outicts 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 Deices No.of Dishwashers Space Arse Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Deices No.of Dryers Heating Devices KW Local a Municipal Other Cormccuons No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP Y OTI-IEER hmaanxCovumgr-PasjmttolI regmuTxrc N4assadu Ctr ralia%,s IhEwactmtl-abihi rh-A==PobL}'adjJargCarFioL- Cogr,=a � itsrialet4ivabl YES ED---NO a Ihaw 9Jbnri mibdpoofof==lodrOfoe YB rz�K F-1 YyuhawduiidYES pimseir c&ftr p deur tyd llc bck INSURA1vC� BOND E:] MIER F--J (P11ge*4) C 2U %I �� °(�Wak$ Wcd<toSrart / _ ir�nl�Re4EsLd � W I �'•�FIRMNAME ..� Litm9a r� r G*-r.v �/' Sigrrtti>re Lio�cNo ��1�3 �J Btn;tttssTd.No.�7b"��7'- 2 At Tea.Na OWNQZ'SNSURANCEWAIVER;Iamaw=dud-L-Lxcrwdr"ret ht,+estitutalt Yas=phdb)•MasswhsarsGmulLl s andilmrrn sigrtahremihisp�rtaapplictwaiusthistegmr3rta� (Please check one) Owner a Agent El Telephone No. PERMIT FEE$ L tertature o caner or Agent Date. .c. ... . . .. ....".`../.. . Of HO oTM 14, of TOWN OF NORTH ANDOVER ti .i A PERMIT FOR GAS INSTALLATION �,SSACHUSEt 1 This certifies that . . .�: . .�.� 1: . . .*. . . . . .:I. . . . ... -f. :` has permission for gas installation . . ./. .r. . . . .: .. . .. . . . . . . in the buildings of . . . `. . . . 4::. . . . . . . . . . . . . . . . . . . . . . . . . at .: . . . . : . . . . . . :. . . . . . .:r. . .r.�s'.! North Andover, Mass. Fee. . -'. . .. . Lic. No..! . . . . . . . . . . . . . . . . . . . . . . . . 0. . . . . . . . . GAS INSPECTOR Check# X75 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) + Dates 9 NORTH ANDOVER,MASSACHUSETTS Building Locations L V T /*- Atd' NUTS G �' Permit# 3 7�^ L Amount$ Kr )/ - L I /14 ,/y L Owner's Name S�¢j+��r? New ID Renovation ❑ Replacement ❑ Plans Submitted ❑ W c o d d N N z O w 0 H OG a cwn N z d x o w w v a F a SUB-BA SEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH . FLOOR (Print or type)� yr CSC one: Certificate Installing Company Name ❑ Corp. Address / 14 G W eev �� ❑ Partner. T!'ty 4 Business Telephone 9 7 Finn/Co. Name of Licensed Plumber or Gas Fitter TT/_� INSURANCE COVERAGE Check^one: _ I have a current liability Insurance policy or it's substantial equivalent. Yes LZd— No❑ If you have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy 10- 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all ofthe details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber rva I City/Town ❑ Gas Fitter License NumGe'r ❑ Master APPROVED(OFFICE USE ONLY) ® Journeyman "oRTti TOWN OF NORTH ANDOVER a _ • PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . . . <.G.<.•. `� . - has permission to perform . . . . .A. .F" :-v. . . . . . . . . . . plumbing in the buildings of . . . lb.': !. .l.!,!: . :1... . . . . . . . . . . . . . . at. . ./. ). . ./.L:. . { . /./. . c. . S. . . . . . . ... N�rth_Andover, Mass. �'-.Fee ;GG. . .Lie. No.. . �. ? .f ,. . . . . . . . . . .l_-.-. �. r�.�.`. . . . . . PkUMBING INSPECT& Check # 4 . 59 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �+ Date Building Location /YU/J Owners Name Permit# Amount ,?D v, Type of Occupancy New Renovation Replacement Plans Submitted Yes � No FIXTURES rr a w Cr H 4 arr cc !~ SCREME ` R4SEVE q la lLOOR 21-D Ralk 3MFLOCR 4M Ra R 5MRIM 6M RaR 7MRfM gm H-cm (Print or type) Check one: Certificate Installing Company Name AN e V/=rrr /1/, fi TG R Corp. Address FlPartner. TFGj-/'S/3 G� ✓ Business Telephone 9FS/ s�G �c-rj [j Firm/Co. Name of.Licensed Plumber. F Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [a 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 Massachusetts State Plumbing Code Chapter of the General Laws. // a �JW By: igna o i nse um er Type of Plumbing License Title /Town /S 4(o� Ci tJ' License i um er Master ❑ Journeyman n APPROVED.(OFFICE USE ONLY L� N27 `� Date.... ../!.. ...�J!.. N- 75 - 3 NORTH °�t"`°;•1"° TOWN OF NORTH ANDOVER -Siam. PERMIT FOR WIRING SACMUSE� This certifies that ..........f, :...11...:.............. .. ................................... has permission to perform l...... ............J ... .' `" ................................ wking in the building of...............A. � ...................................... /.!t/ � at....... ....... `?....... .. 'T....p�..............,�.._. /,-,",North A��Jv ,Ma � Fee.-5 �: �. Lic.No/ ?-3 r...... / ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Contnxonwea o� auacltira• For Office Use OnLy— (Rev.11199) 28,Wl�w!� �.rviw PNumber— 53;& Occupancy Occupancy i Fat BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO DP 10tI0M.M WITH THE lAa3A0Urr%E11:CTR)CAL CODE 527 CMR 12:00) PLEASE PRINT-IN INK OR TYPE ALL INFORMATION Date: 7- 1/3.— G/ City or Town of: IV ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her Intention to perform the electrical work described below. Location:(Street&Number) /fid /y / S� Ql/� T X Owner or or Tenant: _ �T., !1 h y o-//- L Owners Address:, ;Z/ 1"., 7—role. /�� !/ /�� ✓ /��d Is this permit in conjunction with a Building Permit? Yes o No o (Check Appropriate Box) c� Purpose of Building: Utility Authorization P t�7-Z U Existing Service: Amps / Volts Overhead O Underground.D #of Meters New Service: Uv Amps Y G Volts Overhead O Underground.0---- #of Meters:_ Number of Feeders and AmpacitT. Location and Nature of Proposed Electrical Work: No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. or Lighting Fixtures Swimming Pool: Above ground o In Ground o it of Emergency Lighting Battery Units No.of R•ceptaW Outlets filo• of Oil Sur ers Fire Alarms e of Zones 0 of Detection d Initiating Devices No.of Swkdm No.of Gas Burners 0ofsondigD• ices: Contained No.of Barges •, No, of Air Conditioners TOTAL TONS: oatection/Scunding Devices Local o Municipal Connscti o Other o No, of Waste Disposals Hut Pump Totals: Sexes Systems: Number: TONS: KW: No.of Devices or Equivalent No.of Dishwasher Space/Ares H"Ung: KW Data Wiring,No.of Devices or Equivalent No.of pryers °. Heating Appliances KW Telecommunications Wkft:No of Devices or Equivalent: No. of Water Hester KW No. of Signs: tY of Ballasts: OTHER; X of Hydro Massage Tubs No. of Motor Total HP INSURANCE COVERAGE:Unless waived by the owner,no permit for the pedormance 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 o BOND o OTHER 0 Please specify: Estimated Value of Electrical Work S (When required by muhlxdpsl policy) -- wort to Stat- / — U Inspections to be requested In accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perJury,that the Information on this application Is we and complete. Firm Name. �r� c �G LIC.0 �993 3 Licw%0Q: Signature: LIC.It_ _ Al ,I//C 3—? (H applicable,enter. •mp n the license nu ine) Address: G/C I ��— / Bus.Til M ZI eYAft,Tel.* OWNER'S INSURANCE WAIVER:I am aware that the Licenses does not have the liability insurance coverage normally required by law. By my signature blow.I hereby waive this requirement. 1 am the(check one) Owner o OR Agent o Signature of Owner/Agent: T•leohon•9 Location No. �/ Date -076 0 HpRTIy TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ SO ♦ i a Building/Frame Permit Fee $ JAC14uS Foundation Permit Fee $ )ny Other Permit Fee $ TOTAL $ � Check # `Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x x,. BUILDING PERMIT NUMBER: DATE ISSUED: 00/ C SIGNATURE: icic Building Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property d I 1.2 Assessors Map and Parcel Number: Ids 3/ Map Number Parcel Number r,\J, G M c L ffht v 1.3 Zoning Information: 1.4 Property Dimensions: 1719', 371 q 96', 79 Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide RegIfired Provi" Required Provided 3O ' 37 ' CP 0' 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSIIIPIAUTHORIZED AGENT F m 2.1 Owner of Record 1-7�c . loo Z&&chwooe be,'yG. 4,, �,crvet� •a (�� - Name(Print) Address for Service Sig natu ,, ® o O Telephone 2.2 Owner of Record: 05 Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number an Address G? 1/0 �!�l e�t-tc ,�ihs tG 4J�1j�l�Bg �XQ" Expiration Date E Signature__ Telephone r 3.2 istered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address Sam z Expiration Date G) Signature Tele hone D' SECTION 4-WORKERS COMPENSATION-(KG.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......1K No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction J?"'- Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �o.,•s}VoGJay Df S,`� GLG 2A5 q,Zy 2,4A w &g �-,j �r9eAG„De SECTION 6-ESTIMATED CONSTRUCTION COSTS C s " IIS Item Estimated Cost(Dollar)to be Completed by pennit a licant 1. Building (a) Building Permit Fee L'Sv K OOP Multiplier 2 Electrical (b) Estimated Total Cost of � f d CY f� Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC /� 5 Fire Protection 6 Total 1+2+3+4+5 —:27 b `Y/5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIIAING PERMIT �-4/ . N,0 fC as Owner/Authorized Agent of subject property Hereby authorize sgr Aft r , G'f F ave to act on My Walfin all a elative to work authorized by this building permit application. Si a of Owner Date S ION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby Clare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print N 1 Si at of Owner/A ent Date NO. OF STORIES SIZE , BASEMENT OR SLAB Ss SIZE OF FLOOR TRABERS 1 4:0.4CPL- 2 NDJk/v 3 RD SPAN _ DIMENSIONS OF SILLS DIMENSIONS OF POSTS DEVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION 8 THICKNESS p " SIZE OF FOOTING / X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND S9/w0 IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have peen obtained. This.does not relieve the applicant and or landowner from compliance with any applicable requirements. .■■■■.■r.......■r.■r.....■....■■.■..rrrr..■■■■r...rr...r..r..MONSOON..mom.. APPLICANT '2` '' h L PHONE ASSESSORS MAP NUMBER LOT NUMBER �. SUBDIVISION LOT NUMBER I 4STREET NUMBER I STREET ow OFFICIAL USE ONLY O ATI S OF TOWN AGENTS �i. ■..*■,....r.■ ■....■.......,.■r...........................�... .......... J c""� -� DATE APPROVED ' CO SERVATTO ADMINISTRATOR DATE REJECTED COIvATENTS 'T T !DATE APPROVED !Gl ) l T R DATE REJECTED CONOAENTS DATE APPROVED FOOD INSPECTOR-HEALTH �i n )Q� DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CON VVfENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ) 1/i i?dj a,ASCk Jan !1� DATE APPROVE FIRE DEPARTMENT (1/ ,M11610( DATE REJECTED COviIvtENTS RECEIVED BY BUILDING INSPECTOR DATE REQUIREMENTS FOR FORM U SIGNOFFS BY BOARD OF HEALTH To be filled out b the he applicant and submitted with the Form U 1. What is the proposed project? Deck pool addition new ho e other 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Yes No 4. If sewer is available and a house already exists,is it tied in to the sewer? Yes No 5. Is the location served by private well? Yes 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? Yes No 7. If,yes, is the inspection report on file at the BOH? Yes No a The Commonwealth of Massachusetts t d .Department of Industrial Accidents W Office of Investigations 4r Boston, Mass. 02111 1b Workers'Compensation Insurance Affidavit Name Please Print { Name /�` S/ �,•�+►!rL �„c E \ Location Za �/v P�►!e G �ia+i7- City tiD Q�'l2 l �v e¢ /0611- D of Phone # 9 70- (903 I am a homeowner performing all work myself. f� I am a sole proprietor and have no one working in any capacity I I am an employer providing workers'compensation for my employees working on this job. Company name ffA?X j Address 6 o20"G 6 woo D � d' c4 ' City_ ARI-4 � !/GSC, Phone#• 977.X 6/�Yl/�, i Insurance Co Policy# { Company_nam eg del I Address / �e R �-l4 SQ NJ ag - b?aS City: �� to n / !�/0 Phone Insurance Co Policy# UG 6 _ D,08S 6 7 2 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.penaltiesinthefnrm-of a STOP WORK_ORDER anal.a fine of j.$1A.0.00)-aidayagainst me. I i understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. :i � Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 4 Signature Print name rB+►! h C. ��D o Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin 0 Building Dept ❑Check if immediate response is required 0 Licensing Board ❑ Selectman's Office + Contact person: Phone#: E] Health Department 0 Other ' i I �_: -------- - --- - _ rr l l ' . �/e �om•�woruuea/,G� ]75302 BOASUILDit 1ilgL;License: SONSTR 9W.SUf'ERNumber:+CS f 075302 Birthdate j12/04!1941 'Expires:.12/0412002 Tr.no:Restricted To: 00 BENJAMIN C OSGOOD69 OLD VILLAGE LANENO ANDOVER, MA 01845 Administra t GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address Map/Parcel y. . Applicant's Phone Number 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 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 ofthe 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 ofthe effective date ofthis bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of 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 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction rennin with the land g w .For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density 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 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 tact 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 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions forihe purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(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 submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER 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 OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUS BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APP ANTS SIGNA DATE ORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I I TITLE: PLAN NO. 473 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-9-2001 DATE OF PLANS: 6-6-95 PROJECT INFORMATION: COLONIAL HOUSE COMPANY INFORMATION: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 572 Your Home = 446 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1167 30.0 0.0 41 WALLS: Wood Frame, 16" O.C. 2624 13.0 0.0 215 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1743 19.0 0.0 78 GLAZING: Windows or Doors 324 0.300 97 DOORS 50 0.300 15 HVAC EQUIPMENT: Furnace, 87.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer X Date �' �/ TITLE: PLAN NO. 473 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 5-9-2001 Bldg. l Dept. 1 Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ l I 1. Wood Frame, 16" O.C. , R-13 I Comments/Location I I BASEMENT WALLS: [ ] I 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.3 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.3 I Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 87.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] 1 All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming .pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.VVILLIAM HMURCIAK, P.E. Telephone(978)685-095ci DIRECTOR Fax(978)688:-9573 � NORTIy Ue,t.f0 O �L � 70 # QVTfO'PAI(LJ SSA US DRIVEWAY PERMIT 4 DATE 1Nl A Y R Z LOCATION 115 NAUTML.AkjE Lo-r 1 BUILDER phone OWNER k G7Y Li M e- +.0 C. phone R 78 - G 021,- 316 3 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. X A_r E DPW 3 5 7• DateOf pORi TOWN OF NORTH ANDOVER � 9 RECEIPT (NECTION S`SgCHUS� �Q ir, Mass. P� This certifies that .....:... 7.......L-1/1!Z. ...... '�..................... Street, haspaid... ...r... ....... ... J.. .r ..f �........................................ 1 i U' �6 Street for .......5. ... .:. � �. �......�`�.... .U.. " e ie�...fai 1¢ Received b ( 1 (A..... � 41........................ Department .................................. ........... WHITE: Applicant CANARY:Department PINK:Treasurer !U\ j 1 �• �v ` 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. Boar of Public Works Q By f Inspected by i Date See back for rules and regulations ' �� J,rr� i APPLICATION FOR SEWER SERVICE CONNECTION I f North Andover, Mass. A -ition by the undersigned is hereby made to connect with the town sewer main in L` Street-- ct to the rules and regulations of the Division of Public Works. �e premises are known as No. Street i /r subdivision lot no. l� Line, ` Owner U Address Contractor Address Xpp ican ' Signature e PERMIT TO CONNECT WITH SEWER MAIN �r The Division of Public Works hereby grants permission to to make a connection with the sewer main at 4ZStreet subject to the rules and regulations of the Division of Public Works.. vision of Public Works By L!/ Inspected by Date See back for rules and regulations ORTFI Town o o .. n over No. � 3� ndover, Mass., �•? 6 -o?C�O / T ^� LAKE 2 COCHICHEWICK 1 •�v A T E D u S S 7 CH 44 I T FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ........X.C..y.....4tmv.......Zov4,....................................................................... has permission to excavate and pour foundation at .. .Q. ....� .. � ...lv. n�. ...... �/4 .N...� - for the purpose of. nQO� , ... �s...3....ra1-02130 1...V.A-de:....5tt. . . t-....�1�.w/ The person accepting this permit must return to the office of the Building Inspector a certified plot plan sho, of building thereon before Foundation will be inspected. rn VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. , ....... ................................................................ 13MIDING INSI'1=,CFOR NORTH E Town of VIA 31c/ Z C' ass. 'I? i —o?d0/ coc-C- 5� dover, M , ADRATED P'? \k CC S H E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR Y..- , Vic...............THIS CERTIFIES THAT........... .... ....... ...................... . .. ............................................................. Foundation �..................... buildings �o�/y /,S Nu7`/�07 L40e has permission to erect.............. . gs on .. ............................................................................. ............ Rough t0 be Occupied as..01 #AdP01" Q.'.S Ar '� � r��+�- �� /� �N7�/ Chimney ...... ... .� . . . .. ........... . . . .... .................. ......... .... y 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 relati to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. 0) 5 & p J y ��i0� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C Rough 00 Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building 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 SIDE Smoke Dec. EBuildingvalue Calculation - for Pro a at..... LOT# 14 tti_'+F Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 25.5 15 382.50 65 $ 24,862.50 Brkfstnook - 65 $ - Dining Room 15 14.5 217.50 65 $ 14,137.50 Family Room 24 24 576.00 65 $ 37,440.00 Study 14.5 9 130.50 65 $ 8,482.50 Living room 15 14.5 217.50 65 $ 14,137.50 Garage 24 24 576.00 35 $ 20,160.00 Entry 16.5 11 181.50 65 $ 14,797.50 2nd floor foyer/sitting 14 6 84.00 65 $ 5,460.00 Sunroom - 65 $ - mudroom - 65 $ - Walkin closet 11.5 6 69.00 65 $ 4,485.00 Basement Finished - 65 $ - Deck - 10 $ _ Screened Porch - 35 $ _ laundry 8 6 48.00 65 $ 3,120.00 Bedroom 1 18.5 14.5 268.25 65 $ 17,436.25 Bedroom 2 14 11 154.00 65; $ 10,010.00 Bedroom 3 14.5 15 217.50 65 $ 14,137.50 Bedroom 4 15 14.5 217.50 65 $ 14,137.50 Bedroom 5 - 65 $ - Bathroom 1 6.5 6 39.00 65 $ 2,535.00 Bathroom 2 11.5 8.5 97.75 65 $ 6,353.75 Bathroom 3 11.5 11 126.50 65 $ 8,222.50 Bathroom 4 - 65 $ - Bathroom 5 - 65 $ - �} 3 603:00 $: 16,945_00. SA P oZ o od °'<".O RT:'4, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSAC04US This certifies that . .Cra! `'.':! t. . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . ./.5 . ./v,;f.A.--�% ". 4. . . . . . . . . . . . . . . . . ..[North Andover, Mass. Fee.y®7. .Lic. . . . . . . . . . .1,1/x . . . . . . ... PLUMBING INSPECTOR Check # Ce- 6 4 8 05 e-64805 r " i MAS-SACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB►. (Print or Type) - , Mass. Date City, Town Building Permit �o �� '� ,,� AT: location Owner'sNa Type of Occupancy:- ��`^- New ❑ Renovation Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ 2 N = y 2 �d Q F- N N V1 0 Z E N W Y J N >- V Q N O W W N z W F W _ N = O Z N IL O O, N y to S y (� V LU dl Y Q N W = 6 Z x jr W O O W < y W Q W D Q H Z W d W O LL Luxim. W N W J p O .J F- V < Y 3 at 6 Z s F Q Z < W 1L Y W Q d IL cc Z N Q Q 2 O O N E Z W F- O V S ..1 < ¢ it x < O < F to e o 3 s H u. c < 3 ac m o SUB—BSMT. BASEMENT t 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR IT STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name [Corp. Address ❑ Partnership kkA 61 t 3i ❑ Firm/Company Business Telephone Name of Licensed Plum r o Ga fitter I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of owner/Agent I have a current liability insurance policy to include completed operations coverage. By Title ign ture of Lice ed Plumber City/Town QType of Plumb' License ?W -APPROVED (OFFICE USE ONLY) U Master 1:1 Journeyman License Number FORM 1240 Hs.W 14--. TM BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING r PLUMBER PERMIT GRANTED DATE PLUMBING INSPECTOR 1 Zoning Bylaw Review Form ff k Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: AAI-tIlo s G A-9 Map/Lot: 0 a g Applicant: /)) G J7 ® jo>e_ Request: /a 'X Rt,4X CX Re- P/ACeMPnuy— Date: -a q -a o 0 Al Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning R-,3 Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies y e s 3 Lot Area Complies e S 3 1 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed e-5 G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies Ly S 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 4-1 s 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies y e-5 D Watershed 3 Coverage Preexisting 1 Not in Watershed yes 4 Insufficient Information 2 In Watershed j Sign N = 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district y e s 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit 0 — Setback Variance Access other than Frontage Special Permit Parking Variance, Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit S ecial Permit Non-Conformin Use ZBA Large Estate Condo Special Permit Earth Removal S ecial Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Si n R-6 Density Special Permit Special permit for preexisting Watershed Special Permit nonconformin The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new permit application form and begin the permitting process. Building Department Official Signafu,r,6 Application Received Application De"Hied r " Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: kr� e3e►t 4- /L C,n� U — ? /� / � re V eGf c1S 0 J`Bc� / SQ ��JA-C� v�NPG d,uCl/ Referred To: Fire Health Police onin Board Conservation ZDepartment of Public Works Planning Historical Commission Other Building Department ;h -� � o �a �� i f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIa,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7. �. U see" or BUILDING PERMIT NUMBER. DATE ISSUED. SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: N- Ah cl(/v t-v AR 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 j r- G,4 Front Yard Side Yard Rear Yard Required Provide Re4qWred Provided Recmired. Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public Private ❑ Zane Outside Flood Zone d4 Municipal j4On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) P AJ(/j-r/ f, PUP { Address for Service: L a,(! n a Jl� Signatu Telephone 2.2 Owner of Record: laG h Name Print l-�/l C/ `Y/ , 0 d�q L Address for Service: M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor. O License Number on Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor plicable ❑ Company Name M Registration Number Address r z Expiration Date ^ Signature Telephone i�+ r ' SECTION 4-WORKERS COMPENSATION(NLG.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.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) EIAddition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: 0✓/rl �/ C�/�11%,t y C>/C C k Ql (✓ L �/fr f 1!'Gf G tfGso Qf G� ht'W SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Q Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT A" as Omer/Authorized Agent of subject property Hereby authorize to act on My beh lf,in all matters relative to work authorized by this building permit application. Signature of Owner I Date SECTIOON 7b OWNER/AUTHORIZED AGENT DECLARATION a wn /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 N Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1sr2 No3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DHAENSIONS 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 • �ORTat • • Town of North Andover �o toxo"•°'�`' Building Department 27 Charles Street North Andover, MA. 01845 ,sSACH h,agf, sRr}�t9S� D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542.Fax HOMEOWNER LICENSE EXEMPTION Please print.? DATE JOB LOCATION xxl/t,�t k 44,-61 i/,- Number Street Address / Map/ o �y .HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS y /VUt�j��% Cly' (V_ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 14 HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL FORM U - LOT RELEASE FORM INSTRUCTIONS: This form 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT /�14 /( PHONE 20`1�,OC LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET �� /��r ° ST. NUMBER /3� ********************** *** ***********OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: e CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 14 OUL5 c�lsrir+�, STEPS l Zx 4-10kE4" cdM.P6StT-6 r� ' r;>,EA ns, dy'EN f21SEQ5 wOoD-Po�`(rrtz2 caMPwiT-- D6C.K/NG t.J/ 9,x, Xy GAt v. li LAID PERPEI(DICtLl.�{Z To Ta'1 STS, { LAG sciREW-s ♦ - FASMNEO w 1 TN TRAP-Ez.H FRAP(D , (a" O.C.* —� I-aaY�." A fic K �i 0 � a IT Ex. cede, PICA 2.-axles BEAr,& � 13't... To 3=_ aaA,vaort�fl OV@R y><to P/r ?OS75 TV. DECK Rates To y," w/'��^tS'soAi .4DNJ�b _ ABOVE Dt:Clc SURFAc�-;, PosT .GA. .Sti5 oN - lYy" SgLUtRE (3h�t�5TERs chi )a )c Ll CONC. pIERS+ I 5Q.u_AAE A-r x cAP Tuat-, ',EUELF--D 6orTofA N /t5sl.�f"ES 7-46 7=6"-X-Ow1A)a- t GoNCRE7>~ PIER6 fitZEID AND 5PACS-b LEb&F-P, is Axg AC-a;. • f�.oR SANDY r-,RAgF-L. WITµ A 014L.L. S+EA'n+tNG- is GDX ?Pgsu-PT1vE (3•e�4FLNG PkO'SSLARS, BA1,lD 33So)$T- is Xlo ZPF OF us-000 PsF. , DE51 NS t S�iGri+Cs \ /y is �5d Pf, -r-CrAI !~©Gr►N f�Re4 ,4 = C M d�J! scsoa PSF x , 7855 35a.7,S Ibs R��ow4p1-�` Lo.3.n �t 34x7,S 1�4+-toy to7 sF T72t6taTQray t_o.4D r PLAN OF LAND /N NO. ANDOVER UA 55, SCJ4LE. 1'= 40' ✓ULY 2.7 2001 1 9YES ENC/NEER/NG, INC ► 60.3 SALEM STREET CML ENG/NE£RS& WAViREL0, A/ASS. 01880 LAND SURVEYORS TEL. (781)246-2800 / CER77FY THAT THIS FOIINLI477ON/S LOCATED ON THE GROUND AS SHOWN, AND 77i4T /T CONFORMS 70 THE SETBACK REOU/REM£N75 OF THE ZONING BY—LAWS OF rHE TOWN OF NO. ANDOVER /FURTHER cmzFY THAT 771/S PROPERTY DOES NOT L/E WITH/N A FLOOD HAZARD AREA (ZONE A OR V)AS SHOWN ON FLOOD INSURANCE RA OFµy� U4P COMMUNITY PANEL NUMBER 250098 0010 B,• EFFECTIVE DA7E.• JUNE 15 198SIDNEY "SN tiG DA 7--- JULY 23, 2001C. /l MEi --------------------- --`.• — — -- ---- — No.16320 PROFS/OVAL LAND SURV£YO e p� FES910�P �PPvia�� tL 31 G'bsuRVE ThgM S 1-eNN,oCQ �`�oZS—ol C`C) N36 26:57"F 217.76 I DRAIN EASEMENT rn 21.3 EXISTING a` i FOUNDATION 4.0 I / A ;V V N 21.1 14.51 b� 6 0 N LOT 14 x 29,379 S.F. A TOP FOUN94 TION c N 176.53 U' R-12,'.08 L a y 54 1.01 DRAIN ,'�5"E NIJTit16-c EASEMENT / �� 09 '` R--20.00 t ZONE- R-3 L=37.51 MINIMUM SETBACKS: FRONT = 30' SIDE = 20' REAR = 30 MIN. LOT AREA = 25,000 S.F. ' Am FRONTAGE = 125' • Location ��U U� ZAN-d- No. �� Date MQRTIy TOWN OF NORTH ANDOVER + ; ; Certificate of Occupancy $ ;�s°•° EZ�' Building/Frame Permit Fee $ swCHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r/ r' Check # 07 17457 Z10 �j ALA Building Insp — TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING o� rn BUILDING PERMIT NUMBER: oc2 DATE ISSUED: 17-16 0 C SIGNATURE: Building Comm ssioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 3 8 _Apt 2q 4';tfiLa", S Map Number Parcel Number ' 1.3 Zoning Information: 2(3 A 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 WELDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided .-- 37 O r2 1,t 13060► 1 ?, 2 0 1.7 Water Supply M.G.L.C.40. r-1-054) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public X Private ❑ Zone Outside Flood Zone ❑ municipal}+ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone O 4 72.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 110v%-0-.5 Lydv s Licensed Construction Supervisor: _Q�5/(3$ Ry a - (► License Number 4`1 G�s� (�� {-��d. M�1 a r�3 s � Address 9//(,/©y - 7 75 O "C' Expiration Date z Signature Telephone t( r 978 3.2 Registered Home Improvement Contractor Not Applicable ❑ v ! :\�a t e� ey-% t Dt'�Se-If ^pmppany Name /3610 6 y rn y /1 cAnb SS 0/ $3 S Registration Number r Address y��j � c 6. ` �-t/•� Expiration Date Signature Tele hone Y� 3 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 au applicable) New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other Specify C k Brief Description of Proposed Work: t o a r'o.dk '. L'k"A- s er SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee f� 7 Y 5 —° Multiplier 2 Electrical (b) Estimated Total Cost of co c{� Construction r 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 -7 q S. 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT � .J t 1, / / / eV -vii{ / ,as Owner/Authorized Agent of subject property Hereby authorize 2�/4 �1_&f (%n1l �i! A0 10'17//fe✓ Jr�aet on My b�LF'/"`at� rep to work authorized by this building permit applicati n S Signature of Owner !/jj,, Da ` SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, -)rokS as Owner/Authorized Agent of subject �uKctS property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ld t�yo+ls Print N e t-7/Q y Si ature o Owner/A ent Dat NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS OT 2 No 3 RD SPAN DIN ENSIONS OF SILLS DIIVIENSIONS OF POSTS DINvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS r SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUIL DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: Cpa=L,k Est. Cost 7Ys Address of Work 15 Owner Name: CUe- pop._ Date of Permit Application: '117L6 q I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 6h7Lvq _Fk&,y., _SQ . LX 13610104 Date Contractor Name Registration No. R: N ithstanding the above notice, I hereby apply for a permit as the owner of the above property: Pate Owner Name � ec(C FORM U - LOT RELEASE FORM �Zr INSTRUCTIONS: This form 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 or requirements. *****************************APPLIdANT FILLS OUT THIS SECTION*********************** APPLICANT TVI-P 40 5 PHONE q79--37t(-7Y 7.s LOCATION: Assessor's Map Number 0 3 PARCEL --'�-o L( SUBDIVISION LOT (S) STREET� ST. NUMBER /S *****************************************OFFICIAL USE REC MENDATPNJ OF INN AGENTS: f CONI§ERVATION ADMINIST TOR DATE APPROVED 7 0 { h f DATE REJECTED t, COMMENTS ��-GE�nS�✓ucTibn t�tP Ktir✓, �� 'for _APA '7�/b�o'1� olcatit TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm . -i BOARD OF•BI ILDING REGtA,A�. _. .�Icense: CONSTRUCTION SUPERAS R Number; 074135 : ' A.ME/ 954 Tr. €.1 n X2873 e� ,: 7 , THOMAS W LYO , 99 CROSS ROAD ` BRADFORD, MA 0 Administrato �1 e �omvnva�u�ea�i o�./�aaaac/uiaetla ' Board of Building Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR Registration: 130664 Expiration: 4/6/2006 Type: Private Corporation WILLOW ENTERPRISES,INC. THOMAS LYONS 99 CROSS ROAD _, - u✓ WARDHILL, MA 01835 Administrator Ie, , Town of North Andover , �10RTh Office of the Zoning Board of Appeals F Community Development and Services Division t 27 Charles Street North Andover, Massachusetts 01845 'ss„c„uSt� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 V` This Is to certify that twenty(20)days have elapsed from date of decision,filed without filing of an appeal. Date s'i'r/ V E-2DD`f Any appeal shall be filed Notice of Decision JoyceA.Bradshaw within(20)days after the Year 2004 Town Gerk date of filing of this notice in the office of the Town Clerk. Property at: 15 Nutmeg Lane NAME: Dave&Michele Pope HEARING(S): June 8,2004 ADDRESS: 15 Nutmeg Lane PETITION: 2004-012 North Andover, MA 01845 TYPING DATE: June 14,2004 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,June 8,2004 at 7:30 PM in the Senior Center, 120R Main Street,North Andover,Massachusetts upon the application of Dave& Michele Pope, 15 Nutmeg Lane,North Andover,requesting a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning Bylaw from a rear setback in order to replace an existing deck. The said premise affected is property with frontage on the Northwest side of Nutmeg Lane within the R-3 zoning district. The legal notices were published in the Eagle Tribune on May 24&31,2004. The following members were present: John M. Pallone,Ellen P.McIntyre,Joseph D. LaGrasse,and Richard J. Byers. The following non-voting member was present: Walter F. Soule. Upon a motion by John M. Pallone and 2nd by Richard J.Byers,the Board voted to GRANT the dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of 10.8' from the rear setback in order to replace an existing deck with a larger deck per Variance Plot Plan for Proposed(12'x25')Deck, location: #15 Nutmeg Lane(Lot 14),owners: David S. &Michele M. Pope, date: May 10,2004,Peter J.Ogren P.L.S.#33604,Hayes Engineering,Inc., 603 Salem Street, Wakefield, Mass.,and[deck construction plan] Drawn By Tom Lyons [for] Michelle&Dave Pope, 15 Nutmeg Lane,North Andover,MA 01845 on the following condition: 1. The replacement deck stairs shall be placed to the side,so that the structure will not encroach any further into the rear setback than the granted variance relief of 10.8'. Voting in favor: John M. Pallone,Ellen P. McIntyre,Joseph D. LaGrasse,and Richard J.Byers. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. This change,extension or alteration shall not be substantially more detrimental than the existing deck to the neighborhood. The applicant brought 4 photographs of the existing deck,and views from it to the side and rear setbacks. No abutter wrote or spoke against the petition. Pagel of 2 C.- Reg" Co ATTEST: Reg" a. A True Copy NOM 0l riot E CD Town Clerk A-114 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals F- p Community Development and Services Division 4 27 Charles Street North Andover, Massachusetts 01845 Ss US D. Robert Nicetta Telephone(978) 688-9541 Building Commissioner Fax(978)688-9542 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant, it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re- established only after notice,and a new hearing. Town of North Andover Board of Appeals, Ellen P.McIntyre, hairm 2004-012. M38P284. Page 2 of 2 c� _u C•_ �.J r_- Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688.9535 ^ |^� / |' Essex North Caunty Ke�istry of Deeds JT Coeann Street Lawrence, �as�ac,us��ts �124} -i-CHELI.E. M POPE 071 # 21 Ren 7y, PL 50.00 / DOC. 30197 C. P. 2n 03, ' �. D. 5.O� # 22 Pecs 7>le GEWT 5}.00 / Dol 10 198 A A 210;,-,.- R. O.�R. D. 1OO Toth 150.A. � 23 Almot Chnx 150.0,0; THANK YOT Thum�� J. Durke Regi*ne` Df Deeds 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: r' W,a lrGn Sia io„ C� /" L'S`a iJtsf�os�� (Location of Facility) -e44,, Signature oV ermit Applicant 7/-+V Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 1 Agreement This agreement is made this 22nd day of March 2004 between Dave & Michelle Pope of 15 Nutmeg, Lane, North Andover, MA (hereinafter referred to as "Customer") and Willow Enterprises, Inc., a Massachusetts Corporation with a principal place of business at 99 Cross Road. Bradford. MA (hereinafter referred to as "Willow"). Willow's Federal Identification No.: 04-3291308 Thomas Lyons MA Construction Supervisor License # 074135 MA Home Improvement Contractor Registration # 130664 Whereas Customer represents that he is the record owner of the property located at 15 NuUMcI Lane. North Andover. MA- (hereinafter referred to as "the Property"). Whereas Customer is desirous of hiring Willow to provide labor and materials to rcplacc existing, deck with a lar�2cr strUclurc. Whereas Customer has been dealing with Tom Lyons, President of Willow. concerning said work, Now, therefore, in consideration of the mutual covenants and considerations hereinafter set forth, the parties hereto agree as follows: 1. Work to be Performed Willow shall in a good. faithful and workmanlike manner provide material and labor as specified for the removal of the existing deck and construction of' a new 12'x25' deck in the same location. Scope of Work: ■ Building Permit ■ Demolition: Remove complete deck including surface and framing ■ Excavation: Dig out by hand 5 holes for 12"x48" sonotubes ■ Concrete Work: Install round sonotubes, to 4' below grade, Pour concrete and Backfill ■ Framing: o Secure post anchor with 1/2" expansion type sleeve anchor bolt o Stand-off plate for moisture damage protection 0 4"x6" Solid wood posts on sonotube secured to 4" x 6" post anchors 0 2-2" x 10" wood beam or header o Ledger lagged to building w/ '/2" x 4" lag screws and washers o Joists doubled at all sides 0 2" x 8" deck joists, pressure-treated fir or pine, 16" OC secured to ledger with joist hangers ■ Decking: o 300 SF Wood-Polymer deck surface 5/4" x 6 o Deck laid at right angles to joists, 1/4" spacing at edges, 1/8" spacing end to end o Screw deck boards to framing by running 2 %"Trap-Eze screws through top face of deck boards into joists ■ Railing and Stair System: ■ 2" x 12" stringers @.12" on center ■ 2 Trex planks - 2"x 6"x 42"per tread ■ Open risers • 4 ft. wide step ■ 2'x 4'x 4"Concrete bottom tread on ground • 4" x 4" end and intermediate posts extending to 42"" above deck framing ■ 5/4" x 6" cap laid flat on posts ■ 2" x 4" top rail set upright between posts under cap • 2" x 4" bottom rail set upright between posts • 2" x 2" pickets fastened to outside of top and bottom rails, 5" OC Customer Initial: M Q r 1 ■ Remove and properly dispose of all construction debris All work to meet 780 CMR, Massachusetts State Building Code requirements. Willow will be-solely responsible for and have control over construction means, methods, techniques. Sequences and procedures and for coordinating all portions of the Work under this contract. unless otherwise noted. Willow will comply with all health and building ordinances that are applicable. Willow will also provide Lind pay for all materials, labor, tools, and equipment, which are necessary for the normal construction contract work through its completion, unless otherwise noted. Willow will remove and dispose of all construction-related debris. The customer grants permission to Willow to have a dumpster placed on the property. All materials will be new. unless otherwise specified. All materials, finishes, and workmanship will nice( accepted industry standards, unless otherwise noted and will be consistent with the plans regarding sizes. A reasonable allowance on all dimensions is allowed according to normal industry standards. Willow will he responsible for maintaining and supervising all reasonahlc safety precautions in connection with the performance of the contract work. Willow will provide general liability and Workers Compensation insurance according to the laws of the Commonwealth of Massachusetts until completion of the project. Owner is required to carry fire, tornado and other necessary insurance sufficient to cover the additional structure. The parties agree that Willow's work is based upon the plans and/or detailed description attached and that subsequent changes to these may require additional labor and/or material charges, as defined in Section V. Deviations or omissions that may be necessary due to requirements of governmental authorities having jurisdiction of the property, or suggestions and design changes made by Customer. Customer hereby authorizes Willow to undertake any changes, deviations, or omissions required by governmental authorities, upon notice to Customer, and Customer will pay all additional costs required by such authorities 11. Contract Documents The intent of the contract documents is to include all items necessary for the proper execution and completion of the work by Willow. The contract documents constitute the entire agreement between Customer and Willow. Should there he discrepancies between the specifications and drawings the written specifications will take precedence. This contract incorporates by reference the following contract documents: Description Dated Customer's Initials Willow Initials c A. Building contract 3/22/04 B. Change order forms C. Building Drawing 3/22/04 ` III. Contract Price The price for Willow's work pursuant to the terms of this Agreement shall be (`fen-Thousand One-Hundred Twenty dollars), $ 10,120.00. Customer agrees to pay the contract price, less any deposits made, in cash or by bank. treasurers or cashier's check drawn from a MA banking institution. All checks will be made payable to Willow Enterprises. IV. Method of Payment Willow shall receive payment according to the following schedule: 1. $1.000 At signing of contract 2. $4.560 When work commences 3. $4.560 At completion Customer Initial: Customer shall tender final payment to Willow within five (5) days alter Willow's written request and upon satisfaction of the parties. Payments which are due under this contract and the contract documents but are not paid when due will incur interest at the rate of 1-1/2 percent monthly. from the date payment is due. Customer agrees to pay for reasonable attorney's fees and cost of Willow associated with collections arising from this contract made necessary by customer's material breach for non-payment. Should there be any disagreement regarding the disbursement of payments, in accordance with the payment schedule herein. Willow will not be obligated to continue with its work until such time as the disagreement has been resolved to the satisfaction of the parties. Any delay in Willow's work as it result of this paragraph shall extend the time for completion of this contract to account for the number of days Willow is off the job. V. Time of Completion Willow will begin its work under this agreement on or about May 12. 2004. contingent on customer receiving variance approval from Town of North Andover. Completion of this project will be on or about 10 working days alter commencement. Prior to commencement of the work, Customer must furnish to Willow reasonable evidence that financial arrangements have been made to fulfill Customer's obligation under this contract. Willow agrees to start and diligently pursue the work through completion. However, the substantial completion date may be extended due to delays beyond the control of Willow, including but not limited to: delays in the issuance of necessary building permits or zoning variances, funding of loans, disbursement of funds, adverse weather conditions, unavailability of materials or labor, illness, unavoidable casualties, an act or neglect of Customer or architect, additional work changes requested by Customer, failure of Customer to make payments when due, delays occasioned by acts of God, strike, .changes in governmental regulations, acts of governmental agencies or their employees, catastrophes, wars, riots, and all similar occurrences beyond Willow's, his subcontractors' or supplicrs' control. Customer agrees that the date of substantial completion may be extended for it reasonable period of time without incurring damages or penalty for such delay or stoppages. The date of completion is the date when construction is sufficiently complete so as to ohtain the final inspections and to the satisfaction of parties and will be conclusive and binding on all parties in establishing that Willow will he entitled to receive the lull contract price. It Willow's work is delayed without the fault or responsibility of Willow. then the time for Willow's work pursuant to this Agreement shall be extended to account for such delay and until such time as Willow can complete such work. VI. Changes in Work Customer may from time to time without invalidating this Agreement order such extras, additions, alterations or other modifications of Willow's work under this Agreement as he may deem necessary. Such changes shall be valid only on the written order signed by Dave or Michelle Pope and Willow. Such change order(s) shall set forth the scope and price (if any) of the additional work to be performed by Willow. For all change orders, Willow will he paid within seven (7) days of its completion of such change order work. In some cases it deposit will he required before starting the work. Change orders will be provided in duplicate by Willow. The pau-tics agree that Thomas Lyons will he authorized to execute change orders in Willow's behalf and that Willow agrees to he hound by and become legally responsible for all change orders executed by Lyons in its behalf. VI1. Rejection of Defective Materials (applies to customer supplied materials) Materials and labor supplied by the owner often create scheduling and warranty problems. We do not recommend supplying material or labor for your own protection. Should you decide to supply materials they will be exempt from our warranty and, at our discretion, void the warranty of related work if' failure occurs. Customer Initial: Willow shall have the right to reject any owner-supplied materials that are del'ective or require correction. Willow will not be required to perform any work until such time as Customer provides Willow with proper materials to perform its work pursuant to the terms of this Agreement. Should work to be performed by the owner cause delays in the work our subcontractors or we are to perform as part of this contract you may, at our discretion, be charged for the time if the subcontractors or we cannot work on another project elsewhere during the delay. Owner assumes all liability l'or injury or damage to materials or premises while engaged in Owner Supplied Labor. VIII. Building Design Willow's price for its work pursuant to the terms of this Agreement is based solely upon the specifications listed above. IX. Allowances If the contract price and specifications include allowances, and the cost is greater or less than the allowance, then the contract price will be adjusted accordingly. In general true up on allowances will take place at the completion of work. Il' the overage on the allowance.is greater than 5017• of the allowance. payment for those items is to he made upon delivery to customer. X. Subcontractors A subcontractor, for the purpose of this contract will be a person or entity with whom Willow has a direct contract to perlorm a portion of the work described herein. Willow has the right to subcontract any part or all of the work herein agreed to be performed. All subcontractors will be duly registered as required by the laws of the Commonwealth of Massachusetts. Willow agrees to bind every subcontractor by the applicable terms of the contract documents. The contract documents will not be construed as creating any contractual relationship between a subcontractor and Customer. Customer will have no authority to negotiate with Willow subcontractors or to directly subcontract any of the work described herein or to have any subcontractor work at the site under the terms of the contract without the written approval of Willow. Willow will have sole control of the construction personnel, including subcontractors. Customer will not issue any instructions or otherwise interfere with construction personnel, including subcontractors. XL Law and Effect The Laws of the Commonwealth of Massachusetts shall govern this agreement. XII. Severability and Waiver The partial or complete invalidity of any one or more provisions shall not effect the validity or continuing force and el't'cct of any other provision. The failure of either party hereto to insist. in any one or more instances, upon the performance of any of the terms. covenants or conditions of this Agreement. or to exercise any right herein. shall not be construed as a waiver or relinquishment of any such term, covenant. condition or right with respect to further performance. XIII. Attorney Fees Shall either party employ an attorney to enforce any of the provisions hereof, to protect its interest in any matter arising under this Agreement, or to collect any damages for the breach of the Agreement then the prevailing party shall be entitled to recover reasonable attorney fees, costs, expenses and expended or incurred therein. XIV. Entire Agreement This agreement is solely for the benefit of the signatories hereto and represents.the entire and integrated agreements between the parties hereto and supersedes all prior negotiations, representations or agreements. either written or oral. This contract and the contract documents may not be modified or amended except by a written agreement of the parties. XV. Representation Customer represents that at the time of executing this Agreement, all parties who have performed work or supplied Customer Initial: materials at the Property have been paid in full. XVI. Permit Notice It is the responsibility of Willow to obtain any and all construction-related permits for this job. It is the responsibility, under the direction of Willow, for the licensed tradesmen to obtain the appropriate permits for their trade. Owners who secure their own construction-related permits or deal with unregistered contractors will be excluded from the guaranty fund provisions of M.G.L. c. 142A. XVII. Signage V Db S� Willow is authorized to place signs for advertisement and to assist in the delivery of materials to the worksite when in conformity with applicable sign codes. XVIII. Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this cc ntract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall he required to submit to such arbitration as provided in MGL c. 142A. OWNER: vJ 'D < Contractor: XIX. Miscellaneous Provisions All Home Improvement Contractors and Subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director. Home Improvement Contractor Registration, One Ashburton Place. Room 1301, Boston, MA 02108. Tel. 617-727-8598. Willow Enterprises currently holds no liens or security interest on the residence as a consequence of this contract. As the Owner. Customer has a 3-day cancellation right pursuant to MGL c. 93 sec. 48. MGL c. 140D sec 10 or MCL c. 235D scc 14. as may be applicable. Please consult such statutes for your Ic`aal rights or consult an attorney. All warranties and owner's rights are provided for in 780 CMR-6 and MGL c. 142A. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Executed as a scaled instrument this),L day of March, 2004 OWNS WILLOW ENTERPRISES. I C. By its duly authorize officer Customer Initial: TAORTF1 Tbmm Of : Andover 0 No. dover, Mass., T O LAK COCMICMEWICK AORATED FC `s U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT 'f.. BUILDING INSPECTOR ......�.A.V�............ ......Ak�.40.)Ar................. ....�............................................... Foundation I has permission to erect.......`........ Vim........ buildings on .....�. �v G ��............... Rough ........... .............. . .......................... . to be occupied as 0 P8 N �� ,C �� s��0�CC �14 �� Chimney ................................................................ ......�l.... ....................................�............. ................. 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. •f` 2 © A ��C �p � aooy � �� b'1'A�t�S �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids th's Pe mit. 'Se I V b i 11 +41 • N S%Gis Rough CP&- y 0740 Final PERMIT EXP 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS' TS Rough y�ll�! .. ...........................a� ..........................,.....,..'r C"O"W Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building 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 SIDE Smoke Det. PROP. (12'45')EENj87,657"£ 217.76 11000, VARIANCE PLOT PLAN I _ FOR � N w � ° 1; �— PROPOSED (12'x25') DECK to 4. e � M N 21.3 I � kA F7 r I rn nj �eiE�E aI 1 i' M 211 115 4-- tI to LOCATION: #15 NUTMEG LANE (LOT 14) R£PYti^r1 RWO 1�1 MR N-3 ch x OWNERS: DAVID S. do MICHELE M. POPE v N LOT 14o 51't 29,,,Y79 SF. 5 TELEPHONE NO. 1—(978)-258-4465 /p---127.08 l,�¢� 1SOLA7L'D N-2 DATE: MAY 10, 2004: WL7Z",0 11•0 5I � AWN � —f SCALE: 1"=40' N15 G 9 O.9 ZONE- R-3 R-20.00 FF— EL= 177.5± L=37.51 MIN/MVM SE7340(S.- 176.88 FRVNT = 30' F.= SIDE = 20' EL= 176.5 REAR = 30' 172.5f - M/N. LOT AREA - 25,0100 S.F. M/N. FRONTAGE = 125' ELEVATION DETAIL AREA OF EXIST. DECK = 47± S.F. TOWN OF NORTH ANDOVER NOT TO SCALE AREA OF EXIST. HOUSE = 1,810± S.F. B D OF APPEALS �/ l CERTIFY THAT THE STRUCTURE IS AREA OF PROP. DECK = 300 S.F. — --- =— LOCATED ON THE GROUND AS SHOWN. LOCUS f- SST TOTAL = 2,110± S.F. LOT COVERED BY EXIST. HOUSE -- o AND PROPOSED DECK = 7.1 x — , t— ----- PROFESSIONAL LAND SU 0 N' sic DATE: MAY 10, 200 #63604 APPLICANT QQ -- 1 _�.Q4 _ DAA PLAN PREPARED BY DATEF FILING _J wA4L -44 HAYES ENGINEERING, INC. S„PEE, DATE OF BUBLIC HEARING 603 SALEM STREET LOCUS AMP � o' 20' 'w0 80' 120' WAKEFIELD, MASS. ' 1 —(781 )-246-2800 SCAU" 1 '%=800 — I �i • I I ---- — --- - ------'-- -- _.. i -------- -- -- - --- — --- - .- -- - ' ---- - -- a � ^ - --- ---- — - - --- -- • I }} If , f 1 _ _ - — f i• - _ _ - - - - rT • &�1��. j.�\tia ��:\\\`\�\�\.\\\}\�\\\.,. - \iia., ',>�\�•�-•.'i•.:'C�-\.1�^��\�\;i�. '\ RSSs__ .. --- -- y- _ _ ------' ' -- --- --- ----'--. _ . 0 CONCH_��i�S �.� ;I. or--'C Y t\ \: •\ t ; f 1 ��r � �, I� • � �k {� =To y8�r+rN. _r�E(.ow - TREA�D . C,RAb n, I - •Trecd d_op+� — �� TI i I ! - CY nak 2x l0.'3'@ f(0 O.C. �I - --- - ,- ---- --- - I O r-----L SCi4 E i - DR<!w^ !3Y -Ly, / J)ATE �yF�OrQ� RE�tSr_p f I CNE L E {L-UE�' . ,N ! L OHr ,rr4 r fZ�R 155 d Date... TOWN OF NORTH ANDOVER 0p PERMIT FOR WIRING wr S ONUS This certifies ................ ............... has permission to perform . ....................... wiring in the building of... ............................ ............................... at...45...... ............................. .North Andover,Mass. ............. Fee.��.' ..... Lic.No.............. ... ............. . ........................ ELECTRICAL b9PECMR Check # 5P0 7 �� L.onvnonwaaf�{s of��atlitcda�J For Office Use Only c� c7 (Rev.11199) ..UsParfnwsl u�,�i�a Permit Number. ar+rricad BOARD OF FIRE PREVENTION REG LATIONS Occupancy&Fee APPLICATION-FOR PE TO PERFORM ELECTRICAL WORK (ALL WORK TO EORMED THE MASSACHUSEI43 ELECTRICAL CODE 527 CMR 1200) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date:. S!�/f e-s City or Town of: Al— To the Inspector of Wires: By this application the un ersigned gives notice of hor er intention to perform the electrical work described below, Location: (Street&Number) Owner or Tenant: r7 Owners Address: Is this permit in conjunction with a Building Permit? Yes Appropriate Box) Purpose of Building:-r, Utility Authorization#' Existing Service: ZG1r-' Amps /Z-j a Volts Overhead p Underground.L�' #of Meters New Servicer Amps / Volts Overhead ❑ Underground.❑ #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: J/. No.of Recessed Fixtures No.of Cell:Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground c In Ground o #of Emergency Lighting Battery Units No.of Receptacle Outlets No. of Oil Burners / Fire Alarms #of Zones #of Detection&Inittating Devices t No.of Switches �U No.of Gas Burners #of Sounding Devices: #of Self Contained No.of Ranges No. of Air Conditioners TOTAL TONS: Detection/Sounding Devices Local o Municipal Connection o Other c No. of Waste Disposals Heat Pump Totals: iSecurfty Systems: Number. TONS: KW: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: KW Data Wiring,No..of Devices or 9 Equivalent: No.of Dryers _ Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs:_#of Ballasts: OTHER; #of Hydro Massage TubsNo. of Motors Total HP 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 equivale a undersigned certifies that such coverage is In force,and has exhibited proof of same to the permit Issuing office. CHECK ONE: INSURANCE BOND o OTHER O Please specify: Estimated Value of Electrical Work$ (When required by municipal policy) Work to Start: —O l Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the Information on this application is true and complete.yy// Firm Name: -i+ l �> LIC.#_ /T-/�!�2� Licensee: f s /r /+�.r /l/ Signature: LIC.# �>7 lF 3 _ (if applicable,enr r"eya rpt"in the aq ,,I mbar line) Address: Bus.Tel # L7'2/0 _ Alt.Tel.# 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 h waive this requirement. I am the(check one) Owner o OR Agent o ereby Signature of Owner/Agent Telephone# �ERhUT FEE:S