HomeMy WebLinkAboutMiscellaneous - 28 MOODY STREET 4/30/2018a
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Date!�W
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
this certifies that ................. ...........................................................
�L�
... ...... f)k
.............................
has permission for gas installa ion- Y\kk C -IL ...................
in the building of Wf e e-
J.'I .......................... * , , N** * o- r*'t'* h- * A-, * n- d-, o** v** *e,* *r,*
at ... 2.V . .... . Mass.
Fee.. . ............ Lic. No. ......................................................
Check #321 %1 GASINSPECTOR
0 ��' 6 j 1
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G
TYPE OR
-PRINT
C1,EARLY
BOILER
BOOSTER
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY MA DATE vT- jjPm'MIT#. 6--
A
JOBSITEADDRESSI ,2Q - jnjQdd S -r- :�:JOWNER'S NAME
OWNER ADDRESS TE FAX
OCCUPANCYTYPE COMMERCIAL EDUCATIONAL
NEW: E3 RENOVATION: REPLACEMENT:
-+ . -- J 1 -1 ' +
-1 FI-06�RS - * 1 13sm 2
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FURNACE
GENERATOR
INFRARED HEATER
LABORATORYCOCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM/ SPACE HEATER
ROOF TOP UNIT
TES7
UNIT—HEATER
UNVENTED ROOM HEATER
WATER HEATER
RESIDENTIAL 2 -
PLANS SUBMITTED: YES F1 NO R-
10 1 11 1 12 1 13 1 14
INSURANCE COVERAGE 4
1 have a current liablIfty nsurance policy or its substantial equivalent which meets the requirements of MOL. Ch. 142 YES 0<0 E]
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW -
LIABILITY INSURANCE POLICY [9--* ' OTHER TYPE INDEMNITY [j BOND F—J
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 [j AGENT Of
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted orentered regarding this application are true and accurate t the b t f my kn e
and that all plumbing work and Installations performed Linder the permit issued for this application will be in compliance wit P i e vision t
Mass;achusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME r� C-coc' JLICENSE#z S*(ATORE
MP[3'MGFO JPEI JGFEJ LPGI [I CORPORATION 2Q�61 PARTNERSHIP [j# LLC L3#=
COMPANY NAME: ADDRESS
CITY ty, A ZIP
STATE ]TEL
FAX CELL EMAIL
pol -4
wpm.;"
,,,.,,,BGARP
A NI- "' G' --
P L U M B E "AS F I
THE
FOLLOW I
I SSUES
RED AS A PLUABI
Z::. �7
�O A -'W GARFIELD'
y BR OTKE.-R V� S E R V I U
21 W I L L-OW'�'-lsl-T'
OR ON
i -A 02301
22141-3
36 "''05(ou.16
AN
Date—/ .... .........
N2
TOWN OF NORTH ANDOVER
I'To PERMIT FOR WIRING
This certifies that ....... . . ........... /.-.
..................................
has permission to perform ......
.........................................................................
wiring in the building of ....... ..............................................
. ... . ......
at ........ .........
.............................................................. . North Andover, Mass.
Fee................ Lic. No . ........ <-:"� . ................. il� ......... .................................
EcTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Office Use only
TIW00W0AWE4L7T10FMAMCHUSE77S
DEPARTAMWOMBLIMFM Pentut No. -3zl4,9
BOAM OFMERMIEWONRWULATIOAS 527(MR 12-00 Occupancy& Fees Checked melee/
APPUCATIONFORPERWTOMMORMELE
PJA ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS EWMCAL COIDME,27 LC I -00W01?K
(PLEASE PRNT IN INK OR TYPE ALL INFORMATION) Date / /Z 1 161
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
V
Location (Street & Number) moo i) ) -�5
Owner or Tenant
Owner's Address
Is this permit in conjunction
Purpose of Building el
TW ef,
0,6 0 L/
a building permit:
.) I (�((6 n
Yes [�No M (Check Appropriate Box)
Utility Authorization No.
Existing Service 0 Amps / � 0Vo1-- Overhead 'Underground No, of Meters
L2L_L ts;
New Service Amps Volts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. ofHot Tubs
No. ofTransformers
Total
KVA
No. ofLighting Fixtures
Swirruning Pool Above
Below
M
Generators
KVA
10
ground
1:1
ground
No. ofReceptacle Outlets
/3
No. ofOil Burners
No. ofEmergency Lighting Battery Units
No. of Switch Outlets
2-
No. of Gas Burners
FIRE ALARMS
No. ofZones
No. of Ranges
No. of Air Cord. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
of Dishwashers
Space Area Heating KW
,�o.
No. of Self Contained
Detection/Sounding Devices
Local Municipal
M Connections
Oth.�r-
No. of Dryers
I
Heating Devices KW
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
j'/2
IIWWXCO�0-� Laws
Iha%eaomutLdi*kmmcePobv,ymdu&gCcrro* CbvwWcriks%ksbrtWeqiv,4at YES NO 71
I ha%eW"ftdvandprcdbf§ame1o#eOffi= YES NO Wymhi%edvdWYESpkmmdc*tbrt'AxcfwmaFbydrdmgte
Mq3URAN'10E ff BOND NdL-"t"' 0 Z,
M ON-IER r --J ?bmeSpm&y) bpirzilion Dak
E0ma1edV"dUmfiica1Wcdc $
WakibSUt InspectimD*Rapested Ra4h FmW
Signedun*MRmhoof
FIRM NANIE 2 2
k �ci
2- 1 C
Adi,s_ 0 VE All. TU NV
OWNER'S PaJRANCEWAIVERI.ammvmtAtbelimwdpes not temsL==aw=Wonlsskkytde*wak2tasm*mudbyNla%admsemCaxrALaws
aaddvtnrys4iakn,ontiispmniWpficoi'mvm'AsdismW'mnat
(Please check one) Owner M Agent E3 Telephone No. PERMIT FEE $
Lo c at i o n
No. Date
P
Check # 11?,119
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ C-0
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
15 --stgWing inspector(f/
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
lus S"em for officia Ow oiw�
BUILDING PERNUT NUNMER:
A37.
DATE ISSUED:
SIGNATURE:
Building Commissioner/12N!22tor of Buildings Date
SECTION I- SITE INFORMATION
1. 1 Property Address:
1.2 Assessors Map and Parcel Number:
Sq MC)6A,j S+.
0 0 —Z�/
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning IN�tr ict Proposed Use
Lot Area (sf) Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
301 Z,,
1.7 Water Supply M.G.L.C.40 34) Zone 1.5. Flood Zone Information:
Public 5-" Private 0— — Outside Flood Zone B--
1.9 Sewerage Disposal System:
Municipal Q-- On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSRW/AUTHORIZED AGENT
2.1 9wner of Record
(A EA L L ri rL
NaMe (Print) Address for Service:
Signature Telephone A
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3. 11 Licensed Construction Supervisor:
y
Not Applicable 0
Lk
Li�t'ensed Construction Supervisor:
S-
License Number
LAJ ; IT A Lj,!� �j 4 An
Address
-
SAQ;r,e Telephone
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
1� E:kF P Ce—, ju A C— + b
Company Name
Registration Number
�Euji 4ouA
L I TT fixi E- A/ 617b,-
ress
&
ZA,
;,�� Q -?—
, . t, !� I —S n t
Expiration Date
Telephone
M
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0
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I -.-, � --- ��XAMIVILT&'AqrT^%TfIkAf� T t, 141 R IMPIAN I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial ofthe issuance of the buil!kg permit.
Signed affidavit Attached Yes ....... 9' No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
4k ---
New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 Addi tion
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
pit')
eag -C'
1T u J SJ&JL (n rL F
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
OF I FICIAL USE ONLY
Completed by permit applicant
I . Building
Of 3
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
�:z C/o
4 Mechanical (IIVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR ONTRACTOR "PLIES FOR BUILDING PERMIT
I/ as Owner/Authorized Agent of subje7ctproperty
V V�.'
Hereby authorize_ RFptjE-fh 13. geE$) to act on
Mv behalf'- in all niatters relative to work authorized by this building pennit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
as Owner/Authorized Agent of subject
1, ------------------ — —
property
Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
Print L/
Sig f 0 er/ e Date
NO. OF S'I'ORU--'S S17 -E
.'NT OR SLAB (ZAwL C
BASENIE a
ND 3�
SIZE OF FLOOR TMIBERS 2
SPAN 1 �6
DMENSIONS OF SELLS —L �k%.
DIMENSIONS OF POSTS
DMENSIONS OF GIRDERS
HEIGI IT OF 1�'OUNDATION TI-RCKNESS
SIZE OF FOOTING
MATMWMrjF-G44lhdNEY
IS BUU,DTNG ON SOLID OR FILLED LAND
IS BUH,DING CONNECTED TO NA'RJRAL GASLINF YLS
k 4
PLAN OF LAND
LOCATION
NORTH ANDOVER, MASS.
OWNED BY
ROBERT TWEEDIE
SCALE' 1"=20' DATE: 10/29/97
01 20' 40' 60'
SCOTT L. GILES,, R.P.L.S.
FRANK S. GILES
NORTH ANDOVER, MA.
This lot is not, in a flood hazard zone.
Zoning district is R-4
I CERTIFY THAT THE OFFSETS SHOWN
COMPLY WITH THE ZONING BY-LAWS OF
WHEN BUILT.
OFFSETS SHOWN ARE FOR THE U$E OF THE BUILDING
INSPECTOR ONLY AND SUCH USE IS FOR THE DETER-
MINATION OF ZONING CONFORMITY OR NON -CONFOR-
MITY WHEN CONSTRUCTED.
P.M.,
C�
Scaled Assumed North
D.H(FND.)
H(FND.)
125.16'(Pla
125.50'(Calc. &
Meas.)
26. V
21.4'
Z
00
Existing
Existirg
0
0
q
Building/
/% Garag�"
21.2'
1
25.8'
-LOT 3
12,801 S.F.
N 6000'0" E
125.001
MOODY STREET
F:\RTMSNAI,2
:12
EI
C�
FORM U - LOT RELEASE FORM lo
1i AT�7777y ct-q-o(
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT PHONE 9�8_ �BQ_ 6Q� S
LOCATION: Assessor's Map Number 81 — PARCEL
SUBDIVISION LOT (S)
STREET ST. NUMBER -
USE
I RECOMME-NDATIGNS OF TQWN AGENTS: I
CONSERVATi& X6MINISTRATOR
COMMENTS , /r\ -o (A)-
TOWN PLANNER
COMME
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
qATEAPPROV5D
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE—
Revised 9X97 Jim
KEEN CONSTRUCTION CO.
21 HEWITT AVE.
N. ANDOVER, MA 01845
(978)691-5201
Tweedie, Bob & Extine
28 Moody St.
N. Andover, MA 01945
(978)687-6235
Contract # 1493: Appendix A
Family room & garage addition:
• Demolish existing entry way and garage
• Excavate & pour foundation for 16' x 22'
• Pour finished cement floor in garage
• Frame addition as per prints dated 6/10/01
family room & 20' x 30' garage
except for the following
Date:08/28/01
Back wall of FR will have one 6' sliding door instead of 2 windows and I swing door
Fireplace will not be included
Door between garage & FR will be centered with opening into latchen
Closet will be extended to door
Shed storage area in garage will continue to front of garage
Garage doors will be 9' x 8'
FR ceiling will be vaulted
Existing entry door will be installed on back of garage
Create 4' x 4' HVAC room in garage
Frame roof in garage with attic trusses
• Insulate FR as per prints
• Sheetrock walls & ceiling in FR with %,- board, sheetrock wall in garage adjacent to FR with 518"
board
0 Tape & seam all sheetrock to smooth finish
• Supply & install hardwood flooring in FR ($3500. 00 installed allowance)
• Supply & install 16'0" x 6'8" Anderson "Frenchwoocr swing patio door in PR
• Supply & install 13'0" x 6'8" Thermatru 'FC41b' door in FR
• Supply & in" 4 Anderson double hung windows to match enstirig
• Supply & install 12'8" x 6'8" steel door between FR & garage
• Supply & install 2 9' x 8' overhead doors in garage
• Supply & in" 12'6" x 6'8" closet door to match existing
• Supply & install baseboard, window & door trim to match existing
• Paint walls &,ceiling (2 coat finish, 2 neutral colors) and finish trim to match existing(2 coat finish)
• Supply & install HVAC unit in garage (with AQ ($500Q 00 installed allowance)
• Build 6' wide pressure treated stairs on front & rear to fiiiish grade
• Remove all debris from contracted work
• Supply & install asphalt roofing to match existing
• Supply & install siding to match existing
Electrical:
• Supply& *nstall outlets& switchingto code
• Supply & install wiring for HVAC unit
• Supply & install outlets for garage door openers
• Supply & install one cable outlet & one telephone outlet
Ptice does not include cost of permits, landscaping, or any chiveway work.
TOW price: $81,437.00(eighty one thousand four hundred thirty seven dollars)
KEEN CONSTRUCTION CO.
21 BEWITT AVE.
N. ANDOVER, MA 01845
(978) 691-5201
Payment schedule: $1000. 00 due upon signing contract
$25,000. 00 due two weeks prior to start
$10,000.00 due after demolition is complete
$10,000.00 due after foundation is poured
$15,000. 00 due after rough fiame & rough electrical is complete
$10,000. 00 due after addition is weather tight
$10,437. 00 due after contracted work is complete
412�1 - -
Customer ol'i
Date IZ/0
Date
B. Keen
2
a
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 058245
Birthdate: 03/24/1943
Expires: 03/24/2002 Tr. no; 18312
Restricted To: 00
KENNETH B KEEN
21 HEWITT AVE
NANDOVER, MA 01845 —7d—ministrator
HOME IMPROYEMENT CONTRACTOR
Registration:
108383
Expiration: 8/18/02
Type: OBA
KEEN CONSTRUCTION CO.
Kenneth Keen
21 Hemitt Ave
ADMINISTRATOR
No. Andover MA 01845
Th e Commonwealth of Massachusetts
Department of Industrial Accidents
Ai --Zt -
office 01111yestiff2fions
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affl.davit
:AF
Ion, '7� �7
name 00 fis Li C -t; 0,J Al
locati m *Yertu,- 7r J�?tI6-
civ A/. phone#
C] I am � liomeowner performing all work myself
0
I am a sole proprietor and have no one working in any capacity
=77=-7-17 =271
I am an employer providing workers' compensation for my employees working on this job.
company name:
iddress:
phone
c
insunince co, policy:#
D I am a sole proprietor, -eneral contractor, or homeowner circle one) and have hired the contractors listed below who have
the following workers'.compensation polices: ........
. . . . . . . ...........
Failure it) secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of crimina a Inc up to S1 . 500.00 and/o
one years' imprisonment as well as civil penalties in the forni Of2 STOP WORK ORDER and a fine of S100.00 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.
I do hereby certify under the i4ins andpenalties ofperjury that the inforntation provided above is true and correct
Print name kA----,LJ,4J E- t -A hohe#
official use only do not write in this area to be completed by city or town official
city or town: permitAiccnst # riBuilding Department
oLicciisingMdard
C] check if immediate response is required []Selectmen's Office
01-1calth Department
contact person: phone #; f-10ther
(mised 3/95 PJA)
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Of _4USS ztts permit No.
pancy a Fee Chocked
CC=i
10:13312111 eV11hik
qeave'blart t,
C "�D_CF FIRE PREVeMCH REGULATIONS -S27 CUR 12.00
A
AP PL ICATIO I N - F .. 0 R P , ERMI - T .- TO PERFORM ELECTRI-CAL "WORK
CMR �1�100
-All Work to 64 performed in accardance.with Me 1�assacrtusetts Electrical Code, 527
, 0 /,�.2
(PLEASE PRINT IN. INK OR TYPE ALL INFORMATION) Oat - f
Mrj or Town a NORTH ANDOVER To the inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) ?'k- I -e, -d _5�
,,(— 6VPz_1;eL�
%..jwner or tenant
Owner's Address
Is zhis permit in ccniuncion wittl a'_-uiIc,.ng =ermit: Yes No (Check Appropriate Box)
Rurccse ct Buifitina
Existing SerAce Amps
New Service 0 Amps 7-3-u vo.ts
Utility Autl-crization No.
Cvernead I—' Uncgrnc 7-1
Cvernead UncGrrid El
�Z-
No. of Meters
No. of Meters
Nunicer of Feeders and Ampacity
I-ccation and Nature of Proposed Elecmcaj lNcrx. 5- nf 0
'Ictat
e, i No. V -c' __=s 1 No. zr1ranstarmefs
.14c. =',_�qmsng Cuvets KVA
No. at 1-:gnting ='-xtur-s "I w, ;Mc. i Garteratcrs KVA
14o. :t =rnergency Ugnting
No. ct qecectac:e Cutlets No. zt Cil Burners Bar-ery Units
No. ;�r Switc.n Cut!ets No. 3as Btxrers
7otat
No. at Ranges NO. A,r Cznc. =r.s
2_eall '7czai -a'al
No. --t -1-iscosais Nc.=r
.4:7!=s
No. or Cisnwasners Szace,Area .-ea*!n(;
No. at Mr4ers ::avlcas <IV
FIREAL-kRMS No. of Zones
No. ct Cecection aric
06vicas
cr souncing levices
No. zv Sait CantaineC
Munic:oat
-=Cal Omer
Camnec::on
I NO. at No. Z, Law '.,cita(;e i
No. at Water Heaters KW Signs =-a!las-.s wirinc
No. Hycro Massace `Iub3 ! No. Ct %1CM-3 -rcrai "P
C 7'r i E F;:
INS�jPANC=_ C:=V=_PAG_=. P'-'rsuant -0 ',,%a -ec-.;:rernef---S --- llassacnuser-S ;eneral I-aws
_-=era:icns Caverage cr ;ts su=santial --cuivasent. YES = NC
I nave a current Laciiity Insurance PolIcY inal.:c-r-9 '=zrr=:eteC -,ecxeC YES. -.tease inCtCatO Ot cc�&raqe ::y
nave su=mtnec vatic proot Ot same -0 '1--G 7_ NO cu nave c:
CneCilting tne a
OTHEA - Please Scec:ty)
114SURANCC P5PC��N - I / (Ex6iration Catei
r- 60d, eo
Estimated Value it clectricai WorX S
/r/
e)_ ." / iA
Worx to Start Inscec--cm Caza ;;ac=es-.ec-. Rcugn Final
S;gnea uncer -no Penalties of perjurr.
LIC. NO.
FIRM NAM _UC. NO.
Licensee S;.;nanxe 741. No. �17
k =us' k:�-_ ;LS
1q7_ 11 1 Ait. 741. NO.
AcCres3 Z)�
CWNE.:;*S ;NSUPANCS WAIVEP: I am aware =Iaz '.Z*e Lxerlsee :Ces �ct .146 :r%a Insurance C=veragO Or Its suilstanrt3l eCulvalent as '-a-
an ras :erm.tt acr
M Iicaticn waives tnis recuirement. Own*r Agent
. assaCju3@cis General Laws. anG trLat ry s:Gna,u"0
tPleaso criecilt one)
'70jecnorte No. � PERMIT FE___ S
(S;qnatUrq Ot Owner of Aqentl
1-6565�
N2
t
DateZ." - / "/ /,,-;/
.............................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..............
................................................................................
has permission to perform ....... . .................. .............. ; ..........
..............
..........
wiring in the building of .... ............ ........................ ..............................
at ....... ...... . North Andover, Mass.
................ .................. ...............................
Fee/o.... ............
;� ..... Lic. I o . ........... . ...............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant
12/16/97 10:03 90. 00 PAID
CANARY: Building Dept. PINK: Treasurer
2, 5 3
Date ..... � �/.-; � � X/ .
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....... ...... .............
has permission to perform ...... Z ...........
wiring in the building of ........ .................................................
at ........ �'.k ... *P , ss.
oc-)d/ ...... ....... North Andover, ?0
Fee.31.0�.... Lic. No. .......... ......
11�3— .
ELECTRICAL INSPECTOR
Check # y -:� �—
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TBE0QW0AWE4LTH0FMA&S4CHUSE77S Office Use only
DEPARTAfflW0F1`UB1JCS4FM Permit No.
BOARD 0FMEPREVf7%X0NRWMT10AS527CMR 12* Occupancy & Fees Checked
A
VV_,1 PPUCATION FOR PIRAff TO PERFORM ELE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANcE vATH THE mAssAcHussn axcTRIcAL CODE, 527 cmR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perfbrm the electrical work desefibed below.
Location (Street & Number) .2—
Owner or Tenant P
)e) 1�_ T(—,,j
Owner's Address -7-1 Aoo-,8W S7 -
Is this permit in conjunction with a building permit: f Yes r-97No (Check Appropriate Box)
Purpose of Building 1-fov 37� Utility Authorization No.
Existing Service Amps Volts Overhead Underground No. of Meters
New Service Amps Volts Overhead Underground No. of Meters
A�Iumber of Feeders and Ampac'ity
Location and Nature of Proposed Electrical Work i aa- 48ov a- -�;,,,ecoavA t<6,:;,6- Oice,.-r fleewnw-4
I
No. ofLighting Outlets
No. of Hot Tubs
No. offransformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
LMIM
ground M
No. of Receptacle Outlets
No. of 011 Burners
No. of Emergency Lighting Battery Units
No. ofSwitch Outlets
No. of Gas B timers
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. ofSelfContained
Detection/Sounding Devices
Local Municipal
M
Other
�r No. of Dryers
Heating Devices KW
Connections
M
No. ofWater Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
ln&==Com� ft19J"1DthemWwTvaUofMassadilscasGnaW Laws
Itmea=utLiabkyhtLm=Pbbcyuxk&gCcrr#Ak . CdvaaEporitssikloriM eqiyalat YES [E], NO r7
I Imesthniedvalidproofofsarneicitheoffim YES NO ff�cu hawdxdW YES, pi=emdc*thetA)ecfcmwdWbydmckirgthe
4
FIRMNANIE
Sigun
�W!
7-'!;! / A IfLMAre- jgfV
,g�L bi A AkTdNh
OWNERS FISUR�EWAIV(R, I amm=tat1heLx=d'= W iemm=wv=Wa-zmbortWapvalatxm*medbyM=n)w&GuxriLays
(Please check one) Owner Agent ID Telephone No. PERMIT FEE $
Location
No. Date 06)
TOWN OF NORTH ANDOVER
Check #
Building Inspeq(u
0
Certificate of Occupancy
$
C..
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee/ -
$
TOTAL
s (27
Check #
Building Inspeq(u
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUC-17 REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERNffT NUMBER:
DATE ISSUED:
SIGNATURE.
Building Commissionl;,rfinspector of Buildings Date
SECTION I- SITE INFORMATION
1. 1 Property Address:
08 lnool)Y 8-rkSJT
1.2 Assessors Map and Parcel Number:
13 40C,9 0-01c2
06/.0 to -r 0000, 0
Map Number Parcel Number
1.3 Zoning Information:
,�-4 2,-,s At) /,,q
Zoning Distiricil. propos'A Use
1.4 Property Dimensions:
i Ago.?. 0 6-P 1005,011
Lot Area (sf) Frontage (11)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required
Provided
Reqwred
Provided
-91.41
1 C'. 0
1. 7 Water SuprplyM.G.L.C.40. �1 54) 1.3. Flood Zone Information:
Public *9� FTwate 0 zone - Outside Flood Zone
Municipal
1.8 Sewerage Disposal System:
';9, OnSiteDisposal System
SECTION 2 - PROPERTY OWNERSHEIP/AUTHORIZED AGENT
2.1 Ownerof Record
__%04 i)PTS ��,ejtljff _7_Wr_E 11'
Name (Print)
99 411AW Y SE /W&W7 nlq 0/311
Address for Service
Z72 647 6,2LT
Signature Telephone
2.2 Owner of Record:
Name Print
Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3. PLicensed Construction Supervisor:
Licensed Constr-uction Supervisor:
Address
Signature Telephone
Not Applicable 0
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
6r- / 584 /_ 7M 3 rA R CDOtn I yff
D� D19RANOW)
Not Applicable 0
la
Company Name
4c� 0 x 7-6,-U ST. 70-PS-Flf-1,L)
0/�Sj
Registration Number
Z4 3400/
Address
Expiration Date
—Signature Telephone
T
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0
I
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AV
0
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0
M
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0
I SECTION 4 - WORKERS COMTENSATION (NLG.L C 152 § 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 ul ng permit.
Signed affidavit Attached Yes ....... X No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
New Construction 0
Existing Building 0
Repair(s) 0
Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other Specify ve KR-61UA)p 0001—
X
Brief Description of Proposed Work:
Agj XWV[ J77,?0fjUd rcro/- 1W-1"�J1J101rJ61 (Aj,(l t 13 r
C6,V3 -In VCrIGO / W 7742- 49-6,41
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
1. Building
311?010
(a) Building Permit Fee
Multiplier
2 Electrical
60
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Pennit fee (a) x (b)
I
Mechanical (HVAC)
.4
5 Fire Protection
6 Total (1+2+3+4+5)
1 Check Number
SECTION 7a OWNER AUTHORI TION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
rd'7,,rel� gr �160,C-Fo /',f as Owner/Authorized Agent of subject property
1, ��,V 7-7 'W111U, I
He I reby authorize (n- 16X'o-7W'0? Aroks co'e'�o to act on
Mybehalf,' 11mattersr Zq y isbuildingpennitapplic
'>nalt- 11 ..... ve workauthon' db th ation.
�D
A '71t6 IlVwo
S�ignatur;�of Owner Date
SECTION 7b OWNETVAUTHORIZED AGENT DECLARATION
1, �2Vgj7�1 /i /� &a22/J-1LC 7!�Whr 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
711d/c,)VV0
Si2ature of Oxvner/AEent— Date
MMM -050
NO. OF STORIES SIZE
BASENIENT OR SLAB
ST ND RD
SIZE OF FLOOR TIMBERS 1 2 3
SPAN
DMENSIONS OF SILLS
MIENSIONS OF POSTS
DiNIENSIONS OF GMDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FU.LED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
PLAN OF LAND
LOCATION
NORTH ANDOVER, MASS.
OWNED BY
ROBERT TWEEDIE
SCALE: 1"=20' DATE: 10/29/97
01 20' 40' 60'
SCOTT L. GILES, R.P.L.S.
FRANK S. GILES
NORTH ANDOVER, MA.
This lot is not in a flood hazard zone.
Zoning district is R-4
I CERTIFY THAT THE OFFSETS SHOWN
COMPLY WITH THE ZONING BY-LAWS OF
WHEN BUILT.
OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING
INSPECTOR ONLY AND SUCH USE IS FOR THE DETER-
MINATION OF ZONING CONFORMITY OR NON -CONFOR-
MITY WHEN CONSTRUCTED.
Scaled Assumed North
T.
0,
s 3006136" W
D.H(FND.)
125.16'(PI
125.50'(Calc. & Meas.)
Aik)
Poo
26. F 21.4'
/7
00
00 41
Existing Existine 0 o
0
C) Garage/
Building/ off CD
"GM
LZ /12v 21.2'
se.
25.8' �fs C. LOT 3
12,801 S.F.
00
o�
N 6000'0" E
125.00'
MOODY STREET
FARTMSNAL2
FORM — U — LOT RELEASE FORM
INSTRUCTIONS: This form is used to venify that all -necessary approval / permits from
Boards and Departments havm'g junisdiction have been obtamied. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT ��O?MA27— �IkjEr
PHONE 667 6o? -3S- (1�btWF)
79J 913j- Rj+�2 ('WORI<)
ASSESSORS MAP NUMBER ()F)/. 0 LOT NUMBER Onon, n
SUBDIVISION
LOTNUMBER
STREET MOODY S�-IWFF 7— STREET NUMBER Q 8
'*; ....... * ........... -7
OFFICIAL U E ONLY
IMMENOMENUMMME PC9
RECOMMENDATIONS OF TOWN AGENTS
Mmonon9mommonom"umowmmmmmmmmom,"DATEAPPROVED
t-LX'4br,jK VA -1 WIN A.UIVIRN.131 M -k I U -M
COMMENTS
IT0715 I q, .7 W.11 WMI
DATE REJECTED
-1/
60
DATE APPROVED
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAYPERMIT
DATE APPROVED
FIRE DEPARTN1ENT
DATE REJECTED
COMNIENTS
RECEIVED BY BUILDING INSPECTOR
DATE REJECTED
CONRdENTS,
DATEAPPROVED
FOOD INSPECTOR - HEALTH
DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
COMN1ENTS,
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAYPERMIT
DATE APPROVED
FIRE DEPARTN1ENT
DATE REJECTED
COMNIENTS
RECEIVED BY BUILDING INSPECTOR
- j
�::N
600 flVashingron Street
Eos -,on, Mass. 0211-7
Norke.7- Commsadon Insurance -u"fidavir
C:711
=r ahome-ownercerfo=., 2,211 mvsa,;;�
M- -.1
a sri-- cronrlimor ind 'nave o or.. wor..King -v czc-.c;-
a., ..v
.7 arn an !moiove- -prcv-idirg ,vc-7e-' 7*%-,;--,,,,., ampicyees -or.= ::iis :C0.
corimany Gibral tar Pools Cori.
iddre!r L-7� 'Roqrrm St.
��rv�- To-)sfieid. K!. 01981 978-887242L
in!qrinc-- ::Y.- Public Seryice Mutual 03-266101-98
"Imrar"V il3mel
incurnnc-_ m e..
mmpanv :,3m, -
"F! a -
154
Failure to secure covernpe 2s, r".uirea uncerz "A of.NIGL M! =n lc2d *.o Inc imposition of c:..Cln2l IMMUCTOf : flac tio to SI -400.00 andlor
-ccnon
one Ye2rs' imorisooment as wed 23 c:yii Ce::2!dC= ;n .1,1C forti of 2 STOF WORK ORDE'1'2nd 2 rIUCOf 5100.0 2 d2y 2921=t Mr- [ und.---=--ci *-':2t
Mcc of inye!r1glicions of the DU for coverage verification.
yol :,-l3sE2te-=e..lr.n2vbe*.OrW2rde :o,.ico
1 do hereby C--Y*fm'- Underthe pairu andjfnai:�j= of . �C-zr, that zhe informadon arm-ided above is me and ,Drre=
Dominic DeBeniardo , � % on - -:
olTIC421 use only do not wr.mm Ibis are, :0 te tompic-e-a by cry or -a" oCzcizi
978-887-2424
-1 drr or -own:
AC-Ur.=.-inz
So2ra
c=c --x if immeci2te r=oonse 13
r-S--eC==,s ofrl=
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Laser 16", 19" & 22 1/2" Sand Filters feature a distribution
system, one- piece tank and top mounted dial valve for years
of trouble free operation. I I
16" Laser models are available with 7 -way valve or 4 -way
valve and are UPS shippable.
LR Series Pump with Ring -Lok' access to strainer basket.
Patented air cooled heat sink allows pump to run dry without
damage to the shaft seal. Available with I I 5V motor for
typical above -ground pool installations or I I SM OV for in -
ground pool installations. Unconditional one year warranty
acrainst seal failure.
0
Platform Base provides a non -corrosive elevated surface for
sturdy support of pump and filter.
For UL listed systems, 3 ft. cord pumps feature a NEC twist
lock plug.
For Non -UL listed systems, 6 ft. cord pumps feature a
3- prong grounded plug.
Extra deep sand bed for extended filter capacity.
Laser Sand Filter carries a 12 year limited tank warranty.
NSF listed for pool applications. Handles water up to
1040F.
Performance
Filter
Model
Area
So. Ft.
Flow Rate
GPM*
Total Gallons Circulated
6 Hrs 8 Hrs.
Sand
Required
L160
1.33
33
12,000
16,000
140 lbs
Note: Flow Rate - 25 GPM/Sq. Ft
*Actual system flow rate is dependent on pump selection and plumbing.
..- Dimensions
r)
77 f I
MODEL:
A
160
32-5/8"
190
35-3/4"
225
38-3/4'
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N2 2231
Date. .. ... - -
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....... ..................... / ............... .... ....................
has permission to perform . . ........
wiring in the building of ... ..........................................
..................... ; ........... . North Andover, Mass.
Lic. ...........
... ...... . ..... ..... ....... ...............
ELEc ri t icAL INsp EcToR
01/27/99 12:30 40. 00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TRFC0MV0AWE4L7H0FMA5&4CHtS= Office Use only
DEPARTAfEWOFPUBLJCS4FM Permit No. 3
B0AM0FMEPREYENH0NREGZE4TI0M5r Z2. Occupancy & Fees Checked
UIR'd A PPLICATION FOR PERAff TO PIRFORM LIECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00
at
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D L_�
Town of North Andovei To the Inspector of Wires:
The undersigned applies for a permit to perfbrm the electrical work described below.
Location (Street & Number)
Owner or Tenant g ale
Owner's Address
Is this permit in conjunction with a building permit: Yes rM No M (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps zg:�l 2-.�Vvolts Overhead M Underground No. of Meters
New Service Amps Volts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. ofbighting Outlets
No. ofHPt Tubs
No. ofTransformers
Total
I
KVA
No. of Lighting Fixtures
Swimming Pool Above
1:1
Below
M
Generators
KVA
�round
ground
No. of Receptacle Outlets
No. ofOil Burners
No. ofEmergency Lighting Battery Units
No. of Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. ofZones
No. of Ranges
No. of Air Cord. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local = Municipal
F lConnections
M
Other
�o 0,116ers
Heating Devices KW
A<aw
No. of Water Heaters KW
No. of No. of
11
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTEER -
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(Please check one) Owner r --J Agent 4�
Telephone No. PERMIT FEE$ 4/-/- 1
I
Location A00 I -� -f—
No. CC) Date V
TOWN OF NORTH ANDOVER
Certificate of occupancy $
41
Building/Frame Permit Fee $ A
Arso I Fee $
Foundation Permit
CHU Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL f 11 $
Building Inspector
3 14:43 78.00 PAID
120/4-1 Div. Public Works
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KEEN CONSTRUCTION CO.
21 HEWITT AVENUE
NORTH ANDOVER. MA 01845
Fax: (978) 682-3231
Tel: (978) 691-5201
Submitted I— I
: . -i /, L
To
L)
1 ell 1*1 9
30
PmOPOSAL
All home improvement contractors and subcontractors
engaged in home improvement contracting, unless
specifically exempt from registration by Provisions* of
Chapter 142A of the general laws, must be registered with
the Commonwealth of Massachusetts. Inquiries about
registration and status should be made to the Director,
Home Improvement Contract Registration, One Ashburton
Place, Room 1301, Boston, MA 02108 (617) 727-8598.
Owners who secure their own construction related
permits or deal with unregistered contractors will
be excluded from the Guaranty Fund Provision of
MGL c. 142A.
PHONE DATE REGISTRATION NO. FF I.D. NC
0
MA. H.I.C. 108383 325-8052
1� -7 04-
> C/S = Customer Supplied S + I Supply + Install
We hereby submit specifications and estimates for work to be performed and materials to be used:
/J
(J\ 7
.............. ....... ........................
WORK SCHEDULE
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement. unless specified here in writing Contractor will begin the work on or
about I -Z e) - " " / (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by i - _-, ; - i, i �4 (date). The Owner hereby
acknowiedges and agreds that the scheduling dales are approximate and that such delays that are not avoidable by the Contractor shall not be C6n;icleredlas violations of this Agreement.
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall
comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, hi subcontractors, employees or agents, is
discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied,
repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection perlormed in connection with the agreed-upon work.
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of
)__)i r- 1 F-) J i- i /,/;Z- dollars 01Z 9 Y I)
wict beff46e as folio
ZA
% ($ upon signing Contract; 3
% ($-) upon completion of
upon completion of
shall be made forthwith upon
completion of work under this contract.
KENNETH B. KEEN
Name of Contractor / Designated Registrant
21 HEWITT AVE.
Street Address
N. ANDOVER, MA 01845
City / State
(978) 691-5201 (978) 682-3231
Phone Fax
Notice: No agreement for home improvement contracting work shall require a
>down payment (advance deposit) of more than one-third of the total contract price Name o! Salesman
or the total amount of all deposits or payments which the contractor must make, in
advance, to order and/or otherwise obtain delivery of special order materials and Autho iz�A tondt—urle-7
equipment, whichever amount is greate NoIe7This , proposal may be withdrawn by us if not accepted within — days.
Acceptance of Proposal - I have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated.
I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. Cancellation must be done in writing.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Signature
Date Signature Dal�
IMPORTANT INFORMATION ON BAC
11 t
PLAN OF LAND
LOCATION
NORTH ANDOVER, MASS.
OWNED BY
ROBERT TWEEDIE
SCALE: 1"=20' DATE: 10/29/97
0. 20' 40' 60'
SCOTT L. GILES, R.P.L.S.
FRANK S. GILES
NORTH ANDOVER, MA.
This lot is not in a flood hazard zone.
Zoning district is R-4
I CERTIFY THAT THE OFFSETS SHOWN
COMPLY WITH THE ZONING BY-LAWS OF
WHEN BUILT.
OFFSETS SHOWN ARE FOR THE U$E OF THE BUILDING
INSPECTOR ONLY AND SUCH USE IS FOR THE DETER-
MINATION OF ZONING CONFORMITY OR NON -CONFOR-
MITY WHEN CONSTRUCTED.
Ei
a
IFARTNISNAL2
I
w w
Scaled Assumed North
S 300613611 W
- __ - �pla
125.16'(Pla
1 0, C a
25.50'(Catc. a Meas.)
Existin�
Existing
Garage
Building/
�(o
A 3 /5'
LOT 3
12,801 S.F. 00
N 6000'0" E
125.00'
MOODY STREET
I
vj
0 0
C)
Al
%A
MICRO= LAM' LY.L. ALLOWABLE LOAD (FLOOR)
TABLE 6 - ALLOWABLE LOAD LBS. /LIN. FOOT (PLF),,-/'-
1.
2.
3.
4.
To size a beam for use in a floor it is necessary to check both
live load and total load. Make sure the selected beam will
work in both columns.
Live load column is based on deflection of L/360. Check
local code for other deflection criteria.
Total load column limits deflection to L/240.
For deflection limits of L/240 and L/480 multiply loads shown
in L/360 column by 1.5 and 0.75 respectively.
NOTES
• This table is based on uniform loads and simple spans.
• Table is for one beam. When properly fastened together, double the
values for two beams, triple for three, etc. When top loaded, fasten
together with a minimum of two rows of 16d nails at 12" o.c. Use
three rows of 16d nails at 12" ox. for 14", 16" and 18" beams.
For side loaded beams, see Table 7.
• MICRO=LAMO L.V.L. beams are made without camber and will deflect
under load.
• Assumes continuous lateral support of the top edge of beam.
• Lateral support required at bearing points.
• Bearing area to be calculated for specific application. See page 16.
*16" and 18" deep beams are to be used in multiple member
units only.
TABLE 7 - SIDE LOADED MICRO=LAMO L.V.L. CONNECTION
FOR MULTIPLE MEMBER UNITS
'09e.'i "x5Y2`1
Onfe-i 'W%" I
On . e-1%"x9Y2"
One-1%1'x113fi" -
One-11%"xW1.
One-1Y4"x16"*
One-l%"xlS"*
SPAW
(t t
LIVE TOTAL,
'LOAD LOAD�
� LIVE
LOAD
Z_
TOTAL
LOAD
LIVE..
"LOAD
TOTAL
�LOAD
LIVE -
LOAD
TOTAL
LOAD
LIVE, -
LOAD,
TOTAL, LIVE
LOAD ."LOAD
'TOTAL
LOAD
LIVE
LOAD
TOTAL
LOAD
6
305
458
660
865
1353
1419
1964
4
2539
applied to both sides of the members.
3192
3990
7
197
295
431
635
903
1043
1570 1
1995
2455
2993
8
134
201
296
444
629
798
1144
1202
1625
1995
2394
9
95
142
211
317
454
'6:11)
837
949
1284
1640
1995
10
70
104
156
234
338
507
629
769
981
1040
1329
1649
11
53
79
118
177
258
387
484
636
760
860
1085
1098
1363
12
41
61
92
138
201
301
379
534
599
722
861
923
1145
13
73
109
160
239
302
454
480
615
694
786
952
976
14
58
88
129
193
245
367
390
531
566
678
781
841
15
48
71
105
158
201
301
321
462
468
590
647
733
16
39
59
87
131
167
250
.268
401
390
519
542
644
73
109
140
210
225
329
460
458
570
is
62
93
119
178
191
286
280
410
390
509
19
53
79
101
152
163
245
240
360
335
457
20
45
68
87
131
141
211
207
311
290
412
21
39
59
78
113
122
183
180.
270
252
374
22
107
160
157
236
221
331
23
94
141
138-
207
194
292
_24
83
124
122
183
172
258
25
109
163
153
229
26
1
97
145
136
205
1.
2.
3.
4.
To size a beam for use in a floor it is necessary to check both
live load and total load. Make sure the selected beam will
work in both columns.
Live load column is based on deflection of L/360. Check
local code for other deflection criteria.
Total load column limits deflection to L/240.
For deflection limits of L/240 and L/480 multiply loads shown
in L/360 column by 1.5 and 0.75 respectively.
NOTES
• This table is based on uniform loads and simple spans.
• Table is for one beam. When properly fastened together, double the
values for two beams, triple for three, etc. When top loaded, fasten
together with a minimum of two rows of 16d nails at 12" o.c. Use
three rows of 16d nails at 12" ox. for 14", 16" and 18" beams.
For side loaded beams, see Table 7.
• MICRO=LAMO L.V.L. beams are made without camber and will deflect
under load.
• Assumes continuous lateral support of the top edge of beam.
• Lateral support required at bearing points.
• Bearing area to be calculated for specific application. See page 16.
*16" and 18" deep beams are to be used in multiple member
units only.
TABLE 7 - SIDE LOADED MICRO=LAMO L.V.L. CONNECTION
FOR MULTIPLE MEMBER UNITS
NOTES
• Verify adequacy of beam in Table 6 or
Table 8.
• Values listed are for 100% stress level.
increase 15% for snow loaded roof
conditions; increase 25% for non -snow roof
conditions.
• Other connections are possible with specific
design by the design professional.
(1) For a three-piece member, the nailing
specified is from each side for a total of
6 nails/foot (3 from each side).
(2) Bolt holes are to be the same diameter as
the bolt and located 2" from the top and
bottom of the member.
21
'MAXIMUWUNI-FORKLOAD APPLIED To ouTsiDemEmBER
(lbeL per Illn.Joct),
NAILED( CONNECTIOWly,
,THROUGH: BOLTED. CONNECT1101102)
2 rows 16d
3 -rows 16d
2 rows, f
%" boits�at Zrows, Zrowsi
6ommonrwire
common wire
.24" o.c: 341"boftat Wbotts at'.
PIWAM
atAv ox� -
at I Z! vx�
staggered
2
420
630
580 1160 2320
3
32�O
480
440 880 1760
Should only be used when loads are
4
NOT RECOMMENDED
applied to both sides of the members.
390 1 780 1560
NOTES
• Verify adequacy of beam in Table 6 or
Table 8.
• Values listed are for 100% stress level.
increase 15% for snow loaded roof
conditions; increase 25% for non -snow roof
conditions.
• Other connections are possible with specific
design by the design professional.
(1) For a three-piece member, the nailing
specified is from each side for a total of
6 nails/foot (3 from each side).
(2) Bolt holes are to be the same diameter as
the bolt and located 2" from the top and
bottom of the member.
21
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MAS!jACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITT1Nd---.
(Print or Type)
NORTH ANDOVER Mass. Date
lhuilding Location Permit #
Owners Name �206-e'
New -7 Renovation Replacement Plans Submitted
A F I X 7 U P,!-:: IS
(Print or Type) Check one: Certificate
Installing Company Name rT� SA-��e,,14e
Corp.
Address Partner._
C) F�--i rm / Co
Business Telephone: -0 F��C)
N'ame of Licensed Plumber or Gas Fitter—
Insurancf- Coverace
appropriate box:
Liability insurance
Indicate the type of insurance coverage by checking the
policy ED�Other type of indemnity = Bond =
Insurance Waiver: 1, the undersigned, have been made aware that the licensee ot�
this apphcation does not have any one of the above three insurance coverages.
Signature of ownerjagent of property Owner 17 Agent El
I hcreby certify that ail or the deLads and information I have submitted (or entered) in above application ate true and accurate to the b-cst of my
knowledge and t[Lat all plumbing -ark and LnICAUations perfatmed under Permit issued for this application wiLl bc in compliance with &U PcTtlr=t
provisions of tho NIA&Lachusetis Stale Gas CA3de and CLAPtct 142 Of the General LAWS -
By
Ti:tle
C-ity/Town:
APPROVED (OFFiCE USE ONLY)
TYPE LICENSE:
Plumber Z
t"er Signat,'�re of Licen-sed
` 4 4-4-
Gasfit Plumber or GasL-�er
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IST FLOOR
2ND FLOOR
3RD FLOOR
4TR FLOOR
STH FLOOR
ISTH FLOOR
7TH FLOOR
I
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(Print or Type) Check one: Certificate
Installing Company Name rT� SA-��e,,14e
Corp.
Address Partner._
C) F�--i rm / Co
Business Telephone: -0 F��C)
N'ame of Licensed Plumber or Gas Fitter—
Insurancf- Coverace
appropriate box:
Liability insurance
Indicate the type of insurance coverage by checking the
policy ED�Other type of indemnity = Bond =
Insurance Waiver: 1, the undersigned, have been made aware that the licensee ot�
this apphcation does not have any one of the above three insurance coverages.
Signature of ownerjagent of property Owner 17 Agent El
I hcreby certify that ail or the deLads and information I have submitted (or entered) in above application ate true and accurate to the b-cst of my
knowledge and t[Lat all plumbing -ark and LnICAUations perfatmed under Permit issued for this application wiLl bc in compliance with &U PcTtlr=t
provisions of tho NIA&Lachusetis Stale Gas CA3de and CLAPtct 142 Of the General LAWS -
By
Ti:tle
C-ity/Town:
APPROVED (OFFiCE USE ONLY)
TYPE LICENSE:
Plumber Z
t"er Signat,'�re of Licen-sed
` 4 4-4-
Gasfit Plumber or GasL-�er
Masl--er
Journevman L.Lcense 'Number
Date,._� ......
.4
T&ORTPI TOWN OF NORTH ANDOVER
6 �Osl
PERMIT FOR GAS INSTALLATION
This certifies that
.....................
has permission for gas installation ... ......
in the buildings of Y. I ................
at d. ....... North Andover, Mass.
Fee...,'.,'.- Lic. .. ..........................
OVUM 1P.10. r GASINSPECTOR
, -, ri_ _! . �� 0 I'l. n ppl�
WHITE: Applicant . NARY* Building Dept. PINK: Treasurer GOLD: File
MASSACHUSETTS
UNIFORM APPLICATION.Fon.PERMIT.X 0..0
(Type or Print)
VER
NORTH AND21,
ass.
-Date:
Building Lo6tion
f
A,00.� V
Permit 3j]�
Owners
Name
/7Uej(,_r
4!
New Renovatio.
n
Replacement
Plans
Sybmitted
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1ST FLOOR
2NO FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
GTH FLOOR
7TK FLOOR
STH FLOOR
(Print or Type)
Installing Company Name
Address ic,4t Z &I 4S,
im.4. AJ2 -f - 2&0--,5�
Business Telephone 2 —1-/. - 74 0 1
Check one: Certificate
Corp.
Partner.
Firm/Co.
Name of Licensed Plumber:---- A4
Insurance Coverag Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy ED'other type of indemnity E] Bond Li
Insurance Waiver: 1. the undersigned, have been made aware -that the licensee of j
this application does not have any one of the above three insurqnce coverage$.
Signature of own.erlagent of property Owne,r 1:1 Agene� 0
I Weby certify gist all of die details and in(olffla lion I have submil lcd (or enicecd) in ahiswc applicalion jig 'Fiale to die best at say
knowkilge and that all plumbing walk and inualtations lictfainecd und- re"Itil Itsued for this Wlk-slioa wiU be C low .04 4P -kit 411 mil"" VW -70
v1sio" of 9k Mamizituicus State Plumbing Code and auptics 141 o(lbe Ccricial La*L ... . . I a ith
V
4
Title-
City/Town:
z oDonvrn 70FFICF USE ONLYI
Signature of'Licensed Plumber
Type of Plumbing License
License Number Master 0--j6urneyman
I
Date. Al /-K /-_j�
35 33
"'40 o , - TOWN OF NORTH ANDOVER
0
0
—PERMIT FOR PLUMBING
'7SA US
7�
This certifies that /
has permission to perform
plumbing in the buildings of .......................
at..- .................. North Andover, Mass.
Fee. Lic. No.. LU . . . . . . . . .
M ING NS ECTOR
12/10/97 08:50 55.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer