HomeMy WebLinkAboutMiscellaneous - 280 SALEM STREET 4/30/2018 (3)Date.4-
TOWN OF NORTH ANDOVER
k:RM1,Ti6,R.-WfR4NG
This certifies that ......... DA -Y-1.9 ..... . (.., �� ........
has permission to perforin .... A e2�t ........................................................................
wiring in the building of ......... 40.hl .........
I.v ...............................................
at ... 7�? ..... ......... .......... ........ ....... I ......... orth Andover, Mass.
Fee ... Lic. No. M .. ?4 .. ...................
ELECTRICAL INSPECTOR
Check #
3 3 0
6WWW,.WA,1X,MW1"
2T&Wfimt 0/-7M- savfilo
BOARD OF FIRE PREVENTION REGULATIONS
Official use Only
Permit No -
Occupancy and Fee Chocked
Ploy- 11071 .0me blank-)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work 10 he POribroled in 2c=dm= with tile Mwmhusetts Electrical Code (MEQ, 527 CUR 12.00
(PLEASE PBDVTM INK OR TYPE ALL.MFORMA TIOA9 Date:
CityorTown-of-. -Ah9z2z Ata?�Ok To the Inspectorof Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 2-r(>
Owner or�Tenaut 44-4-4 Xe6�f Telepione, No.
I I
Owner's Address
is this permit in conjunction with a building pennit? Yes F] No El (check Apprdp'riate Box)
Purpose of Building Utility Authorization No.
Exis" Service Amps volts
New Service Amps I volts
� I
Number of Feeders and Ampacity
Locifflon and Nature ofProposed Electrical Work:
overhead.,E] undgrd El No. of Meters
Overhead EJ Undgrd n No. of Meters
No. of Recessed Luminaires
No. of Ceil,-&� Rhddle) Fains
No. 0 T
Transformers KVA
No. of Laminaire Outlets
No. of Hot Tubs
Generators KVA
N(L Of Luminah-es
Swbmning Pool Above
and- El "a-
21710
of Emergency L%htillg
Agwry Units
No. of Receptacle Outlets
-LJ
NO. Of Oil Burners
FIRE ALARMS
iNe. ofZonm
No. of Switches
No. of Gas Burners
Initiating Devices
No. of Ranges
Total
Nm of Air Cond. TOM
No. of Alerting Devices
No. of Waste Disposers
Heat
als I Number I -row JJCW-
t7
T7 - I I
Space/Area Heating KW
No. Of Seff-Contained
Devices
No. ofDishwashen
Local[] wu�nnipal [I 0ow
ConneLiioR
No. of Dlyan
NO. Of Wat . er.
Heaters KW
Heating Appliances KW
NO. Of Nii: —of
SUMS Baftsts
SecwW Systems--*
No. of Dasi—oq or Eguivalent
Data WiriuW N
No. of Devices or Equivident
No. Hydromassage Bathtuln
NO. Of Motors Total IIP
T*4& Of Devices FW4hu1YkW---ezrt
OTBEP--
i2auch uaauwnat aewu q aestrect or as requh-ed by the bupector of Wbrims.
Estimated Value of Electrical Work- (When required by municipal policy.)
Work to Start; Inspections to be requested in,accordance with AEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no pernut for the performance of elecIncal. work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [I BOND n OTHER 0 (Specify:)
I'Cej,Wfy, under tkepaim andp�haldes ofperjury, that fike informwion an diahs is fte and conWlete.
FIRMNAME: DPV,41 P—E�'LGC� —IRI CAL- CO3kJ1 T -A A Lie No.:
Licensee: A-4 i 1> 1446 - .-q
24p%, Signature LIC 3
A�Wplkable� eiffer lezeffv - hz dw &Imw Amber fine-) Bus. TeL. a
I , o. -
Address: A-7 15ELMON-r 161- INDR114 A-PD"621k 04 V -16q6, Ak Tea
*Per M.G�I- c- 147, s- 57-61, security work requires Departinent of Public Safety --9, License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware That the I:icensee does not have the liability insurance coverage normally
required by law, By my S'guatm below, I hefebly waive this mqukement I am the (check one) 0 owner 0 owner's agent.
Owner/Agent
Signatu."le Telephone No. PER) W T FEE.- S
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): I DAVID ELECTR-I-C—ALC-0 NfR-A-dT--1N—GLL-C
Address: [ 87 BELMONT ST
R Phone #:
IJ
City/State/Zip: NORTH Nbd MA 6 845
Are you an employer? Check the appropriate box:
1. 1 am a employer with 4. El I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. 1 am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees These sub -contractors have
working for me in any capacity. workers' comp. insurance.
[No workers' comp. insurance 5. El We are a corporation and its
. required.]
3. El I am a homeowner doing all work
myself. [No workers' comp.
insurance required.] t
officers have exercised their
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. New construction
7. Remodeling
8. Demolition
9. Building addition
10.E]Electrical repairs or additions
11.13 Plumbing repairs or additions
12JO Roof repairs
13.[3 Other
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
+Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp- policy information.
I am an employer that is providing workers' compensation insurancefor my employees. Below is thepolicy andjob site
information. RATED INSURANCE
Insurance Company Name: IfE66--
Policy # or Self -ins. Lic. #: 93 ��36!,C Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA f *
or
I�Piurauce coverage verification.
I do hereby certi
.fy under h enalti-es ofperjury that the information provided above is true and correct.
Signature: Date:
78-682-62 or 9
Phone#: 62 fif--375- 734
Official use only. Do not write in this area, to he conrieted by city or town ofl-1ciaL
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. Cityf1rown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
Ar -
Date .....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
.,4 ......... S.. 7
Z
.. ... . ....
This certifies that ....... .......
has permission to perform ..... C�-#.S.A.OzK� �';. ...................................
wiring in the building of ....
..................... .. ..............................................
at ...... Z80... ..... 5� ... ............... ... Porth Andover, Mass.
Fee....'�.49-=. Lic. NoA..�e% .................. .
... ............
Check #,5-73/ ELECTRICAL�&�S�PE�Ccr;R�
8�972
,.0
0
j[R11111, and Fee Checkeo C� 70
BOARD OF FIRE PREVENTION REGULATIONS ev- 9/051 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perfortned in accordance with the Massachusetts Electrical tode (MEQ, 527 CMR 12.00
(PLEASE PJ,UNT LIV,bVK OR TYPE ALL RVFORMA TIOA9
City or Town of: cc
_N (2 :13y� A ove- To the �nsp � 'tor of Wires:
By this application the undersigned gives notice of his or her intention to perforpp the electrical work describe
% *,� 1 : _'m�. , � 4 below.
Location (Street & Number) ;? i I , - ,
Owner or Tenant
ja ro Mla 2 Telephone No.
Owner's Address kid le
Is this permit in cowunction �th a building permit? Yes El No (Check Appropriate Box)
Purpose,of Building
_,2LDALL -Owe- 1"M Utility Authorization No.
Existin Service Amps Volts
Overhead Undgrd No. of Meters
New Service Amps Volts Overhead[] Undgrd No, of Meters'
Number of Feeders and Ampacity
Locati6n'and Nature of Proposed Electrical Work: 12 P' I AOO A �- 6;21' . C' )A 0,
No. of Recessed Luminaires
V.,f
No. of Ceil.-Susp. (Paddle) Fans
maybewaim bythemspectorof Wire
NO.- o-f- T0--tjF-
Transformers KVA
4-
No., of Luminaire Outlets
No.of Rot Tubs
Generators K -VA
No. of Luminaires
Swimming*P001 Above In-
El
No. of Em Tgency Ll-gl-ffn—g
rnd. grad.
Batteg Units
No of Receptacle outlets
No. of Oil Burners
FIRE ALARMS
INo. of Zones
No. of Switches Y'�
No. of Gas Burners
No. of -We-tec __n_a_nT_
Initiating Devices
No..�O'f Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
eat PU
I'M
Totais�
umber.
Tons
No. of Self-Contaffied
Detection/Alertink, Devices
No. 4 Dishwashers
Space/Area Heating KW
ci
Low 0 Municipal C1 Other
Connection
NO. Of Dryers
Heating Appliances KW
ecun stems:*
0.
No. of Water
Heaters KW
0.,of No. of
o evicesor Equivalent
Data Wiring:
Signs BaUasts
No. of ces or Equivalent
No. Hydromassage Bathtubs
No. of Motors TOW HP
'Felecommunications In
No. of Devices or Equiva * t
W I immix;
.41tach additional detail if desirec4 or,�s required by the Inspector of Wires
Estimated Value of Electrical Work -
(When required by municipal policy.)
Work to Start— Inspections to be requested in accordance with MEC Rule 10, and upon completion.
,INSURANCE COVERAGE: Unless waived b
y the owner, no permit for the performance of electrical work may issue unles�
the licensee provides proof of liability inwance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 9��BOND C] OTHER 0 (Specify:)
I cerqfy, under the pains and enalfies ofperjury, that the information on this application is true and complete.
FIRM NAME: V" gy Y �Sk- LIC. NO.:
6
ticensee: Signature LIC.
thelicensenuZe—r line.)
af applicable� ejite=r in
,�.Address: -e us. Tel. No.:
ve- Alt. Tel. NO..
:.*Security Sysiern ContractorLiceAse'required for this work; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this mquirement. I am the (check one) El owner [3 owner's agent.
Owner/Agent
Signature Telephone No . .................................. FEE: $,Q0
/Mew *1 L& W16
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/���G�° �'t!
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ant
The Commonwealth of Massachusetts
Department of Industrial A ecidents
Office of'Investigations
600 Washington Street
Boston, MA 02111
wwminass.govIdia
MDensation Insurance Affidavit: guilders/ ontractors/ElectricianQ/Pl"mherQ
Name (Business/Organization/Indivi dual): filhe- I -K V,
P1
Addressaj 134,, C Ave-
City/State/Zip: (21�n(e_lcuq c/ Phone #: jr)g-J2�; f7�9
Are you an employer? Check the appropriate box:
1. 0 1 am a employer with — 4. n I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. [&<� a sole proprietor or partner- listed on the attached sheet.
ship and have no employees These sub -contractors have
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.T
required.]
3. 0 1 am a homeowner doing all work
myself. [No workers' comp.
insurance required,] t
r] We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. New construction
7. Remodeling
8. F1 Demolition
9. 0 Building addition
10, 0 Electrical repairs or additions
11.0 Plumbing repairs or additions
12.0 Roof repairs
,13.n Other
*Any applicant that checks box #1 must also fill out die section below showing their workers' compensation policy information,
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. If the sub -contractors have employees, they must provide their workers' comp. policy number,
I am an employer that is providing workers' compensation insurancefor my employees. Below is the policy andjob site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
o�o Job Site Address:
Expiration Date:
City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine u
,p to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office -of
Investigations of the DIA for insurance covera2e verification,
I do hereby certify under the pains andpenallies ofperjury that the information provided above is true and correct.
UJjItlat use only. Do not write in this area, to
C4,4 Town:
: I" -
or town officiaL
Permit/License #
111M
Issuing Authority (circle one):
I.BoardofRealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
Date
40RTol
TOWN OF NORTH ANDOVER
0
0 PERMIT FOR PLUMBING
flu
CHUS
This certifies that.. . 5;/
.............
has permission to perform .... 9.(. ............
plumbing in the buildings of . . C -P. .......................
cr
at ... () Andover, Mass.
j
. p. .' ......... ..... .... North
Fee?z
3..� .... Lic. No./h�� .... ........ .. .......
LUMBING IN9PECTOR
Check #
8169
IP
MYTI 10CQ
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City[Town: kbrfkAA d, 6 ue, r MA. Date: �d 1/6)7 Permii,#
Building Location. a<�O Owners Name:
2�
z
0
Type of Occupancy: Commercial Educational Industrial Institutional
Residential
New: Alteration: Renovation: Replacement: V"" Plans Submitted: Yes No
MYTI 10CQ
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ( No
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy / Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner Agent
Signature of Owner or Owner's Aaent � I
I hereby certify that all of the details and informatio —.-- I
nil ar.mirato tn th. h..t m —
ni1VW1&UVV CUM Uldt dil piumbing work and instaflations perrormed under the permit is
Pertinent provision of the Massachusetts State Plumbing Code and Chapteplik of the
By Type of License:
Title Plumber dSkjIn-ature of Lice
City/Town Master V
APPROVED 1OFFIrF HAF nN1 V1 Journeyman License Number:
this application will be in compliance with all
11027
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SUB BSMT.
BASEMENT
15' FLOOR
2 NL' FLOOR
VL) FLOOR
4"' FLOOR
51H FLOOR
61H FLOOR
7 1 H FLOOR
8'm FLOOR
—&—heckOne
Only Certificate #
Installing Company Name: Stark & Cronk Plu mbing, Inc
Corporation 2486C
Address: 308 Main Street City/Town Groveland State: MA
Partnership
Business Tel: 978-372-6981 Fax: 978-374-0837
Firm/Company
Name of Licensed Plumber: loy�,- Cioc.��hee_,
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ( No
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy / Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Owner Agent
Signature of Owner or Owner's Aaent � I
I hereby certify that all of the details and informatio —.-- I
nil ar.mirato tn th. h..t m —
ni1VW1&UVV CUM Uldt dil piumbing work and instaflations perrormed under the permit is
Pertinent provision of the Massachusetts State Plumbing Code and Chapteplik of the
By Type of License:
Title Plumber dSkjIn-ature of Lice
City/Town Master V
APPROVED 1OFFIrF HAF nN1 V1 Journeyman License Number:
this application will be in compliance with all
11027
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Date) ......
"I
TOWN OF NO�T"NDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .... o
has permission for gas installation ... �. -.r ..............
in the buildings of .... e(,.� O./,"f ...........................
at .,Le- * ' * * ' * ... I North Aqdover, Mass.
Fee. .... Lic. No.) 1 ....... .... --117 ..........
PAS INSPECTOR
Check# 3-7"
6 8 7 06
PYTI IOPQ
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town:_ 67L_ A, '? Date:
Permit#-
Buildin.gLocatic,,-,M,SaILOM,—a.,
Owners Name:,G
Type of Occupancy: Cornmerciat Educational. Industrial Institutional Residential
New: Alteration:'_j Renovationi Replacement:�v Plans Submitted: Yes No,
PYTI IOPQ
INSURANCE COVERAGE:
I h ave a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yesj_2�,j No
If you have chocked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy v/! Other type of indemnity
Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter.142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
' Check One Only
Signature of Owner or Owner's Agent Owner Agent
By checking this box E]; I hereby certify that all of the details and information I haV d (or entered) regarding this application are—true and
accurate to the best of my Knowledge and that all plumbing work and ' '"Ins under the permit issued for this application will be in
ms
compliance with all Pertinent provision of the Massachusetts State Plum It a ode and Ch, the General Laws.
By Type of License:
L— Plumber
Gas Fitter
Title 'Sign*,ure of Lic�ensed �Plumbe�rlGas �Fitter
Master
City/Town Journeyman
License Number: 11027
APPROVED (OFFICE USE ONLY) LP Installer
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SUB BSMT.
BASEMENT
15' FLOOR
00-F—LOOR
3RDFLoOR
4 TmFLOOR
5 1H FLOOR
6' FLOOR
7'm FLOOR
8' FLOOR
CheckOneOnly Certificate #
Installing Company Name: Stark & Cronk Plumbing, Inc
v( Corporation 2486C
Address:, 308 Main Street City/Town:' Groveland State:,j��
Partnership
Business Tel: .! 978-372-6981 Fax: i 978-374-0837
;Firm]Company,
Name of Licensed Plumber/Gas Fitter:,__,__11���O_W
INSURANCE COVERAGE:
I h ave a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yesj_2�,j No
If you have chocked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy v/! Other type of indemnity
Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter.142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
' Check One Only
Signature of Owner or Owner's Agent Owner Agent
By checking this box E]; I hereby certify that all of the details and information I haV d (or entered) regarding this application are—true and
accurate to the best of my Knowledge and that all plumbing work and ' '"Ins under the permit issued for this application will be in
ms
compliance with all Pertinent provision of the Massachusetts State Plum It a ode and Ch, the General Laws.
By Type of License:
L— Plumber
Gas Fitter
Title 'Sign*,ure of Lic�ensed �Plumbe�rlGas �Fitter
Master
City/Town Journeyman
License Number: 11027
APPROVED (OFFICE USE ONLY) LP Installer
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Date
SNo.,
kORTN
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
ACH Foundation Pv mit Fep
11 e�
e
Other PedrA eeX
Sewer Connection Fee
Water Connection Fee
TOTAL
L
'guli�lng Inspector
7215 Div. Public Works
PER11IT NO.
- I APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MASS.
rAr
PAGE I
MAP �-40.
LOT NO.
2 RECORD OF OWNERSHI-P-- IDATE
BOOK :PAGE
ZON E
SUB DIV. LOT NO.
tOCATION
2?0
RPOSE OF BUILDING
dWNER'S NAME
0 A-.)
NO. OF STORIES SIZE
6wNER'S ADDRESS
BASEMENT OR SLAB
HITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
'BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
*-p
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE
tl�'
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E 15- 0
r - , -1 �-.
PERMIT GRANTED OWPER TEL. # "3 82- 0 7'4
Z-005NTR. TEL, #&'� �3-7 �O��/
CONTR. LIC. #
19
A
f
3 PROPERTY INFORMATION
LAND COST
,a -s --T. BLDG. COST 17 e 2_ (J�o
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
MANNING BOARD
BOARD OF SELECTMEN
BUILDING INSPECTOR
AA
BUILDING RECORD
OCCUPANCY 12
�.INGLE FAMILY
I
I SiORIES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
CONCRETE
8 INTERIOR
FINISH
PINE
3
1
2 3
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
-PLASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
V, 1/2 1/1
FIN. B M T AREA
FIN. ATTIC AREA
t10 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
B
1
2 3
DROP SIDING .F—
WOOD SHINGL S
—
—
_EONCRETE
-iARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
�TA—RDI'vD
COMIACN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. &
BRICK ON—FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
_;NIDEQlATE NO�l
5 ROOF
10 PLUMBING
GABLE
GAMBREL
11
HIP
MANSARD
BATH (3 FIX.)
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL—
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER SMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
AS
IL
B'M'T
Ist 3rd
LECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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L 155Y- 0 - PAQKEQ AQCHITECTeS
BRIAN A. LIBBY AIA
DANIEL J. PARKER AIA ARCHITECTURE *PLANNING e PROJECT DEVELOPMENT
PETER B. SCHMIDT AIA
Building Inspector
North Andover Building Department
Main Street
North Andover, MA 0 18 10
Re: 280 Salem Street, North Andover, MA
Attn: Walter Cahil
200 Merrimack Street
Suite 301 - P.O. Box U7
Haverhill, MA 01831-0627
508-372-4911
The office of Libby & Parker Architects has inspected the above residence located at 280 Salem Street,
North Andover and prepared the enclosed drawings. Upon the inspection of the basement area we found
the existing floor joist and main beam/lally columns to be undersized for residential loading. The
drawings show the structural calculation as well as details for the "sistering of the joists".
The sill replacement is drawn based on what is visible and the detail for replacement represents, in our
professional opinion, a proper replacement for that condition. However, based out our experience on
many homes of this age, there is always the possibility of additional conditions which might require a field
review of the exposed work.. This has been discussed with the contractor and if necessary we will visit the
site when the siding is removed and review the area of work. It is not the Architects responsibility or
liability to suggest, "means or methods", however we have suggested a temporary jacking detail based on
conversations with the contractor and he has agreed that the temporary supporting will be done in
sectionsof l2'-0"(±)Max.. It is not the intention of our drawings to suggest the house be jacked or
raised, only that the weight on each post location be eased while the sill work is progressing in that area.
We would expect that some work may need to be done at the base of the post and possibily additional
masonry work done at the foundation/sill, but with out the ability to inspect that area we have not
suggested any corrective work at this time.
We hope this letter and the enclosed sealed drawings are acceptable to your office. If there are any
additional questions, plea§e coglact our office.
Libby & Parker Architects
CID Aft,
A.
ITI
o.4500
MA
I �C.Ujj IENT
-T)ING DEPARTM