HomeMy WebLinkAboutMiscellaneous - 270 SOUTH BRADFORD STREET 4/30/2018raA
X)
Location /0 1 �,4 11
N q. Date �7
40RT#1 TOWN OF NORTH ANDOVER
sle Certificate of Occupancy $
Building/Frame Permit Fee $
C Mus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ C'�6 -
,Check #
Building inspectq�7
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
N
and Parcel Number:
BUELDING PEPMT NUMBER:
DATE ISSUED:
34
SIGNATURE:
Building Commissioner/Inspector of Buildings Date
SECTION 1- SITE INFORMATION
1. 1 Property Address:
1.2 Assessors Map
and Parcel Number:
-Z70
34
t,� -A
Map Number
Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
R1 — Sv:R
17
Zoning Distjid Pro—posed Use
Lot Area (sf)
Frontage (ft)
1.6 BURDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
Required Provide
Required Provided
Required I Provided
3e-) �
3(:5 1: 0 ;�-
-,5,6 1 34 f-
1.7 Water Supply M.G.L.C.40. 54)
1.5. Flood Zone Information:
zone Outside Flood Z..
1.8 Sewerne Disposal System:
M..iipal 0 On Site Disposal System
Pbli. z�r Private 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORMED AGENT
2.1 Owner of Record
7-, m D -A lw--4
141J
1114, P, v0qk�j A14
Name (Print)
Address for Service,01
-177- 6F7 -Z-4SS-'-
Telephone
2.2 Owner of Record:
Name Print
Address for Service:
Signature
Tele It e
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
4
Not Applicable 0
Licensed Construction �upervisor:
4 7
License Number
A^ JA
Address
77 -Z6
Expiration Date
Telephone
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
I
SECTION 4 - WORIURS COMPENSATION (M.G.L C 152 § 25c(6) 7 r
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the ddemal of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description of Proposed Work (check aH aDDficable)
New Construction
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY,
Existing Building
0
Repair(s)
[I
Alterations(s) 0
71tion 0
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
Accessory Bldg.
0
Demolition
0
Other 0
Specify —
Brief Description of Proposed Work.
11) Jo �Z' PT- e I 0.(� - 6X /0 PT- V &5TS
Z rJA ICA'I'll J4. r � 0
I SECTION 6 - F.qTTMATVn CnNQTV1rTVT1rnV CnCTC I -
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY,
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 (HVAC)
5 Fire Protection
6. Total (1+2+3+4+5)
Check Number
O�
AGENT OR CONTRACTOR APPLIES FOR BUMDING PERMIT
as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
-.J- — I — /
Date
1, / 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
Print N
of
7/
Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS I IT ve, 0 2 ND 3u
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION 0 fp 6R4AX, THICKNESS
SIZE OF FOOTING T7-- -S;J I\J 0 5 X
MATERIAL OF CHIIVINEY
IS BUILDING ON SOLID OR FILLED LAND -S'OL
IS BUILDING CONNECTED TO NATURAL GAS LINE
FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to venify that all -necessary approval / permits From
Boards and Departments having jurisdiction have been obtained. T'his does not relieve the
applicant and or landowner from compliance with any applicable requirements.
I asedwom an man mumang 0 we No owns on snownexonow so an memo N 0
APPLIeANT 7-1 ala,& D, 4t k-0 f U PHONE -'f7F-K92-Z6U—
to PUBLIC WORKS - SMWR / WATER MCONNECTIONS 2,01 Oc
DRIVEWAYP
DATE APPROVED
FIRE DEPARTNIENT 0 L -01 ai,,e r LA/L/JV I Q I dO
DATE REJECTED
CONQ&'NTS
RECEIVED BY BUILDING INSPECTOR DATE
ASSESSORS MAP NUMBER /OYC —LOTNUMBER 36
SUBDIVISION Z( 6Z S �t-
LOT NUMBER
STREET �, Eal tc-j
STREET NUMBER
7— ?0
fended 992024mann some nuessammenow
OFFICIAL USE ONLY
on W 04-ro—A
RECOMAMNDATIONS OF TOWN AGENTS
I my-fA a n Now
0
; d, zPa N a a 0 n 0 0
DATE APPROVED
CONSERVATION ADMR41STRATOR
DATE REJECTED
V
COMMENTS
ATE
D -APPROVED
TOWN f M�NER
DATE REJECTED
COhQvfENTS
DATE APPROVED
FOOD INSPEgTQR - HEALTH
DATE REJECTED
Wgi"ECTOR - HEALTT-i
DATE APPROVED
DATE REJECTED
CONEVIENTS
to PUBLIC WORKS - SMWR / WATER MCONNECTIONS 2,01 Oc
DRIVEWAYP
DATE APPROVED
FIRE DEPARTNIENT 0 L -01 ai,,e r LA/L/JV I Q I dO
DATE REJECTED
CONQ&'NTS
RECEIVED BY BUILDING INSPECTOR DATE
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
74"
Number: CS 055417
Birthdate: 04/05/1960
Expires: 04/0512002 Tr. no: 21877
Restricted To: 00
THOMAS D ZAHORUIKO
185 HICKORY HILL RD
N ANDOVER, MA 01845
Administrator
- ------------
DEPARTMENT OF PUBLIC SAFETY
License: HOISTING ENGINEER LICENSE
Numben HE 065667
Birthdate:- 04/05�1960
Expires: 04/0512002 Tr. no: 19273
Restricted To: 2B
THOMAS D ZAHORUIKO
185 HICKORY HILL RD
N ANDOVER, MA 01845 Acting commissioner
�::Yxe 610, 0/"
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 107679
Expiration: 8/5/02
Type: INDIVIDUAL
THOMAS DAVID ZAHORUIKO
Thomas Zahoruiko
185 Hickory Hill Road
North Andover, MA 01845 Admin;strator
License or registration valid for individul *use only
before the expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ma. 02108
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Aff1davit
Please Print
Is 6-6cags IS+ -
am a homeowner perfdh�ning all work myself
I am a sole proprietor and have no one working in any capacity
am an employer providing workers' compensation for my employees working on this job.
Company name.
Address
City: Phone
insurance Co. Poligy.4
Comony 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 $1,506.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($1 ()O.00) a day against me. I
understand that a copy of this statement may be fbr�lFded to the Office of Investigations of the DIA for coverage verification.
I do herby certify under the plins and penalties
Signature
Print name
that the inthrmation, provided above is true and correct.
!MV
Official use only do not write in this area to be completed by city or town official'
C]Check if immediate response is required BuMing Dept
r-ontact person.-_ - -Phone
I
FORM WORKMAN'S COMPENSATION
179
C] BuIlding Dept
C1 Licensing Board
C] S�lectmans Office
C] Health Department
1-1 Other
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Location
No.
Check #
Date 12 / -
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ A�-
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 1046 K)
-2
'7
Buildi I ng In �er
R
TOWN OF NOkYRANDOVER
BUILDMG DEPARTMENT
APPLICATION TO CONSTR , UCT REPAIR, RENOVATf2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING
Own
BUELDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE: A4 &
Building Commissiode'r/12Nwo of Buildings Date
SECTION I- SITE INFORMATION
1. 1 Property Address:
2 -,t) S - 9-44-9 CS 3t - 64 7- A Z
1.2 Assessors Map and Parcel Number:
/0�c 3(o
Map Number Parcel Number
r m A (j
1.3 Zoning Infmnation:
R I - S7K
Zoning Di�tr iet Noposed Use
1.4 Property Dimensions:
Z.0 RC (97, 17 0 S'F)
Lot Area (sf) Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
30, 1- 3q/ so S-5/
30" Z-001 +-
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public )( Private 0 Zone Outside Flood Zone
1.8 Sewerage Disposal System:
Municipal D On Site Disposal System X
SECTION 2 - PROPERTY OWNERSHW/AUTHORIZED AGENT
2.1 Owner of Record
M �Q,k 6pmek-�, L LC 1,KE t� c kav H I I EQ, N Mex c
Name (Print) J Address for ScrvicV:
st� Telephone
2.2 Owner of Record:
Name Print Address for Service:
Sign lure Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Vensed Construction Supervisor:
7L1rrz5,9, Z;,—t4o
Licensed Construction Supervisor:
ff-/c� /(,/ //(Z�
Address C/
't 7; 77 7 Z 6.
�Vature Telephone
Not Applicable 0
License Number
Lyzo
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
0
z
M
90
0
rM
M
r�
rM
z
G)
SECTION 4 - WORKERS COM[PENSATION (M.G.L C 11-,-2 § 25c(6) I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... K No ....... 0
SECTION 5 Description of Proposed Work (check afl appkable)
New Construction A I Existing Building 0 1 Repair(s) 0 Alterations(s) 0 Addition 0
Accessory Bldg. 0 1 Demolition 0 1 Other 11 Specify
Brief Description of Proposed Work:
(-aws-le�Ucr 91;R
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
I . Building
120.
(a) Building Permit Fee
Multipl er
2 Electrical
8,000-
(b) Estimated Total Cost of
Construction
60c)
Plumbing
006.
Building Permit fee (a) x (b)
::;? ----
.3
Mechanical (HVAC)
oed .
.4
5 Fire Protection
3,000.
6 Total (1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BURDING PERMIT
1, 7:4 m 4:9S,�A Due be -r- r as Owner/Authorized Agent of subject property
Hereby authorize '7—�6 cts D. 04 � ri (U 1' 0 to act on
My behalf, in, a,I,IWtters relative to work orized by this building permit application.
Date
9E'CTION 7b OWNERIAUTHORIZED AGENT DECLARATION
1, 777�."Mdj E4 Ad IvT40 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
-7-11eAlef'T 2),
Print Name
Sigat,Te—o—f Owner/Agent Date
NO. 0 STORIES SIZE 7-44S -'�F
BASEMENT OR SLAB 16f�s 6 M E�37
SIZE OF FLOOR TITVIBERS ISI, Z410 2 ND -Z 10 3FD
SPAN
DIMENSIONS OF SILLS G
DIMENSIONS OF POSTS 3(/Z- S/C LAL�y
DIMENSIONS OF GIRDERS M 2-'X (0
HEIGHT OF FOUNDATION TFUCKNESS lo
SIZE OF FOOTING 0" X 7-011
MATEFJAL OF CHIMNEY t -A /t So tj k Y (L^I�e-ls mt�qj f--Vmve
IS BUILDING ON SOLID OR FILLED LAND 501- LD
IS BMDING CONNECTED TO NATURAL GAS LM N 0
it
1 3
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 055417
Birthdate: 04/05/1960
Expires: 04/05/2002 Tr. no: 21877
Restricted To: 00
THOMAS D ZAHORUIKO
185 HICKORY HILL RD
N ANDOVER, MA 01845 Administrator
DEPARTMENT OF PUBLIC SAFETY
License: HOISTING ENGINEER LICENSE
Number: HE 065667
Birthdate: 04/05/1960
Expires: 04/05/2002 Tr. no: 19273
Restricted To: 2B
THOMAS D ZAHORUIKO
185 HICKORY HILL RD
N ANDOVER, MA 01845
��Tlle (00, M111"11111"(10"
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 107679
Expiration: 8/5/02
Type: INDIVIDUAL
THOMAS DAVID ZAHORUIKO
Thomas Zahoruiko
185 Hickory Hill Road
North Andover, MA 01845 Admin;strator
�0'uf)' L. A&.,
Acting ComFissi-oner
License or registration valid for individul use only
before the expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ma. 02108
Not valid without signature
1 /IV L-1UIIIII1UIIVVVdIUI UI IVW33d(;IIU,�iUli,�;
Department of Industrial Accidents
Office of Investigations
Bo4ton, Mass. 02111
Workers' Compensation Insurance Affidavit
Please Print
Citv �) � C M A Phone? 7Y-6c?S— — �—/ --)q
am a homeowner perfoiTning all work myself.
I am a sole proprietor and have no one working in any capacity
am an employer providing workers' compensation for my employees working on this job
Comr)anv name:
Address
city: Phone
Insurance Co. Policv
Company name:
Address
City: Phone
Insurance Co. Policv
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 $1,5()0.00
andtor 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 forwded to -the Office of Investigations of the DLA for coverage verification.
I do herby certify under the p�Vns and penalties ofloijuty that the information provided above is true and correct
Print nam,� k5"All's Ito - 04 Phone q9
I
Official use only do not write in this area to be completed by city or town official- E]" Building Dept
[]Check if immediate response is required Building Dept 0 Licensing Board
0 S�lectmans Of5ce
Contact persox_ —Phone A Health Department
El Other
FORM WORKMAN'S COMPENSATION
FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from
Boards and Departments having jurisdiction have been obta mied. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
end moommosomm an was a own a a 0 man an
APPLICANT 714 nla,� D � 4t PHONE q7F-�197-463,S_
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION Z( 6Z LOT NUMBER
STREET STREET NUMBER Z 70
OFFICIAL USE ONLY
lommommosommom moo'nonamom names a
RECONaENDATIONS OF TOWN AGENTS
'a - - .'a - a a 8 a n 0 0 0 a a a 0 0 0 0 a 0 a a a 0 a 0 0 " 0 0 a 0 0 0 0 0 0 0 a a a a a a a 0 a a a .008 "seemed
0e r C 6w, DATEAPPROVED
CONSERVATIONADMINISTRATOR
ATE REJECTED
SPA
tvsk;� 7e
V, COMMENTS J �v J 4
, I � G��
t�n L
CON84ENTS
DAT I E APPROVED lob
DATE REJECTED
DATE APPROVED
FOOD INSP�EC -HEALTH DATE REJECTED
DATE APPROVED /z/
10 �E
frECTOK-- HE�TH
DATE REJECTED
CONDAENTS
PUBLIC WORKS - S#*WR WATER COIN14NMEC ec
PA! DRIVEWAYPE
DATE APPROVED
FIRE DEPARTMENT c, L -0,i aier (:I,--
otv,(', DATE REJECTED
CONMNTS
RECEIVED BY BUILDING INSPECTOR DATE
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.0
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE: 1
HEATING SYSTEM TYPE:
DATE: 11-28-2000
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 680
Your Home = 636
or 2 family, detached
Other (Non -Electric Resistance)
Permit #
Checked by/Date
Area or Insul Sheath Glazing/Door
Perimeter R -Value R -Value U -Value UA
CEILINGS
1320
30.0 3.0
42
WALLS: Wood Frame, 1611 O.C.
2680
19.0 3.0
145
GLAZING: Windows or Doors
398
0.350 139
DOORS
64
0.350 22
FLOORS: Over Unconditioned Space
1320
19.0
63
BSMT: 8.01 ht/7.01 bg/1.01 insul.
1456
10.0
225
HVAC EFFICIENCY: Furnace, 90.0 AFUR
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable St ndard Design Conditions found
in the Code. The HVAC equipment selected o heat or cool the building
shall be no greater than 125% of the des' n load as specified in
sections 780CMR 1310 and J 4.
Builder/Designer Date—
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.0
DATE: 11-28-2000
Bldg.
Dept.
Use
CEILINGS:
1. R-30 + R-3
Comments/Location
WALLS:
1. Wood Frame, 1611 O.C., R-19 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
1. U -value: 0.35
For windows without labeled U -values, describe features:
# Panes- Frame Type Thermal Break? Yes No
comments/Location
DOORS:
1. U -value: 0.35
Comments/Location
FLOORS:
1. Over Unconditioned Space, R-19
Comments/Location
BASEMENT WALLS:
1. 8.01 ht/7.01 bg/1.01 insul., R-10
Comments/Location
HVAC EQUIPMENT EFFICIENCY:
1. Furnace, 90.0 AFUE or higher
Make and Model Number
THERMOSTATS:
Adjustable thermostats required for each HVAC system.
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air -tight assembly with a 0.511
clearance from combustible materials and 311 clearance from insulation.
VAPOR RETARDER:
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R -values, glazing U -values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications. C
DUCT INSULATION:
Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
All ducts must be sealed with mastic and fibrous backing tape.
Pressure -sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4.4.
MISC REQUIREMENTS:
Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
NOTES TO FIELD (Building Department Use only) -------------------------
'x -z'
r.0 T
.......... ..........
Town of North Andover Planning Board
This form represents the schedule for allowing the following- lots to be considered as eligible for
building permits under the Town of North Andover Growth Management by-law Section 8.7 of
the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of
Deeds and be referenced on the deed of each of the lots below and be filed with the Planning
Board prior to the issuance of any building permit or permit for construction.
Name and Address of Applicant for Lots:
Name of Develop�e�'t:
,
'�joA n Z41 (-U,�.o
Z-Gz RQZ& R -
N - Av&Le r ' k� A o ljzI
PIQIX6 ly_ st
Map and Parcel of Original Lot:
A P ---
—Io-tl C NKc&L 36
Date of Application for Lot(s) Division:
"-IC) )'J
260)
Lots Covered by this Schedule-.
'4 - I -I
/ - Z_
The Planning Board by their signature below, or a: signature -of a du[y authorized representative,
-do hereby. establish forthe above. named development the following Development Sch-6dule for
the purpose -of Section 8.7 of the.Growth� management By -Law. The- applicant, their assfgrfees,
successors and or subsequent property owners shal[ conform to the following schedule. -that limits
the eligibility of the following lots for building permits-- This.form must be filed in the Registry of
Deeds by the property owner or representative and be refer - e - nced on each deed for each-- of the
following lots. Such deed reference forthe deed of each lot shall at -a minimum reference the
book and page in which this Development Schedule is filed�and contain the language : -This lot
is subject to a Development Schedule ursuant to the Town- of North Andover Zoning By -Law all
p
owners, representatives, and future purchasers should avail themselves of said restrictio ' n by
reviewing the approved Development Schedule- as filed i1i Book insert here and Page insert here.
The fact that a lot is eligible fora building pen -nit is- subject*to the limitation of the number of
building permits per year pursuant to section 8. T2.d of the Zoning By -Law.
The Planning. Board hereby schedule the lot(s) for the above development as follows:
Year Eligible Number of Building Office Use Building Office Use
Lots Eligible Date Lot Eligibility Notes
Completely Utilized
Signature of Planning Board member or Authorized Representative
Date
Vionature of Prou&ly Owner cr,�,6t/hjzed Representative
��4) ..-
Date
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NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
49r I S&L) F_
PERMIT NO.: 6 — PROJECT:- In LT401ii W801110" DATE:) 1-30 -00
UNIT NO.:
FLOOR:
WING: BUILDING NO.: a q 0
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Date-, 23f / 00
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Inspector
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Insulation -
Other:
Date: Lp le, in
Date: (5- —,,2,'7 - a/
Date:
Inspector
Inspector
Inspector
Electrical - rough -
Plumbing and/or gas - rough -
Other:
Date: -7
Date: gv�,5_?3
Date:
Inspector
Inspector 6n -A
Inspector
Electrical -final
Plumbing and/or gas - final
Other:
-7 Z
Date:
Date:
Date:
Inspector
Inspector S;"
1001
Inspector.
Fire Dept -
oil burner, tank, stove, smoke detectors
Final inspection
Ce ' 'cate of Use and Occupancy
Date: /7 (9
Date: '7
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Inspector 04 (Cp..
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Form #995 Action Press, 685-70
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Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
tAORTil
61,
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APPLICATTON FOR CERTIEFICATE OF OCCUPANCY / INSPECTTON
ADDRESS 2 -; C> %A
LOT NUMBER
-1-7-
DATE REQUEST FILED
7/f /6 )
DATE READY FOR INSPECTION 7//(0/40/
M1.
ALL WORK AND SIGN-OFF'S MUST BE COMPLETEDr THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE OLLARS WILL BE
C
CHARGED IF THE STRUCTURE D S NOT MEET PLICABLE CODES.
SIGNATURE
ROUTING
CONSERVATION; OZ DATE lWqlo
PLANNING DATE -7
D.P.W. —
W AWMEE DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE IN PECTION REQUEST DATE.
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TILT -WASH DOUBLE -HUNG
Table of Basic Unit Sizes Scale 1/8" = V-0" (1:96)
Unit Dimension j'_9 5/8" 2'-15/8"
(549) (651)
Rough Opening !�� 2'-2 Yo'
(562) (664)
Unobstructed Glass** — 15, — — 19* —
(381) 1 (��3)
9
no I0
TW18210 TW20210
TWI832 TW2032
TW18310 TW20310
TW1842 TW2042
C'3
TW1846 TW2046
Z3 G�
7 t2
TW1852 TW2052
E E
TW1856 TW205
2'-5 5/8" 2'-7 5/8' 2A 5/8* 2'-115/8" T-15/8' T-5 5/8" T-9 5/8"
(752) (803) (854) (905) (956) (1057) (1159)
2'-6 IX 2'-81/8' T-10 1/8' T-0 1/8' T-2 1/8' T-6 1/8' T-1011/8'
T__
(765) 816) (867) (917) (968) (1070) (1172)
23" 25' 27' 29' 31' 35' 39'
— F58 —4), _�6_35) _F6 8 —6) _1 _(737) F78 7) (889) (991)
B E] 10 1111 El
TW2421 0 TW28210 TW3021 0 TW3421 0 TW38210
[I El 0 El [I
TW2432 TW2832 TW3032 TW3432 TW3832
01111 El El
ME NMI I III 7MM' M
TW2431 0 TW28310 TW3031 0 TW3431 0 TW3831 0
0 0 0 11 11
TW2442 TW2842 TW3042 TW3442 TW3842
000011
TW2446 TW2846 TW3046 TW3446 TW3846
1= E
TW2452
L—_ =Jj
TW2456
01
10'11t�l
64
E __1
F D
TW3052 TW3452
�E:
F
TW3056
TW3456
NJ,W.ILT-WA"
,,ic unit &
TW3852
These 5'-9' height units are "cottage
style" units, and have unequal sash. The
top sash is shorter than the bottom �h
TW3856
17 These sizes are available In
Unobstructed glass height is for sitiqle
sash Only.
U F1
L E E_ Ll L- F] 0 El
TW1 862 TW2062 TW2462 TW2862 TW3062 TW3462 TW3862
"Unit Dimension" always ieleis to
outside Ifaille to 1:e dinlensio
Dimensions in pa eniheses are i�:
millimetem
When ordering, be sure to specify color
desired: while, Sandlone, or Teiraloneo