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Miscellaneous - 21 AMBERVILLE ROAD 4/30/2018
North Andover Board of Assessors Public Access ,. Page 1 of 1 bORTi� Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial roperty Record Card Location: 21 AMBERVILLE ROAD Owner Name: CARROLL, ROBERT CARROLL, KRISTEN Owner Address: 21 AMBERVILLE ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 6 - 6 Land Area: 0.32. acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1846 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 483,800 468,000 Building Value: 303,800 286,200 Land Value: 180,000 181,800 Market Land Value: 180,000 Chapter Land Value: 11 http://csc-ma.us/PROPAPP/display. do?linkld=225 8864&town=NandoverPubAcc 3/19/2013 3 7 E o CD f6 N N m �m as d "N i'ytIDIN C' C 0) ... —_d N N a) '. O cpw� d O MCIA e i z z !!Z LL J r 0 fl. 0_ J c p -O.0 W _0 cu 6 o' 'o � ? t W E i to co Rl co o; f Nc5'. 'Z m Cn 10 Q -2 (n Y ai ! 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Q fn N r LU W ys CU LL f x U in a .. .. [O t4 to to LL f0 LL o E'r t0 � �� V L o O N CL C' - H C' O j-,�.�_�� t LM o CC 2'm m m �1 f L � �I� vd M -w �C I fn U)'= M O N F co iLl S W m Y W 'cop Q � Jo; Z'' Qi UcJiaQ V LL c� tQ ,.' cZ 4 W 'w12LLi LL U- a°3 N 01 co a- 0 N cc 0 0 0 O O co LO 0 m 0 `o N d a 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with theprovisions of M.G.L. c. 143, § 3L, the permit application form to provide notice ofinstallation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed- ba 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 maybe,deemed_bythe,Tnspector_of-Wires abandoned_andJuxalid.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 was created by Section 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 certaispemmits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, anypermit or approval that was "in effector existence" during the qualifyingperiod beginning on August 15, 2008.and extending'through August 15, 2012. Rule 8—Permit/Date Closed: ®_ *** Note: Reapply for new permit ❑ Permit Extension Act—Permit/Date Closed: 40RT#t Of..... .. SSACHU Date ..... /1- 2- -z-- / / ....................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... .............. has permission to perform ......... ........ ...... "7 wiring in the building of ......... ....... . ................................................... ............. % orth Andover, EL )Z 2 - -L Check # 63 /1 ALI s� E 1.0489 WI -1 .... ....... ,.. Crcconxtn nwealA olecfy7ila3J aJ1_u3e 2.Partment o�,}ire Service.4 BOARD OF FIRE PREVENTION REGULATIONS Official Use Only -- — Permit No. Occupancy and Fee Checked [Rev- 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL. WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT LIV INK OR TYPE ALL INFORMATION) Date: N \A\y�\� City or Town of: N-,, d -ov C„r To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)Z �� �,t,b�,,r. V t\� Q Rc� Parcel Ib: Owner or Tenant Telephone No. -) 1 y 3h Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No © (Check Appropriate Box) Purpose of Building -c-Z's Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion ofthe following table may be waived by the inspector of Vv'ires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above El In- ❑ rnd. rud. o. o Emergency Lighting Batte Units No. of Receptacle Outlets No- of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices heat Pump Nuffiber T©ns KW No. of Self -Contained No. of Waste Disposers Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local ❑Municipal ❑ other Connection No. of Dryers p'Y Heating Appliances KW Security s No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring - Heaters Signs Ballasts No. of Devices or Equivalent No. II dromassa a Bathtubs Y g No. of Motors Total RP Telecommunications litiring: No. of Devices or Equivalent OTHER: ,leach additional detail if desired, or as required by ale Inspector qf 4yrres - 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 andpenalties of perjury, that the information on this application is trate and complete. FIRM NAME: Q.r v kc¢S `•-,r_ LIC. NO.: Licensee: Signature LIC. NO.: (Ifapplicable, enter "exempt" in the license number line_) Bus, Tel. No.`\<�11 %3\ 2aa� Address: \ kcJ %\\ N hosed r, q>n 4 L lVnCZ\ n r Alt. Tel. No.J_1 S 3h � $% A *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No. M OWNER'S INSURANCE WAIVER. I am aware that the Licensee does not have the liability insurance coverage normally ::lu: Vis, by 1av�. By �.y signabare belo;v; I hereby waive this r --r! . -�__,.t.n:.. '--= tl;� : ^h= ' ^el ❑owner n owner's ns etzt. Owner/Agent Te_.L�Sigtature �r� 9 1 91 Date. jd.)G.1 d 1.. . NoaT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING •r �, �o �t9.4 SSACHUS This certifies that . - .... /A ...../ ......... has permission to perform ..IIRI-C."Hwo"Z ../.!.X- X'/gs... .. . plumbing in/the//buildings of ..���' at .... a. r. t o ! .�.......... / , North Andover, Mass. Fee -R ;7 4)6Lic. No. Z..? ...... PLUMBING INSPECTOR Check # V4 w- , "-0 5"' FLOOR 6T" FLOOR 7T" FLOOR 8TH FLOOR Installing B_'u3iir'^ui1]� tv9mC:: i The Commonwealth ofMassachusetts Department oflndustrialAccidents Offrce oflnvestigations, 600 Washington Street Boston, Md 02-1-11 'Y www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �� please Printt Le�bly Name (Business(Organization/Individual): ' (�v s,=u Address: 2e -City/state/zip: /JIEw 5�..� n, *t o) Z, ; Phone #: Q, o 3 - 5'),P Are you an employer? Check the appropriate box: I. ❑ I am a employer with 4. ❑ I am a general contractor and I _ Type °f project (required): employees (full and/or part-time).* 2. J I am a sole proprietor or partner- have hired the sub -contractors listed on the # 6 ❑ New construction �• Remodeling attached sheet. ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. [No workers' comp. insurance workers' comp, insurance. 5. ❑ We are a corporation and its 9• ❑ Building addition required.] 3 ❑ 'officers have exercised their 10. ❑ Electrical repairs or additions • I am a homeowner doing all work right of exemption per 1VIGL 11. ❑Plumbing repairs or additions myself. [No workers' comp. insurance required.] f c. 152, §1(4), and we have no employees. [No workers' 12,❑Roofrepairs comp, insurance required ] I3.[] Other *Any applicant that checks box #1 must also fill out the section below sfiowing their workers' compensation policy information. Homeowners who submittfiis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. Contractors that check this box must attached an additional sheet showiggthe name of the sub -contractors and their workers' comp. policyinformati on. lam an employer that isproviding workers' compensation insurance foY information. my employees. Below is thepolicy and jab site Insurance Company Name: Policy # or Self -ins. Lic. Expiration Date: -------------- Job Site Address: City/State/Zip- Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine ofup to $250.00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Office of Investigations of the DIA, for insurance coverage verification. I do hereby certify under thepains andpenaldes ofperjury £fiat the information provided above is true and correct. Signature: Date: cifftcial use only. Do not write in this area, to be completed by city or toren official. City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. ElectricaI Inspector 5. Plumbing Inspector 6 Other Contact Person: Phone #: J 9204 //, Date .Z.I..A ........ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING CHU This certifies that ....... ..... has permission to perform ... /-/z7 plumbing in the buildings of M -be r /" �/,a ;& at....... .0 ........... ver, Mass. '50 94 ........ Fee Lic. No.. . . . Z& .. .............................. PLUMBING INSPECTOR Check # a MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I c V_1Lr _ w MA DATE ��\ �y t t PERMIT # �. _ JOBSITE ADDRESS OWNER'S NAMEaQ,,r+�C POWNER ADDRESS t_..__. ��xx+3. ._ � TEL[:Z 1%3�S�tS 3�FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ( �� EDUCATIONAL. RESIDENTIALF-1 PRINT r- ,-t I i - . CLEARLY NEW: RENOVATION: LREPLACEMENT: 1 PLANS SUBMITTED: YES Li NO[�} FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 1 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS104USAND SYSTEM x' DEDICATED GREASE SYSTEM -- DEDICATED GRAY WATER SYSTEM _ DEDICATED WATER RECYCLE SYSTEM - — - I. I � DISHWASHER - - -. DRINKING FOUNTAIN FOOD DISPOSER - I;----771 �t FLOOR t AREA DRAIN i INTERCEPTOR INTERIOR r P E KITCHEN SINK LAVATORY' ROOF DRAIN SHOWER STALL SERVICE l MOP SINKMai TOILET V 4— URINAI WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER l) , INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES ( NO E] IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY L?� 3 OTHER TYPE OF INDEMNITY 0' BOND Ej OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement CHECK ONE ONLY: OWNER [l AGENT [ ? SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and infomnation I have submitted or entered regarding this application are true and accurate to the best of my krwvAedge and that all plumbing work and installations performed under the pemdt issued for this application will be in compliance wirtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME i-rQ.a �rr<c1�c `(`�1 o x1�-o�� LICENSE # q Z�S� W� SIGNATURE JP' r--- PARTNERSHIPI#r y LLCM -; MP JPI_-j CORPORATION-#L'Z,q [`_` COMPANY NAME ADDRESS 1\ W Q,"tr16S'C�h CITY: 1_\h C at r� ___]STATE ! T ZIP Z.c6 _� S _ TEL O\ r..� FAX CELL � EMAIL f ! Ix E• a o z a o ❑ � F LU O z n .ui E � w Q a CD w N a z a 0 w a � U J d CL Q � N Ca 2 W F LL a a kC a Date....© �.�:....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�CMUSC x vja-4-,60 1� This certifies that�G� aat,4�-V,............... ............................. /3ystz-- has permission to perform ........... ............................:....................................... wiring in the building of ............. G� r1................................................. ! : .......... .. , North Andove , Mass. Fee ..:�.. ..... Lic. No..3..�.3~vd............... . w E[.ECTRICAL INSrPECl'O� Check # f 4 � 10422 i P Commonwealth of Massachusetts C - Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official UUs�e Only Permit No. lot 2'T— Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L6 I3 c � l ( City or Town of: j.) To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) „2( Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Ves I Purpose of Building (!:,S Telephone No. No ❑ (Check Appropriate Box) Utility Authorization No. Existing ServicerQ00 Amps [ 8W Z%S%G Volts Overhead ❑ Undgrd New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion ofthe following table may be waived by the Inspector of Wires_ No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans TransTotal Trsformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above[:]In- Swimming Pool rod. rnd. El o. o mergency Lighting 1NBattery Units No. of Receptacle Outlets Z No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW . Local ❑ Connection El Other No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KWo. Heaters of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail ifdesired, or as required by the Inspector of Wires. 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 14 BOND ❑ OTUER ❑ (Specify:) Y� r tl l �' � t s ( ( 2 (Expiration ate) Estimated Value of Electrical Work: 00F� C, (When required by municipal policy.) Work to Start: to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepains andpenalties oof}perjury, that the information on this application is true and complete FIRM NAME: �9txt�fa��lf2C� 7-P If c� ., / A LIC. NO.: Licensee: (If applical Address: required by law Owner/Agent Signature _ Signature the licen%numbgr line) )x vNL,r, waivr m: i am aware tnat the Licensee aoes By my signature below, I hereby waive this requirement. Telephone No. LIC. NO.. O LIQ us. Tel. No.:222 5 Alt. Tel. No.: not have they liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE. $ It ra The Commonwealth ofMassachusetts Department oflntlustrial.Accidents Office of Investigations, 600 Washington Street s� Boston, MA 02111 www. mass gov/d'ia Workers' Compensation Insurance Affidavit: Builders/ContractorsfEIectricians/Plumbers _Applicant Information please Print Lessibly Maine (Business/Organization/Individual).� �/l/Sfw'��Si/% �ri^•���„ /' Address: � - City/State/Zip:_ &d'_e_ Phone Are ou an employer? Check the appropriate box: 1.I am a employer with 4. ❑ I am a general contractor and I Type of project (required): employees (full and/or pari -time).* 2. ❑ I am a sole proprietor or have hired the sub -contractors listed 6. ❑New construction partner- on the attached shget. # 7. ❑ Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity, [No workers comp. insurance ' p• workers' comp, insurance. 5. ❑ We are a corporation and its 9. El Building addition required.] 3 ❑ I am a homeowner doing all .officers have exercised their 10•❑ Electrical repairs or additions work myself. [No workers' comp. - right of exemption per MGL c. 152, § l (4), and we have 11. ❑ Plumbing repairs or additions required.] t no employees. [No workers' 12•❑Roof repairsinsurance comp, insurance re uired 13.❑ Other q ] _Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit• indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workerscomp. policy information. I am an employer that is providing workers' compensation insurance for information. thmy employees. Below is e policy and job site Insurance Company Name: Policy # or Self -ins. Lic. Expiration Date: Job Site Address:_ '� / l �y/� j� �f J111)11J City/State/Zip: Attath a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine rip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of rnvestigations of the DIA, for insurance coverage verification. do hereby certify der the painsCd penaltie p fperjury that the information provided above is true and correct. Date: /294K/ Official use ofely. Do not write in this area, to be completed by city or town offrcial. City or Town: Permit/License # Issuing Authority (circle one): L Board of Health 2. Building Department 3. City/Town CIerk 4. Electric 6. Other al Inspector 5. Plumbing Inspector Contact Person: Phnnr>• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, orad. or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more Of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be. an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers', compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), addresses) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy; please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed Iegibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: TaAe Co-Uaoi7wea'i17. of Massachusetts Department of Industrial .accidents Office of Invotigations 600 Washington Street Boston; Mil 02111 Tel. # 617-72.7-4900 ext 406 ox 1.-877-.M SSA_ E Revised 5-26-05 Fax # 617"727"7749 Location/ IAM No. Date NOR71y TOWN OF NORTH ANDOVER O: t��o .•,h•C • OL _ Certificate of Occupancy $ CMUs Sof Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # 24!?7 Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received Date Issued: q5 IMPORTANT: Applicant must complete all items on this Daae Print MAP NO: C,.., PARCEL:J�&ZONING DISTRICT: Historic District yes Machine Shop Village ye n 100 year-old structure ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 64 -One family ❑ Addition ❑ Two or more family ❑ Industrial 61�Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other mJSephc 'DiVelll' w ®)loodp ain �]Wetlaneis� i 0 Watershed�Distnct ®Water/Sejwer DESCRIPTION OF WORK TO BE PERFORMED: `-� (Identification Please Type or Print Clearry) J OWNER: Name: 2On£A_Y_ �' (l!�<--C Phone: Address:�lE�c(r>✓wC�- CONTRACTOR Name: �iEba-a c G Phone: r� - P�S ( O Address: k OrL U. Supervisor's Construction License: �q �0(7. Exp. Date: Home Improvement License: Exp. Date ARCHITECT/ENGINEER Phone: I_Z:1:_= Reg. No. 16 If-2�-2�i 1 FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 0o,FEE: $ Check No.: Receipt No.: T NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund iaturelof AaeorSicnactor;en%®Of Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks L3 Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (if Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan _o Photo of H.I.C. And C.S.L. Licenses L3 Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: FIRE DEPARTMENT - Temp Dumpster on site Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street yes no Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi m M x M M M m cn MIM 10 M CA CD am CA CD C) Ca. Co = P.*. CD CL. _• = CO2 3:2m t0 -0 Co C203 cm cm CD CD CC CL CTG T CM CD CD C) CD CD CD CO2 O CD CO2 C2 1= CD CD 71 CD - a C) 4c CD M- 10-1 I n 0 cn C� O =r -4 Co 40 cr CA CD COD clc a =t Cc, Cl CD — CIA M CA Ca. C-2 CD =.Do M = _0 CD =r rL -0. cL 22 MR CD =r w CO2 CD !" Ie. O C3 CD 3E ff!� 2 COL% -M cm C, Cl --I = r � = a, c - C-2 C2 cp a= CD =r =�: . a- Mc= '-JF CL,.- 7M3 C3 < ar =r: CD Cb CD CL CD go go C,* :dow CL L i CD lco, CA C, CD D C t to COD c - CD C, co 0 -Z, CAW o : iM CD a mD 17r =ca cn CD C-2 n M n �Ir, §- Zi g, A =r T r - I 0 CD C, C/) -�i al O. o 0 (D cn PCJ 0 g, M n �Ir, §- Zi g, A =r T r - I 0 M C, C/) -�i al O. o zv 4 E CAM ra Vu-,� 0.3 ��{ \��~��� \\ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /�� Please Print Lezibly Name (Business/Organization/Individual): �L-c�tJc�/� 6tC!' A Address: City/State/Zip: a,;A,,�U, Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors ry-YI am a sole proprietor or partner- listed on the attached sheet. t /19 ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.) officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lic. Job Site Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' unde thepa' s analties ofperjury that the information provided above is true and correct. Signature: ' Q-419 Date: Phone #: yr t%' T?- G / Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building_ Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M Ted Grab — Interior Renovations Advanced Basement Finishing 1029 Humphrey Street Swampscott, Massachusetts 01907 781-430-0415 (cell) 781-454-5609 advancedbasementgyahoo.com MA Home Improvement Contractors Registration # 140838 — Exp 11/27/12 Construction Supervisor License # 89566 — Exp 11/24/12 Proposal To Renovate Basement October 14.2011 HOME OWNER: Robert & Kirsten Carroll 21 Amberville Road North Andover, Massachusetts 01845 PROJECT DESCRIPTION DEMOLITION — Contractor shall completely remove all materials as listed below: a. Entire bathroom, floor and ceiling, all tiles down to shower pan. All wall materials and suspended ceiling materials. b. Any wall or part of wall which require removal due to electrical work or cosmetic work c. All carpeting from steps and floors d. All baseboard All demolition materials will be removed by truck. No dumpster will be on premises. Dumping fees will be separately charged. BULKIIEAD / GRAVEL DRAINAGE - Contractor shall silicone all joints where bulkhead meets the concrete structure or wood structure of home (both inside and outside). Contractor shall remove small portion of concrete slab at the bottom of bulkhead. A small amount of soil shall be removed and replace with clean gravel. This will allow any small amounts leakage from the bulkhead to drain prior to entering the room. 1. Areas to be renovated in basement CONTRACTOR SHALL supply all new materials needed -to erect, according to State and Local Building Codes, build all walls along walls to create and finish areas as designated on scale drawing. The areas are as follows. ➢ Family Room / Home Entertainment Area ➢ Work-out Area ➢ Full Bathroom ➢ Office Area ➢ Utility / Furnace / Storage Room (existing) ➢ Storage Closet / Sprinkler Room Closet (existing) 2. Ceiling and Soffit Preparation ❑ 1" x 3" spruce strapping shall be installed (as needed) on ceiling joist 16" on center to support weight of new drywall ceiling. 3. Wall Structure ➢ Contractor shall provide wall alterations as indicated (approximately, as needed) on scale drawing. All wall structure shall be built according to state & local building requirements. 4.S LWs ➢ The left hand wall of staircase (as you are looking up)shall be opened and a half wall angled wall shall be fabricated to create an open affect. 6 Electrical Work ➢ A Massachusetts Licensed Master Electrician shall perform all electrical work. This project shall include the following. ❑ Up to 14-6 inch recessed lights in living areas. ❑ Up to 7 switches to control all recessed lights. ❑ Up to 2 cable/broadband wall connections. ❑ Up to 2 telephone wall connections. ❑ Electrical outlets through living area per code (as needed) These outlets are controlled by a GFI (ground fault)/ Arc Fault breakers. ❑ Install exhaust fan / light in bathroom. ❑ Contractor shall reconfigure electric baseboard heat per homeowner's instruction. ❑ A separate and additional charge will be assessed in the event an additional sub panel is required to accomplish this electrical work properly. ❑ The cost of electrical breakers cannot be determined until the electrician is on site. This cost will be allocated and billed when electrician has completed his work. 7. Finished Walls. Ceilings ➢ Any newly created walls, ceiling and soffit of finished areas shall be enclosed with % inch "blue board". ➢ All blue board shall be veneer plastered to a smooth finish on walls and ceiling. 8. Baseboard. ➢ Contractor will supply and install new baseboard for all finished areas. 9. Plumbing ➢ All plumbing work shall be performed by a Massachusetts licensed Master Plumber. The plumber will repair, if needed all plumbing work in the basement bathroom to code. He shall cut and cap all plumbing as required to do a complete renovation of the bathroom. At the appropriate time, the plumber shall install new toilet, sink and shower fixtures. ➢ When removing tiles from shower base, occasionally the shower pan can not be saved. Every effort will be made to remove tiles so to maintain the shower pan (base). If a new base is required, this will require an additional expense to the homeowner. ➢ Homeowner shall supply all Tile and Grout to tile shower walls ans floor. Contractor shall supply labor to install tiles. Home owner shall also supply tiles for bathroom floor and the contractor shall supply labor. IO.Materials Su"lied by Contractor ➢ Contractor will supply and install all materials and fixtures. However the fixture listed below shall be supplied by homeowner and installed by contractor. Contractor does not install glass shower door enclosures (this is a specialized trade) ❑ Bathroom Sink / Faucet ❑ Bathroom Shower /Faucet Mixer ❑ Bathroom Toilet ❑ Toilet seat ❑ Bathroom Ceramic Floor Tile, Grout and Marble Threshold ❑ Toilet Paper holder ❑ Towel Bar / Ring ❑ Mirror ❑ Light above bathroom sink (if requested) 11. Flooring ➢ This proposal allows for no flooring. ➢ Contractor shall install ceramic tiles supplied by homeowner for bathroom floor. 12. Cabinetry Contractor has included the following cabinetry: a) Home Entertainment Center — Cabinet shall be no larger than 93 inches long and shall be as tall as the ceiling will allow. The depth of the cabinetry shall be approx 12 inches deep. This open shelved upper unit shall house a flat screen TV, DVD, Cable Box. There shall be open bookcases on either side of TV area. Sizes shall be determined once the size of the TV is determined. It shall be equipped with Electrical Power Outlets and Built in Cable connection. Lower unit shall be "closed" and shall include foverlay cabinet doors with European hidden hinges. Homeowner shall supply handles for cabinet doors. This unit shall be constructed on Cabinet Grade 3/a inch plywood and it will be ready for priming and painting. b) Office Area Bookshelves — Approximately 5 foot wide, floor to ceiling. This unit shall be constructed on Cabinet Grade % inch plywood and it will be ready fro priming and painting. c) Bookcase at bottom Staircase - Approximately 3 foot wide, floor to ceiling. This unit shall be constructed on Cabinet Grade 3/ inch plywood and it will be ready fro priming and painting. 13.Painting ➢ Painting is an optional item. Contractor shall paint walls, ceiling (soffits), and cabinets if requested. The homeowner shall supply all primer and paints. Paints shall be a nationally recognized product. Contractor will not accept Behr or Valspar paints. Contractor recommends Benjamin Moore Regal (or better). Additional cost is $800.00. Homeowners must declare their intentions concerning paint no later than the day of commencement. l4. Permits ➢ All permit fees shall be reimbursed to the contractor by the homeowner. Homeowners acknowledge that 3 permits are required: Building, Plumbing and Electrical. 15. Fire Sprinklers ➢ Contractor will engage a licensed Fire Sprinkler Contractor to provide the necessary fire protection tasks. These tasked will include removing and re- installing all sprinkler heads in finished area. The homeowner shall be allowed to seek alternate sprinkler contractor. This cost shall be paid by the homeowner. -16. Scale Drawing ➢ Scale drawing attach shall be construed as an integral part of the proposal and agreement. All measurements are approximate and homeowners acknowledge that changes may be required due to building codes and obstacles in the unfinished basement. 17.Provisions ➢ Homeowner acknowledges the following and hereby agrees to abide by these provisions: 1) Reasonable access must be made to the premises during working hours. 2) Working hours are from 6:30 AM through 5 PM on weekdays (except Friday). Contractor may request the option of working on Friday and/or Saturday with homeowner's approval. Said approval shall not be unreasonably withheld. 3) The basement area is a construction site, therefore, children and pets should not be allowed in this area. 4) All personal property must be removed from construction site and contractor shall not be held responsible for this property. 5) Quite often, communications concerning the project and questions regarding the project will be done via "E -Mail". Homeowner agrees to- reply immediately and acknowledges that these communications shall become a part or a change to this agreement. 6) Homeowner authorizes the reasonable use of bathroom facilities. 7) All parties agreed that this agreement represents the entire agreement between the parties and that any changes must be done in writing and/or email and acknowledged by all parties. Project Investment E ao - :,J $12 0 ➢ Payment Due with Agreement $ 1000.00 ➢ Payment Due when Project begins $ 4000.00 ➢ Payment Due when rough Electrical Work is completed $4000.00 ➢ Balance upon completion Commencement Date Project shall begin on or about /,0 ~'/ 8 s i/ and shall be completed on or about -,(f 'I ? 1/ . These dates are approximate. Ac pted b : _Y4_ C(2cDate: f 1 bert arrol Accepted by: i Date: `�. <� it Kristen Carroll Accepted by: r Date `o f K �� Ted Gra — Interior Renovations Advance Basement Finishing Baseboard Heat - Baseboard Heat Built -In Cable & Power for TV, DVD, Cable Box, Etc. Family 1 Recreation Room ---� New Closet Door t Half Wall �00 M N Gravel Drain t Existing Exterior Door Broadband / Tele Wall Connection — 28'3 - 25'3 3' 6 inch Recessed Lights //Through -Out Furnace Room Floor to Ceiling r 10'3 BookCase -- 28'3 18' Bathroom Opei Shelf (uppers), Closed Shelf (6 ,,,'door lower) Home Entertaim nt Ceni er N N Floor to Ceiling Book ase / En i `r° r j! M CO -",Half Wall Town of North Andover m4 �4 0? a R� Office of the Conservation Department f- • Community Development and Services Division J0 27 Charles Street 4SsatH:est Alison McKay North Andover, Massachusetts 01845 Telephone (978) 688-9530 Conservation Associate Fax (978) 688-9542 July 31, 2003 Richard J. Corrigan C-21 Amberville Road _ North Andover, MA 01845 RE: Property at 21 Amberville Road - Violation of the Massachusetts Wetland Protection Act (M.G.L. C.131 S.40) and The North Andover Wetlands Protection Bylaw (C. 178 of the Code of North Andover). Dear Mr. Corrigan: As you are aware, it has come to the attention of this department that there were several violations at the above referenced property, which we were made aware of upon receipt of an as - built plan submitted by the applicant for which the Forestview Subdivision is a part of. The violations observed on the as -built plan and during the inspection are outlined below. There are several concerns pertaining to the shed. The shed is currently located within the 50 - foot no -build zone of a protected wetland resource area and encroaches onto the abutting property. The shed requires a building permit from the Building Department and no such permit was found in the files. The fence area, which wraps around the shed, also encroaches onto the abutting property. The existing deck is also within the 50 -foot no -build zone of a protected resource area. In discussions with the Conservation Commission, they have agreed upon the actions described below for site compliance in lieu of a filing and/or fine. However, the Conservation Department has the right to impose additional penalties and/or fines, if compliance activities are not performed in conformance with our discussions and correspondences. These provisions are in accordance with MGL c.40 s.21D and Section 178.10 of the North Andover Wetlands Protection Bylaw. The following actions shall be implemented by September 1, 2003: 1. The shed shall be relocated to an area outside of the 50 -foot no -build zone and to a location also suitable to the building department. 2. A building permit for the new location of the shed shall be submitted to the building department for approval. 3. The area of the fence that wraps around the shed, which is located on the adjacent property, shall be relocated within the property boundaries. 4. The deck will be allowed to stay in its current location because it has no footings. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 —I '. Thank you for your anticipated cooperation. Please feel free to contact me if you have any further questions or concerns in this regard. Sincerely, /moi f, ��� Alison E. McKay Conservation Associate Cc: NACC Julie Parrino, Conservation Administrator Heidi Griffin, Community Development Director Michael McGuire, Building Inspector Robert Nicetta, Building Commissioner David Farrer, Marchionda & Associates, L.P. Dave Stilson, Pulte Home Corp. File PERMIT NO.: & 17/ UNIT NO.: REMARKS: C4 Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT _PROJECT: O 02 t� ��� _t`oo� r `-^a l y� f{`Q� DATE: lE`1 �— 0e) FLOOR: WING: BUILDING NO.:� /�+ Excavation - depth and soil conditions Framing - Other: Date: l � -9 V Inspector ,/- 4 (A^— Date: L° / Inspector Date: Inspector Footings and foundations and drains - Insulation - Other: Date: Date- a ` / Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: _ Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: v Date: Date: Inspector Inspector` Inspector Fire Dept - oil burner, tank, stove, smoke detectors Date: Inspector '� ✓��/�" Final inspection c� Date: 3 — f ��^ Inspector �I/"" Certificate of Use and Occupancy C of 0# Inspector Form #995 Action Press, 685-7000 N O v 0 N3 O M 0 L n rill 1 v 1 1 1 1 1 � .Z r mmc++7DmZOOcOwmD*NN- z N) mC X-Iz' X -OZ 00-10' mz0 -P O zpr �' 0 OPOOOT9dz mr—Z—i-n-<;l N2--�{ °0°DOMWIV m <DMz�OrMMMM�Cr=Tlm`zx200m N O 2 s D G7 DX yD ONS N pp 6 cn --�� m — f7 Ox Nm A �■ my 3 O ' y cnOzzzc�r�Ozx ZmDD Om r ;o �o� �.0 0� i7 W s �oo�0zoD� omo� zz z �z O = O C �cfnCO-Dm�0 z rTi� r 2 D� O� z Z y V)mDm:v awm Dm0 r�T r n C ro DD 8 O < j >Nr mzm nc)mcx �o V) CO �N a m m 00 �. Tom 0�� Zz D0 m cn— "v �z:iJ 8D mz FnO X m 0-71 ODr a3 CO mN R1 z9-< rcm m0�� y� z M rr- D vi Z 8 r r=-1 aO0m mrn 0 �, N C O Dr �m� zco ino z m il� oo H m Z� ��z m zo 0 N O N V: �� z� OW c iVl�� N r V Engineering and Planning Consultants June 2, 2003 North Andover Conservation Commission 27 Charles Street North Andover, MA 01845 Re: Lot 44A Forest View Subdivision Dear Commission Members, RECEIVED JUN 0 4 2003 NORTH ANDOVER CONSERVATION CONIMISSION Enclosed are copies of the as built for the above mentioned lot. Based upon the survey conducted by our office and visual inspections, we hereby certify that, to the best of our knowledge and belief, the work on this lot has been done as shown on the as -built plan. It is in substantial conformance with the latest modified proposed site plan submitted to the Conservation Commission. The only exceptions being a bulkhead and deck attached to the rear of the dwelling and a wood fence in the back yard. The deck, which is partially within the 50' buffer, is constructed without a footing. The bulkhead is completely outside of the 50' buffer. Please take note of the stonewall shown partially within the 25' no disturb buffer. This wall was pre-existing, but was not shown on the proposed site plan. This wall remains unchanged. The work has been completed in substantial compliance with the order of conditions DEP file #242-885. Therefore, on behalf of Pulte Homes of New England, L.L.C., we request that a Certificate of Compliance be issued for the lot. The street address for the above mentioned lot is 21 Amberville Road. The current owners are Richard J. & Donna M.Corrigan Should you require additional information or have any questions, please do not hesitate to call. Sincerely, ®��P��N OF2' My JOHN A. /iB BARRUN� J`\NO.40052 oee ZWOAL�_ arrows, PE: �FGiSTERti Marchionda & AssocS� , F� 62 Montvale Avenue Tel: (781) 438-6121 Suite.I Fax: (781) 438-9654 website: http://www.marchionda.com Stoneham, MA 02180 Email: maii@ma►-chionda.com Iv O O 0 N O N N y r rm Q m m a �z m zz Isc wmDM=2mx rn O I.. O ODD � N �!+ 0 m'+� T D m -a x O r 00 ^1 , D=i> 71 D D aa, X rn m y O c�i �c ys■ N (100o ® a m � X � � C) 3: CZ -I yi�70G) �N D O Cl) m �� vfD, CD A ?� N .0 C3 D m r 000 ro > ��> r=� 0o0 -M �� 0 mN o O� O v® 0' 0m0 0cozV) D O o O -i DT DWZ zmOy N -z Cn Z�I OW m �' _ Li ��aA Lo m , N � mo n D mrn po I j N � N N m pIlTd N aP O rnrnC�-n>m20 0g0,(A%UD::E NNS Z sem' x�z• 7UTZmo o�0' mzo 4� 0 nC)OnO�G�Oz �rZ m�� N) --j -i r <DMOKOZKMm�Cmm*00 m �I= m �o��D ��n-Oi�.r-m�0 �Ln0 O co -11 m>z D 0o3Z -p m vziQz�rm�c�Z� Zrn>> om D 000 o z_� z _ISO U) 00 -TI :U z m D Z 0 O z z TI .. tsA® -<�c 0--,x 700 OZ m X Coyp,�Q -+ Mmy_m m -i -i =0 m m a wmDM=2mx rn O I.. 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N2 4717 NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SgAcmus his certifies that ..... • • • ... . has permission to perform .... ............... plumbing in the buildings of ...�� at.,). /..!?ter r ���. G - :�. (. .. �...c�. `•'..... , North Andover, Mass. Fee&C 3, .1•.`-7. Lic. No. . ...... ....... 1PLUMBING INSPECTOR Check # 1 t S � WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GARLTDIJ - /g F/XT. X63_ s 11 eG4� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT.TO. DO PLUMBING (Print or Type) �vdaV�2 Mass. Date /�z�ta/ PermitiO-_ Y ![^)/ 7 Building Location 2/ A0Ak V//I4- AA ��Tyc/� Owner's Name PU TS koMf TORR Type of Occupancy New X Renovation O ReplacpirKeni O Plans Submitted Yes ❑ No O FEATUR nsiawng ompany Name ! /<HGreK 9l l.0 S /i(�r H13 )/C,q Check one: Certificate Address _ 0 r� SOX S 3 t�porationCor -2190 C c/ —ZJUf���«`'�7 O Partnership ___ Business Telephone978-689-7V7'1 O Firm/Co. Name of Licensed Plumber C'_NA/t/£ S gojlA.JS INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes O No ❑ It you have checked yes, please Indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ ' Other type of Indemnity ❑ Bond O OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner O Agent O I hereby certity that all of the details and information I have submitted (or entered) In above. application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signature or Licensed dumber rnie Type of License: Master, Journeyman ❑ Ciry/Town License Number 8 APPROVED OFFICE USE ONLY) • ��oo���■sem■�■� ���� ■ FLOOR5TH - ii�iAuiiiii�iiii��■ FLOOR ME■�n�■��N nsiawng ompany Name ! /<HGreK 9l l.0 S /i(�r H13 )/C,q Check one: Certificate Address _ 0 r� SOX S 3 t�porationCor -2190 C c/ —ZJUf���«`'�7 O Partnership ___ Business Telephone978-689-7V7'1 O Firm/Co. Name of Licensed Plumber C'_NA/t/£ S gojlA.JS INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes O No ❑ It you have checked yes, please Indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ ' Other type of Indemnity ❑ Bond O OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner O Agent O I hereby certity that all of the details and information I have submitted (or entered) In above. application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signature or Licensed dumber rnie Type of License: Master, Journeyman ❑ Ciry/Town License Number 8 APPROVED OFFICE USE ONLY) 41 Of N0R7M •• o MANO p Date. �a--3a . 6Y TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAC MUS CR H"` 7 This certifies that .... �• ' ! .................. . has permission to perform plumbing in-thbuildings of . 1 t.... ! .. !............... . at �`-��.. �-` -y..........- ...!.` ....... , North Andover, Mass. Fee......... Lie. No.......... /`.-%......... Check # -7 /s/ PLUMBING INSPECTOR 16 rt f MASSACHUSETTS UNIFORM APPLICATICK FOR PERMIT TO.00 PLUMBING i I (Print or.Type) :N o.�r►�_ pFaOcv ! D�Zh ? $Y ` " : Mass. Date f Kermit # Building Location 20 A M a m V It""F owner's`Name Its o R r 14 A� n ®v-rz.. Type of Occupancy t 5- N rAl❑ i ❑ ❑`: ew Renovation ❑. . Replacement: Plans Submitted. Yes No FD(TURES t I i t I AAA. 6A -fl LW • � _ I O W aC <~ z W Z 0 Z y W m N W > .d y p < N j 0 D < .y F H W eL < Y w w X W < F' O = 7 47 F- Y O Q, N Z x W .O V 2 N < 4SO< -J 1 J < 'V W S a< O 6 Ir Y J f0 W O D J $= N LL O= 4 Q m O sue—BSMT. l BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR. 4TH FLOOR '5TH FLOOR eTH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name 4 14 Check one:. Certificate Address t!)� 1 �� �� - ❑ Corporation 01-101 ❑ Partnership Business Telephone X08 ��dl— ` t'`t OrFirm/Ca Name of Licensed Plumber VA VC ' INSURANCE COVERAGE: - I -have a currej liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes No ❑ ' - if -you have checked yes, please indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Bass. General laws. and that my signature on'this permit application waives this requirement Check one: Owner ❑ Agent ❑ 1 hereby that all of the details and information I have submitted (or entered) in above application ars true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Gpo Laws.. t3y . floe can - Title Type of license: WxW4 Journeyman ❑ CKVITOM APPFV"iOFRU DsE MCff Ucense Number 4 O 9 9s e) rM N2 2058 &ORTit 0 *S CHU Date.... .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING -7t '2 This certifies that ............ ........ �.: ....................................... has permission to perform ....... —.-. ..................................................................... wiring in the building of L.1 ......... Z�� L • , .................................. ............. ....................................... , NorthMdover, Mass. Fee .... .......... Lic. No:� ........... ............................................................... /.ELEcTiticAL MpEcmlit Check # `fit WHITE: Applicant CANARY: Building Dept. PINK: Treasurer CIA rf "JJj ! Lorrsmorstveads o I a9�aetttrd¢!2`7 2etoarinsenl o }=re �ervic¢e EOARD OF FIRE PREVENTION REGULATIONS of icini lac 011iv Pcrnlit :moo. C%�� , Occupancy and Fce Checked Rev_ i i.'991 Ilcave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All (tyle 10 be periurmcd in 3cc0944l11c^wit1l the llassach%;sms Electric__] Cvd,! (MTC), j'_e CNR jl'1_L:t.S%YIt1:�aT 1 t l�ik O!Z l rP1 :i1_L JrVF'Ol.bl.i7l :V) 1)nIC: ( r� ?o the ltt.speeror o tres: Citi' or "I't�lvn of: �Or��h � dv_�_ f lY By (Itis application [tic ul dersi_.ied _ivies notict: oflris or her attention to perform the elecrrical %vorL descri �c'.o'._. � Location (Street S (lumber) L o 'T T � {icl/ �S"3' 1%! r L Owner or Tenant Olvner`s Address So $ - ? g ) -00v,)-- No. vara,)--• Is this pernlit in cotljuttciiu Purpose of Building EXistillg Sl.'1'l'il'e A11:111 1 Yr.]ts N er. Service Amps / Voils :Number of Feeders acid Anipaciti Qvencead 1_J Overhead 1 Uudord U .doll i J Location and Nature of Proposed Etectricai Work: S e to 1-y ilio. of .Meters !o- of Meters - Cott4aletiott wrae (ollutcin> table mini be nwi.cd bti•tltc Lisrrcctor oFlt'irrs. No. of Recessed fixtures Nio. of Coil_ Sus11_ (Paddle) Farts I'I'ransformers No. of Total t KVA 1 ,Vo. of Lighting Outlets .V o. of I1ot Tu )s I Generators 1' VA - L No. of Lighting Fixtures �.bove ler Swimming Pool ornd. arnd. Q 1 O. of Emergency.Llghmig i Batter; Units J.No. of Receptacle Outlets � ,lo. of Oil Burners FIRE 1LAR:l•IS IN,. of Zones 'io- of Detection and � Biu. of S--yitclles No. of Gas Burners � Initiating Devices I,ir:. of Ranges •Total NO. of Air Conn- Tons �No• of Alerting Devices E cat Pump 1 r un:tler ons j ht�' ti`7> of Self-contained I !.No. of \\'sste Disposers i Totals: '-- _ DeicctiontAlertino Devices I f No. of Dishlrashers HeatinK\\ i Local aCt}IOu41uIliel ciptiaoi ll F-1 Othe4aceiArea i No. of Orvers 3}Ieatin� 1ppti 4ttc^s I�\V + Security Systems: { 1o. of Devices or Ettuivaletlt Of Water { Llea Lei's h v '-ta-of Ra 01 $i�irs }3allasls �DaLi \\•icing: i 1o. of Devices or Ecluivalelit � 'No. HydrOlnassage Bathtubs 'Na.of Motors Total III' t I CrZCOR1mUl1ic1t40r15 \� 1IIIl : I -No. of Devices or Equivalent OTHER: V �(r (I✓e l ;litach additional dciad if desire(.• or as rcqua•ed or the lnspeclor of t✓ ire s EN'S COVE_ R,%CIE: ! mess '•vai.•cc by the 0t,iier, 110 perrnit for file performance of electrical work may issue unless tile lieens" provides woof of liability iilsur--ncc ioc!Lurn1v "conipleted operation" covera-ge or its substantial eeuivaleac. The lttidersi?^.=_d C?`ti'!?5 that siteh coveraut is ill force, and has exhibited proofof same cc the permait issuing office. Ci -f ,'_-K C)% T E: INSURa`CECi B01�=t� ❑ vvrilLR ❑ (Sprcifg: tE,Npit,_lion Date) t�_tinlat?ci '�':4i:r; c.f Eicctr:cal ileac'-:: J�-"" (lVi4en rcyuired by :ltuiticipsl gciic,.) t�rti to Start: 1 hlspections to be rcaursted in accordance with lylEC Pule [t), and upon colltpie:ion. 1 ccr•ti%i• mrticr rite yains anti rrrualtics 01,perjar2•, that the ittfortttatian art this appiieation is true atm cotuplete. r FIR\I NAAIE:�� � �;fi-L/At*Z ��j� _ LIC. iIo,: IS�6C Licensee: ( 4 X0,0 i � e (C S IA Sigtlaiul ¢ �/ / {�?--G�pt.C1 L1C. ` -loc- . S� oc- IJ apniicahi,,. ower." ' n h: " m 1141' ,r= ,.,Jlse nunrrerlinr.1 Bus. Tel. i o.. ��'S� Adtlress: alt. Tel. ,No.: O\\':VER'S INSURaN.CE \`.'_LIVER: I ani aware that the Licetiscetionsnot have ttie lirbliity insurancvcoverage norrnatt ?C 11rai �•Y ld'- "."-Ja i'_ i)?lotY IC4'e''J;' `.!' i'. 0 is Ecqu r—,nic°it. i ,'..nil. i..,.. `. t'lat:t :?lir) L OW11cr r~ Q`•`•'lic: _- i •0 rt f3�1 ../..... 2861 Date.... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ......... j:57J.rC.J4.,-.( . .............. .... ... ... .. ... . .. .. .... .. ..... ..... .. ... has permission to perform IV.......................... ................. �) ..................... wiring in the building of ........ ........................ +OW at ......... a ... 1W .......,,North �,Iqo Fee. Lic. No.�/s LECTILICAL INSPECTOR Check # -7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer The Commonwealth of Massachusetts ;. Department of Public Safety r/ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 Office Use Only P-11 No. O Occupancy & r*e ehec6ra 3/90 Nra.r blame) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance %pith the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT, IN I2IK OR TAPE ASI. ItiFORHdTION) Date City or Town of /�V/n. �/�/lJN �l)t/ =� To the Inspector of Uires: t— The undersigned applies for a permit o perforce Elie electrical work described below. a Loction (Street & Number) _4 ,�/L//{�_ j//( /— f�� y� LC O, -Ter or Tenant -5-06 - %(1---3 ev162, Owner's Address 2-5"Z 71ZejyA,,Cl' / i'/I i, `tZI (� tom \ /Z77-ZA'?12 Is this permit inconjunctio with a/ building permit: Yes [A170 ❑ (Check Appropriate Box) Purpose of Building GL�I,fp�y'L� Utility Authorization N0. Existing Service AMPS—1 / Volts Overhead ❑ Undgrd ❑ No. of Meters flew Service - :� cAmps /ZU / Zt/ Q Volts Overbead ❑ Undgrd a No. of Metes Number of Feeders and Ampacity c :? ,�f0 ��/ ti Location and Nature of Proposed Electrical Work AICLOV No. of Lighting Outlets No. of Hot Iubs No. of Transformers Total INA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. o f Emergency Lighting BatterUnits No. of Switch Outlets` No. of Cas Burners FIRE ALARMS' No: of Zones No. of Detection and Initiating Devices No. of Sounding Devices No.of elf ContaineDetecding devices Local ❑ MunicipalNOO Other Connection No. of Ran es g Total No. of Air Cond. tons No. of Disposals No. of heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Beating Devices KW No. of Water Heaters N of Si'nsf Ballasts LowiVoltage ng No. Hydro Massage Tubs No. of Motors Total lip OTHER: INSURANCE 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 [] I have submitted valid proof of same to this office. YES[3 NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND E] OTHER EJ (Please Specify) Estimated Value of Electrical Work S Zv Opp -- WILL CALL (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME JAMES E. BUCHANAN ELECTRIC INC. Licensee JAMES E. BUCHANAN Signature_ Address P.O. BOR 544 SUTTON MA 01590 OWNER'S INSURANCE WAIVER: I am aware that the Licensee stantial equivalent as required by Massachusetts General application waives this requirement. Owner Agent Telephone No. Signature of Owner or Agent LIC. tlo.A15616 LIC. No. E32062 Bus. Tel. No. 508-865-3335 —'Alt. Tel. No. es n t have the insurance coverage or its sub- aws and that my signature on this permit (Please check one) .��� PERMIT FEES–Z -- - 1 _. '. . . N2 2334 '� �aORT►i 3r �• .r __ oc Ss�cMus� Date ....... /.21ae/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING �.c11131 This certifies that .............................. ........................... has permission to perform.......i 5r �? yr . L ......j ..................................................... wiring in the building of ........d �:..�.. ........« �1yh S r at.. (.J�_.YL1 -Q c),�-(1. �..... .:........... .... . North Andover,ag'e Fee.. J d... ".... Lic. No. ...,. ...... ................................... ................... --7 / y � � ELEcmcAL INSPECTOR Check # _L� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V 771e Commonwealth of Massachusetts _ice 064OnIv Departmctf of mil)lic .Safety l/9o.n•�`v cl—L.d _ --- —_ ff.•+ bl•n41� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12-00 APPLICATION �oFORmePfER�MITWfTOth � PERFORM All workERFOE�RMELECTRICAL WORK Code. 527 CFIR 12.00 (PLEASE PR -UT IN DIK OR E LSI . I11FORtiATIO11) Date City or Town of—,64,-.. f n/12, h W Io the Inspector of wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number) 01' j w � �%�/ G CL's K.�.�,i _�-d / . _ .! .ib' Ocner or Tenant Owner's AddressS�?//G�, Is this permit in conjunction with a building permit: Yes ❑ No (Cticck Appropriate Box) Purpose of Building " c /� / � _Utility Authorization 110. Existing Set -vice AmpsNrd Overheadolts Overad ❑ Und 8 ❑ o. of Meters A `fCe l�fy mps /Z /-!Z ylU Volts Overhead ❑+ Undgrd tic. of tiete. s / Number of Feeders and AmpacLty Location and Nature of Froposed ElectrLcal work No. of Lighting Outlets No. of flat Iubs �— No. of Transformers Total = No. of Lighting Fixtures Above ln- KVA = Swimming Fool rnd. El8 grnd. ❑ Generators KVA r No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting 311 Batter Units No. of Switch Outlets No. of Cas Burners • FIRE ALARMS - No. of Zones • o No. of Ranges No. of Air Cond. Total No. of Detection and = tons Initiating Devices m No. of Disposals No. of }teat Total Total � Pum s Tons Kw No. of Sounding Devices No. of Dishwashers rc Space/Area }seating KU tic. of Self Contained Detection/Sounding Devices .r• = No. of Dryers Ileating DevicesKW L ❑ Municipal ocal Connection ❑ Other No LL No. of Water Heaters Kw ' of Low Voltage ` Z Signs Ballasts wtrin o No. Hydro Massage Tubs No, of Motors Total 1{F OTILER : INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws Ihave a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ® NO [] I have submitted valid proof of same to tills office. YES L� NO EJ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND 0 0111ER ❑ (Please Specify) Estimated Value of Electl-ical work S-5—Vo expiration ate Work to Start Inspection Date Requested: Rough 8 WILL CALL Final Signed under the penalties of perjury: FIRM NAME JAMES E. BUGUNAN ELECTRIC INC. -- — Jdoes LLc. No.A15616 Licensee JAMES E. BUCHANAN SignatureAddress P.O. BOR 544 SUTTON MA 01590 Llc. No. 1;32062 Bus• Tel• No • 5�8-865-33OWNER'S INSURANCE WAIVER: Alt. Tel. tlo. nsurance stantial equivalent as required byaMassachusettsiccner% andtlhl ateathmyisignaturecanethis permit su appllf:aeifo�r valves this requirement. Owner Agent (Please check one) Signature of Owner Telephone tic). PERMIT FEE S — or Agent _ Location—/6t #44 - 5� ( K46CE-W V/LCc_ �D No. Date Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ v£3. bC) 14438 -'Ja) Building Inspector DEC -22-2000 02:56 PN MARCHIONDA&ASSOCIATES 781 438 9654 P.02 d'��/�I 17� 6 �7 �a- �s--0 a � 1 352'40'35"E 15.04'4. 31 b1,9' N 1 Q a. 44A 13694 S.F. 0.32 Ac. 25.5' La 44.90' 59.23' A$�R���� ,Rpp,D 1�A THIS PLAN IS INTENDED FOR ZONING PURPOSES ONLY, IT WAS PREPARED FROM EXISTING PLANS AND RECORDS WITH THE STRUCTURES SHOWN LOCATED BY AN INSTRUMENT SURVEY. THIS PLAN SHOULD NOT BE USED FOR PROPERTY DINE DETERMINATION. 17.2' 18.7' i 45A 11028 S.F. 0.23 Ac. �i M Pip WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS LOCATED AS SHOWN. THE STRUCTURE SHOWN CONFORMS TO THE ZONING LAWS OF THE MUNICIPALITY WHEN CONSTRUCTED. ALSO, ACCORDING TO THE F.E.M_A./H.U.D. FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 250098 0015 C DATED 8/2/1993 , THE STRUCTURE IS NOT LOCATED IN AN ESTABLISHED 100 YR.FLOOD HAZARD LONE. CERTIFIED FOUNDATION PLAN _--] LOT 44A FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P, NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME STONEHA AMCORP. OF NEW ENGLAND 62 ON , AVE. SUITE t , MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE: 1 "=30' DATE: 12/22/00 ff N2 C 6 Date ...... 31 3NORTN TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNus Thiscertifies that .... .. 0. , T .. ................................................................. has permission to perform ........ 0 1 i";"A SVS*/I( ... ............................... /*'**"*******'**'**********'**, wiring in the building of ........ ...... rcmz.?,?!.. 5(!Ci,l ............................ at ..... . ....... —.. ,North Andover, M ..ass ... Lic.No./j ........* .. ELECTRICAL INS�PECTOR Check # . WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts official use only ' Department of Fire Services Permit No.� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT W INK OR TYPEAILVFORMATION) Date: City or Town of: {� 0 _ A n &0 V e—r To the Inspector of Wires: By this application the undersigned gi` �notice of his or her intention to erform the electrical work described below. Location (Street & Number) 0' /�YY\b f r V . (�� Q act Owner or Tenant Ki I' q 1'1 Telephone No. I TiNo F,3 - Owner's Address U 5'"1 Is this permit in conjunction with a building permit' Yes ❑ No (Check Appropriate Boz) 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 Ampacity Location and Nature of Proposed Electrical Work: Cone letion o the rollowing table may be waived by the Inspector o iVires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators K -VA s No. of Lighting Fixtures oven- Swimming Pool rnd. ❑ rnd. o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: I Number Tons IKW No. of elf- ontained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: t No. of Devices or E uivalent 1 No. o atero. Heaters KW o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring:. No. of Devices or Equivalent OTHER: Attach additional detail ifdesired, or as required by the Inspector of Kres. 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 eehibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: ` b (Expirauon Date) 1 T U (When required by municipal policy.) Work to Start: c6—LA —01 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services 111 Morse Street, Noinvoog, MA 02062 LIC. NO.: 1533C Licensee: John S. Bassett Signature (Ifapplicable, enter "exenipt" in the license number line.) Address: OWNER'S INSURANCE WAIVER: I am aware that the Li nsee does required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.: 1533C Bus. Tel. No.: 781-278-1169 Alt. Tel. No.: 781-278-1131 not have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's went. PERMIT FEE:.S . Q d P Date....... �/ 42C' r10FT1� O, 1ti TOWN OF NORTH ANDOVER PERMIT FOR WIRING « i y ♦ o� .r a '+ono •��'(`� ,SSAC14USE� !" This certifies that `77 .....^ �J' has permission to perform .. ................ wiring in the building of ' at ... j%.................. ............................... ........... ..:....... ,.7North Andover, Mass. ....... Lic. No .............. ... ....... Y .. -',A�.-................. CELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer L ommortwea�Jlt of 1Y1a9sac1tuee11j UIU<:alt 5c Vniy `cam, �c7] nC� j Permit No. 31,5-D j 15e�arintertl o`.}ire Jervieea I _�, Occupancv and Fee Checked 3S J BOARD OF FiRE PREVENTION REGULATIONS [Rev. 111:99) Cleave blank) APPLiCATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wur.k :o be perturmed in accoidauec with the :�lasscchusettS El-trieal Code (`tEC). 5— C�Ifi 1?.00 ('PIX.L. E PRINT LV 1:VK OR TYPE . -ILL 1rVf'01?,11.177O1V) Date_ VI jol Citv or']'own of: Azar -1_ ANy,1-z_ To they I11.5pecror of Jb7res' fav tllis application the undersigned gives notice ol'his or her inteatiou to perform the electrical work described Locatiuu (Succi �C t\uttiber)- �tf/f ST V `fGt% I /�'TYS LST " A/ �-ec Owner or Tenant V, 0mr- Co12P Telephone No. SOg'--?g�-ovoa- Owner's Address Is this permit itrcotrjunction with a building permit? Yes 0/ yo ❑ (Check Appropriate Box) Purpose of Buiidirrl; Existing Service Amps ! falls New Service Amps I FOILS :Number of Feeders and .Ampocitr• Locztiun and Nature of Proposed Electrical )York: Utility f\uthori7ntiurt Nu. Overhead ❑ Undgrd ❑ Overhead ❑ Utidgrd ❑ S,ee 13 elow tNu. of lIcters No. of deters Conrvletion Of the folluu•ine ruble may be waived by the hysarrtar al'fires. `to. of Recessed FixturesiVu. of Ccil.-Susp. (Paddle) tans iNo. of Total Transformers K'VA 1 No, of Lightitra Outlets NO. of clot Tubs Generators KVA No. or Lighting Fixtures Above- ❑ in- C1It St�'inrnring Pool arnd. ornd. o. o Emergency tg rung jBattery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARrl•IS JiVo. of Zones `to. of Switch i ( o. of Gas burners �i No. of Detection anes Initiating Devices I u. of Ranges No. of Air Coad. total Tons Ii\`v. of Alerting Devices j 1 No. o[ waste Disposers p cat imp Totals: i fine er__ �� ons _ h_\� '^ v t v. of Self-contained Defect ionlAlertino Devices :No. of Dishwashers Space/Area „ KtiY S ace/area Heating ttiIunicipal Local ❑ Cotntectiort Other I •)}Icating �o. of llr}'et s A liances PP Ii �Y ` Security Jvstems: I I No. of Devices or Equivalent I I.No. of Water hl'Y !moo_ of rNe_ of ',3:ri:r iViring: I Heaters $i,tts Ballasts -No. of Devices or Equivalent f! 'No. Hydruntassage Bathtubs jNo. of Motors Total III' eleconiniunicntions Wir•tne: No. of Devices or Equivalent I OTHER: 6 fie. rivach addiiiorral detail ifdesired, or as required 3r the rrrspector of Wires. I \SURA:NCE CO�� ER.AGE: UnIcss ttmiycd by tate o« ner, no permit for the performance of electrical %vork- niav issue unless the license: provides proof of liability insurance inc'.uding "completed operation•' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and leas exhibited proof of same to the permit issuimg office. CHECK'ONE: INSUR.%' CL" ❑ BOND ❑ 0-1-11E•R ❑ (Specify:) (Esrir�tion Datc) L•stim.ated Vaiuc of Elccir:cal 'Work: (when required by mtuticipol policy.) `.t/otk to Start: Inspections to be requested; in accordance with NIECRule 10, and upon completion. i ccrril) ; rtruler rltte pains anti penalties of perjurr, that the infortllatiorr on this applicatiort is true acrd complete. 1:11LNI NAML: U C.- I M Gvli10 LIC.NO41,5 6L Liceuscc:hit-C k% -Ar' lo f (ps�1} Si nature LIC. iti0.;� {i! appiicable. eater ".: r. nrpt "fir Cllr license unnrber lute;) Bus. Tel. No.•_'91-3 r3� -s7W Address: alt. Tel. No.: OWNER'S itNSU IZANCE: NVAIVEIZ: I am aware that tl:c Licensee dors not have the liability insurance coverage normally recuircd by lav,% 3y 'na• si•snatutc beloty, l hereby kvaivc ibis requirenicnt . I am the (check one) ❑ otvticr ❑ otirnc-'s auc!".. PE "hIT'FCE- 35 s I Location% /�� Xl P/�U� ���-( L No. ;,� Date A2 `/SS106 N TOWN OR NORTH ANDOVER Certificate of Occupancy $ 6- D Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /150 Check # S 14418 Building Inspector TOWN OF NOR -Th ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7 77 BUII_DING PERMIT NUMBER: / n DATE ISSUED: SIGNATURE:— Building Commissioner/I Ctor of Buildings Date .)L• V alvl� •- Olalc u\r Vlllll^a LVl\ I A Property Address: 1 .ArhP-OAd 1.2 Assessors Map /ate -13 Map Number and Parcel Number: Parcel Number 1.3 Zoning Information: VB Snlc,l'r— alm,`l a a11• 1.4 Properly Dimensions: �5`d9`% Lot Areas /O�/-�s'3 Frontage ft Zoning District Pr o ss— 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C_40. 54) I.S. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record PC/ /70//meS CoR12 _ XZ7 7TIMPi Name (Print) / Address for Service OC/ l�"" 9 // e Rd Sov+kOo&in A4,4 Signature Telephone 22 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Super/visor: Li efJ I de'i� I /Sv !l ( Licensed Construction Supervisor: 222 �S�c,4tM �S D� �,�ltc�cs� c,L, nl/`i Address / Signature Telephone Not Applicable ❑ 0 7 73 �o License Number 3-2-©,/ Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone M X ic z O M 0z M 90 O E r s® M r r Z G) SECTION 4 - WORKERS COMPENSATION (M.G_L C 152 S 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..... _O SECTION 5 Description of Proposed Work(check all applicable) New Construction Exasting Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Desc-ripttion of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) BuildingPermitFee 7 Multi plier 2 Electrical (b) Estimated Total Cost of 2 , 00 Constriction 3 Plumbing Q 0. 00 Building Permit fee <a> x (b) 4 Mechanical HVAC Z o Q • p9 5 Fire Protection S 75-, O O 6 Total 1+2+3+4+5 p Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT CONTRA TOR APPLIE FOR II DING PERMIT I, as OwneA07u7gorized Age f 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 ER/AUT,#ORIZED AGE T DE TION I, a2[70-,Z;er/AuthorizePkgent 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 � ^ � y� C Jj �7 Yom/ /Td I1l./f. Ph V-f-ils . l Print Name / 1G) z Si i attire of Owner/A ent Date NO. OF STORIES SIZE V!/ 90 X ZK BASEMENT OR SLAB kD SIZE OF FLOOR TIIvMERS / '�/ 1 / 2 x rr- 3 SPAN /3 DIMENSIONS OF SILLS Z X DIMENSIONS OF POSTS v x V DIMENSIONS OF GIRDERS 'z,Yz, L IiEIGHT OF FOUNDATION 7— o "' THICKNESS SIZE OF FOOTING 20z X p WP- MATERIAL OF CHIMNEY Q C 1' cvi IS BUILDING ON SOLID OR FILLED LAND p ,' IS BUILDING CONNECTED TO NATURAL GAS LINE CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date 2 r 9'©U/ THIS CE`R�/TIIFIES THAT THE BUILDING LOCATED ON ro� 77 MAYBE OCCUPIED ASQ/� /•�'%/`9 ����� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. O: MOR7 ��o CERTIFICATE ISSUED TO ADDRESS . n ''s"scBuilding Inspector C/) m m m 'm V m 0 m I co CO) 10CD O CL a� -v .a o CD o v . Cr CD o c coo CO) .0 CD 0 H O7 d C3 CO2 .0 C7 C Cl C H v CD O CD CD CO) CD CO2 CD CDC CD E 0 m V J 0 r�Z C G =I= p = _ O �• H 0 Q' co o.o:5m y m O n T Cl co O� C m C3 .r 7 ^� m NCL 0 T o .ar =r d y O O m N p S' Vim'` m a m o CD C2 N. Cn9 m ;& 0 m C =ry CL r CD � m m N C O m d CD O N � d N N O. O• C3 CPS CD N C N cs a-1, 1 A r.4) CDo ED o : ,.�-AH .� D o D � m 1 H Im o_ 1 �• O O w C C p� pCp r p_ G C b h ICA M �,, d eD �'th t:b 3 c� Z �_. ►� x z 0 V/ W V t O d H 0 0 c Town of North Andover�aORTH &�F0 6"q4, Building Department S,.z �' ; 116 °L 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 7q A�AATCD APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS LOT NUMBER V% -' SUBDIVISION FO,a.eStye�St�-I� DATE REQUEST FILED DATE READY FOR INSPECTION "' 9 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION l`` �/ v� f DATE PLANNING // //" _ DATE D.P. W. — WATER METER ' "� % , y DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIO THE INSPE TII/ONN REQUEST DATE. S1NATURE / DPW AUTHORIZATION 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. :"t *--*"—`k`AFQLICANT FILLS OUT THIS SECTION{�*`--*"**� ;®%r zz4 Q-c�LJ7 AFFLICANT v, f'C ON'/`E S ribap PHONE LOCATION. ;;ssesset's iNlap Number /O% 43 PARCEL /S( SUEDIVISION f=00eSf 1/,wcJ ESrAtCS LOT (S) YVA STREET APA 6eP_V1 /1r ROA is S T. NUN1EE.R x tt *** *' *" kxOFrICiAL USE ONLY-`**--"' ��QIF TOWN AGENTS: ;2rFJSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED 4 C_4vet r,_0 COMMENTS 5 0 _ TO PLANNER COMMENTS FOOD SPECTOR-HEALTH SEPTIC 1NSNCTOR-HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUELIC WORKS - SEWER/WATER CONNECTIONS jk:7 2! DRIVEWAY PERM FIRE DEPARTMENT RECEiVEE, BY EUILDING ii ISPECTOIR Revised 5197 im 1151,r---� I / J— 7-4-0 DATE OCT -16-2000 10:33 AM MARCHIONDA&ASSOCIATES 781 438 9654 PULTE-F1010E 0ORPORATI6N FMERVES THE RIGHT TO MAKE F)tLD CNA 'HIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY, THESE FIELD ADJUSTMENTS MAY BE MADE NOTHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME PZ602 , PROPOSED SITE PLAN LOT 44A FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSVLTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND e2 MONTVALE AVE. SUITE I STONEHAM, MA, 02100 297 TURNPIKE ROAD — SUITE 200 (817) 438-8121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1'=20' DATE: 10/13/00 7s2X. a- 1 10" '31M Value Calculation - for Prope! at..... 1 Room Length Width Sq.Ft . Cost per Sq.Ft. Total Cost Kitchen 15 12 180.00r $ 11,700.00 Living Room 13 12 156.00" i �6' $ 10,140.00 -I Dining Room 13 10 130.00 55 $ 8,450.00 Family Room 18 12 216.00 14,040.00 Study - Laundry 8 5 40.00` $ 2,600.00 'r(, Garage 19 16 304.00 y a 351 $ 10,640.00 Entry 00 6A $ 6,435.00 11 9 99.�'S ��zj sb�'�r Basement Finished - - �a $ Deck - Screened Porch - Breakfast Nook - Bedroom 1 14 14 196.00)}�65 $ 12,740.00 IE Bedroom 2 12 9 108.00 x a; $ 7,020.00 Bedroom 3 12 11 132.00 F , $ 8,580.00 Bedroom 4 11 11 121.00 r $ 7,865.00 Bedroom 5 - � t 5 - Bathroom 1 8 3 24.00 1,560.00 Bathroom 2 8 8 64.00 �d6 $ 4,160.00 Bathroom 3 5 8 2,600.00 fi Bathroom 4��_ �.'�"��- Bathroom 5 �.�i€.�,is',.,va..�.�'�i�.z�`Yds»w..,,��*�..^�i���.,emv�:s�ab,..''c��,.r�°w.�sw:`�"s..��v.�`sar�.rv��.rM,Sr.#v.«S,ar�a'.� �..u•�-a'. $ 108,530.00 - J.WILLIAM HMURCIAi DIRECTOR DPW 288 1 0 I hone (978) 685-095 ix (978) 688-9573 Date ...... A TOWN OF NORTH ANDOVER RECEIPT This certifies that ........ I ...................I ... .... ..r ......... haspaid .... ......... .5-0—.00 ....................... ......... tk-V'J',tr & I elo( for ....... ... ... ---------- 7t. A Receivedby .... ----------- ........... W ....... ............... Department....................... ....... wp.tr.k� ................. WHITE: Applicant CANARY: Department PINK: Treasurer DRIVEWAY PERMIT DATE LOCATION 2f )b en) 1(,e BUILDER phone OWNER Rb 1'�e phone S ZAZ - oa>z THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. wommommummoommommommoMoli I t � 1020 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. ice' Application by the undersigned is hereby made to connect with the town water main in 1✓��%t �`-�� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 27r ���r 1%'a Street or subdivision lot o. "T Iry0 J I le. Owner Address Contractor Address Applicant's Signature V�" t A 00 PERMIT TO CONNECT WITH WATER The Board of Public Works hereby grants permission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date ,5ocb 7,e,,7' &o N ve7n y Street B eard o. Public Works By See back for rules and regulations Okif /�� i4, APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. U� Application by the undersigned is hereby made to connect with the town sewer main in �f.U�r�i`�C� fy ` .ee,,, subject to the rules and regulations of the Division of Public /Works. The premises are known as No. E J41 � �` Yom- 804r! Street or subdivision lot no. -` 14 I�e- � Owner Contractor 5,9�r L e (.._ Z Y ZV/0 Address Address ' Applicant's Signature PERMIT TO CONNECT WITH SEWER MAI The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date 9 �r, Street Division of Public Works By0 c See back for rules and regulations ce7ol LSC, U f44'J c' e. «' 11-4- kp p t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Location: City Phone aam 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. Company name &1±C__ vLf -eS CORP. (0-17 A&E -6,/ Address 7 S 7 %—yrzA �+ �� 11Z_)Q crf- 4 60 MOO A-tiA /O 77 Z City: n Phone #: So% - 7a-7 - Coo Z- ZS Insurance Co. PAC_4'1'C.. CO Policy# 3O/lFtrf% Company name: Address City: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature. Date Print name Phone # Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone #. FORM WORKMAN'S COMPENSATION Building Dept p Licensing Board p Selectman's Office F-1 Health Department FJ Other Oct-12-00 03:30P P_01 ' p1Hl . cllU • k;n.Jr,,. ruL- t r- - ............... a_.._.... CERTIFICATE OF INSURANCE ISSUE DATE: 5126W TMlS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS MO RIGHTS UPON THC CERTIFICATE= HOLWR. TNiS CERTIFICATE DOES NOT AW—NU, EXTENO Ofe ALTER THE COVERAGE AFFORDED BY THF- POLICIES 5ELOW. INSURED COMPANIES AFFORDING COVERAGE Puhs home Cotp6raUan of NL COMPANY A PIIdbc 570ayers h wwance Company 257 T4MPA& Road, Sui* 200 COMPANY B Leawn Insurance Company Souftorouph, MA 01772 COMPANY C CCIMPANY D Acs "loan lrwio ee Company I COVERAdEM { THIS 16 TO GERTIPY THAT THE POLICIES Of INSURANCE urn BELOW HAVE B4:N ISSUED TO THE INSURED NAMED APOW FOR T11E Po►.IcY PERIOD INPICATEP, NOTWITH$TANQ1td0 ANY REOUIREMENY, TSAM oft CONDITION OF ANY CONTRArT OF1 OTMISR 00cuMRNT vwn4 AsBPSCT m WHICH TMIs CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INURANCE AFFORDED OYTNE POUGE8 0WRIASO KREIN M 44.19JECT T17I ALL Tm5 TERMS, 1=114IONS AND CONDITIONS OI suCH POLICIES. LIMITS SHO" MAY HAVE SEEN REDUCED BY PAID CIAUMS. FIFFFc" RXPIRATIPN c0 TYPI�gF INSURANCE_._ __.... POLICY NUN Ft DATE PA'TF_ �W —_ l ITO GENERAL UABILrTY I GF449 A(.AGORFGATE �15,Q40,400 B COMMERCIAL GENERAL LIABILITY GL4.0282043 5/1= Smfol PRODUCTS-COMPMP AQQ. 515'D00,po0 ON AN OCCLIRRHNGf PA613 L _ PERSONAL & APV. INJURY ;14,0010,000 EACH OCCUIRREnICE $15,0010,000 ADDITIONAL INSURED: I FIAF- DAMAGE (Mr b" ft) $1.000,000 MED. EXPENSE (Any Dna WWI WON AUTOrOCOLE T I caLL4810N 4E+aucT{CLtS COMPREHENSW 0F1W0TIKP LOSS PAYEE: COMBINED SINGLE I-WILITY OMIT �~ P,00100 CAE tib 7082049 fi11lDO —� 511101 (QwnW, HYD! 6 Non-ewneM D � ADDITIONAL INSURED-. F�CCESS LIABILITY VAcM OCCURAENU AGGFiErAT� MIRKERS COMPENSATION end WLR 04 301147A 9(1!00 5/1101 GTATuTORY UMITE: � � , A � RMPLOYERS' LIAHiLi1Y..."'""�.....,.._.._............................-..,....,..,....._............`......,.. ........._.. FJ1CH ACCIDENT ;1,0is�y,b00 MA, NV SCJ= Cq 901118®1 6J1100 9311101 DISEASE-POLICY LIMIT 81,000,000 DISEAS4.FAeH EMPLOYEE S1 (1p0.(yE)D PfR0P(2R-IY REAL ANP FBRSONAL PROPERTY, INCLUol"o w"&F, LOSS PAYEE, IN COURSE OF VnNMLR CTION; �._ PER OOCURRENCE LIMIT MORTGAGEE: &PECIAL FORM (INCL-WINO 44=4 AND EARTHQUAKE) OPLICTIpLE PEP OCCurzRrNGF ---- I OTHtrR I subdiviston W mar Heiapta, Woroeatm . ®HOULD ANY OR 710 AWWO Mr.RIWD POICIF$ PE FANCwI.1.E0 BEFORE THS OTIRAMN PATE THEFtpnp. WF Wj.L ENpF-AveM City of Wat sla► TO MAIL A PAYS WPITTE'N NOTICE TO THE r.SRTIFII:ATE 155 Win street HOLDER NAMVP TO TtJJE LFFT. Worcee(er, MA 01SDS Au1nOR1 _ - — _ _ REpftli=BENTA7►vi= / BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris vvill be disposed of in: / 1ZA A/S4 eta t -A+ i 06/; Location of Facility Signature of Permit Applicant .-I /D __ / fes• Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Growth Management Bylaw Exemption Statement Town of North Andover Building Department This Form shall be used to assist the Building Department in their determination of exemptions under section 3.7.6 of the Town of.North Andover Growth Management Bylaw. Tine building applicant shall provide all of the necessary information as requested below. Name of Applicant an Building Permit (below) Address'of Prepe^l fer Permit (te!ow) Map and Parcel : Purpose o Application (check below) Phone Number of Applicant: • &--Single Family Two Family 1' QSr- 71r7- OOOZ mol ap — I the undersigned applicant far the above property attest that the attached building permit fer whjch this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this farm does not absolve me or anv parry to this permit from the requirements of obtaining other permits required prior to the issuance of the Suilcing Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit ig issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the wark as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the fallowing sections as indicated by a check mark - This is an application for a building permit for the enlargement. restoration, or reconstruction of a dwelling in existents as of the effective date of this by-law, provided that no additional residential unit is created. Bylaw. The lots) were/was created prior to May 6, 1956 are exempt from the provisions of this Sec -;en 3.7 of the Zoning This appllcatlon is for dwelling units for low and/or moderate income families or individuals, where all of the ca'naitions of 8.7.6.oare met and/or represents Dwelling units for senior residents, where accupancr of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. Fer purposes of this Section "senior' shall mean persons over the age of 55. �I This application is a part of a development project which voluntarily agreed to a minimum 4011, permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represent3 a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit an the parol. This application represents a lot which is ready for building permjts.(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Cevelopment until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Oepartment to issue a Building Permit. V" Signature of Owner or Autnonzeo Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit Tice tJO�%I7/!Y/.O�IZIIlPiQLfiL O��/�CZG%1.!(I4(I.o BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: 'CS 077396 Birthdate: D3/02119:62 Expires: 03/02/2004 Tr. no: 77396 Restricted To: 00 DAVID M STILSOK 222 SEAMES DR MANCHESTER, NH 03103 Administrator � - 'J MAScheck COMPLIANCE REPORT Massachusetts Energy Code- Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) D - - TITLE: Lot 44A Carlton II Elevation #2 PROJECT INFORMATION: Forest View N_ Andover, MA. COMPANY INFORMATION: _ Pulte Home Corporation of New England NOTES: Customer purchased two walk out bays and a transom package_ COMPLIANCE: PASSES Required UA = 387 Your Home = 382 AreaorCavity Cont_ Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 996 0.0 30 WALLS: Wood Frame, 16" O.C. 2025 13.0 0.0 167 GLAZING: Windows or Doors 383 _ 0.33 126 DOORS 21 0.180 4 DOORS 39 .. _.. .. 0.280 11 FLOORS: Over Unconditioned Space 916 2 .0 0.0 40 FLOORS: Over Unconditioned Space 142 30.0 0.0 5 HVAC EQUIPMENT: Furnace, 80.0 AFUE ----------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125° of the design load as specified in Sections 780CMR 1310 an J .4. 4 Builder/Designer Date hX �5 le�v e04-� �0, 4,�OWV,,j MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot 44A Carlton II Elevation #2 DATE: 10-13-2000 Bldg.1 Dept. Use I CEILINGS: 1. R-38 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-/�33 Comments/Location T WINDOWS AND GLASS DOORS: 1. U -value: 0.33 For windows without labe�gd U -values, describe feati/Ye. # Panes Frame Type / Thermal''erual Break? [ ] PTO Comments/Location 3 1 DOORS: 1. U -value : 0.18 Comments/Location �, �J/p✓V �l/✓�/� ✓ij�� 2. U -value: 0.28 Comments/Location FLOORS: 1. Over Unconditioned Space, Comments/Location 2. Over Unconditioned Space, Comments/Location HVAC EQUIPMENT: 1. Furnace, 80.0 AFUE or higher ` o Make and Model Number Y (// I AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed G1i ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or____ joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output_ capacity of the heating/cooling system is not greater than 1256 of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 206 of the heating energy is from non-depletable sources. Pool pumps require a time clock_ HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES TEMP (F) 2" RUNOUTS 0-1" 201-250 1.0 1.5 120-200 0.5 1.0 any 1.0 1.0 40-55 0.5 0.5 below 40 1.0 1.0 (in.) 1.25-2" 2.5-4" 1.5 2.0 1.0 1.5 1.5 2.0 0.75 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in_): PIPE SIZES (in.) ----NOTES TO FIELD (Building Department Use Only)------------------------- NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 6-1" t 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-16.0 0.5 I 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- !-OT �i� (70,x-116._ 373 wrr��owZ-, aj —, < Lnm o alo n m O Z aj OJ O o 3 :rL 3 o a) to 0 m D ro C: cr Q T3 O M �Q u� m _ O. c Ln'. 0 0 O Co E : O O. N O - m x rF Dl 3 U3O N Q! d M = E c� a� 3 c r Lr y O O 0 cn O C Z v 0 z z 0 J Cl) m m m m 0 m CO) CD a Z CD O CL d �M CL n:0 -v C) Q 0 CL cr CD o w ao CD d Cl CD CA CD Q ft --J d C2 CD CD 0 y CD y CD CCD O CCD cn 2 rn O z cn C_ c s � $ --4 G d y CD < m y12 y Mo CL -. mO m O CD yV)a� 3 m z m =r- H �aCL 0 m O m d o y N � Om m > > O N m O UR �. p = ' CD p N C-5 co C'J cm CD C ? CL tG O o' ? cO o O y m d y H d = '+ Q C ,ImCD s: Cos ' Q m s+Q : h �� o�uilt �o CD 0 m CL c* w CD o �_ '�� w7 O G r�r �zf ni o ' • % r t7l ►� �0 pc� rro" tr y z , / wCJd �. �" r r� �n3 a.. tz O z rA V 0 c AutoCAD File: H:\FILES\ARC\5Dare\Singles\19992LANS\DD6T0N PLANS\99 CAR"1\A1249TD.dag Plotted at: Fri Har 03 12: 16:25 2000 _ ARCMIECT: DAl1D K Cit MTHS W?TFY THAT USE OOCAOUS W?E FUND Dt MPI91f0 BY K Alt THAT i AN A DULY UCUM LICKED ARCHITECT MIR THE LAWS OF THE FOLLOWNO d. UTOR > a g ': DELAWARE 6189 RHODE ISLAND 2354 MARYLAND 7745-11 MASSACHUSSETS 9957 {� ® NEVI JERSEY AI -13967 - . MROMIA 6718 S. 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UTOR > a g ': DELAWARE 6189 RHODE ISLAND 2354 MARYLAND 7745-11 MASSACHUSSETS 9957 {� ® NEVI JERSEY AI -13967 - . MROMIA 6718 S. CARDLINA 04417 N. CARERJNA 6762 PENNSYLVANAI RA -015166B TITLE CARLTON II - NE - 2000 PROTOTYPE - I �`j PULTE MID -ATLANTIC 10302 EATON PLACE, STE. 180 FAIRFAX, VIRGINIA 22030 f f 4 I r r AutoCAD File k V!LES\ARC\Share\Sing Ies\J999_FLANS\BOSTON PLANS\99 CAN INB51249FON, UR9 Platte0 at: Fri Mar 03 15; i9'. 30 2000 J fF 1II F m Ir -------------- 6'-6' 12'.10- -13/4' 0'.1334" 12-101" sF 2 0' a 3 m smz. I/41:1'-0' 5(,u J/E'= 14' 5wf: IM': I'•0' SCALE: 3141: N' o AA!p} UT: DAMD W MMM TUn I O] TFY THAT HSE OWAFMS VXPREPAU M PPPROVED BY ME, AND MAT W i9 A DRY OCEHS O AR HOECi LAK OF AE FIX 9WNG C AR LT O N 11 -NE- 2000 JI69NC➢OlS O l V i DELAWARE 6189 RHODE ISLW 2354 I^� MARYLAND 7745-R MAS9ACNUSSL7TS 90.57 / NEW JERSEY AI -13957 'ARGHA 6716 PROTOTYPE 5. CAROLINA 17 N. CAROLINA 6562 PENNSYLVANIA044RA-0151666 �m STI I . SGALE� I": ILP scxff: 1112, Ito, FMME PULTE MID -ATLANTIC 10302 EATON PLACE, STE. 180 FAIRFAX, tiIRGINIA 22030 AutoCAD File: N \FILES\APC\51191e1Sia91es\19993LAIS180STONpLANS\99 CAP�1\C1249FP.dW9 Plotte0 at: Fri Par 03 15:16: 04 2000 O 0 0 4' 3' SdNE= I/4°=1' -d 56A.E, 3181. Ito, SGALE 112"=I'•0' c izl��uo wl� Fr15 > Q -rnD IR/15 �y 3 Q r . 1 o (R/25 . ti ��IV'� g x$ -ai �� M1 rn ^g> rnMgr ¢ o � 0 n Z'-4' I'-10° 0'-2 I/2° Still, 1jt> y - r 34' 3'4 1(2' - —K - EWALI P 37" AFF ®. DPI'. OPEN RAIL _ N REF IR115 ml \ fit vIa 61i I/2" _ 2 p ME w 3 = 7 I/2° / 9 Ili -In 2`6' > Q -rnD C Q r . 1 ��IV'� �� M1 o � 4' 9 0 II Z' 3' 5WU! 3/4'- P•d - 5LALE: 1' • I'•d 50ALE� I I/Y"=1'�d o s ARpAIECL DA6 1.. FRMS nt� R ICERfi1'1NATaaa:DOMMTS%E"�ABEBOR�RMBYKAND1BKT T — — �'�T� PULTE MID®ATLANTIC &AM A MTI PP aLIQEIDAR39FLi°N �u�a at`�awvc CARLTO II NE 2000 A a o g DELAWARE Stag RHODE L9A14D- 2354 �J MARYLAND 7745-R M RIMA 6718 59867 PROTOTYPE PE -- 10302 EATON PLACE, STE. 180 Q NEW JERSEY' A044177 VStCAR 8718 FAIRFAX, VIRGINIA 22030 S S CAROLINA 04417 N. CAROLINA 6362 - PEM45riVANIA RA -0151668 - AutoCAD File: k \FILES\ARC\SAare\Singles\ig 9 FLANS\BOSTON PLA099 CAfl"i\D1249EL02.dwg Platted at: Fri Mar 03 15:20:09 2000 R rngmo a ARCfBIECT: DAVID -W. OFFIN ���.�.• P T T7H�1 CH WY 1HAT RE' DMIN1S 'K% FWAREn OR AFP�YPF,D 6Y Id. AND W1 n� W �'ev ° � 1 � L 1 iJ MID -ATLANTIC N1 N'ADL1Y`>M'�D'�O=MCTW6 MUICOFItMOW CARLTON II NE- 2000 JJRISgC1DN5: - C DELAWARE 6169 RHODE ISLAND 2354 i-- o MARY -AND S 7745—R AROMA 667 FROTOT"�� 10302 EATON PLACE, STE. 180 NEW ROUNAEY A044177 N. CAH 6716 Y FA1RFAX, VIRGINIA 22030 S. NSILVAA 04117 N. CAROLNA 6362 ENNSYLVANIA RA -0157666 1 s 7177/1 ��1�III II A jll��Il I�� II II �� 11 II �� II A11' II it 11 ;NV a ARCfBIECT: DAVID -W. OFFIN ���.�.• P T T7H�1 CH WY 1HAT RE' DMIN1S 'K% FWAREn OR AFP�YPF,D 6Y Id. AND W1 n� W �'ev ° � 1 � L 1 iJ MID -ATLANTIC N1 N'ADL1Y`>M'�D'�O=MCTW6 MUICOFItMOW CARLTON II NE- 2000 JJRISgC1DN5: - C DELAWARE 6169 RHODE ISLAND 2354 i-- o MARY -AND S 7745—R AROMA 667 FROTOT"�� 10302 EATON PLACE, STE. 180 NEW ROUNAEY A044177 N. CAH 6716 Y FA1RFAX, VIRGINIA 22030 S. NSILVAA 04117 N. CAROLNA 6362 ENNSYLVANIA RA -0157666 1 s n n 0 I, 2, 11 1� 3' 0 I� 7 scxf 1/4'=IL40 SCAtf 3/0'•1-0' SLALE= 1/2'=1b1 SCALE" N4'=1-6' 5U1 -E 0 11-0' 5ULE: II/2'=1'-0' a ARCfBIECT: DAVID -W. OFFIN ���.�.• P T T7H�1 CH WY 1HAT RE' DMIN1S 'K% FWAREn OR AFP�YPF,D 6Y Id. AND W1 n� W �'ev ° � 1 � L 1 iJ MID -ATLANTIC N1 N'ADL1Y`>M'�D'�O=MCTW6 MUICOFItMOW CARLTON II NE- 2000 JJRISgC1DN5: - C DELAWARE 6169 RHODE ISLAND 2354 i-- o MARY -AND S 7745—R AROMA 667 FROTOT"�� 10302 EATON PLACE, STE. 180 NEW ROUNAEY A044177 N. CAH 6716 Y FA1RFAX, VIRGINIA 22030 S. NSILVAA 04117 N. CAROLNA 6362 ENNSYLVANIA RA -0157666 1 s AutoCAD File: H\FLLLS\AHlsnare\SIng lES\M PLAN505TON PLANS\99 CAF 1\D1249EL5H.cwq Plot tea at: Fri Mar 03 12 22 57 2000 • , ' m I-'1-----1---- v f�--- fl --- II 11 II I r ---7t--- co I I I I II II � v II II II m I I ----7-I---- v II II 1 m IL ---1L--- m w m II II till �' Z II II A- ---------------- ------- '--------------------- z I I x Ik I I I I n ' 11 yl I -- ' I I I I I I --__=_=-C I I 3` it it , - tYfi v � Gd � ,fi N ii tl om �g �of� � �a ➢ mrs � -- �O b; - ZSR U 3 T� U U D ----- _____ _ _____ ------------------ I, a r II II � II I ------------- FE�� � y III ! I Ia I m II P II11 1 Z I I �-- < < I � Id II� II IIS I I Z - p i Io g�l i IIjF - -- FM oil III Cm I �r7rrl�ll � II IfF 7 F T_ -1 IL_L i__, R EJ EHEEI I I S I I I I I I i t ill I - I I I I Il I I I I I it I I I I I Il I I I I I Il I I I I I II I I I I III � I II II i II I ------------------- II II II II 11 IIS I I I I I Il II II II II it I IIS II II III II 11 II I I , __________ ___ __ ______________ __ _________ �irtJ - __ _______ _-- ------ RW NAL 1/4r = f -e \CAE 3TK = (-a' NAE; 1/T = f -o' VIE 3/4' = I' -T £NE 1' -14 ME. 1 I'T = I' -T AMTECT: DAND W. ChffF w n- f _ I C11 A ' LNA4 M- DOGIMOLIS NAT PREPABFD CN APeAaV0/ BY NE, AID THAT T _ 0'I -TE P U LTE MID—ATLANTIC A TLAN T I C i UI A OAT uma� OGFf4m AR}I1LGT UI®tR DE UA DF By FQIOWNG umeersTE mv o s _ DELAWARE 6,69 RHODE ISLAND 2364 CARLTOI! II NE— X000 _-- MARYLAND 7745-R MA55AONO56EITS 9657 10302 EATON PLACE, STE. 180 ® A NEWJFRSEYA-417 VaiCAR INA PROTOTYPE FAIRFAX, VIRGINIA 22030 W S CARDLRU 04417 K CAROLINA 6362 PENNSYLVANIA RA -0451669 AutoCAD File: H: \FILES\AR0\5Nare\Single5\t999 PLANS\ODSTDN PLANS\99 CAR'11Et2495EC,-Ong Plotted at: Fri Par 03 12.23. 06 2000 0 x 3 v So SCALE: 1/4'•I'-0' SLALE: 3/BN.0-0" SLUE: 1/1N: I-a- g � — f� h / rn (SALE: 1112' • 1'-0° J .� m If016E Old TW I U A 'c YHUTINEg14MOTSWRREPARRC I , n P�7[� PULTE MID—ATLANTIC m � MmwmTsffXDt CARLTON II — NE -2000 a¢awncr um+ n¢ u'¢ u nrt mlmalc ® 9 8 K e¢ aooeivmo za 10302 EATON PLACE STE. 180 KE AM NMAeN� W1 PROTOTYPE �Er,� 117 W. i $AIRFAX, VA. 22030 S fAAtlIN Mit) N. [ARpNA 6161 RIIIG.VtMA R4-01S6fH Autc CAD File: k \FILES\ARC\Share\Singles\t939 PLANSWENN PLANS\99 CAR-t\G1249LPI 1.11wg Platted at: Fri Mar 03 15 20.46 2000 OR w Lm �D D Z rn� m ohm �o J 4� x�22 F_ 4b < A Z o mm n, v� P - �d ❑D d H fU 7J 9 OR w Lm �D D Z rn� cftp N 5/ON yION DISTANCE I I ➢ISI 1 TANCE FUND HOLES O ❑ _ M_M 2x LlN4IN OF LARGER HOLE NOTES. 1. A 1/e' HOLE CAN BE CUT ANYWHERE LY THE WEB. 2. SOUFNE AND RECTANGULAR NO MUST HE CENTERED AT MM-ME154T 6 WEB, 3. FOUND MLLES GO NOT PEED TO HE AT NLD -HEIGHT, BUT MUST NUI BE USER THAN 1/2' FROM JOIST FLANGE. 4. CUT HOLES CAREFULLY. DO HOT OWERCUT. DO HOT CUT FLANGES. 5. THE LENGTH OF UNCUT WEB BETWEEN"M ES MUST BE AT LFACT TWTCF TFF LENGTH OF THE LUMGEST ADJACENT HOLE DIMENSION. 6. REFER TO L -P'S 'HANDLING AND INSTALLATION RECOMMENDATIONS' FOR FULL DIAMETER HOLE CHART AND INPORTRNi NDTCS. 19 -LPI -36 3'-11' 4'-O' v -2' 6'-2' 6-W] 7'-6' 9'-3' IV W 4' P' 19 I I' I � . 16' II 11' 3/4°=i'-0° 5LNf: 1°. �'-0" 6CNi: I m W"TECT: .DAVID W. (11WRM ➢r E o a �STENSED0CENSED 1111 HLAI01 W416iYEOMNG 7 _ _ PULTE MID—ATLANTIC AAANA'DO FLDASEDP%FIECIUNNA EA6WL (OLDNNG CARLTON II NE 2000 ® e g m DELAWARE 6169 RHODE iSLum 2351 10302 EATON PLACE, STE, 180 NARriAND 7745-R MASSA'AWNICTi�IS5ET159657 LPI FRAMING m PROTOTYPE PAIRFAX, VIRGINIA 22030 ® A ( NEN' .�SEY AI -13961 NRGINIA 6776 W S. CAROLINA ON17 N. CAROM 6362 � PENNSYLVANIA RA -0151668 12 11 J 4� x�22 F_ 4b < A Z o mm n, -- ro _ m ❑D cftp N 5/ON yION DISTANCE I I ➢ISI 1 TANCE FUND HOLES O ❑ _ M_M 2x LlN4IN OF LARGER HOLE NOTES. 1. A 1/e' HOLE CAN BE CUT ANYWHERE LY THE WEB. 2. SOUFNE AND RECTANGULAR NO MUST HE CENTERED AT MM-ME154T 6 WEB, 3. FOUND MLLES GO NOT PEED TO HE AT NLD -HEIGHT, BUT MUST NUI BE USER THAN 1/2' FROM JOIST FLANGE. 4. CUT HOLES CAREFULLY. DO HOT OWERCUT. DO HOT CUT FLANGES. 5. THE LENGTH OF UNCUT WEB BETWEEN"M ES MUST BE AT LFACT TWTCF TFF LENGTH OF THE LUMGEST ADJACENT HOLE DIMENSION. 6. REFER TO L -P'S 'HANDLING AND INSTALLATION RECOMMENDATIONS' FOR FULL DIAMETER HOLE CHART AND INPORTRNi NDTCS. 19 -LPI -36 3'-11' 4'-O' v -2' 6'-2' 6-W] 7'-6' 9'-3' IV W 4' P' 19 I I' I � . 16' II 11' 3/4°=i'-0° 5LNf: 1°. �'-0" 6CNi: I m W"TECT: .DAVID W. (11WRM ➢r E o a �STENSED0CENSED 1111 HLAI01 W416iYEOMNG 7 _ _ PULTE MID—ATLANTIC AAANA'DO FLDASEDP%FIECIUNNA EA6WL (OLDNNG CARLTON II NE 2000 ® e g m DELAWARE 6169 RHODE iSLum 2351 10302 EATON PLACE, STE, 180 NARriAND 7745-R MASSA'AWNICTi�IS5ET159657 LPI FRAMING m PROTOTYPE PAIRFAX, VIRGINIA 22030 ® A ( NEN' .�SEY AI -13961 NRGINIA 6776 W S. CAROLINA ON17 N. CAROM 6362 � PENNSYLVANIA RA -0151668 12 11 J x�22 4b D Edo S ^ - lzi m ❑D cftp N 5/ON yION DISTANCE I I ➢ISI 1 TANCE FUND HOLES O ❑ _ M_M 2x LlN4IN OF LARGER HOLE NOTES. 1. A 1/e' HOLE CAN BE CUT ANYWHERE LY THE WEB. 2. SOUFNE AND RECTANGULAR NO MUST HE CENTERED AT MM-ME154T 6 WEB, 3. FOUND MLLES GO NOT PEED TO HE AT NLD -HEIGHT, BUT MUST NUI BE USER THAN 1/2' FROM JOIST FLANGE. 4. CUT HOLES CAREFULLY. DO HOT OWERCUT. DO HOT CUT FLANGES. 5. THE LENGTH OF UNCUT WEB BETWEEN"M ES MUST BE AT LFACT TWTCF TFF LENGTH OF THE LUMGEST ADJACENT HOLE DIMENSION. 6. REFER TO L -P'S 'HANDLING AND INSTALLATION RECOMMENDATIONS' FOR FULL DIAMETER HOLE CHART AND INPORTRNi NDTCS. 19 -LPI -36 3'-11' 4'-O' v -2' 6'-2' 6-W] 7'-6' 9'-3' IV W 4' P' 19 I I' I � . 16' II 11' 3/4°=i'-0° 5LNf: 1°. �'-0" 6CNi: I m W"TECT: .DAVID W. (11WRM ➢r E o a �STENSED0CENSED 1111 HLAI01 W416iYEOMNG 7 _ _ PULTE MID—ATLANTIC AAANA'DO FLDASEDP%FIECIUNNA EA6WL (OLDNNG CARLTON II NE 2000 ® e g m DELAWARE 6169 RHODE iSLum 2351 10302 EATON PLACE, STE, 180 NARriAND 7745-R MASSA'AWNICTi�IS5ET159657 LPI FRAMING m PROTOTYPE PAIRFAX, VIRGINIA 22030 ® A ( NEN' .�SEY AI -13961 NRGINIA 6776 W S. CAROLINA ON17 N. CAROM 6362 � PENNSYLVANIA RA -0151668 HOLE CHART AND INPORTRNi NDTCS. 19 -LPI -36 3'-11' 4'-O' v -2' 6'-2' 6-W] 7'-6' 9'-3' IV W 4' P' 19 I I' I � . 16' II 11' 3/4°=i'-0° 5LNf: 1°. �'-0" 6CNi: I m W"TECT: .DAVID W. (11WRM ➢r E o a �STENSED0CENSED 1111 HLAI01 W416iYEOMNG 7 _ _ PULTE MID—ATLANTIC AAANA'DO FLDASEDP%FIECIUNNA EA6WL (OLDNNG CARLTON II NE 2000 ® e g m DELAWARE 6169 RHODE iSLum 2351 10302 EATON PLACE, STE, 180 NARriAND 7745-R MASSA'AWNICTi�IS5ET159657 LPI FRAMING m PROTOTYPE PAIRFAX, VIRGINIA 22030 ® A ( NEN' .�SEY AI -13961 NRGINIA 6776 W S. CAROLINA ON17 N. CAROM 6362 � PENNSYLVANIA RA -0151668 AutoCAD File: k \FILES\ARL\Share\Sing]es\ 199921LAVII(ISTON_PLANS\99_ A-I\61249LPI2. dNg Plotted at: Fri Mar 03 15, 21: 12 2000 O A o UR- A� c- ~ ah ,. O�2IYx 10 z J`15EE. M. IP o �r N o = I s N E4 Tt c$ +o NI N to ; DBL. JST. U VER JACK OF TRIPLE NNO. Z rti- oa o u p = FE W. 051.5.8 FLOOR G— F- - C\ ^ VOL. J5T. U R JACK OF T3INi MW7. V' rno W ❑A - A V�- mFTI .t� DBL. `�`,- 5:" D oaL. tz z xioE yJ Izlzxlo — — P 4 8 in C� CZ O Z td m nim e I I m I I t I NwR r rn wl r ;' x; n O £I n O i N N ��{1 c i td ED L y�y a r c-- - -1 Aim= A.- 69 mp E 63 oc: Ile om A \ 3 �-1 1 2 — y - M s `£ 00 9 g - e FT, A. ceo lAl N tm A j\Itiz m 3 �F D 9 A< zFrT 8r a D v� y fi a H n 11 uc / lip v. m c 7 i 0 Id 0 1' Y' 3' P !' 0 I' Y' i 4' S' 0 I' Y' 31 _ 1! 1L�1 1 I I I I I I I I I t. I. I. i 1 I I i WAU, 1/4"•1'-0" 5CALE• 3/B"-1'"0" 5MZ11/2°-I'"0" 5CALE- 3l4" -I'"0" 5GN"E 1""1'q" 5LALE: I1/Y"-IV DISTANCE DISTANCE c ROUND HOLES r � L ❑LENGTH1'-1'-11' ❑ r (TT � D PRU➢UC1 HDLE DIAMETER �' 3' 4' S' 6' 7' 0' 10- O ❑ 11-]/$'LP1-O6 1'-5' 2'-3' 3'-l' 3'-11' LPI -30 1'-t• 1'-I' 1'-11' 2'-B' 3'-6' 9'-3" 5'-0• HOC_14'LPi-302'-10'40'�Iq'LPI-364'-4'S'-?•5'-8'6'-6' NOTES, I. P 1/2' HOLE CAN BE CUT ANYVHCRE DJ THE EB. 2. SOUARE ANp RECTANGULAR HOLES MUST HE CENTERED AT HID -HEIGHT OF VER 3. ROUND HOLES ➢0 NOT NEED TO BE AT MID-NEIGPT, BUT MUST NOT DE CLOSER THAN l2' FROM JUST FLANGE. 4. CUT HOLES CAREFULLY, DO lila OVERCUT. DD NTT LUT FLANGES. 5. THE LENGTH lF UNCUT vEB HETVEENHCLES MUST BE AT LEAST TWICE THE LENGTH OF THE Lon¢ST ADJACENT H0_E D36ENSRIN. 6. REFER TD L -P'S 'HANDLING AND INSTALLATION RECONNENHAifONS' FOR FULL E CHART AID [MPGRiwNi NOTES. 2' -11'3' -IB' JN/A SfNgRE 8 RECTANR,LAR HULLS LONGEsr uoLE mNENsmN PRODUCT 2- 3' 4' S' 6' 7' 8' 9' 10' I1-]/8'LPI-26 4'-t' 4'-B' � 5'-9' S' -l0' 6'-5' 0'-2' 9'-e' N/A N/A 11-]/B'LPI-30 4' 5'-11' 6'-9"9'-B' 10'-6' N�/A N/A Sl-]/8'LPI-36 6' J'-]1' 8'-9' 9'-8' 10'-6' 12'-1' N/A N/A 7q•LPi-3D 2'-l' 3'-0' 3'-B' 4' -IO' 8'-8' 6'-]' 7'-fi' 9'-0' U'-2' 1j' -2- 14'LPI-36 3'-11' 4'-8' S'-2' 6'-2' 6' -Il' ]'-8' m o ARCHITECT. DOW W. MMTHS 77 BAM QST N1 HD0ENE5NEAEPREPAE00RAWSOF 6rFOAVO N4T CARLTON II - NF 2000 7� q AN A pAY UCF119➢ LI�IS� AZ7A1ECi UCfR 1fE TANS C( TiIE Fg108AG DELAWARE 61 745 RHODE ISLAND 2354 \L/ NAR1tAND V -13I MCAD 7 LPI FRAMING PROTOTYPE NEW JERSEY A04417 7 N. GAR 6718 1 5, NMVAA 04417 N. CAROLINA 6362 PENN9tLVANIA RA -015166B PULTE b7ID-ATLANTIC � 10302 EATON PLACE, STE. 180 FAIRFAX, VIRGINIA 22030 A .. AutuCAU File: H:\FILES\ARC\Share\Singles\1999 PLARMSTONPLANS\99_CAH"1\H12A9RF1. dMg Plotted at: Fri Nor 03 15:21:53 2000 m o ARCHIECT: DAw W. (7 mms t I (fRIFY THAT K9 NO&30 WrtRE ROARED OR AP AD Of NE, ANO THAT I LY A DUY LNt M LICENSED AYCHnFCT ONNR THE LAYS OF 9E FDLOWNG DELAWARE 6189 RHODE ISLAND 2754 r MARYLAND 7745-R MASSACHUSSETTS 9857 NEW JERSEY A-13967 MRnI IA 5718 S CAROLJNA 04417 N. CAROLINA 6362 co PE141SIOLIZA RA -0151668 11,E Ai 51PE LAAO 5p06E 1211-514 A 16 LVL WITH OPTRYJAL FIREPLACE 0 4J +45 E.E. 206 12) 2X10 2j IS EE. 00T - � I AT I mz a I�tAI 1■��� ■■h_ IIS I �p I o g I on D 1 ■ I = I — I V) I ■I�■I■ I 1 � V I I I �nT _1 R£ Z I R\ _ C) O N 1 � - rn N N � W ?o �Q I m� - IJ+15 E.E. IJ- 15 E£ sp oA mp nA a drn ow =10110.wjm��l z - c� - L CS1 rn D n aMEA - D Z /1 rn o� z �N ae rn I < O Iv WE Wj � Q� ` + . s "w a,,.,.._ :��... + �" � 5� 1� = __: .M��ti� xB' p F .--_ -- ":3�+tip f ��121Yii1D� W IJ + 15 EE. a� IJ + Ott. v _4 o _ � N N 1 2' I 1 31 4' 1 I 51 I 0 P 2' 3� 1 I I 4' 4' 0 I' 2' I 1 1 1 I 3' 1 1 1 SCAE+ 114't I' -d SCALE, 310, = I'-6' SC&e � 112' • 1'.01 SCALE, 314, = IY SCALE: 11= 1'l SCAf: 1 1121= 1'-0' m o ARCHIECT: DAw W. (7 mms t I (fRIFY THAT K9 NO&30 WrtRE ROARED OR AP AD Of NE, ANO THAT I LY A DUY LNt M LICENSED AYCHnFCT ONNR THE LAYS OF 9E FDLOWNG DELAWARE 6189 RHODE ISLAND 2754 r MARYLAND 7745-R MASSACHUSSETTS 9857 NEW JERSEY A-13967 MRnI IA 5718 S CAROLJNA 04417 N. CAROLINA 6362 co PE141SIOLIZA RA -0151668 TIRE CARLTON II - NE - 2000 P"L PULTE MID -ATLANTIC ,PROTOTYPE PE 10302 EATON PLACE, STE. 180 FAIRFAX, VIRGINIA 22030 I�tAI 1■��� ■■h_ IIS ■ I ■I�■I■ 1 � TIRE CARLTON II - NE - 2000 P"L PULTE MID -ATLANTIC ,PROTOTYPE PE 10302 EATON PLACE, STE. 180 FAIRFAX, VIRGINIA 22030