HomeMy WebLinkAboutMiscellaneous - 193 MAIN STREET 4/30/2018 193 MAIN STREET
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
lZ T� N1I 6 ot/2
Mass. Date z T." .2 5, 9 c1____�___._
City (�
Town Permit
Building S�'7 h�fC,�1.gFLS" t��oR�N Owner 's-
y
AT: Location_ 9,3 lW411v , J'i. _ Name
Lrr� ///A0.4 LUG1.4i? G/iFJ?- _ 7/0, 6,LO "1/ Type of Occupancy: C/, UA?C/l
New � Renovation Replacement [1
Plans Submitted Yes [] No
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S ural—tSYT.
BASEMENT
1ST FLOOR
=NO FLOOR
SRO FLOOR
aTH FLOOR
GYM FLOOR
•TH FLOOR
7TH FLOOR
STN FLOOR 1--VLL1]Ht I I I
(Print or Type)
Installing �Qm{�an�t,tNa e _ �_ ,���f—
Check One: Certificate
17U11ey 1'lulY Ing �' r--- - -�
ED Corp. (f
Address 25 McBride Street 0 Partnership
Q Firm/Company
Business Telephone �/TC,,2V-,)7GQ _ Name of Licensed Plumber or Gasfitter
f A s PiP/ � % ljG/!EI? //isra�l�o 13y 1`7NtPP C R 4 R o
1 hereby certify that all of the details and information l have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under Permit iuwa! W this applicaton w1d be in eotnplieQ"rtith am/r U""
Pa"Me Of tape MINA "14 State G s Cuda end Cbspla 141 of the General haws.
by TYPE LICENSE:
Plumber
Title Gasfitter Signature of Licensed
[City/Town: Masker Plumber or Gasfitter
Journeyman __ 7,'G 7
AIS' WVW tamcs usa ONLY) License Number
k
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKLTC11ES PROGRESS INSPECTION
FEE
No. s
APPLICATION FOR PERMIT TO DO GASFITTING
v NAME E TYPE OF BUILDINW
4
LOCATION OFBUILDING
PLUMBER OR QASFITTER
'- (a r`R 4)Z NvR �E
UZ N0.- /)I./�. # 7,?a 7
Hurley Plumbing &. Healing CO. Inc.
25 McBride Street
_Jamaica Plain, MA 02130
PERMIT QRAXTED,
DATN' 1 f
' a"I KsP9CTON
Date. . . . . . . . . . . . . . . f . . .
OFNORTH TOWN OF NORTH ANDOVER
��eo ,^1tiO
3� 5�
O PERMIT FOR GAS INSTALLATION
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This certifies that . . . . . :. . : . . . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . ..
. . . . .
at . . . . . . . c . : . . . . . . . . . . . . . . . . . . .. North Andover, Mass.
Fee. :. . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: Fi'
Location Z9 —R- —
No. s Date 5
A
_ a
NORr►, TOWN OF NORTH ANDOVER,
fit•"1O �,�� t
Certificate of Occupancy $
• > ; ; Building/Frame Permit Fee $
s E Foundation Permit Fee $
J�cHus _
Other Permit Fee $
Sewer Connection Fee $
M
CU
Water Connection Fee $
s�-
TOTAL $ �Z
(9�Y
�►& /*,z:- aQ Building Inspector
7 4 A O Div. Public Works
PF� �i •- APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MA"4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE
ZCSINE SUB DIV. LOT NO. -I
kOCATION 7�%3 � URPOSE OF BUILDING /// z, )ii �a
ou
taWNER'S NAME ` NO. OF STORIES bT/I�SIZE
OWNER'S ADDRESS ! BASEME R SLAB
ARCHITECT'S NAME y,` SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAMEC` / SPAN 1717
DISTANCE TO NEAREST BUILDING Com'/ DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES-SIDES //Vf t\ REAR GIRDERS
AREA OF LOT UUJJ JJ FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW o SIZE OF FOOTING X
IS BUILDING ADDITIONA /®.,pp MATERIAL OF CHIMNEY
IS BUILDING ALTERATION Cs IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ZQ f IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANYWAv 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 .gIl
PAGE 1 FILL OUT SECTIONS I - 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
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
Dyt•E FILED '� �• �
/ BOARD OF HEALTH
SIGNATURE Ola OWNER OR AUTHORIZED
FEE •
Q v PLANNING BOARD
PERMIT GRANTED OWNER TEL. --��- �.Lt?
G! S
19 f CONTR.LIC. v7r2.77
BOARD OF SELECTMEN
BUILDING INSPECTOR
BU LDING RECORD '
t
•i " 1 OCCUPANCY 1,2
INGLE FAMILY .Si DRIES !
MULTI. FAMILY 7 T IS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
OFFICES. OT•.LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS 1 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTR,itiCTION
2 FOUNDATION 8 `€INTERIOR FINISH -k
CONCRETE B I 2 13 - „/ ,�, -•'`
-,CONCRETE 'BL K. I PINE _ _ 4. .. y ��`••�..
BRICK OR STONE ""` HARDWDr-
PIERS PLASTER
_ DRY WALL
3 BASEMENT .. -
AREA FULL FIN. B M ARE/4- '{� ,•s+"'`
'/,,r. 1/2 °/ FIN. ATTIC AREA II '"'.,y _
NO B M T FIRE PLACES'` +-r..,,,,!•- -. ._.-
HEAD ROOM _ MODERN KITCHEN _ +°.�~ • ""`
4 WALLS 19 FLOORS -�...-- ^'•"'"�+�•j�
CLAPBOARDS 1 2 3 ''
DROP SIDING CONCRETE- r~' `
WOOD SHINGLES EARTH. � r�tl �
ASPHALT SIDING HARDI'J D C i
ASBESTOS SIDING COMMCN,- -
VERT. SIDING ASPHT_TILEmook
- -
STUCCO ON MASONRY .. _
STUCCO ON FRAME
F• BRICK ON MASONRY ATTIC STRS. 8 FLOOR
'BRICK.ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRYWIRING
STONE ON FRAME ••` .,
SUPERIOR PCK2R
ADEQUATE ..1 NONE } �,,,-..m-•••^+, 1i
5i 1 10 -. PLUMBINGt` g
GABLE HIP BATH L3 FIX.) —•
GAMBREL MANSARD T IL6T 012 FIX.)) }
FLAT SHED ATERi CLOSET _� /Cf . >, •'
jASPHALT SHINGLES LAVAT(jRY
WOOD SHINGES 'KIT EN SINK
V
SLATE NO PLUMBING
TAR 8 GRAVEL .' STALL SHOWER ♦�{,(�J�1G
1
ROLL ROOFING MODERN, FIXTURES _.q ` - _ t14
TILE FL60R
TILE DAOO
1
6 FRAMING I 11 ,4 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN. ��(}L)i
TIMBER BMS. &COLS. STEAM Q
STEEL BMS. & COLS. HOT W'T'R OR VAPOR \T��� e
-..41COOD RAFTERS AIR CONDITIONING - •``fr ,
RADIANT H'T'G '
s UNIT HEATERS
GAS
� N OIL a
1st 3rd' NO HEATING
T NORThj
Town of , _� �or JAndover
� �
No. 285
o �Norti;� dower, Mass.,
—/
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'9S 1L' ��: BOARD OF HEALTH
AL
PERMIT T D Food/Kitchen
Septic System
41 BUILDING INSPECTOR
THIS CERTIFIES THAT...................... ......Nl.%^' elm
%... ..................................................... Foundation
11
has permission to emet...."OtCR................ buildings on .....1.9.3... .�ta...�� � .................... g
• Rough
to be occupied as.........................�-Vv". CC ...... C��,R.T. r................................
.....
....... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough '
,I
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION , ARTS
Rough
i
................ ......... ...... ................................ .................................... Service
BUILDING INSPECTOR
Finals
Occupancy Permit Required to Occupy Building,� � PiRiO
q � Bg GAS INSPECTOR
Rou
Display in a Conspicuous Place on the Premises — Do Not Remove Finagh
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner �
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
S
ST. MICHAEL CHURCH
193 MAIN STREET
NORTH ANDOVER, MA. 01.845
PRG_r2US_ED..._REiN.O'JA.T.,ONS......-0 B
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ALL CONSTRUCTION TO CONFORM TO THE MASSACHUSETTS STATE BUILDING
CODE (780 CMR) 5TH EDITION AND ALL OTHER LOCAL,STATE,FEDERAL
CODES,LAWS,ORDINANCES,ETC. HAVING JURISDICTION OVER SAID WORK .
ALL RAMPS,RAILINGS,PARKING FACILITIES,TOILET
rAG."iTiES,DOORS,£TC. SHALL CONFORM TO MASSACHUSETTS BARRIERS
BOARD AND ADA SPECIFICATIONS. REFERENCE ATTACHED SHEETS .
FIRE ALARM SYSTEM SHALL CONFORM TO LOCAL JURISDICTIONAL
REQUIREMENTS.
ILLUMINATED SELF CONTAINED BATTERY OPERATED EXIT DEVICES SIGNS
SHALL BE INSTALLED AT ALL BASEMENT LEVEL EGRESS DOORS. ALL EXIT
DEVICES SHALL BE ACTIVATED UPON LOSS OF POWER AT ANY LOCATION
WITHIN THE AFFECTED EGRESS AREA.
ALL DOORS REQUIRING HANDICAPPED ACCESS SHALL BE MINIMUM 31-4-
WIDTH WITH ADA COMPLIANT LEVER TYPE HARDWARE.
HVAC SYSTEM RETURN AIR ROUTING SYSTEM SHALL BE INSTALLED IN
COMPLIANCE WITH THE LATEST EDITION OF THE BOCA NATIONAL
MECHANICAL CODE.
4 521 CMR: ARCHITECTURAL BARRIERS BOARD
23 PARKING LOTS, GARAGES
23.1 Any person who has lawful control of improved or enclosed
private property, used as an off-street parking area for
businesses, auditoriums, sporting or recreational facilities, or
cultural centers, where the public has the right of access as
invitees or licensees, shall cause such parking areas to conform
to these Regulations if the parking are has fifteen (15) or more
parking spaces.
--.� 23.2 Specially designated parking spaces for the physically handicapped
shall be the closest located spaces in the lot to the accessible en-
trance(s). Where the designated parking .space cannot be located
within two-hundred (200) feet of the accessible entrance(s), an ac-
cessible drop-off area shall be provided within one-hundred (100) feet
of such entrance(s).
23.3 In multi-level garages where no elevator is provided, such spaces
shall be located near the accessible entrance.
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521 CNIR - ;1
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521 CMR: ARCHITECTURAL BARRIERS BOARD
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23.4 Number: Such spaces shall be provided as follows:
Total Spaces Required spaces
15 - 25 1 space
25 - 40 5% but not less than 2 spaces
41 - 100 4% but not less than 3 spaces
101 - 200 3% but not less than 4 spaces
201 - 500 2% but not less than 6 spaces
501 - 1,000 1.5% but not less than 10 spaces
11001 - 2,000 1% but not less than 15 spaces
2,001 - 5,000 .75% but not less than 20 spaces
5,001 - .50% but not less than 30 spaces
j >23.5 Width: -Such parking spaces which are perpendicular or diagonal to
! the parking roadway shall be twelve (12) feet wide. Spaces shall allow
Persons in wheelchairs to enter or leave an automobile on a uniform
surface suitable for wheeling and walking.
Alternative: Two eight (8) foot spaces, separated• by a four (4) foot
center aisle, which is painted or striped yellow.
23.6 Sidewalks: Where sidewalks are provided at such parking spaces, a
curb cut (sidewalk ramp) shall be installed at each specialty designated
Space or pair of spaces, so that the handicapped persons are not
required to enter the stream of traffic to attain access to sidewalks.
If the alternative described in Section 23.5 is used, the curb cuts
shall be installed where the center aisle meets the sidewalk.
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7/10/87 521 CMR - •i:
521 CMR: ARCMTECTURAL BARRIERS BOARD
4
25.1 All vamps shall comply with the following:
--_ 25.2 Slope of ramps shall not exceed one-in-twelve (1:12).
25.3 Width of ramps shall not be less than forty-eight (48) inches minimum
clearance, measured at the railings.
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ELEVATION
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12/31/86 521 CMR - 46
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521 CMR: ARCHITECTURAL. BARRIERS BOARD
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25.4 Handrails shall be set on both sides of ramps in pairs, one at a height
of thirty-four (34) inches, and a lower one at a height of nineteen
(19) inches, measured vertically from the surface of the ramp. Hand-
rails shall extend at least twelve (12) inches beyond the top and
bottom of the ramp, but need not so extend if it would cause a safety
j hazard. The handgrip ortion of the handrails shall not be less than
1 one and one-quarter (1 1/4) inches nor more than two (2) inches in
outside diameter, shall be round or oval in cross-section, and shall
have a smooth surface with no sharp corners. A clearance of one an.+
one -half (1 1/2) inches shall exist between a wall and the wall rail.
25.5 Ramps shall have a surface that is non-slip and shall not be carpeted
except with carpeting specified as high density, low pile, non-ab-
sorbant, stretched tautly, securely anchored, and without padding.
Carpet ending in the path of travel must be secured with an edging
strip no higher than three-eighths (3/8) of an inch.
in
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12/31/86 521 CMR - 47
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521 CMR: ARCHITECTURAL BARRIERS BOARD
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25.6 Each Ramp shall have level platforms for turning and resting, which
shall be forty-eight (48) inches minimum, unobsVucted by door swings
entrances, or other projections. Such platforms shall occur at inter-
vals not exceeding thirty-two (32) feet, wherever a ramp changes
direction, and at top and bottom of ramp.
25.7 Circular ramps are not acceptable, except with the approval of this
Board.
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12/31/86 521 CMR - 48 i
521 CMR: ARCI IITi:CTURAL BARRIERS BOARD
ENTRANCES 26
26.1 The.primary public entrance(s) of a building shall be accessible by
persons in wheelchairs.
•� 26.2 The approach to such entrance(s) shall be a paved walk or ramp with
a non-slip surface, uninterrupted by steps; and such entrance(s)
t shall have a level space sixty (60) inches from the door, on the interior
and exterior of the entrance doors. Eighteen. (18) inches clear floor
area shall also be provided on the latch, pull side of the.doors.
26.3 Vestibules: Between an two hinged Y g or pivoted doors, there shall be
a minimum of forty-eight (48) inches plus the width of any door swing- -
ing into the space.
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12/31/86 521 CMR - 49
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521 CMR: ARCI II'i•PCTURAI. BARRIERS BOARD
DOORS, DOORWAYS 27
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27.1 All doors and doorways provided as a means of egress shall comply
with the following:
27.2 Doors to all public areas shall have a minimum width of thirty-six (36)
inches. Pivoted and balanced hardware doors and other non-hinged
doors shall provide a minimum clear opening of not less than thir-
ty-four (34) inches, measured at ninety (90) degrees. _ ��_
--� 27.3 At least one door of a pair of doors shall have a minimum width of
thirty-six
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thirty-six (36) inches, or shall provide a minimum clear opening of not `!
less than thirty-four (34) inches, measured at ninety (90) degrees.
27.4 There shall be a level clear floor area provided, beyond the latch, pull
side of the door, doorway or gate, a minimum of eighteen (18) inches
and preferably twenty-four (24) inches.
�. 27.5 Doors shall have a closing speed of not less than six (6) seconds.
27.6 Maximum pressure applied to the latch area to open exterior doors
shall not exceed fifteen (15) pounds. Interior doors which have a
self=dosing feature shall require pressure not to exceed Fp—ounds.
Doors requiring greater force shall be equipped with compensating
devices to reduce the operating force, or shall be equipped with
automatic opening devices.
—� 27.7 Exterior thresholds shall not exceed one-half (1/2) inch in height,
beveled on both sides. Interior thresholds shall be flush with the
floor. Changes in floor finish materials may require an edge strip or
threshold flush with the higher material and beveled at a ratio of one-
in-four (1:4).
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12/31/86 521 CMR - 51
521 CMR: A1tl:I ii l 1:G I'tIItAL BARR1E1tS I1QARD
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--- > 27.8 The floor inside and outside of each doorway shall be level for a
distance of sixty (60) inches from the door. j
_;�P 27.9 Height: Hand-operated door-opening hardware shall be located thir-
ty-six (36) inches to forty-two (42) inches above the floor. When
hardware is provided or changed on doors in the means of egress,
levers, push plates, pull bars, panic hardware, etc., but not conven-
tionally operating door knobs or thumb latch pull devices, shall be i
used. All door hardware shall be operable with a closed fist.
• I
27.10 Where there is a revolving door, there shall be an adjacent accessible
door. When the revolving doors are unlocked, the adjacent accessible i
door shall be unlocked.
27.11 Doors in the means of egress shall be operable with one (1) hand and
with a single effort. Doors in the paths of ingress shall be able .to
be unlocked and opened with one (1) hand.
27.12 Doors opening into hazardous areas shall have door-opening hardware
which is knurled or has a roughened surface to give tactile warning to
the visually handicapped. Hazardous areas shall include loading
platforms, boiler rooms, electrical equipment rooms, etc.
27.13 All doors in elderly housing or in buildings which are predominantly
used to house elderly persons shall comply with this Section.
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12/31/86 521 Cbilt - 52
` 521 CNIR: ARCH u l ECTIJRAL BARRIERS BOARD `
PUBLIC TOILET ROOMS 30
30.1 In each toilet room at least one water closet and one lavatory shall be
accessible to persons in wheelchairs, or an accessible private lavatory,
usable by either sex, shall be provided.
30.2 Where vestibules are provided, they shall comply with Section 26.3.
30.3 A minimum clear space of sixty (60) inches in diameter measured
twelve (12) inches above the floor (to permit turning of a wheelchair
without coming into contact with any fixtures or plumbing), shall
be provided in each toilet room.
—� 30.4 One lavatory or sink shall be wall-mounted without legs or pedestal at
a height of thirty-two (32) inches to the top of the rim or counter,
and shall extend at least twenty-two (22) inches from the wall; or
may be a counter type with clear open knee space of thirty (30)
inches in width and at least twenty-seven (27) inches in height to the
bottom of the counter. Exposed drain pipes and hot water pipes shall
be recessed, insulated or guarded.
Knob type faucets are not allowed, and spring activated faucets are
allowed only if water-running time is at least ten (10) seconds.
Lever handle faucets are preferred. Such faucets shall be operable
with a closed fist.
30.5 Toilet stalls: Each toilet room shall have at least one (1) stall which:
30.5.1 is sixty (60) inches wide and seventy-two (72) inches deep;
30.5.2 has a door or opening that is thirty-six (36) inches wide,.
swings out or slides, and has an automatic self-closing hinge
device and a pull device to assist in closing the door, provides
eighteen (18) inches of clear space on the latch pull side of
the door, and has a lock located approximately thirty-six (36)
inches above the floor. A coat hook shall be provided at a
maximum height of fifty-four (54) inches above the floor;
30.5.3 locates the water closet eighteen (18) inches from the cen-
terline of the fixture to the nearest side wall; maintains at
least forty-two (42) inches clear space, measured from cen-
terline of water closet to the farthest wall or other fixture; has
a narrow understructure that recedes sharply; and has a seat
seventeen (17) to nineteen (19) inches above the floor, to the
top of the seat;
12/31/8G 521 CMR - 55
511 0411: ARCIi)7[:(;rt ItA% HA11RIEltS BOARD i •
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-� 30.5.4 has two (2) grab bars forty-two (42) inches long, one on the
wall in back of the water closet and one on the side wall closest
to +the water closet. Grab bars shall be one and one-quarter (1
' 1/4) inches in outside diameter, have a one and one-half (1
1/2) inch clearance between the bar and the wall, and be set
at a height of thirty (30) inches above and parallel to the
floor. Grab bars shall also be non-rusting and acid-etched or
j roughened. Where a tank prevents location of the rear grab
bar, a bar may be installed three (3) inches abo a the tank.
i Grab bars ends shall be located six (6) inches from the .corner
` of the wall.
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30.6 Where urinals are provided, one urinal shall be either wall-mounted
with the rim of the basin fifteen (15) inches above the floor maxi-
mum, or floor-mounted.
-----� 30.7 The top of any shelf and/or bottom of any mirror which is provided
above a lavatory shall be set at a height no greater than thirty-eight
(38) inches above the floor. Tilted mirrors, where provided, shall be
installed at a height of forty-two (42) inches above the floor to the
ibottom of the mirror.
30.8 Dispensers: Towel dispensers, drying devices, or other types of
qdevices and dispensers shall have at least one of each device mounted
!k at a maximum height of forty-two (42) inches above the floor, and at
least one of each device shall be located within reach of the accessible
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lavatory.
'! 30.9 Toilet paper dispensers shall be located on the side wall closest to the
i;' ---� toilet, and be set at a height of twenty-four (24) inches above the
�j floor. Dispensers that control delivery, or that do not permit con-
tinuous paper flow are not allowed.
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!! 12/31/86 521 C NIR - 58
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521 CMR: ARCI IITGC:rt!ItAL BARR1EltS BOAltD
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12/31/86 521 Chllt - 56
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521 CMR: AIWIII-I•I:(:fl'RAL BAR RIERS BOARD
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ORTH
-
Town
t 6 Andover
O .,,:M:..;.:
No. 285
S 19
or
dower, Mass.,
T ,A
A- Y COC NIC IIF WIf_ �
'7
A). 'X\\'
PPa\ ��
'9S BOARD OF HEALTH
Food/Kitchen
PERMI D Septic System
BUILDING INSPECTOR
4 0
.................................
THISCERTIFIES THAT..................... ......YI�l 1"t ............ .........�............................ Foundation
buildings on ..... . .. ................ ............................ Rough C)A- -
has permission to erocl►... ."�+�z R,... 9
in ever res e t d rm to the t chimney
..............................................
to be occupied as.........................������......��" " terms of the application on file in Final
provided that the person accepting this permit shally P
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of E R
Buildings in the Town of North Andover. I' ,UNG1 '
t�
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS
OELtEY'RZCA_I, 1NSP CTO
UNLESS CONSTRUCTION AI�TS tough ���,j/9��
��~ Service
................ ...... ........... ....................
ILLI . G�
BUILDING INSPECTOR Final
OC mpti11Cy Pennit J?eq 4irecl to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final 1v
No Lathing or Dry Wall To Be Done FIRE DEP%TMEN
and Approved by the Building Inspector. Burner k
Until Inspectedpp Iector
CONSERVATION FINAL street N( 11—
(
PLANNING FINAL Smoke Det.
SEWER/WATER FI NAL DRIVEWAY ENTRY PERMIT /
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number Date /l nee-ld S0 l4'Ste'
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 143 STS--t
MAY BE OCCUPIED AS C Vk--x e&kN `N\f-fflt;�Gr o K IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
MORTq CERTIFICATE ISSUED TO
O,t . _ .._•• O' v�/E r— Q -l.r • M S -.1ra..�Z'C-t�+GS�
' ADDRESS
Building Inspector
fO
•
PERMIT NO. «� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1
MAP K-4Oo3G I LOT NO. �QIJ �dTy 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE —
ZONE C/ SUB DIV. LOT NO. LL'
LOCATION `AIll PURPOSE OF BUILDINGT;r I)I
OWNER'S NAME t C/� `s, NO. OF STORIES '!1//
OWNER'S ADDRESS Q _/L s BASEMENT OR SLAB
ARCHITECT'S NAME < f t SIZE OF FLOOR TIMBERS IST 2 D 3RD
BUILDER'S NAME ee e j,4 ,. � `AD� SPAN _—
DISTANCE TO NEAREST BUILDK- DIMENSIONS OF SILLS
tsn we,= sT2c t'u IPS -.- ---
DISTANCE FROM STREET "' POSTS
DISTANCE FROM LOT LINES-SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATIONt��,I�ial w?� / _� ,_�JL IS BUILDING ON SOLID OR FILLED LAND
L, sWILL BUILDING CONFORM TO REQUIREMENTS OF CODE !►� I'� IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY o IS BUILDING CONNECTED TO TOWN SEWER
�\ IS BUILDING CONNECTED TO NATURAL GAS L E
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
:AG
EEBOTH SIDESEST. BLDG. COSTE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED &Z
BUILDING INSPECTOR
SIGNA U E OW R AUTHORIZ ENT
FEE
J1�oN�� OWNER TEL.#
PERMIT GRANTED / CONTR.TEL.# n-7
♦ 21 h l�� 19 _ CONTR.LIC.# Co.3 !ted
H.I.C.#
G/,-
� tfi --�Uo Nt
a-
t
UN\M�kG RECORD
1 OCCUPANCY 12 w\
SINGLE FAMILY StORIES 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 B 1 2 13
CONCRETE BL'K. PINE _
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. 8M AREA _
'/. 1/2 1/. FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN _
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDY7'D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH.TILE
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I--] POOR _
ADEQUATE
ONE
5 ROOF 10 PLUMBING
GABLEHIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. (2 FIX.)
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. S COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
11
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
T40R
Town of o "l- Andover
No.
_7
2;L &
o over, Mass., I 199
i.. WICK CK
ArED
BOARD OF HEALTH
Foo.d/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT........................5'.T.......MA� BUILDING INSPECTOR
MINCL.I..'s...... ......................................................
Foundation
ihas permission to eM.....A.!?T ...................... buildings on ..............1.4 o...MP04......T- M. 449=............ Rough
Chimney
to be occupied as..........................�>.;x; . ..I*- ....
.................... ......................................
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 INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTES
UNLESS CONSTRU ELECTRICAL INSPECTOR
Rough
...... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
•
c�
p o .�� �
��,�
a �
OEPARiIiENi Of.PUBLIC �._ `� '
A• CON51RUCi1DN SUPERVISOR LICENSE girthdale�
�' ExPiTes� p312SI19S5
;• Nuroe�� 031:5/1998
�' CS D63981
' ted ion DO
Restri�
NICHOLAS A IPPOLIIO JR -
" 89 AUiRAN AVE .�
N ANDOVER, .flA 0184b. • ;
`�,�-� � .
Design Partnership Architects Inc.
Three Washington Square Suite 400 Haverhill, MA 01830-6139 508*372*9400 Fax: 508*373*6779
March 28, 1997
Mr. Robert Nicetta, Building Inspector
North Andover Building Department
146 Main Street
Town Hall Annex l Of
North Andover, MA. 01845
RE: Saint Michael's Church
Proposed two (2) temporary class rooms in lower
level of existing church, currently a meeting room
D. P. A. Proiect No. R95-9-126
Dear Mr. Nicetta,
The plans submitted to your office by Design Partnership Architects, Inc. for the
modifications to the rear of the existing church to the best of D. P. A. 's knowledge will
meet all existing requirements of the Massachusetts Building Codes for the occupancy of
twenty-five (25) students per classroom. D. P. A. bases his opinion on the fact that there
are approximately four (4) ways out of the existing space, as well as a set of doors
between both room that they plan to use as temporary classrooms for approximately two
to three years.
Should y u require any further information, please feel free to contact our office.
Th ,
DES G TNERSHIP ARCHITECTS, INC.
Angelo rozzelli, President
AIA/NCARB
cc: Reverend Paul T. Keyes, St. Michael's
Mr. Don Marinelli, St. Michael's
Mr. Peter Forte, The Archdiocese
AP/ka/stmich.cm
APR - 8 1997
PRINCIPAL * ANGELO PETROZZELLI * AMERICAN INSTITUTE OF ARCHITECTS
Design Partnership Architects Inc.
Three Washington Square Suite 400 Haverhill, MA 01830-6139 508*372*9400 Fax: 508*373*6779
March 28, 1997
c
Mr. Robert Nicetta, Building Inspector
North Andover Building Department
146 Main Street
Town Hall Annex
North Andover, MA. 01845
RE: Saint Michael's Church
Proposed two (2) temporary class rooms in lower
level of existing church, currently a meeting room
D. P. A. Proiect No. R95-9-126
Dear Mr. Nicetta,
The plans submitted to your office by Design Partnership Architects, Inc. for the
modifications to the rear of the existing church to the best of D. P. A. 's knowledge will
meet all existing requirements of the Massachusetts Building Codes for the occupancy of
twenty-five (25) students per classroom. D. P. A. bases his opinion on the fact that there
are approximately four (4) ways out of the existing space, as well as a set of doors
between both room that they plan to use as temporary classrooms for approximately two
to three years.
j
ou require any further information, please feel free to contact our office.
ou,PARTNERSHIP ARCHITECTS, INC.
Angelo Petrozzelli, President
AIA/NCARB
cc: Reverend Paul T. Keyes, St. Michael's
Mr. Don Marinelli, St. Michael's
Mr. Peter Forte, The Archdiocese
AP/ka/stmich.cm MAR j 1997
PRINCIPAL * ANGELO PETROZZELLI * AMERICAN INSTITUTE OF ARCHITECTS
PERlflT NO. �� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP 4d0. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE
ZONE I SUB DIV. LOT NO. �—
LOCATION PURPOSE OF 414" 0"qV* ✓C/_/O� // & "usE
OWNER'S NAME C� ' _ ` ,A p(� NO. OF STORIES SIZE[
,e OWNER'S ADDRESS`}/' �,L rTe'C CJ BASEMENT OR SLAB --
ARCHITECT'S NAME r SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME &r W�"�-� �-- %/� SPAN --
DISTANCE TO NEAREST BUILDING [�[•� DIMENSIONS OF SILLS
..Ii DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION 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 ST. BLDG. COST
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
' EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE F ED v J
BUILDING INSPXCTOR
SIGNATURE OF OWNER OR 06THbRIZEfrXGENT
F E EA/o Ne;-- OWNER TEL.#
*PERMIT GRANTED CONTR.TEL.#
19 ,9S
3 CONTR.LIC.#.
H.I.C.#
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES 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 —I 8 INTERIOR FINISH
CONCRETE 3 t 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D _
PIERS PLASTER
DRY WALL
UNFIN. I
3 BASEMENT I l
AREA FULL FIN. 8 M T AREA _
'/ 1/1 1/1 FIN. ATTIC AREA _
N_O 8 M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS 8 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDW-D _
ASBESTOS SIDING COMMC:N
VERT. SIDING ASPH. TILE —{I_
STUCCO ON MASONRY �—
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR O
ADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. (2 FIX.) _
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 OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING G
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd I NO HEATING
NORTfy
C
Town of � Andover -
No.
4 8 ,
? 19 96
o - �A -E art dower, Mass., #16"%%
COCHIC ME W ICK ��.
ADRATED 0Pa\ "\C7
H BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
�''' ��•{ BUILDING INSPECTOR
THIS CERTIFIES THAT..............g..!.�... � ' .T !�"!....... I�/� �s. ................................................................ Foundation
has permission to e�IMt.. l�'1!!4 �!►4 .If...... buildings on .....1 9.3...N1.1Al!4.......Wm .............. Rough
..... ..6......... Chimney
......................................................77
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 INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
ELECTRICAL INSPECTOR
` Rough
M.. .... 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
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
ISSUE DATE (MFDO/YY1 :;:::
. .....::.:.......:::.;:.;:.;
... .
.
......
3/14/95
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
THE HOWE INS AGENCY COMPANIES AFFORDING COVERAGE
4 PUNCHARD AVE
:........................................................................................................................................................................
ANDOVER MA 01810 CoMpmyA
R LETTE
H T BAILEYINSURANCE
....................................................................... ..............................................................................................
COMPAB
NSURED COMMERCIAL UNION INS
........................................................................................................................................................................
COMPANY
LEVESQUE WOOD CO INC
LETM C
...... ...............................................................................................................................................................
213 RIVER ROAD
COMPANY D
ANDOVER MA 01810 LETTER TRAVELERS INS CO
........................................................................................................................................................................
COMPANY E
LETTER
......:::::::2;::::::: ':::':::::::::::::::::::::::::::':::' %:'::::::::: :::i::::::::::':::::2::;': 3 ::::::::::::'::::: ::::::::::::::':::::::ii:2:::::: :::;:: ::::::::::::::::::::::::::::::: ::ii:: ::::::::::::::::::::: :;'::;:::::::: ::::::::::::......:::::
THIS IS TO CERTIFY THAT
THE POLICIES OF INSURANCE SU CE LISTED BELOW HAVE BEEN EEN ISSUED TO THE INSURED SU ED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.......................................................................................................................................................................................................:.......................................................................I................
CO:LTR
TYPE OF INSURANCE POLICY NUMBER PDD Y C11YE P Y�El0�i1MA LIMITS
GENERAL LusLm MCL412 9 7 9—01 5/01/9 4 5/01/9 5 GENERAL AGGREGATE $1/ 0 0 0/0 0 0
....... ..
X COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP
CLAIMS MADE.X OCCUR. $ O O O O O O
........:
PERSONAL 6 ADV.INJURY $1/..O O
.. . O/.O O O
OWNERS R CONTRACTOR'S PROT. $1 000
.....................................................I..............I.OOO.
...
........... ..................................................... FIRE DAMAGE(Any ons fire).......5 O.I. 0. ..............
MED.EXPENSE(Ary one person);$1 0 0 0
Au.oMOBLE ummm m CBXB 0 3 9 4 4 5/23/94 5/23/95 COMBINED SINGLE
ANY AUTO LIMIT s
ALLOWNED AUTOS ............................................. ....................................
BODILY INJURY
X SCHEDULED AUTOS (or / /
NJUR :$
�p'�p°'"0") 1 OOO 000
X HIRED AUTOS ..............................
,........ i
X NON-OWNED AUTOS EPDL )RY I
$1 OOO OOO
GARAGE LIABILITY
""" PROPERTY DAMAGE $
500,000
EXCESS LIABILITY EACH OCCURRENCE ;
. UMBRELLA FORM
........................................................
AGGREGATE $
OTHER THAN M
0 UMBRELLA
FORM
UB
218K A.;::.;:.;:Rr;:. :.:
3 4 6 2 9 sr Turn umrr
4 10 O1 94 10 O1 9 s
woRl�rl's COMPENSATION 5 X
AND
EACH ACCIDENT.................. $10.0./..O.O.O..........
EMPLOYERS'LIABLITYDISEASE-POLICY LIMIT .$5 0.0/U O U
......... .
DISEASE-EACH EMPLOYEE $100,000
OTHER
DESCRIPTION OF OPERATIONSA OCA REMg
CE.....................:......:...........:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::..:..:.....
RTI: TE> LD .::
::...............:..::::::..::::::.::::::::::::::::::::::::.::::.:::::.::............_ TION......::.:::::::: ::...........................................:.:::::::::::::::::.:.....................................
CIi1NCELI,JE................................
................
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
TOWN OF NORTH ANDOVER LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: BUILDING INSPECTOR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
NO. ANDOVER MA 01845 Aun10Rm REPREATME J
MICHAEL J. FOST R W
COAPO AAi70N1990;
d,pwy ti
KAREN H.P.NELSON Town of 120 Main Street, 01845
Director �"" ' ' (508) 682-6483
NORTH ANDOVER
BUILDING w''° .. I
CONSERVATION es4C""°` DIVISION OF
HEALT
PL NNING PLANNING & COMMUNITY DEVELOPMENT
DEMOLITION OF BUILDING AFFIDAVIT
DATE
OWNER'S NAME & ADDRESS Ist,
LOCATION OF PROPERTY TO DEMOLISH
DESCRIPTION
CONTRACTOR'S NAME & ADDRESS L'A-vE:S'g wt-
'z
eoZ / 3 �i�• �d GT/P e T /�•e, Q�y •Pi 4l�/G�
DEPARTMENT SIGN-OFFS
DEPT. O PUPLIC WO - WATER: - (_cd J� - 0-9S SEWER: <1Cd 7 /4- 95-
1
GAS
7
ELECTRIA 14C, `
,' TELEPHONE `
CABLE
TAXES 1. S
POLIC
FIRE� L�
EXTERMINATOR O ��G_ i
DUMPSTER - ON/OFF STREET �1
DIG SAFE NUMBER 93 d d
DATE RECD BLDG. INSPECTOR
PE.1tIT NO. 5 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
+' MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE
Z NE I SUB DIV. LOT NO. �-
ATION3 414/N S `� t PURPOSE O RC6- 'M 7;;t,(/
OWNER'S NAME I' �{/� A. �, NO. OF STORIES SIZE
WNER'S ADDRESS / BASEMENT OR SLAB
ARCHITECT'S NAMES << STA SIZE OF FLOOR TIMBERS IST 2ND 3RD
V-BM C NAME y +jy` A �/.e- SPAN --
DISTANCE TO NEAREST ILDING F- DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES-SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BU ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �r�Js' 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
3 PROPERTY INFORMATION
INSTRUCTIONS
LAND COST
SEE BOTH SIDES G. COST
_ �u
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ.FT.
i
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
P MUST BE FIL{ED7 AND APPRO BY BUILDING INSPECT
DAT :LED
�YILDINO GPBCTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E A), e o—1 F kTW61/ OWNER TEL.JJ
PERMIT GRANTED 't CONTR.TEL.
199 _
Lo CONTR.LIC.N 00-2 / 76
H.I.C.#
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I I STORIES 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 —I F3 INTERIOR FINISH
CONCRETE B t 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B T AREA _
Y 1/1 '/ FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I_ 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARD",/D
ASBESTOS SIDING COMMC:N
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BILK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR Il POOR
ADEQUATE 1 NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.) _
GAMBRELMANSARD TOILET RM. 12 FIX.) _
FLAT I I 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 OR VAPOR
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIIL
B'M'T 2nd _ ELECTRIC
Ist 13rd NO HEATING
4 RT1�
Town
of �j -�rti7 over
0
No. 494
,.��tL '4.} t� , ISI t7� CIG
�_O- North dover, Mass., 19Sg-
0
`SATED APS\\•-(� .
B
� BOARD OF HEALTH
Food/Kitchen
PERMIT TO ILD Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT........................... ..�1!l! .... ........ .. ! 'f".. ... ...1C'7�!s ..................... Foundation
has permission on ......./..1. .. ll��N...... r ....................... Rough
cs /�/, �+y/s��
t0be m...............��'{! *�.......1..1.....F..�r.................�....�.^4�.. ... . .. .......... ....�........................ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS 0MM 0MTS Rough
&),4 C-L.t ► tD/l� � • ` Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det. i
SEWER/WATER_ FINAL DRIVEWAY ENTRY PERMIT
0, ATH,
OFFICES OF: ; ' Town of 120 Main Street
APPEALS :W North Andover,
NORTH ANDOVER
BUILDING Massachusetts 01845
CONSERVATION s@AC.0 < DIVISION OF
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.11. NELSON, DIRECI-OR
a
In accordance with the;provisions of MGL c 40, S 54, a condition of Building Permit
Number +- SID is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
2 IV �G a So C. d,�} te Q�
(Location of Facility)
Signature of P"Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.