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Miscellaneous - 159 APPLETON STREET 4/30/2018
M APPLETON STREET 210!037.&005&0000.0 Location l� - No. ?,3 Date Yl�b "ORT►l TOWN OF NORTH ANDOVER � A t Certificate of Occupancy $ AC HUs BuildinglFrame Permit Fee $ Foundation Permit Fee $ Avr- Other Permit Fee $ TOTAL $ Check # U _ 19610 � Building Inspector 6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 2 0`No oT b quo Permit NO: Date Received o / 7 SRA rev Date lssued: ' 9SSACHUS�K IMPORTANT:Applicant must complete all items on this page LOCATION !S a� /IYJVI h S f Print (� PROPERTY OWNER G r�, C, -qcLvL aA-p- Lo Y Y'Qy-^ m 04 Print MAP NO.: PARCEL: JTS ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential ❑New Building One family ❑Addition ❑Two or more family ❑Industrial ❑ Alteration No. of units: epair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED df '&, �"ujo ai('ner6aos � 2es,`a�� 0"7e 5,ye �usA Identification Please Type or Print Clearly) OWNER: Name: 1, ( b- C r v5 G�.1' (,,C L t Dr 0-M 0 0w41ione: �t�1 $ �"7 5-//67 Address: ( 5'� n CONTRACTOR Name: W, G e-/Ab,AJ Phone: (978)373-5LV , Address: �Z-n P2/m►2o:sP s7 zjErJ' /4VOR/X11. J1,709 0,(T-36 Supervisor's Construction License: O/ S/ " Z Z Exp. Date: Z /—Z y/Z°O� Home Improvement License: /0(/ Exp. Date: 7//3lz Boy ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATEp,CO ,OTBASED ON 5725.00 PER S.F. Total Project Cost :$ // 26d -va FEE:$_ Check No.: ` Receipt No.: ovo Page I of 4 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 TYPE OF SEWERAGE DISPOSA Swimming Pools 11Tanning/Massage/Body Art E] Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales 11❑ El❑ Permanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner 6� L A��- nature of contracto r._. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes L•/ no Fire Department signature/date G�i".w Izk'Cz, COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature& Date Driveway Date Driveway Permit i Building Setback Front Yard Side Yard Rear Yard Required I Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use Page 3 of 4 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 l IAORTFI own of 4Andover No. - _.. . .�., .` C o dower, Mass. • Z�' Obi o '' LA > > COC HICHEWICK V RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... J �. ......I .. ....................................................... Foundation has permission to erect........................................ buildings on.10.........100.4' .F7.....%7 .... Rough t0 be occupied aS. . �.. �ih. ....... !....... ...!tl. ... ��.! I. ........................... Chimp y e provided that the p rson 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 3y PERMIT EXPIRES IN b MONTHS ELECTRICAL INSPECTOR 1 UNLESS CONSTRU .. ST TS Rough 11" Service BUILD �LCTOR 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. IF—sEE REVERSE SIDE Smoke Det. CONTRACT ERNEST W. GLIDDEN CONSTRUCTION 320 PREVIROSE STREET HAVERHILL,MA 01830 TEL. 978-373-5849 Construction Supervisor No. 014522 Home Contractor No. 104348 TO:William&Barbara Drummond 159 Appleton Street North Andover, MA 01845 DATE: 9-24-06 This contract is to cover work to be done at: 159 Appleton Street North Andover,MA The work consists of: 1. Removing the existing siding on the street side of the house 2. Removing 2 mullion double hung windows 3. Replacing the windows with 2 triple casement windows a. Casement windows are JELD-WEN aluminum clad b. Window sills& casings to be added to simulate existing window trim c. Reside street side of house with 1/2" x 6 cvg primed red cedar clapboards to match existing exposure d. Finish interior to match existing trim 4. Reconfigure one interior bedroom closet interior Payment schedule will be as follows: - material bill will be billed and due when received i - labor will be billed bi-weekly and due upon receipt Construction is to begin within two(2)weeks of obtaining the building permit and is to continue without undue delay until the project is finished. The work is to be done with professional craftsmanship. The total agreed price for this work to be done is: $11,200.00 This does not include any allowances for: painting, or electrical work if needed ---`\ Board of Building Regulatiods and Standards 41 HOME IMPROVEMENT CONTRACTOR f =/_= Registration: 104348 Expiration: 7/13/2008 Type: Individual ERNEST W.GLIDDEN j Ernest Glidden 11 320 Primrose StreetU�Gt V Haverhill,MA 01830 Deputy Administrator l P I The Commonwealth of Alassachusetts Department of Industrial.4ccidents Office of Investigations 1 , 600 Washington Street ' Boston,,VIA 02111 www.inass.gov/dia t . Workers' Compensation Insurance .affidavit: Builders/Contractors/ElectriciansiPlumbers Applicant Information Please Print Legibly Name inti,incss/t)rzaniz;Uionllndividaal): E�lNEST CV r�o�/D�c ;address: 3 Zozz(,rl/10s- City/State/Zip: /44 cl oa.l,,"fl a%J-5 U Phone Are you an employer?Check the appropriate box: Type of project(required): I.�I am a employer with - 4. ❑ 1 am a general contractor and I 6. ❑ New construction employees(full and'or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. ❑ Remodeling ship and have no employees These sub-contractors have 4, ❑ Demolition working for me in any capacity. workers' comp. insurance. q, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.[] Plumbing repairs or additions myself, [No workers' comp. c. 152,§1(4),and we have no 12. ] Roof repairs insurance required.]t employees. [No workers' 13.[ErOther __ comp. insurance required.] �eSi�e ',\ny applicant that checks box 111 must also fill out the section below showing their workers'compensation policy information. +f lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'coi 11p.policy information. I am tin employer that is providing workers'compensation insurance for my empltryees. Below is the policy and job site inf urmation. Insurance Company Name:----G2.0w Policy Self-ins. Lic.fl: /IC��7S y — Expiration Date:—Z,/ Job Site Address: /s 9 4Ule An S72i,CT CityiState/Zip:_NN� et��a`/s 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 NIGL 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 tine Of up to 5250.00 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 certify under the pains 'afnd penalties(f perjury that tire information provided above is true rind correct. 4i m tture C6i�i��' �!% nate: 9-Z V-0 Oficial use only. no not write in this area,to be completed by city nr ta,rvn official. City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: 3970 _ Date.... ... /.. . f HORTM 1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,Sg�CMUSE� 1 This certifies that /` ' �?' I..-,:Ke `.......................................... ...........:...................... ............... has permission to perform ... " .. .. -`'�� . . .......................................................... wiring in the building of....... at.... `5..1�......�. . .......................... .North Andover,Mass. �rrf-Ce Feev`d.............. Lic.No.............. .... r xll-L........................................... ELECTRICAL INSPECTOR Check # Official Use Only Permit No. 1j"?7 d �fr�i �i����ilg•L�7i?f t� SS�f�fZtS�7'7S � aee�t°a< S9 Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:7o—L_(Please Print in ink or type all information) Date Zy To the Ins or of Wires- Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number s� 0yl l d Owner or Tenant �Afha�(� 11���mino>7r Owner's Address Is this permit in conjunction with a building permit Yes No ❑ (Check Appropriate Box) Purpose of Building DW'L'II Utility Authorization No. Existing Service d"U ps Vohs Overhead CQ' Undgrnd ❑ No.of Meters 1 New Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �� I Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA I Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and fio.of Ran es No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices 1 No./of Self Contained ?o.of Dishwashers S ce/Area Heatin KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heatinq Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includigg4ompleted Operations Coverage or its substantial equivalentES NO = have submitted valid proof of same to the Offi YE = No = If you have checked YES please indicate the type coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Ple a Specify) �-_ ro (Expiration Date) Estimated Value of I 'cal Work$ I Q6D Work to Start Z Inspection Date Resquested ZS OZ Rough ✓ Final Signed underthe P—enahlq,of pe'ury: LIC.No. I?Z3Fil �f FIRM NAME ]) (�` L Lensee l�1f�1QY(� J YgI Signature LIC.NO. 2-7s1�L �3 � DV't��1BARTeI.No. 5-)S:- 0z -I Tel No Address 1 � 1 1�—� �� OWNER'S INSURANCE WAIVER: I a are that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signatu n this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) Date. . . 7. ,AORT#q 0 TOWN OF NORTH ANDOVER 6 PERMIT FOR GAS INSTALLATION SAC)H4US , This certifies that .. . .Qt.� . . . . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . .. . . . . at . . . .. . . . . . . . . . . . . . . . . . . ., North Andover, Mass. L 0.,�� Fee:. Ic N . . . . . . . . . . .I. . . . . . . . . . . . . GASj-S t�p CTOR Check# -3-j,,,q 4086 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS G (Type or print) Date al oX NORTH ANDOVER,MASSACHUSETTS ,- Building Locations v &:L/ Permit# ® Amount$ Owner's Name ��!V/h��,(]/ New❑ Renovation Replacement ❑ Plans Submitted "❑� a w wa�3 0 v, ° c H U z o ° o o a°, F o SUB-BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR (Print or type) F 7�� / N' ��/¢ /, C one: Certificate Installing Company /Z 7 c5 �f1-7r' Corp. Address OL� ��/N �/ ❑ Partner. Business Telephone ? to yf ®Firm/Co. Name of Licensed Plumber or Gas Fitter Ifo b F� P1N 'lc/d A)-/-, ^/I 4 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ®' No❑ If you have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 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 under P t Issu for this application will be in compliance with all pertinent provisions of the Massachusetts S e an er 1 the General Laws. By: Signa of Licensed Plumber Or Gas Fitter Title ❑ Plumber 40 p 7,,r City/Town ❑ Gas Fitter License NumSer ®-Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. HORTN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ;,SSACH This certifies that • • • • • • • • i has permission to perform . . ? . . . . . . . . . . . . . . plumbing in the buildings of . ._... .`. . . . . . . . . . . . . . . . . . . . . . . . at. �J.1. . . . . ,r..�. ...C� -. . . /./, North Andover, Mass. Fee S!/ 7). . .Lic. No.. . . . . . . . . \ t c �,f. . . . . . . . . . . . . PLUM�a1N6'INSPECTOR Check # ��`:��O (/ 5312 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 4 l Date —LIJ Building Location /'-1-9 &1,,5T•'V Permit# Amount Owner ka/N flit 0 IV�. New Renovation Replacement Plans Submitted Yes No FIXTURES Cr 121-0a � a � A F STSHgVIC BASMVNr ]S>:1HIDCit ID Hj" 3M PIDQL 4M HIM SIH 1NI0(R 6MHIM 7M HDM SIH HO X (Print or type) L,�� ��A� ,,t/;dCheck : CertifiInstalling Company Name Tnlj f Corp. Address )ej-11 Al P � Partner. A AZ-4 ttBusiness Telephone 'Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the t of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted or ente d)in above a ation are tru d accurate to the best of my knowledge and that all plumbing work and installations e o ndet Permi s e for lic be in compliance with all pertinent provisions of the Massachusetts Sta P i e and 1 General laws. . By igna ure o rcense mer Type of Plumbing License Title / #Q /fj City/Town iceMe IN um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY Location No. Fd"Z Date /? TOWN OF NORTH ANDOVER a 2 Certificate of Occupancy $ Building/Frame Permit Fee $ 04 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 17867 '----B-ui1djng Ins A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE; OR DEMOLISH A ONE OR TWO FAMILY DWELLING a x a a . •. i�..y, ' �r �.. AK�t, BI DING PERMIT NUMBER: DATE ISSUED: �_O - SIGNATURE: Building Commissioneffl for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /S2 Q 3 74a —Q0� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage(ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewenge Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNEiSCUrlc istriCt: YDS RSIIIP/AUTHORIZED AGENT 2.1 Owner of Record �l1 t;3,jeA L D f?JA, Mdy✓<J /s Name(Print) Address for Service Signature Telephone v 2.2 Owner of Record: 0 Name Print Address for Service: z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: o y� Z z / License Number Address p p _ r! Z�6 Expiration Date 7_ Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Aie/�r &z r"ZIMICi✓ Company Name /d 91,3 VF M Registration Number r Address / '7-13- Zoo to (/�P�373-S8rl9 Expiration Date Si nature 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.......17 SECTION 5 Description of Proposed Work check au applicable New Construction ❑ Existing Building 0 Repair(s) IM" Alterations(s) ❑ Pddition ❑ Accessory Bldg. 0 Demolition 0 Other ❑ Specify \. OA Brief Description of Proposed Work: A•.t rK ,P,l � p1 qUC a f n doctJSe,2 q 2 /L SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL i JONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi lier 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 a Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT o N as Owner/Authorized Agent of subject property 1 Hereby authorize to act on Mbehalf,i i all matters rela Uve to work authorized by this building permit application. _ , -0'7- Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, itl,t 57 a/, 6L/�.C16y as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name "5i ahue of Owner/Agent Date r, NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1s ?. 3RD SPAN DIMENSIONS OF SILLS DEVIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBRVINEY IS BUU DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NpRTIy Town of `.:.XAndover No.c3 1 7 4 y idover, Mass. T O ; LAKE I� COCKICKEWICK y %S RATED O'PG �y V BOARD OF HEALTH PERMIT T DFood/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..../.:�...... ... ...... ......................... ............................................................................... ............. Foundation has permission to erect........................................ buildingspn.1111! ...r............. .._..... Rough to be occupied a chimney ...... ................................................................................. provided that the person accepting this permit s all in every res conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws rola g to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION jT� � Rough ................................/...../...................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 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: '(Location 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 ,. ✓ VrynPmealzu�ca�i o�✓�¢aaaT/rude�a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 014522 Birthdate: 02/24/1949 , Expires:02124/2006 Tr.no: 14844 Restricted::100' :NEST W GLIDDEN 3 PRIMROSE ST' �r ,VERHILL, MA 01830° Administrator eT, �aisr��wouaea i�L Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 104348 Expiration .711312006 Type: Individual ERNEST W.GLIDDEN � 1.- Ernest Glidden 320 Primrose Street;' Haverhill,MA 01830 Administrator g The Commonwealth of Massachusetts > Department of Industrial Accidents d Office of Investigations Boston, Mass. 02111 ' Workers'Compensation Insurance AtFrdavit Name Please Print Location: iS 9 City Phone7 F7 I am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: ,{�Wr-sT Address 320 City: Phone# insurance.Co. Policy# 2E/z 4/c Sa 9 6 g3 Company name: , Address Chy: Phone Insurance Co. Poucv# Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties of.a tine up to 51,500.00 andtor one years'imprisonments wee.as.chtG,penatfids 1n the fawn ofa ZT.oP YVDRK_ORDERmd..a.tkw cf.(31111M-a A"againstma. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriflcauon. I db hereby car*under the pains and p �e nalties of perjury that the information provided above is&us and carsct. Signature �/r�1 -� Date_ iz- 7-e Print name � �` 6c/t��€.✓ Phone# 9,7P 3 73 �P Official use only do not write in this area to be completed by city or town Adel' City or Town PermlUlLicensina ❑Check if immediate response Is raquied 1:1 Building Dept0 Licensing Board Contest person: ❑ Selectman's Office Pine#' ❑ Health Department ❑ Other Location No. Date NORTH TOWN OF NORTH ANDOVER FO A { Certificate of Occupancy $ E<� Building/Frame Permit Fee $ � � sACMUs ,-j Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Y V Check # 3 f `3 15717 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Building Commissionerlln§REtor of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ^� T 3113 s /0/�rGIJI/� /� K Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reqwrcd Provide RegWred Provided R 'red Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record kl t i ao— c,.,! r��vKrrc.✓� f �-fb►1 ST. Name(Print) Address for Service gj,�V� 1' -7 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 6cl-a0ew t/ S Z ce sed Construction Supervisor: O 7 z O r ° License Number 3 26 � r P S?-fz�'�c T �y��l �� d�►} '11 Address res ~ Expiration Date icic rgnature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m 3�30 ��� � �����Z��nl� S�� Registration Number Address r (5 tt i� q7 3 7 3 Expiration Date /) gig—nature Tele hone Y� SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......q/ No.......El SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Y Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other e—Specify e Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFOCIAL USE ON Y Completed by permit applicant 1. Building (a)/ Building Permit Fee 6 ' 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) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize _ to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/"AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/AQent Date ` . NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR MMERS iST 2 ND 3ko SPAN DIMENSIONS OF SILLS DFW,NSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH MNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r The Commonwealth of/'Massachusetts Depadment of Industrial Accidents ` Ofce of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit 4`t Please print SIM sg Name: 1Z/✓.9S (SCID xA,1 Location: 3 2b rn rew e . C'y G am a homeowner performing all work myself. phony 78 . 3 7 -�g�(9 Ol am a.sole proprietor and have no on6 working in any capacity 0311"'arn a':employer providing workers"compensation for my employees wonting on this job. Qdmoacnr name: 2/1l+/)c17 0/ 6 G fav Pry Address 3 7a P/r/.71/ra s� V CiV, k�i�/ % I Address E:lty: Phone* t=atute t*secure coverage as►egged wi ler n 25A or UGL IM cm lmd to� _ and/or ores years'tmprisorxnertt as weft as chd penal less in t'wftm of a 37DP AOW and a� �01 a fln8 bp.tD1V t 5pp Do I undesterrd that a ropy of orris stafemeni may ba forwarded to the Otfiaa of n f tote til for coverage��?9alnst rete. t /do herby certifyanderme pains andpenailes ofperftmy yWthehAwrr provided above is bite ar►tl-cwftt Signaturf:' gate Print nameiZ,�f��Si �/; �C�Jb,Ei✓ Phone I ficial use only do not write in this area to be completed by city or town oiiiciar ❑.Check fflrnmediate rasponse is ❑ �ati/ta►%ng Q �p�- , � � Building Dept p �/�nsmg Boarrf xrtact person: is C'ff CL Phone# ❑ stealth Department D Other RKMAN`s COMPE`tsar,o,; 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, S150'A. C The debris will be disposed of in: v^ r rlel2 e`l0 (Location 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 i 4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 014522 { _ Birthdate: 02124/1949 `$ Expires:02f2412004 Tr,no: 16253 Restricted: 00 ERNEST W GLIDDEN _ 320 PRIMROSE ST HAVERHILL, MA 01830 0 Administrator ,NvRIh .Town ...,4 . over ti 0 C2 No. 8 ° _ :,_ -LA O � dower, Mass., 7 /A3 o a COCKICKEWICK V ADRATED '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... .��� ...�°....� .� =1! ......... �!�....M1.. . .................. p R ���r' g � Foundation has permission to erect.. ...... . ........................ buildings on...... .... o00 1 .. .. ....... .�.......... Rough t0 be OCCUpled as Chimney ........... l............ �ti......�.y........ r�.il► . .............................................. 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 elating to the Inspection, AReration and Construction of Buildings in the Town of North Andover. 1 (3 1 CS 4 � ' �i PLUMBING INSPECTOR VIOLATION of the Zoningor Building Regulations Voids this Permit. Rough g 9 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C Rough ....... Service BUILDING INSPECTOR Final L 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 r Street No. SEE REVERSE SIDE smoke Det. Lo cation No. Date NORTp TOWN OF NORTH ANDOVER 0 •. • Ow A + : Certificate of Occupancy $ Building/Frame Permit Fee $ 3a' -- s,qcNusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ L3 Q( Check # O�a " 1 4 1 9 1 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. 6 �Oi SIGNATURE: 11A 0&� Building Commissioner/I of BuildingsDate z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number Z59? 41,0/e-f� & c 5� Map Number Parcel Number �( 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft �) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water SupplyM.G.L-C.40-1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System C SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record t-[jirpt©tO 15,47 Name(Print) Address for Service _»67 Signature Telephone 2.2 Owner of Record: Name Print Address for ServiceO: Z kignatud, Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ O ---- q,ic,enseb Construction Supervisor: p CLicense Number y ddres s — ,0• 47-,M2 Expiration Date Signare Telephone 3.22 Registered Home Improvement Contractor Not Applicable ❑ Company Name ADD M Registration Number r 11 .L.t�� �vr% �ey��� �??c� O/867' I°e' Address epol o`er a Z Z X13 —Y 1 Expiration Date �y Sijn!A Telephone Y SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all a cable New Construction ❑ Existing Building )Z Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 13FF)YCIALISE C)I!TIY Completed by permit applicant 1. Building (a) Building Permit Fee c5 0 D o — 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 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1,6/L" SI-VM/x'10,4 as Owner/Authorized Agent of subject property Hereby authorize c/ --Rd V l CS/G//rL Lt P t`— to act on My behal i all matters relativ o work authorized by this building permit application. c/ 9'Z Z rb0 SignaLre offner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS I 2NU3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DD,4ENSIONS 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 4 �J k"`7 i r i { { BOARD OF BUIL"DING REOULATIONSl 'License:CONSTRUCTION SUPERVISOR Number CS 006878 '' 'Birthdate 04/30/1946 Explre 04/30/2002 Tr.no: 18842 .Resti�cteil to 00� �>� f fi �. ROYA' SKINNER, 100 GEORGETOWN RD_ BOXFORO, MA 01921 'Administrator G.�/ae l�o�nmwoeurea�o�•/�.aaoac/aaetla , HOME INPROVEMENT CONTRACTOR Registration 100302 Expiration: 06/15/2002 l Type: Partnership 1, SKINNER $BOTHERS l Roy Skinner 1� Linda Ave i i ADMINISTRATOR Reading MA 01867 I i { I II I I - .. _ . . _ _ _ __ __ _.,_ _� _ riu-.,i•..irin+:r,u f,.u1YCCf�.lIV'7 h'p=,lat 1'11 I r .. .3,7G?ca0 4 it t II li I i I f I � 'i if I w1 fl n I �z N6REBY C�crirY nV IP4 Q r Re.QN >,ati ,e►.��vr s.�� rvwr.^w-+r ,C~,t toe.+nro ov /N r.wr/T pm$ fC1Gw~,of irH rvE �^�.•,^•a"'.✓,o�os.-sit , lOM"414 Aff&- -47WIs srr"-rs �,�►r ���EJ M ,r fo+e's�X ccrri.�v T.�c�!rvv cwart.�i.� /s NoY O,P.4I►�iV iO.R' � IvM O�{I ia"Mrf'�'p.v t/ /rtj P.•f.Vd'� 5o09P3 L%ot� ,7W%f AZAA1.¢rJ.�` ilI01��5 S .•NOT A'al eA4,VAWY ,�r%✓ r,�,r�•y ,�,edti► E risrr vs. G6 10%I.etr XrleFor �-� .,�, Nvor�,c, ,y,�ssr/tvvs�rrs oie►io Town of North Andover & t►oRTH 0 Building Department 0 � � 27 Charles Street * _ North Andover,Massachusetts 01845 (978)688-9545 Fax(978) 688-9542 *�,9°ocog Ic Pav^5 �SsgcED I Hus��� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the 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/at: Facility locatiolf Sign re of Applicant Date( I NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NORTH ® of - 4 ®ver O No. ay dower, Mass.• ' -,ate a o O COCMICKEWICK 1 ADRATED PPF`��,�5 S H E BOARD OF HEALTH Food/Kitchen rERMIT T D Septic System B LD INSPECTOR UI ING THIS"CEATIFIESTHAT....... .�....�.d.�....,................... V. ..�0....A .................. ........ ....................... Foundation has permission to erect....�.Y�. .................... buildings on ......... .... ..... ................................... Rough to be occupied as...)" ' 1t0#Wb6ft► Chimney ............................................ provided that the person accepting this permit shall in everyrespect 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 Construcyon of Buildings in the Town of North Andover. R 0 00"Otwif 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. t*3 47 Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR Rough ................ 1A... ... ... Service . . . ................ ....... ............. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT _ Street No. IFSEE REVERSE SIDE smoke Det. Location No. Date �aRTM TOWN OF NORTH ANDOVER 3? � 0 AL 0 A 4L Certificate of Occupancy $ Building/Frame Permit Fee $ swcHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ -S Check # �3 13 2 , G �I Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING OW—A BUILDING PERMIT NUMBER: � ' DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of 13�5—illdings Date z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6"k,56 y P 7 91 �o� Map Number Parcel Number/ � v\\v 1.3 Zoning Information: 1.4 Property Dimensions: ZD Zoning District Proposed Use Lot Areas Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIPIAUTHORIZED AGENT M 2.1 Owner of Record 'gIL-L-Iiq N C . JD2LmNt6t Name(Print) Address for Service gnature Tel hone 2.2 Owner of Record: '3AI -°3AY( a L . -Ji2 M rn o Name Print Address for Service: z aat_9�1 q-? r-/)(, -7 M Sign re Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 62�611QST 92 6C-14,6AX) Licensed Construction Supervisor. ® / O License Number Address ZA 7Expiration ate Siinature Telephone 3.2 Registered Registered Home Improvement Contractor Not Applicable l0 b AC&A✓fs7 C'ClAb&Wi C_d ii7hyc 7�0 Company Name /6 c/,3T�/ s 37a Sr, ��� ` ` // Registration Number,��ei�26rP �z , Address 78 3 7Plate 3-s'�5i Expiration ate Si nature Telephone • 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.......11 No.......El SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building & Repair(s) ❑ Alterations(s) X Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: //V W DGb P— c3T 1 A- GD OJc�ct .0°eT ®h L>4c([ C i a a 5 �Q d AEY*S � rC1e cle— SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beCIAX.USE C�NL7t Completed by permit applicant 1. Building (a) Building Permit Fee SOD• Multiplier 2 Electrical (b) Estimated Total.Cost of Construction 3 Plumbin Building Permit fee la)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7��l -g/, bOWNER/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 Si aturc of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS Isr2ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE +------------------------------------------------------------------------------------------------------+---------------------------; I C E R T I F I C A T E O F L I A B I L I T Y I N S U R A N C E , I DATE 06-19-00 (MM/DD/YY)I +----------------------------------------------+-------------------------------------------------------+---------------------------+ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS I I UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER I FRANCIS J BERUBE INS I THE COVERAGE AFFORDED BY THE POLICIES BELOW. I POBOX 1809 +-----------------------------------------------------------------------------------+ I 57 BROADWAY I I N S U R E R S A F F O R D I N G C O V E R A G E I HAVERHILL MA 01831- +------------------------------------------------------------------------------------ I (INSURER A: RELIANCE NATIONAL INSURANCE COMPANY I +----------------------------------------------+-----------------------------------------------------------------------------------+ INSURED (INSURER B: I I +------------------------------------------------------------------------------------ ERNEST GLIDDEN IINSURER C: I 1320 PRIMROSE STREET +------------------------------------------------------------------------------------ I (INSURER D: I HAVERHILLMA 01830 +------------------------------------------------------------------------------------ IINSURER E: I +----------------------------------------------+-----------------------------------------------------------------------------------+ COVERAGES +---------------------------------------------------------------------------------------------------------------------------•------+ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 1 NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL I THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I +----+---------------------------------+------------------+----------------+----------------+-------------------------------------+ IINSRI I IPOLICY EFFECTIVEIPOLICY EXPIRATION( I ILTR I TYPE OF INSURANCE I POLICY NUMBER I DATE (MM/DD/YY)I DATE (MM/DD/YY) I LIMITS I +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ I IGENERAL LIABILITY I I I (EACH OCCURRENCE 1$ 1 I I [ 1 COMMERCIAL GENERAL LIABILITY I I I IFIRE DAMAGE (Any one fire)($ I I [ ] [ ] CLAIMS MADE [ ] OCCUR I I I MED EXP (Any one person) Is I I I[ ] I I IPERSONAL & ADV INJURY I$ 1 I [ 1 I 1 (GENERAL AGGREGATE Is I I GEN'L AGGREGATE LIMIT APPLIES PERI I I IPRODUCTS - COMP/OP AGG 1$ I I I [ ]POLICY [ ]PROJECT [ ]LOC I I I I I I +----+---------------------------------+------------------+----------------+-----------------+--—-----------------—---+-------—-+ AUTOMOBILE LIABILITY I I ICOMBINED SINGLE LIMIT I I I 1 ANY AUTO I I (Each accident) 1$ 1 [ 1 ALL OWNED AUTOS I I I IBODILY INJURY I 1 I I[ ] SCHEDULED AUTOS I I I(Per person) I$ I I[ ] HIRED AUTOS I I I IBODILY INJURY I I I[ ] NON-OWNED AUTOS I I I I(Per accident) I$ I [ ] I I I (PROPERTY DAMAGE I I I I [ 1 I I 1 ((Per accident) I$ I +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ I I GARAGE LIABILITY I I I (AUTO ONLY - EA ACCIDENT 1$ I I I[ ] ANY AUTO I I I IOTHER THAN EA ACC I$ I I I[ 1 I I I (AUTO ONLY: AGG 1$ 1 ;----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ I I EXCESS LIABILITY I I I (EACH OCCURRENCE 1$ 1 I I [ ] OCCUR [ ] CLAIMS MADE I I I (AGGREGATE 1$ 1 I I I I I I$ I I II 1 DEDUCTIBLE I I I I I$ I I II 1 RETENTION $ I I I I I$ 1 +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ (WORKER'S COMPENSATION AND I I I I [X] WC STATUTORY [ ] OTHERI I A (EMPLOYER'S LIABILITY INWX6006685 1 07-12-99 1 07-12-00 1E.L. EACH ACCIDENT ($100,000 I I I I I IE.L. DISEASE-EA EMPLOYEE 1$500,000 1 I 1 1 1 1 IE.L. DISEASE-POLICY LIMIT 1$100,000 1 ;----;---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ I OTHER I I I I I ------------------------------------------------------------------------------------------------------------------------------------ I I I I I I I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I I I I I 1 GENERAL CARPENTRY I I I +----------------------------------------------------------------------------------------------------------------------------------+ CERTIFICATE HOLDER [ ]ADDITIONAL INSURED; INSURED LETTER: CANCELLATION +--------------------------------------------------------------+-------------------------------------------------------------------+ I ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 I ITHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR I I TOWN OF NORTH ANDOVER ITO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED I I TOWN HALL ITO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1 IOR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR I NORTH ANDOVER MA 01845 IREPRESENTATIVES. '-+---- ---=- --_ ---- `-- ----------- --------------------------+ '' I A 0 REP R• ENTA (7/97) //r Page 1 of 2 �I +------------------------------------------------------------------------------------------------------+---------------------------+ I CERTIF I CATE OF L IARI L I TY INSURANCE DATE 06-19-00 (MM/DD/YY)I +----------------------------------------------+-------------------------------------------------------+---------------------------- I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 1 I UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER 1 JOHN A. PIERCE INSURANCE AGENCY THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1934 MAIN STREET +-----------------------------------------------------------------------------------I I I N S U R E R S A F F O R D I N G C 0 V E R A GEI WINCHESTER MA 01890-1944+--------------------------------------------------------------- - _________________ (INSURER A: COMMERCIAL UNION I +----------------------------------------------+-----------------------------------------------------------------------------------+ ISI I INSURED (INSURER B: ' I +------------------------------------------------------- ERNEST GLIDDEN (INSURER C: I 1320 PRIMROSE STREET +-----------------------------------------------------------------------------------+ IINSURER D: I HAVERHILLMA 01830 +-----------------------------------------------------------------------------------+ (INSURER E: I +----------------------------------------------+-----------------------------------------------------------------------------------+ COVERAGES +----------------------------------------------------------------------------------------------------------------------------------+ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. I NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL I THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I +----+---------------------------------+------------------+----------------+-----------------+-------------------------------------+ IINSRI I IPOLICY EFFECTIVEIPOLICY EXPIRATIONI I ILTR I TYPE OF INSURANCE I POLICY NUMBER I DATE (MM/DD/YY)I DATE (MM/DD/YY) I - LIMITS I +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ I IGENERAL LIABILITY I I I (EACH OCCURRENCE ($1,000,0001 I A I[X] COMMERCIAL GENERAL LIABILITY INBFB40542 1 01-01-00 1 01-01-01 IFIRE DAMAGE (Any one fire)1$ 100,0001 I 1 [ ] CLAIMS MADE [X1 OCCUR I I IMED EXP (Any one person) 1$ 5,0001 1 I[ 1 I I IPERSONAL & ADV INJURY 1$1,000,0001 II 1 I 1 IGENERAL AGGREGATE 1$2,000,0001 I IGEN'L AGGREGATE LIMIT APPLIES PERI I I 1PRODUCTS - COMP/OP AGG 1$2,000,0001 1 I [X]POLICY [ ]PROJECT [ ]LOC I I I I I I +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ AUTOMOBILE LIABILITY 1 I I ICOMBINED SINGLE LIMIT I I I ] ANY AUTO 1 I I I (Each accident) 1$ 1 [ ] ALL OWNED AUTOS I I I IBODILY INJURY I I 11 SCHEDULED AUTOS I I I I(Per person) I$ 1 I II 1 HIRED AUTOS I I I IBODILY INJURY I I I ] NON-OWNED AUTOS I I I I(Per accident) 1$ I 11 I I I IPROPERTY DAMAGE I I I I[ ] I I I I(Per accident) 1$ 1 +----+---------------------------------+------------------+--__--____--____--__--------------+--------------------------+----------+ I I GARAGE LIABILITY I I I (AUTO ONLY - EA ACCIDENT 1$ 1 1 II ] ANY AUTO I I I IOTHER THAN EA ACC 1$ I 1 I [ 1 1 1 1 (AUTO ONLY: AGC I$ 1 _+----+---------------------------------+------------------+---------—-----+-------—--------+--------------------------+----—----+ I I EXCESS LIABILITY I I I 'EACH OCCURRENCE 1$ 1 1 I [ 1 OCCUR [ ] CLAIMS MADE 1 I I (AGGREGATE 1$ 1 1 I I 1 1 1$ 1 1 II ] DEDUCTIBLE 1 I1 1 1$ 1 1 I [ 1 RETENTION $ I 1 I I 1$ I +----+---------------------------------+------------------+----------------+-----------------+--------------------------+----------+ IWORKER'S COMPENSATION AND I I I I [X] WC STATUTORY [ ] OTHERI I I A (EMPLOYER'S LIABILITY INWX6006685 1 07-12-99 1 07-12-00 E.L. EACH ACCIDENT ($100,000 I I I I I I IE.L. DISEASE-EA EMPLOYEE 1$500,000 1 1 1 1 1 1 IE.L. DISEASE-POLICY LIMIT I$100-,000 I +----+--------------------------------'+------------------+----------------+-----------------+-------------------------------------- I I OTHER I I I I I I I I I I I I I I I I I I I i I I I I I I I +----+---------------------------------+------------------+----------------+-----------------+-------------------------------------+ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1 I I I I I GENERAL CARPENTRY 1 I I +----------------------------------------------------------------------------------------------------------------------------------+ CERTIFICATE HOLDER [ ]ADDITIONAL INSURED; INSURED LETTER: CANCELLATION +--------------------------------------------------------------+-------------------------------------------------------------------+ ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 ITHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 1 TOWN OF NORTH ANDOVER ITO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 1 I TOWN HALL ITO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION I IOR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR I NORTH ANDOVER MA 01845 IREPRESENTATIVES. I +-------------------------------------------------------------------I 'AUTHORIZED RBP ENT IVB I I _ I +--------------------------------------------------------------+------ ---- -- ---------- - ----- ------------------------ (7/97) Page 1 of 2 i • ;��� _ ..�.-,�Jae�anvrruvnu�,a`r� a`��l/laavaclucae� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 014522 ! Birthdate: 02/24/1949 Expires:02/24/2002 Tr.no: 15800 Restricted To: 00 ERNEST W GLIDDEN _ 320 PRIMROSE ST HAVERHILL, MA 01830 Administrator i OE8I0 yp I III9aaAeN aoivalsiNiwov aaaaaS aSDIITad OU ° �aPPM )Saul] �— N300I19 'A lsuu TpnPTATPUj AdAj 101ET11 :uo T j el tdx3 80Eb0I :v01)pljSj6a8 NOj�dNjN031N3N3�ObdAI3NON NORTH own of o RAndover VO A dover, Mass., 6'� q` O LOD Yy ;� T COCNI[KEwI[K\� CRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.....lil�.�h......... BUILDING INSPECTOR..........h.V M/NON �;�I c�..... .... an has permission to erect...• . ..... buildings on AY Foundation ................................................................. Rough to be occupied as..........00. ................................... Chimney ................................................................ ............................. v 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. MV317 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit.` OMW Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO ....... ELECTRICAL INSPECTOR T TS Rough . ..............................................................C.......... ... Service WBUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, 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. 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 ty►Rjf tas, (0-I.Lom �P?uMMa ►JD PHONEq?Ste'" 67 LOCATION: Assessor's Map Number 037 PARCEL 60�-$ SUBDIVISION q LOT (S) # 3 STREET jS l A?kynti ST. NUMBER **** ******************* **************O F F l C IAL USE ONLY********************** ***********i WRtec— 51',: � Is RECOMMENDATIONS OF TOWN AGENTS: �- 6 �c //--5- C����eN �►ovSz 0'��10 lc, Li-�.s C NSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED [O/tz Jgg4 COMMENTS IV�&b i Cd4 /VoT_ TOWN—PLANNER v DATE APPROVED _ DATE REJECTED %D / 9 COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERfWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jrn PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA NIAPNO. LOT NO. Q/( Q• 2. RECORDOFONVNERSIIIP DATE BOOK PAGE "LONE Still DIV. LOTNO. �r-� Y, i~ LOCATION � [J� � �� �� v PLIRPOSEOP'BUILDING 'f6 3,/No.of STORIES SIZE OWNER'S NANIE w;rr��Q07d �3 � OWNER'S ADDRESS 1 S f`e Gt'� BASEMENT OR SLAD 11CIIITF.CI'S NAME J ` SIZE OF FLOOR TIMBERS ysr 2ND 3" BUR.DE.R'SNAME t/ZNES �L (r � SPAN , DISFANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOTLINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE 11 FIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CIIININEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILI,BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDBNG CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER f IS BUILDING CONNECTED TO NATURAL GAS LINE rS INSTLICTIONS 3. PROPERTY 1NF0RD9AT'ION LAND COSL— EST. BLDG.COST F.- (:E: I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST. BLDG. COST PER ROOM ELECTILIC Ni nuts,NiusT BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUSTCONFORNI TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST TIE FILED AND APPROVED BY BUILDING INSPECTOR BUILA)ING INSPECTOR DATE FILED OWNERS"I EL.# CONTR.TEL# CONTIG LIC# SIGNATURE OF ONVNER OR AUTHORIZED AGENT ILLC.# FEE $ PERNIIT GRANTED 19 - Revised 5/5/99 JNI • I Borth 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: Al 9 e%tiWent (Locatio6 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 `i The Commonwealth of Massachusetts Department of Industrial Accidents Office of lnvestiaadons Boston, Mass. 02119 Workers'Compensation Insurance Afdavit Name Please Print Name Locaticr: City —Phone-# F7I am a homeowner per, all work myself. ElI 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. t C—or'1� oory name jX., 'A—YT 06 1,0,-)If-,/ C'D/17fzfgcJoe Address 320 cS%/!"T- City� Phcne T: 6970 &7.3--58 9 Insurance Co. zG(fHh/cP 4h9716/y6L Cd Polio M /V'al,Y &CO 66 SIS- .6 ®S Comoanv name Address City Phone m Insurance Co Policy Y Failure to secure coverace as required under Section 25A or MGL 152 can lead to the imposition ci cnminal penalties of a fine up to 31,500.00 and/or one years'imprisonment as wel as civil penaities in the form of a STCP WORK CRDER and a nne cr(3100.00)a day against me. I understand that a copy cr this statement may be forwarded to the Office or Investigations of the DIA for coverage venficaticn. I do hereby cervdl under the)cabs and penaaitiies of pe.jury that the information provided above is true and correct. Sianature ��0.9 .Cl� Date Print namerz ST k1 6e--1 (>,JF/✓ Phone-#- Official use only do not write in this area to be completed by city cr town criciai City or Town Permit/Licensinc Buiidina Dept ❑C'eck d immediate response is required ❑ Licensing EOard U Selectman's Office Contact person: Phone r: Neaith Department C Other l[7lAt-F.. IL-1I HEERIPAGE I ro i I i i i ,in I I � 'r W"ejy rte ivsaear.wo /Pi. or R4.4AI IV 7'*4-A"-414-rAW7- rvd'A"M C ew Al' t& -4rYp aw ,w.eor4s ss4:w1-O"4vv rwr/rvacs clay~.N /rN rpFra..i.�Qyr,✓4�vverar�a' 2'GWivd ,e WwArcws a.eoi�c ,�e�sacrs' ow srXen-'s/ 40'r " ,�Born► e' ��rri.�Y rwir r.✓.cr asruireQ it,✓or O,PA/I�il/ fO.P r vara iN r�ee ,rEt+rr.c ,�awoo F.��+o 'e-Ow'o. wAl d�V 6dM�' �'0•+�► v /r�'P•t.1/�.t 5avY6 ';; ar �,� vim/ / :=Gp " :'?7..v��,.✓/�9? . r�+Cs PLAN +art MAd'� s� .tiOT/rd.� s'Yd'If�.VR♦'Y d�cr�,rMi�.WIJ►vdW;•.:p/wY/.N.�.r•4I- A✓�'•��/•AFv�Gt' .t� E•�'• sE,t✓k�''r ,grow TWAWIV ,,-,e"W xitrrc: os. G( /'A;et' -CrtI'We7' i i { � •✓���amfnon.�lGE O�✓ry,2d04CRflQE(f HOME IMPROVEMENTICONTRACTOR t- = Registration 104348 TY0 INDIVIDUAL Expifati0k,, D7113100 F; ERNEST W. GLIDDEN 320 Primrose Street rhill MA 01830 �_ � ADMINISTRATOR i . UIZUMNIONE) AP FOUR SEASONS SUNROOMS Creative Sunspaces,Ino. 285 Newbury Street,Route 1 North PEABODY,MASSACHUSETTS 01960 Tel. (978)535-5399•Fax(978)535.9451 EVISION BY SYSTEM 8 EXPLODED DRAWING RK45689GF GABLE END FLASHING GLASS ROOF PANELS BGC 36K, 36N, 41K, OR 41N GLAZING CAP W/ BEAUTY CAP II 81C INNER CAP TMC I7CM MUNTIN CAP HKID23IIS CROSS MUNTIN CK8117 PURLIN CLIP SETTING BLOCKS II BEAM a, x EAVE CBEAM 5ClIP /�� WN849/61 PU, PURLINlu Q C BEND OR TRIM UNUSED 2 X 8 LEDGER BY OTHERS V Z HEADER CUP AT ENDS I ( ) z OUTER EAVE E 8EH0 CK8102 RIDGE THERMAL GASKET to W/BEAUTY CAP COUNTER FLASHING (BY OTHERS) V r Z SAVE MUNTIN SEM O ►•-+ d d INNER EAVE BEHI BFRC RIDGE Q m n y SAVE FLASHING 8RFF GABLE EXTENDER x GUTTER END PLATE C•81081- Qr .3 � ]4 1i• CUTTER 8EC CK8106 RIDGE BEAM CUP a O O 5 1/2' ENOWALL BEAM [' W (FULL DEPTH BEAM OPTIONAL) O y Z O x O \ 2 X 4 (BY OTHERS) C/) XA 0 d WOOD FRAMING (BY OTHERS) U] Ems. a z W Oc c x C•8109 U3 BMT CORNER CUTTERQ Q MULLION TRIM 8.8108•• _ 44 W/BEAUTY CAP li GUTTER END PLATE CK8103 SAVE THERMAL GASKET CASEMENT WINDOW (SPECIAL FRONT WIDTH SIZE) 7'999 Q GABLE EAVE FLASHING 5• OR 6' HEIGHTS DOWN SPOUT CASEMENT WINDOWS 0 • 5•-0' SLIDING GLASS DOOR KIT STD CATALOG WIDTHS. WHEN �QJ USED W/FWLF ROUNDS ATRIUM SWING DOORS NOT AVAILABLE IN �/ BRONZE CLADDING OR HEAT MIRROR BCT RAWN BY RC ' Bronze or White CORNER TRIM 81"17 CHECKED BY CM •• 3 L/H or R/H - FOR MORE DETAILED INFORMATION SEE SHOP DRAWINGS BF-01 THRU 8F-10 MULLION TRIM W/BEAUTY CAP DATE 3-30-9 SCALE NONE DWc/8 F—08 • PAGE OF ) --- REVISION BY A)REDRAW RC COPOLYMER TAPE & CAULK EAVE MUNTIN 3" ADJ. (BY OTHERS) ® 1" OUTER AP GLAZING AP WOOD BLOCKING SIDING (BY OTHERS) INNER CAP BY OTHERS 8 I l IN CENTER OF GLASS a: EACH BAY GLAZING CAP TRIPLE 2x4 HEADER (BETWEEN BEAMS) COUNTER FLASHING 1" 1 & CAULK (BY OTHERS) BEAM INNER RIDGE (8 1/2' SHOWN) CAP 8FRG . GUTTER i RIDGE HEIGHT ry TRIM (BY OTHERS) m -- -- - - 2'. E" - -� - - .r -BEAM-SEAT ..- - — — -- - - — -- - - -- --F WINDOW R.O. _- i I 0 o 7--0 7/8' HEIGHT. r` ( I ca FROMBLOCKING (BY OTHERS) ° I I LEDGER o - FOUNDATION i o l i HEIGHT a o 0 0I I x o ' o z 1/2" SHEATHING ; 6'-1 13/16" BEAM o (BY OTHERS) TOP OF DOUBLE (8 1/2" SHOWN) FRONT WALL STUDS a INTERIOR FINISH o x , (BY OTHERS) RIDGE BEAM CLIP r, 2x8 LEDGER OUTER FACE OF STUDS UNIT WIDTH FACE OF SHEATHING UNIT WIDTH DRAWN BY RC DETAIL A DETAIL B CHECKED BY CM DATE 12-1-92 GALE NONE wG # 8F-OS REVISION BY A) REDRAWN CM UNIT LENGTH GLAZING CAP 8GC 4 3/8" —�, GLAZING CORD WINDOW - GLAZING GABLE HEIGHT (BY OTHERS) EXTENDER GLASS i 2 x 4 (BY OTHERS) INNER CAP TRIM 81C (BY OTHERS) CAULK % 7'-0 7/8" BY OTHERS) BEAM 5 1/2" DEEP p ( FRONT WALL x x WITH GABLE WALL (FULL DEPTH BEAM OPT) Z BASEWALL INTERIOR FINSH � INSULATION TRIM Y OTHERS) (BY OTHERS) HEIGHT (BY OTHERS) o 1/2 TRIM a FINISH (BY OTHERS) BASE TRIM SIDING % % (BY OTHERS) ; N (BY OTHERS) x INTERIOR FINISH o (BY OTHERS) FINISH FLOORING g /2 � ( (BY OTHERS) z o SHEATHING (BY OTHERS) x GABLE WALL STUDS w (REQ D TO SUPPORT BEAM) q EXTERIOR FINISH o: _ O.C. @ 4' BAY=4'-3 3/4" (BY OTHERS) w o 3' O.C. ® 5' BAY=5'-4 1/4" 1/2" SHEATHING FOUNDATION LENGTH (BY OTHERS) f ®® DETAIL C DETAIL D BY RC CHHECKECK ED BY CM DATE 12-1-92 CALF NONE wG # 8F-06 '^ Date. . 4116 O, HOFT.,h TOWN OF NORTH ANDOVER < . O } ° PERMIT FOR PLUMBING ,SS�cNusf This certifies that . .!!E f !vT�N!u /p� �y .=. . . . . . , �r has permission to perform plumbing in the buildings of . .L4-)eK. . j 2U at J 9 ./. . . .. . , North Andover, Mass. FeA:. 7.e .Lie. No/W..7,S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 08/23/ 9 13:41 15.©4 PAID e WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP03 7 0 0 - MASSAC SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING PARCEL e or Tint NORTH ANDOVER,MASSACHUSETTS-- / (� Date Building Location / Fl 04✓ Owners Name Lj�Permit# � —� Amount „a `�- ae of.Occupancy . New Renovation ® Replacement P1ans.Submitted Yes ® No FIXTURES z E [Cn� v� a C7 maoalz J1W{1`lAA,I\ Ylil llAAd� (Print or type) Check one: Certificate Installing Company Name Installing P Y. � !�/ �f✓�0 nn :Corp•,,.; Address 15?&111V 1.01Partner. Business Telephone. ®, Firm/Co. - — Name of Licensed Plumber: Insurance Coverage: lndicaW the of insurance coverage by checking;the appr�rrate boxT Liability insurance policy Other type of uidemnrty ® Bond I Eli 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 theAetails..and.information I have.submitt . entered).in a e: plicati re.true and,accurate to the, best of my knowledge and that.all,plumbing work and ins p .o ed,und Mss >K a ca' . l.be_in . compliance with all pertinent provisions.of the Massac etts t . in ':C d a 42 of the General.Laws.. By: r cense um er - Typ of Plumbing License t Title Q�� City/Town ce e .um er ':Master' J. _ _ APPRflVEDrFFjCE USE ONLY I 324 'i Date. G1 M E f NpF7M TOWN OF NORTH ANDOVER p 3j '� .° • PERMIT FOR GAS INSTALLATION •- D a s � s SA US M This certifies that . . !�_ .�. .'f—` . E;? .�lJ!" J•• •� •r`?• • • M has permission for gas installation .7c?, :�A in the buildings of . . !??!14� -- . . . . . . . . . . . . . at . 4.1T ���• •' North Andover, Mass. FeP�.�. . Lic. No./.(; . . . . . . . . . . . . ... . . . . . . . .. . . . 0—' g�(1 E GAS INSPECTOR HITE:Applicant CANARY:Building Dept. PINK:Treasurer ' o MAP t>3 MASSA SETTS UNIF -9 RM APP CATON FOR PERMIT TO DO GAS G PARCEL06.5 _ tType or print) Date 19 NORTH ANDOVER, MASSAC Building Locations / /!�! a/V Permit# 3g�-1 eAmount S�, a lW QN O(' Owner's Name New❑ Renovation ❑ Replacement Plans Submitted ❑ U z C Zi Z := a �. 'C '� r � n C L UJ = VIE :NT B A S E M E N T IST. F L O O R r 2ND. FLOOR 3RD . FLOOR 4T H . F L O O R 5T 11 . F L O O R 6TH . F L 0 0 R 7T 11 . F L O G R 3'r FI . F L O 0 R (Print or type) Check one: Certificat -Company Name /����A,, /O�t/�o �- ❑ Corp. Address ❑ Partner. /J c / / Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 44evtrl //� dA,"/ INSURANCE COVERAGE Chec .one I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other tvpe of indemnity ❑ Bond ❑ Owners 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 herebv certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations erfo d ermit e for this plication will be in compliance with all pertinent provisions of the Massachusetts to e Chapt 142 t L7 By: Signa e of Licensed Plumber Or Gas Fitter Title ❑ Plumber . /DO �2/— City/Town ® Gas Fitter License Number aster APPROVED(OFFICE USE ONLY) ❑ Journeyman Gk- 0'2� I