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Home My WebLink AboutMiscellaneous - 23 ASH STREET 4/30/2018 / 23 ASH STREET 210/106.D40040-0000.0 r i I i I I I i I V ••• DENCO ENGINEERING STRUCTURAL ENGINEERS 148 PARK STREET NORTH READING , MA 01 :864 V:978.664.6733 F:978.664.9233 January 11, 2007 Mr. Gerald Brown Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 Re: 23 Ash Street, North Andover, MA 01845 Engineered LVL Beam Review I Denco Engineering reviewed the attached Drawing Sheet Al-1 and Boise Versa-Lam calculations for general structural conformance of the triple 1 Wx9 W Versa-Lam to the Commonwealth of Massachusetts"Building Code for One-and Two-Family Dwellings". Based on the items reviewed above we conclude that the structural design as shown is in conformance with the Building Code. Please call if you have any questions or comments regarding this letter. Very Truly Yours, e DENCO ENGINEERING ' Daniel W. Smith, E.I.T. Kenneth ne b nnison, P.E. Project Engineer Chief Engineer C:0ocuments and Settings\User1\Deslctop\LTR011107 23 Ash Stdoc X � a 32'5 in O • ._.. .. ... .. iso •� .....8'6 in----•--=•.• -—••-8'11•---__. . ., J r O i w a L tv v 127 1 ft t2 A O i m m - r ro h N e4 Qr I l I x 'e J CID UP O W •A O N I 14'3 In.._.._ _.__,_..._... __......._ ...._..__.. .... ............... ».._....---....._ 32'Sln..._._ .__.._._.__.._..._._.._...__ �tevisions NT Builder Develo er Consultant Al- 1 — N No Scale' •- -- --- 10cmw Srea Middleton,Me.01949 Due: 1/104007 ---- —..� ._---_ (9A)7774187 Jan 11 07 11 : 09a Denco Engineering 978. 664.9233 p. 3 I I ;Vl1Ji � Triple 1-314"x 9-112" VEMNA-LAW z.0 Jim til- riloor ifsm(mr-tim C CALCO 9.3 Design Report-US 1 span No cantilevers 0112 slope Monday,December 04,200614:27 olid 057 j Fire Name: GILL NORTH ANDOVER )b Name: DANNY GILL Description:2nd toor beam ddress: 23 ASH ST Specter. RB96 ity,State,Tap: NO ANDOVER,MA 01845 Designer. ustomer. Company: MOYNIHAN LUMBER ode reports: ESR-1040 Miss 2 I f a 81 t e00 WS LL 1800 IDs _10051bs DL 1005 Ibs Total of Hatton er Design Spans=154040 Sad Summary [.ire [lead snorer Wind Rod Uwe tg D"Crtption toad Tree Ref. Stat End 100% 90% 115% 133% 125% Trio. Standard Load Unf.Area(psf) Left 00-00-00 15-00-00 40 10 06-00-00 BEARING WALL LOAD Unf.Lin.(plf) Left 00-00-00 15-00-00 0 60 n/a ontrols Summary Vskm %AilowaW Duration Load Case spar Nation is.Moment 10519 ft-bs 50.2% 10096 1 1-Internal and atuavey of OVA must 1d Shear 2482 lbs 26.2% 100° 1 1-Left be v~by any**wtv would rely on )tal Load Defl. L/317(0.568") 75.7% outputwevidencootubuffflyfor ve Load Defl. U494(0.364") 97.2% 1 1parkular opokafiom OuVAAlate based ax Defl. 0.568" 56.8% 1 1 nft )an/Depth 189 Na 1 6' ' with otes Kahle esign meets Code minimum(0240)Total load deflection criteria. buflftoodWTodsoh Installation Guide ;sign meets User specified(0480)Live load deflection arteria_ °p esign meets arbitrary(1")Maximum load deflection criteria inimum bearing length for SO is 1-112'. SC CALOS,SC FRAMER®,AJS*'-, j inimum bearing length for B1 is 1-1/2". AU JOISTS,SC RIM BOARD*" SCIS, itered/Di a ed Horizontal Span L BOISE GLULAMvm SIMPLE FRAMING Y P Length(s)=Clear Span+1/2 min.end bearing+ SYSTEMS,VERSAdAMS,VERSA4UM 2 intermediate bearing PLUS®,VERSA-RIMS. VERSA-STRANDS,VERSA-STUD®are onnection Diagram Irademartcs or Boise woad Products, d•—� LLC j i c - minimum=r C=5-1/2" minimum=3" d=12" e minimum=3" amber Inas no side loads. )nhWors we:16d Common Nails ,I Location a? ��► S No. Date , i ! MCRTo, TOWN OF NORTH ANDOVER O0L 14. 9 , Certificate of Occupancy $ ;�b'•^° '<�' Building/Frame Permit Fee $ SSACMUSE / Foundation Permit Fee $ Other Permit Fee $ TOTAL $ , Check # 198544- Building Inspector TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION °�t,,•o °�ti° 1°- A Permit NO: CO Date Received Date Issued: - 9SSAcHU IMPORTANT: Applicant must complete all items on this page LOCATION 12 LX � rent PROPERTY OWNER 14 Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential ❑New Building 916ne family ❑ Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED 62 filentification Please Type or Print Clearly) OWNER: Name Phone: Address: tires� ✓��8 ue.� �t >�- �)9t-( CONTRACTOR Name: 7ww Phone: ' Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. a. vov FEE SCHEDULE:BULDING PERM/ :$1 0 PER$1000.00 OF THE TOTAL EST/MATED C ST BASED ON$125.00 PER S.F. Total Project Cost :$ 11)00 FEE:$ g 6 U Check No.:— Receipt No.: Z,22 0 Page I of 4 J TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ / ' Permanent Dumpster on Site ❑ Private(septic tank,etc. LLL�� Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to theu g aranty fund Signature of Agent/Owner _ Signature of contractor Plans Submitted ❑ Plans ved ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR i OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ i � COMMENTS 1 HEALTH F1 DATE REJECTED DATE APPROVED COMMENTS c FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS 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 1 BOISE" Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam 1 B01 BC CALCO 9.3 Design Report-US 1 span No cantilevers 0/12 slope Monday, December 04, 2006 14:27 Build 057 File Name: GILL NORTH ANDOVER Job Name: DANNY GILL Description: 2nd fl;oor beam Address: 23 ASH ST Specifier: RB96 City, State,Zip: NO ANDOVER, MA 01845 Designer: Customer: Company: MOYNIHAN LUMBER Code reports: ESR-1040 Misc: i I I I I I 15-00-00 BO 61 LL 1800 lbs LL 1800 lbs DL 1005 lbs DL 1005 lbs Total of Horizontal Design Spans=15-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area (psfI Left 00-00-00 15-00-00 40 10 06-00-00 2 BEARING WALL LOAD Unf. Lin. (plf) Left 00-00-00 15-00-00 0 60 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 10519 ft-lbs 50.2% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 2482 lbs 26.2% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. L/317 (0.568") 75.7% 1 1 output as evidence of suitability for Live Load Defl. L/494(0.364") 97.2% 1 1 particular application.Output here based Max Defl. 0.568" 56.8% 1 1 on building code-accepted design Span/Depth 18.9 n/a 1 properties and analysis methods. P P Installation of BOISE engineered wood products must be in accordance with Notes current Installation Guide and applicable Design meets Code minimum(L/240)Total load deflection criteria. building codes.To obtain Installation Guide 8 Design meets User specified (L/480) Live load deflection criteria. ( ask questions,please call (800)232-0788 before installation. Design meets arbitrary(1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". BC CALC@,BC FRAMER@,AJST"', Minimum bearing length for B1 is 1-1/2". ALLJOISTO, BC RIM BOARD TM BCI@, Entered/Displayed Horizontal Span Length(s)=Clear Span + 1/2 min. end bearing + BOISE GLULAMT" SIMPLE FRAMING 1/2 intermediate bearing SYSTEMO%VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM(D, VERSA-STRAND@,VERSA-STUD@)are Connection Diagram trademarks of Boise Wood Products, b —d— L.L.C. L r �- -� a 0 0 e o 0 0 a minimum=2" c= 5-1/2" b minimum=3" d = 12" e minimum=3" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 V40RTFj Town of itAndover 0 0 No. 07 In 4L over, Mass. LAKE COCHICHEVVIC 0 ATED Is E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.......... ..........elf BUILDING INSPECTOR %or...I/...................................................................................... Foundation has permission to erect.....................................A11.11;s on .......40.2......Arit..............arp..................... I Rough * I - 0 7ey ......... . 0 to be occupied as... A .....*........ t Tile .........tt%......e)0jXiWC provided that the person accepting this permit shall In every respect conform o he application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations-Voids this Permit. Rough Final PERMIT EXPIRES NTHS TS ELECTRICAL INSPECTOR . UNLESS CONSTR TS Ak Rough NUMMENW.— Service ....... ..... ..... ..... .e ...... .... ..... ................. ............................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Promises — 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 Der. i nv � LCL �o opeA UP r&og-t li Ie- Cky,c,__ — 1 f..f i 4;',-;',1711.4 . TOWN OF NORTH ANDOVER y'' OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 Northkridover ' cHu�t , Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(978)688-95451 Fax (978)688-9i HO�1EOw"SER L[CENSE EXEMPTION P!casc i�rint DATE: tak I JOB LOCATION: 9.3 � �r tiumberStreet Address ��z AJD Ma /Lot — HUMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS • � 1 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year considered a homeowner. period shall not be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned"homeovvner"certifies that he,she understands the Totan of North Andover Building Department ininimum inspection procedures and requirements and that he,'she will comply with said procedures and requirements. 110-MEOWNERS ';IGN:11 L RE APPROVM OF BUILDING OFFICIAL �. i:.til if) ")I --- i, :m Hnnu„ rna'•F.� :,tti�iir.n I �I L I Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required I Provided Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. 00 Total land area, sq. ft.: t-13 c�Q 0 i NOTES and DATA— For department use i i I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan2006 I Building Department The followingis a list of the required forms to be filled out for theappropriate ermit to be 4P obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building PP Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan j ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ CopyOf Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And I P P Hydraulic Calculations (If Applicable) I ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) j ❑ 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 In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the E 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 1 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 � fI Date.. ............. ....... NOR711 ' "° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING + SS�CHUS This certifies that ........:....................................". . . ... •.. . . .... ............................. has permission toperform ...... ....---! t 4 wiring in the building of •••• . ,North Andover,Mass. Fee................ Lic.No�' �•r.;.:. r............ ELECTRICALINSPECTOR,";- Check # 7110 _ Commonwealth of Massachusetts Official Use only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: 12 1 7,0 10c City or Town of. }V— ( 7OVE�� To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1OwneLocation(Street&Number) 23 ASH $ I-- Owner r or Tenant jJ Telephone No. g A I P 7k 7320 Owner's Address s Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building I E-Amwy Utility Authorization No. Existing Service QQb Amps )20 /2VO Volts Overhead 1�r Undgrd❑ No.of Meters New Service o is OverheadNo.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: RuNO s LL K Tui W Www. tv IAO+M p� t Boo m 3nm Ir"OM F-)i i Completion of the followingtable may be waived by the Inspector of Wires. No. of Recessed LuminairesNf Ceil.-SPaddle)Fans No.o Total �� o.ousp.( Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires a Swimming Pool Above In- ,❑ o.o Emergency Lighting rn_t _ rnatter Units No. of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners �. No.o Detection and I Initiating Devices Total No.of Ranges t No.of Air Cond. •---tuns No.of Alerting Devices No. of Waste Disposers -r"^' Heat Pump Number Ton K No.of Self-Contained Totals: Detection/Alerting Devices C1.— No. of Dishwashers Space/Area Heating KW.-- Municipal t Local❑ Connection ❑ Other No.of Dryers Heating Appliancek----- KW Security Systems:* No.of Devices or Equivalent � No.o Water W No.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors -- fel HP Telecommunications Wiring: No.of Devices or Equivalent OTHER. Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work. Sapp.00 (When required by municipal policy.) Work to Start: E3 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"c erage or its substantial equivalent. The undersigned certifies that such cov ge is in force, and has exhibited proof sa to the permit issuing office. CHECK ONE: IN URA E S NC [BOND ❑ OTHER ❑ (Specify: I certify,under the pains and penalties of perjury,that the infornmtio 111is application is true and complete. PP P FIRM NAME: a C LIC. NO.: !fig 3'3(e �: R. Licensee: SAMLq Signatur LIC. NO.: j$356 k (If applicable, enter "exempt"in the license number line.) Bus.Tel. No.•9 7$ 777 5 4 31V Address: Lr VO4 MAlt.Tel.No.: ~" *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: 1 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. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ �A F B�s�,�� f Date.�q TOWN OF NORTH ANDOVER ` PERMIT FOR PLUMBING ,SSACMUS� This certifies that . �.-�'�"`: . . . . . . . . . . . has permission to perform .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . ... . . . . . . . . . . . . . . . . . . . . . . . . . . at.r:.;rr:3. . . . . . ..... . . . . . . . North Andover, Mass. Fee. . . Lic. No / S ? .. , -. . . . . . . . . . . . . . t/ PL 41fm INSPECTOR Check # � Y 2't �. �� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Print at T fVO�1 Mass. Date 20 06 Permit Building Locatlo �� Owner's Name-N--ll-Cl l 1 Type of Occupancy 75 1)v5(e J .t New ❑ Renovation Replacement ❑ Plans Submitted: Yes❑ No Q>� FIXTURES • _z z m o z W Y V < J b Y N W W < t' c C O W H W ¢ S C O z z = 4 O h r. V Y F V N Q m a a C > < t• b 2 C d C < 6 < Y( Yf = C 4 C o Ib J C J O C O 14 z x Y d !� < x W V. 1C W z O Q N z z .W �' O V 2 sus—BSMT. BASEMENT IST FLOOR 2ND FLOOR ZRO FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR tiTH FLOOR • I Installing Company Name 1 - c Check one:. Certificate Address 2� - ❑ Corporation �- c7a ❑ Partnership Business Telephon L"'I nj /C;, Name of Licensed Plumber RJA Q 140 0 i INSURANCE COVERAGE: I have a current liability kuurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yM. 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 Mass. Gen Laws, and that my signature on this permit applicatl waives this requirement. '� Ch One: ' Owner Agent❑ SWAtUtb of Owfte4 Owner's ant I hereby certify that all of the details and information I have submitted lot entered)in above application are true and accurate to the gest of my knowledge and that all plumbing work and installations pettorrned under the permit isvied for this appkation will be in compliance with a1I pertinent provisions of the Massachusetts State Plumbing Code and 040 w442 of the General taws. nature of LjOAS9dTfumber Title . t;itylTown Type of license:Master❑ Joumeyrnan L license Number i2 1 BELOW FOR OFFICE USE ONLY R R ETCHES PROGRESS INSPECTIONS } FINAL INSPECTIONS FEE NO,- APPLICATION FOR PERMIT TO DO PLUMBING NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE_ 19 RUiABING INSPECTOR 61 U8 a Date......... ...".. p V40 01 °f�"`° :•'"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHU5Et , This certifies that . ic..> ......... �.... 1 �` ............. has permission to perform .............. .................................... wiring in the building of............,l�'. t? Gf. ........................... o 5 at.......... . ....... S�........................ ,North Andover,Mass. Fee... n` Lic.No.R-L..r��. /f�.` ...........�'•1...:� . .. few ... ELECTRICAL INSPECTOR 'i Check # /FO F DENJUNW0FPVBUCSUW7 Permit No. b WARD0FF=PRLYh3VI WRBXi[1IA?Xa11 R7adRjz-� —c� Occupancy R Fen Clicked APPUCA71ONFOR PERMITTO PERFORMELECTRIC,AL M ALL WORK To BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS ELECMXAL CODE,527 CMU 12:00 (PLEASE PRINT IN INK OR TYPE ALL MRMATION) Da G j Town of North Andover To In for of Wires: The undersigned applies for a permit to perfomL the electrical work described below. Location(Street&Number) S �— Owner or Tenant lye�AvG�j(/ Owner's Address E Is this permit in conjunction with a building permit: Yea No l:3 (Check Appropriate Boa) Purpose of Building C;;j�y Utility Authorization No. Existing Service Amps...L.V olta Overhesd Cj Underground No.of Meters New SerAce Amps.../ Volta Overhead CM U11(faMound [=3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Mectrical Work _Sfi�l�C A ,W,4 .JWd i>ZLf�.4Y! C-if UlTS Na of Lighting outlet No.of Hot Tuba No.of Transhaw a TOW No.of Lighting Fixtma swimming Pool. AboveKVA u,nw r73 Below oatenlera KVA No.of Receptacle Outlet No.of OU Burners No.of Emergency Lighting Battery Units No.of Switeb Oodst No.of oas Bumma No.of Ranges Na of Air Cad. Tot FIRE ALARMS No.of Zama�i Tat Na of Disposds No.of Pum TOW OTons KW No.of Deseetion urd -� No.of Dishwasher apace Alp Nesting KW �Initiating Deq D ervices Na of Self C 0minedd Na of Dryer Heating Devim KWDetection5ocadbrg Dev on Connections Other�� No.of Wats Neaten KW Na d Na d Loci IslasBdlesb No.Hydro Maauge Tuba No.of Moron ToW HP i OTHER• I IrasartaeCotet�Plr�rettbt�ea�irQrabafMe�dassttGetealLawa IhareatamttLiatitYibrialoel�iyinsJudrgCbrripiit YES lhtnt IWkzrttdvttidpodc(=e1AAO on Y10 Ir puhareded0dYMp&=ir i*fleWcfwmVby D °m 13 Do Est�dVa11edHmft Wads S WbikIDS nt jt nDaleRacfrebd Rough l;nl SgndPftWcfpajny. FI MNANS LimeeNa t;Qrsee IioQaeNo BL*es Td No. asst U/iG Si, fl/�.�9/tG, L o�wtmt'SIIVSZJRAI�EWAIVIIL•Ianawaelhetlhei� ln�dleitirisi;tc>r AnTdNO` ardihetrrrys�teanonihbptaritappica'mwsi�fliuegoQmt ��am�byMaaeacfi�Ger�alLaws (Plena check one) Owner a Agent . Telephone No. pER.Mrr FEB 3 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 1 (Print or Type) r9 19 R Permit 0�-N �ND(V�. Mass. Date /n1 Building Location 2-3 MSA Sr Owner's NameM4 / OLAUr;ta0 J �j d I?'r(-J A ws)0+!'C.+— A,1 to Type of Occupancy �t S+ 17 E N 1 i A L- V New ❑ Renovation ❑ Replacement 2-' Plans Submitted: Yes ❑ No ❑ FIXTURES z a, _Z N Z Y < N O Z > H W Y J N UJ < V N O O IC � _ O Z W 1- W ¢ _ ¢ N Z U. Z Z = a = e N U < N ~ J H ; y 0 S = < W N Y d C7 < a < X Q m O Z O O Q N W Q a < W U) a < N Z .Q d ¢ U. d W = < s 3 3 o Z s Y a o < Y d W U. Y usi < +-. > F O y y O N 1- 2 0 0 0 Z Z W E- O 0 S < < s < < O < -+ < ¢ oc W. < O < 3 Y J m N a a J 3 x 1- N W 0 � a < S ¢ I'll,O SUB—BSMT. BASEMENT i 1ST FLOOR ! 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name A o,t Ee7 A (r MA TA e-0 Check one: Certificate Address C AC H(nt4f ) ❑ Corporation JY) E%N l' fi l A 0 t'�VL.1 ❑;;Partnership Business Telephone -�'' Z-i97 ! 9- irm/Co. �- ^ Name of Licensed Plumber ,�4 f r3 r=!?7- fy' SAMryl r9 rK eC- INSURANCE COVERAGE: I have a current I bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes iT No ❑ ' If you have checked Vis, please x. indicate the type coverage by checking the appropriate bo A liability insurance policy 01/ 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. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and'inforrnation I have submitted(or entered)in above application are true and accu A the•best-of_my knowledge and that all plumbing work and installations ormed under the permit issu for this application will be in. m +ale vih II pertinent provisions of the Massachusetts State Plum ' g e and apter of the era[Laws. I j i vw, v ,f.F q0afire of Licensed Plumber- Title lum rTitle 1 Type of License: Master % JoumeymaA C]City/Town "- ----- 1)1-DING - APPROVED OFFICE US ONL License Number X33`'5 FiWE✓�, t BELOW FOR OFFICE USE ONLY z FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 i PLUMBING INSPECTOR -' Date. NORt1y 3��'��•°,;•;�ticoc TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING +O++rm A•�,�9 ,SSACHUS� This certifies that . . .. . . 5>�' . . . . . . . . . . . . . . . has permission to perform . . . LJ- 1f . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . ./P 4-". .�f9v.74.1!.� . . . . . . . . . . . . . at. ;?. .SIS . . .f�L . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. ?� . . . .Lic. No..47 33.) . . PLUMBING INSPECTOR 09/04/97 11:24 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer