Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 193 GRAY STREET 4/30/2018 (2)
/ 193 GRAY STREET 210/107.D-01 10-0000.0 I I' �I I 10091 Date.. ....//...... t NORTH °!'"`° '•�"° TOWN OF NORTH ANDOVER , PERMIT FOR WIRING ♦ off+� .. ..`�� ; �. ass^CMusf� This certifies that .............................. .. Al /Y eL . has permission to perform ... �. `:. ` ...... . .. ................................................ wiring in the building of..................5��e ................................................................. at..1.. 3...... .......... .............................. .North dover, S. Fee...-5'5. .'........ ic.N 3�f .. ...... .... ... .... . ........... 4 ELECTRIC LI SPECTOR Q Check # 2 Z -- V ❑ :2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the , Y permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shallbe limited as to the time of ongoing construction activity,and may be_deemed_by the Inspector_of_Wires abandoned_and.invalid-if he—. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. � ❑ The Permit Extension Act waAreaftd bySection 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses co cn erring ttie use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending"through August 15,2012. e 8—Permit/Date Closed: Z•—A6 L * Note:Reapply for new pe 0 Permit Extension Act—Permit/Date Closed: �' l Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07] eaveblWk APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: k _ City or Town of: NORTH ANDOVER To the Insp ctor of Wires: By this application the undersigned gives no ce of his or her to perform the electrical work described below. Location Street&Number q Owner or Tenant - Telephone No.(3nbggLA(62,3`6 Owner's Address 1q1 C . Is this permit in conjunction with a buil ing permit? Yes ❑ No ❑ (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service 7 cT� Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: - Comletion o thefollowing table m be waived b the Ins ctor o Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans o.ot Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool AboveNO.o Emergency ng d. d. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.oDetection an Initis Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers eat mp umber ons o.o Self-Contained I Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unncctin pa on ❑ Other Coe No.of Dryers Heating Appliances KW Security stems: No.of Devices or Equivalent o.o ater KW o.o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent + OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penallles of perjury,that the Information on this applkadon is true and comp Q FUNAME: Q k�9�.Q1y LIC.NO.: �v Licensee: Signature LIC.NO.: F I I (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.,- Address: Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Ifli ility insurance coveragem8e normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)E3 owner owner's agent. Owner/Signature en Telephone No.q�bq94�23g PERMIT FEE:$ . .. �. ,, e E ,e, P n s. � i f a i ' � � � � � i !� � i� ., .. 1 Y r . l ` ' .. ORTM � ToVM Of b over O NO. 3 ;_01i -= - _ __ Tq lI O E A K O dover, Mass.,�� l COCMICMEWICK %S�ATE D F'Q�,`�� U BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT �� � � ` Foundation .................... .......... .. ............................................................................................... ..................... has permission to erect........................................ buildings on ....1G,. ........���............. ............. .........�............ Rough to be occupied as.S jN.W1 ......... ... .........I9�1r�...........�... K 1 ............. Chimney .. .......... ............ ................... ..... h' 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. PLUMBING INSPECTO� VIOLATION,of the Zoning or Building Regulations-Voids this Permit. Qin PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC ARTS ELECTRICAL INSPECTOR Rough ................ .. ............ ......................... ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the-Prem_ ises - 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 J1 Smoke Det. it 1 r May 17,2011 Mr. Steven Saracen Saracen Construction,LLC P.O.Box 878 i North Andover,MA 01845 RE: NEW KITCHEN BEAM INSTALLATION Dear Mr. Saracen: This letter is in regards to the new kitchen/great room beam installation work recently completed at 193 Gray Street in North Andover by Saracen Construction of North Andover, MA. The work consisted of installing a new LVL beam, blocking, columns and footings per the design drawings prepared by William A. Capone,P.E. dated May 2,2011 Several,field changes were implemented during the construction phase due to unforeseen conditions in regards to the existing building construction. I was advised of the field conditions during demolition and the field changes were developed together by Mr. Saracen and myself. Changes from the original design 'included the shifting of the original column location and the addition of a second column including a footing. The changes also included the shortening of the overall length of the new beam and the connection of an existing triple 2x10 beam into the new LVL beam. An analysis of the new loading conditions was performed before implementation of the changes in the field. Per our field inspection performed on May 17, 2011 the work was found to be in accordance with the design drawings, the associated field changes and per the requirements of the 8h Edition of the Massachusetts State Building Code. Should you require any additional assistance in relation to this matter in the future, do no hesitate to contact me. Sincerely, SgcyG WLUAM A CAPONE N STRUCTURAL 1 No.45015 0 'O90 9FQIS f William A. Capone,P.E. X, i i May 17,2011 Mr. Steven Saraceno Saracen Construction,LLC P.O. Box 878 North Andover,MA 01845 RE: NEw KrrCHEN BEAM INSTALLATION Dear Mr. Saracen: This letter is in regards to the new kitchen/great room beam installation work recently completed at 193 Gray Street in North Andover by Saracen Construction of North Andover, MA. The work consisted of installing a new LVL beam, blocking, columns and footings per the design drawings prepared by William A. Capone,P.E. dated May 2,2011 Several field changes were implemented during the construction phase due to unforeseen conditions in regards to the existing building construction. I was advised of the field conditions during demolition and the field changes were developed together by Mr. Saracen and myself. Changes from the original design' included the shifting of the original column location and the addition of a second column including a footing. The changes also included the shortening of the overall length of the new beam and the connection of an existing triple 2x10 beam into the new LVL beam. An analysis of the new loading conditions was performed before implementation of the changes in the field. Per our field inspection performed on May 17, 2011 the work was found to be in accordance with the design drawings, the associated field changes and per the requirements of the 8t' Edition of the Massachusetts State Building Code. Should you require any additional assistance in relation to this matter in the future, do no hesitate to contact me. Sincerely, s°�y WUIAM A. CAPONE SMCTURAL No.45M 0 a4'p�FOf FSS N William A. Capone,P.E. Location J ! > y `7 r 1No. 0 Date �Y �_�/' ,.ORT1y TOWN OF NORTH ANDOVER ,,So ,,' 3� ., OL F 9 i Certificate of Occupancy $ �' "°"••° t�'' Building/Frame/Frame Permit Fee $ ` CHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # '560 17137 1� Building Inspector s TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. S—c fO DATE ISSUED. SIGNATURE: •� Building Commissioner/I for of Buildings Date SECTION 1-'SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O Zoning District Proposed Use Lot Area(sf) Fronta&e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record �5C oT� TGy,4 a7ELL Name(Print) Address for Service: l 7 S Z 7S Signature Telephone 2.2 Owner of Record: N*te Print Address for Service: _ M Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: �� �j ` ( 0 License Number Adder C �411C �" �. t U� N, 1 V H • Expiration Date Telephone Stg�5) eleP C, 3 5-gy 250 3.2 Regis+ered Home Improvement Contractor Not Applicable ❑ -.ompany Name i Registration Number roua Address z Expiration Date Signature Telephone t SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5.Descri tion of Proposed Work check au applicable) New Construction ❑ Existing Building Repair(s) Alterations(s) ❑ Addition ❑ Accessory.Bldg. ❑ Demolition ❑ Other ❑ Specify i Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ;(11IAT� Completed by pennit applicant k; 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 17D 5 Fire Protection 6 Total 1+2+3+4+5 (tea Check Number 6 O SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING 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 t 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/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TEVIBERS 1 2 3 SPAN DIMENSIONS OF SILLS DRAENSiONS 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 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: s [C- �n N q. (Location of Facility) Signature of Permit Applicant CIA p `l Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department aflndustrialAccidents Office of investigations Boston, Mass. 02111 Workers'Compmation.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 . A;' 1 am an employer providing workers'compensation for my employees wtxtang on this joie, Company name. (:274 b 0 mi",) 77 ,address .� �� y"'• h�a L G �.J City: /t/C% w73.V2 �/t�9 l ti&5 y7 35 Insum"M Co. L/t3 K2 T`f vi,, yr-u p-c_ -_Policy# 1/N c$'3 I .S-330.3 o 5% 0�3 CorngM name: Vis: . Irtsuraelce:to. PokV Fa rico sect Coverage as required pry Se�iott 251►o►�t52 caretsattto�the iriiposilion oFcr�nr�inal p�all�s of a rq�e�p��37 _ andlor one yesis'knprisorarroo�.as_r�La�s��nlbeZame�a�I� 1�oa understand that a c c py of ttns statement may,bei-forwarded to the Ofrice'btt+r+astigabons d'the D A-for cage von. /dbherebyc&-WyurdarUre/insandp ofpalwyhWNiekdamnai wprovA*dabovois&ueandeariect Signature `r , pate, 7//,//0 '7/- Print name iqN J�4S PhoDE lna3 S9Y Z85o Of x*g use only do rwt write in this aM to be completed by city or town dficiar Cir#Tonvn P� abx Ek E10*ck bmnedkate response is mimed p S�1e�nan�'� Contact person: Phone#. Hea#h DW, 0 Other I I I I r'✓/ze F'o�.vazauue�z�l o�'V���a�:ac1�,��-,eCta BOARD OF BUILDING REGULATIONS ;License: CONSTRUCTION SUPERVISOR Number: CS 075914,. Birthdate: 09/28/1965 I Expires:09/28/2004 Tr.'no: 75914 Restricted To: 00 BRIAN M DIAS ' 114 OLD GAGE HILL RD ?' PELHAM, NH 03076 Administrator I NORTH ® ® , . 6Andover . C, - :0 ' 0 over, Mass., o c0c MIC KE WICK ORATED 0�`�.(5 U BOARD OF HEALTH Food/Kitchen PERMIT T D� Septic System C 0 tAo A dft BUILDING INSPECTOR THIS CERTIFIES THAT ......����......................... ..............®... . . � ..a.�......�.......... Foundation has pefmISSIOn t0 erect .. build) s on ...... ......... ........ .....�.................................................. Rough • � � o� ! �t" Q �► Chimney tobe occupied as........................................................................................................................................................................ 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 r lating o the I spection, Afteratio and Construction of Buildings in the Town of North Andover. )a? I Q q40 dow� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR Rough .... Service BUILDING INSPECTOR Final Occupancy .Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke net. FORM U'- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvalslpermits f Boards and Departments having jurisdiction have been obtained. This does not reli.v, the applicant and/or landowner from compliance with any applicable or requirements. * **************************APPLICANT FILLS OUT THIS SECTION APPLICANT 1LICJ1 )ems `WA oc-e 1 [,C- 4F �� C PHONE_ E LOCATION: Assessor's Map Number © � � PARCEL� SUBDIVISION LOT(S) STREET � r ST.NUMB 13 • ER. -OFFICIAL USE ON_ „ REG MENDATIONS OF T WN AGENTS: Co SERVATION AD INISTRA R DATE APPROVED p DATE REJECTED COMMENTS i TOWN PLANNER DATE APPRQVED DATE REJECTED COMMENTS #09D-,INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 145 S INSPECTOR-HEALTH DATE APPROVED. Z 6 DATE R fEJEC`TD COMMENTS ,St SL's P s-o /IreF, 61< PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 0 U `r y- �= 43,69-7 ± SAF Mme' 3s �, M go X •i- L_ o �- i Jc 0 LoT q OW 'o� Q J 0 '1H OF SLOPE' 2601111FE ENT N (150) X = 150 — = sT���° �``1 SION DESIGN 6-LEI/.4T/ON 47 . . . . ... . .(TOP OF AI STONE) _ EX/5TIM� ELEVZT101V 47 . . . . . . . . . 2EQU/11?ED F/LL = zFL&I.dT/ONS DE51(�N 45 3U/LT X5 f31//L T � /NV 10/PE OUT OF 110USE Cil,,5-7 /NV P/PE INTO T4NK 9/.o l — INV P/PE OUT OF T41WK q0--7 9 1- 4 4 SYSTEM /NV. PIPE INTO D. BOX 9 o.4Z 9 0•-7 INV PIPE OUT OF D. BOX 90•ZS 90.56 /N /NY END OF PIPE l qO-oO ° sq' 2 n/o/z -r /1/D o v E © aa.06 ' Q S1.9' e,-7.00 ©a 0,64 FOR es.00 Z A v Zo R,c", l G1,dTElc' EL EY<l TION p 83,od .4VE240E STONE © s''oo SCALE .' l �� 'yo , DATE: /Z- l9- 86 oEPrH ,4T P,eDBECCi1, 157/.INSEN ENI;1MEMI , INC. NOTE.- T1115 PL,4N /5 NOT .4 W,4,P1P.4NTY 114 A-ENOZ.4 4!/E.� ,�/,4YEeAlML, /Y1,4. OF T1IE SYSTEM BUT 4 YE2/F/C4T/ON OF T111E LOCATION OF 711E EX115T/N6 i ST1eUCT01?Z NORTH Town of over No. COCHi over, Mass., 11 0, Pv BOARD OF HEALTH Food/Kitchen PERMIT T x Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... e..........r 4 41.. -e... / ................ ................ ........... . . ........... .............. Foundation has permission to erect..... .............................. buildings P A on ....... . ... ........ ......... ........................... .. ................... Rough S4 � _-S� ,C-1 , A;O )eO .I /D Chimney to be Occupied as..... . .......... provided that the person accepting this permit shall in every r nfor o the terms of theap, Ication on file in Final this office, and to the provisions of the Codes and By-Laws a to- spection�Peratlon Construction of Buildings in the Town of North Andover. /0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Rough PERMIT EXPIRES MO T`HS Final UNLESS Co TR ELECTRICAL INSPECTOR Rough .......... ................................. .......... Service BUILDING INSPECTOR Final Occupak FeNt Required Occu wilding GAS INSPECTOR Rough Display in a Consp ous Pla on th Pre Do Not Remove Final No g or D 11 To '8 Done FIRE DEPARTMENT Until Inspected and proved by the ilding Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip- Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations "air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8' above grade, use 6x6 posts wllateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee-$25.00(Be Ready). Certificate of occupancy required prior to occupying structure. yh, MercuiTRecovezT Wogam ��A I db KEE • k a� �.I i ♦ v. 1 P ERC u R Y FR o i s i N SM Town of North Andover Regulation: Mercury Thermostat Disposal Fine Per Incident: $100.00 - $300.00 Per Incident (Per Thermostat) Bring Thermostats to: Building or Health Departments Keen MERCURY(FROM RiSINGSN is a registered Service Mark of the Integrated Waste Services Association and its member companies. 9 9 P Sponsored By: ARI Wheelabrator Technologies Inc. i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT RLPAIII,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING " BUILDING PERMIT NUMBER DATE ISSUED: ic SIGNATURE: �L Building Commissio er/I for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O oI71D !D Map Number Parcel Number 1.3"Zoning Information:V 1.4 Property Dimensions: Zoning Digzict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard S e Yard Rear Yard Re red Provide R ed Provided Required Provided .F 1.7 Water SupplyM.G.I-C.40. 54) a Information: ff�% 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Floaue ❑ Municipal ❑ On Site Disposal System 0 ,r SECTION 2-PROPERTY OWNERSHIP/AU RIZED AGENT Historic District: Yes No rn 2.1 Owner of Record r' 47 Name(Print) / Address for Service: , f �V Signature i elepho +( � 2.2 Owner of Record: nd/ /i Name Print Address for Service: O Z M Signature TjjcUone 90 SECTION 3-CONSTRUCTION§kRVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ I i Licensed Construction Supervisor: O License Number mn Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 v Company Name rn Registration Number r Address r Expiration Date ^� Signature Telephone i I SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check allapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: S SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL_USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee Oul Multiplier 2 Electrical (b) Estimated Total Cost of d Dom_ Construction 3 Plumbing Building Permit fee(a)X (b) O 4 Mechanical HVAC r' �- 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 l� 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 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 Name y Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI1VIBERS 1 2 3Fw SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r 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****** * * )0APPLICANT �`� I %E'er �wQ �"�-+ [,e n�4 PHONE L LOCATION: Assessor's Map Number PARCEL_ 1/ SUBDIVISION C LOT(S) STREET r v ST. NUMBER_ OFFICIAL USE ON _L � eREC MENDAMNS OF T WN AGENTS: CO SERVATION AD INISTRA R DATE APPROVED Q Q DATE REJECTED COMMENTS t TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOO INSPECTOR-HEALTH DATE APPROVED Y-) � DATE REJECTED 4►J �- I�C�S� SEP-hd INSPECTOR-HEALTH DATE APPROVED. 2 6 DATE-R fEJECTfD COMMENTS— �sfi �'14' SLeA om 'e�c.L- a�r�� erveos-oj Are,, 6IL PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm i Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDING PERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS /DECKS 1) BUILDING PERMIT APPLICATION 2) FORM U ' 3) MORTGAGE PLOT PLAN (MINIMUM) 4) DEBRI REMOVAL FORM 5) WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1) BUILDING PERMIT APPLICATION 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6) WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE (i SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK 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 application. IAORT#q Town of Andover No. 3 COCHI L A 41C over, Mass., ORATED Cl H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR . .. THIS CERTIFIES THAT...................... .........L. ........ ......................................... ............... Foundation has permission to erect..............>e s on ...... ...3 ..... ...................... building ......Y...... ..................................... Rough to be occupied as.. S /1.as A-2 Re .D e— Chimney ............................................................................... ..................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection A eration and Construction of Buildings in the Town of North Andover. -7 Z;> PLUMBING INSPECTOR /0 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ..........r`/ o .............................................. .. .. ...... ...... 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street NO. Smoke Det. SEE REVERSE SIDE WF A 13 'm-WF Al I ¢CWF Al MAP 107D LOT 12 4, / • IRAN NSF / CIS J. & 'ELLEN ZWF A10 MURPHY LWF A 2 2��,SO cam•--- ' WF A9 `WFA3 ... WF q4 AL EXISTING CHICKEN COOP F 0 MOVED OUTSIDE ZONE OF 50' "NO-BUILD" POOL FILTER AREA - CARTRIDGE FILTER, S J IN WETLAND AREA OCCUPIED NO BACKWASHING HERBACEOUS COVER ONLY" WF A5 •••• %pGE •. ._-- _ \ 3OLDENROD 707. / •'•.•,, JT GOLDENROD 1070 k '°o �tia2'' '•. \ 1090 „NC 3 BUTTERCUP � � ' '••• �`;, oe PROP y ` , OS p — � FENCE/ WF A 60 _f... ._--' �y • � � _r •EXISTING rWF A 2 \ SINGLE. F ACE Y ( I p r ` RESICSEN oxo AL WF A3 ••• 9 • .1...... MA WFA4 �`L� �\ � p��, ^ \ PSE � ��,••.... FLAG GED WETLAND LINE_._,_,_ \oo C4 - WF A5 1 � •• `� oo �" DECK \ `.:%,. \ w�44 loll WF A6 \WF A8 (51 DISTURBED AWAS '`�oc�- F A 7 / ........... . TO BE LOAMEO �. \ AND SEEDED � Q \ 05 \ 7 ,o �, �'` —__ --__ ••. N 34-3,5#5919- 4• 5#59 W \ \ ` M i T OF �. 350 ' —DISTURBA`I\ICE" ZONE LIMIT OF 50' .53 LIMIT OF 100' WETLAND PROPOSED SOIL �I FLAGGED LINE) •"NO—BUILD" ZONE " BUFFER ZONE STOCKPILE AREA - PROPOSED SILTATION FENCE , SEE DETAIL - - - --- C i �, - .� Y +. �, 1 r s �� .� i I, i, �, I� i I� II i 1 I I I a WF Al WF Al c CWF Al2 c • .CWF All - CWF Al WF Al MAP 107D LOT 12 JIL r N/F 4WF Al FRANCIS J. & ELLEN _� MURPHY . — ,_ LWF A2 2�'I$0 WF A9 WF A3• AL WF A4 'k`• AIL AL EXISTING CHICKEN COOP POOL FILTER AREA TO BE MOVED OUTSIDE CARTRIDGE FILTER, c� 5 •�P � �. WF A5 OF 50' "NO—BUILD" ZONE NO BACKWASHING Op�c,jVF \ o'�" • \� .TLAND AREA OCCUPIED \ ��Mi ,CEOUS COVER ONLY"DENROD 10% ROD 70% PROPOSED FENCEEXISTING Y _ ) ,� pF •. \ �, \ �ERCUP 10% � � S/ p,M\L � � �`- \ � a �, �'�%'�\ RES 5 1 •. 6 ��1 \ \ \ / jo MAP 10' \ WF A D �o \ ; '•••� :<,....�... (SUB[ [WF A2 AL �pl c�WF A3 N'WF A4 f 0, \ V� I k �2n GGED WETLAND LINE WF A5 ,r` \ `� \ \ � Boa--------. \ WF A6� t� \ \WF A8 \ DISTURBED AREAS ` ... ..........:. ...... ...__...._._._ ..... \ F A7 J TO BE LOAMEO 1 V 1 AND SEEDED r \ \619 / •:a Location 7,-3 GrA q No. C (3, Date NORTH TOWN OF NORTH ANDOVER �+ OL k Certificate of Occupancy $ '�s"'r, t BuiidinglFrame Permit Fee $ lj ACHUS Foundation Permit Fee $ Other Permit Fee C? 0� $ C:�,3C) TOTAL $ 030 Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERWT'NUNiBER: DATE ISSUED: J© �® —Q SIGNATURE: Z2 Building Commissioner/Ifor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 ,Assessors Map and Parcel Number: V ib 7 `D / O Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use I Lot Area(so Frontage(11) 1.6 BUILDING SETBACKS ft Front'Yard Side Yard Rear Yard Required provide R red Provided Required Provided �5' t — ` — A 1.7 Water Supply M.G.L.C.40.5 54) 1.3. Flood Zone Infotatation: 1.8 Sewerage Disposal System: Zoae Outside Flood Zooe 0 Muoici al 0 On Site Disposal System C a Public 0 Private 0 P p° n SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) � Address for Servi I i a Signator Telephone 2.2 Owner of Record: Name Print Address for Service: i n ii nature Telephone SECTION 3-CONSTRUCTION SERVICES t.1 Licensed Construction Supervisor- Not Applicable 0 -icensed o strut 7�ton Supervisor: C License Number A ss -3b/04 t�, \NxA lExpiration at tgnature t Telephone r 2 Register d Home Improvement Contractor Not Applicable 0 C )mpany NamerT r v ' Registration Number r 1 ess ; r a ` 0 /- Expiration a � mature Tele hone _' I ION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) rs Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result enial of the issuance of the buildin rmit. affidavit Attached Yes........ No.......0 ION 5' Description of Proposed Work(check all applicable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition 0 Other '6I Specify Brief Description of Proposed Work: A VA '��(v)�V� J SECTION 6-I ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar) ( )to be OFFICIL'ISE-ONLY, Completed by permit applicant 4 .k ro 1. Building (a) Building Permit Fee I 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 subje:properlty Hereby authorize r A r 35" ,�' to act on My behal i r elativ rk authorized by this building permit applicat' n. Z� ture o1 wZ r Date �— SECTION 7b wWNER/AUTHORIZED AGENT DECLARATION p as Owner/Authorized Agent of subject property Hereby declare that the statements and infonnation on the foregoing application are true and accurate, to the best of my knowledge and belief rim ame ,k�� �, ��1".� . . S ;A- - 3- �A 0 , tDlIvENSIONS f caner/A ent Date miiii6 NINE 1011111op ORIES SIZE T OR,SLAB OOR TIMBERS 1 2 3 OF SILLS DIMENSIONS OF POSTS DIENENSIONS OF GIRDERS FIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CF]ININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE i 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 ��(I PHONE LOCATION: Assessor's Map Number ✓b PARCEL SUBDIVISION LOT(S) STREET/93 ST. NUMBER19? ************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OF N AGENTS: C NSERVATION ADMINISTR R DATE APPROVED my eg- DATE REJECTED o- COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS �Ae_ A3 QL P6 A6 Mp,,C�k�jtw Ar`e OL-lr 4-57>JtA^, PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm TdConin:onwealth of Ma.1sachuselts Department of Industrial Accidents FU _ OfffceOf111=11921fons 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit UM inNO name: JOB location& kJ l city phone ll p 1 am a homeowner performing all work myself. co I am a sole proprietor and have no one working in any capacity 0 1 am an employer providing workers'compensation for my employees working on this job. company-norn N t1Pi5 address: 1m1f VA— 1Af c' y phone go Insuranceco. Velee policy H V �. O tam a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: company name! ' address: .<.•. Rhone#: • .Y. . w4r�nce-co. :: ;::.; •. ..._, .. polity# ii jam -compost*name: t . address— i city: phone#: insurance co. ` ' policy# Failure to secure coverage as required under Section 2SA of A1GL IS2 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. t understand that a copy of this state meat may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce un t e pai an alties of per uty that the information provided above is true and correct. i S gnature Date Print name hone# Lochcckifimme, do not write is this area to be completed by city or town official permitAiccuse N nBuilding Department 0Licensing Board iate response is required OSelectmen's Ofriee011calth Department phone N. nother (revised 3AS PJA) BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' Number. CS 032472 Birthdate:03/07/1947 Expires:03/07/2004 Tr.no: 17050 Restricted: 00: WENDELL W HOLMES 23 DADANT DR G. 6 WILMINGTON, MA 01887 Administrator . �, ✓die�omimwncoea�c o�✓�taclureel�a _ - Board of.Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. Registration:.110127 °~ Expiration: 10/06/2002 Type: INDIVIDUAL HOLMES POOLS. WENDELL HOLMES 23 DADANT DR 4 WILMINGTON,MA 01580_ administrator 11VLlilLV 1 V VYV 23 Dadant Drive Wilmington, MA 01887 978-657-8071 The undersigned Owner(s) of the real property located at �� �• \k �� ° (hereinafter called " WNER") hereby contracts with HOLMES POOLS (hereinafter called, "COMPANY") for the installation off a Swimming Pooh: ^�{"� . 1"1 tl t1 ('�..:. :3r�v`�l..i� 1 at said location for;the sum of � � 3 �'ls _ � `��'-' (Dollars$ I ) 1 payable $ (Ji y` herewith; $ � � "f upon delivery of materials; $ 6000 upon installation of 09- vinyl liner or concrete floor; and $ 1 \AA) upon completion of thepool according to the following specifi- cations ecifi- cations and conditions; and $ kt upon installation of concrete deck. This contract shall include within the pool shel�Main Drain AssembA Automatic In-Wall Surface Skimmer, �eturn Fittings, and all necessary plumbing. Equipment items included are: FILTER r. � �� PUMP: � MOTOR: _ LADDER(S): C\, \? SAFETY LINE: !a CLEANING EQUIPI: TEST KIT&STARTER CHEMICALS: UNDERWATER LIGHT: = � �f SLIDE: int HEATER: No BOARD: ��1� .DIVING-STAND: { POOLCOVER: 5 �1, L�t '� SOLAR BLANKET: v DECK WORK: C t t `3 c ' LINER VERMICULITE FLOOR: ' CONCRETE COLLAR: GRAB RAIL: j AUTO CHLORINATOR: MISC.: r VA WARRANTY �j f 0- C, 13LJ� \f The COMPANY warrants that all materials used in completing the installation contracted for herein will be new and of high quality;that all work will be done in a competent and workman-like manner; that the COMPANY will complete all plumbing at the pool site only and shall not be obliged to connect said work to outside water; that if any substantial defect occurs in the workmanship it will be remedied without cost to the OWNER if written notice thereof is 'given the COMPANY within one year after performance of such work; that minor folds or creases may upon occasion appear in the liner but they are not to be regarded as defects in materials or workmanship.With respect to all assemblies or units purchased by COMPANY for installation in this pool(such as filters, pumps, motors, heaters, standard fittings, accessories, and other purchased items) the OWNER shall receive a manufacturer's warranty. As condition precedent to the OWNER's right to make any claim under the OWNER's warranty and the COMPANY's obligation to make any adjustment thereunder, it shall be necessary that the principal amount of this contract,together with any extras,shall have been paid to the COMPANY in full. There are no warranties or representatives made by or on behalf of the COMPANY other than those specifically set forth herein. Use of pool prior to the connection of the filter and placement of the coping shall render the COMPANY's warranty IT Td. The OWNER shall obtain,at the OWNER's expense,all permits necessary to carry out the wor mentioned in this agreement. In the event this agreement be termin6o by the OWNER for any reason w er before the completion of the work as herein specified, the OWNER shall pay the COMPANY in full for the cost of all labor an erials furnished up to and including the date of such termination plus expenses incurred by total contract rice as and for liquidated �\�� 1 en percent of the p q the COM�F�4'IeLX�nd, in addition. sum equal to( 0) t GENERAL CONDITIONS In the event of the existence of ground water within the cubic space of the pool or of ground water adjacent thereto,the OWNER agrees to pay to COMPANY as additional costs the cost of removing, pumping out or seal- ing off of water seepage and changes or additions to the pool structure or other installation necessitated by such conditions. This contract is based on normal excavation conditions. The contract price herein stated does not include any additional expense necessarily involved in the removal of hard formations by the use of blasting or power equipment, the filling of cavities or draining areas because of such formations or otherwise, the correction of conditions by the use of fill, shoring or otherwise due to underground or surface water, inadequate soil bearing qualities or other conditions requiring same. Therefore, if such conditions occur, during or after excavation, the COMPANY shall notify the OWNER of same and the OWNER shall immediately notify the COMPANY in writing whether or not to continue. If work is stopped b the OWNER, the OWNER shall pay the COMPANY on billing for all work performed and materials furnished. If work is continued by order of the OWNER, the OWNER shall pay the COMPANY on billing any extra costs incurred due to such conditions. If any payment required herein is not paid when due,COMPANY, at its option, may stop work until such pay- ment is made and, in any event, OWNER agrees to pay interest on such payment from due date at 11/2% per month until such payment is made and further, if contract is placed in the hands of any attorney for collection after default, OWNER also agrees to pay a reasonable sum as attorney's fees plus court costs.Title and owner- ship to equipment and accessories described in this contract,whether affixed to OWNER's realty or not,shall re- main the property of the company until price of pool, according to terms of contract, has been paid in full, and if said price is not paid in accordance with this contract, COMPANY may without notice, enter the premises of the OWNER and re-posses such equipment and accessories and COMPANY will apply the reasonable value of said equipment and accessories against the unpaid balance due under this contract. COMPANY shall not be responsible for damage or discoloration of pool or its facilities due to neglect or improper or inadequate use of chemicals; nor shall COMPANY be responsible for damages to any part of the swimming pool or around said pool resulting from any natural cause or act of God, including earthquake, fire, surface drainage,ground swells, inundations and/or hillside motion, landslide or any natural or accidental cause or peril, or the emptying of the pool other than under the supervision and direction of the COMPANY. COMPANY shall not be responsible for customary or minor variations in elevation or measurements. PRICES QUOTED ARE EFFECTIVE ONLY FOR SEVEN (7) DAYS FROM DATE OF CONTRACT. This agreement is not binding upon the COMPANY until it has been accepted by it and signed by an authorized member of its firm where indicated below. IN WITNESS WHEREOF the parties have hereto set their hands and seals this 31 day of 20-D-6 Submitted by: Salesman owner ACCEPTED BY: H LMES POOL$ ; Owner i 1 Authorized Signature ROMAN RAD 'T 6-8'Plain Panels 08-009-5 08-009 L c ` 24'Plain Panels 08-016.5 08-016 4-2'Radius Corners 08.141 08-141 '2" 2-18'Plain Panels 08.029-5 08-029 E F G H J K j 3'-3 1/4" 4-229"121/2"x 6"Reverse Panels 08.189 08-189 S!Z E A Et t D E F G H K -4` tai 9-9'Radius x 72"Panels 08-085 08-085 Y4'2"x 4011/2" 20'2" 40'1 2" 8' '1 2" 14' 6'6" 4'6" 4'6" 11'2" 2'RAD. — - - - 2-9'Radius x 35"Panels 08-086 08-086 3'4" 15 -- 06-189 24-Braces 08-214 08-210 12 1/2"x8" 1-Steel Hardware Kit 08-204 08-204 1-double Roman Coping Set 10-068 10-068 08-085 ST '-0" STERLING' F f2 O N 7{=2 (-�2 1-2'Radius loping Corner Set 10-138 10-138 PWLS � � POOLS 72 3-10'Straight Coping Sets 10-041 10-041 — ADJUSTING }l OS-036" ]-Vinyl liner ANGLE TURNBUCKLE I BRACKET-- -,—NUTS THREADED STEEL POOL PANEL ROD STEEL POOL PANEL-- 0672 85 b 'x 9'Radius Step-Remove 2(08 085)9'Radius x 72"Panels. DEAOMAN DEADMAN PLATE t" Insert 1.6'x 9'Radius Step,2-(08-101)9'Radius x 191/2"Panels, ONE PIECE FORMED PLATE 12 1/2 1-(08.086)9 Radius x 35"Panel and 2 Braces. ANGLE BRACE Two PIECE BOLTED 12 1/2»X6" ANGLEBRACE 8' 4' 16 2' PAD. 8'x 9'Radius Step-Remove 2-(08-085)9'Radius x 72"Panels CONCRETE FOOTER CONCRETE FOOTER and 108.086)9'Radius x 35"Panel. Insert 1.8'x 9'Radius Step and 208-112)9'Radius x 42"Panels. 2"POOL BASE — 2"POOL BASE Replace:3-8'Plain Panels and 1 408-086) STAKE 9'Radius x 35"Panel with: mililill STAKE, 1-8'Skimmer Panel Optional Optional 8'Straight Step-Remove 2-8'Inlet Panels 08-010.5 08-010 2408.189)229"121/2" 3'_3 1/4» 1-9'Radius x 35"Light Panel 08.087 08-087 x 6"Reverse Panels, 2408-085)9'Radius x 72" r 4. 19" 2'RAD. Panels and 1-(08-086)9' os-16s Radius x 35"Panel. Insert j 2"X6" 08-107 1-8'Step,2-3'Panels, 12 19 W2• 2-(08-175)7"Panels, .086 2-(08-030)6"Panels and 2-Braces. x6' x 91IRM 6'Straight Step-Remove sty 2-(08.189)229"121/2" 00 x 6"Reverse Panels, 0-086 2-(08.085)9'Radius x 72" 35 08_107Panels and 1-(08-086) 9'Radius x 35"Panel. 19 1/2"x6» Insert 1.6'Step,2-4'Panels, .18 2W. 2-(08-175)7"Panels, .. THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY. Z•(08-030)6"Panels and Attention Dealer. It is your responsibility to see that the safety package provided by FWP is delle FWP makes only those representations which are stated in its written warranty.Any other 2-Braces. to pool owner and that the NO DIVING warning labels are properly installed. representations,statements,or contracts mode by the dealer/contractor to the customer regarding any materials produced by FWP are attributable to the dealer/contractor only. - "- The dealer or contractor who sells or installs your pool is on independent contractor and is x.,�,,. NSP!TYPE 11 not an aggemt or employee of FWP.The construction methods illustrated here are suggestions BUILDING THE FORT WAYNE POOLS® .` and op ly only to normal round conditions. There may be additional precautions and/or T (l OWING POOL: 6930 Gets shut Pike p g STERLING"' _ methods oft The responsibility F��L Gettysburg po ty is the contractor's. , ,;.,:: �{ l.,�,��, ,; g; These dig dimensions comp) with the National Spa and Pool Institute su ested �� Y 6 04 1 y gg PCS ❑STERLING : � FT Wp NE,IN 4 8 minimum standards for residential pools. IF diving boards or slides are to be used o r s"r c r s r _ ? (219)432 8731 apaaty of 2000 PS P 3 EktaVahoh shall be 2,la ger that I oil.,around with these Is lease consult the manufacturers instruct ons and the National Spa 8 ❑FRONTIER" _ - www.surfthepool.com hove surrounding Fill earls unddr base of panels nt d rhmp wall Pool InstihjWss minimum standards prior to installing diving boards or slides on these I=1?Q N T I = I? TITLE �� �� DRAWING NUMBER 4 et, ll Wifh non expahsNe malenal Is:;For nfortnotion mncernin NSPI minimum standards,write: National S & Pa0 po - Pool;Inshtul.2117,_EisenhowecAvenue,Aleicandna;VA'223.14.-J03/e38.-0.083 P C>Q L�S"' aAJAN99A9RY DOUBLE ROMAN 2'R� 202 X4 MA 13105 STL-058 • 1 _ . ...... 6-8'Plain Panels 08-009-5 08.009 2-4'Plain Panels 08-016-5 08-016 4-2'Radius Corners 08-141 08-141 e F 40'-0 1/2" 2-18'Plain Panels 0$029 5 08 029 3'-3 1/4" 3'E -3 1/4" 4 229°121/2"X 6"Reverse Panels 08-189 08.189 SIZE A e C +-6� 1a* 4.9'Radius x 72"Panels 08-085 08-085 y0'2^x_40'-1/s=' 20'Y" 4p�1 z" 8 2'RAD= -- 8' 8'. -- a' 4' 2, —2=9'Radius x 35"Panels 08 086 08-086 08-189 3—4" 24-Braces 08-214 08-210 08 189 12 1/2 X6- r_a ;/40 � 12 1/2"x6• 1-Steel Hardware Kit 08-204 08-204 ` ! ]-Double Roman Coping Set 10.068 10.068 �2'-0.— 087085 �y,, 08-085 1-2'Radius Coping Corner Set 10-138 10-138 STERLING" 36'-4" 9� 72* 3-10'Straight Coping Sets 10-041 10.041 yaL 1 08-086 • 08-086 1-Vinyl liner TURNBucKLE 'toy 35' " 2'-0• • • R STEEL POOL PANEL 08-085 08-085 .. / / � r n DEADMAN 72" 72• b x 9 Radius Step-Remove 2 408.085)9 Radius x 12 Panels. PLATE 08-189 22'-0 1/2" Insert 1.6'x 9'Radius Step,2-(08r107)9'Radius x 191/2"Panels, PIECE FORMED 12 1/2•X6* s 06-199 1•(08.086)9'Radius x 35"Panel and 2 Braces. ONE ANGLE BRACE 3—1/Y 12 1/2•x6• 2' RAD- U a' e' a' U 4' 19 2' W. 8'x 9'Radius Step-Remove 2408-085)9'Radius x 72"Panels CONCRETE FOOTER and 1-(08-086)9'Radius x 35"Panel. Insert 1-8'x 9'Radius Step and 2408-112)9'Radius x 42"Panels. 2"POOL BASE Replace:3-8'Plain Panels and 1-(08.086) STAKE 9'Radius x 35"Panel with: 1-8'Skimmer Panel Optional Optional 8'Straight Step-Remove 2.8'Inlet Panels 08-010-5 08.010 2-(08-189)2290 121/2" —ao'—o 1/2" 1-9'Radius x 35"Light Panel 08-087 08.087 x 6"Reverse Panels '-3 1/4" 3'-3 1/4" g 2-(08-085)9'Radius x 72 " � �-6* e" VMD. Panels and 1-(08-086)9' 2•�o e' a' e' 4' Radius x 35"Panel. Insert 12 1/2'X8 cla—to7 1-8Step,2-3'Panels, 12 8-189X8 " 3'-4" 08-189 1-8' Step, 1/4" o -�12 19 oe/-2* 2-(08-175)7"Panels, 08-085 22 2-(08.030)6"Panels and r a 72" 9 @`e 36'-4" 2-Braces. I` 1; oa—°35• + t4,_1* 6' x 91W 6'Straight Step-Remove a 2•-0• x S1V 2-(08-189)2290 121/2" 08-065 °D x b"Reverse Panels, 72" 2-(08-085)9'Radius x 72" 08-189 22'--0 1/2• 022"112 , Panels and 1-(08-086) 12 1/2"x6• 3'-1/2" 08-189 08-1071 " 9'Radius x 35"Panel. 12 1/2"x6* Insert 1.6'Step,2-4'Panels, 2' e' a' 8' 4' 1s z'R►D. 2408-175)7"Panels, THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY 2•(08-030)6"Panels and Attention Deal, FWP makes only those representations which are staled in its written warranty. Any other 2-Braces. to pool owner one representations,statements,or contracts made by the dealer/controctor to the customer - regarding any materials produced by FWP are attri6utable to the dealer/contractor only. _ The dealer or contractor who sells or installs your pool is an independent contractor and is STERLING® BUILDING THE tVSPt TYPE I) not an aggent or employee of FWP. The construction methods illustrated here are suggestions o and ap ly only to normal round conditions,There may 6e additional precautions and/or FOLLOWING PI *Diagonals given to 90 amt of corners. m thud f tr „ 9 g _p e ,a pans"�an. The responsibility it the aan,ranar,. • - These di dimensions corn Iy with the National 5 P LS STERLING 9 Pd po and Pool Institute s esled or rnr u�c"s sr ouaury minimum standards for resi entiol pools. If diving boards or slides are to used L)FRONTIER 1.All vertical dimensions are from liner 1.Soil to have minimum bearing capacity of 2000 P.S.F. 3.Excavation shall be 2'larger than pool all around - with these n pools please consult the manufacturer's instruchons and the National Spa& [11A iB extrusions oall pools. 2.Locate top of pool at least 6"above surrounding Fill voids under base of panels and tamp well. Pool Institute's minimum standards prior to installing diving boards or slides on these F=FR O N T 1 = fz' 58 land elevation. 4.Backfill with non-expansive material. pools. For Information concerning NSPI minimum standards,write; Notional S & F=o o L s- JANUARY ... ... Pool Instituto,214:1 Eisenhower Avenue,Alexandria,VA 22314.703/838-0083 1999 NORT►y Town o _ EAndover No. Z/ 2=o - ire-8 7"40 dower, Mass., -�� DRATED - S. E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 11 0BUILDING INSPECTOR THIS CERTIFIES THAT.. ��0.... ...........q f�..r..�.1./1�,,r � Foundation has permission to erect...CP.. ..q.3 buildings on ..../ 913...& a ...... �...... Rough to be occupied as......� .N....G.. 'n. +. ........ .......to......n. ..,�.r....... . . .R ........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of thepplication on file in Final this office, and to the provisions of the Codes and By-Laws reg to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 'v *7� lati //O a3o PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR ........... Rough I..W4000 04 KA........... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Rough ,,ous 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. t r l� 1 0 12(e;Z7 l_ cU -r 89-7 ± .F L c) -r l . 62 Sz 99 l� O OF SLOPS 260011?, C /ENT c y (-150) X = /50 — _ STER�� DESIGN E-CLcMT/ON 47-. . . . ... . ,(7-OR OF STOS/OVALNE) _ .. -� EX/5T/NCS t MIT/ON 47 . . . . . . . . . 2EQU/,PLCO F/LL = ��Ey.4TioNs oEN/ IV A5301U- .45 45ZI//L 7- INV P/PE OUT Of 1,/005F-5 91,5-7 — INV PIPE INTO T4NK 91.o 1 — SUB —5Z1 F. CC /NV P/PE OUT OF 74NK I qo.-7(, 91. 44 INV P/PE INTO D. BOX 9 o•-7 INV. P/PE OUT OF D. Z S gd•s E) /N INV END OF PIPE 90'C° a 89' Z O IZ 7- H IV D 0 E7 CZ) aa,o6 e,-7.00 F02 ZA o Co GVd TE2 EZ E"!/,!T/ON � s v © 83.oa ,4VE2,46E .STONE j © 5C.4LE -6f0 • DATE: 12 - 19- 3 (, DEPT,/ 47 P,206E ;CAIE 5T/,4NSEN EN6/N, �IC'IN6J INC. NOTE.' T11/5 PZ.4N /S NOT ,4 W,,41ClP,4NTY /�¢ �ENOZQ <1l/E.� &4 k1,E A11Z-L, AU. OF THC SYSTEM BUT A 61,�-I2/F/Cd7-/0N OF Th/E LOCATION OF TJ/E EY/3T/N6 I i y- �= Sri y3,89� Mme' 3 a� S3 42 c' .go 4 y - -- - toT q (S- f?4 / 2- 1 a a 0\ �yAH OF 1 5 L OPF 2041# EUCN NTi H A (/50) X = I50 — _ . . . . . . . . .. . . . . . . . . . . . . . . . s S�ONAL D675161Y EL EVd 7-10N 47 . . . . ... . .(FOR OF STONE) _ .. . . . ... . . .. .. . . . . . . . .... .. .. EX/5TINC� EZDW-10N '.JT. . . . . . . . . 1?. UAleED 1--ILL = . . . . . .. . . . . .. .. . . . . . . . . ... .. . I fZiF1�.4T/ONS DE5/(�71V QS BU/LT ,LJS 45UIZ T /NV P/PE OUT OF 1-10U,5F' i /NV PIPE INTO TANK 91,01 a INV PIPE OUT OF T4NK 9091- 44 S jlsT�/�'/ INV PIPE INTO D. BOX ' 90 yL a //V //VV PIPE OUT OF D. BOX 90•Z S �b 5 v 90.00 O 69. 7- / \l O IZ ?� D UV E iz INV. END OF PIPE Cz, aa,06 p b719 �7, FOR �s.oa Z A GVd TE2 EL EV4 T/ON 983.00 081,00 5CAL E DATE.. ,4 VE2AC,E ,STONE DEPT// 4T P,'06E C��'/ST/.4NSEN ENS/N�"��'/NC, INC NOTE.- T1115 PL,4N /S iVOT ,4 W-41CIC4NTY //4 A-E/VOZ,4 �11/E.� &4VE�'A11Z-L, /YI,I. OF 7/1E 5Y57-EM BUT tl G'E1E/F/CQT/ON OF' THE LOCATION of TWE Er13T/1116 Town of North Andovero� No o*M � , Office of the Health Department o°G Community Development and Services Division i ~ 27 Charles Street North Andover,Massachusetts 01845 �SSgCNus�s Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 February 6,2002 i Mr.Scott Twadelle 193 Gray Street North Andover,MA 01845 Re: Application for inground pool proposed at 193 Gray Street,North Andover,MA Dear Mr.Twadelle: The Health Department has reviewed your application for an inground pool. The application was denied on February 6,2002 for the following reason: 1. X Missing information 2. Passing Title 5 inspection of septic system may be required 3. Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a �AA-F plan of exist:.,g and proposed addition (not applicable) b. Certified plot plan showing the house,septic system(including the reserve area),and the proposed project in scale. The plot plan must include associated grading,limit of work and any structures associated with the inground pool,such as a concrete patio or deck,pool shed and the necessary fence enclosure. If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincer Ian J.LaGrasse, Health Inspector Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 Commonwealth of Massachusetts Official Use Only � 0 Department of Fire Services Permit No. `. �. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and`Fee Checked [Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All xork to be performed in accordance«rith the Massachusetts Electrical Coo j(I A- '527C 2v�12.00 (PLEASE PRDVTINWKORTYPE ALL FOre TION) Date- �d City or Town of: � • n Vires: By this application the undersiped gives notic of his or her intewip \described blow. Location(Street&Number) Q 1 y / sn Owner or Tenant e � /' � \No. •,��� Owner's Address date••' JAR \ j Is this permit in conjunction Pr1�O(� \ate Boz) Purpose of Buildin- NOlovk Existing Ste` OF 0 is ass o * ilk dO�eS^ �n fres. r �� ►� '.`°••o..1. No. of L M�ss►��'O . ' No.of Lig ce �4 to4e b No. of Recel Ve�ov"Ne- i�a�r$�_ (? 'y �i3 Sec nes < •� No.of Switcht b 0tb '1 N� �`ea :rtl 4, r o ' 0 cvices No. of Ranges ' '' ( 1'' eP a Alerting Devices hNo. at `!• C7 ' 6��`d`�9 No. of Self-Contained o.of Waste Disp. .t. ��• a' �(J GP�pP Detection/Alerting Devices No.of Dishwashers # Connection`Local ❑ Municipal ❑ Other �' No.of Dcvcrs GrecK N?e -enc"es Kir 5ccunty ystcros: No.of DcN,ices or Eauivalent Ivo.of Water No.of Data wiring: Heaters r;�"Suns Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtub. No. of Motors Total HP Telecommunications WiringI No.of Devices or E uiv:tlent OTHER: Attach additional detail if desired, or as required by the Inspector of{Vires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalenL The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) �]// (Expiration Date) Estimated Value of Electrical Work-. ` 3y"� (When required by municipal policy.) Work to Start:5- 15•-0 1 Inspections to be requested in accordance-Mdi NEC Rule 10,and upon completion. I certify,under thepains and penalties of perjury,that the information an this application is true and complete FIRM NAME: ADT Security Services 111 Morse Street,Non4ad,MA 02062 LIC. NO.: 1533C Licensee: John S. Bassett Signatur LIC. NO.: 1533C a heoble,enter"arem t"in the licensenumber of PP • P / Bus.Tel. No.: - - t 1 Address: Alt.Tel.No.: 603-594-59 resi OWNER'S INSURANCE WAIVER: 1 am aware that the Liitensee does not have the liability insurance coverage normally ONLY required bi law. BNmy signature below, I hereb}•naive this requirement. 1 am the(check one)❑ owner ❑ owner's anent. Owner/Aacnt ad FORM - U - LOT RELEASE FORM INSTRUCTIONS: .This form is used to verify that all-necessary approval/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. OEM MEAN APPLICANT S4 a e I I PHONE ASSESSORS MAP NUMBER _LOT NUMBER _ SUBDIVISION LOT NUMBER STREET STREET NUMBER �.■.■.■...... ...■....... ..........■.......■■.......�..■■...............■.■ OFFICIAL USE ONLYC8 ...................................................... �J..``.......... ..... RECOMMENDATIONS OF TOWN AGENTS G' DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED � :7 I � Z CONB4ENTS ` I? G Gf DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS I i DATE APPROVED DAD INSPECTOR-HEALTH DATE REJECTED a- L-- s DATE APPROVED S C INSPECTOR-HEALTH DATE REJECTED �/ Z I t COMMENTS !Vy" T «f �� (13 o f pal.s .. f g--)ery e- Q\r CAN PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT ` DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE i ' ...r, T11 Conrnronrvealth ojMaS'sacliusetts Department of Industrial Accidents ' 0/Ilce of/nvestlgatlons 600 Washington Street Boston, Mass. 02111 Workers Compensation Insurance Affidavit Ms au; IFFIE] WUT)I Mi 15 JOB cIlSL iR l VU ) hone a /8 6<77 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. somran Y name• �A��iZ siddee S: phone No insurance Co. P �n r a � ❑ lain a sole proprietor,general contractor,or homeowner(circle one) and have hired the contactors listed below who have. the following workers' compensation polices: company name! address.. -- - _it a phone a• — Y; 'Potic N. - nsli'r�ince co . Y .comlLY'name• address• - �j phone a• -- Insurance co " . policy a e a,1549cssa Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cerci under ef ains anqen of perjury that the information provided above is true and correct Signature Date Print name ` Phone a -U'") u Q 1 official use only do not write in this area to be completed by city or town official city or town: permitAiccnsc N rinuilding Department ❑Licensing Board C3 cheek If immediate response is required ❑Selectmen's Office 011calth Department contact person• phone N. MOlher (mv6W M PJAI _ `• 1 i a �� IIOIIYIKlNKIMQ�[/� 6�a/['LQGdQ�ILUd�d BOARD OF BUILDING REGULATIONS t License: CONSTRUCTION SUPERVISOR Number. CS 032472 t: Birthdate: 03/07/1947 j' Expires:03/072002 Tr.no: 17784 a Restricted To: 00 WENDELL W HOLMES _ cI 23 DADANT DR WILMINGTON, MA 01887 Administrator I -----— ---------✓/ie 'C�amvixa�z�ue� a�✓�aclu�aelta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. Registration: 110127 j Expiration: 10/06/2002 • Type: INDIVIDUAL HOLMES POOLS WENDELL HOLMES 23 DADANT DR � � � WILMINGTON,MA 01680 Administrator I BILL OF 1 DT ' C T 6-8'Plain Panels 08-009-5 08-009 L 2-4'Plain Panels 08-016-5 08-016 -- - — —. 4-2'Radius Corners --. 08-141_ 08-141 _ �.- 2-18'Plain Panels 08-029-5 08-029 LE F- G " — SN �.. _ K- -- 3'-3 1/4• 4-2290121/2"x 6"Reverse Panels 08-189 08-189 SIZE A B C D E F G H J K L 19• 4-9'Radius x 72"Panels 08-085 08-085 20'2'x 40'1/2^ 20'2^ 40'1 2" 8' 3'4^ 15'1 2" 14' 6'b^ 4'6^ 4'6^ 11'2^ 4'8" t 4' 2'RAD. 2-9'Radius x 35"Panels 08-086 08-086 08-189 24-Braces 08-214 08-210 12 1/2 x6• 1-Steel Hardware Kit 08-204 08-104 E t 3s-a 3/a• 1-Double Roman Coping Set 10-068 10-068 r o } STERLING' FR ONT1= �-�5 1-2'Radius Coping Corner Set 10-138 10-138 PlM, lT� POOLS- I I gR 72• 3-1 Or Straight Coping Sets 10-041 10-041 =I ANGLE ADJUSTING 08-086 1-Vinyl Liner TURNBUCKLE I BRACKET (THREADED • OPTIONS — ROD STEEL POOL PANEL I I— STEEL POOL PANEL— I I 08-085 6'X 9'Radius Ste Remove 2-(08-085)9'Radius x 72"Panels. DEADMAN 1—T DEADMAN n• Insert 1-6'x 9'RadiuPStep,2408-107)9'Radius x 191/2"Panels, PLATE PLATE 08-189 ONE PIECE FORMED 1=111 TWO PIECE BOLTED I 3'-1/2• 12 1/2•X6• 1-(08-086)9'Radius x 35"Panel and 2 Braces. ANGLE BRACE �(I-11 ANGLE BRACE ' 4' 18 2' W. 8'X 9'Radius Step-Remove 2408-085)9'Radius x 72"Panels CONCRETE FOOTER m CONCRETE FOOTER I II and 1408-086)9'Radius x 35"Panel. Insert 1-8'x 9'Radius Step I I�1 I I and 2-(08-112)9'Radius x 42"Panels. z"POOL BASE —11 2"POOL BASE If STEEL PANEL • • FRONTIER Replace:3-8'Plain Panels and 1-(08-086) -IIS STAKES' STAKE 9'Radius x 35"Panel with: STEP OPTIONS • , ING LAYOUT 1-8'Skimmer Panel Optional Optional 8'Straight Step-Remove 2-8'Inlet Panels 08-010-5 08-010 2-(08-189)2290121/2" 3'-3 1/4• 1-9'Radius x 35"Light Panel 08-087 08-087 x 6"Reverse Panels, 2-(08-085)9'Radius x 72" 4' U1 8,,* 2'RAD. Panels and 1-(08-086)9' 08-189 Radius x 35"Panel. Insert i 12 1/2•X6• 08-t07 1-8'Step,2-3'Panels, •39'-1 1/4• 08.112 19 W2• 2-(08-115)7"Panels, / 42 35. 088 2-(08-030)6"Panels and 1-Braces. + 14 6' x 9'W 6'Straight Step-Remove X s� 2-(08-189)2190121/2" BIG x 6"Reverse Panels, 042 12 08-086 2-(08-085)9'Radius x 72" Panels and 1-(08-086) 3'-1/2• g 1/2 9'Radius x 35"Panel. 12 1/2-X6• Insert 1-6'Step,2-4'Panels, +' 18 2'RAD. • E 2408-175)1"Panels, THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY. 2-(08-030)6"Panels and Attention Dealer: It is your responsibility to see that the safety package provided by FWP is delivered FWP makes only those representations which are stated in its written warranty Any other 2-Broces. to pool owner and that the NO DIVING warning labels are properly installed. representations,statements,or contracts made by the dealer/contractor to the customer regarding any materials produced by FWP are attributable to the dealer/contractor only. The dealer or contractor who sells or installs your pool is an independent contractor and is STERLING® BUILDING THE ' 7�� , ® FORT WAYNE POOLS®,INC. NSPI TYPE 11 not on agent or employee of FWP The construction methods illustrated here are suggestions 6930 Gettysburg Pike and apply only ro normal round condifions.There may be additional precautions and/or c FOLLOWING POOL: methods of construction. The responsibility is the controctor's. PSL V ❑STERLING® FT WAYNE,IN 46804 USA These dig dimensions comply with the National Spa and Pool Institute suggested 01 r"r "i c"I s."///'c"���i s///i a = _� (219)432-8731 minimum standords for residential pools. If diving boards or slides are to be used u `"r ❑FRONTIER" — —_ ' =i,c. www.surffhepool.com j city of 2000 P.S.F. 3.Excavation shall be 2'larger than pool all around. with these pools please consult the manufacturers instructions and the National Spa& surrounding Fill voids under base of panels and tamp—11. Pool Institute's minimum standards prior to installing diving boards or slides on these F=F?o"T 1 = F? DATE TITLE „X 4011/2” DRAWING NUMBER 20 2 A.Backfill with non-expansive material. pools. For information concerning NSPI minimum standards,write: National S & P o o L—S- JANUARY , Pool Institute,2111 Eisenhower Avenue,Alexandria,VA 22314•703/838-0083 1999 DOUBLE ROMAN 2 RADIUS STL-058 COPYRIGHT 1999,FORT WAYNE POOLS®,INC. I US AREA: 7.35 SO. FT. PERIMETER: 1071 GALLONS: 28,444 B 201" X 4011/2" DOUBLE ROMAN 2' RADI BILL OF MATERIALS STERLING FRONTIER 6-8'Plain Panels 08-009-5 08-009 24 Plain Panels 08-016-5 08-016 4-2'Radius Corners 08-141 08-141 LEIF o -- 40'=0 1/2' 2=18'Plain Panels - _ 08-029-5 08-029 - 3'-3 1/43'-3 1/4' 4-229°121/2"x 6"Reverse Panels 08-189 08-189 SIZE A B C D 33'-6' 4-9'Radius x 72"Panels 08-085 08-085 1 2012"x 40'1/2" 2012" 40'1 2" 8' 3'4" 1. VFW. 8' 8' 8' 4' 18' 2'Fv►D 2-9'Radius x 35"Panels 08-086 08-086 3-4' 24-Braces 08-214 08-210 01/2*X 08-189 12 1/2.x6. 1 Steel Hardware Kit 08 204 08 204 1 ' ADJUSTABLE TURNBUCKLE BRACE 2 1/2'x6• •35'-8 3/4' 2'-a' 1-Double Roman Coping Set 10-068LIO-0]41 STERLING" 08-085 08-085 1-2'Radius Coping Corner Set 10-1381P�L S 72' °:� 3s'-4• e� 72' 3-10'Straight Coping Sets 10-041 9R 08-086 1-Vinyl Liner TURNBUCKLE cl 08-086 — N35' • • 2'-0• STEEL POOL PANEL 1-11vil 08-085 08-085 DEADMAE72' 6'x 9'Radius Step-Remove 2-(08-085)9'Radius x 72"Panels. PLATE 22'-0 1/2' 72' Insert 1-6'x 9'Radius Step,2-(08-107)9'Radius x 191/2"Panels, ONE PIECE FORMED 08-186 08-189 1-(08-086)9'Radius x 35"Panel and 2 Braces. ANGLE BRACE 12 1/2'X6• 3'-1/2' 12 1/2•X6• I 8'x 9'Radius Ste Remove 2-(08-085)9'Radius x 72"Panels CONCRETE FOOTER — 2' W. 8' a' e' 4' 18 2' W. and 1-(08-086)9'Radius x 35"Panel. Insert 1-8'x 9'Radius Step and 2-(08-112)9'Radius x 42"Panels. 2°POOL BASE STEEL PANEL OPTIONS STERLING FRONTIER Replace:3-8'Plain Panels and 1-(08-086) I STAKE' 9'Radius x 35"Panel with: STRAIGHT STEP OPTIONS COPING LAYOUT 1-8'Skimmer Panel Optional Optional 8'Straight Step-Remove 2-8'Inlet Panels 08-010-5 08-010 2-(08-189)229°121/2 40'-0 1/2' 1-9'Radius x 35"Light Panel 08-087 08-087 x 6"Reverse Panels, 3'-3 1/4' 3'-3 1/4' 2-(08-085)9'Radius x 72" 33'-6• Panels and 1-(08-086)9' e' s' s' 4' 18• 2�D' Radius x 35"Panel. Insert 2�D' .3-_4, 08-189 1-8'Step,2-3'Panels, 08-18912 1/2'x6' 08-107 2-(08-175)7"Panels, 12 1/2'X6• •39'-1 1/4' 19 1 2' 042 12 01 obs 2-(08-030)6"Panels and 08-085 35' 2-Braces. I 72' 9' sus' 36'-4' 2 6'Straight Step-Remove 1 08-086 R ca 14._1. im s X 9'W 2-(08-189)229°121/2" � 2--o• " s1 x 6"Reverse Panels, oe-oe5 00 2-(08-085)9'Radius x 72" 72 08— oe-086 Panels and 1 (08 086) 08—1 22'—° 1/2• 2112. o8-107 9'Radius x 35"Panel. 12 1/2'x63'-1/2' o8-186 19 1/2• Insert 1-6'Step,24'Panels, 12 1/2•X6• 2' RAD. 8 8• U8' 11 4' 18 2'W. ADDITIONAL NOTES 1 2-(08-175)7"Panels, THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY. 2408-030)6"Panels and Attention Dealer: it is your resp FWP makes only those representations which are stated in its written warranty. Any other 2-Braces. to pool owner and tho•the NO DIVI representations,statements,or contracts made by tf,e dealer/contractor to the customer regardi g any materials produced by FWP are attributable to the dealer/contractor only.'s The dealer or contractor who selis or installs your pool is an independent contractor and ® BUILDING THE not an a ent or employee round FWP. The construction methods illustrated here ore suggestions STERLING *Diagonals given to 90°point of corners. NSPI TYPE 11 m�°«s f to n.'TheresponsbIityis hecontraaoaddifional precautions and/or s. T�T (� FOLLOWING POOL - These diGENERAL NOTES EXCAVATION NOTESg dimensions comp) with the National Spa and Pool Institute sug eaed , L�\J ❑STERLING — y g " FRONTIER _ minimum standards For residential pools. IF diving boards or slides are to be used 1.All vertical dimensions are From liner 1.Soil to have minimum bearing capacity of 2000 P.S.F. 3.Excavation shall be 2'larger than pool all around. with these pools please consult the manufacturers instructions and the National Spa& DATE TITLE extrusions on all pools. 2.Locate top of pool at least 6'above surrounding Fill voids under base of panels and tamp well. Pool Institute's minimum standards prior to installing diving boards or slides on these F f? O N T I - f? JANUARY Z( 58 land elevation. A.Backfill with non-expansive material. pools. For information concerning NSPI minimum standards,write: National Spa 8 P o o L S" 1 UA DOW Pool Institute,2111 Eisenhower Avenue,Alexandria,VA 22314•703/838-0083 777 >r�r k • �~ N � I r TOWN OF NORTH ANDOVER j BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -nbI for OfIC181E U$��lil v BUILDING PERMIT NUMBER: DATE ISSUED: IT SIGNATURE: -Building Commissioner/I for of Buildings Date SECTION I-SITE INFORMATION I 0 1.1 Property.Address: 1.2 Assessors Map and Parcel Number: -/o Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ��i`7 X43 Zoning District Proposed Use Lot Ard(so Frontage(fl) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Re 'red Provided 1ID 1.7 Water Supply M.G.L.C.4D. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 Zone Outside Flood Zooe 0 Municipal 0 On Site Disposal System E SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of' Record `�,"•�. Name(Print)/ Address for Servi Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Co struction Supervisor Not Applicable ❑ Licensed co strut ton Supervisor: r� License Number Ad ss b1 D 7 ' Expiration atr 6 Signature Telephone T r 3.2 Register d Home Improvement Contractor Not Applicable 0 v Companv Name `1 6-1 1\1 rn Registration Number Ad css i k0 RV Expiration a Signature Telephone SECTION 4 -WORKERS COMPENSATION(M.,G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ......) No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition 0 Other V Specify Brief Description of Proposed Work: SECTION 6 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be R" 1 -1F ' OFFICIAL IISE�ONLY n t a Completed by permit applicant k a N i 1. Building (a) Building Permit Fee I1,, 000 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, Ct�_r,�`�p�1�p , as Owner/Authorized Agent of subject property Hereby authorize to act on My beh I.a�natte r ve to work authorized by this building pennit application. Si nature of Ov ier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief L—rma.m.efE/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 ST2ND 3RD SPAN DIIv1ENSIONS OF SILLS DENIENSIONS OF POSTS DLENIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CJ-UN EY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE, I Location No. Date k NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ,C Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Z Sewer Connection Fee $ ter Connection Fee $ lvo\\eTOTAL Building Inspector/ i Div. Public Works r C, PERMIT NO. F 2-' / APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 440. LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE If ZONE I SUB DIV. LOT NO. �- LOCATION Al PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE � ,� OWNER'S ADDRESS 'LQ2 /� �r BASEMENT OR SLAB /O 'HJT ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1STZ<IZ 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET •' " POSTS T' •�� i DISTANCE FROM LOT LINES —SIDES les—/ REAR GIRDERS T' AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION ��7� THICKNESS IS BUILDING NEW SIZE OF FOOTING // X IS BUILDING ADDITION //� MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4. APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS f PLAS MUST BE FILED AND APPRO ED BY BUILDING INSPECTOR DATE FIL BOARD OF HEALTH TURE OF OWN- OR AUTHORIZE AGENT PLANNING BOARD PERMIT RAN D 2219 rn ��( - NA BOARD OF SELECTMEN 2 W2f t� �' BUILD CTOR BUILDING RECORD 1 OCCUPANCY 12 r SINGLE FAMILY I XfSTORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d I 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D ✓ _ PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/. 1/1 '/ FIN. ATTIC AREA _ N_O B M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 , DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR . li ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) y� GAMBREL MANSARD TOILET RM. (2 FIX.( I FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES - TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G y UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC * ' lsi 13rd 11 NO HEATING ��' - } f t 4 Z �f Location 19-3 (5 q No. 2— D ate t Y TOWN OF NORTH ANDOVER ?per 'ihpp %4 p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ,ssACNU3E , Other Permit Fee $ -Z,S'. u4 4 Sewer Connection Fee $ Water Connectio ee $ TOTAL $ Building Inspector I } 5 1 2 7 Div. Public Works 4 't. r ._ SEWERMATER - — . ®FINAL PLAN PRI � ������� �����'�� � ,� � � L u �f� �__v___-� ���� n� )k NORTiy own o 6 °L n Over DRIVE K er, as C HEWICK R P W IF, PRI q E BOARD OF HEALTH PERMIT L 0k 1 THIS CERTIFIES THAT .. ' g .•�.•••�� •. BUILDING INSPECTOR , has permission to erect .. le ..... buildings on ... .... Rough Chimney tobe occupied as........... .�. ... ........................................ :. Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids t Perm' u PERMIT EXPIRES 6 �I O N T H S ELECTRICAL INSPECTOR UNLESS CONS , Rough RUC Service R. Final a p' BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy_ Building - Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No ` Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector FORM U ` TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION . ASSESSORS MAP SUBDIVISION LOT(S) PERMANEN ADDRESS ASSIGNED BY D.P.W. STREET g-3 -APPLICANT �%��,e� ,4, /�- PRUNE DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION: COMMISSION DATE APPROVED CONSERVATION ADMIN. DATE REJECTED BOARD OF HEALTH DATI: APPROVED HEALTH SANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. I RECEIVED BY BUILDING INSPECTION DATE i This form shall be signed by the agents of the Planning and Ilcalth Boards, the Conservation Commission prior to the issuance of any building perml.ts for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. i Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE JOB LOCATION ��- Number Stre94 Address Section of town :'HOMEOWNER" C ho ! .S�� 8g - �S/� Cv/ �- 23 T Name Home Phone Work Phone PRESENT MAILING ADDRESS I City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code , Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , . ,that he/she shall be responsible for all such work performed under the building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department nimum inspection procedures and requirements and that he/she w " co ply with said procedures and requirements . HOMEOWNER' S SIGNATURE APPROVAL OF BUILDING OFFI I Note : Three family dwellings 35 , 000 cubic feet , or la er , will be required to comply with State Building Code Section 1 . 0, Construction Control . I 7 /o% T�-'✓G� B�F.�� Sr�i�s B9 y ;�-Q�c� G'.y,,,�., �,ee�•.�..� 7 _ EZ f%7 �l "x �� loel w ivc sT ooQ L�rriGE 8�7��-J e-07 OL.d 7 , �/ 8.4.5 � 7— � X02 •�r�rr S„ ,� �� F O sy -S-:O % s_ p . /-7d ��/Ni.✓y ��On7 Q r' s. o - a - AZ r _ /Z �G- C, • - �� 40 � � M COST _ L3�,yY,.� FNt� ✓o�� T 2ic�2" i w , ---- � t I� t � I i �� i+ 1 I� ill 1 1 I' 1 I I I I AK n O T r N- 43,59 ` F •S - � i 0 s'• r 4 r0 T mac,14- /• rz vn(a ,42' 2.. 4Y ST • Q JV � t Z"Y(- )2-'3l4/. it s�ooE �favi2��ENT � , . � : � R • � DES/CiN ECEI/.4T/ON AT. . .. . (TOP OF STONE) _ EX/STING ant, 71'ON F/LL .. .. ...... . *4u5 48111ZT . , � DES/�N ,4S C3U/CT /Nl!P/PE OUT OF 1-10U,5E 91,57 -- /NV P/PE /NTO TANK9110/ -- SUB -SD/SPOS4�L /NVP/PE OUT OF TANK qo•-7 `� •.4 4 s j/S /NV /O/PE /N70 D. BOY ?o.4Z -Io•'7(., //VV P/PE OUT OF D BOX 90.2s /N /NV END OF P/PE ' CO 9o.00 O 9. Z nIOJZT N /4 IvD ovE:P, MA . d 8a.00 ' Q O'1A'f• ao-7-oo Qbto,64 , F02. t s.00 L A A/d TEc EL C 4 TION "OC) ,4VE2,44E STONE (E> ei.00 SCALE: l #4) ,- DATE: /2- /9- 86 oEPrw ,4T P,eosE C//,e/ST/.4NSEN ENC'1MN M/N6, INC. NOTE TN/5 PL 4N /S NOT .4 41,4,ele.4NrY 114 XENOZ.4 ,4;/E., 11,4114Cellll-G, hf.4. OF 71-/E SYSTEM BUT Q Xtr,&F/C.4T/ON OF T11E L OCAT/ON OF 711E EY1.5 T/NCS . � ST�PUCTU2�'S: 4139Date.. i H°RTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING VSs^CHU i This certifies that " p�...... !fr.�.............�� . ................................... has permission to perform .........1 I ..................................................................... wiring in the building of..,..�C.... U ...........-rw!4......... L�.'........................... I cr3 G s�-- at...........................�. ............................................. ,N rth Andover,Mass. c -9�D J:..)Y4I, Fee....... ...:,?....... Lic.No.R.....��...�............ .....�. ....... ELECTRIC INSPECTOR Check # 3,L( c)—,—.-, The Commonwealth of Massachusetts 1e USe Only oral[ N0. Department of Public Safety -.`1'- (•:;._ L,cupancys Fee Checked —1 BOARD.OF.+FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 0.ea" blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be petiormed In accordance with the Ma"achusens Electrical Code. 527 CP'R 12.00 (PLEASE PRINT IN INF, OR TYPE ALL INFORliLTION) Date City or Town of— �&AV To the Inspector of Wires: The undersigned applies for a permit to perform the electrical Work described below. Location (Street & Number) 0-ner or Tenant Owner's Address Is this.permit in conjunction with uiiding permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and pmpacity. Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total I.'VA No. of Lighting Fixtures Swimmin Pool Above In- g grnd. ❑ grnd. ❑ lGenerators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No, of Gas Burners FIRE A1JkKlS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons . Initiating Devices No. of Disposals No. of Heat Total Total No. of Sounding Devices PUMDS Tons KW No. of Dishwashers Space/Area Heating YW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local ❑ Municipal ❑Other Connec-i.on No. of (dater Heaters la' No, of No. of Low Voltage Sizns Ballasts Wirins* No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURAN97. COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have'a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO F1 I have submitted valid proof of same to this office. YES[-J NO If you liave checked YES, please indicate the type of coverage by checking the appropriate b//ox. / INSURANCE EJ BOND ❑ OTHER E] (Please Specify)r�-��lOY) 1 ✓1 � b 6 a-- Estimated Value of Electrical Work $ '� - expiration Date) Work to Start Inspection Date Requested: Rough `, Final Signed under ithe penalties of perjury: EIitM NA.^IE (ALA42,P �C�SECT�4 C44-C CO nT IyA C- LIC. NO.416KO Licensee<T0,5F—M G2 AeA4�-eP Signature LIC. NO.� Address 'bWISfZkTp D T`��k�s.Bc�j � ,.,c� 1��-� Bus. Tel. No. t�t Alt. Tel. No. �c�fl�-�,z OWNER S INS UNCE WAIVER w i r - U I an aware that the Licensee does no have the insurance coverage or its sub - 9 equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one)