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Miscellaneous - 1895 GREAT POND ROAD 4/30/2018
I t M Date...1t..? ....... 10811 3r "SRT"�tiooL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Thicertifies that....... ' f.. f. u5 ........................ /`4H s . / ................................... has permission to perform...& '. nl:..j... !. :............................................ plumbing in the buildings of... S!!,oe . .................... at. �... .. .............................................. North Andover, Mass. Fee,3i... ...........Lic. No. '9.!Y ..... ��..............:.................................................. PLUMBING INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY s MA DATE /® a/ / ( PERMIT# JOBSITE ADDRESS /F957 OWNER'S NAME P .. OWNER ADDRESS i TELI FAX I TYPE OR OCCUPANCY TYPE COMMERCIAL I EDUCATIONAL Q RESIDENTIAL PRINT � CLEARLY NEW: 0 RENOVATION: REPLACEMENT:LTJ PLANS SUBMITTED: YES© NO FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 � BATHTUB _' f _! ____._► f ! f .____� ! _____i f `----( _f `f f CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM -__j f ____1 _J1 DEDICATED GREASE SYSTEM ( I -! _._...__ f ..__f DEDICATED GRAY WATER SYSTEM f ! ! ___! ___ ._! _f _ ! . I _-_-__► _._! ______! f __. _f f I , DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN ^I .... _J FOOD DISPOSER .__.._:_f FLOOR I AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK ► _—! --.._.1 _._....__! .___�i _.-__.___I -.___.._-' –_-.-.-! _--._! _.....___! _..._..__I _-- _-- _._4 _.___J I .__._._1 , LAVATORY - ._► .__..._ ( ! - --! ----' ---..__f _ -! .. ! - --- _._.._1 ! ! - ROOF DRAIN SHOWER STALL .___._.! SERUI±ElMOP SINK ��..! .____l ...._._.._! ..._.._.._. ..____.1 __........! .-____I ___.--__.1 ......-! -_-._ _s_.._! _.___-.__f ... ....._.__f TOILET URINU ff WASHING MACHINE CONNECTION WATER HEATER ALL TYPESLZI - r L _._ ... ' - _ WATER PIPING OTHER .._._. _J= o r L-4 .... .''• - t .._._-.._.i ! _ :_f . I t !G ! . r i INSURANCE COVERAGE: _. .._ _.._ _ ._ ... _.__ .._.- _ I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 'NO 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[1 OTHER TYPE OF INDEMNITYI BOND Q OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT I; hereby certify that all of the details and information I have submitted or entered regarding this application are true a accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli a with all Pertinent provision the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME L{ !LICENSE# _ i SIGNATURE NIP d JP _f CORPORATION t#1A=1PARTNERSHIP 0#=LLC D COMPANY NAME f/ �jLf ,dam, . DRESS D re UA' 1;7- /Q CITY Leg� U.�/t/ - - I STATE , ; ZIPD� _- TEL 5= 3 � - - - -- i _ --- - FAX ELL _ EMAIL J/ a!a o►v�l' ...Itlrr� .n- a_. (! t -- ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTIONgNOTES Yes No z4 THIS APPLICATION SELVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PIAN REVIEW NOTES M Date...../„a ��; . . .................. Ot NORT/� o�' TOWN OF NORTH ANDOVER ,: . PERMIT FOR GAS.INSTALLATION B�CHU3� 3 Thil certifies that -.....'`?....,.................................................................� j has permission for gas installation ..In- �` e ...... ........................................................ . in the buildings of.....~` ? .b ;/Lr ........................................................................... at............, 1 .. .: ...../,' :. .��,North Andover, Mass. '. Fee 0Q Lic. Nolv f / GAS INSPECTOR Check# / 7 7 9609 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY • Dd MA DATE D PERMIT# ��®9 JOBSITE ADDRESS _ c> OWNER'SNAME T, cy: OWNER ADDRESS ,S _ y TE FAX TYPE OR OCCUPANCY TYPE COMMERCIAL - EDUCATIONAL PRINT © © RESIDENTIAL CLEARLY NEW.E] RENOVATION:E] REPLACEMENT:01� PLANS SUBMITTED: YES Q No0i APPLIANCES 7 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 " 14 BOILER BOOSTER CONVERSION BURNER _ J I COOK STOVE DIRECT VENT HEATER DRYER J FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNITI OVENI I __ j I__ POOL HEATER . '__j . _ ROOM/SPACE HEATER I ,-�! f _ _ (" ROOF TOP UNIT [-.-1-1 _-_I . I TEST _I I_ J r I I _ I I __ I = J �J. 11=,_{ UNIT HEATER UNVENTED ROOM HEATER WATER HEATER j OTHER j INSURANCE COVERAGE have iturrent liability insurance policy or its substantial equivalent which meets the requirements of MOL.Ch:142 YES 0 NO Q IF-YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [ OTHER TYPE INDEMNITY © BOND I__( OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT Thereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian with all Pertinent provisi o e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAMED _ LICENSE# 3 SIGNATURE MP 5J MGF 0 JR 0 JGF Q LPGI D CORPORATION 19#1 v?KI PARTNERSHIP 0#=LLC D# COMPANY NAME: f N DDRESS CITY __zo1�� � ._— __— -- — -� STATE ZIP d.-_� -- ]TEL ._. FAX CELL EMAIL aIIQ�O!/e/- Jv_ b� R i Co -- ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPEC IO NOTES Yes No 14 A THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES I f i i the Commonwealth of Massachusetts Department off`Industrial Accidents Office of Invesiigations v J 600 Washington Street Boston, MA 02111 xnvry grits&gov1dia WorkersConapensaffmn Insurance Aff dm it:Builders/Contractors/Electrat:aans/Plumbers Applicant Information Please Print Legi'bIy Nam.e(Business/Organization&dividual): �i=%C-A/1/1) �/� f n, Address: City/Se/Zip: Phone #: 1 l0y Are ou an employer?Check the appropriate box: Type of project(required): N -I a.m.a employer with 4. ❑ 1 a n a general contractor and I. employees(full and/or part-time;).* have hired the sub-contractors 6. Q New consfraction am a sole proprietor or partner- . listed on t-Eae attached sheet ? []Remodeling ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. workers'comp.insurance. 9, Buil ' NLG worbrre COMR. 5- We-awe-a�pom fim and its ❑ addition required.) officers have exercised their 10•Q Electrical mpg or additions 3.Q I am a homeowner doingall work naht of exemption per MGL 11.561umbint=_repairs or additions myself.[No workers' comp. c. 152,§1(4),and wehave no I?,Q Roofrepairs inter nee required j t employees. [No workers' comp.Insurance required] 13.0 Other t�V�; ,1;�t eL==;�b,r i m=so r'Z'c• is=a a`^VL+r• Shom:ng e.,,.:,mss- - -- '�r.:s:.dpL poli-i. F aomeown=who submit oris affidavit mdi=ting they ate doia`all work-and thm ha-e outside contractors mast submit a mevr afdavit mdicavng soca. 'tContrctors fl=check this box must attacfietl an adamonaI sheet showing the name oftfie snb.conft=tM.-and tfick workers°comp.policy hffo-M MM I am,au mployer.ghat is providing workers'codapensation insaarauce for my employees. Below is the policy and job site information. Iusurauce Company Name: Policy or Self-ins.Lic.-'r- Job Sob Site Address: ZLgJ—-A, e ,� - City/StatelZig: 1 Laach a copy of lite workers'compensation policydeclaraticon page(showing the policy number and expiration dnte). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a ime up to$1500.00 and/or one-year imprisonment,as well as civilpenalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day agaiIIst the violator. Be advised that a copy of this statement may be forwarded to the Off tce of ,investigations of the DLA.for insurance coverage veaiEcation_ I do Hereby certify the pahis and erzaMias of perjure that the informer on provided above r<s mce and correct Sisnature: Off- Date.- Phone ate:Phone ddw--id(use on y. Do not write in this area,tv-he-cvYt9*ied oy c&j,or town q fjX&L City or Town: Permit)Ucense# Issuing Authority(circle one): I.Board of Health 2.Butidiil g IDeparfinent 3.City/Town.Clerk 4.Electrical Inspector 5.FIumbing Inspector 6. Other Contact P ersvu• Phone T - Inform.time and Instructions Massachusetts General Laws chapter 152 requires all-employers to provide workers'compensation for$heir employees. an ee is defined as ..every person in the service of another under any oDut.act of hire,. to this stature, loy • Pursuant �P . express or implied,oral or_written." - An employer is defined as"an individual,partnership,association,corporation or•otherlegal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receives or trustee of an individual,per,association ox-other legal entity,employing employees• However the owner of a dwelling house having not more than flee apmtxLents and who resides therein,or the occupant of the dwelling house ofanother who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or bhnlding apphmtenantthereto shall not because of such employment be,deemed to be an employer " MGL chapter132,§SC(6)also states that"every state or local ficensiag agency shall withhold the issuance'or renewal of a license or permit to operate a business or to menstruct buildings in hie commonwenUh for ahzy applicant who has not produced acceptable evidence of c inapluance.with the insurance coverage required." Additionally,MGL chapter 152,WC(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfomuance of public wort birtiT acceptable evidence of compliance with the insurance requirements of this chapter-have beenpresented to the coaftaxting authority." ..Applicants _ Please EM out ifie workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)an phone number(s)along with their certiiicate(s)of insurance. Thniied Lmb&ty Companies(LLQ or Limi ted Liabfity Partnerships(ILP)with no employees"other than the members or p tuers,.are,not required to cazxy workers'compensation insurance. If an LLC-or LLP does have employees,a policy is required. Be.advised&hat this affidavit may be submitted to the Department of In&serial A.ccidenis for confirmation of fi mance coverage. Also be sure to siert and date the affidavit. The affidavit should a�plira'tiGn bodustial Accident. -Should ycu have any.questions r gm fix;fim;a.w or if you are respired to obMM a woftcers' corpensa*mpoiicy,plem can tiie Department at the number Iiadbelow Self-insured companies should entertiheir self-insurance license number on the appropriate line. City or Town Officials Please be sore that the affidavit i complete and printed legibly. The Department has provided a-space at the bottom Of the affidavit for you.to r7r I out is the event the Office of Investigations has to contact you regarding the applicant Please be-sure to fih is tine pennitllicense number which vel be-used as a reference member. In addition;an applicant that must submit multiple permit/license applications many given year,need only submit one affidavit indicating current policy infomuation(if necessary)and under"Job Site Address"the applicant should write"ail locations m (sty or town)."A copy of the affidavit drat has been officially stamped or marked by the city or town may be provided to tine applicant as proof that a valid affidavit is on file for fimpmmits or licenses. Anew affidavit must be filled out each year.Where ahome owner or citizen is obtaining a license or pehmit notrelated to anybusiness.or commercial ventue (L&a dog,license or permit to bo-leaves etc-)said person is NOT required to complete this affidavit_ The O$uce,of Inventi ons would iPce to fl>apk You in advance for your cooperation and should you leave.any questions, please do not-hesitate to give us a call The Departmeifs address,telephone and fax number _ The Commmwolth afMassachusetts Departnuent oflndtuftial Accidents ce offin «ail - CMWashington t BasbDn,MA 02.111 TeL#6.17-7_77-4900-W 406 or 1-877 MASSAFE Fax 4 617-727-n49 Revised 5-26-05 arww-mass-?ovhiia 4:COMMONWEALTH OF MASSACHUSETTS. ;: PLUAkn,w GASFITTERS . ISSUES T�11OLLOWIN`G"` KENS E REGlSTERIrD AS A PLUMBING -CORP ,¢ - GEORGE R LAROSE : `z ANDOVER .PLUMB-I.:NG -HEAT COIN 20 AEGEAR UNIT 10.:: J%T;;U-44 MA 01844-158&U ::: J 2122 05/01/16 223403 e o 4`COMMONWEALTH_ OF MASSACHUSETTS PLUMBERS # SFITTERS ISSUES THE TO OWI LLNG <i i INSE LICENSERS A MASTER PLUMBER : GEORGE R LAROSE �, , N 44 ODILu LE ST ;N z METIUEN MA 01844 9983 01/16 223429 COMMONWEALTH OF:MASSACHUSE'�'TS: PLUMBER-! ASFITTERS„ , ISSUES THEFOLLOWLiVGLICERSEAll LICENSED AS .'A JOURNEYh1AN PLUMBER W -GEORGE R LAROSE W. 44; OD I LE. ST W IHf ECUI iV MA 01844 4233 . 18725 X5/01/1:6 2234'28 ;:Q. p YY417Ts1 pF ..no " ti0 VI k � ���fff��� } �cSneauisFs CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number a Datea� dao 3 THIS CERTIFIES TH�T THE BUILDING LOCATED ON !'i� MAY BE OCCUPIED AS / Poo fn S, 3Z 13A�A51 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO LIA/v.,c F A.,? PO Building Inspector i V d 0 i i %!JL "I..:%-Or L ii•s a►W v T lftr a No. 2 dover, Mass., COCMIC � S RATED H BOARD OF HEALTH Food' /Kitchen PERMIT T D . Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. ...l�t�1/"rl.......�I........�.... 1� N.... la. . -°�N Foundation C� has permission to erect..............a......... ........... buildings c %f8�1... q 60t ANd/. •Rough 3 bo%1Atil....., .... I :srto be occu ied as....1 �1r1 ���p ........... . A4................................. ..6......... .�o.c�►...............��.y Io mne . . .............. provided that the person accepting this permit shall in every respect conform to the terms of the appation on file in Final q-�3 this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of G� '`'� Buildings in the Town of North Andover. ® PLUMBING INSPECTOR - VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough .G 3 PERMIT EXPIRES IN 6 MONTHS JTRICALUNLESS CONSTRUCTIONSTARTSINSPECTOR`r,'&Psolo�� 4e � Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough 3 v -3Display in a Conspicuous Place on the Premises — Do Not Remove 1 � ' No Lathingor D Wall To Be Done Dry FIR DEPA TM NT Until Inspected and Approved by the Building Inspector. Burner 1/ Street No. Smoke Det. G SEE REVERSE SIDE I I Town of North Andover NORTFr o40R f Building Department 3? y�,.�,. _ ^ `•' °0 27 Charles Street �°. North Andover,Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542Y T 0 iOt�tM K• 1 'gyp ,y �9SSgcHuS�t�y APPLICA(TION FOR CERTIFICATE OF OCCUPANCY/INSPECTION i ADDRESS GPea.� Pon a 12 6 I, LOT NUMBER 1 SUBDIVISION DATE REQUEST FILED 03 I DATE READY FOR INSPECTION= a Li I�3 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED i ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIlVIE FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. i SIGNATURE OFFICIAL USE ONLY ROUTING I CONSERVATION I PLANNING D.P.W. -WATER METE ATE U 1 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED 4TIN�SPECTION QUEST E. IGNW A RIZATION j I Location i �� �$�� �nea� Pd 0� No. y Date HQRTq TOWN OF NORTH ANDOVER F s ► ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ 6 / 90 s�CHusa 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # q1 b R 16079 (G Building Inspector NOTE ASA ss t 8 c.s r,\4 THE PROPERTY LINES SHOWN HEREON ARE TAKEN n FROM RECORD PLAN #9410 E.N.D.R.D. 1\A S c"o,�`�'� i QL- Lc( 1 462.61' w rn N J O I EXISTING ) (10 CEM. CONC. 34.9 FOUNDATION T.O.F.=153.99 35.1' 0 .1 150.00' 0 i 0 0 o - o � 0 0 i LOT B-1 AREA= 177,233 SF. =4.068AC N W O r7 C - -. N 300.00' — GREAT POND ROAD —_ i (PUBLIC N E.C.L.O. JULY 31, 1905) i i " 1 HEREBY CERTIFY TO THE TOWN OFN.ANDOVER PLOT PLAN BUILDING DEPT. THAT THE FOUNDATION IS LOCATED ON O F FOUNDATION THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE TOWN OFN.ANDOVER ZONING REGULATIONS REGARDING SETBACKS FROM STREETS & LOT LINES." 1895 GREAT POND ROAD " 1 FURTHER CERTIFY THAT THIS FOUNDATION IS NOT IN �1 g LOCATED IN THE FEDERAL FLOOD HAZARD AREA. NORTH ANDOVER, MASSACHUSETTS SHOWN ON F.I.R.M. COMMUNITY PANEL #250098 0005 C s DATED: JUNE 2, 1993. DRAWN FOR WILLIAM BARRETT HOMES INC. 1049 TURNPIKE STREET w NO. ANDOVER, MASS. .S 80 04p 80 v SCALE: 1"=80' DATE: DECEMBER 16, 2002 12/16/2002 MERRIMACK ENGINEERING SERVICES II 66 PARK STREET STEPHEN E' R.L.S. DATE ANDOVEl� MASSACHUSETTS 01810 �. 4241 Date.....1...� 40RTII °f�"`°:•'"a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 4 i y 7 �ss�causE� This certifies that ......r ...........11. /.yl....... .............. has permission to perform `P W/ v'r c e wiring in the building of......�rlf..... ........! fll............................... North o ass. at...... . .�?. ......... .......................... , Lic.No.�.!.<. ............,1.. ELECTRIC INSP CTOR Check # _zw THE COMMONWFALTHOFAWSACHUSEnS Office Use only DEPAR'INIE1VlOFPUBIlCS9FElYv4T— BOARDOFFIREPREVENHONREGULMONS527CMRI2-00 Permit No. Occupancy&Fees Checked APPALLL TIBE ONPERFORMED FOR PERMIT TO PERFORM ELECTRICAL WORK WORK TO IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover Date (� The undersigned applies for a permit to perform the electrical work described below. To the Ins ector of Wires: Location(Street&Number) Mlf 6e Owner or Tenant L0 1 /4 e ii s poo Owner's Address a1 17,) I d1 Is this permit in conjunction with a building permit: YesW No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service — /f)6 Amps p / 6 Volts Overhead ® Underground ElNo. of Meters New Service Amps / Volts Overhead Underground1:3No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work T}z !C "o No.of Liphting Outlets k No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool AboveKVA Below Generators No.of Receptacle Outlets No.of Oil Burners round round KVA No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Ranges No.of Gas Burners No.of Air Cond. Total FIRE ALARMS Tons No.of zones No.of Disposals No.of Heat Total Total No.of Detection and Pum s No. f Dishwashers Tons KW Initiating Devices oSpace Area Heating KW -�� No.of Sounding Devices No.of Self Contained _ No.of Dryers Detection/Sounding Devices Heating Devices KW Local Municipal ------Other No.of WNo.of ater�Heaters KW No.of Connections Si ns Bailasis No.Hydro Massage Tubs No.of Motors 1 Total HP (OTHER- lr W&=Covaage,Pout=al1ttothele MM]C OfMaSXhC,ffrdLaws [bawaamentLiabiityh>SluancepbkymdudwgCmtp Co orgs%ft"W Q ibawwbnigodvandpoofofsarrtetodrofficyYES YES NO ft Cingthe box 1f}ouhaNedtec�dYE pft drMmofwv�ageby NSURANCE� BOND MER C] ftase SPAS') BlimlimDate li Volk 0Start hWecfiM D&_Req� Egffn m VahieofFlearicalWak$ gnedunder&Fbm iesofpajuT Rough Final IRMNAME / IicelwNo. i=Lsee �I d`fy M 'J d /L1 Sigrahue q Bey IimmNo i' l® 6 Ir D / dQ./� A J BusirmTel.No. WNFRSINSURANCEWAIVIIt,Iamawatethattheliwwd nothavetheirmnanceoDvetageoritsst>> � Alt Tel No. I j� 7/ �ldhatmysignahueontirispamitappficationwaivasftmquirement � � byMas chtr is Lat ('lease check one) Owner Agent Telephone No. PERMIT FEE$ Mg—nature o caner or gen I� u a The Commonwealth of Massachusetts W - d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 °'^+ Sia workers'Compensation Insurance Affidavit Name Please Print Name: 'Ag Location: / b CI Phone # I ?G G I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Company name: Address City. Phone#: Insurance.Co. Policv# Company name: Address City' Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal and/or one years'imprisonment-as_well_as.civil,penaltiesinlhefb=4.a-STDP.WORK_ORDER and..a.fine_ofp$]11p pD alties a ne up to$1,500.00 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. a9�stme I l do hereby certify under the pains and penalties of perjury that the infa-mation provided above is true and comsat. Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' City or Town PermitR icensi ❑Check d immedia sponse is u' Building Dept Licens ❑ Board Contact persona E]E] Office #: J E] Health Department 3� �6 7 E] Other 1 Location No. Date 6 NpRTh TOWN OF NORTH ANDOVER F - s M • �o Certificate of Occupancy $ s ,s CMUst<�' Building/Frame Permit Fee $ Foundation Permit Fee $ 160 Other Permit Fee $ c—C TOTAL $ Check # 1c9 5 9/ 8 7 / Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT TENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING g BUILDING PERMIT NUMBER: DATE ISSUED: / D ic SIGNATURE: GLS— Building Commissioner/Ing3ector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: r- . 35 Map Number i " V S' Parcel Number 1.3' Zoning Information: 1.4 Property Dimensions: t�. ZoningDistrict Proposed Use- 1.6 se Lot Areas Frontage ft 1.6 BUILDING-SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 10011 O 3530 1 3SI 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private •❑ Zone Outside Flood Zone Municipal W-`� On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record W111°aen a,%.A Eyory yA m eft 131) -itnoi Wo d Ortve. Me-#kUe"%) Nameit Address for Service: 40 - L4 ty y Signature Telephone 2.2 Owner of Record: Name PrintAddress for Service: Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ a a t,y t 11 i u rt'v. cx rf e '�- Licensed Construction Supervisor: O 6 a AlA1 t License Number _ e"Y�.��1 li. .S -r' . Address Expiration Date i n 're Telephone I 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address a z Expiration Date Signature Telephone I I r a SECTION 4-WORXERS COMPENSATION(M.G.L. C 152 § 25x(6) Workers Compensation I:isGrance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildig permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Descriptign of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: L ows -'r>JG+f%CA) of OL 5 in ® I e_ 'ate e- k rl Q LQ I\ r ck a r Q Roo w.s. 3Il� BA-� , a s �►l SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �r O1(•FICIAL US?G�fINLy H Completed bermita licant , �� � � � , „ q -,r- 1. Building (a) Building Permit Fee p a a o 00o Multiplier X 0,3 3 2 Electrical (b) Estimated Total Cost of a / 00 � Construction to a 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC j 000 5 Fire Protection t V A 6 Total 1+2+3+4+5 9% 14-1 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 7b OWNER/AUTHORIZED AGENT DECLARATION � I, U( ) o m 1`, i a 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 W1I 10.m acl�f, G- - Print N Sure 'f Owner/Agent Date NO. OF STORIES SIZE 3 a0Q BASEIV ENT OR SLAB oze m ee\-�— SIZE OF FLOOR TIMBERS 1s1 aX t U 2 3 SPAN i Ll DIMENSIONS OF SILLS L Y DIMENSIONS OF POSTS L4X DIMENSIONS OF GIRDERS LA a X HEIGHT OF FOUNDATION THICKNESS 10" SIZE OF FOOTING. )0 XSkL4 X MATERIAL OF CHIMNEY 13 r%Ck IS BUILDING ON SOLID OR FILLED LAND p IS BUILDING CONNECTED TO NATURAL GAS LINE �IL� j_ o 9 r,67- 40A2.- d - w�� _ Gil_ • t INSTRUCTIONS: This form is used to verify that all-necessary approva?/permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. . monams news am ousessan none ones an manses onexam on wounnoun a Ems on APPLICANT + I 8 a,r f P + - PHONE 97�'- �, - O Z 0 v ASSESSORS MAP NUMBER S LOT NUMBER 5' SUBDIVISION LOT NUMBER � STREET G ce ..k-Parvo 1)tea A STREET NUMBER ! 9S i.■s.■........■............... .......................n...r...o.............■ OFFICIAL USE ONLY REQ.. ....ATI,6 �S TOWN AGENTS ............................Wassong as Enigma on . ...■ ■■ ■.............n....n..■■.....n....n.n..n... ' ■nn.n.nnn■ (—C7 DATE APPROVED VATIO TRATOR DATE REJE TED COMMENTS . . ry/90 L' DATE APPROVED J//0/0 /TO- WN P /. /D UOWNP DATE REJECTED CON94ENTS 7-10 0 U DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED `�-&I.,S L-- DATE APPROVED UZr - SEP I:C INSPECTOR-HEALTH ' DATE REJECTED CONOAErrrs MJS �e �c� ,N � `Sever y r _u,N ct3M Ai — PUBLIC WORKS-SEWER/WATER CONNECTIONS s EE )In7� 6Low A/494 EcvEiz pE/L� o DRIVEW Y PERMIT 62 `" ^0 7— 7Z -''� 4 Z DATE APPROVED F DtPAR - — ' DATE REJECTED CON vfENT. RECEIVED BY BUILDING INSPECTOR DATE Of N0 5ewe-lz selLvIc,E AuficAocE �ErLrH�T- TU 8 6 1•L LoW6712 GA./T/G. .?El4lEt2 G O.v v,5:"G7/o1✓ �'9-DF . �4�/vC./C�NT ui//,c iZ.EQ�//Z€ JEwE/i Co►.�,�EcT�o�-+ Pt'm»c1I' F2U�-►� D�tt/ �/t!o .fealCrL eWVA.)&-cZcv,,) FEE j S 6-,u&t-, BEE'S DoT /�/�/�ccs9.git�c'J � Town of North Andover f tIORT� OFFICE OF 3�0 , ,aa ,. . - COMMUNITY DEVELOPMENT AND SERVICES o 30 School Street .a *^o a I. SCOTT North Andover,Massachusetts 01845 Director �SS4cHus�t�� NOTICE OF DECISION Any appeal shall be filled z o within (20) days after the o� date of filling this Noticed T in the Office of the Town = � Clerk. Date February 17, 1999 ZE Date of Hearing 1/5/99, 2/17/99 Petition of Kenneth Yameen, Trustee of WRET Nominee Realty Trust Premises affected Lot $_r c,,-A,at pond Road Referring to the above petition for a special permit from the requirements of the Horth Andove rZoninq bylaw Section 4.136 so as to allow to construct a drivewayand single gle family home within the Watershed shed Protection District . After a public hearing given on the above date, the Planning Board voted to APPROVE the Watershed Special Permit based upon the following conditions: I Signed CC: Director of Public Works Richard S.Rowen Chairman Building Inspector Natural Resource/Land Use Planner Alison Lescarbeau V. Chairman Health Sanitarian Assessors' John Simons, Clerk Police Chief Fire Chief Applicant Richard Nardeila Engineer Joseph V: Mahoney Towns Outside Consultant Fite Planning Board Interested Parties CONSERVATION-(978)688 9530 • 1EALfH-(978)688-9540 • PLANNING-(978)688-9535 "BUILDING OFFICE-(978)688-9545 "20`JfNr;BOARD OF APPEALS-(9?8)688-954I • "146 MAIN STREET MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-28-2002 DATE OF PLANS : 8-19-02 TITLE: PROJECT INFORMATION: LOT B-1 Great Pond Road Yameen COMPANY INFORMATION: William Barrett Homes 1049 Turnpike St . No. Andover Ma. 01845 COMPLIANCE: PASSES Required UA = 1017 Your Home = 1016 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA -------------------- CEILINGS 3172 30 . 0 0 . 0 112 WALLS : Wood Frame, 16" O.C. 3850 15 . 0 3 . 0 257 GLAZING: Windows or Doors 480 0 .350 168 DOORS 240 0 .350 84 FLOORS : Over Unconditioned Space 3172 19 . 0 151 BSMT: 8 . 0 ' ht/6 .0 ' bg/2 . 0 ' insul . 1560 10 . 0 244 HVAC EFFICIENCY: Furnace, 86 . 0 AFUE. ------------------------------------------------------------------------------ COMPLIANCE STATEMENT: 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. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date 1187 APPLICATION FOR WATER SERVICE CONNECTION 2BOZ North Andover, Mass.uGuS- 6 J!�,- Application by the undersigned is hereby made to connect with the'town water main in L1 RzA--f Po),Iy /Z04iq fit; subject to the rules and regulations of the Division of Public Works► n The premises are known as No. ��q /10 T —/ Ll✓LE*7 R&A,/0 /2 0,4V or subdivision lot no. /4S 5 ES,SO 4 5 M,4 je bE 3T L07 # 57 r3/L(- Owner Owner /� Address j A Contractor Address Applicant's Signature SILL ��ovio� DOPY ` �� 6U,¢?-E2 e-oA.,,,'EC Ti0,J $/, 000. " O� SiTE PG.4�✓ s`�„ �EZc IZ- 2 00, ,- i 7--Oa • o0 ckEcu Z/179 PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to W ��� '► �i¢�/L�77 to make a connection with the water main at 1895 44-7, FON,O X20.4 D Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations L NORTH TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 3 - c � p + 384 OSGOO.D STREET « i a , NORTH ANDOVER,MASSACHUSETTS 01845 �9SSACHUSEt�y Telephone(978) 685-0950 Fax(978) 688-9573 DRIVEWAY PERMIT June 1, 1999,Revised 06-01-02 (Please Print) DATE: STREET & NUMBER: l g g S P AJQ ® LOT NUMBER: CONTRACTOR: TEL: ADDRESS: FAX: OWNER: Keo TEL: ADDRESS: PROPOSED PLAN OF DRIVEWAY tis 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: I FAIL URE TO COMPL Y WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT. APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROMMEETING ALL OF THE REQUIREMENTS FOR SAFETYAND DRAINAGE.A SEPARATE STREET OPENING PERMIT IS REQUIRED FOR WORK PERFORMED 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 Dri eway Detail, dated 06-01-99 APPLICANT SIGNATURE: DATE: d a DIVISION OF PUBLIC WORKS SIGNATURE: DATE: -/9- DZ Form U&Driveway Applications Rev 6-7-02 DPW 690 Date ....F- 2....... of tAORT04 q TOWN OF NORTH ANDOVER C, RECEIPT CHU 1.4 qj? This certifies that .... tt,/41-7 6.:j .......................... has paid.?o./,.Za0 ........... ... ........................ .. ...... -c// 519" n4E7C/-Z- /11 5 for .J.90.25..... Received by ... . ................... ... Department ........ .w WHITE: Applicant CANARY:Department PINK:Treasurer GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. / Permit Applicant Property address Map/Parcel !R78{--1DR'a —D,3ac'? vl--*" Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building. permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as ofthe effective date of this bylaw,provided that no additional residential unit is created. X'�The lot(s)was/were created prior to May 6,1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction 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 be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved bythe planning board that 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 IN04TXISFOUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. IG DATE ��I THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION i i I REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To be filled out by the applicant and submitted with the Building Permit application 1. What is the proposed project? Deck pool addition new house other 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Yes No I 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No i 5. Is thel location served by private well? Yes No 6. If this project is an addition and the house is served by a septic.system, has there been a Title 5 inspection done recently on the septic system? Yes No 7. If, yes, is the inspection report on file at the BOB? Yes No j ��, G? � ie �omanzo�u�ealt� ���-�aJJac/tLiJe%'J BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052241 Birthdate: 10/10/1952 Expires: 10/10/2003 Tr.no: 9092 Restricted: 00 WILLIAM K BARRETT 1049 TURNPIKE ST (.�. ' N ANDOVER, MA 01845 Administrator Town' of North Andover t4°RrH .� Building Department C 27 Charles Street North Andover Massachusetts 01845 } _ 978 688-9545 - °4 ( ) Fax (978) 688 9542 «.»«�•• Pso C5 SSACHUSt iDEBRIS DISPOSAL S OSAL 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 cl 1, s150a. The debris will be disposed of in/at: i Facility location _. Signature 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. ORTFt Town o o Andover No. .? '8 600 To ndover, Mass., ��- COCHICMEWICK ORATED P`?���� 1SSACHUSE IT FOR EXCAVATION ANDFOUNDATION THIS CERTIFIES THAT W� �a� R.Ofr *m v oe/V 0* '&—' ?60* %l ; has permission to excavate and pour foundation atm..®* � ...... Ase-1 ..RdP�Cl R, for the purpose of....Woo �A S/�/ /4G�r� /�V7�p�V�iG 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.��/� 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. PEidMiT FEE tr r LESS PDA FEE*0 . DUE FRAME PERMIT $ BUILDING INSPE CTOR NORTH own ® E D. '^ Andover � T � 0 � �� � dover, Mass., ORATED PC S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT W���� ...�� ./"/'SII"..��vl�Ie.fl� .N..... 14. .......CC/V has permission to erect.............. .... buildings on ! o ..... /...�.�.4r.��..�r� ..���. 'Roughation 11•�� f to be occupied as....1. �.. ., .. .I... ...6�i 1'...�.14.C�.�..... ..y l� �! mney provided that the person accepting this permit shall in every respect conform to the terms of the app kation 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. �4r >4 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAT RTS ELECTRICAL INSPECTOR Rough Service ........... . .. .. ... .. . . ............................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. u N N I r Q a - y W 12 z z 5 Asphalt Roof W O Shing les 0 Q Plate.HT 2'-0' W W e z W Second FLoor 101-01 Cedar Shingle W z First FLR.Plate Siding 51! T.W. Q r LL ILI 77 77 II I I First FLoor lj 13 IJ Box BaWindow Bluestone Patlo Cox tw Decorative Brackets (Ashlar Pattern) Decorative Brackets n/ iaL O LU Z LL LU LL W A Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 FSONTELEVATfON/ 1 /0 _ 1 LD ®TrN Q to II - w _ w -' - Xl 0 i i nn E—— 3 x x O N E i(0 (\ 3 � 3 cg a s m o WILL 1 A1-I E,,4FFETT YA"IEEN RESIDENCE 19M 1/8 =1 - O x/29/02 BUILDER OF FINE HOMES ma RIGHT ELEVATION N N fl i u n I CW Asphalt Roof Z Z Shing les 0 12 Asphalt Roof Q }- 9 � Shingles Q — Painted MOO Board On .. W } W 4 —COTmn-5-Ud-5ezFs-T? — 2'-0' -6 J Area W TT v � Bluestone Patio I x 8 Water Table Ilk Jn-4/1 (� W LLZ L O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a fR4f;R ELEVATION, I /aII - - � Ca v, N N r Q a 12 5 � � n ll! 12 U 9 � Aapha It Roof Asphalt Roof Z Shing lea Shing les I x 2 11/2'On Q 0 (o -ON 6 . I x&freeze Board, Connect To _ Window Trim Typ.DMU N {— 7171 F7-1 .1 I ) i NSox Say Windowa (JF1 W T Ell Wood I i X4 Window LL 5rackets Trim Typ. 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I I I I I I r r--� 1 .1 J 1 - I L---1 i �I� -- ------ ---- ---------------- -- � L---J L--J L---J �----� ----------------------------------� I 14 !- I 4'Concrete Slab With W.W.F.At j ------------- Mid Depth Typ. i r Itl L I I I I I I 111 I I I I j e -liiiiil� I I 1 0 I I 1 j j 10' x 4' Wt.Min Below Grade j � I I 4'Concrete Slab With WWF.At I I Concrete Wall.With 2 - 04 Bars I � j 10' x 8' Wt.t Concrete Wall.With 2 Mid Depth TV. Top d Bottom.On 10' x 24' , I - 04 Bars Top i Bottom.On 10' x 1 I Continuous Keyed Footing With 3 I I 24'Continuous Keyed Footi»gI I - '4 Bars Mid Depth I 1.L I With 3 - 04 Bars Mid Depth I I I , I I I — LU --------------------------------------------------------------------- -- ----------------------------------- a • 3'-S' 23'-3' 29'-21/4' 81'-0' --- --_I-L-- II_ -- --- -- - �I I • - I I I rt a I I I OF I I r Doo I � I m I D L--- ----7W---------1-6�--I----- -b�------ 1 b' s I 3'-3' '1 3'-3' I I F 1 w e'-m• � a'-m' '' I L I a 3 I N 4 ti SII N �o0 5'-b' 3'-b' I 2_m, O•��) _ Art ( 19'8 V4' I II c 6 r itCD qI Ij P-m' Z 0 m c6 S I I r- �- -- � bC i;: "All MR, ul I 4'-2' 5'-b' 3'b' 3'-6' 5'-b' a 1 �j I 3'-b 4'-I 3/4' ______ _ _ y) Il'-2 1/4' It +9 I 3'81/2' 4'-6' 2'-W S I I D m l I j D z I ,:� , -+ I I - A 3/d' L. iL W-0. I I I I 3'-3' 3'-3' V I L'. I I 6 I AI I I Of Door I I I I 1 I I r-------- I I I I I I -- ------ ------ -- --� I N I I I I I � I I ly D I I I sl I I I I I I I I I I I I I I I I I I I I I I -- I 6 NI IL I 01 I I T I 22'-m' pyo crnnE: YAMEEN RESIDENCE VAT l I L L I AM 5ARRE TT va°=V-m° -1/2-3/02 BUILDER OF FINE HOMES sr��rnn�: ►�wNr�Y. FIRST FLOOR PLAN li --------------------- I I ------------------ I I i l I I I I I 1 Equal 24'•0' Equal 1 I i I LIJ I I I I I I I I — — I I I FF`� I I I I I I I I I I I I I I -i V-11 w, V-4' e'-0' 4'•0' 1'.B In, I I 13D 1 I I � -1 I m + w i � I I Bookshelves n I I S I N 74 & :< a I I I I I l 3'-6' HT Wall I I I i I Open To I I Below I I I i I I I I I I I V-0' I I I i I r---------------------- I I I I I I I I I 1 I I l l I I I I I I I I I I l I I I 1 ------------------------- 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 I I I I I I I I I i I I i I I i I WILQ L. I A 1"1 8 A R R E T T pyo>�cr nn�; scA./. nA ; s Irl l"�4MEEN RESIDENCE 1/5"=1'-0" 1/29/02 BUILDER OF FINE HOME5 5fFffl : SECOND FLOOR PLAN n�wNrsYl _ r ----------------------------------------- ------------------------ ------ —————————— I I -------------------- I I I I I 1 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 I I I I I 1(2)--1 Ls 'Joists(Partition) I I I II -------------------------------------------------I I I I l\ ) I I I \---------------------------------------- 1 —A--71 ------------------------------------- IL I I L I I I B c LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ LJ U � I L 41 J( r l r l r l r7 r l r l r l r l r l r l r l r l r i r l r l r l r l r l r l l rl r 1 0 "'i II 11 II II 11 11. L a m I (4)1 3/4'x II ve Flush r L I I D Q Framed LVL.Beam r I I Ir L I I � A l I Q.� I k Q pewn (2)- II y 'Joists( art I f '—x II Y8 'Flush Framed?JI - I F r - B I PRO 350 Jolsts At IV O.G. i < " o I I I =per 9 s- I Fr�c I � I �,�• JI IL O � 1 J L J L (4)1 3/4'x 11 1'e Flush I` I I 1 Framed L.V.L.Beam JI 411-ALJ LJ LJ L AIL JI IL JI IL JIIL JIIL JIIL J LJ LJ LJ LJ L JI ILJ LJ JI UlljL I I I � rlrllrlrlrlrlrlrlr.lrlrlrlrlrlrlrinrlrlrin L I I I 11'1* 'Jolsts(Partition) Lr I I r I I I L I I I I I I r------------------------� I 1 II-----------------------------------J I II ------------------------ 1 I I ------------------------ I I I I I I l i I I i t I 1 1 I � I I I I I I I I I I I I I I I I I I I 1 I I I 1 I I I I I I I I I I I I I I I I I I I I I 1 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 I I I I I L------------------------J I I I -------------------------------J W I L L I A1"1 B A RRE T T r'�o�cr TW: 5CM: 19An: s Ff. YAMEEN RESIDENCE II_ I p 1/8 - I -,a -7/29/02 BUILDER OF FINE HOMES 9-affl": IST FLOOR FRAMING tfi.AWNPY: _ 0 0 l3)2 x 12 HDR (3)2 x 12 HDR (3)2 x 12 HDR (3)2 x 12 HDR (3)2 x 12 HDR I 3) x2 3 2 l32 12 p 0 a� W II ye'TJI-PRO 350 JOISTS*16'O.G. ---------------------- 6 O 2.1 N .w A O N � • 0 0 • 1 fl 1 1 W A� X 1 A r m a Q m 1 1 1 1 YAMEEN RESIDENCE 5c&�` nAr�: 5hrEf. W I L L I At-1 5,4RRE TT IiB1 =11-011 1/29/02 5UILDER OF FINE HOMES nAwNPY. 2ND FLOOR FRAMING . --------------------- I i I I I I I I I I I I I I I I I All Gelling Joist Are 2 x 10 a I6'OL. I I I I 1 I I I I I I I i I I 1 I I 1 I I I I I I C ] C=J C-J C ] I I I I I I I I p p I I I I I I I I i ILl1 I I I I I I I I I 1 I I I I I I 1 I i I I I I i 1 I I I I � I I I I 1 I I I I I I I I I I 1 I I I 1 I I 1 I I I I � I I I 1 ii I I I I I I I I I 1 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 1 I I I I I i I I I i 1 I I 1 I I -------------------- I I I I ---------------------------- I I I I I i I I I I I I I I I 1 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 W I L L I A 1"1 E3A R R E T T Ppo rcr flt�: xAL�:l' 19AT: 5f�r: AMEEN RESIDENCE I�g��_ I� �� 1/29/02 5UILDE(R OF FINE }--TOMES 5t�rfln` CEILING FRAMING PLA nKAVVNPY: _ 10 I O �A�w � O DmX � rn -i X Z r DDNA NR` pm pOr � E � zA uul I m m I i ill N I xelNNNI 1/41 ol I I I I I I I I I I I I I I I I I I 1 I I t I I I I I I I J I I I I I I I I � I I I r 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 I I I I i I I I I I I I I I I I I I p 0 Ct 1111�: SCALA: PM qw: UJI L_ I �4M CARR �� YAMEEN RESIDENCE 1/0"=r-o" 1/29/02 PU I L D E R OF FINE HOM E 5 51frr nn�; MWN PY; ROOF FRAMING PLAN i \\ VI 2' Bluestone Patio To OF Wall (Ashlar Patten) 4' Concrete Slab Sloped I/4' /Foot. Over Compacted QjToq OF Slab Stone Veneer Gavel _ II 1/8' TJ I Grade e D D D. l l D PRO-350 Y . . JOISTS cv C>-C), N II Top Of Shelf N `r U��O-c-j00 DD. 2'-0' W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • . . . . . . . . • • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U 2 FOUNDATION a FATIO 5ECTION, 3/4" = 1 ' aO" a (j) W W 5 12 w Z 12 Z 9 W Q W _J i,_0• � Q ffl a BEDROOM LOFT v 12 e z O TOP OF ARCH 6' ENTRY FRONT = O LIVING ROOM PATIO n i REAR PATIO �/ LU I PATIO 1-L j �- - - - - -- !L a BASEMENT n/ q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q 2 5UIDING SECTION/ 1/8" = 1 ' =O" =l it TYPICAL ROOF CONSTRUCTION ASPHALT ROOF MEMBRANE 30 YEAR ARCHITECTURAL GRADE SHINGLE � 5/8' PLYWOOD SHEATHING 12 6) 2 X '10 ROOF RAFTERS AT lfo' O.C. R-30 INSULATION -- - fl 2'-+a' _.__ 1/2' BLUEBOARD W/ TYPICAL SAVE 8 SOFFIT CONST SKIM COAT PLASTER 1 X 6 FASCIA BOARD I X 2 '/2' On i X 3 STRAPPING 1 X 2 TRIM BOARD I x 8 Freeze Board iro" O.C. �Z n 8" ALUM. DRIP EDGE I x 4 Window Trim 1 X PINE T 8 G'V" GROOVE SOFFIT W U CONTIUOUS SOFFIT VENT U w Z W TYPICAL EXTERIOR WALL CONSTRUCTION Q J CEDAR CLAPBOARDS 4' TO WEATHER W TYPAR BUILDING PAPER 1/2' PLYWOOD SHEATHING 2 X 6 STUDS AT h1o' O.C, 3/4" T e G PLYWOOD Z R-19 INSULATION GLUE 8 SCREW U W 1 x 8 Water Table (2) 2 X 6 PRESSURE a TREATED SILL, vILI CONTINUOUS SILL SEAL, ANCHOR BOLTS 4' CONCRETE SLAB ON ro' CRUSHED STONE W/ I'1� 6 MIL VAPOR BARRIER T !ll P 4 nea e n a a) LL 2'-,a" O �Q Date. ........0.......3 ......... NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ��SSACNusf is certifies that ......................................................................................... has permission to perform ......... .......................................... wiring in the building ............. ............................................ at..d.Z�............ ......................................... ......... .Noh Andover,Mass. Fee...Y .............. Lic.No.............. ....... ......................... ELEcrRICAL INSPECTOR Check # 44112 TBF09WONWE4LTHOFAf4MC.,F USEM Office Use only DEPARTMEM'OFPUBLICSAFM Permit No. . BOARD OFMEPREVE1Vf10NRWUL4H0NN527CMR12�(JID �6V Occupancy&Fees Checked UVPPLICATIONFOR PERW TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3— Z e/O -73 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) , zq T ���� /10 Owner or Tenant Ag/2 e7t v/ L Owner's Address Is this permit in conjunction with a building permit: Yes ED—No (Check Appropriate Box) Purpose of Building �j� S l ti Tj L Utility Authorization No. Existing Service Amps/ Volts Overhead Underground No.of Meters New Service Amps / . Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work X AXE No.of Lighting OutletsNo.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool AboBelow KVA Generators KVA itvend ground � , No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners Nr Ranges No.of Air Cond. Total,Tons FIRE ALARMS No.of Zones I Nc :Disposals No.of Heat Total Total No.of Detection and P s Tons K W 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 Detection/Sounding unicipal aher M . _ Ot No.of Water Heaters KW No..of No:of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP C HER- _ /S_ UA='� L/-7 1 � tea.. I' IrlStranoeCotieage Ptast>antbthe ' �yniuerts is GatCoAg s YID ® NO Iha%eaataeitLiabtldyhntaaztoePoltcyurl�tgCotripke Co►�ecrAssrbsta#ial Iha„esthmimedvMpiafofsanemiheOl�YB FNmhmedoSWYES,plea�eirtcli*tc�afw&aEpbyclmcb gthe appgxietebox uu INK ANM .. BOND OR ER (Pre e y) mDEW ` EstQt�atiValUec�7ec�al,Wodc.$.;.. �.00 4• ��. WO&IDSlEd . -Z Q I DWeRaWested Fad Signedurxlmpamllies FIRMNAME ST0 G L`/ I//9/ice 0-9 IV�7. -7” Sigma BmirmTel.Na 9;761p— Al 7 �o? tf7 Add��� /'�/O �/f/� s%• �i4l;I�i�G/UGC o �/� ,_ Af<Te1Na OWNER'S INSURA 4CEWAIV ;IamawatethattheLi=m them*%raneoMeMWt W%WW0 ri 1dtasteWmdby Canal I-am aodtlxtmysigt ncnthispmniapphcadn #ismq-a (PIease check one) Owner Agent ED Telephone No. P .PERMIT FEE 1 I y! The Commonwealth of Massachusetts d Department of Industrial Accidents ` Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # ' I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers'compensation for my employees working on this job. Company name: Address t Cifir m Phone.# Insurance Co. _- Policy# Company name: Address Phone# Insurance Co. Policy#' Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the irnposition of criminal penalties of.a fine up to 51,500.00 and/or one years'imprisomient.as_welLas.c bM penaltiesiolhelmn-faMDP]MORK and_af�ne' -f_(,$11JOM)-aAW against. understand that a copy of this-statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 4 !do hereby eertary under the pains and penalties of perjury that the information provided above a bue and correct. A a I Signature Date i Print name . Pbme.# -Official use only do not write in this area to be completed by city or town officio' City or Town FWrr /jce sing. �,». . _ •t_ i '. - � .n. it D Building Dept ElCheck I immediate response is requr+ed � � Y � jj��j� par w p Selectman's,Ofte Contact person: Phone k 0 Health Department o Other I I