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Miscellaneous - 1535 Forest Street
BUILDING FILE F Location i oT o? 153 S a r,-44- No. Date I ,.ORTIy TOWN OF NORTH ANDOVER 3? � .. •• SOL F 9 ' Certificate of Occupancy $ '•""''tt' Buildin /Frame Permit Fee $ s+cMust Building /Frame Permit Fee $ Other Permit Fee $ _ } TOTAL $ Check # �� G 17629 f Building Inspector ZONING DISTRICT R1 DATE: SEPT. 9, 2004 SCOTT L. GILES FRANK S. GILES II REVISIONS: FRANKS. GILES A SURVEYING 50 DEERMEADOW ROAD ►s s �N SCALE: 1 INCH= 20 FEET 793 NO. ANDOVER, MA 01845 TEL: (978) 683-2645 o ss�`'�Q . o, FrankGilesSurvey@comcast.net D s%3e�;.`� PT. 9 2004 �Al�ld o PLOT PLAN OF LAND �O T-,N 4A., � Cp q�131a r LOCATION LOT 2 .p /�vs�o FOREST STREET o NORTH ANDOVER, MA / DRAWN FOR HSE.M535 30.4' TONY PETLNO EXI FOUND'/ 30.1' SUBJECT PROPERTY 1535 FOREST STREET 30. NORTH ANDOVER, MA r .o 0 LOT 2 2.05 ACRES I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY LAWS OF NORTH ANDOVER, MA. AT THE TIME OF CONSTRUCTION. THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. C:\CLIENTS\\PETINO TONY\PLOT PLAN.DRG 1 0 i 56 Date... Z Z...1�.... pORTH °` 1"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �O��r•° ��•h ��SS�CMUSEt This certifies that r``�..................... ........................ has permission to perform wiring in the building of.... j ��.`'�?.�S ?............................. at... � North Andover Mass. Fee..._q ..... Lic.No..../.d..)e1. ............................................. - ELECTRICAL INSPECTOR Check # Common-wealth of Massachusetts offic;al Use only 746 ®epartment of Fire ServicesPermit No. lG ! 5. � BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (le p pave blank APPLICATION FOR PER MIT' T' All work PERFORM ELECTRICAL to be performed in accordance with the Massachusetts Electrical Code(ME52 � 00 WORK � (PLEASE PMTflVAW OR TYPEALL INFORIVIATIO l City or Town of: NORTH ANDOVER Date: f as,// By this application the undersigned To.the Inspector of Wires; gn gives notice of his or her intention to perform the electrical work described below. � Location(Street&Number) 15-,�,5' f o rP,�.� S/ (= X'�ei�St 6 n ' Owner or Tenant L 4n C /0a Aa l a,)1,' Owner's Address I S'3s 51,,,1 Telephone No. Is this permit in conjunction with a building permit? Yes LJ NO (Check Appropriate Box)Purpose of Building ffes;detcg Utility Authorization No. Existing Service Amps / Volts Overhead Lew Undgrd❑ No.of Meters New Sernce Amps _Volts Overhead❑.AUndgrd ❑ No.of Meters Number of Feeders andmpacity Location and Nature of Proposed Electrical Work: Z�S�aN nek. I=•n;sS ?lPt i�at c.si-/f ,i �O �^► C�rC�i� b ei SC'^'1 ,/ac Com letion of the followin table may be waived by the Ins ector o_f Wires. No.of Recessed Luminaires 1No.of Ceil:Susp.(Paddle)Fans No.of Total N Transfor o.of Luminaire Outlets mers �rA / No.of Hot Tubs Generators KVA No.of Luminaires / Swimming Pool Above In- o.o mergency Egg d ❑ nd• ❑ Batte Units g No.of Receptacle Outlets / No.of Oil Burners FIRE AL A-I�1lrS No.of Zones No.of Switches No.of Gas Burners No.-of Detection and No,of RangesNo. Initiatin Devices of Air Cond. Total No.of Waste Disposers Heat Pump Number T ns Tons No.of Alerting Devices -......�' . No.of Self,-Contained No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local❑ Municipal No.of Dryers Heatin A Tian Connection ❑ Other g pp ces , Security Systems: No.of Water - , Heaters KW No.of No.of No.of Devices or E mvi�Ient Si s Ballasts Data Wiring: . No.Hydromassage No.of Devices y massage Bathtubs No.of Motors Telecommunications Wiring ent Total HP OTHER: No.of Devices or E uivalent Attach additional ail t Estimated Value of Electrical Work: 3Qo.o v det •f desired,oras required by the Inspector of Wires. Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: •Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee.provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE R"'BOND ❑ OTHER El (Specify.) Cr. �l� I certify, under the pains and penalties o er u J fP > ry,that the information on this application is true and complete. FIRM NAME: o el e, Licensee: Tet .S'�,t`�f\ LIC.NO.: I a licable, enter"exempt"in the license number line.) Signature (f PP LIC.NO.:l a3 a y Address: S'3S' >,l��,e ;1 SV, #y k6� 1� �t4 a'/9G-1 Bus.Tel.No.:y78`998 1115-4 *Per M.G.L c 147,s 57-61,security work requires D Alt.Tel.No.: OWNER'S INSURANCE W q Department of Public Safety"S"License: Lic.No. AIVER: I am aware that the Licensee does not have the liability insuranc required byg law. By my signature below,I hereby waive this requirement I am the(check one) []ownee coverage normally r ❑owner's agent Owner/Agent Signature Telephone No. PERMIT FEE.$ ELECTRICAL PERMIT NO. INSPECTION REPOR7C: ELECTRICAL,INSPECTOR-DOUG SMALL �. I.ROUGH INSPECTION: Passed—[ ] Failed—[ ] Re-inspection requirecf($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) ' Date R INSPECTION: ] Failed—[ ] required($50.00)'comments: (Inspectors'Signature-no initials) Date 3.UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors' comments: (Inspectors'Signature-no initials) Date 4.INSPECTION—SERVICE: - DATE CALLED NATIONAL GRID: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors'comments: (Inspectors'Signature-no initials) Date 5.INSPECTION-OTHER: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors' comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE F1I,LED OUT AND LEFT ON SITE IF THE AREA.TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. Aft The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Buffders/Contractors/Electricians/Plu mbers Applicant Inforrafion Please Print I.e ibI Name(Business/Organization/Individual): J-o P� � ,S',a�,f� G �Pt,t�. -ca/ Address: 5'3S- City/State/Zip: '3SCity/Sta.te/Zip: /Ta�.�./e�, ^4 0//6/7 Phone#: 12g ?IF "' s- F re you an employer?Check the appropriate box: ❑ I am a em to er with q. Type of project(required):P y ❑ I am a general contractor and I^ I loyees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction�I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑Remodeling ship and have no employees These sub_contractors have 8. ❑Demolition working for me in any capacity. workers'comp,insurance. [No workers'comp. insurance 5. ❑ We are a corporation and its 9• ❑Building addition required.] officers have exercised their 10.❑Electrical repairs or additions 3.E] I am a homeowner doing all work right of exemption per MGL 11 El Plumbing repairs or additions myself [No workers'comp. C. 152, §1(4),and we have no insurance required.] t employees. [No Ii/orkers' 12.❑Roof repairs comp.insurance required.] 13.0 Other t ny apglicant t t checks box#!must also{ill out the section beioW shoe.,i.g their woikers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurancefor my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: M City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern the painsand penalties of perjury that the information provided above is true and correct Si ature: _.. aa- Date: U/- / Phone# %7� fop o3S� Ffiuse only. Do not write in this area,to be completed by city or town official Town• Permit/License# Authority(circle one): of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Person: Phone#• THECONWONWEALTHOFMS&ICHUSETIS Office Use only DEPARTAIDVT'OFPUBMSAMY BOAROOFFIREPREVEMONREGULWO]NS527CM12:00 Permit No. y YC S�y r Occupancy&Fees Checked, APPLICA77ONFOR PERM/ork ERF ORMELEC'TRIC,AL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITHSACHUSSTS ELECTRICAL CODE,$27 CMR 12:00 4 LEASE PRINT IN INK OR TYPE ALL.INFORMATIODate Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the elect ribed below. Location(Street&Number) JY3 S �G e Owner or Tenant 9jA UAS 1 A 1, a Lq c Owner's Address Sq�h e= fi Is this permit in conjunction with a building permit: Yes No ' sF: (Check Appropriate B6k) Purpose of Building lees Utility Authorization No. _ Existing Service AmpsVolts Overhead M Underground No.of Meters New Service Amps/,�G/ �- O/olts Overhead M Underground �� �.� � No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures ��' Swimming Pool Above Below Generators KVA KVA round round -- `Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units Switch Outlets O 3 No.of Gas Burners Ranges / No.of Air Cond. of Total / FIRE ALARMS 0TotaL� G No.of Zones l Tons Disposals No.of Heat Total No.of Detection and 17 Pumps Tons KW Initiating Devices Dishwashers / Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding ' es Dryers 1 Heating Devices KW Local unicipal Other Connections Water Heaters KW EFNo. o.of No.of ED s Bailasis dro Massage Tubs / of Motors Total HP R- C mage.Putsi>atltk�ttletegtmerllals�Galaallaws �Y�� �'M4� Cover,Wcritsst NatriWNMvWn 'M !A� oef tothe0ffioe YNO ES � ffywbavedxckedYES,plt�eitl&*thetypeofeDv�(ry the ����.....��..1111 BOND � GHM, D (Plea9e Y) A/ egested oExpnahorlDa� Is Estirrl*dvahleofElachical%k$ Final r[d6Te---(40j: e 2 Li0ffW?g0. I Signaoae BtlshmTelNo. � SINS1.; , Alt Tel No. AZ URANCEW -lamawacedXtdrLioa>sedmrwttheitnur eoov$a�oriLs alegrivala�tastequQedby,Mass�ta sCala�Laws mysglladaeon�isPemlrtappli�onwaivfsdastagttitarlalt � ;Please check one) Owner Agent Telephone No. PERMIT FEE$_ Vf 9 signature or Owner or Agent I �_/s`—a.� Date... �.,/......... —,N TOWN OF NORTH ANDOVER PERMIT FOR WIRING T'K.s certifies that ...... ......... ...... ................................................... . .......... . has permission to perform ....... .....;I.../,o.............................................. wiring in the building of ............................................ ---Wover,Mass. at... ....... ........................... .Nbiftih M Fee.................... Lic. ........ ................ ELEcTRicAL.INsp k7mlt Check # 5454 ME COMMOATWFAL771O AIAS,S4L'HUSE77s' Office Use //only DEPARTNIDVTOFPUBHCSAF= Permit No. BOARD OF FIRE PRE i E MON R EG ULAT 7ONS 527 CMR 12.M Occupancy&Fees Checked APPLICATION FOR PERMUTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUS9TS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 d Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de cri d below. Location(Street&Number) S* �( Owner or Tenant 91A A vAS t n Owner's Addresse- Is this permit in conjunction with a building permit: YeslZr No (Check Appropriate Box) Purpose of Building 2, Utility Authorization No. Existing Service Amps / Volts OverheadUnderground No.of Meters New Service oICIU Amps/P I 1.1�0'9,V olts Overhead Underground [� No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures 361 Swimming Pool Above Below Generators KVA round 2round No.of Receptacle Outlets �S No.of Oil Burners No.of Emergency Lighting Battery Units Nq,of Switch Outlets QNo.of Gas Burners No.of Ranges No.of Air Cond. Total /" FIRE ALARMS No.of Zones i Tons No.of Disposals No.of Heat Total Total No.of Detection and 17 Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating w KW No.of Sounding Devices No.of Self Contained Detection/Sounding D ' es No.of Dryers t Heating Devices KW Local unicipal Other Connections No.of Water Heaters KW No.of No.of _ Sipns Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- r fhmu&=CoveaW-Pam=tDthet quffmx safMassadugMCim alLaws IhawaatHattLiab&yhnurmroeIbhcyiw:kxkgConVil a CovaageoritssubswUegtrivaiat YES NO Ihavesubnftdvandploof lDtheOffim YESffyuthawdrd®BYES,pk=ir�ethetypeofcove Wby g� ��11 INSURANCE BOND OIIHQt (Plea9e Spty) /<< �D& WodctoShmt /C7 O Esdm&dValueofEbmicalWolk$ Rough rim Signed undertTie FIRMNAME e U LicalseNo. Lioawe Signaw '- liarwm G-f-7- F9 '-3y/ / y BusinessT�No. t�7 ,,2J3 `�I-e /J Alt Tel No. OVVi R'SNSURANCEW IamavvmdmtdrLxffw besmthavetheirnramoc)wr,Woritsabsubaleglmifftasl wiedbyMas dmseasC,e�La%s and that my signatum on this pemitt application wanes this cegtmanalt (Please check one) Owner Agent Telephone No. PERMIT FEE$ signature of Owner or Agent n-- _--w BC CALC@ 2003 DESIGN REPORT - US Tuesday,AuguaO�200413:5O Quadruple 1 3/4" x11 7/8", VERSA~LAM@3100 SP File Name: aCCALC FG[m Job Name: SLAVASH MAHALATI Description: Beam under kitchen/dining nn Address: U}T#2FOREST ST. mpnuifiac City,State,Zip: . Designer: � Customer: Company: Code K:BO5512 NER029 Misu � i' � � 7 12-00-1060 12-00-00 BO 131 B2 8085 lbs LL 23100 lbs LL 8085 lbs;LL 1995 lbs DIL 6651 lbs DL 1995 lbs DIL � Total Horizontal Length'u*-0O-0o � � General Data Load S"""' ao � / Version: US Imperial ND Description Load Type Ref. Start End Type Value Tr0z Dur. � S Standard Loadunf.Area Left 00-00-00 24-00-00 Live 40 psf 14-00-00100% Member Type: Floor oaom Dead 10 psf 14'00-00 90Y6 Number oxSpans: 2 1 Un[Amo Loft OO'ou'no 24'00'00 Live 40pof 1*'00'00 100Y6 Left Cantilever: No Dead 10pof 1*'00o0 oO% � Right Cantilever: No 2 unrArea Lou oo'oo'oo u^'Oo'nO Live uopxf 14'00'00 1u100% � Dead 10psf 14-00'00 90Y6 Slope: 0/12 Tributary: 14-00*0 Controls Summery Control Type Value %A||mmah|m Duration Load Case Span Location � Moment 35701 ft-lbs 83.9% 100Y6 u u'Left � . Neg. Moment -35701 ft-lbs 83.eY6 100Y6 o 1 'migm Live Load: *n psf End Shear 8117 lbs 50.5% 100% 4 1 'Loft Dead Luau « psf Cont.Gxoa 1� � n3s 80.3% 100% u 1 'm�m Partition Load: Op� Tu�|Load n*8. U477 eI3& 4 1 o«raU»» 100 Live Load De8. U558(0.258-) 86.0% 4 1 Total Neg.Do0. -I08" 15.9% s 1 Disclosure Maxo*8. 0.302^ 30.2% 4 1 � The completeness and accuracy m � the input must ueverified uyanyone Notes ' � who would rely onthe output ao Design meets Code minimum(uu4n)Total load deflection criteria. evidence ovsuitability for a Design meets User specified(uw8o)Live load deflection criteria. particular application. The output Design meets arbitrary(1^)Maximum load deflection criteria. � above iobased upon building Minimum bearing length for Boiu1'3/4^. � code-accepted design properties Minimum bearing length for B1 is 5". � and analysis methods. m»mnaovn Minimum bearing length for ouin1'uw^ � o'BOISE engineered wood Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+ 1/2 intermediate bearing � products � with the current Installation Guide Connection Diagram and moom��am=bui�i «vuos. Conauxp moo�ovBOISE moxnkm|mpmoon��ve�xoonnncdonuao�n Touuou/nonmsuuoouonou|ueo,n projectyou »aveonyquoo«uns.�eooeuon ao|�oeassumed mbeGmduomhigher. � <OmD}auo'U708�*�mbeQinninQ Member has noside loads. product installation. Connectors are: 1min G�000muThmugxoox � oCCALC@\ aCFRAMsmm.aC|ou. ' BC R|MeOARo= aCOSB RIM ' BOARDTM a=2^ � �ao|8sG�U���`~ ' ' u~u'1/2" VERSALAw@,vsRGA-a}M@, o~^r VERSA-RIM pLVS@' U=24^ � VERSA-STmAmo= ' � VERGA'GTUD@.ALLJO|8T&and 1 � � AJG`°are trademarks of Boise Cascade Corporation. � Page 1 of 1 | U BC CALC®2003 DESIGN REPORT - US Wednesday,August 04,2004 14:20 BOISE" Quadruple 1 3/4" x 11 7/8" VERSA-LAM® 3100 SP File Name: SLAVASH MAHALATI.BCC:FB01 Job Name: SLAVASH MAHALATI Description: Address: LOT 2 FOREST ST Specifier: City,State,Zip: , Designer: Customer: Company: Code reports: ICBO 5512,NER 629 Misc: ------ -- - --- — _ I Standard Load-40 psf 110 psf Tributary 15-06-O0I I i ..___..------..__—...._..�___--_-._--io oo-oo — 10-00-00 BO 131 B2 7153 lbs LL 20438 lbs LL 7153 lbs LL 2019 lbs DL 6730 lbs DL 2019 lbs DL Total Horizontal Length-20-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 20-00-00 Live 40 psf 15-06-00 100% Member Type: Floor Beam Dead 10 psf 15-06-00 .90% Number of Spans: 2 1 Unf.Area Left 00-00-00 20-00-00 Live 40 psf 07-06-00 100% Left Cantilever: No Dead 10 psf 07-06-00 90% Right Cantilever: No 2 Unf.Area Left 00-00-00 20-00-00 Live 30 psf 07-06-00 100% Dead 10 psf 07-06-00 90% Slope: 0/12 3 Unf.Area Left 00-00-00 20-00-00 Live 35 psf 14-00-00 115% Tributary: 15-06-00 Dead 15 psf 14-00-00 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 27167 ft-lbs 55.5% 115% 3 2-Left Dead Load: 10 psf Neg.Moment -27167 ft-lbs 55.5% 115% 3 1 -Right Partition Load: 0 psf End Shear 7021 lbs 38.0% 115% 4 1 -Left Duration: 100 Cont.Shear 11433 lbs 61.9% 115% 3 1 -Right Total Load Defl. U761 (0.158") 31.6% 4 1 Disclosure Live Load Defl. U909(0.132") 52.8% 4 1 The completeness and accuracy of Total Neg.Defl. -0.039" 7.8% 5 1 the input must be verified by anyone Max Defl. 0.158" 15.8% 4 1 who would rely on the output as evidence of suitability for a Notes particular application. The output Design meets Code minimum(L/240)Total load deflection criteria. above is based upon building Design meets User specified(L/480)Live load deflection criteria. code-accepted design properties Design meets arbitrary(1")Maximum load deflection criteria. and analysis methods. Installation Minimum bearing length for BO is 1-1/2". of BOISE engineered wood Minimum bearing length for B1 is 4-5/8". products must be in accordance Minimum bearing length for B2 is 1-1/2". with the current Installation Guide Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min. end bearing+ 1/2 intermediate bearing and the applicable building codes. To obtain an Installation Guide or if Connection Diagram you have any questions,please call Consult project design professional of record or BOISE technical representative for connection design (800)232-0788 before beginning Beams 7 inches wide will be assumed to be either top-loaded only,or equally loaded from each side. product installation. Bolts are assumed to be Grade 5 or higher. BC CALC®,BC FRAMER®, BCI®, Member has no side loads. BC RIM BOARDT'" BC OSB RIM Connectors are: 1/2 in.Staggered Through Bolt BOARDTM, BOISE GLULAMTm, VERSA-LAM®,VERSA-RIM®, a=2" VERSA-RIM PLUS®, d b=2 1/2" b --- — —t VERSA-STRAND T- c=4" VERSA-STUD®,ALLJOIST®and d=24" a AJSTM are trademarks of - Boise Cascade Corporation. ` 1. I C 1 •� I � 1 Page 1 of 1 'bate..... .: .^e.?....... NORTII TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACMus� ` This certifies that ........ ................................................................ has permission to perform wiring iii the building fc"`-?'?.�k? C ...:...................................... /�"3� .................. .North'�ndover,Mass. at........ ................................^...:......... Fee�-?.... ... Lic.Nd- !� 1 ... ... -� i`rELECTRICALINSPECTO Check # 5513 TVECO[L f0NWEALTHOFMASSACHUSE77S Office Use only DEPARTAIEWOFPUBLICS4FETY Permit No. BOARD OFFSEPREVENTIONREGUT47IONSM70M1200 ) - Occupancy&Fees Checked APPLICATTONFOR PERMFFTO PE ORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSA HUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date a���G Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de"ribed below. Location(Street&Number) Owner or Tenant Owner's Address V�—,o Is this permit in conjunction with a building permit: Yes' No (Check Appropriate Box) Purpose of Building ,9G✓&11Utility Authorization No. Existing Service I Amps volts Overhead Underground 1:3 No.of Meters New Service Qa�� Amps / /Volts Overhead Underground Mr No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 7 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ED 2round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners Na:of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones 1 Tons No.of Disposals No.of Heat Total Total No.of Detection and a Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other No.of Water Heaters KW No.of No.of Connections Si s Bailasis No.Hydro Massage Tubs No.of Motors Total HP / OTHER• l kJ%=eCONCrdr.RUR01IDthe repwmffNs ofMwsxhu9cflsGurrdlLam Iha��aatnagLiabi7rtyhn�anoeFblicyinchldmgCornple� Cov eorics alecltrivalat YES [NO Ihavt`sftWedvalidproofofsametotheOffm YES ffyouhaveched®dYES,pleaseirYhcatetheNxofoDwrajptry chaclaligthe�box INSURANCE BOND r7 OTHER r7 ftwespe*) EViati lDale Q � D m Advah eofE1acbcal W«k$ Woduosm hpectimDUeRec�d Ra# Final Sig lunder'&Ptnal of ' FIRMNAM)E �s�� r LicemNo. Licff e /�O�/16�i / /1/ Ul / Signatiae Li xmeNo oe �yV � >(�// BusmessTel No. --G A_ / �Ty�/�4 /TT Alt Tel No. - OWNER'SINSURANCEWANEPt;Iamawaethtthel-Knwdoesmthaiedieinstu&=oowWoritsmbstff a egtrivalentasrequuadbyM sacim sGfficallaws and thatmysignahne on this peurlit application waivFs do Imgtritunff t. (Please check one) Owner Agentr�cls Telephone No. PERMIT FEE$ Signature of Owner or Agent /7r,tt 4/4,-06k /0Ai r . f CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 760(6/17/2004) Date: 12/20/2005 P THIS CERTIFIES THAT THE BUILDING LOCATED ON 1535 Forest Street Extention MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCKOTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Slay sh MaWati 36 Beaver Brook Rd NO�Andover MA 01845MA 01845 I • i 10m.-m of dov b jv� f vX)lass 1 It BOARD OF 14 Fc c ,/Kitchen s I / } ! Septic Syste /. L7 SPEC VA i-idation ou A, ugh.� A '91 . .�. ' � imney .... praad t � laea� r�pgl ths �r : 8i `a�� � Otc', rfo> a ta �� Cms a 9.3 B1� fo c4E��� * this o €c�, . nd' tits rte 6p�)Sd s �. P 'final s... f t � �a. rt - r� t� �'t SEs gran, Aft6ation and Construetion of :< ,r i LIPLUMBING LNSPE�� EF f� qyx • '.fin, r l / .I:. G) �. i ' .. "' " { x la'tL.l s'�..� IL� 315 uL�.ECTO'k _Rough , I 1 �•t"4 '��.4q ' u... :�° ��' t9 V- 71"1 4 S rNyi's '_ � $' _ L - O Lathing Off. VBtO 6 Be 0ne x - vqq �rp�yr�/� j�T^�`� Fi DEP K lv E \II ..., Y f :. Jp�ctd ; � RR 11ding .... An PERMIT To �1 BU $ merUL ` J4 Street No. VERSE ZIDE u r 3 ek Smoke Det. Date. . . . .. .. .. . . . .... . ... Of HORTM ,ry o� TOWN OF NORTH ANDOVER F p ' PERMIT FOR GAS INSTALLATION �9SUCMUSE� This certifies that . -,mm .).�—?. . .x—� . . . . . . . . . . . . . . . . . . has permission for gas installation . .,�'�/� �^. .eF! G:.'. .. . . . . . . . . . in the buildings of . .� jd�/. :. . . . . . . . . . . . . . . . . . . . . . r at / . . . . . . . . . . . ., North Andover, Mass. Fee. .! . . . Lic. No.. . . . . . . . . ... . . . . . . . . . . GAS INSPECTOR Check It 3 4927 _ (Print or Type) Mass. Date �l /O Permit # Building LocationAl/.P.SCI <4 Owners Name- Type of Occupancy NewRenovation ❑ Re ace m, ent [3Plans Submitted: Yes❑ No •N C - .W N Y 2 C of c» S C C 0 W J N. H V fa t x 7f = O u < Z Z C x O 2 F ifl Q m al H lar W W C G. C. O W < F N < v Hf C _ Lf W W W < C F G f, ._ W W W J < S C C Q, C W W V H Q W m z C z a: -O INC C C Yt > W z. < < ¢ 'x O d x u. x 3 O O j V ¢ > D a ..� O SUB—BSM T. BASEMENT � 1ST FLOOR / 2ND FLOOR ` 3RDFLOOR 4TH FLOOR . STH FLOOR - 6TH FLOOR TTH FLOOR 8TH FLOOR Installing Company.Name /? Check one: Certificate Address/ —/ /2 ❑ 'Corporation _?o 7 �i ❑. Partnership. Business Telephone Z2 <;?9 yyja Firm/Co: Name Of Licensed Plumber or.Gas Fitter i'G�✓f' A�i� INSURANCE COVERAGE: I have a current liability insurance uu a ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142 If you have_ch ckedYees. please indicate the type coverage*by checking the appropriate box A liabilityinsurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check one: �gnature 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 appliwation are true and pocurate to the best•of my knowledge and that all plumbing work and installations performed under the permit issued for this lication wite in-compliance with-all- pertinentprovisions of the Massachusetts State.Gas Code and Chapter 142 of the General taws T of License: Plumber &gnatur of Liczn Plumber or Gas Fitter. True Gasfitter Master License Number /.-�/a —s"'City/Town Joumeyman �(O IC U ONL BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE . -- NO. - APPLICATION FOR PERMIT TO DO.OASFITTINO NAME A TYPE Of OUILDINO LOCATION OF,BUILDING PLUMBER OR GA FFITTER LIC. NO. PERMIT GRANTED DATE --20 -- OAS INSPECTOR NORTH O TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SS US t // This certifies that . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . (A' ?!-. .7-r . . . . . . . . . . . . . . . plumbing in the buildings of . .br*'-4 ze./. . . . . . . . . . . . . . . . at. f . . . . . . . . . . . . . . . . North Andover, Mass. Fee6.?.. . .Lic. No.. . . . . . . . . .; t LUMBING INSPECTOR Check # 6239 MASSACHUSETTS UNIFORM APPLICAT ON FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date- �" /D 20Permit # —L-3-5— Building Location SLR& �t7?f°,4/ Owner's Name ` � Type of occupancy—'1_J?�j New�f Renovation ❑ Replacement ❑ Plans Submitted: Yes O No ❑ FIXTURES Z � Z Nz x < .. co 0 O z -1 >- Q Q W W N 2 N Q < F- z a h = O W !- W N �- V Q N N u. _ N Y < V m °) w. r < F- yr z C a a < a < 3 cc x = O O ¢ W ¢ < — 0 < d7 z ¢ a ¢ O U. W S ~ ~ W 3 O 0 J N 0 = W 2 m I- Q > F O = 6 N f0 14 Z O O H = = d F LLUj Y W a Y J O N O D J 3 = !- H IL O 0 < ¢ m O SUB—BSMT. BASEMENT JQL 1ST FLOOR 2ND FLOOR / 3RD FLOOR I �I 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name�j,�. r, Check one: Certificate Addres$/3� /�,��� . O Corporation U 3 -c> ? ❑ Partnership Business Telephone4!�2>_7 3 -,�Frmxo Name of Licensed Plumbers �di� �_ ,7 �QS� INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No O If you have checked Les. please indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ 16WNER'S INSURANCE W FV R 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: S+gnature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or erect)in above lication are true and accurate to the best of my knowledge and that all plumbing work and installations performed un Ia permit issu r this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code apter 142 of th neral taws. By Title &gnature oWILicensed PlOffibef City/Town Type of license: Master-e Journeyman❑ APPROVED (OFFICE USE ONLY) License Numbers �oZ 3 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FINAL INSPECTIONS SKETCHES - FEE NO. - APPLICATION FOR PERMIT TO DO PLUMBING NAME S TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE _?0 PLUMBING INSPECTOR TO DAT �V TIME J � AM i /!7 / PM P FROM PHONE( ) CELL( ) OF 0 FAX ( ) N E M - M s M G O E E-MAIL ADDRESS SIGNED PHONED❑ CALK❑ CALLRNED [:]SEEYOU TSTO ❑ NT❑ AGAINALL ❑ WAS IN URGE SEP-10-2004 FRI 07:47 AN SIGGIO INS AGWY FAX Hu. r. ul ACOR -- CERTIFICATE OF LIABILITY INSURANCE a9/ o O aauN[ICEK 2004 TWS CERTIFICATE IS ISSi IRI AS A MATTER OF INFORMA-1XW J01M M. �liggio Ing Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIIICATE HOUML THIS CERTIFICATE DOES 10T AMEM, QLD €R 39r ` ini:3arop ss%Sf>ob ALTER THE COVERAGE AFFM D UY THE POMIES BELLOW. INSURERS APFt7RbING E:OYt;:IRAGE lNijithrpp __.-._... 14A_ 4215x- v mix,FC ENSURFRARar_leV6Vill8 'R0rdG9tek Intiuran vio:ld Coact perviceO piREIE�!t!'a 1 Firzt Street M<dford� � KA 02155- Walt Eee 'OVERAGE-S i I EE:i'`pE-ICII.k^+OF INSUIzn.FlCF.Ll.�T'EA OE l�}V�}EA111_}a�E<+!Ecce TE}TE 3E E<"�i;2^!moi DEQ�G"dE FQR TEit c�:,LECY P'�OD�WIi.Ai Ef:.I`i`t3�V+iE 1`ris'TAE�fiEP10 'C,AFF# REQUIRF.ML NT.TERM OR CONDTT9X4 OF ANY CW IfiACT 012 OTHLR DOcuMF i T WITH RESPECT To WHEaE 1 ws aRTIFICATE MAYBE LSSU[D OR MAY PERTAIN. 1118 W$WANCE AFFORUI:D BY THE POU0ES L:CSMBED HERON IS SEJSJECT TO ALL THE T'ETEMls, Exa-tl-S!ONS AND CC,M'JQ!' ONS OF Eir.H POIICIESS., Ai3c,-,-A7i;L ENI tS SHCJil4N MAY HAVF=.E EEN RYOII(:ED BY PAID CLAVI NSR TYRETSbEN,+t�xANCB i�sIIGYN2 �anvc- E�lrcymaq AnoN !. I E E --E EtRftTS a cENE?IEAT.LTAESIi3TY I / / i=ACItOGCUFikLNG6 a 1.000.000 ti f:GA'W.kCIALCENCRAE LIAWLETY [! rK�DAMAGEu mro 3 100,1700 ACEAnaslanElEOfl ctcctatfr ss2272 08/22120¢4 98I22�201#52>Xt'uv �rc e 3 I 51000 -.J ISF MONM&8ZLt URY a 2400,oe0 FGF�NFRALkC-GRrGATF- $ 2,000,000 cLNtACCWCATELIttlrAec�Irts RO .Cm. lr,,r-Iw. s 2.000.000 ARIYY al�hlLf•,iy�:,`-�7: � r' f I / COlcBUCDswCL£LOST tAUtA 0F0ac6aenta g H ALE.DUJNMAUTUL I II / E10DILYINJURY gGIWO-I LOA.Lr£R? ftrpvwn) 8 1ARLDALIT05 / I / ! nOP2.YEi oRY NDN*MjIHlAUl0s } $ :�1 PKOT'ERTYDAMACE -�GE51.IAiitLITY � ��eCctdfx� b l AUTOOMLY-EaACCHT ? * ANYAUT4 / / / { f3 111IRT"Ai1 EAACC e =AfYI;'iUCunrwNCf dd OCCUR CIAlT6S M7A •?E S A 1.•t7CNTInN $ s 6" iovE SiE i uEri+��FtPM _ ._. YS[ae'Iru- �R F.Lt:AGTAC�lt�NT 3 s CTItI`h A Piogerty CA 5E 22 72 08/22/2004 08/22/2005 bm 11000 DE:SCRAlsT*NOF ,USEONSADM;DRYESYDOFMLWilNTJSPECEARPR(R+r3EM FAX Ina-395-0292 CERTIFICATE I[OLDER CANCEUATFON $MIA TE ANY AP TES AD4NE QWMW- PIXX= 01 CAWnLED E OWM TEES LXPIRATIt*j AAT6 rir"AW. TM IZWNO MURER WILL 04DEAWR TO RAL YaDAYS gdFE M NOME T4 THE CMWICATE HOLOkEt MMM TO Tft LEFT,8W TOWN OF ROPI{TE AWDOVUR F REL r O DO SO SHALL lWOSE!VD ODLIGATION OR LIABRM OF ANY KIND UPAS;tiff: 05040M ACIFUM OR R6PR@SLNT YfS AC4}tU25•S – AststtA I EIA f�ACORE)CORPORATION 19@8 (7197) -C ua II�I$(125$(,tUiO}A! El ECTfte?nitC tASf.R C0R'ty,EITC- ' T•CrS paw T ffi2 Location j No. / �© Date MORN TOWN OF NORTH ANDOVER • o i Certificate of Occupancy $ ass E<� Building/Frame Permit Fee $ X��' MUS At ` Foundation Permit Fee $ ' Other Permit Fee $ _ TOTAL Check # q ?/ 17387 � - B ilding Inspec(&/ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATf OR DEMOLISH A ONE OR TWO FAMILY DWELLING r....r „ BUILDING PERMIT NUMBER: DATE ISSUED.� / _ O C ic SIGNATURE: BuilTn'g Commissioner/1for of Buildings Date SECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft �J 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal Syst 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT HIStoriC District Yes NO pf M 2.1 Owner of Record co r— ?0 Name(Print) Address for Service: .� l j Signature elephone 2.2 Owner of Record: Name PrintAddress for Service: M Si n.�jture Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1-Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name Registration Number M Address r Expiration Date �^ Signature Telephone �1 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 Descrintion of Proposed Work check all a llcable New Construction Of Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demblition ❑ Other ❑ Specify 5 Brief Description of Proposed Work: (� / r/ Neu) 00AS•kruG`1 rYL © 1' _. F /7 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be O�CIAL USE ONIY� all Completed by permit plicant _` a 1. Building �p (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of TOC�— Construction 3 Plumbing �(�, ,��fl 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-BURDING PERMIT 1 1, -�/r�+✓rfi �/7/ '�� as Owner/Authorized Agent of subject property Hereby authorize `` ` to act on ' My lf,in all matters relative authorized by this buildirrg permit application Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print N e I - ' 4 �'�t�I�-o* Sr ature of Owner/A ent Date NO. OF STORIES e*;k, SIZE —3 07Th BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 � 2 /A" 3 70 - -SPAN 30 ! DIMENSIONS OF SILLS 41 DDAENSIONS OF POSTS 1354ENSIONS OF GIRDERS E2&1)CA HEIGHT OF FOUNDATION Iq It THICKNESS SIZE OF FOOTING u uk.N X MATERIAL OF CHIMNEY r9 IS BUILDING ON SOLID OR FILLED LAND 2S IS BUILDING CONNECTED TO NATURAL GAS LINE rC' FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary app roval/permits r'tntts from Boards and.Departments having jurisdiction have been obtained- This does not relieve the !I applicant and`or landowner from compliance with any applicable requirements. IaWON aWNW.aawns aa-anano a■s.aa.■a'aaaas-asaraaaaaaaawas snow ano amaa■ APPLICANT S1^-,n,5# /hf9f-fi4Gf17-/ PHONE `l2-�-0-6-s61 ASSESSORS MAP NUMBER LOT NUMBER V- SUBDIVISION SknO�_ LOT NUMBER d STREET STREET NUMBER �aaa*ssar_rssrarseara�a�.aev"raata-ass.aasaaaWNW arsa-■aasaa.aansnows amassssasas-asa■ OFFICIAL USE ONLY saaa-aasaaa.aaaa.ws�sa.■saasaaaa�a.a.saaar.aasaaaaassa-aaa.a.•aaaa■.ssaa.saas.Ea.s....a-sa■ RECOAEVIE DATIONS OF TOWN AGENTS �aaas ■aa�-aaa.as-■a■ aaaa•..a......a....a................RaaaaaaaaaaaaWomaaaas No }__!� S• d DATE APPROVED CONSERVATION ADAGNI TOR DATE REJECTED COMMEI'm fQ--co �p ' e✓hecR �12� — y� DATE APPROVED TO R - DATE REJECTED COMMENTS DATE APPROVED FOOD INSPEC O TH DATE REJECTED DATE APPROVED / tKc tkw N v pL( W._c DATE REJECTED s�j�, �=d..E�, .�y`c� COAD,4ENTS, �� m p PUBLIC WORKS-SEWER/WATER CONNECTIONS A/ /V- 5_27-04� DRIVEWA 2 FIRE 6/ DATE APPROVED D DATE REJECTED COAEIIvI_NTS RECEIVED BY BUILDING INSPECTOR - DATE _.-.. .... i Town of North Andover Building Department F 27 Charles Street North Andover, MA. 01845 �s 4,r°y"""4' s�ect�ts=�. D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION S�✓a�e'7' Number Street Address Map/lot "HOMEOWNER 51Av?15 L^J7 I-qt-_A—,6- 61-2 7S'- 3 —.3232. Name Home Phone Work Phone PRESENT MAILING ADDRESS `� '��� �fLaTc - �- City Town State Zip Code The current exemption for"homedwners"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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL REScheck Package Generator Compliance Report Mchech" 119kalle Generad" Location: North Andover, Massachusetts Construction Type: Single Family Heating System Type:Other(Non-Electric Resistance) Code: Massachusetts Energy Code HDD: 6322 Builder Name: Siavash Mahalati Date:5/14/2004 Builder Address: 36 Beaver Brook Road, North Andover, MA 01845 Building Address: Lot 2 Forest Street, North Andover, MA Submitted By: Diane Mahalati Phone Number: 978-686-9617 PROPOSED Glazing Area Glazing area is less than 12.0%. 12.0% Maximum Glazing Area R-Value Description Comments Proposed R-Value Minimum R-Value Ceiling R-30 R-30 Wall Cavity R-19 R-19 Wall Continuous R-0 R-0 Floor R-20 R-20 Basement R-11 R-11 Slab on Grade Unheated 48 inch depth R-5 R-5 U-Factor Description Comments Proposed U-Factor Maximum U-Factor Window U-0.40 0-0.40 Door Front door exempt U-0.35 U-0.35 Equipment Efficiency Heating Furnace AFUE/HSPF 80.0 cooling Air Conditioner SEER 10.0 Statement of Compliance:The proposed building design represented in these documents 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. Builder/Designer Company Name Date 1 } REScheck Inspection Checklist Massachusetts Energy Code Air Leakage: [] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1.Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2.Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: [] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [j Materials and equipment must be identified so that compliance can be determined. [] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [J All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the 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. Temperature Controls: [j Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [J Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depietable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: [J HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. 2 r Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Cirulating Mains and Runouts Temperature(F) Uc to 1" Up to 1.25" "to .0" Over " 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes.Hot Water Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types R n e F 2"Runouts 1"and Less 5"to " 2.5"to 4" Heating Systems Low PressurefTemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 3 GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of 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. Siavo,5� �al�r� �at(; Lofa Forest S+-. c)+ Permit Applicant Property address Map/Parcel 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 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for building permit for the enlargement,restoration or reconstruction of a dwelling in. existence as of the effective date of this 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. 1 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 running with the land 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 bepreserved 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 at will ensure its protection. This.application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for 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 REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APPLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION 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�y /1c04 ,�m /-;Oil t �Gca dS"�'�i�r�►ay�, "(1-ocation of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector TOWN OF NORTH ANDOVER o ?'O or Office of COMMUNITY DEVELOPMENT AND SERVICES o? wo- HEALTH DEPARTMENT ' 27 CHARLES STREET ' . •'� ' �s pOnnn°�f'`q9 NORTH ANDOVER,MASSACHUSETTS 01845 9SSACNUSES Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX April 14,2004 Siavash Mahalati 36 Beaver Brook Road North Andover,MA 01845 RE: Subsurface Sewage Disposal System Plan for Lot 2 Forest Street,Map 105B,Lot 2 Dear Mr.Mahalati, The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by New England Engineering Services dated February 9,2004(Revised March 26,2004)and received by this office on March 31,2004. The design has been approved for use in the construction of a new onsite septic system.This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work,and a Certificate of Compliance must be endorsed by the installer,designer and the Town of North Andover. This approval is subject to the following conditions: 1. If site conditions ions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(l)). 2. It is the responsibility of the applicant and/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincere *rusan Y. Sawyer,RVZS Public Health Director encl: List of licensed septic system installers cc: New England Engineering Services file Town of North Andover Licensed Septic System Installers (Disposal Works Installer's) Year 2004 Renewals (Please note that the septic installer is licensed only--not the company) Name Company Permit# Phone# 1 Amor, Robert* R.T. Amor BHP-2004-0022 978-887-5468 2 Bateson,Todd* Bateson Enterprises, Inc. BHP-2003-0396 978-475-1474 3 Breen, Peter* Peter Breen Excavating, Inc. BHP-2003-0400 978-687-7774 4 Busby, Philip A.Jr.* Busby Construction Co., Inc. BHP-2003-0405 603-362-4650 5 Carr, John* John Carr BHP-2004-0031 978-633-6791 6 Colosi, Philip A.* Colosi Construction LLC BHP-2004-0165 978-777-5679 7 Currier,James H.* James H. Currier Construction Co, Inc. BHP-2004-0008 978-774-6685 8 Daigle, Rob* Creative Builders BHP-2004-0308 978-682-4948 9 DeLucia, Rocci Jr.* Frank DeLucia&.Son, Inc. BHP-2003-0393 978-686-8200 10 DiVincenzo, John L.* Andover Septic/J&S Dev. Corp. BHP-2003-0394 978-521-5251 11 Giard, Daniel* Daniel A. Giard Septic Service BHP-2003-0402 978-686-7653 12 Hall, Bill, Inc.* Bill Hall, Inc. BHP-2003-0407 978-689-3711 13 Henderson, George* G. Henderson Co., Inc. BHP-2004-0101 978-686-5845 14 Hutton,Arthur* Hutton's General Construction, Inc. BHP-2003-0398 978-685-2627 15 Innis, Robert L.* R.L.I. Corp. BHP-2003-0397 978-663-6006 16 Kellett, James* Kellett Excavating BHP-2004-0291 781.953.7146 17 Linskey', William M.* Linskey Construction, Inc. BHP-2003-0408 978-744-2700 18 Maker, Ronald T Ford Co. Inc. BHP-2203-0404 978-352-5606 19 Marsh, Steve* The Westchester Co. BHP-2003-0316 978-742-9778 20 Maynard, Dave* Maynard Construction BHP-2003-0399 603-228-4436 21 McKee, Brian* D.P. McKee &Son Excavators BHP-2004-0023 781-942-7608 22 Osgood, Ben* New England Engineering BHP-2004-0024 978-686-1768 23 Patenaude, Richard* Dracut Sewer Service, Inc. BHP-2004-0034 978-452-4851 24 Petrosino, Angelo* Angelo Petrosino BHP-2003-0391 978-664-2030 25 Quinlan,Timothy* Quinlan & Rand Builders BHP-2004-0025 978-682-1570 26 Reilly, Michael W.* F.P. Reilly& Son's, Inc. BHP-2003-0401 978-475-1237 27 Richard, Roger* R.J. Richard Corp. BHP-2004-0035 978-686-7445 28 Sawyer, William T.* Arco Excavators, Inc. BHP-2004-0028 978-685-5113 29 Shaw, John III* Wildwood Excavation, Inc. BHP-2004-0265 978-474-8088 30 Simard, Ralph* Ralph Simard BHP-2004-0293 508-958-2002 31 Soucy, John J.* Soucy's Sewer Service BHP-2004-0026 978-470-1400 32 St. Hillaire, Paul* Andover Construction & Dev. BHP-2003-0403 978-749-0073 33 Surianello, Joseph* Ralph Surianello, Inc. BHP-2003-0406 617-799-3900 34 Todd, Charles R.* Charles R. Todd Contractor, Inc. BHP-2003-0392 978-667-7853 35 Zaher, Charles* Charles Zaher BHP-2004-0030 978-441-9429 I TOWN OF NORTH ANDOVER RTH Office of COMMUNITY DEVELOPMENT AND SERVICES 3= HEALTH DEPARTMENT p 27 CHARLES STREET ` 1s °a r, .r• M19 NORTH ANDOVER, MASSAC1iUSET"CS 01845 9SSAcwJ ( Susan Y. Sawyer, REI IS/RS 978.688.9540—Phone Public health Director 978.688.9542— FAX April 14,2004 Siavash Mahalati 36 Beaver Brook Road North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for Lot 2 Forest Street, Map 105B, Lot 2 Dear Mr. Mahalati, The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by New England Engineering Services dated February 9,2004(Revised March 26,2004)and received by this office on March 31,2004. i The design has been approved for use in the construction of a new onsite septic system.This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work,and a Certificate of Compliance must be endorsed by the installer,designer and the Town of North Andover. This approval is subject to the following conditions: I. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 2. it is the responsibility of the applicant and/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board, Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincere , c?-t—tG rte. usan Y. Sawyer,REI- /RS Public Health Director encl: List of licensed septic system installers cc: New England Engineering Services file Town of North Andover Licensed Septic System Installers (Disposal Works Installer's) Year 2004 Renewals (Please note that the septic installer is licensed only-- not the company) Name Company Permit# Phone# 1 Amor, Robert* R.T. Amor BHP-2004-0022 978-887-5468 2 Bateson, Todd* Bateson Enterprises, Inc. BHP-2003-0396 978-475-1474 3 Breen, Peter* Peter Breen Excavating, Inc. BHP-2003-0400 978-687-7774 4 Busby, Philip A. Jr.* Busby Construction Co., Inc. BHP-2003-0405 603-362-4650 5 Carr, John* John Carr BHP-2004-0031 978-633-6791 6 Colosi, Philip A.* Colosi Construction LLC BHP-2004-0165 978-777-5679 7 Currier, James H.* James H. Currier Construction Co, Inc. BHP-2004-0008 978-774-6685 8 Daigle, Rob` Creative Builders BHP-2004-0308 978-682-4948 9 DeLucia, Rocci Jr.* Frank DeLucia & Son, Inc. BHP-2003-0393 978-686-8200 10 DiVincenzo, John L.* Andover Septic/J&S Dev. Corp. BHP-2003-0394 978-521-5251 11 Giard, Daniel* Daniel A. Giard Septic Service BHP-2003-0402 978-686-7653 12 Hall, Bill, Inc.* Bill Hall, Inc. BHP-2003-0407 978-689-3711 13 Henderson, George* G. Henderson Co., Inc. BHP-2004-0101 978-686-5845 14 Hutton, Arthur* Hutton's General Construction, Inc. BHP-2003-0398 978-685-2627 15 Innis, Robert L.* R.L.I. Corp. BHP-2003-0397 978-663-6006 16 Kellett, James* Kellett Excavating BHP-2004-0291 781.953.7146 17 Linskey, William M.* Linskey Construction, Inc. BHP-2003-0408 978-744-2700 18 Maker, Ronald* T Ford Co., Inc. BHP-2203-0404 978-352-5606 19 Marsh, Steve* The Westchester Go. BHP-2003-0316 978-742-9778 20 Maynard, Dave* Maynard Construction BHP-2003-0399 603-228-4436 21 McKee, Brian* D.P. McKee & Son Excavators BHP-2004-0023 781-942-7608 22 Osgood, Ben* New England Engineering BHP-2004-0024 978-686-1768 23 Patenaude, Richard* Dracut Sewer Service, Inc. BHP-2004-0034 978-452-4851 24 Petrosino, Angelo* Angelo Petrosino BHP 2003-0391 978-664-2030 25 Quinlan,Timothy* Quinlan & Rand Builders BHP-2004-0025 978-682-1570 26 Reilly, Michael W.* F.P. Reilly & Son's, Inc. BHP-2003-0401 978-475-1237 27 Richard, Roger* R.J. Richard Corp. BHP-2004-0035 978-686-7445 28 Sawyer, William T.* Arco Excavators, Inc. BHP-2004-0028 978-685-5113 29 Shaw, John III* Wildwood Excavation, Inc. BHP-2004-0265 978-474-8088 30 Simard, Ralph* Ralph Simard BHP-2004-0293 508-958-2002 31 Soucy, John J.* Soucy's Sewer Service BHP-2004-0026 978-470-1400 32 St. Hillaire, Paul* Andover Construction & Dev. BHP-2003-0403 978-749-0073 33 Surianello,Joseph* Ralph Surianello, Inc. BHP-2003-0406 617-799-3900 34 Todd, Charles R.* Charles R. Todd Contractor, Inc. BHP-2003-0392 978-667-7853 35 Zaher, Charles* Charles Zaher BHP-2004-0030 978-441-9429 i i Ll .Massachusetts Department of Environmental Protection �\c Bureau of Resource Protection - Wetlands ' WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out From: forms on the North Andover computer, use ---- ----- — -- - ------- ----- ---- --- only the tab Conservation Commission key to move To: Applicant Property Owner(if different from applicant): Your cursor- do not use the Siavash Mahalati return key. Name Name 36 Beaver Brook Road r� Mailing Address Mailing Address North Andover MA. 01845 _ City/Town State Zip Code City/Town State Zip Code enrn 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: RDA — _ 2_/24/04_ Title Date Proposed Subsurface Sewage Disposal System Plan, Sheets 1-2 2/9/04, revised Title 3/26/04 Title ------ — -- Date --- --- 2. Date Request Filed: 2/24/04 B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description (if applicable): Grading activities associated with the installation of a subsurface sewage disposal system within the Buffer Zone to a bordering vegetated wetland associated with Towne Pond__ Project Location: Lot 2 Forest Street North Andover Street Address City/Town Map 105B _ Lot 2 _ Assessors Map/Plat Number Parcel/Lot Number wpaform2.doc•rev.12/15/00 Page 1 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been received from the issuing authority (i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s) is an area subject to protection under the Act. Removing, filling, dredging, or altering of the area requires the filing of a Notice of Intent. delineations of the following 2a. The boundary g resource areas described on the referenced plan(s) are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. r2b. The boundaries of resource areas listed below are not confirmed by this Determination, egardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. it -- --- ---- -- — -- --— ❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove, fell, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent. ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaform2.doe•rev.12115/00 age 2 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)(;. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Protection Act is required b the Note: No further action under the Wetlands P y q applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. io s are listed at the end of this document. t for Superseding Determinations Requirements for requests p g ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). See attached condition ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•rev.12/15/00 - Page 3 of 5 4 Negative Determination of Applicability Lot.2 Forest Street Conservation Conditions Record Documentation: Request for Determination of Applicability dated 2/24/04; Plan entitled "Proposed Subsurface Sewage Disposal System, Lot 2 Forest Street, North Andover, MA", consisting of sheets 1 & 2, prepared for Siavash Mahalati, dated February 9, 2004, last revised dated 3/26/04, prepared by New England Engineering Services, Inc. 1. Prior to the commencement of any work activilies on site, the applicant shall install erosion controls in the locations depicted on the referenced site plan. Said erosion controls shall he installed in accordance with the erosion control detail on sheet 2 of the record plan. In addition, the applicant shall have on hand 10 additional hay bales and an equivalent amount of silt fence for emergency erosion control purposes. 2. Immediately following completion of the above, the applicant shall contact the Conservation Department, at least 72 hours in advance, to schedule an on-site pre-construction meeting to review proper installation of said erosion controls. 3. Upon completion of grading activities associated with the septic system, said areas shall be immediately hydro seeded for stabilization purposes and the applicant shall contact the Conservation Department for a post-construction inspection upon substantial germination. 4. The applicant shall submit an as-built plan prepared and signed and stamped by a Registered Professional Civil Engineer upon completion of all work on the property as shown on the approved plan. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name -- --_ —_ — --------__ --- -------- Ordinance or Bylaw Citation_ ---------- C. Authorization f This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on Vby certified mail, return receipt requested on Date Date�h This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commissi . A copy must be sent to the appropriate DEP Regional Office (see Appendix A) and the property her 'fferent from the applicant). Signatures: II - r Date / wpaform2.doc•rev.12/15/00 Page 4 of 5 LIMassachusetts Department of.Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Appendix A) to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Appendix E: Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpatorm2.doc•rev.12/15/00 Page 5 of 5 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix E — Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information Important: 1. Person or Part akin if appropriate, name the citizen s representative): When filling out party making request( ppro p group's forms on the computer, use Name only the tab key to move - --- your cursor- Mailing Address do not use the -- - return key. City/Town State Zip Code r� Phone Number Fax Number(if applicable) Project Location Mailing Address City/Town --------- ---- --— ------- State --- Zip Code 2. Applicant (as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation (Form 4A); or Request for Determination of Applicability (Form 1)): Name Mailing Address City/Town State Zip Code Phone Number Fax Number(if applicable) 3. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions ❑ Superseding Determination of Applicability ❑ Superseding Order of Resource Area Delineation Send this form and check or money order for$50.00, payable to the Commonwealth of Massachusetts to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpaform2.doc•Appendix E•rev.2100 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix E — Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) 2. On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see Appendix A). 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. wpafonn2.doc•Appendix E•rev.2100 Page 2 of 2 pORTy TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET ^o I NORTH ANDOVER,MASSACHUSETTS 01845 .Iq c«Q.•w.`.. !9S gnTED T�,� Telephone(978)685-0950 For(978)688-9573 SACHU` DRIVEWAY PERMIT June 1, 1999,Revised 06-01-02 (Please Print) DATE: S "21' 04- STREET&NUMBER: 1'J 35 LOT NUMBER: 2 CONTRACTOR: TEL: FAX: ADDRESS: OWNER: TEL: ADDRESS: PROPOSED PLAN OF DRIVEWAY ATTACHED: PROPOSED SITE DISTANCE: DIG SAFE NUMBER: SITE INSPECTION IS REQUIRED BEFORE FINAL SURFACE IS INSTALLED AND A FINAL INSPECTION WILL BE MADE WITHIN 48 HOURS OF NOTIFICATION OF COMPLETION. INITIAL INSPECTION DATE: BY: FINAL INSPECTION DATE: BY: FAILURE TO COMPLY WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT. APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROM MEETING ALL OF THE REQUIREMENTS FOR SAFETYAND DRAINAGE.A SEPARATE STREET OPENING PERMIT IS REQUIRED FOR WORKpERFORMED WITHIN THE STREET PAVEMENT. Attachments made a part of this permit: Form U &Driveway Application Requirements Sketch"A"Proposed Driveway Plan,dated 06-01-99 Sketch"B"Typical Driveway Detail,dated 06-01-99 APPLICANT SIGNATURE: O ATE: DATE• 5'27-D¢ DIVISION OF PUBLIC WORKS SIGNATURE: — Form U&Driveway Applications Rev 6-7-02 • NORTt/ TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS * 384 OSGOOD STREET ` NORTH ANDOVER,MASSACHUSETTS 01845 Telephone(978)685-0950 Fax(978)688-9573 9SS�CH11 � FORM U & DRIVEWAY APPLICATIONS REQUIREMENTS PROPOSED DRIVEWAY PLAN: A plan is required to show the dimensions of the lot, the location of the proposed driveway and the building(s) it services, the type of street pavement, type of existing sidewalk,type of curbing, location of any permanent structures within ten (10) feet of the driveway such as trees, signs, utility poles, hydrants, catch basins, stone bounds, etc. The plan shall be submitted to the Engineering Department for review. If the plan is approved then a driveway permit can be issued. (See Sketch Plan"A"Attached) SAFETY SITE DISTANCE REQUIREMENTS: Minimum Horizontal or Vertical Safe Site Distance Requirement is 200 feet from a point in the proposed driveway 7 feet back from the edge of road, at an eye height of 3.75 feet above ground surface, to see an object 0.50 feet above the roadway surface at a point 3.00 feet into the road from the edge of roadway. Existing driveways to be widened or moved to new location must show that the new site distance will be the same or better than currently exists. DRAINAGE REQUIREMENTS: Runoff from the driveway shall not be allowed to enter the travel lane, and the existing drainage pattern shall not be altered to create ponding on the roadway pavement or shoulder. (See Sketch B). The required plan must show the existing drainage, all proposed drainage improvements, and how roadway runoff will be collected or diverted. EXISTING SIDEWALK SURFACES: If there is existing curbing and/or sidewalk the new driveway shall match the existing material and shall be a minimum of 4 inches thick. The contractor shall provide a detail showing the type and thickness of material,number of layers,reinforcement, and base and sub-base. DIG SAFE NUMBER:The applicant shall provide a valid Dig Safe number. CONTRACTOR: The Contractor doing the work shall have all insurance required and be in good standing with the Town. STREET OPENING PERMIT: Any work in the road right-of-way requires a separate street opening permit. DRIVEWAY PERMIT: The permit shall be valid for ninety(90) days from the date of issuance and may not be transferred without prior written approval by the Division of Public Works. INSPECTIONS: The Contractor must notify the Division of Public Works 24 hours prior to commencing construction. The Contractor shall provide notice of completion and request a final inspection. The completed work must be inspected and the permit must be signed by the Engineering Division. Fornt U&Driveway Applications Rev 6-7-02 to ............. .. .............. ...... ............ ........ oil ....... ... ....... ..................4..........y .................. It ............. .............. .......... ................................ i. . ... ................... ......... . ....... .......... ....... . ........ .......... ... .......... ............... .... -------T- .. ............ top /I .......... . ................... ............. ........ ..........it ................. .............. 154 ........... - .......... .......... ............i-.. .......... ........:V.................. .......................1........... .................. ........... ............... . ............. ....... ........... ........ ..................................... .................. ........ .. ..... ......... 1. -F-W .. .......... ........ ... .................................. b 4. fw ...................... .4- ............ Will", .. ........ .......... ............................. ........... ........ •.................................. .. ............. ........... ....... ..... .... .............................. .......... ....... .......... • 10 00............ ... ........v....... .......... ...... ......... ..... ............ ......................... ....... ............... ............ ........... ..................... . ...... . ...... Raft [--��................ . ... .......... ......I.i -'. ............ .............. ... ................. ............... 1.77- ........... .xi ....................... .......... ........ ............ .... ...... ........... ... .... ..-.4 ........... .................... ......... ....... .................. ................ ..... ........... .......... .... ........................... ........... .... ........... ................... .... ... ........... ..... ..... ............. ........... ............ .......... ........ .......... .. ............... .......... ................. ..................... ..... .......... .............. .. ...... .......... .............. ........ ........ .... • .................................. j ................ . ............ .......... ok Ypr 3pr . Ike o � � 0 0 TYPICAL EM WAY N.T.S_ NOTE: 1.) ALL DRIVEWAY APRONS TO BE PAVED MTN 3" 4817UMINOUS CONCREW- 1 DRIVEWAYS SHALL NOT BE INSTALLED IN LOCATIONS WHERE SCONE BOUNDS ARE PROPOSM• 1. � R T►i Town o � � �- 4Andover 0 No. '7bD t b i^ _ I b y dover, Mass., 07 'O?ay O = IAKE "o T �- C:OC �� AORATED SSACHUS FOR EXCAVATION AND FOUNDATION cv1 �*I.& ��► S-14.9� �THIS CERTIFIES THAT ..5....................... .. ..................... .....�.....,......M.A.U.1A.r.11........ rr has permission to excavate and pour foundation at . ... 47. ... 0 ..... ! Cr for the purpose �.� W. . S fN . � �q wl l RWWJq*VC*6 The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. 6*#OS As 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. BLDG. PERIAHTFEr A COAAAA04VAO LESS ..................................... ..... ..... DUB FRAME PERMIT SEE REVERSE IDE BUILDING INSPECTOR NORTH Town o '` 6And®veer No. O LAK -0 drover, Mass., `rp,, COCHICHEWICK "SATED BOARD OF HEALTH Food/Kitchen PERMIT T D I Septic System Oh ;4r S I I V"k A A LA*+'# BUILDING INSPECTOR ... ... ....... THIS CERTIFIES THAT.............................................................. .........A ....... .......�or`e ........... Foundation153bt...—*--.....,......*has permission to erect..............I........................ buildings on 1i 5+-...f Al Rough 4W--- , Airvi..ney to be occupied ...'Not provided that the person accepting this permit shall in every respect conform to the terms o the application on file in Final this office, and to the provisions of the Codes and jBLaws relating t Inspection, Alteration and Construction of Buildings in the Town of North Andover. 1 05 / ;L :;4501 so PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N T Rough . . ......... ... . . .. ............ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove . Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDEJ Smoke Det. i LOT 2 FOREST STREET Rev 1.0 May 1, 2004 '-7' Windows Schedule o' Mark Count Make Part # ---- - 10' A 14 Andersen TW28524'7LiI 8 10 TW2846 -- - ® i 3'-6' C 4 TW2432 IS D 2 C235 ® clearance I clearance E 1 CR135—P3540—CR135 19'-11 brick fireplace Kitchen Cabinets 2 30" high wall cabinets Family 1 ' Oak/maple cabinets stained to match HW floors Galss doors on the sink wall cabinets 7' 3'-6• i4 Finish 2'-6• REF -6•M W! _63.5" colonial modlings and 5.5" base d � " 7-a Sr T- j' o r 70 Nd3.5 crown moldings throughout first floor 3' J 3" charli rail and raised Study; Light "1, 31o.w. ; panels in Living and Dining 1 ------� --- p ig 9 ® I _2• 3'-6' _- 3'-6�r 4'-6 Framed openings throughout I DinetteNand 7'-1 ' Kitchen �,I a Hardwood floors 4,_9 , _ 12 throughout except in .___...i r� as.r p 2 ' baths --- --�-- Solid masonite doors 3--,:10 3"-4• ® o N O© 3'-6' Ramrp ° Living L Dining '-3 1 1 a Foyer 1 Pantry/Storage Center hall— eal 6'-6 b.b..n dlni�p 6'-6' Ming 6'-8j' ® ® 1'-3: 2'-0• 3'-a' y-0• i'-3' 2'-63'_6, 0' 13'-6' 3'-3' '-6' 3'-3• 3'-6' 0' All Rights Reser\4d'- First Floor Framing (1/8" = 1 '0") Contractor must verify all dimensions LOT 2 FOREST STREET Rev 1 .0 May 1 , 2004 13'-6" 8'-42' '-6" 7'-42' 14'-3" 3'-6" 3'-6" 4'-42' F-4/— 6' O 4' 0 � 0 33" iv O iv Base JACUZZI i 5'-6" 15" Draw. 15 33" WIC - Draw. w. � .Base O BED #1 21" 7'-3„ 33" c 1 1 Draw.' 04'-111• Base N 2 I 3" N B AC Return O i se ® �� I 2' 2' 3'_53• Lc, OOAC Rturn Railing 4 (V N 2 3'-11' tO o n i� 2-2'6" O 8'-6" Railing MASTER 2'6" Open to WALKUP B E D foyer ATTIC below 1 1 ' BED #2 O BED #3 3'-6° O O O o O O N 5'-0° N 3'-6" 73 -6-m-- & 3'-6" L3 -6K- 6/-6# 13'-6' 13' 13'-6 10' Second Floor (3/16" = 110") All Rights Reserved Contractor must verify all dimensions �o, LOT 2 FOREST STREET Foundation Plan (3/16" = 1 '0") 4 Rev 1 .0 May 1 , 2004 Contractor must verify all dimensions e 3'0" Slabs on grade shall be 3000 p.sJ (28 day stength) on 4" sand or gravel fill with 6x6 #10 welded wire mesh. Slabs on grde shall have contraction joints with a All wooden walls and ceiling `o depth of at least 1/4 the slab thickness. They shall shall have 5/8" type X' fire be placed not more than 30 feet in each direction. rated wallboard installed. Contraction joints shall be placed where offsets are o more than 10 feet. Contraction joints are not 2 required where 6x6-6/6 welded wire faric or equivalent 1 b is paced at mid—depth of the slab. 0 Foundation walls and footings shall be 3000 p.si. (28 r day strength) 0 The bottom of any point of the a foundation shall be rn a minimum of 4'0" below finish grade. Footings shall 7' be placed on undisturbed fill. Foundation walls shall extend at least 8" above finish grade. '-8' 3, 3'-6" Wall pockets ends of wood girders entering masonry or concrete walls shall be provided with 1/2" air space on top, sides and end unless app'd durable or treated --- ---- wood is used. I Unreinforced walls shall support a maximum of 7' unbalanced fill. 4" Concrete Slab 4-2X12 beam G & N 7'_c�• The exterior surfaces of the masonary foundations 6' French door Slope 1/8" per foot over enclosing basements shall be damped proofed with two _6, 8" crush stone 6x6 coats of asphaltic coating compound. #10/10 WWM 6 MIL vaport Ret. $ Basement habitable space below grade shall be water � proofed using two ply hot mopped felt memberane waterproofing. 1 9-3 1/2" Dia. [ally column 1 ' Foundation anchor bolts (8"x12") shall be a minimum with {Ir2'6" x 12" deep strip o of 1/2" in diameter. They shall have a minimum g embed of 8" in poured concrete. There shall be a r'minimum of two anchors per section of sill plate. Maximum space shall be 8'0" on center. 4 0 Seal plate and all basement framing that come in —8' —8" '-2"— '-6" '-0' 7'-3' contact with concrete shall be pressure treated. g777 Proptective seal plate water barrier shall be installed between foundation and the seal plate. 2 , 30' Drain 2'6" Foundation drain shall be 6" perforated drain the at perimeter of basement. Tops of joints shall be covered W/15# felt and minimum pf 18" course stone. 2'4" Slope tile 3/16" per foot to point of discharge. d ,_3d Septic Sump 0 T-6 Termite protection as per local codes. outlet �cdon Under 6'-3' Slab ` Studs in framed kneewalls shall be 14" minimum in drain ya lenth an when the kneewall is greater than 4'0" in a height, it shall be of the size required for additional Beam pocket. Shim with o story. Keewalis shall be throughly and effectively 2.0. 4-2X12 beam G & N steel shims. cross—braced. (� 1 Shower & Steam —10' n C. X • 0 4" (min) step down into garage 6'-9" 0 7'-0 3/4' 20 minute fire door (min.) 13'-10 1/2' a o :a M ih ti'. �: :. .. n•'. 2'-6" All Rights Reserved 13'-6" 3'-3 -6'=6" 3'-3' 13'-6' —40' LOT 2 FOREST STREET s Rev 1.0 May 1, 2004 3/4" T&G PLYWOOD FLOOR NAILED PLUS SCREWED AND GLUED WITH PL-400 OR LIQUID NAIL o' 12' 2"X10" JOISTS 16" O.C. x 1 ' i I x FRENCH DOOR HEADER FAMILY OPENING HEADER 3 U O = N s N to x =X 3' 6' 104 _ = N �I ii 1 N N N NX O N N I _ N 1 x 4 »x 12' 3E kN _ _ 1 . 1 1� 11 1H 11 1H 111 c, 1111 1� I 1� 1H 1 11 , 11 H11 N s 111 ,, olimi, ,Tmr� mi 3 ' s X STAIR WELL N STAIR N = x x N = N N N N N 13' 6. N e ,X I N N N N 1 3 6' x N N 1 N 3' �[H 11 lu, Ill . 11 111 111 10' 2'-6' 6• 3' ar First Floor Framing (1/8" = 1'0") � Floor Framing (1/8" = 1'0") Contractor must verify all dimensions Contractor must verify all dimensions All Rights Reserved LOT 2 FOREST STREET Rev 1.0 May 1, 2004 1 2"X10" ROOfl, RAFTERS — cj 16" O.C. RIDGE o VENT _ Ko = o C 0 x =X O I N N x N 1 cq= N N BEAM WALKUP ATTIC I _ I I RIDGE VEN ATTIC FRAMING(1/8" = 1'0") ontractor must verify all dimensions 12 1'-0" OVERHANG FRONT & REAR 9 PROP VENT 2"X10" ROOF RAFTER — 16' ASPHALT SHINGLES O.0 #15 FELT PAPER 5/8" EXT PLYWOOD // ROOF FRAMING (1/8" = i'0") GRACE ICE & ontractor must verify all dimensions WATER SHIELD 5'-0" UP / FROM EDGE OF ROOF CONT. SCREEN 2-2•X6" VENT 12 2"X10" CL. JOIST — 16" O.0 R 30 INSULATION 2"X6" STUDS-16" O.C. 1/2" EXT PLY R19 INSUL TYVEK All Rights Reserved SECTION AT EAVE — NOT SCALED V t Y LOT 2 FOREST STREET All Rights Reserved Rev 1 .0 May 1 , 2004 Continious 2"x12" 2"X10" Baffled Ridge Ridge Vent Board ROOF RAFTER 16" O.C. 5/8" EXT PLY. - - - - Continious Baffled 2"x6" Ridge Vent COLAR 12 TIES 032" 2"x12" Ridge 2"X10" Board 97 O.C. 2"X10" ROOF 8 CEILING RAFTER ® 16" 5� JOIST-12" PROP O.C.-5/8" EXT R30 INSUL OC ` V °VT PLY. _ Overhanging ��� R30 INSUL 2x10 016" O.C. PROP VENT soffit with Overhanging soffit venting �2-2"X4" with venting \ 1/2 EXT 2"X12" FLOOR JOIST - P YWCOD i Vapor barrier 16" O.C. 3/4 t&G PLY I 1/2" wallboard FLOOR GLUED AND 2"X6" 7'-8 1/2" R19 INSUL 1/2" EXT SCREWED STUDS-16" y '"OOD O.C. 2'X6' STUD�16" 8 -4 1/2 TYVEK 2"X12" FLOOR JOIST - O.C. � � " R19 INSUL 12" O.C. 3/4 t&G PLY FLOOR GLUED AND TYVEK SCREWED F�Vapor barrier 1/2" wallboard R2 INSUL ti 2"X16" FLOOR JOIST - 2"X4" 8'-4 1/2" 2'-Z"6" SILL PTW Continuou seal 16" O.C. 3/4 t&G PLY BEARING FLOOR GLUED AND WALL SILL SEAL 1gasket SCREWED Continuous ANCHOR BOLTTSS 6' seal Garage do-dr—., 4" CONC FLOOR OVER 8" O.C. \ / gasket CRUSH STONE 6X6 #10/10 I, ✓ WWM 6 MIL VAPOR RET 2-#4RDS.T&B MEMBRANE R20 INSUL " 2'-2"x6" SILL PTW SILL & 4-2 x12 SEAL 1/2" ANCHOR INSULATION COATING & 3 1/2" BEAM BOLTS 3' O.C. NOT MORE MEMBRANE COL W/PL THAN 12" AT ENDS 7 -11" 24"X12" CONC T&B . , 4" CONC FLOOR 2"x6" 24"X12" CONC FTG 2"X4" FTG 2,'X4' OVER 8" CRUSH STUDS-16" KEYWAY KEYWAY 2-#4RDS.T&B STONE 6X6 #10/10 O.0 WWM 6 MIL VAPOR 11 RIFT F 24"X12" CONC 2'-6"X12" FTG 2"X4" CONC FTG KEYWAY Section Thru House (3/16" = 1 '0") Section Thru Family (3/16" = 1 '0") Contractor must verify all dimensions Contractor must verify all dimensions LOT 2 FOREST STREET � }• Rev 1.0 May 1, 2004 Ridge vent� � � Rtdg.y.at �g vent Asphalt shingles Ridge vent Asphalt shingles Attic LL= 30 lbs D.L- 10 The 10 3/4 ® ® ® ELL1. "-8 1/2' M71a [I � - LL- 30 The D.L- 10 lbs .••LLL Second Cedar Biding (rough Bide FYPON—r5 out) i i'-1 1/2 0 FM 8'-4I 1/2' LLQ 40 lbs TF-1 I 11 D.L- 10 1be 11 First u First .0 1'-1 1/2 T Pine trim on all windows Freeze board all aro. and doors Five 10" fluted wood in a a 7'-11' front W-0' foundation Odnc. do atone Stone retaining walF— ) a Basement 4" Slab Front Elevation)/8"=1'-0" Rear Elevation 1/8"=1'-0" Contractor must verify all dimensions Contractor must verify all dimensions All Rights Reserved �k T ikn over 92,F r . dower, ss.,__PE - a _ ,' BARD OF HEALTH 5 RMIT TO U 11L . }COLKitchen I Sepr17 ic Sy steCPS ..... . f CT ....MA6 k+1 et g^oundaton.... . . ...... . .... ...... . ...... .. .. has parr€s'slon to .......... buildings 041 Left....... .... .: ...,.........,..... ... .... Rough.� to be occupied aM-. ..............,.......3931 #47k....:.........,. ... .:. ,.................. , .... ...............� � xras - r provided that the person accepting this permit shall in ava ` respect conform to the torms a the application on fila in � in.a this odic®, and to the provisions at ft Cade3 and 6 Laws relating to i o Inspection, Aeration and Construction of Buildings in the Town of North Andover, �. v� txG L ..VIOLATION of tie Zoning w Building Rag4jaflons Voids this Perm �'`� —� 2 ELECTRICAL INSPFCTOR Rough t4 Ina; . ; y y.•I, y y 3e^ n�;FS �£, A, s+ nix s>- aa: �� ,'3� � �y . 3 a x�z a ,UH3,V0So O Lathing or Dry Wall. To Be Done FIR]rDEPARTMEN until inspected &Approved by.the Building Inspector. Burner _'d-% " Street Ivo. Smoke Det. SEE REVERSE SID — t ;( GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections r. INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing, Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations ww.« Y"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams - Attic Access. (min.22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit).. Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. ; Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish ' Smooth parging,clean joints, 8"solid @ combust. Surf. DECKS:i Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. z Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. ;Exterior grading complete. "Certificate or occupan required prior to occupying structure. Temporary Stairs required for inspection. _ Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. f �1A