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Miscellaneous - 22 BAY STATE ROAD 4/30/2018
l 22 BAY STATE ROAD 2101058.8 0027-0000.0 I Location �t No. _ Date 2 J ' • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#I � 26718 Building Inspector TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION � a Permit NO: 1 ( Date Received � �'���� �'SSws S� Date Issued: CHU 3 IMPORTANT:Applicant must complete all items on this page LOCATION � a rJ I Print PROPERTY OWNER Mck f"—eyi M c l M ��\\ Print MAP NO.: 6� PARCEL: NV - ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building XOne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: ❑Repair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving relocation ❑Other DO ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED �S k leu 0� 16 X 5 Y ,4�5 Identification Please Type or Print Clearly) OWNER: Name: MA,2ff4 mc(Cep n Phone: °I "( k 7-pq 3 l Address: a (k k CONTRACTOR Name: �"°'�4✓ ���� a ) Phone: r Address: ra( (o Ma,,n 5�- T.ew(e5� ! ^4 o l F?6 Supervisor's Construction License: Exp. Date: Home Improvement License 11 Z 1-7 1 Exp. Date: C( /I o 21 d(L-( ARCHITECT/ENGINEER Name:Phone: Address: Reg.No. FEE SCHEDULE.BULDING PERMIT.-$12.00 PER 1000.00 OF THE TOTAL ESTIMATED COST ED $125.00 PER SF. Total Project Cost:$ 0�I x12.00=FEE:$ !� Check No.: l `•1 c„l,a Receipt No.: LG Page lof4 G' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Pri0 Ye nt 16ar old Structure yes no MAP NO: --PARCEL: ___ ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer _ _ - DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: -_ Address: Supervisor's Construction License: Exp. Date: - Home Improvement License: _ Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ownei .. Sig ature,ofcoi tractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department The fohowing 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 ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract a Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (if Applicable) ❑ 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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ 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 apaaal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 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 Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature i Date Driveway Permit DPW Tow;; Engineer: Signature: Located 384 Osgood Street FIREDEPART(V ENT -Tem ' Dumpster on site yes no Located at 124 Mair, Street " Fire Departmer tsidnatU a/date r � T COMMENTS 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 i vyJ 4o he El Notified for pickup - Date E Doc.Building Permit Revised 2010 I TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING&DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS 113 � Z 3 � DATE REJECTED DATE APPROVED CONSERVATION ❑ COMMENTS V DATE REJECTED DATE APPROVED HEALTH- COMMENTS EALTHrCOMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature&Date Driveway Permit Temp Dumpster on site yes—no— Fire Department signature/date r Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 34,051 .00 m $ - $ 408.61 Plumbing Fee $ 51.08 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 51.08 Total fees collected $ 610.77 22 Baystate Road 134-12 on 8/12/13 16x34 Inground Pool NORTH Town o O - .: 0 134 — ti o h , ver, Mass, • t.3. • r COC NICNIWICK y1. S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT / .................... ................. ..... ................. .. .. ... . ... .. . .. .. ... Foundation has permission to erect.......................... buildings o ..... ... ...W... . ......1.! �. Rough to be occupied as ......4.�.....�..3..�....... .. .f.� ..... .*1......................... Chimney provided that the person accepting this permit shall respect confor to the terms of the application p p p 9 p rY P pp Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR D UNLESS CONSTR &10jfARTS RoughService .......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing. or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: /A(,V .tv� M c(4c-n Location: nntt City �t►cry'� �Mc/d� � OPhone Q78 fT70113 F-1 am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity t am an employer providing workers'compensation for my employees working on this job. Company name u e. lui P, l cry (�v ti S Address ( I(o ✓ylc�.w� C City: T 7- �.?w(GS1I � �v4 '�(, Phone# G?� SSI o490 Insurance Co. Polic # 7C W C 6 0 o 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 andloT 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. !do herby certify under th�hs and na/hes of perju at the information provided above is true and correct. Signature Date '7 Print name S"CAA t-r J :1. A R QAM Q Phone# q-78 85710 990 Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check if immediate response is required Building Dept Licensing Board p Selectman's Office Contact person: Phone A Health Department Other FORM WORKMAN'S COMPENSATION c/lsuci z��uueal(l a� office of Consumer Affairs&Busines au ME PA PROVEMENT gURE CONTRACTOR 779731 pireh $ YP e NCPrationEVERCLpOOL4SNC a' ` STEPHENk r. ABRAMO r 616 MAIN S7 TEWKSBURY, MA 09876 € Undersecretary _ i y Jul 2413 03:43p Everclear Pool&Leisure 19788516548 p.2 33 `(Policy Provisions: WC 00.00 00 B) Y90 VC INFORMATION PAGE vuEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURED: HARTFORD CASUALTY INSURANCE COMPAATY ONE HARTFORD PLAZA, HARTFORD, CONNECTICUT 06155 THE 'd NCCI Company Number: 14397 HAR'T'FORD Company Code: 3 0 N 0 N suffix LABS RENEWAL POLICY NUMBER: 76 WEG V09033 04 0 Previous Policy Number: 76 WEG V09033 0 HOUSING CODE: 76 M 1. Named Insured and Mailing Address: EVERCLEAR POOL & LEISURE � (No., Street,Town, State, Zip Code) N 616 MAIN ST CD 0043340777 TofKSBURRY, MA 01876 Ln FEIN Number: State Identification Number(s): UIN: .� The Named Insured is: CORPORATION Business of Named Insured: SWIMMING POOL SUPPLIES STORE Other workplaces not shown above: 616 MAIN ST TEWKSBURY MA 01876 2. Policy Period: From 01/03/13 To 01/03/14 12:01 a.m., Standard time at the insured's mailing address. Producer's Name: PAYCHEX INSURANCE AGENCY INC —_ PO BOX 33015 SAN ANTONIO, TX 78265 Producer's Code: 210705 Issuing office: 55 HARTFORD s_ 55 FARMINGTON AVE. , SUITE 301 HARTFORD CT 06115 (877) 267-1312 s $3,407 Total Estimated Annual Premium: Deposit Premium: Policy Minimum Premium: $470 MA Audit Period: ANNUAL Installment Term: The policy is not binding unless countersigned by our authorized representative_ AI�A Countersigned by 11/24(12 Authorized Representative Date Page 1 (Continued on next page) Form WC 00 00 01 A (1) Printed in U.S.A. Policy Expiration Date: 01/03/14 Process Date: 11/24/12 ORIC-INAL Jul 2413 03:43p Everclear Pool&Leisure 19788516548 p.3 INFORMATION PAGE (Continued) Policy Number: 76 WEG V09033 3.A. Workers Compensation Insurance: Part one of the policy applies to the Workers Compensation Law of the states listed here:MA B. Employers Liability Insurance:.Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily injury by Accident $100,000 each accident Bodily injury by Disease $500,000 policy limit Bodily injury by Disease $100,000 each employee .� C. Other States Insurance: Part Three of the policy applies to the states, if any , listed here: N o 04 ALL STATES EXCEPT ND, OH, WA, WY, AND STATES DESIGNATED IN ITEM 3.A. OF THE INFORMATION PAGE. D. This policy includes these endorsements and schedule: WC 99 00 05 WC 00 04 21C WC 00 04 22A WC 20 01 01 WC 20 03 03D o SEE ENDT 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating iOPlans. All information required below is subject to verification and change by audit. N Premium Basis CD , Classifications Estimated Rates Per Estimated * Cade Number and Annual $100 of Annual Description Remuneration Remuneration Premium (SEE ATTACHED SCHEDULES) MA RATE DEVIATION PREMIUM CREDIT (.05) (9037) -161 TOTAL PREMIUM SUBJECT TO EXPERIENCE MODIFICATION 3,053 MA - MERIT RATING CREDIT (9685) .950 PREMIUM ADJUSTED BY APPLICATION OF EXPERIENCE MODIFICATION 2,900 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 2,900 EXPENSE CONSTANT (0900) 338 MASSACHUSETTS DIA ASSESSMENT 4.200 PERCENT 128 TERRORISM (9740) 135,500 .030 41 TOTAL ESTIMATED ANNUAL PREMIUM 3,407 MOM Total Estimated Annual Premium: $3,407 =- Deposit Premium: Policy Minimum Premium: $470 MP Interstate/Intrastate Identification Number: 1 000258724 NAICS: Labor Contractors Policy Number: SIC: 5999 UIN: NO. OF EMP: 000008 Form WC 00 00 01 A (1) Printed in U.S.A. Page 2 Process Date: 11/24/12 Policy Expiration Date: 01/03/14 6/25/2013 Work Order #393 Store: 1 Ordered: 6/25/2013 Associate: SJA Page 1 EVERCLEAR POOL & LEISURE 616 Main St. Tewksbury, MA 01876 978-851-0990 Everclearpoolandleisure.com Bill To: MAUREEN MCKEAN 22 BAYSTATE RD. NORTH ANDOVER, MA 01845 978-687-0931 INSTRUCTIONS: 16X34 MARTINIQUE 2' RADIUS WITH 4X8 EXTERNAL STEPS 6"RADIUS AND 2X4 CUDDLE COVE 2'RADIUS Order Status: Open Due Date: Item Name ITEM# Size Qty Sold Due Price Ext Price Tax 16X34 MARTINIQUE W/48"PANELS 1 0 1122,500.00 $22,500.00 1 2X4 CUDDLE COVE 2'RADIUS 1 0 1$1,475.00 $1,475.00 T 6'DIVING BOARD 1 0 1 $1,350.00 $1,350.00 T ACT 1100 HEAT PUMP 1 0 1 $3,599.00 $3,599.00 T 10% less: $400.00 SUPERPUMP VS UPGRADE 1 0 1 $450.00 $450.00 T 10% less: $50.00 APOLLO CLEANER 1 0 1 $989.00 $989.00 T 10.01% less: $110.00 PLP4 WITH T-CELL 9 1 0 1 $1.748.00 $1,748.00 T HAYWARD WHITE LIGHT W/50FT CORD 1 0 1 $599.00 $599.00 T Total Qty Ordered: 8 0 8 Percent Unfilled: 100 Deposit History Subtotal: $32,710.00 Cashier: Date Receipt# Amount Payment Local Sales Tay %Tax: +$1,341.25 7/15/2013 16435 $16,500.00 Credit Card TOTAL: $34,051.25 Deposit Balance: $16,500.00 Balance Due: $17,551.25 Thank you for your patronage! PHILLIPS BROOK ROAD 11 .62 N 87°09 05 E C) vi Lo M �N O O _ Z S 88'17'45" W N 88017'45" EA 49.99' I 37.70' o PARCEL 2 PARCEL 123ul N O 34' 3 0 o V) �-- —'ti AREA=12,632 S.F. 00 O INGROUND I AREA=0.29 ACRES cc c POOL I I Z N/F 5 14' NIF CARNEY MAILLET W w GARAGE I I I 1 STORY , W.F.D. (4 I �Z N �o0 co �O I (/) Z I I j PARCEL 3 I N _ II PARCEL 1 S 80936" S89°09'36""' E' 24.68 R=318.17' 49.32 L=25.32 BAY STATE ROAD NOTES PLAN OF LAND 1 . SEE TOWN OF NORTH ANDOVER ASSESSORS MAP #58 LOT #27 AND WHICH IS SUBDIVISION LOT 1, IN 5—A, 60. SEE DOCUMENT #90580 E.N.D.R.D. FOR NORTH ANDOVER, MASSACHUSETTS SITE DEED. DRAWN FOR M N 2. ZONING DISTRICT IS R4 (RESIDENCE 4) BRUCE MCKEAN i 22 BAY STATE ROAD .� �• NORTH ANDOVER, MASSACHUSETTS 01845 SCALE: 1"=20' DATE: JULY 22, 2013 cq 0 10 20 40 80 cli TM #78 TL #33 SDL B MERRIMACK ENGINEERING SERVICES 7/22/13 66 PARK STREET r STEPHEN E S , R.L.S. DATE ANDOVER, MASSACHUSETTS 01610 Name; 16' X 34' MARTINIQUE Ce;edMmlonot Number; BAYCAM533 Inat Systems,Inc. 250 Route 61 South,SchuyiWil Haven,PA 17972 a 570-M-4733 a tax:570 385.1318 i CustomerService@CardinalSystemstnc aom Bill of Materials PART NO. QUANTITY DESCRIPTION A FRAME 16 A FRAME ASSEMBLY CS 4 SA 2 48' HIGH 90 DEG CORNER ANGLE CS948SB 2 48' HIGH 6' RAD CORNER FILLER 'BIG VEE' PS90ST-48 2 48' IGH STRA GHT WALL STEP TRANSITIUN SP IALSTSTi 1 4' STEEL NCH 48' HIGH S SX40BOXXXXXXC 1 8' STE T P 48' HIGH 5C48357RCI0000 1 T-5 7/8' x 10' Radlus C PANEL WITH Return SC48357XXIOOOC 1 3'-5 7/8' x 30' Rndlus C PANEL 5C4 600XXI0000 4 6' x 10' R( C PANEL S48300RCN0 1 3' trn a urn 48400 xu rn 48 0 CN2 1Straight Rmer 5 800LCN2 1 ra 4 800 XX U, straight 5T48060230 6 1 6' x E 3/a' x 230' ELL 5T48060244060 2 6' x 6' x 244• ELL ** NOTE: ALL PANELS ARE 48" HIGH ** 4 S` 4' \ / 3. v 3'-6" 7' �► -'� mx SP890ST,48 W_ W.OD 6. 3'-6• L 1- W 8' Q�• d Go 6' x 11 3/4' x 230• I , a z 6' x 10' ► r o w 1 g� M w 6' x 10' R10' I 6' x 10' > 3'-5 7/8' x 10' 6' x 6' x 244 1 '' t'-s t/a' 6' x 10' 3'-5 7/8' x 10' 6' x 6' x 244* 3'-10- 8' STEEL STEP 48" HIGH SPSX4080XXXXXXC Date: 7/23/13 Perimeter: 111=01/2" p Q Drawn By: JAMIE S Area: 610.0 SO.FT. Scale:1/w'=1' Notes: EVERCLEARa r: Cardi�fSyalemelno win Thls lnfovma"on is the contidonl)al loroperty of Carding Systems,)no.Dladosure or dupl)caUon w%bout proper vsditTmr spprova)ks sh)ady prohibited. Acceptance and use otrhis drawing conaMules)mow)edye and acceptanca by the user at the Terms and condrilons sal 10r9)r)h fha rwt)ce and►►arnbry VM,), aeeompanlad tuts drawlny Is)ncorporelod bareln and made part hereo)and)a Lound cn cardinal Systems ins a wabs)Ta at v»r CarMnamystama)nc som 1 �- THE CONSTRUCTION METHODS ILLUS'1RA`MD APPLY CORNER BRACKET . E ONLY TO NORMAL GROUND CONDITIONS. IF UNUSUAL Q� SOIL CONDITIONS ARE ENCOUNTERED (LE. HIGH 3/8" x 1" BOLT WITH — – ORGANIC MATERIAL. HIGH WATER LEVEL) ADDITIONAL NUT & 2 WASHERS �- — MEASURES MUST BE TAKEN TO PROVIDE SUBSURFACI (TYP. 14 EA. CORNER) CONDITIONS WITHIN THE STRUCTURAL CAPABILITIES OF THE ANYOR METHODS OFEL.CO STRUCTIOINNAL AREPTHEAUTIONS RE5PONSMILITY OF THE CONTRACTOR. (NOTE: DECK SUPPORTS ARE 3/8" x 1" BOLT WITH ( I BIG VEE OPTIONAL.) NUT & 2 WASHERS 6" RAD. INSERT POOL DECK (7 PER JOINT REO'D.) RADIUS CORNER COPING � •. WALL – STEEL 14 GA. TYPICAL CORNER DETAIL W/2oz. (G235)GALVANIZING (RECTANGULAR POOLS) w t` .' . I MIN. 6" THICK CONCRETE COLLAR REO'D. AT BASE OF WALL PANELS ti DRIVE RODS THROUGH HOLES IN PANELS 3/8" x 2 1/2" BOLT W/NUT INTO UNDISTURBED EARTH. 2" SAND OR VERM. CONC. REINF. ROD SUPPORT CURVED CORNER w SUPPORT MAY BE \ COPING BRACE TIE BOLTED TO THE ANGLE POST IN ANY OF THE PRE— \ UNDISTRUBED PUNCHED HOLES. \ EARTH TYPICAL WALL BRACE ASSEMBLY �/ BACKFILL SHALL BE FREE — — CLEAR GRANDULAR MATERI DRAINING AL SUCH AS SAND, TRACE CLAY OR TRACE SILT. CORNER BRACKET TYP LINER INSTALLATION DET, 3/8" x 2' BENT BOLT CONCRETE DECK REQ'D. W/NUT & 2 WASHERS (7 PER JOINT) TYPICAL CORNER DETAIL RIM—LOK COPING (GRECIAN POOLS) #12-14 x 1" SELF DRILLING EXTRUDED ALUMINUM PLANNING NOTES: FASTENER (18" O.C.) SET WIDTH OF POOL AT RIGHT ANGLES TO SLOPE FINISHED ELEVATION OF DECK TO BE 1'00" ABOVE SURROUNDING GRADE VYNYL LINER PROVIDE SWALE AROUND UP—HILL SIDE OF DRAIN. (HUNG) SURFACE WATER AWAY FROM POOL. CONCRETE DECK SHOULD SLOPE MIN. 1/4" PER FOOT AWAY FROM POOL. PLOT PLAN FURNISHED BY OWNER TO SHOW POOL POOL WALL PANEL LOCATION AND ENCLOSURE. RIM-LOK COPING DETAIL ELECTRICAL, PLUMBING AND FENCING TO CONFORM TO CARDINAL SYSTEMS ALL CODES. 250'Y' si s 15701 385-4733 OPTIONS EXTRA IF REQ'D. BY SITE CONDITIONS OR "'ALL""`a'PA' (570)385-1518 FAX NOTES: WHEN SPECIFIED BY OWNER. DATE 3/16/02 nT`£ONSTR. DET. SHT. MEETS MINIMUM STANDARDS OF THE INTERNATIONAL RESIDENTIAL AT LEAST ONE MEANS OF EGRESS SHALL BE PROVIDED. scams: NONE tjUNG LINER STL. P001 CODE 2006 AG103.1(ANSI/NSPI-5 2003) AND BOCA1996, OPTIONAL STAIRS OR LADDER DRAWPC PEB IFILE"ANE CONMET 3' _..__ 2'-6° 4" THK. CONCRETE UNDISTURBED EARTH ALUMINUM COPING DECK, SLOPE 1/4" PER FT. AWAY FROM POOL. SHORT DECK BRACE ANGLE 14 GA. GALVANIZED ° 2" x 2" x 31 1/2" STEEL WALL PANEL / / 14 GA. GALVANIZED ANGLE \ \\\ CS700DS ° o LONG DECK BRACE ANGLE 3/8"05 A307 MB. ° 1 1/2" x 1 1/2" x 55 1/8" (1) BOLT IN ALL HOLES 14 GA. GALVANIZED ANGLE CS700DL OF INSIDE ROW(NEXT TO \\ \\ POOL) AS A MINIMUN o CARDINAL CRIMP TURNBUCKLE ANGLE 3'-6 3/4" x 1 1/4" x 3/4" x 25 1/4" / 11 GA. GALVANIZED CHANNEL USE 2nd SET OF HOLES TO ATTACH PLASTIC COMPONENTS (STEPS, SWIM OUT, ETC.) �j DRIVE STAKE 1 1/2" x 1 1/2" x 18" ° \ 14 GA. GALVANIZED ANGLE /\ CS6080S 2" BOTTOM ° o ° • ` \ MATERIAL 6" CONTINUOUS CONCRETE COLLAR BEARING PLATE SHORT ANGLE 7 1/2" x 4 1/2" x 12" "fit t "x 16" PATIO BLOCK 1 1/2" x 1 1/2" x 24" 14 GA. GALV. ANGLE /Vl' kZACH PANEL JOINT 14 GA. GALVANIZED ANGLE CS607BP AND CORNER FOR CS606SA tlVE.LING, AT CONTRACTORS OPTION NOTE: BACKFILL TO BE SAND, GRAVEL OR OTHER NON EXPANSIVE MATERIAL /NORTH e ... . ..... .y NORTq TOWN ANDOVER PERMIT FOR PLUMBING SACMUSE� This certifies that-. .�--•-f7 Y?'l.G.(�.: -'-• J. P. Fj�A• l! Ln=-c rr has permission to perform �. . .!. . . . . . . . . . . . . . . . . . �. plumbing in the buildings of '. . :''.. . . . . . . . . . . . . . . . . . . . . . . . . at ? .c�. • • . North Andover, Mass. Fee . . . . .Lic. No/. .... .7G . . .\,.. . . . . . . . .�� . . . . . . . . . . . . . . . f�- PLUM91NG INSPECTOR Check # C 99 to (J G i 8257 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING r7 City/Town: Abd Ax)' MA. Date: 91d&16ft9 Permit# Building Location: Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No FIXTURES z z W 0 U Z N N V) W Z Y a N J U W 0 z(narn = V) z � w z ~ fn g o a X W O m to W 0 a F- Z >- tY W z 0 0 C� U d LL w z a Y = 0 0 = z Q 0 3 a Y a = W W w a a y N a o > > o = 0 0 z a a a a m m 0 0 LL 0 = Y W 0 W I- 0 SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3RD FLOOR FLOOR FLOOR 6 FL OR 7 FLOOR 8TH FLOOR Check One Only Certificate# Installing Company Name:.`�L'', `t`) - � ( i Corporation ;. �' f_ 1 r.' f° r i- �, `V2 Ci /Town: � �� /`s '�pf State: �1�1i Address: f�'�f'?� }' ry � ! , J ❑Partnership Business Tel: ;8l , Fax: • ❑Firm/Company Name of Licensed Plumber: r` r INSURANCE COVERAGE: I have a current 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 of coverage by checking the appropriate box below. // � A liability insurance policy 4, 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner Dr Owner's Agent hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. y Type of License: Title PlyytSiber Signat re of c nsed Plumber ©-M1flaster City/Town ❑Journeyman License Num er: 1 r APPROVED OFFICE USE ONLY I � . ��- r0 FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER,GASFITTER LP INSTALLER LICENSE NUMBER_ PERMIT GRANTED F1 DATE: GAS FITTING INSPECTIOR Date T 0.� TOWN OF NORTH /ADOVER 41 LL PERMIT FOR GAS IN ALLATION '7SA MUS V This certifies that r..... . . . . . . . . . . . . . . . has permission for as installation . . . ... . . 9 .. . . . . . . . . . . . . . . in the buildings of . ... . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee-. . . . Lic. No/ -GAS INSPECTOR(/ Check 6962 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: X,1, �� Date 9�°,. Permit# Building Locatiol/p,/oJ�y�'2 W Owners Name: Type of Occupancy: Commercial F Yi Educational Industrial Institutional Residential; New.'_. Alteration: Renovation a Replacement Plans Submitted:. Yes', No FIXTURES � U) Lu W W m = O W W OU to H _ W Z H Q z -1 O z Q 00 w p Q 0 H U) W z w a a i 0 o. X Lu 0 = N 0 W O LL > v w z O W F- F- O z -j a LL � = Z w w w Lu Z w >- rn J Q Q m W 0 z 0 I- F- O o o (�7 = _ > 0 O uj z W Q Q Q g O a I- > > 0 SUB BSMT. BASEMENT 1 FLOOR 2 D FLOOR 3 FLOOR FLOOR 5 FLOOR 61HFLOOR 7 FLOOR I8 FLOOR Check One Only Certificate# Installing Company Name t e I�j'laV ', p ration Cor o r Address:/ f-X�.Gr'l' ;City/Town.61 11 State MA a , � . .o � .. _..... -� .i. - _ .. - Partnership Business TellFax: �f' 'Firm/Co mpany Name of Licensed Plumber/Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes __..£Nd If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy lw`' 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ! Agent Signature of Owner or Owner's Agent o-- By - 'By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Af __....._..._. ...._..__.._._.._._...__...,...._.a ._....„Type ofLicense: By. , z.._. ..., ',,'Plumber True ✓ Gas Fitter Signature o L' ensed I mber/Gas Fi er Master Cityrrown c , _ u journeyman < License Number: LP Installer APPROVED OFFICE USE ONLY FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER GASFITTER,LP INSTALLER LICENSE NUMBER: PERMIT GRANTED❑ DATE: GAS FITTING 1NSPECTIOR r City/Town: NOEL i M ArPbavf(L Date: zw') Plumbing&Gas Inspector: I Ac-KsA„J would like to cancel permit# For the installation of C45 Ftp 1!6r Wl?rA*z- j3o,�t� In my home/address ZZ- 341 57'q-1P, Roe,,> Climate Designs, LLC has completed the installation under the existing permit. Work to be completed under the new permit will be the final inspection. l Sincerely, AK STRUCTURAL ENGINEERING I TV 8 Coleman Street Peabody, MA 01960-4104 Tel. & Fax (978) 531-5927 January 16, 2006 Mr. Michael Loranger, President Construction Artisans, Inc. 27 Kilmarnock Street Wilmington, MA 01887 REF: Breezeway/ Dining Room Conversion 22 Bay State Road, North Andover, MA Dear Mr. Loranger; The engineer made a site visit to the above address on the afternoon of January 16, 2006. He observed completion of the structural work as proposed in the engineer's drawing, "Plan and Elevation for Proposed re-modeling at 22 Bay State Road, North Andover, dated 12/29/05". £' Enclosed are photos, and the drawing. Sincerely, tN OF � � KANDREWY Andrew Kuchinsky, P.E. STRUCTURAL y Na 38769 1 6 A 6' 3 A , , S P eta • � )�,q:���'Wr or nnk 14 �I� m �t t r ws fe j..J� r k€°±5 ���r-- Y d q•q wwhM�'-'°-tea`,:= k Z 1 k pp rm� �yyw p ' .3 z � Sys✓ r :!� „_ PP O17, a `' E J OF c �ls 9 v E XL 2,7w t 41 QD 9 w. y .c H . „y t �y • v� g' r t .n ''tVf yr 'yid .Y s.�' '" trt�r■y H. .. ter• .: .. y. �,�._-•� _ -{ is„ .{. V-4 fC.rt LVirq PROP. 4 X 4 ------------------------------------; D.F. COLUMNS •-----------------------------------II ' ----------- ------------ 1 1 1 I I I I I 1 I 1 1 I I 1 1 I 1 1 I 5/8" DIA. STEEL THRU BOLT,NUT,F.W.S @ 12" O.C. 5- 13/4" X 7 1/4" LVL=PROP. BEAM 3 10'-0" o J J a �u SIMPSON HL43PC ANGLE; W/ 3/4" X 3" u. LAG SCREWS TYP. 7'-0" x x 1 a 13'-4" d- a a O a a a a a; co co:co: FOUNDATION SILL m EXISTING a n: WOOD-FRAME ELEVATION OF PROP. GARAGE a a i z u_ z BEAM AND COLUMNS PROP. DINING ROOM o J (TYP. FOR ADJACENT) xLu o N.S. W 1 1 1 1 I I i 1 I I 1II L------ ----------------- IL ------__- III----------------------- PROP.'4 X 4 D.F. COLUMNS ---------------------------------- � 1 ----------------------------------- PLAN & ELEVATION PLAN OF PROP. DINING ROOM FOR PROPOSED RE-MODELING AT 3/8"=1' 22 BAY STATE RD.,NO. ANDOVER,MA SCALE: AS NOTED 12/29/05 AK. STRUCT. ENG. PEABODY,MA 4 y• Construction Artisans, Inc. Remodeling and Building with Perfection 1/17/2006 Gerald Brown, Building Inspector Town of North Andover Re: 22 Bay State Road Building Permit Dear Mr. Brown: On Monday 1/16/06, Mr. Andrew Kuchinsky, P.E,inspected the installation of the LVL beams. He approved the installation in accordance with his plan. An affidavit is forthcoming via regular mail later this week. Upon receipt of the signed affidavit by Mr. Kuchinsky a copy will be hand delivered to your ,office. Attached please find a copy of his plan,which was previously submitted at the time of permit application. Should you have any question please feel free to call me anytime. Sincerely, U A K AK RUGURAL ENGINEERING Michael Loranger Andrew Kuchinsky, P.E. 8 Coleman Street i Peabody,MA 01960-4104 978-531-5927 Tel.&Fax 1 MA Builders Lic#082711 TCI: 978-821-4432 27 Kilmarnock Sl. Home Imps Reg.N 143724 `l ikcc(t:Cunsp11ctionArtiiws.cuni Wilmington,MA 01837 Fully Insured(Liao.&WC) www.ConstructionArtisans.eom r. 5/8 DIA. STEEL THRU BOLT,NUT,F.W.S @ 12" O.C. 5- 13/4" X 7 1/4" LVL=PROP,-BEAM J J SIMPSON HL43PC IL: ANGLE; W/ 3/4" X 3" � LAG SCREWS-TYR ° x x 131-4„ it a a O 0 ce IY 21ZFFOUNDATION SILL w Z u ELEVATION OF PROP. Z ur ? BEAM AND COLUMNS �n O w (TYP. FOR ADJACENT) O N.S. ui ----------- - PLAN & ELEVATION FOR PROPOSED RE-MODELING AT 22 BAY STATE RD.,NO. ANDOVER,MA SCALE: AS NOTED 12/29/05 o�� AK STRUCT. ENG. /� PEABODY,MA ANDREW KUCNINSKV I� � STAUCRiRAi a 38 r 1. ( 1 PROR 4 X 4 ------------------------------------- D.F. COLUMNS ------------ -----------------------------------� , ----------- J Q 101-011 : Z Q 1 0 a 1. m co: EXISTING a a WOOD-FRAME ce 0c e: GARAGE a PROP. DINING ROOM a' ' CL ct i i ---------- PROP:4 X 4 D.F. COLUMNS ----------------------------------J i PLAN OF PROP. DINING ROOM 3/8°=1' PROP. 4 X 4 ------------------------------------- D.F. COLUMNS ------------- ------------ ------------------------------------ 1 J J i O1—oer O ra a l� 71-011 1 0 a 1, Q Q: m m; EXISTING a d C: WOOD-FRAME a: GARAGE a PROP. DINING ROOM 777 ' �---------- PROP.'4 X 4 D.F. COLUMNS ----------------------------------- PLAN OF PROP. DINING ROOM 3/8"=1' 5/8" DIA. STEEL THRU BOLT,NUT,F.W.S @ 12" O.C. 5- 13/4" X 7 1/4" LVL=PROP. BEAM � o ou SIMPSON HL43PC u U.: ANGLE; W/ 3/4" X 3" LAG SCREWS-TYP. IT �. x x 13'-4" °- a O O a a FOUNDATION SILL w ELEVATION OF PROP. Z Li BEAM AND COLUMNS �n O w (NP FOR ADJACENT) 0 N.S. w � � ------------ ------------- PLAN & ELEVATION FOR PROPOSED RE-MODELING AT 22 BAY STATE RD.,NO. ANDOVER,MA SCALE: AS NOTED 12/29/05 Of AK STRUCT. ENG. PEABODY,MA AND" � j::F. KUCN!NSKY STRUCTURAL w tdo.387gp j, Cj, 'S• ' iAl G�w 6298 Date .................... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACHU This certifies that .................... .... ............................... .... ... has permission to perform ..................................... wiring in the building of............. � ..... ....................................... at ................. ......I....... ................ .North Andover,Mass. Fee .w............ Lic.No� �2 . .......... . ............ ELECTRICAL INspic Check # Commonwealth of Massachusetts Official Use Only 4= — Perin it No. 4 ' Department of Fire Services `t Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9,'051 (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: City or Town of: �(, ` To the Inspector of'Wires: By this application the undersigned give notice of his or her intention to perform the electrical work described below. Location(Street& Number) Owner or Tenant —'6euct i f' 6yat , Telephone No. f•1;- l Owner's Address 'Sc Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building JQ � ti.� 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: Com lesion of the foltmvin cable may be waived by the h>spector o'I hires. 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 F-1 o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets 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 No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump I . Tons KW No.of Self-Contained Totals: " " Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent i No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: .� No.of Devices or Equivalent OTHER: ,attach additional detail if desired. or as required by the/nspector oJ'{Vires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 01 bs&e 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 cov age is in force,and has exhibited proof of same to the permit issuing office. URANCE CHECK ONE: INSBOND ❑ OTHER ❑ (Specify:) I certify,under the nams and penalties of perjury,that the information on this appl' rtion is true and complete. FIRM NAME: 3^ u- rV T LIC.NO.:AlDfiq r Licensee7;.�" $3wA fir- Signature LIC. NO.: Pi(Iz 1 (1%applicable,enter "exempt"in the license number line.) Bus.Tel. No.: WI-00-(0t1 Address: Alt.Tel. No.: X1- i�9- I *Security System Contractor License required for this work, if applicable,enter the license number here: ( OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the(check one)❑ owner ❑owner's agent. Owner/Agent jp� Signature Telephone No. PERMIT FEE: $,2 ' Commonwealth of Massachusetts t"rici,d Use 011h: Permit No. l !O_ Department of Fire Services � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 91051 Heave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All\\ork to he performed in accordance\%ith the Massachusetts Electrical Code(NJEC).5277(AIR 1-1.00 WLEA,SE PRLYT LV INK OR TYPE ALL I:VFOR,IL=ITION) D � t City or Town of: .-.. ,, �� !h `tlsh S �e.srBy this application the undersigned give notice of his or her.intention to perfon he r I worted below. Location(Street&Number) I )p"t ('Y+�' yr, 1 Telephone No. l t!>, Owner or Tenant � )'�• �'t ��'�5�,1' ) Owner's Address 7C;� Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i'f1G'iit Fi ,t�(�t'� Utility Authorization No. Existing Service Ainps / 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: ('un+ !c liar a/Iher�llouin�liable n:av he+ruived by the h(s rector•o/'FI'ires. No.of Recessed Luminaires No.ofCeil.-Susp.(Paddle)Fans Tr o Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminairesimmin SwAbove ❑ In ❑ o.o Emergency Lighting 0 g Pool rnd. rnd. Battery Units No.of Receptacle Outlets -) No.of Oil Burners FIRE ALARMS No.of Zones No.of SInwitches = No.of Gas Burners No. Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump I Number Tons KW iNo.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ MunicipalElOther Connection _ _ No.of Dryers Dr Heating Appliances KW Security Systems:* Y No.of Devices or Equivalent No.of Water KM No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Iltac•h e7ddilionul detail if desired, or as required b1-the Inapeetor v/Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ;,,`, ;,;• , Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 'ERAG E: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liabilityy insurance including-'completed operation"coverage or its substantial equivalent. Thr undersigned certifies that such C�ov.�/erage is in force, and has exhibited proof of sane to the permit issuing office. CHECK ONE: INSURANCE E BOND ❑ OTHER ❑ (Specify:) I certify,under the Pains and penal ies of perjury; that the hilbrnntion on this applicittion is trite and Complete. FIRM NAME: LIC. NO.: S i Licensee: �»'(Y; �'t"�`� l Signature 41,i/, e t. LIC. NO.: (II•ulrplicuhle,enn>r in lhc lit'i'me++umber line.% ✓ Bus.Tel. No.: Address: `Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I :un the(check one)❑owner ❑owners agent. Owner/Agent Signature Telephone No. PFR/IIIT FF_E: .R.- _° J P0,-(--5,140k 36 pc;—,-e-t 3/_, Location ..fir e� R401-No. ORT TOWN TOWN OF NORTH ANDOVER p �«•o ,• ,yo ' Certificate of Occupancy S s�cNus Building/Frame Permit Fee $ f 7b Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 016 Check # 18910 I )BffiIding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WA5RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING `- _.c.;;;Y �•=` t � '�y'�°� ,_ ��. rod`-� .���"�" �� �^. »s BMDING PERMIT NUMBER: DATE ISSUED• M SIGNATURE: Buffiding Commissionerfl r of But Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: oU Map Number Parcel Number 0. 1. 1i fitting Information: 1.4 Property Dimensions: io-rim�g District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Recmired Provided v 1.7 Water Supply XGL.CAO.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHMAUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record nkre Name( ' t) Address for Service: Si ature Telephone 22 Owner of Record: I Name Print Address for Service: O� Z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ LO Licensed d . o�o� Construction Superviso License Number on i Address V /� yam_ •j /� 0 Expiration Date Si store Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 v Company Name Registration Number P Address Expiratij on Date /� Si a re Telephone r SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building unit. Signed affidavit Attached Yes.....X No.......El SECTION 5 Description of Proposed Work(check au a licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work:J �F - SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be O.CIA >CTE{)) ( Completed by permit applicant 's. 1. Building (a) Building Permit Fee / Multiplier 2 Electrical 7 p (b) Estimated Total Cost of rte` Construction 3 Plumbing Building Permit fee Vie)x(b) 4 Mechanical 11VAC 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN pp °i OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT 6 (, iul ,Lf a a Owner Authorized Agent of subject property Hereby authorize /�� �lJr���1� to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OW AUTHORIZED AGENT ECLARATION I, as Owne uthorized Agen f subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name e Sie.atiWe of Owner ent Date NO.OF STORIES SIZE BASEMENT OR SLAB _ RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF C1RvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORT#q Town of �3 w.�....,.. .�.. low 000ror- 170 C,, ==�A y dover, Mass., I� COCHICHEMCK �ADRATEDD pP�` '9S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....10_104 81....... ................:.... .411.0,1....... q..n...... ....... Foundation has permission to ere0XA#G!W.....Mb#lalnjS On ................ :...1�. y.... 1 .• j.. Rough t0 be occupied aS.... t.. .��G......f-41%.f. .!► . .............................................................. Chimney Ch' provided that the person a pting this permit shall every respect confothe terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR 8, 13/9%7 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOTARTS Rough .... Service 4)00 ,0 UILD G INSP Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous-Place on the Premises — Do Not Remove Final T No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. fru Residential Property Record Card PARCEL_ID:210/058.8-0027-0000.0 MAP:058.13 BLOCK:0027 LOT:0000.0 PARCEL ADDRESS:22 BAY STATE ROAD PARCEL INFORMATION Use Code: 101 Sale Pride- 325,000 Book: 06642- Road Type: T 7 Inspect Date:_ 08/08/2003 Tax Class T Sale Date 01130120.02 Page 002_7 Rd Condition: P_/ Meas Date 08/08/2003 Owner: -- NEWCOMB,JOANNE Tot Fin Area 1444 _Sale Type P_ Cert/Doc: Traffic M 1-1 Entrance: X _,.•- _ Tot Land Area: 0 29 Sale Valid. Y � _ Water: Collect Id: RB Address: - Grantor— CHECHIK_DAVID Sewer: Ins e'ctReas $_ 22 BAY STATE ROAD - --- - - -- - — --- NORTH ANDOVER MA 01845 Exempt-B/L.% / Resid-B/1% 100/100 Comm-B/L040 Indust-B/1-1/6 0/0 Open Sp-B/L°k 0/0 RESIDENCE INFORMATION LAND INFORMATION .Style:,_ RN Tot Rooms: 6 Main Fn Area: 1444 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 - `� -- Type- Code- Metliod Sq-Ft. AcN Value Class res Influ-YIN Story Height: 1 Bedrooms: 3 Up Fn Area: Bsmt Area: 1346Se.-,9 YP- - . _ ._ Roof: - H •Fu11 Batlis 2 Add FriArea: _ Fri Bsmt Are-Er' 1 P 101 S 12500 0.29 149,914 Ext Wall: AV Half_Baths: Unfin Area BsmtGrad_e: VALUATION INFORMATION Masonry Tnm. Ext Bath Fix: Tot Fin Area: 1444 Current Total: 299,400 Bldg: 149,500 Land: 149,900 MktLnd: 149,900 Foundation. CN Bath Qual: T Mkt Ad- 1.2 Prior Total: 286,400 Bldg: 143,500 Land: 142,900 MktLnd: 142,900 - _- Kitch C�ual: T Eff Yr Built: 1965 Mkt Adj: 1.2 Heat Type: HW Ext Kitch_: Year Built: 19.58 Sound Value: Fuel Type: G Grade: A Cost Bldg: 149,500 ' - --. _ Fireplace: Bsmt Gar Cap: Condition: A Att Str Val 1: Central AC: Y Bsmt Gar SF: Pct Complete: Att Str Val2: Att Gar SF: 460%Good P/F/E/R: /100/100%77 SKETCH PHOTO 41 5 7 AML 23 460 Sq.R. 14 14412 N Cmd) PI U 18 31 36 i 10 i +Parcel ID:210/058.B-0027-0000.0 as of 12/28/05 Page 1 of 1 gY'Gt� `� fnatt�CPrn Ync�'�arV I`/licha�l �oranGe�P X22 �►.Y 5��4-� �. zz Kilnr r�l� Sr N, A4Ler, YAM 979- 770 -323 10 6y L V4 13ms YCP►ated w;k�, (S� J3il�d�y 7V �}li ir�x C3eoms �b 4-, Seco ew LVL CieG w.s w,,d sefu-cd 1' 75 C/a f fifers A AV II s Doom �S � 10 � own in (��nince� PROP. 4 X 4 ------------------------------------� D.F. COLUMNS r------------------------ ---------------------- 5/8" DIA. STEEL THRU BOLT,NUT,F.W.S @ 12" O.C. i 5- 13/4" X 7 1/4" LVL=PROP. BEAM . . . . . . . . . . . J J 10'-0" o a � SIMPSON HL43PC � a ANGLE; W/ 3/4" X 3" LAG SCREWS-TYP. >c x 13'-4" �r a o O -i•�-� 1'-6" a a ;w uji FOUNDATION SILL :m m: EXISTING :a °= W' O O: i J ELEVATION OF PROP. WOOD-FRAME :� a; : c� a a. Q z BEAM AND COLUMNS GARAGE �,. PROP. DINING ROOM W (TYR FOR ADJACENT) o cx: �„ O � N.S. Eui : ; I---------------------- 777 PROP.'4 X 4 D.F. COLUMNS PLAN & ELEVATION FOR PROPOSED RE-MODELING PLAN OF PROP. DINING ROOM AT 3/8"=1' 22 BAY STATE RD.,NO. ANDOVER,MA SCALE: AS NOTED 12/29/05 OF AK STRUCT. ENG. PEABODY,MA r KUCHINSKY . . jv STRUCTURAL o i No.39780 F `s Al i �y Construction Artisans, Inc. Tel. 978-821 -4432 Remodeling and Building with Perfection Estimate/Invoice for Home or Office Repairs and Improvements. Last Name McKean Home# 978-687-0931 Date First Name Bruce Work# 12128/2005 Street 22 Bay State Road Cell# 978-790-3235 Job# 2 City, State N. Andover Zip Code 01845 V Cust.# 208 Scope of Proiect Expand Dining Room into garage and living room/kitchen Itemized Project Description(s) Materials Labor Dining Room Project: Remove front entry sliding door and replace with 2 double hung windows. � r!7 Frame wall, reside exterior, remove front stairs. Remove ceiling and walls, push garage side wall back 1 foot. Push Kitchen and Living room side wall back 30"and frame door(s)opening. Install 2 new LVL beams and doorway headers. Frame new door for access to garage. This door to be in-line with kitchen. Build set of stairs leading into garage plus a landing. Wire per code, switches and outlets, lights, etc. Insulate then Blueboard walls and apply skim coat plaster. Prime walls then paint 2 coats with Benjamin Moore paint. Install door, window and baseboard trim. Install doors. Move wire and heating(plumbing)as needed. Remove tile floor and possibly sub-floor. Finish interior of garage wall, 5/8"fire rated sheetrock and fire rated door. Install Pergo flooring with padding or Bruce Hardwood. RAamove-2-6vin -room-windows;ie-side-ex#erieraftd-sheatrock4ntedor, Build-ear.losL4o4er-gas-stove-nomeowners toins�"alI-ns -Unit— Install 8' baseboard heat under windows in dining room. R.un-gas-pipe-to-feed as-stove. Build closet with either wood or glass door as a china cabinet. - � ��` - �' GrJ• may, � " r i dS Materials and Supplies: Materials Selection, pick-up and delivery. $375.00 Debris Removal and Disposal Fees $370.00 Permits and Inspection Fees $350.00 Materials $4,375.00 Payments: Deposit prior to start:40% ($6,500),2nd Total Materials $5,470.00 payment of 30% ($5,000)upon inspections, 3rd payment of 25% ($3,000)after plaster,final payment 15%($2,420)when completed. Total Labor $11,450.00 Total"Due: $16,920.00 Customer Signature 1Dates Mike Loranger 27 Kilmarnock St.Wilmington, MA 01887 - - MA Builders Lic#082711 Home Impr.Reg#143724 Office Hours: 7:00 AM -7:00 PM Monday thru Sunday Email: Mike@ConstructionArtisans.com Web:www.ConstructionArtisans.com FEIN# 20-0706881 t The Commonwealth of Alassachusetts i „ • Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,,VA 02111 . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly Mame Illusincs t)reuniratirmllndividu;►I): l On r&AJ W Address:46t [ lr�(�C�LJ/' --------- CityiStaterZip: W116047n , mfi 1297 Phone #: 97x` f,92I 1��(Oo� Are you an employer?Check the appropriate box: Type of project(required): IN I am a employer with P_ 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.* 7• Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.El Electrical repairs or additions required.] ;.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 1311 Other comp, insurance required.] 'Any applicant that checks box 0 t must also till out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new attidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy intimnatiort I am an employer that Ls providing workers'compensation insurance fir my employees. Below is the policy and job site information. Insurance Company Name: 6rYai7n"*kS�a2 S- Co Policy 4 or Self-ins. Lic.It: 3 1 3 77c/ Expiration Date:_ S D(0 Job Site Address: /���Gf ��d City/State/Zip: oyje �yl� _��P�jr Attach a copy of the workerscompensation 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 line up to$1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of 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 rhe hereby certify under the polis e ►d penalties of perjury that the information provided above is true and correct G Si mature: gyp p�� Date:Iya�W� Oficial use only. Do not write in this area,to be completed by city or town nJlicinl. 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#: SUeMMA�RY��OF�I�SURA�(aI�E`� � g �•-} ��. ��Y — ,~= � g�� .�, �.�. . n� +�� �, .mss M ..� � �-.�.,�-:.� P�epared�i_.a� 08!•8 5 �-,,�,���• s���";� �.. -� For.• �YConstruction Artisians,Inc � _*+ ...._- _-. Wilmington Insurance Agency - ,. Mike Loranger Five Middlesex Avenue Unit-14- - - --•-• •-• 27 Kilmarnock Street ` = 5. P.O.-Box 1010__ - :— Wilmington,MA 01887 978-821-4432 .01887-0580 978-658-3805 Cove"rage x.- rArl�ount Com anY =` � ;' Policy=Nom !Q- �.a4encsa...7it .a3 General Liability Western Heritage Sca0511831 - 05/03/05- 05/03/06 Occurrence General Aggregate 2,000,000 Products/Completed Oper.Aggr. 2-1000,000 Personal&Advertising Injury 1,000,000 Each Occurrence 1,000,000 Damage to Rented Premises 300,000 Medical Expense(Any One Person) 10,000 Workers Compensation Granite State Insurance Cc WC2313772 05/07/05 05/07/06 Named States: MA Employer's Liability Each Accident 500,000 Disease-Policy Limit 500,000 Disease-Each Employee 500,000 Additional Coverage/Endorsements See Attached Rating Information y i Date.. '40 TN TOWN OF NORTH ANDOVER ' . - PERMIT FOR GAS INSTALLATION o • �9SS^CHUSEt TMA !� Yg� .v This certifies that . . . . . . . . . . . . . . . . . . . . . . . f . . . . . . j . . . . . Sas permission for gas installation . . ��.'•ti . .1��c iA^t'n7'?�t in the buildings of . . .11 Cll 'r."u. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .� ':. `. . ... .. . . . Rel . . . . ., North Andover, Mass. .o. 1 M Fee. . .... . . . Lic. No.....��. . . UZZ. .r GAS INSPECTOR Check# 52-59 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ,Mass. Date_77—�6 20_!2�C Permit# Building Location owner's Name,� cr e,7, Owner Tel#_ g��( �� prI 3/ Type of Occupancy 51 4;94q q z��, New ❑ Renovation ❑ Replacement Plan Submitted: Yes ❑ No ❑ FIXTURES � w H C0 2 3a qa w aap wZ mv, d 900 H >z 14 UWxW z F~+ aW W Z a 0 z Z F z UQ Zw � > p 00 0 ° aLuV > a O SUB-BSMT N BASEMENT 1$'FLOOR 2ND FLOOR ------------ 3110 FLOOR 4T"FLOOR 5T"FLOOR 13T"FLOOR 7T"FLOOR 8T"FLOOR ` Installing Company Name�L�- i9 ����% G Check one: Certificate Address_ S s ri yp�ric �% Corporation ` &/457 0_ ❑Partnership Business Telephone#-'7 7 E 2729 7>9 ❑Firm/Co. Name of Licensed Plumber or Gas Fitter �iv INSURANCE COVERAGE: I have a Curren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes No ❑ If you have checked tes,please indicate the type coverage by checking the appropriate box. A liability insurance policy V^ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass-General Laws,and that my signature on this permit application waives this requirement. i Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify 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 per '- sued for this a 'catio rEB3 ent rovisions of the Massachusetts State Gas Code and Chapter 142 oft a enera aws. p e in compliance with all Typeof License: Plumber �" Title nature of Licensed lumber Ga fitter Gas fitter /' r City/Town Master License Number/©/ (/ APPROVED(OFFICE USE ONLY) Journeyman —J Location l�A No. 2-- Date 40RTN - TOWN OF NORTH ANDOVER p? °• •e 0 Certificate of Occupancy $ J Building/Frame Permit Fee $ ��s""•°'E<�' Foundation Permit Fee $ sACMU6 Other Permit Fee $ 2 0 Sewer Connection Fee $ Water Connection Fee $ TOTAL a Buil mg inspector 1 1- 7618 Div. Public Works PERMIT NO. 2, APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP h40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK iPAGE ZONE SUB DIV. LOT NO.AOV I LOCATION PURPOSE OF OWNER'S NAME NO. OF STORIES —� SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME DM SPAN DISTANCE TO NEAREST BUILDING `--57•""' DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �° "� PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ.FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 77Y �UtLDIN3 INSPRCTOR SIGNATURE OF OKNER O UTHO IZE9 AGENT FEE - G OWNER TEL.A p PERMIT GRANTED CONTR.TEL.# �O 2 19 ° CONTR.LIC.a. 63 H.I.C.# /0313 l / BUILDING RECORD 1 OCCUPANCY 12 U SINGLE FAMILY S.-ONESTHIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 213 CONCRETE BL'K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ DRY V+ALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA _ 1h 7, '/, FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 1 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE —{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. &FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING , r WOOD JOIST PIPELESS FURNArE FORCED HOT AIR FURN. - TIMBER BMS. &COLS. STEAM ` STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2ndELECTRIC _ 1st 13rd NO HEATING a1 7'r own of Andover 1 z —Hort Andover, Mass., Z-1 19 �E BOARD OF HEALTH Food/Kitchen Septic System PERMIT TO D BUILDING INSPECTOR THISCERTIFIES THAT...1 -........ .......................................................................................................................................... Foundation has permission to erect. buildings on..2 Z..............4tohe ... .....?............................. Rough { 0(ft ........ buildin s `i h to be occupied as. ..0. R ..,. ...... ►_..... ... �......... ............... Chimney provided that the person accepting this permit shall in every respect conform terms of the application on file in Final this office, and to the provisions of the.Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PERMIT FOR FRAME/BUILDING PLUMBING INSPECTOR ` VIOLATION of the Zoning or Building Regulations Voids this Permit. r Rough DATE: �Q FEE PAID Final PERMIT EXPIRES V4 6 T\,40t,1 PSS ELECTRICAL INSPECTOR UNLESS CC�I\1:� I1R[. (.... .� �{_ ) .� �A 1. `) Rough .................. Service BUILDING PECTOR Final Occu7aricy Pen7llt Regtil'ved t0 Occupy Bitildiri.,E; GAS INSPECTOR Rough f Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street N°. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT ?(o!8 2828 Date.. ....... a NORTH TOWN OF NORTH ANDOVER 3�py „ao ,s,�ppt p 0 p PERMIT FOR GAS INSTALLATIOIS SACMUSEtty .r 14 This certifies that . . :/ �... c�c t rn. . . �.. .. . . . . . . . . . . . . . . . has permission for gas installation .. . . ? .'ts. : in the buildings of . . . . .. . . . . . . . . . . . . . ... .. . at 15.�h f.. .. ... .. . . .. . .. North Andover, Mass. Fee.), .,?.:-. .. Lic. No....: .?k. ?. . . .. . . . . . . . .. . .. . ... ... .. . GASINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1{1"r94 };x tfi r i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFI`i"T1�1 '. (Print or Type) _ �:kORTH:ANDOVER Mass. Date t$u%ding Location'' Permit1�" Owners Name ,Ci A_l ' New, 7-1 `, Renovation E] Replacement 0 Plans Submitted FIXTU°c_c :c en Ai ; 6d & Y to i s : ; R rn z s u a GW W O C p '0 m r ti W ! S us 13 0 W � 1 gC US z v "' a el m K Q r a t- x t "7 tT Z d us C C W }W. y O ? tt. (. v –9 t- W `1 ,I 6t } rZ~ W O < G 4 < O O W O W !- tiv. ,i - - tt: O 0 Y W a 3 O (7 J a W } a 6 F- O i r �`•,: SUa—BSMG. f s. BASEMEHT 13T FLOOR 2140 FLOOR 3lt12 FLOOR 4TH FLOOR f r SIH FLOOR l f�f 1f STH FLOOR I f 7TH FLOOR 7 STH FLOOR Check one:'s Gee,,t(tk6te hist ilin j Gtir'no ame ANDOVER PLBG. & HTG. CO. INCM Corp,,' or Addt�ess `r' S�3}x''SO.- UNION STREET Partner. °ry LAWRENCE, MA. 01843 Firm/Co.,",:s 'A Business,.Tele hone: , �'' ,_tP, " ., r,A P _978 685-8383 stc . a ,Nam of 4It:ensec y Pluj mber` or Gas Fitter_ GEORGE LAROSE -'R � �iy5gii���iA^ut ; setehe'type of insurance coverage by citielc`r�'i t at`otl�iteir ,`f Liabityrf`tirli � NviiCy'�i ^'f Other type of indemnity Q Bond Insurance Waiver I,-the undersigned, have been made aware that the '.licetl5ee:'of this application -fides not have any one of the above three insurance covexragesI . IA Signature of owner agent of property Owner Agent 0 .1; )hacbY eettify that all of the details and information 1 hale submitted (or entered)in above application are tree and eectisate to the beat of my knowledge and that all plumbing.root and InstaU.aUom perfarmcd under Permit iaeed for this application will-be In eompuaaeo Vth ad perftent provisions of the i+tassaehusetts State Cas Code And Chaplet 142 of the General Laws F 5' gy YPE LICENSE: Title Plumber , h . Gasfitter• Sig tura of ,i�i:rtsed City/Town:; Master Plumber orwGaslititer -__ - Journeyman 9 S� i'�' �r"•_ APPROVED (OFFICE USE ONLY) License Number,h'4 4J:> rsra; ..