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HomeMy WebLinkAboutMiscellaneous - 220 SOUTH BRADFORD STREET 4/30/2018 220 SO BRADFORD STREET _ / 210/104.C-0100-0000.0 t i Date./PA" b ..... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ACHU This certifies that .................................................. has permission to perform 1.................. .... �-,wing in the building of ............... at c77Y2.Q...5.....�kZKQ. ............................... .North Andover,Mass. Fee,--?,�.n0V. Lic.No. �04...................Ax� ............................. ELR&MAL IwEc-m Check # G. 77 ? 77WC0MM011ffML77I0FM4SS4CHUSEM Office Use�only DEPA)U31EVT0FPUX1CS4FELY Permit No. 7 BOARDOFFIREPREVE MONREGUTATIONS527CM12:t710 Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date le-n- Town of North Andover To the Inspector of Wire: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) v R4417� 1 7— Owner or Tenant ,` Owner's Address Is this permit in conjunction with a building permit: Yes r�Vl No (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service AmpsVolts Overhead Underground M No.of Meters New Service Amps Volts Overhead r7 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work i`/-oc., ,I,e01y,,r7 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA r ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices 1 No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• InaMDCCCoverage RHaOttDtherag HMICWofNbmdustsCffi--allaws thawaamalbab kyhnurancePbbcymchxktgCompkee CowaageoritsstbstataleWwalat YES NO Ihavesihnittedvalidpfoo(ofsametothe Office,YES EJ rT F)MIRNechededYFS,plea9e' thetypeofcoverageby circkir9dr 'WSURANCE� BOND F1 OBER (I?eSpoc fy) e e G F*IlfionD& Estinl d ValueofElochical Wo&$ WorktoStart G hVecrionD&ReWestCd Rout Final Signedur)C1ff,&FbIayies0f FIRMNAME rP ✓ 1 Cr S" LiaseNo. lioelisee Signature LkMSCNO B►si►mTel.No.,-3o lr 3 903 3 ArNircc ,f �lieh e i .�� L'dle.Q1'7r����ri�/�= D3e3� Alt Tel.No. OWNER'S INSURANCE WAIVED,I am aware that the l3knw dales not have the i nsurar=covzrage or its substantial egtuvalent as required by Massachusem General Lam and that my sig wb ne on this permit application waives this requirement. (Please check one) Owner M Agent Telephone No. PERMIT FEE$ Signature o _ wner or Agent Z The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers'compensation for my employees working on this job. Company name: Address City- Phone#: Insurance.Co. Policv# Company name: Address City Phone#: insurance Co. Policv# S 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$1,5oo.00 and/or one years'imprisonments wetLas_cMi.penattiesinlhelocm-dA-STOP 1IiDRK-ORDFRond_a.fine_af..($1Do.DD)-arlay.againstme I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby 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' City or Town Permit/Licensinq Building Dept ❑Check if immediate response is required .0 Licensing Board E] Selectman's Office Contact person: Phone A- ❑ Health Department E] Other MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETIS J � Date /6 Building Location ;-2-6 So Owners Name t Permit# Amount Type of Occupancy New Renovation Replacement 1:1 Plans Submitted Yes No FIXTURES wCn x1za a a W F H a d d a x aCn Cn x w x A `� a H � d a w w a B�SII��M' ISS HIM M HIM -40 RaR 4IH RaR 5M RUR 6M RaR 7MROCR 91H R(XR (Print or type) Check one: Certificate Installing Company Name r ,) /7/� P/`?� Corp. Address �� 134) d Partner. Business Telephone � _ O a-L U [3–Firm/Co. Name of Licensed Plumber Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy �" Other type of indemnity El Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above a plication are true and accurate to the best of my knowledge and that all plumbing work and installati performed der Permit sued for this pplication will be in compliance with all pertinent provisions of the M s to mbin ode and C pt 142 Gener�Laws. By: of LicensaFFFWber Type of Plumbing License Title City/Town r rase Number — Master '✓( Journeyman ❑ APPROVED(OFFICE USE ONLY u t Office Use Onty n . u4e �ummutuiurdth of Auuur4uul'� Permit No. 8 lep artmeat of Ilublic $ufttg Occupancy&Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS 527 UR 12:00 1 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date .3-/k`& (XX or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Aao se) & S'E Owner or Tenant —t'(O;4- Owner's Address77 SG-� Is this permit in conjunction with a building permit: Yes No L� (Check Appropriate Box) Purpose of Buildina Utility Authorization No. Existing Service Amos _J Volts Overhead Undgrnd r- No. of Meters New Service Amps _I Voits Overhead Uncgrne No. of Meters Number of Feeders ane Amcacity Location and Nature of Proposed Electrical Werk i No. of L;gnting Outlets i No. of Hc: -�_- Totai�s No. of ranstormers KVA No. of Lignting Fixtures Swimming Poci Above.— !n- No. _ crnc. Generators KVA No. of Emergency Lighting No. of Recebtacie Cutlets I No. of Oil cumers / I Battery Units F i No. of Switch Outlets I No. of Gas Surners I FIRE ALARMS No. of Zones No. of Ranges No. c' Air Cone. Total No. of Cetection and 'tons Initiating Devices No. of Disposals I No.of Heat Total Total Pumps Tors KW No. of Sounding Devices No. of Sart Contained No. of Oishwasners I SDaceiArea Heatira KV'J Oetect;oniSouneing Devices No. of Dryers Heating Devices KW Local - Municioai Other Conne'c^on _ No. of No. of Low Vcitage No. of Water Heaters KW i Signs Saiiasm Winnc No. Hydro Massage Tubs I No. of Motcrs Tctal HP OTHER: INSURANCE CCVERAGE: Pursuant to the reduirem.ents -of '.Massac-nusecs general Laws I have a current Liability Insurance Policy inctucmg Comc:eiee Ccerations Coverage or its substantial eauivaient. YES = NO = I have submitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage cy checking the allar ate box. INSURANCE { BOND = OTHER = (Please Scec:fy) (Expiration Date) I✓stimated Value of E!ectncal Work 5 Work to Start Insoection Date Recuestec: Rough Final Signed uncer the Penalties of perjury: FIRM NAME I,lii9 z 61ec4vic. .Z' LIC. NO. Licenses �ety1 XrLzv Sigcature LIC. NO. Bus. lel. No. –G Address Alt. Tel. `Jo. C2-1 !�Z:te! %lam ase-ePf'�' OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee coes not nave the insurance coverage or its substantial ecuiv ent as re- quire* by Massachusetts General Laws. and that my signature on ^.is Zermit application waives this requirement. Owner Agent (P!ease check one) ; i]� :eieonone No. PERMIT FEE V iSignature of Owner or Agent) :•6565 Date... �..A.... �. a NORTH I °L TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUSEt This certifies that ........'Y" 2..... .......... .. ............. ! has permission to perform .... .... .. .. . . ...I:.................. _ wiring in the building of.....,.... . ......................... at .L!. 1.11 .J.. . ..... ..... ' ... ,.North Andover,M v Fee.... .U..... Lic.N . ....!.3 . . ..................................................' fJ ELECTRICAL INSPECTOR 15,00 RAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer. Location -;2.7 •� No. Date g�dS D3 v O 1 �aRT� TOWN OF NORTH ANDOVER R Few + �o+-9& ; : Certificate of Occupancy $ Aroo.E<� Building/Frame Permit Fee $ LID O s�CHus Foundation Permit Fee $ Other Permit Fee $ L/ TOTAL $ ` Check # 9c)6 r 'r 664 —' Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ow k BUILDING PERMIT NUMBER DATE ISSUED. l _ SIGNATURE: ••� Building Commissioner/1for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Z 7-0 0 WE td I A A tJ�o 9-b LP6 l 3 Is r1T 10 ap Number Parcel Number 0qC e© 1.3 Zoning Information: 1.4 Property Dimensions: : GM T-\ 12W1`L\ 7 1 Zoning Dis d Proposed Use Lot Ar s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided Q • &o'- (11 CD � 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: —/ 1.8 Sewerage Disposal System: Public Ci�Private ❑ Zone Outside Flood Zone Municipal ®►— On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes,_,,.,NO HT1 2.1 Owner of Record "Plame(Print) Address for Service: 0 Lif L o5-770 � Sign re Telephone 2.2 Owner of Record: •A O Name Print Address for Service: z rn Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 70 3.1 Licensed Construction Supervisor: Not Applicable ❑ LiLi ris�edConstruction Supervisor: (�,S 63 414-71. O 3 S (0 N w�y JL A-;'r ro rcense Number mn Address /&3 r- f-\ !J 1M.O N a� ' 0 3 0.77 Expitati /Dat Signature Telephone r C) - Ca l l < 3. egistered Home Improvement Contractor Not Applicable ❑ v A r3ovic �. Company Name __ rn Registration Number r Address r 17-i D/ Expira nZ Signature Telephone "- SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be co leted and Butted with this application. Failure to provide thyiA�affidavit will result in the denial of the issuance of the buildingL Cpermit. dj. IO •-+ O Z Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: lzOu►,� #q_00AA U_'/JZ& _ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed b pennit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVACD / 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby,authorize V— to act on My behaal ,in ma s relative ork ori - `y this building permit application. L� Sr na ure of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION , neo 'Ile r t 0_ Ila t -/y as Owner/Authorized Agent of subject property { Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief / / 120 Print Nam /Z FIJ i"o=er/AgPK Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS L 1 sT 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS ' DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION C7 THICKNESS SIZE OF FOOTING 2 L '1 X MATERIAL OF CHRvIN.EY IS BUILDING O OLIDR FILLED LAND IS BUILDING CO TED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits frog Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******APPLICANT FILLS OUT THIS SECTION APPLICANT �D (-� 1�1— i-� Mt14 1�'I PHONE '=77 d LOCATION: Assessor's Map Number ( � PARCEL_ J 00 SUBDIVISION LOT(S) STREET (? S p Lt'7- �tz AY 5 ST. NUMBER `OFFICIAL USE RE MME DATIONS RtjjOWN AGENTS: CORSERVATION AD MINISIrOR DATE APPROVED 3 DATE REJECTED COMMENTS s� r I TO LA. NER DATE APPROVED DATE REJECTED COMMENTS S /��,. 5 r FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERAVATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9M im Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDING PERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS /DECKS 1) BUILDING PERMIT APPLICATION 2) FORM U 3) MORTGAGE PLOT PLAN (MINIMUM) 4) DEBRI REMOVAL FORM 5) WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1) BUILDING PERMIT APPLICATION 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6) WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with application. Job iNo. g •�:� d rtOC/4TiDi✓ 0 ' 4 Srr 6 .o w Am p . 220 6RepF a � 6•s,7y.e-.� Wv is . V e i yG O chi Lam E O This plan was not prepared from an Instrument MORTGAGE LOAN INSPECTION survey. Offsets and distances shown should not LOCATION: be used to establish property lines= 6 This plan Is intended for mortgage•purposes CRLE: -� only. I e'-ertify that thw structures a� shown :, REGISTRY*- 1 � --al s 9 .. ., ,� Plane In conformance.with the zoning TITLE REFERENCE' setba ns in efrecf at the time of construction. PLAN REFERENCE: 93 9 e I certify that the parcel shown Is rocatedw Miln a Sood hazard area as depicted COREY & DONAHUE. INC. on FEMA Flood Insurance Rate Maps for Engineers&snr Tors Community No: en_Q.0% 198 Cmmbridge Rend Wft SUM,MA 01801 REVISION BY INNER GLAZING CAP QA-SIC) SHEAR BLOCK AT EACH MUNTIN JOINT (/HKIOI7)WEE /1024 X 3/8" PP ' 3/14 X SLOT MS NS 0"N201i) iN 1 1/2- X 6- BLOCKING BETWEEN BEAMS I 11 v o�o y Q O O V i m y .7 E_ rA 3/18" DIAMETER [_ Z MUNTIN p :, (#A•4MTB) O .rn DETAIL "D" m TYPICAL MUNTIN JOINT w a � z � _-_-- U) o � a UNIT WIDTH (NOT INCLUDING FLASHING) 7" SILL & BEAM a b" DEEP BEAM -- ^ E 2 (#A*LLEDGER W � U) w z 00 5" CURVED { LAMINATED BEAM FRONT SILL BEAM a 3/4" x 5" (#sPFSTSu) TAIL "B' O ol RIDGE DETAIL (5" BEAM„.) FRONT SILL BEAM 3/4" X r BPFSTSU 1 1 i i f i 1 ALUMINUM SHIN -- -- 11 3/Q" X 3/8' (/AN8SB4F) 11 1 i It 11' 2 x e TREATED DRAWN BY:; Tw 1, 1 SUB-SILL CHECKED BY:CM Ir 1 V / DATE: 2-18-02 SCALE: NTS DETAIL "A" DwaN a-S2 SILL DETAIL (S" BEAM) NOTE: FOR ALL ADDITIONAL INFORMATION SEE DWG. 6-51 PACE'.. 2 OF: IB 04 : , i SYSTEM S CURVED SAVE SUNROOMS ENGINEERING INFORMATION 5005 VETERANS MEMO:IAL HIGHWAY EFFECTIVE DATE: 1-01 HOLBROOK,NY 11741 1 ' OW HEIGHT GG HEIGHT XH HEIGHT SYSTEM 6 WOOD-BEAM WOOD SEAM ROOF MAXIMUM WIND SPEED ROOF MAXIMUM WIND SPEED ROOF MA1ppIUM NO SPEED MODELS DEPTH O.C.iPACIN LIVE EXPOSURE LIVE EXPOgURE LIVE EXPOSURE LOAD 8 C D LOAD B C D LOAD B C D 2' pSQ (mph) (mph) (Mph) (pef) m (Mph) (Mph) ( mph (mph) (mph) WCLT•3 3 318" -7 314": : 240::' :190 ': 145: :130-: t,240', i8S .:: ;140.. :`'-l25. 7A0 TSS` 120' 105 WCLT-5 3 3/8" 2'-7 314" 105 170 130 115 100 180 125 110 97 130 100 SO WCLT•8: 3 318. 2';7314 5S;'. :: 155 . ' -.120_. 105:. SZ;. 14E...'-` .110 1110 ;''..._49 : ;115 90, . `80 WCLT•10 3 318" 2'-7 314" 30 140 105 95 28 130 100 90 26 100 80 TO 5" 2'-7314 72 70 90 .. 85i .LOd WCLT-13 3 3/8 2`-7 3/4" 16 130 100 90 18 125 95 85 18 100 80 70 5" Tl'-7 314' - 130:: 90 : 42 .: 123 :. :95: 85 a;4t" 1.00.;. .'80 70 42 100 r2O8 P11-f r . yWCLT-3 3 3!8" 3-1 314 . 175 135_ . 12D 200, 1.7.0, 130 115 :200' 143 110 100 WCLT-5 3 318" 3'-1314" 180 125 110 92 133 120 105 .80 130 100 90 WCLT-B' 3 318 :3`•1314" .. 140: -105% 95 43-' 95 .' 40 1:15 90 80 WCLT-10 3 318" 3'-1 314" 130 100 90 23 130 100 90 Z1 100 80 70 5.. 3:-1 314 1'005 8Q 70 WCLT-13 3 318" 3'-1 314" 14 115 90 80 14 115 90 80 13 100 80 70 5 3"=1'3/4" 38 :`::: t23: 9S 8515 °t2!{'S _ 8S Be 70 EXPOSURE B-RESIDENTIAL ARi EAS,EXPOSURE C-OPEN TERRAIN AREAS,EXPOSURE D-AREAS WITHIN 1500'OF OCEAN 't * �' t � ��a� t�;n�p, 3.f.1♦'��rrys.y L0. t�a i.lro a•• :.f .�"5:•"'ti�y ee :-?3 ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA IDAHO "rrt �' ,�- rw -� �+ K� w. �. :o .u.a.m:.w•.rn�, 7=t 16W—A NSAs • "'° - •-`'="'xt • :�..•,c a KENTUCKY LOUISIANA NAME MARYWi0 MASSAWL.NUSETTS MK2IKiAN •. MINNESOTA .� - .,•rvr:: t+♦RY4 'u UUR1ff ly�Z O t�,`r0 yy�y �� i• �1 y'" r�` yr �.•.wti. Q rD322f[p i A �'L• •'S+ma37 ti.) Al/S as �� ♦ p ,��.4aY:+'} er - xw•/ ,MISSOURI �t� � �§z.S•'� �• �'rT Pia:1l' MONTANA NEBRASKA NEVADA NEW b1AL1PSHIRE N JERSEY NEW MEXICO NEW VM NORTH CAROLINA r {�yt[s a♦r♦ I S �r.•..+.'4e" P �s b<��,ct.,i."�. ,/�1'i F_a`%i�l'aa NOTES; f i t`GO��00 i)SEAM MATERIAL:LAMINATED NORTHERN PINE. 23 DEAD LOAD OF ROOF SYS IS 7 PSF NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO 3)CONNECTION370.AND ABILITY OF EXISTING STRUCTURETO SUPPORT SUNROON MUST SE EVALUATED SERIRATELVI `-�%,..0`�• fA� I`♦pct r��s !&7E5r t)ENGMEERSCOMFICATKTN:1LAWRENCEFmmm CERTwvTHATTHESE S"O NEERING SPECIFICATIONS HAVE BEEN PRE�O UNDER MY DIRECT SUI!ERVISION AND THATI AIM A REGISTERED PROFEWMALEN(WEER M THE MATES 3!!OMlN. SOUTCAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING D.C. FILE:ROPENGiS.CDR 90 CONSUMER INFO RMATION FORM-"SUNROOMS" Massachusetts-State Building Code(786 CMR,Appendix J, Section ,11.1.2.3.1) The Massachusetts State Building Code(78a C1tIR)includes provisions to ensure that houses and house additions meet energy effe cy st�_ndards, This supplemental CONSUMER INFORMATION, FORM is to l e filed as part of the building permit application when a builder/contractor or homeowner, constructing/iostalling a houseaddition with,very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 0\1R, Appendix J, §ection J1.1.2.3.1), This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size,configuration,orientation, form of construction or percent glazing, but rather is 0111N, intended to assist ho w in beepraing aware of some of tete Important energy conservation and year round comfort;considerations involved in selecting and utilizing a"sunroom"addition. The connection of " " sunroom structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/tnstallation of"sunmomso included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/in'stalling a"sunroom". Itis recommended that consumers carefully review these options with their fort Iar,Ii builder, or contractor, in otdcr to minimize potential- energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRgDUCT AND DESIGN CONSIDERATIONS 8S ATEb T "SAO • Solar Orientates and Natural Shading • Type of Glazing • Insulating value- Solar alueSolar beat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal dun i weather tightness of the sunroom3'and/or • ,Adequate ventilation-Operable windows and fans • ;Applied Shading Systems • 'Insulation level in floors,walls,and ceilings • PossibleSuarvom isolation,.-from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoni>ag and Controls Homeowner A�knowledgment The Massachusetts State Building Code, Section JI.1.2.3.1, requires that the actual property owner (not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a B,lilding Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in ' document concern' sunroom comfort and energy conservation. g/ 3�� tgnature of Actual Bui ding er Date Print Name Address of Permitted Project i q 7 Owner Address(if different than project location) Owner's telephone number i i i The Commonwealth of Massachusetts Department of Industrial Accidents ;._. 600 Washington Street ����,• Boston,Mass. 02111 Wprkm'Coma ensation tasuranee Afftvit :Ilcalions l am a homeo'wner,Performing 4111 woes myself [) t am a$ole proprietor and lave no one womitin$in any capacity p ! am an employer providing workers'cordpi:m tion far lny emplayees working on this job. add= hL I NM elm, City- -phone N: Trilvelers 6KUB 957X8951 19 1 am a sole Prophator(PRO-81 ContmetWor homeowur(ebrfeonel and have hired the contractors listed below who have, the following worker'eamponsadon polices: I - Severini & Associates Adrets: 80 j Wes tech Drive f= Tyngsboro, MA 01879 e (978) 649-2889 nhnnNK intil"nee Ca Travelers ICE-.UB-762D646-6-,02 name- Wrest.- city., resti Failauc:t:secure Coverage as swlttW"aqW 549ft 3SA OrMC W C"lead to Ake 1m une.can'imQrisoa[oaat as wdl as d6p paldes peawn s line sQ to 1.500.00 and/or peoslthn to the term oto STOP WORK ORDU sad s Qoa Qf 51W 0a a day against me. r understand that m copy of this statement may bi�terwarded to IM Olgee orlavestiga[lm erihe D1/!for coverage'vitda a" l to hereby Cene ander t#s p&W and padda of paJary that the tq jornartton provldsd above lsTrus and eomcct Signature(rCi►t 1 t/,P�i�n11 . Ara.r ordsra lt• 0' fi j �� �/p/a Print name E• H• Klemm ----r-�-r fL # (978) 535-5399 omdal use only da a,�tWd t3a-slalaaa *1*bC- etad by dry or town omew ciry or Bowe: parmitAivass N_ tlelidia;Oeparttnent O cheek itimtaediste teahouse is required pLlaminj Board Qgelectmen's Office cuntact person:. (3Hamth Department Qlwae N: Other v..Iroe W rut I j. � 1��►��pd : . �Kttt�� ���- :►�rQr+�ra�xj� 7 . - _ .. .. � . _ wgll, T! -7 , i A : F I ' , : t : -7 F- ...... Wr : , : I , _ --- AL D I Iva IVA al i _. ... ' ' _ . I ' : 1 1 , : I , i : t - JttG T�491L7)Z(Nil[K'ILLf.Iy 4�✓I�LfY.fd � _ } _ BOARD OF BUILDING REGULATIONS ' License: CONSTRUCTION SUPERVISOR t t rt 1 Number: CS 034573 r Birthdate: 11/08/1955 Expires: 11/08/2003 Tr.no: 8856 Restricted: 00 i JOHN T SHEEHANio 35 ONWAY LAKE RD '"" I RAYMOND, NH 03077 Administrator P Mations and Standards License or registration valid for individul use only Regulations g before the expiration date. if found return to: -ROVEMENT CONTRACTOR Board of Building Regulations and Standards tion: 125345 One Ashburton Place Rm 1301 tion: 11/24103 Boston,Ma.02108 type: individual rh Not valid without signature Administrator t AUG-18-03 02:56 PM BASBANES 1 978 649 3839 P. 01 } 4 ' WPANES ASSOCIATES + ' Wetland Consulting 39 Hardy St. AUG ;1 e3 5M3 Dunstable,MA 01827 (978)649-3839 °R ""DOVER RIAN,?�lty PARTi1r�Ei��r August 18,2003 t r Mr. Justin Woods Community Development t 27 Charles St. N. Andover, MA 01845 RE: 220 S. Bradford St.,N. Andover, MA Mr. Woods: {- t At the request of Jennifer Voight of 220 S. Bradford St.,N. Andover,MA I inspected the property at said address and found no wetland resource areas on the site. I also noted that there are no wetland resource areas within 400'of the area of proposed work. There are wetlands across S. Bradford St.,west of the subject property,however, they are more than the required setback distance in a Watershed District. Therefore,it is my opinion that no filing is required with the Conservation Commission for the proposed work on site. If you have any questions, please do not hesitate to contact me. t Sincerely, Leah D. Basbanes, M.A BiologistNVetland Consultant Y} { r i a t t ti 1 NORTH Town Of d®ver 0 No. 0 0 0 dover, Mass., COC MICH WIC 0RATED BOARD OF HEALTH Food/Kitchen PERM I T- T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......m. . ...................... A.)................................................................................... Foundation .... ... ... ... ... ... ..... x/6 - - Rough has permission to erect.....1.41......................... buildings on ...,Q.A..()....... ......amd 4 S a Ad dV WS101%.fWe-d- Chimney . .��.a S,0 A.) An to be occupied as....... ­ih�:.......iiii....................................................................................................................... Final provided that the person accepting is pe shall in every respect conform to the terms of the application 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. /9 y e / /0 0 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service ............................. %000BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.