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HomeMy WebLinkAboutMiscellaneous - 303 HILLSIDE ROAD 4/30/2018 (3) 303 HILLSIDE ROAD / 210/025.0-0017-0000.0 BUIL Date.do T61 NORTIy Of ..i o ,'1'0 o� °� TOWN OF NORTH ANDOVER F F • - PERMIT FOR GAS INSTALLATION •,t N SACHUSES This certifies that . . ' 7?' P . . . . . . . . . . . . . . . . has permission for g installation`.-?US. . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . at b . . \ l��. . . . . . North Andover, Mads. Fee.l .�. Lic. No. ��3�. . . . . . . . . . . . 0. GAS INSPECTOR Check# 2-L{p 8169 ! ,t MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING I //►► City/Town: Date: V7S1Z Permit# Building Locatic. ., jQ�j H1 usloj 5rr Owners Name: Type of Occupancy: Commercial Educational Industrial Institutional Residential New: Alteration: Renovation: Replacement: Plans Submitted: Yes NOk FIXTURES tr Cf) LU iY Z w Y C46 Q U) 0 H m Y 00 W J U U) F W W w z ►- a z w z o I-- z O w rn W Q m 0 w O Q O a CO rn v z c� Q w U p Q = v a LL U W Z '1 F P O Z --i (4 LL � Z H LU w = O � >- W Q w to M w 0 z 0 ~ Z Q Q Q w SUB BSMT. BASEMENT 1 FLOOR j 2 Nu FLOOR 3 FLOOR 4 FLOOR 4 5 FLOOR --6'FLOOR 7 FLOOR 8 FLOOR ! r f Installing Company Name: Check One Only Certificate# (��tGC.( M�S�o r� Corporation Address:_33 t�fY9T �j? City/Town: Azr-ld� State:V,16., -. . Zip Code:pI Partnership Business Tel:. .-------- Cell: -SZ.4 j�(6� Fax: Firm/Company Name of Licensed Plumber/Gas Fitter::. ,CVIrC�ce�. ...FIT-5 CO INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes _ NOX If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. 4 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 Massa setts General Laws,and that my signature on this permit application waives this requirement_ Check One Only Owne"K Agent Sign re of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations ed under the permit issued for this application will be in compliance with all Pertinent provision of a Massachusetts State Plumbing Co a hapter 142 of the General Laws. / Type of License: By Plumber Gas Fitter T;t(e _ in r f sed Plumber/Gas Fitter J 71LS�� Master City wn _ oumeyman LP Installer License Number: P1 APPROVED(OFFICE USE ONLY) Y � .r O To-NNJn of Andover Massachusetts (OfficeHours, 8:00tf_M. to 10:00 A.M.) Gas & Plumbing Fees Effective March 12,2003 ❑NEw.- New Construction and Additions ❑ RENOVATION. umbing within the existing system ❑ REFLACEI�rEN Removal and replacement of a fixture to the ex ting piping 1 ALL TENANT FIT-UPS A CONSIDEREE "NEW" PLUMBING EES New Domestic Construction — u to 3 Units $100 plus $5 per fixture DNEW NTew Domestic Construction— 4 u 'ts or More $200 plus $5 per fixture DNEW Reno ation (Domestic) 1 $50 plus $5 per fixture DR-EN Re lac.ement (Domestic) Existing Fixtu es OINL�." $10 plus $2 per fixture DREP Backf)ow Preventer(for boilers) $10 plus $2 per fixture DSP Backflow Preventer(for irri ation systems) $25.00 DBAK New Commercial/Industrial $200_plus $5 per fixture C mNEW Comercial —Renovation fixture$100 plus $5 per xture CREN m Comercial Replacement— ExistingFixture O Y $50 plus $5 per fixture CREP Backflow-Preventer(for boilers) $50 plus $5'per fixture CRgp Backflow Preventer (for irrigation syste } $25.00 CBAK Re-inspection Fee $25.00 INSP GAS ES New Domestic Construction — up 0 3 Units Nk $75 plus $5 pera liance DNEW New Domestic Construction — 4 Bits or more 150 plus $5 pera liance DNEW Renovation (Domestic) 0 Ius $5 pera liance DREN Replacement(Domestic) Exi ing Appliances ONLY $2 ]us $2 per appliance DREP Gas Boiler /Furnace/Conv rsion Burner (Domestic) $50 us $5 er appliance DREN New Commercial /Indu Tial $150 As $5 pera Iiance CNEW Commercial— Renovati $1 QO Iu 5 era liance CREN Commercial Re lacen nt— ExistingFixtures ONLY $50 Ius $ era liance CREP Gas Boller/Fumace Conversion Burner (Commercial) $100 plus $5 r appliance CREN MISCELLANEOUS Gas Lo /Fire Place $50 plus $5 pera liance DREN Gas Stove/Heater $50 plus $5 per appliance DREN Utility/ Bar Sinks $10 plus $2 per fixture DREP Capped Sewer Lines $25.00 SCAP I Re-inspection Fee $25.00 INSP _. T11eCe fees .til"e ilCeft j{,tnP pPYTFlTt' 1C fl,r fntC �vnrl� On I" AH .y.- nog knit An`1u nrh - Q i fT-. J - N s -4-1—e Pl'u'mbing iyor r-, 11 fee charged will be the fLxture fee which appears under renovation, replacement or new work ($2.00 or $5.00) Date' ACI -j .t. 9425 HORTM TOWN OF NORTH ANDOVER O� �M PERMIT FOR PLUMBING ,SSACNUSE� This certifies that ! P . . . . . . . . . . . . . . . . . . . .' . has permission to perform plumbing in the buildi gs of !`�. . . . Q !`'�. . . . . . . . . r at . . . . orth Andover, Mass. �. -Fee.�1 .'�. .Lic. No.. . . . . � . . . . . . . . . PLUMBING 1 SPE11CTOR Check # '� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town:--&, � U+�1e►r MA. Date:� Z Permit# Building Location: ?-D?j Owners Name: on, QTL1q//t0 f Type of Commercial Yp Occupancy:.p y' ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential( New: ❑ Alteration: ❑ Renovation.X Replacement: ❑ Plans Submitted: Yes ❑ Nok FIXTURES z z rn O 1 U } J = F Lu W Z --t U w Cn Y Q m < to Z Q `n = jr Cr a w in w Q U) t U) wo Q- x Of 0 ? W w Q Q z W 0 af � z 2 W O U Q O - w ww B O O = z ¢ � Y Q = w w w v O rn 1— > > O O p z z Q m m o o w C7 `L _j _j IY to 0 O SUB BSMT. BASEMENT j P1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name: J�e�f �SCo Address: n E]Corporation 33�� �T• City/Town: 4Cy cState: I Zip Code: OIWF Partnership Business Tel: Cell: 5$(-5z6-1863 Fax:---_ _. ❑ Firm/Company Name of Licensed Plumber: (lei&c j SCo INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ❑ No)K 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 th I Massac efts General Laws, and that my signature on this permit application waives this requirement_ Check One Only Owner,� Agent ❑ Signal of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)&regardcaon are true and accurate to the best of m, Knowledge and that all plumbing work and installations performed under the permation will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 oBy� G 7 �Z Type of License: Title 7 ZSS hat / El Plumber City/Town El master APRIJ > -;z— VV I APPROVED OFFICE USE ONLY) Journeyman License Number: - 305 a of A ED zk Town of Andover Massachusetts (Office Hours 8:00 A.111. to 10:00 AM) Gas & Plumbing Fees Effective March 12,2003 ❑NEiv: New Constructi and Additions ❑ RENOVATION: Plumbing wi in the existing system ❑ REPLACEMENT:Removal d replacement of a fixture to the existing pipin -t ALL TENANT FIT-UPS ARE CONS EKED"NEIVII - PLUM SING FEES New Domestic Construction —up to 3 its 1 $100 plu $5 per fixture DNEW New Domestic Construction— 4 units or ore $200 s $5 per fixture DNEW Renovation (Domestic) $50 us $5 per fixture DREN Re lacement (Domestic) ExistingFixtures O L�` $1 lus $2 er fixture DREP Backflow Preventer .(for boilers 0 2lus $2 p er fixture DREP Backflbw Preventer(for irrigation systems) /$25.00 DBAK New Commercial/Industrial Z $200 plus $5 per fixture CNEW Commercial —Renovation $100 plus $5 per fixture CREN Commercial Replacement—Existing Fixtures ONLY $50 plus $5 per fixture CREP Backflow Preventer(for boilers) $50 plus $5 per fixture CREP I Backflow Preventer (for irrigation systems) $25.00 CBAK -Re-inspection.Fee z $25.00 INSP GAS FEE New Domestic Construction — Up t03 U is $7 Jus $5 pera liance DNEW New Domestic Construction — 4 units o - more $150 ius $5 per appliance DNEW Renovation (Domestic) $50 pI-L $5 er appliance DREN Replacement (Domestic) Existing Mpliances ONLY $20 plus\2 per appliance DREP Gas Boiler/Furnace/ Conversio Burner (Domestic) $50 plusApera liance DREN Neer Commercial/Industrial $150 plus $ er appliance CNEW Commercial—Renovation $100 lus $5 -p-rappliance CREN Commercial Replacement xisting,Fixtures ONLY $50 plus $5eNerppliance liance CREP Gas Boiler/Furnace/ Co version Burner (Commercial) $100 lus $5 CREN MISCELLANEOUS Gas Lo /Fire Place $50 plus $5 pera liance DREN Gas Stove/Heater $50 plus $5 pera liance DREN Utility/ Bar Sinks $10 plus $2 per fixture DREP Capped Sewer Lines $25.00 SCAP I Re-inspection Fee $25.00 INSP .. '`.These fees are used of the permit is for this xvn,-U n.y. r. ti:n� pe; ;;;;t „riCiL:CeS c�iiie'i plurrzbing YloriC, lice .fee charged will be the fiLxture fee which appears under renovation, replacement or ne,,v work ($2.00 or Y %5.00) The Commonwealth ofMassachusettsVJ 02 Department ofIndustriglAcciddents Office oflnvestigations 600 Washington Street Boston,MA 02111 www.massgov/ilia 'Yorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Aplplicant Information Please Print Legibly Name(Businesslorganizationlindividual):_ Address:_ 13- -City/State/zip: F-J(L�JOne'\ 016,-9- Phone#: �t - S ZG'NO Are you an employer?Check the appropriate box: Type ofproject(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. D New c6nstraction mployees(full and/orpart-time)* have hired the sub-contractors 2.V 1 am a sole proprietor or partner- listed on the attached sheet.x 7. Remodeling ship and'have no employees These sub-contractors have 8. Demolition working forme in any capacity. workers'comp.insurance. g, F1 Building addition [No workers'comp.insurance 5. El We area corporation and its required.] officers have exercised their 10.[ Electrical repairs or additions 3.❑I am a homeowner doing all work right of exemption per MGL 11.j]Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and wehave no 12.QRoofrepairs insurance required.]t employees.[No workers' comp.insurance required.] 13.❑Other "Any applicant that checks box#1 must also fill outthe section below showingtheir workers'compensation policyinformation. t Homeowners who submitthis affidavit indicatingthey are doing allwork and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance formy employees Below is thepolicy an[I job site information. Insurance Company Name% Policy#or S elf-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy tleclaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.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.fo ' ce coverage verification. 1 do hereby certo u r e ains andpenalties ofperjury Matte information provided above is true andcorrect. - Si afore: Date: Phone#: / Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/l.�icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6,other - - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhim.,- express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. however the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shallnot because of such employment be deemed to bean employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license orpermit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. 7f an LLC or LLP does have employees,apolicyis required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensationpolicy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be,used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. • The Department's address,telephone and fax number: Tho COMM011weali of M-mach-me'tU9 Dapafteat of Zndustdal Acoldoats offi`ioe Qfwestigatlow 6bG Wasbi ow Stroct Boston= .Q�X�x Teal#61 M-27,4900 ext 406 or 1.-877�WASSARE - Revised 5-26-05 Fax#617;,727-7749 Date.... .-/�,��. ,..... 3 NORTt� 4, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SS US ,�7 This certifies that ....... .......... jY/' ...�...L. .....T................ has permission to perform ........nn .................................... wiring in the building of........... Rr/9'/.12..................................... at ............ 1)..................AICAL'I'N"S' Andover,Mass. ZY l?ZP Fee ............... Lic.No. -© .............�� '.......... ZZ� ELEECT0 1 Check # 10842 1 Commonwealth of Massachusetts Official Use Only Permit No. '6-3 Ll 2_1 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATION) Date: �- 1- -/C�?-- City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio to perform the electrical work described below. Location(Street&Number) lt13 R Owner or Tenant 294Telephone No. Owner's Address ge M t'ZS/,./P R Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/G d Amps / C) hP/d Volts Overhead V Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followin table maybe waived by the Inspector of Wires. of No.of Recessed Luminaires ` No.of Ceil: TransSusp.(Paddle)Fans Total /� Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No—.OT Units Emergency Lighting �� g rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and � � Initiating Devices No.of Ranges I No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number .Tons.........KW........._ No.of Self-Contained I Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection 1 No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 by the owner,no permit for the performance of electrical 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: INSURANClenadtiesorfperjury, BO ❑ OTHER ❑ (Specify:) I certify,under the pains and that the information on this application is true and complete. FIRM NAME: . , CGS r!n r�-1 C /iv LIC.NO.: 4 Licensee: Signature ��� LIC.NO.: (If applicable,enteexem t"in the license zzmbe line. Bus.Tel.No.•6 Z 7 R Address: /� - 5 �� �"TJ t�c O" d Alt.Tel.No.: Per M.,.LC,s. 7-61,security work require epartment of Public Safety"S"License: Lic.No. 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 requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. t . ��ssei�-, �+'aile$-�[ j �e-xuspeetioxt Xec�uzXec7($�0.00)�[ � inspectors' apznawits: (x'nspectoxsy>yzgnatuxe••xto��' s} .- date �.'asse$�-- •�'aflec�--[ } � ate-3�us�ect�ox�xe�u3u'e�(��0.00)-•[ � s u5�iectors' mrnextts; ( s ectoxs' zgn ••Sao initials) Slate Passed—[ � �iaflec�- [ � ate-fnspeetZozz�et�uiret�(�50.90)�[ ] Inspectors'comments: (Inst ectoxs',Szgnatuz e•-m kdtials) Pate ? kri,CALLED WW ONS 011-71 ; WA- +:. assed--[ ) �'afied--[ � �e�irnspectionxequired( 50.00)�[ � ' Ispectbrs'co)nmepts: (>iaspectoxs',�zgu�tuxe�7aozni{iaTs} date 3tefnspectzozAxequ4xaaWo.00)-•[ pectora'cwhm.eds; , asp ectora' zgzzatuxe uo xnztials} Pate ' -r,lnID rp A 4.71 V A paa mn nYTry A vn'f'n UrF rbV.QrrPr.W'PM Fi A-P_'t-i!A rVCb T7OYi'.OW..-a x.VCkrV The Commonwealth of Massachusetts Department ofIndustrigl Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Uf www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual).__tel Address:_ City/State/Zip: Phone#: �/ 7 ' 1/ Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.I am a sole proprietor or partner- listed on the attached sheet.# �• E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the 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. tContractors 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 insurance for my employees. Below is the policy and job site information. f Insurance Company Name:. Policy#or Self-ins.Lic.#: Ore od Ila 29 91 Expiration Date: _5 Job Site Address: �6 3 /(/J / !2d 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 requiredunder 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 for insurance coverage verification. Ido hereby certify under the ap' s and penalties of perjury that the information provided above is true and correct. Signature: Date: �` 1,3 Phone#: 617 P 7 S /ZZ3 3 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. J Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." k Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant ; that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInVestigations 600 Washington Street Boston.,MA 02111 `1'el,#617-727-4900 ext 406 or 1-877rMASSAFB Revised 5-26-05 Fax#617-727-7749 www.raass,gov/dia Confidential Inspection Report 303 Hillside Road Andover, MA Prepared for: Mr Rodrigo Ballon �y <I Ora. i Prepared by: Maida Services, Inc. P.O. Box 12 Hampstead, NH 03841 800-669-3809 msinc1356(cDcomcast.net This report is the exclusive property of the inspection company and the client whose name appears herewith and its use by any unauthorized persons is prohibited. 0 Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 1 Report Table of Contents GENERAL INFORMATION 3 ROOF 5 CHIMNEYS 8 EXTERIOR WALLS 9 GROUNDS & PROPERTY DRAINAGE 11 DOORS &WINDOWS 14 GARAGE 15 BASEMENT/LOWER LEVEL 16 HEATING &AIR CONDITIONING 21 PLUMBING/WATER HEATER& LAUNDRY 24 ELECTRICAL SERVICE PANEL(S) 27 INTERIOR ROOMS/KITCHEN/HALLWAYS&ENTRIES 29 COMMON AREA ROOMS 31 BEDROOMS 33 BATHROOMS 35 ATTIC 37 WOOD DESTROYING INSECTS, MSI 39 ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 2 GENERAL INFORMATION Client Information Client Mr Rodrigo Ballon Inspection Site 303 Hillside Road Andover,MA Building Information Exterior Wall Structure Wood Frame. Flooring Structure Wood Frame. Roofing Structure Wood Frame,Rafters. Sheathing Material Board sheathing on;Walls,Roof. Crawl Spaces Yes, there are several crawlspaces.No physical access. There is visual access to one of several crawlspaces, the remainder of the crawlspaces are sealed off on all four sides - Conditions Unknown. Recommend access be improved by constructing large openings to allow inspections and service to these areas. Consult a competent crawlspace contractor specialist. Inspection Information Date 07/21/2012. Start Time Inspector on site start time:8:30 am. Finish Time On site portion of inspection concluded at approximately; 12:00 pm. Weather. Clear. Outside Temperature(0: 70-80. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 3 Soil Conditions: Dry. Building Faces Easterly. Approximate Age 100+-Years Original building has been expanded with addition(s). Low quality additions overtime has caused narrow,inaccessible crawlspaces. Building Type Single Family New Englander Style Combination of; 1.75 Stories,Some 1 Stories. People Present: Inspector:Paul Maida,Ma.Lic.#357,N.H.Lic.#00070 Clients Selling agent rep. Seller. Total Fee: $535.00 Includes building inspection,wood destroying insect inspection. Paid by check Thank You. Items not found in this report are beyond the scope of this inspection and should not be considered inspected at this time. Please read the entire report for important details. Inspected components will be identified and an opinion of their apparent condition will be reported according to the following definitions: SAT= ".Satisfactory" =Means that the component or system is functionally consistent with its original purpose but may show signs of wear,aging and deterioration. MARG = "Marginal" =Means that a maintenance need exists or can be anticipated,or that the component is still functioning but due to its visible condition or age,replacement/major repairs should be anticipated. POOR= "Poor" =Means that there is an immediate need for maintenance or replacement to sustain performance of function and purpose. CON = " Concern" =A term used to highlight, for the Client's attention, a condition which may adversely affect the integrity tyof the building or the health and safety of its occupants. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 4 . II ROOF Roof: General Information Roof Inspected On Roof. Style Of Roof Pitch;Combination of,Low,Medium,Steep. Type,Combination of,Gables,Sheds. Exposed Roof Covering Asphalt/Fiberglass shingles. Ventilation System Combination of;None at most roofs,Partial Gable Vent,Surface Vents. Exposed Roof First Layer. Flashing Materials Combination of,Aluminum,Lead. Approx.Age Of Exposed Roof Covering 1 years+/- Roof coverings appear recently installed,ask Sellers for documentation and available warranties. Roof: Apparent Condition SAT MAR POOR CON UNKN Exposed Roof Covering x❑ ❑ ❑ ❑ ❑ The roof covering appears less than a year old. The surface of the roof shingles appears satisfactory. The building has several low sloped shed roofs and low slope gable roof. Shingles are usually not recommended for low slopes, snow and ice build up is a concern,low slopes can be prone to leaks when shingles are installed versus rubber membrane roof coverings.The low slopes should at least have been protected by a rubber membrane underlayment before shingles were installed. Ask Seller if roof was sealed with rubber membrane prior to the installation of shingles. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 5 ` C r7 � /Jf SAT MAR POOR CON UNKN Valleys/Flashings El ❑ ❑ ❑ ❑ Visible Flashings appear in satisfactory condition at this time. FLASHING GENERAL EXPLANATION: Flashings are critical waterproofing components at various intersections of the roofing systems and the exterior wall systems. Usually constructed of metal these flashings should be inspected periodically for a tight seal.Loose or lifting flashings can cause water penetration and damage with in the building. Recommend roof and wall flashings be inspected from the exterior and also with in the attic areas. Check attics during heavy rains to determine if there are any active leaks. Plumbing Vents El ❑ ❑ ❑ ❑ Ventilation ❑ ❑x ❑ ❑ ❑ Attic ventilation appears insufficient, review general information attachment that follows the inspection report. Common attic problems include;ice dams,moist air problems,over heating. Improvements are difficult due to : construction designs, such as either the lack of an attic space between the ceilings and the roof frame (example: cathedral ceilings, low sloped and flat roofs) -or- finished attic area.Review general information following this report. Roof may be prone to ice dam problems. ICE DAM EXPLANATION: This is a common problem caused by extremes of winter weather and deficiencies in the attic insulation and ventilation systems plus a lack of ice dam shielding beneath the roof covering. Winter ice dams can be recognized as a build-up of snow and ice at the lower edges of the roof and gutters. Heat migrating through the roof decking warms the snow on the roof causing melting. As the water runs down the roof,it contacts colder surfaces at the lower part of the roof and gutter causing the water to re-freeze as ice. The ice dams up further water until it backs-up under the roofing shingles, ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 6 passing into interior parts of the house. The problem may cause minor seasonal staining or significant interior water damage depending on the weather conditions and nature of the home. Ice dams can be minimized or prevented by a number of maintenance steps and insulation and ventilation improvements: Firstly,if you see a build-up of snow on the roof and the roof is accessible safely,then you can remove the snow from the eaves with a rake before freezing occurs. Neat, the gutters should be cleaned as needed and the downspout extensions cleared of snow. If the extensions are not cleared,then ice may back-up from the ground to the roof restricting roof drainage. The use of electrical de-icing cables on the roof is an option, but is not recommended as they only cause the ice dam to form higher up on the roof. (If de-icing cables are used,they should be connected to a dedicated outlet.) As better insurance against ice dam formation, it is best to keep the roof cool to prevent rapid melting. To achieve this objective, you should make sure that the attic is insulated to today's energy standards to prevent heat from reaching the roof, and that the ventilation system is adequate enough to allow heat & moisture to escape from the attic. A typical problem ; ice dams block melting snow water in an older home with inadequate insulation in the ceilings cause leaks and water damage. Recommend Consulting an insulation company. Spray foam insulation should be considered in the narrow attic areas. r t ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 7 CHIMNEYS Chimney(s): General Information Location(s) Against South wall. Through Roof. Exterior Constructed from,Brick. Flue Lining Unknown. Chimney Top Chimney top is constructed with cement. Rain Cap(s) Yes. Animal Screen(s) Yes. Chimney(s):Apparent Condition SAT MAR POOR CON UNKN Evidence Of: El ❑ ❑ ❑ ❑ Exterior chimney components appear satisfactory. Vents Chimney flue linings not accessible Ask Sellers for any documentation they have available regarding chimney flue inspections or chimney flue replacements. Recommend flues be further evaluated by a professional chimney contractor or a chimney sweep. Seller states one flue was re-lined,ask for documentation.Fireplace flue appears older. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 8 EXTERIOR WALLS Exterior Walls: General Information Siding Vinyl siding,appears to be a second layer. Trim Constructed of Combination of, Vinyl,Metal. Composite. Fascia&Soffits Constructed of.Metal,Vinyl. Composite. Electrical Service Entry Cables Overhead,Conduit. Foundation Constructed of.Combination of: Stone,Block,Poured Concrete. Recommend Trees,Shrubs,Etc.Be Kept Clear of Roofs,Siding and Overhead Wires. Exterior Walls: Apparent Condition SAT MAR POOR CON UNKN Siding D ❑ ❑ ❑ ❑ Evidence of: Waviness, siding may have been nailed to tightly in some areas. Mostly a minor cosmetic issue at this time. VINYL SIDING GENERAL EXPLANATION: The home has vinyl siding. Vinyl siding represents a durable and fairly maintenance free wall cladding when properly installed. Vinyl siding is a water shedding siding as opposed to a waterproof siding. A moisture barrier is required beneath the vinyl as small amounts of water can leak behind the siding at trim areas and joints. Be advised that vinyl siding is not combustible, but will melt. For that reason, you should never place a gas grill near the siding. The vinyl is hung loosely on nails leaving a 1/4-3/8 inch gap between the siding and stops to allow for expansion and contraction. Vinyl siding is very brittle and vulnerable to damage during accidental bumps,especially during freezing temperatures. Damaged components can be replaced, but new parts may not perfectly match the color or pattern of the existing siding. Vinyl siding needs to be regularly cleaned or it will oxidize, requiring more difficult cleaning. Periodic cleaning with household detergent and bleach and a long handled brush is the best method of cleaning the siding. Use a solution of 2/3 cup of household bleach, 1/3 cup powdered detergent and one quart of bleach per gallon of water to clean the siding. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 9 Power washing is possible,but may force water behind the siding or loosen lap joints. Annual inspection is advised to check for warping, loose components, broken parts or worn caulking. Painting vinyl siding is possible,but will void any warranty. A commercial cleanser called "Streak Away," may also be purchased at building supply stores. Web resource: www.vsi.com(Vinyl Siding Institute) http://www.vinylsiding.org/publications/Installation Manual english. SAT MAR POOR CON UNKN Trim ❑x ❑ ❑ ❑ ❑ Fascia & Soffits El ❑ ❑ ❑ ❑ Caulking& Flashing ❑ ❑ 1E ❑ ❑ Some improvements to caulking are possible at windows,doors,trim and/or pipes passing through walls. Some roof trim does not fit together tightly, some active bees observed. GENERAL INFORMATION; The lack of detailed caulking may allow water to penetrate which can lead to wood decay or small openings can create a path for pest infestation. Recommend the exterior of the building be examined in detail to locate opening that should be sealed. This will reduce problems that arise from moisture penetration and close off some of the openings mice and rodents use to gain access inside. Some Pest Control Companies offer the service to seal a building to close off these access openings. Basement Windows ❑ 0 ❑ ❑ ❑ Existing grade is improperly backfilled against basement widows. This condition is conducive to wood decay and/or water leakage into basement. The below grade basement windows are in need of drainage repair. Window wells recommended. See maintenance information attached to report. Electrical Service Entry Cables ❑ El ❑ ❑ ❑ Service cables are binding against edge of roof, the concern is damage to the electrical cables. Cables are missing a standoff. Recommend consultation with a qualified Electrician to correct this problem. Electrical Outlets/Wiring El ❑ ❑ ❑ ❑ Foundation 0 ❑ ❑ ❑ ❑ The foundation surface is not visible, has been coated over with a cementitious material. Comments No visible evidence of structural deficiencies. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 10 GROUNDS & PROPERTY DRAINAGE Grounds & Property Drainage: General Information Gutters None. Walks Constructed of Brick. Steps&Stoops Constructed of.Wood. Concrete. Handrails/Guardrails Constructed of Wood. Patios/Decks Deck constructed of:Wood. Driveways Constructed of Asphalt. Stone. Grounds & Property Drainage: Apparent Condition SAT MAR POOR CON UNKN Gutters ❑ ❑ ❑ ❑ ❑ Gutters Recommended to properly manage roof water away from walls,entryways,basement and foundations. GUTTER MAINTENANCE GENERAL INFORMATION: Functional gutters & downspouts are an important part of the roof drainage control system and should be inspected and cleaned annually to properly direct water away from the home. Failure to follow a maintenance schedule will promote rot to all lower building components and may also cause wet basement problems or cause soil erosion. If trees are nearby, the use of gutter screen guards may reduce clogging from tree debris. Each gutter should have a downward pitch for water to flow by gravity. Gutters should be securely fastened to the building and should have sufficient downspouts to handle the flow and direct water away from foundation areas. Downspouts ❑ ❑ ❑ ❑ ❑ Downspouts should discharge water away from foundation; extensions should carry roof water away from basement walls. Grading Around Foundation ❑ ❑ 0 ❑ ❑ Grading around foundation does not slope away in some areas. For proper drainage, recommend sloping grade away from foundation a minimum of 1 inch per foot for 5 feet wherever ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 11 possible. Shrubs and mulch are to high, east side creating negative drainage. Some areas of the foundation are either over mulched and or over planted. This condition is conducive to moisture retention, decay, insects and pests. Foundation area should be landscaped with good drainage. Soil, mulch and dense vegetation negatively effect the building by holding wetness in and inviting insects and rodents along the foundation,giving them an easy path into the building. I recommend a foundation apron on the ground,along the foundation to shed water away and reduce the invitation to moisture and pests. Lowering the grade away from the wood frame will also allow the wood frame structure to air dry.A popular option consists of a plastic sheeting rolled out on properly graded soil along foundation,to act as a water barrier and weed block. Then stones are spread out on top to hold it in place. SAT MAR POOR CON UNKN Overall Property Drainage ❑ ❑x ❑ ❑ ❑ Portions of the lot appear to be a low area, water may pond in this low area. x+ 1 RN Standing water should be eliminated Lawn not established as yet. gw.. 5 ,',-�* a '�'° fK sy.,• ; .'�k\a�,t t�'�. � � !i � �r�": .8 fid' 7 � •x�� �tl., t -+r-F`�"'-t('f-�',���fin "��4t,�; Walks El ❑ ❑ ❑ ❑ ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 12 SAT MAR POOR CON UNKN Steps& Stoops 0 ❑ ❑ ❑ ❑ Handrails/Guardrails El ❑ ❑ ❑ ❑ Patios/Decks ❑ 0 ❑ ❑ ❑ Quality of the deck construction is not high. Deck is missing proper flashings at connection to the building.Trapped moisture and related problems are a concern. Recommend water proofing this area, flashings should be improved. Deck structure is only nailed to wall. Recommend bolting the deck to the wall to prevent it from pulling away. Driveways ❑ [] ❑ ❑ ❑ Pea stone driveway is unstable,in need of compaction. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 13 DOORS & WINDOWS Doors &Windows: General Information Exteriors Doors Constructed of.Metal. Vinyl.Composition. Windows Type:Combination of.Double Hung,Slide-by,Fixed. Constructed of:Vinyl,Wood. Glazing:Thermal pane glass. Older windows-Single Pane. Some antiquated windows"to be replaced". Doors &Windows: Apparent Condition SAT MAR POOR CON UNKN Primary Windows/Exterior ❑ ❑x ❑ ❑ ❑ Older,original windows-Show,Peeling Paint,Loose Putty. l3 Exterior Doors ❑ ❑x ❑ ❑ ❑ New entry door missing paint. ` Older sliding door to dent shows wear and tear and missing screen door. Bulkhead ❑ ❑ ❑x ❑ ❑ Observation: The basement bulkhead entrance is either missing an inner door or has an insufficient door installed allowing for the passage of heat and moisture. A thermal insulated inner door at the bulkhead entrance greatly reduces heat loss,cold air infiltration and increases security. Recommendation: I advise that a modern insulated steel door with a dead bolt lock be installed. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 14 GARAGE Garage: General Information Style 1 car detached. Garage: Apparent Condition SAT MAR POOR CON UNKN A Walls&Ceiling �.t,�° ❑ ❑ ❑ ❑ The garage-Shows serious structural problems.Wall framing shows serious decay and no visible foundation beneath these walls. Recommend consultation with a general contractor. The garage is in need of major re-construction or complete removal and replacing. Floor ❑ ❑ ❑x ❑ ❑ Floor shows evidence of; Serious, Cracking/settlement, Floor may not be properly pitched for drainage. Electrical ❑ ❑ ❑x ❑ ❑ Electrical supply cables are missing into garage.Power supply needs to be installed from house to garage per Seller. Garage Door(s) El ❑ ❑ ❑ ❑ Garage Door Opener(s) ❑ ❑ El ❑ ❑ Garage door Opener is-Inoperative.No Power. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 15 BASEMENULOWER LEVEL Basement/Lower Level: General Information Walls Combination of.Stone,Block,Poured Concrete. Floor Combination of.Concrete,Earth. Beams Wood,Timbers. Beam Supports Steel columns. Basement/Lower Level: Apparent Condition SAT MAR POOR CON UNKN Walls ❑x ❑ ❑ ❑ ❑ The east side foundation wall shows some bowing inward.The walls appear recently coated over with a cement paint,this coating hinders my assessment of wall cracks, movement and water stains. The bowing appears to be a moderate versus serious compromise to the structure at this time but should be monitored for cracking and water penetration.Exterior grading and gutter improvements recommend to protect the east wall. GENERAL INFORMATION: As seen in the unfinished basement of the turn of the century home, the colonial stone foundation exhibits areas of bulging stone. : This deformity is known as differential settlement and is caused by years of frost expansion exerting lateral pressure against the outside of the foundation. Improper drainage conditions are probable along the foundation. Depending on the severity of the bulging and misalignment of the stones,load bearing could be weakened. Recommendation: I advise that all exterior drainage be directed away from the foundation to reduce lateral pressure. Rubble stone walls are now required to be bonded with not less than one through bond stone for each nine superficial feet of area. If the mason or expert recommends repairs, then they should be done in accordance with the requirements of the present building code. Notice: Be advised that a stone foundation is porous in nature and that seasonal water infiltration is likely due to the numerous irregular mortar joints and small voids. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 16 R r 1 � y :t F SAT MAR POOR CON UNKN Floor Joists,Bridging ❑x ❑ ❑ ❑ ❑ Insulation blocks full access to framing in full basement. Beams,Sills ❑x ❑ ❑ ❑ ❑ Piers/Columns 0 ❑ ❑ ❑ ❑ Sump Pump ❑ ❑ ❑ ❑ None There are two holes for sump pumps and an abandoned sump pump in garage. Basement may be prone to flooding in severe weather conditions. Recommend a professional installation of a sump pump to protect the basement from flooding. GENERAL INFORMATION; Observation: In the accessible parts of the basement / crawlspace, there appears to be a potential for water penetration. Recommendation: I advise that a sump pump be professionally installed in the basement and that storage be done with precaution- or - the sump pump that has been installed should be monitored in heavy rains. A sump pump may be installed alone or in conjunction with a subfloor drainage system(perimeter-water collecting- drain pipes). The pump may be configured as a tall pedestal type or as a submersible type. A sump pump is a mechanical device that removes seasonal water from the basement by mechanically lifting it from the basement to an outside location. A sump pump is best located at a low point in the basement floor, generally along an exterior wall or in a corner. Most installations include a hole in the floor called the sump basin which allows the pump to be placed at an elevation lower than the basement floor. The pump should rest on a stable base and the sump basin should ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 17 have a perforated liner of some kind to prevent silt and debris from clogging the pump impeller. The pump must sit level in the sump basin so that no obstacles impair the function of the float and lift rod that operate the pump switch. The lift rod has two stop adjustments for regulating the on&off cycle of the pump. The drain pipe connection at the base of the pump should be preceded by a check valve, a one-way valve that prevents the back flow of water. The drain pipe should run with an uphill pitch leading through an exterior wall,window or foundation and terminating well away from the home. (NOTE: In most communities it is illegal to drain a sump pump into the municipal sewer.) The sump hole should have a protective cover to prevent accidents and to prevent objects from falling into the sump. Lastly, the sump pump should have a dedicated local U-type grounded outlet -no extension cords. As for maintenance, the sump pump should be serviced at least once a year for cleaning and lubrication following the manufacturers directions. Be advised that a sump pump is a short lived appliance, you may be wise to keep a spare in storage. If the sump pump operates frequently,there is obviously too much water flowing against or under the foundation. This condition indicates high water tables in relation to basement floor-or- a need for better exterior drainage control measures to direct surface water and roof run-off away from the home.Perimeter drain pipes are the best solution for high water table under the floor slab.Frequent pump use may cause concern during a power outage; therefore, a battery back-up system or a portable generator should be considered as an alternative. SAT MAR POOR CON UNKN Dryness ❑ ❑ ❑x ❑ ❑ Excessive moisture apparent Stone walls show seepage stains. There is water on the floor,not sure if basement leaked. Ask Sellers for known history of water problems or flooding. Ventilation Of Crawl Space(s) ❑ ❑ ❑ ❑ t] Crawl Space ❑ ❑ D ❑ ❑ Crawl space inspection obstructed or inaccessible due to,No access i or entry, Insulation fell down in the visible crawlspace blocking access to the two or three crawlspaces beyond the visible crawlspace. Recommend all debris and failed insulation be removed. Recommend Construction of an access hatch/ doorway - into all the Crawlspaces to determine conditions of these area. Recommend consultation with a qualified General Contractor. Crawl space inspection obstructed or inaccessible due to, Too narrow to enter these crawlspace(s).There may be limited clearances between the soil/floors and the ceilings in some areas, crawlspaces should have a clearance of at least 18"at the narrow areas. Recommend soils be removed where needed to allow for service and repairs. Crawl space has exposed earth; needs a vapor barrier. Concrete is best. Consult a crawl space specialist general contractor. All crawlspace(s) should be improved to control moisture and ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 18 prevent winter cold air infiltration. All dirt floors and any dirt walls should be sealed with concrete to prevent rising damp. The foundation walls should be insulated with moisture resistant insulation panel. Crawlspaces should have large openings into the full basement area to allow air circulation and de-humidification. GENERAL INFORMATION; The crawl space has ineffective or no vapor barrier on the soil to control moisture migration. Humidity is constantly rising from the soil. Such humidity trapped within a crawl space may cause moisture problems such as wood rot, mold,mildew and pest activity. Be advised that a potential moisture migration and condensation problem exists that could be unhealthy for the home and the occupants. Recommendation: You should consult with a general contractor,the entire crawl space floor should be sealed with concrete for best durability. Options also include a rubber membrane layer over the earth.Plastic sheeting is the least expensive/minimum choice, but is the most likely to fail over time. Consider installing 3 1/2 of faced batt type fiberglass insulation between all floor joists so that the vapor barrier faces the living space above or spray foam - high performance insulation could be explored,however-Walls are more important to insulate than the ceilings. Web Resources: http://www.oweiiscomin.g.com/around/insulation/proj ect/crawlunderf loor.asp http://www.owenscomini,z.com/around/insulation/project/finishedattic http://www.owenscoming.com/around/insulation/chooseproject.asp l� ryy`k �• 3}y } t �fi« F#a ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 19 �`t'",Y +.�,,• Irl 1 C ' `y f ._.. - A VJA f 4 ` 3 Comments Main Basement-Exposed structure appears typical for age of home. Crawlspaces appear in below average condition. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 20 HEATING & AIR CONDITIONING Heating &Air Conditioning: General Information Heating Unit Services Whole Building Forced Hot Water GENERAL INFORMATION; FORCED HOT WATER HEAT EXPLANATION: Forced hot water heating represents state of the art technology in terms of efficiency and comfort. Such systems may be fueled by oil or gas and require little owner maintenance,but each should be inspected and serviced annually by a licensed technician. Analysis: The heart of the system is the boiler,which may be composed of steel or cast iron. (Note: A cast iron boiler is preferable as the service life is far superior to a steel boiler.) The boiler provides the hot water when a thermostat calls for heat. The heated water is distributed through small diameter piping until it reaches wall convectors or baseboard heaters or into air handlers in the hydro-air system. The hot water continues to flow until the thermostat is satisfied, then the water is recirculated back to the boiler for re-use again. One of the greatest features of a forced hot water heating system is that the home can easily be divided into different thermostatically controlled comfort zones. Regardless of the type of boiler,certain parts of the boiler have shorter design lifespans than the boiler itself and should be monitored for eventual maintenance replacement. Such parts include: Burner Fire chamber liner Gas valve Thermocouple Circulator pump Air vent valves Zone valves Relief valve Back-flow preventer valve Fill-valve Control relay Drain valve Expansion tank Thermostat Flue pipe Gaskets Recommendation: You should buy a heating system maintenance plan with a local heating company. Such a plan should include an annual safety inspection,cleaning,tune-up and parts replacement. Thermostat Type Programmable,set-back. Heating Plant Manufacturer Weil Mclain Cast iron boiler. Approximate Age(heating) ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 21 22 years+/- Type Of Fuel Gas. Rated Input Capacity Estimated: 140,000 BTU/Hour. Hydronic(hot Water)System Type,Forced Hot Water Piping-Copper,Plastic. Heat Exchanger Test Performed Visual. Heating &Air Conditioning: Apparent Condition SAT MAR POOR CON UNKN Heat Exchanger Test Results El ❑ ❑ ❑ ❑ Shows Evidence of.Moderate,Rusting on: Heat Exchanger. Burner(s) ❑ ❑ 0 ❑ ❑ Burner is Inoperative. Recommend system be serviced by a professional service person due to:Need for general cleaning and servicing. 1a . F f b r` F; Flue Pipe ❑ ❑ ❑ ❑ ❑x Exposed Pipes And Pumps ❑ ❑ ❑x ❑ ❑x Could not test system. Exposed circulator wiring-unsafe,electrical boxes needs covers. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 22 x� . k SAT MAR POOR CON UNKN Temp/Pressure Release Valve ❑ ❑ ❑ ❑ a Fuel Supply System ❑ ❑ ❑ ❑ Comments System is shut down at this time. Recommend start up by a qualified contractor and certification-in writing-system is in good working order. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 23 PLUMBINGMATER HEATER & LAUNDRY Plumbing: General Information Water Source Municipal. Shut-off Located In basement. Waste Unknown. Water Supply Pipes Copper.Plastic. Waste&Vent Pipes Combination of:Cast Iron,Plastic. Plumbing System:Apparent Condition SAT MAR POOR CON UNKN Visible Supply 1 Pipes P ❑ x ❑ ❑ ❑ ❑ I could not identify the condition of the main water supply pipe into the building. Dirt and concrete blocks access beneath the meter.The pipe could be an old rusted steel pipe versus copper which could be unreliable. Recommend obstructions be removed and condition of water main r pipe be further evaluated by a competent Plumber. I z � d � F 4 l Visible Waste Vent Pipes ❑ ❑ ❑x ❑ ❑ Poor access to much of the plumbing system.Kitchen and bathroom plumbing are in sealed off crawlspaces, recommend access and an inspection of conditions by a competent Plumber. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 24 The main sewer pipe shows marginal conditions-old cast iron sewer main might be fully depreciated, the clean out cap is damaged and not accessible,portions of stone walls blocks access.The sewer pipe, clean out and clean out accesses should be improved. Consult a Plumber. 2 v R `A d. a fr Ri i, CSr h( SAT MAR POOR CON UNKN Water Pressure 0 ❑ ❑ ❑ ❑ Shut Off Valves 0 ❑ ❑ ❑ ❑ Water Heater: General Information Manufacturer A 0 Smith. Approximate Age Of Unit 4 years+/- Fuel Type Gas. Capacity Of Tank 40 gallons. Water Heater: Apparent Condition Gas Supply Pipe And Valve 0 ❑ ❑ ❑ ❑ Flue Pipe (� ❑ ❑ ❑x ❑ ❑ Flue piping appears problematic, fumes do not appear to draft out efficiently. Could be unsafe conditions as fumes appear to be back spilling into home. Recommend Piping be replaced with a design that is more efficiently shaped to exhaust the burners fumes into the ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 25 chimney flue. Recommend Repair by a qualified Plumber. ti s 1 AxLsvmith SAT MAR POOR CON UNKN Exterior Casing ED ❑ ❑ ❑ ❑ Vac./Temp./Pres.Relief Valves ❑x ❑ ❑ ❑ ❑ Laundry Facilities: Apparent Condition 110 Volt Outlet ® ❑ ❑ ❑ ❑ n Dryer Hook-up ❑ ❑x ❑ ❑ ❑ Gas fired dryer, shows open gas pipe. Pipe should be capped off to increase safety/prevent gas leak. Dryer Vent ❑ ❑ ❑X ❑ ❑ The dryer is not quipped with a exhaust system to the exterior as yet. Through the wall dryer vent should be installed. Solid metal duct recommended for dryer exhaust for the most durable and reliable exhausting of the dryer. Washer/Faucets ❑x ❑ ❑ ❑ ❑ Purchase burst proof metal hoses for washer. It is best to shut off water pressure to the washing machine when not in use. Drain/Trap ❑x ❑ ❑ ❑ ❑ ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 26 ELECTRICAL SERVICE PANEL(S) Electrical Service: General Information Main Box Location In basement Box rated at, 100 AMPS. Main Service WIre 220 Volt aluminum cable,Size,42 Neutral and equipment ground bars are bonded to panel,Yes. Main Overload Protection Breaker. Branch Wiring Copper. Type Of Branch 1Mring Non-Metallic cable. Branch Protection Breakers. Labeling/Indexing:Most. System Is Grounded At: Water Pipes. Service Is Considered To Be Rated At: 100 Amps,220 Volts. Electrical Service: Apparent Condition SAT MAR POOR CON UNKN Service Cable At Main Bog Grounding r ' ❑ ❑ ❑ ❑ Old corroded grounding clamp should be removed and replaced. Poor grounding is not a safe condition. Recommend system be serviced by licensed electrician. As observed at the water service pipe the main electrical ground wire is marginal or detached. Analysis: ****UNSAFE-this condition is a HAZARD and should be corrected immediately as a person could be exposed to serious shock hazards. Recommendation: The main ground wire running from the service panel should be connected to the street side of the water meter,plus a jumper cable should by-pass the meter for added safety- When the ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 27 water pipe is metal. If the home has plastic pipe for water main,then the ground wire should be connected to a driven rod. Major expenses are not involved for this repair, but the services of an electrician are needed to match appropriate clamp, wire and pipe materials,plus to secure them in place. SAT MAR POOR CON UNKN Bushing& Knock-out Plugs El ❑ ❑ ❑ ❑ Fuses/Breakers ❑ ❑ ❑x ❑ ❑ One of the circuits is in the tripped position. This could be due to a short circuit in the wiring. �. Recommend this circuit (labeled "eats") should be further evaluated and certified in writing by an Electrician that the system is safe. _ry Gfci At Panel/Arc Fault Protection ❑D ❑ ❑ ❑ ❑ ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 28 INTERIOR ROOMS/KITCHEN/HALLWAYS & ENTRIES Interior Rooms: General Information Walls&Ceilings Dry Wall. Floors Combination of.Hardwood,Tile,Carpet. Heat/Cooling Sources Hydronic baseboard/radiator units. Kitchen: Apparent Condition SAT MAR POOR CON UNKN Walls,Ceilings&Floors El ❑ ❑ ❑ ❑ Floor shows some undulations-seems minor. Ay 5, Electrical Outlets&Fixtures El ❑ ❑ ❑ ❑ Doors&Windows El ❑ ❑ ❑ ❑ Heat Source El ❑ ❑ ❑ ❑ Only indirect heat,no heater in kitchen. Cabinets& Countertops 0 ❑ ❑ ❑ ❑ Faucets/Piping/Sink(s) ❑ El ❑ ❑ ❑ Old worn dishwasher did not appear to function properly, ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 29 recommend further evaluation. SAT MAR POOR CON UNKN Stove Hook-up D ❑ ❑ ❑ ❑ Exhaust Fan El ❑ ❑ ❑ ❑ Cook top's exhaust fan recycles the exhaust back into the kitchen, functions as intended but not as desirable as exterior exhaust fans. Hallways &Entries: Apparent Condition Walls& Ceilings 0 ❑ ❑ ❑ ❑ Floor D ❑ ❑ ❑ ❑ Electrical: Switches,Outlets&Fixtures El ❑ ❑ ❑ ❑ Some-Light fixtures are not working in the home,needing bulbs or fixture repair or replacing. Doors IM ❑ ❑ ❑ ❑ Stairways& Handrails El ❑ ❑ ❑ ❑ Stair treads and risers: Risers are higher than industry standards allow at 9". Typical old house problem. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 30 COMMON AREA ROOMS Common Area: Apparent Condition Location t^ F r ASri SAT MAR POOR CON UNKN Walls,Ceiling&Floor q 0 ❑ ❑ ❑ ❑ ! Electrical: Outlets,Etc. ❑ ❑ 0 ❑ ❑ Outlets inoperative in the eat in area,due to tripped circuit breaker. \ Recommend further evaluation and consultation with a qualified Electrician. Doors&Windows El ❑ ❑ ❑ ❑ Heat Source ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 31 E ❑ ❑ ❑ ❑ SAT MAR POOR CON UNKN Fireplace/Stove: Hearth El ❑ ❑ ❑ ❑ Fire Boz 1] ❑ ❑ ❑ ❑ Damper&Visible Flue ` - --- -:`�'-----�---- ❑ ❑ 0 ❑ 11 - damper assembly is inoperative, in need�repair. Comments r� Consider installing glass fireplace doors to reduce drafts,when fireplace is not in use. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 32 BEDROOMS Bedroom: Apparen Condition Location . e . : . ��. . .. . . .. . , \ \ _ . . � . �« »; \ 2nd fl( &moi Services,Inc. Confidential-for client use only. Use byany unauthorized pers_siprohibited. 33 A • ••SAT MAR POOR CON UNKN Walls,Ceilings& Floors El ❑ ❑ ❑ ❑ Electrical: Outlets,Etc. El ❑ ❑ ❑ ❑ Doors&Windows ❑ ❑ El ❑ ❑ 2nd floor pocket doors do not function properly - in need of some repairs. Heat Source D ❑ ❑ ❑ ❑ Loose heat pipe beneath heater should be secured-2nd floor. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 34 BATHROOMS Bathroom Location First and second floor. Apparent Condition SAT MAR POOR CON UNKN Walls,Ceilings&Floors 0 ❑ ❑ ❑ ❑ Electrical: Switches& Outlets 0 ❑ ❑ ❑ ❑ Fan&Heater 0 ❑ ❑ ❑ ❑ Doors&Windows 0 ❑ ❑ ❑ ❑ Heat Source Sinks Hot& Cold Faucets 0 ❑ ❑ ❑ ❑ Basin(s)&Piping ❑ 0 ❑ ❑ ❑ Stopper assembly inoperative,in need of a small repair. Toilet Bowl& Tank 0 ❑ ❑ ❑ ❑ Anchored To Floor 0 ❑ ❑ ❑ ❑ Drains&Flushes 0 ❑ ❑ ❑ ❑ Tub/Shower Stall 0 Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 35 Hot& Cold Faucet(s) Ej ❑ ❑ ❑ ❑ SAT MAR POOR CON UNKN Shower/Tub Drains s ❑ El ❑ ❑ ❑ The first floor shower stall may be out of level, could improperly hold water,should be checked out by a competent Plumber. Wall Covering Tub ❑x ❑ ❑ ❑ ❑ Functional Flow 0 ❑ ❑ ❑ ❑ ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 36 ATTIC Attic: General Information Access By None. No access mostly due to low sloped roofs and minimal space between the ceilings and the roof. Insulation Unknown. Attic: Apparent Condition SAT MAR POOR CON UNKN Framing ❑ ❑ ❑ ❑ 0 Sheathing ❑ ❑ ❑ ❑ 0 Insulation ❑ ❑ ❑ ❑ 0 INSULATION RATINGS CHART (Note: The higher the R-number,the greater the insulation value.) (R-38 insulation is now required in the attic) R-number: Insulation type 11 13 19 22 30 38 Inches of thickness Batts/blankets: Fiberglass 31/2" 4" 6" 7" 9 1/2" 12" Rock wool 3" 4" 5 1/2" 6" 8 1/2" 11" Loose fill: Fiberglass 5" 51/2" 81/2" 10" 13 1/2" 17" Rock wool 4" 4 1/2" 6 1/2" 8" 10 1/2" 13" Cellulose 3" 31/2" 51/2" 6" 8 1/2" 11" Vermiculite 5" 6" 9" 10" 14" 18" Ridged board Polystyrene(extruded) 3" 3 1/2" 5" 5 1/2" 7 1/2" 9 1/2" Polystyrene(bead board)3" 3 1/2" 5 1/2" 6" 8 1/2" 10 1/2" Urethane 2" 2" 3" 31/2" 5" 6" 0 Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 37 Fiberglass 3" 3 1/2" 5" 5 1/2" 7 1/2" 9 1/2" The Company advises that you schedule an "ENERGY AUDIT" with a local utility company to identify areas of the home in need of insulation updating. Homes 40+years of age may have no insulation whatsoever and should be considered as candidates for economic retrofitting by hiring an insulation contractor. For your decision-making needs, your home inspector viewed the insulation where readily accessible in the unfinished areas of the home. Realistically,please understand that the inspector does NOT have"X - ray" eyes for seeing inside of finished wall and ceiling cavities. (To get an approximation on the presence or non-presence of wall insulation,you can remove the cover plates of exterior wall outlets or switches and attempt to view into the local stud cavity.) (Note: Blown-in insulation should NOT be installed over attic knob&tube wiring.) Web Resource: U.S. DOE website www.omi.gov/%7eroofs/zip/ziphome.html (Zip Code Insulation Program) The Icynene Insulation SystemTM is a state-of-the art,spray-in-place soft foam that is revolutionizing the insulation of homes and commercial buildings. IcyneneTM is healthier, quieter and more energy efficient than traditional insulation: Made of polyicynene foam,a water-based organic product. Provides a complete air and moisture barrier system. Windproofs and seals wall,floor,ceiling cavities and fills all crevices against air movement. Reduces airborne sound. SAT MAR POOR CON UNKN Ventilation ❑ ❑ ❑ ❑ El Exposed Wiring ❑ ❑ ❑ ❑ ❑x Plumbing Vent Pipes ❑ ❑ ❑ ❑ ❑x Comments IN SUMMARY; This is the end of the building inspection report. For the most part- The living area appears in at least average condition with some improvements. The multiple crawlspaces appear in below average condition with more than average repair needs. Recommend consulting a competent crawlspace general contractor regarding repair needs and cost estimates. Some other repairs exist.Please review report in detail. Feel free to call if you have any questions. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 38 WOOD DESTROYING INSECTS, MSI Wood Destroying Insect Infestation Inspection Date Of Inspection Saturday,July 21,2012. Report For Mr Rodrigo Ballon Inspection Address 303 Hillside Road Andover,MA This is not a structural damage report.The report is indicative of the condition of the subject structure(s)on the date of inspection only and is Not to be construed as an express or implied warranty or guarantee against latent, concealed,or future infestation or defects.See Section IV in the Inspection Contract for important information.The report is based on careful visual inspection of the readily accessible areas of the structures inspected. Section I. Inspection Findings As Follows: No Visible Evidence of a wood destroying insect infestation was observed. Recommend an annual inspection,as wood destroying insects could become active at any given time. Section Ii. Obstructions &Inaccessible Areas The Following Areas Of The Structure(s)Inspected Were Obstructed Or Inaccessible: Crawl Space:No access or entry. Read this entire page,as it is part of the report.Neither I nor the company for which I am acting have had,presently have,or contemplate having any interest in the property. Attention Home buyer: Maida Services, Inc. (MAIDA) agrees to visually inspect and submit a written report of wood destroying insect infestation of the building and premises outlined on the reverse side of this form according to the terms and conditions below: 1. PURPOSE:MAIDA and CLIENT agree that the purpose of this inspection is to provide the CLIENT with a professional, good faith opinion of the presence of wood destroying insects on the premises at the time of the inspection.MAIDA is not responsible to repair any damage disclosed by this inspection, including without limitation,any wood destroying insect infestation and/or damage which exists in areas or in wood which were not accessible for visual inspection as of the date of this inspection. Also, wood destroying insect infestation and/or damage may exist in concealed or inaccessible areas. MAIDA cannot guarantee that any wood destroying insect infestation and/or damage disclosed by visual inspection of the premises, as noted, represents all of the wood destroying insect infestation and/or damage which may exist as of the date of the inspection. The inspection was conducted in the readily accessible areas of the identified inspected structure(s). If visible evidence of the infestation by wood destroying insects is reported,it should be understood that some degree of damage,including hidden damage,may be present. 2. EXCLUSIONS FROM OPINION: This inspection does not cover any areas of the property that are not ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 39 readily accessible. This inspection does not include areas which were obstructed or inaccessible at the time of the inspection.Areas that were inaccessible or obstructed may include,but are not limited to,ceilings,floor coverings, wall coverings, siding, floors, furniture or stored articles, appliances and/or personal possessions, areas which required the breaking apart, dismantling, removal or movement of any objects. This inspection is for wood destroying insects only. Other pests, including but not limited to rodents,bats,bees,birds, snakes, fleas and flying insects are not included in this inspection. 3. CONSUMER MAINTENANCE ADVISORY: Any structure can be attacked by wood destroying insects. Periodic maintenance should include measures to minimize possibilities of infestation in and around a structure. Factors which may lead to infestation from wood destroying insects include foam insulation at foundation, earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,moisture,wood debris in crawl space,wood mulch,tree branches touching structures,landscape timbers,and wood rot. Should these or other such conditions exist,corrective measures should be taken by the owner in order to reduce the chances of infestations by wood destroying insects,and the need for treatment. 4. DISCLAIMER OF WARRANTY: MAIDA is not an insurer, and therefore makes no guarantee or warranties,express or implied,as to the merchantability or fitness of the premises for CLIENT's INTENDED USE. Neither is this a warranty as to the absence of wood destroying insects. 5. INDEMNITY:The report of inspection produced by MAIDA is for the exclusive use of the CLIENT.No other person or entity may rely on the report issued pursuant to this contract. In the event that any person, not a party to this contract,makes any claim against MAIDA arising out of the services performed by MAIDA under this contract,the CLIENT agrees to indemnify,defend and hold harmless MAIDA from any and all damages,expenses, costs and attorney's fees arising from such a claim. 6. LIABILTIY AND RIGHT OF REINSPECTION: This contract limits the liability of MAIDA to the CLIENT to the amount of consideration paid by the CLIENT to MAIDA(the contract price).MAIDA assumes no liability for consequential damages suffered by the CLIENT: In the event of a claim by the CLIENT that a component part of the premises which was inspected by MAIDA was not in the condition reported by MAIDA,the CLIENT agrees to notify MAIDA at least 72 hours prior to repairing or replacing such component of the failure, appearance of defect or need for repair or replacement of the component. The CLIENT further agrees that if the repair or replacement is done without giving MAIDA the required notice,that MAIDA will have no liability to the CLIENT for the cost of such repair or replacement. 7. ARBITRATION:MAIDA and CLIENT specifically agree that any disputes arising under the terms of this contract shall be submitted to arbitration.Such arbitration shall be conducted according to the rules of the American Arbitration Association and shall be submitted to a three-person panel of arbitrators.At least one of the arbitrators shall be a member of the American Society of Home Inspectors. 8. ENTIRE AGREEMENT: This contract constitutes the entire agreement between MAIDA and the CLIENT. Any amendment or modification of the contract must be in writing and signed by all parties to the contract. ©Maida Services,Inc. Confidential-for client use only. Use by any unauthorized persons is prohibited. 40 FORTH Andover' ® of 0 No. _ -��._ = ® dover, Mass., Q LAKE ' COC MIC MEwICK ti�� 41DRAYED A �,� .: BOARD OF HEALTH Food/Kitchen Septic System P RMI.T T D t BUILDING INSPECTOR THIS CERTIFIES THAT..... ... :�q t,.C� -� �'' :.. �` 0....................... oun C�..�. �r��'° � ��. ........................ ou h Qin has permission to erect........................................ buildings on ............................. .:...... ..�....,..........:. ......... g to be occupied as...........� !.r� �� � �� .�'..: ...r��`.:?���.....C c `� d` ...................... . eY provided that the person accepting this permit shall in every respect conform to the terms of the application on file in incl this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town-of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PEST EXPIRES IN 6 MONTHS ELECTRICAL INSPECT 7LJN- LESS CONSTRUCTION S TS c.2.�✓d.0 ,�: ,`'�- r- Service .............................�......... ................. n BUILDING INSPECTOR Occupancy Permit Required t® Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on, the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIEE.DEPARTMENT• Until Inspected and Approved by the Building Inspector. Burner Street No. - �----- SEE REVERSE SIDE Smoke Det. �kl2- %T� �012_�pI►v- N®RTH ovm Of 0 X.. In - LAKE N�o , over, Mass., b Q�6 PERM . ' ,p�_ COCNIC ME WICK V�'� ' °9��0'4ATE D P P�\ «� U BOARD OF HEALTH Food/Kitchen Septic System Im BUILDING INSPECTOR •�- ib THIS CERTIFIES THAT.......... .. ....................................................... . ............................................................... Foundation A;, g .� 1L CL�has permission to erect...................... ................ buildin s on .. .......v............. .... ..................................... .... ugh to be occupied as. �/w .......s.l .0--r .40- ...�! .�. �: provided that the person accepting this pent shall in every respect conform to the terms of the application on in F this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in*the Town of North Andover. PLUMBING INSPEC OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final LIDERIM7 EXT=S I1 6 MONTHS ELECTRICAL INSPECTOR � LESS CONS UC _ Rough .......................(ZAR ......... ................................................ Service BUILDING INSPECTOR Fina-1 Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burrier Street No. SEE REVERSE SIDE Smoke Det. 7-,3 /—t-z- NORTH . 3. ® Of. over. To , dover, Nfam, I---- Y O COCHICHEWICK CRATED U BOARD OF HEALTH PER M� I.T Food/Kitchen: Septic System R BUILDING INSPECTO THIS CERTIFIES THAT......... ... . .............<<:.'':. ................................................ Fo tion . has:permission to,etect.............`.. ................buildings on ...y '>. ...:.::.. ..: .:..`....'; ..................................... .... ough to be occupied as__--..`� ^lill..._,- ,; , p ::.;.:.. . ... . . It mney ........... ..................... provided that the person accepting this permit shall in every resp, sect conform to the terms of the•application on-file-in -.this office, and to the provisions,of the Codes-and-:By-La: s relath ,'�g..to the Inspection, Alteration and Construction of Buildings in'.the Town of.North Andover -- - _ PLUMBING IIVSPECTPR. - VIOLATION:.of�he Zoning or Building Regulations,Voids this Perm' A.- Rough,.- z_ .',• z�3'> Final- / /' V2 `[ PERM1T EXPIRE' !� ELECTRICAL INSPECTOR UN S CONSTRUC7 ,: ON STARTS ---u � �-.5 � _i_�- '`. a: ....................... Service BUILDING INSPECTOR 4 , Occupancy Permit Required- tt Occupy BuilAing - GAS INSPECTOR _. .,,.. Rough Display in a Conspicuous Place-on-the, Premises : Do Not Remove - Firai lei -No-1athin or D Wall' . To Be Done - r 9 � � FIRE_DEPARTMENT ,. Until Inspected and Appr ed by'l he Building Inspector, — Burner \ Street No. -E� ���/� 7-D Smoke-Det. ���/� I I I 1 = I I C/D I I o bD+ I I rt o I I n _—WT: I 1 I 1 I I I I 1 I I � I I I I I -x- I I I I c I I o � I I rr 1 O 1 c .µORTy M I I 0 Town ®f Andover.. CV I I O rn I I � No.�i�j � •� _ _` 1I 11 - 1♦ ,.--_ I �-, 1 E �{��� ��'' 0 4Ms.,:.�P°i• =� dorer,Mass., -= I N 1141 IZ � RD s BOAOF}F-WH 16 1 �o :P RMIT TO ILD 1 I m z BUD.DIIQG INSPECTOR 1 I THIS CEflTIFlEST}IAT. a!1r!E�..S._. 5�.F...RNO..........._............_.._......................._......_._._ I I // has permission to erect_._._..................._..._.bufidings ,�:,..�'re!?.��........_._................ 14� �a Qoe k iisYPr eb m> �io�r I I ww QOboaccupiedas.,........�.(.�.............._....,.. !�.4.�.....,._............_�.....f1......�.��c`..................._........... I I provided that the parson accepting alio perm shell in eve res ed conform to the tonins of thea lication on fife in (7 _ I I this office,and to ttld provisions of the Codes and BY-Laws relatlng m the Inspection,Alleration and Construofion of '�� I Buldings In the Town of North Andover. PLUMBING RWECTOR- o I a VIOLATION of the Zoning or Building Regulations Voids this Permit. Final ckf� PERMIT EXPIRES IN 6 MONTHS EITCTRWAL.INS? LNLESS CONSTRUCTION ST r � I I BUMIDINGIN Bcl'OR oo i Ctmpancy Permit Regtamd to Occupy Building GASINSI$CTOR Ci = I .o — ' C14I - - Display in a Conspicuous Place on the Premises— Do Not Remove - F — I CV 1 m m 1 I E No Lathing or Dry Wall To Be Done Frnt nEPARra�rrr• �D I Until Inspected and Approved by the Building Inspector. B- C-4 i — i SEE REVERSE SIDE C, -- C=� I oo I E U CT 1 I o I I vv I I n3a T I I o c v X- CSI I I c I I v rt o x I 1 2zw CV I I v-�min I X I U 1 I— I CWWW O I I o I a I � I I O I Cv I O u— I 14C> I ALL.. f 11111� iViassachusetts- Department of Public Safetc MNS Board of Building Regulations and Standards Construction Supervisor License - - License: Cs 72351 Failure to possess a current edition Of the DAVID-M PALUMBO Massachusetts State Building 7 RYER LN is cause for revocation of this license. MIDDLETON, ,a,. MA 01949 { Refer to: WWw•Mass.G0v1DpS Expiration: 7/31/2013 . ('ununisiunc•r Tr#: 2727 I _ M l - ✓/ze �o7rvnaaruuea�C� o�./f/�aaaactuaella License or registration valid for individul use only ` � Ofrrce of Consumer Affairs&Business Regulation before the expiration date. If found return e to* HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Reg lug Registration:, `'171512 Type: 10 Park Plaza-Suite 5170 Expiration;.._.:/2-QI 014 Individual Boston,MA 02116 ; DAVID PALUMBOI'.,`-__,;..,4:-: •. DAVID PALUMBO •� 7 RYER LN Not valid without signat MIDDLETON. MA 01949 Undersecretary s 'ba / l • f ;f • f { • 1 i f NORTH q t O tt�eo i6 • O O ` A 14LATED 1 a ��SSAC HUS���y BUILDING DEPARTMENT (ommunity Development Division August 28, 2012 NOTE TO FILE: 303 Hillside Daniel Destefino got homeowners exemption(Mass amendments]10.R5.1.5.1 Exceptions) to rehab a residence he said he'd be living in. After several inspections and several conversations he said he'd be moving in and I kept questioning the validity of his statements. Upon the final inspection there was a real-estate listing sheet on the counter top and a sign outside. I told him I wouldn't sign off or give him a occupancy permit because he missled me about his intentions of becoming a resident in the house. I told him to hire a licensed Construction Supervisor to take responsibility for the work completed and I'd give him the signoffs he requested. The project started off with one permit but eventually he had.3 permits because every inspection more work was being done that was not permitted. The property was almost a complete gut rehab. Due to the fact Mr. Destefino didn't have a Construction Supervisors License and not all the work was inspected. Giving him a final, would be deceiving anyone in the future,that may purchase the property that everything was done to code therefore he is required to have a licensed construction supervisor take responsibility for the project. . See Massachusetts amendments Definition of a HOMEOWNER page 273 See Attached pages 273 and 274 Mass amendments. C"7; 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com ON o t E over. No. �}`( o , over, Mass r COC H ICHE 7� O'YATED .Ap��`� _ S U -` ' DIT BOARD OF HEALTH P.ER MFood/Kitchen: _ Septic System ' BUILDING INSPECTOR— TH-I CERTIFIES THAT... :..: 'r....... - j ,. ........... .... ........ Fo tion has oeect. builermission tdings on „ y' ............ ........ ..........`.................... , .... -Rough to be occupied as. :�a ':.'... �'... ...... ... .... `' :.... ...:.:. 1( coney provided that the person accepting this permit shall in every resp, Oct conform to the terms of the application on file.in this office, and to the provisions.of the Codes and By-Laws relath )g,to the Inspection, Alteration and Construction of Fi - Buildings in the Town of North Andover. - - PT T Tk n r_vG SPECTER. VIOLATION.of the Zoning or Building Regulations,Voids this Perm,f.it. Roughk .d� `�' r,� f T Final- �2lo .,TERMI'T EXPIRES IN 3-MONTHS � °` ELECTRICAL INSPECTOR U-NLS CONSTR.UTC7 ,:SON STARTS - - Service.. ,....»...:..... ............................. ............. BUILDING INSPECTOR - 7-12 Occupancy Permit Required- tt Occupy $urie GAS INSPECTOR -. DisplayConspicuous in a Cons Place=on-thee Premises Do Not Remove Rough - P _ Final %_ 7/a//,__ or Dry Wall',. To Be Done - FIRE.DEPARTMENT --- --Until Inspected and Appraved by ' 'he Building 11Spector, - Burner C p ��. J _ Street No. ):f � SEE REV. Smoke Det. /-/Z FORTH O - .- Townndover .: _.0 ...... ._ ® dover, Mass.,— I- �r 19A 1Z Aocp? n wP'V � d � AYE D P BOARD OF HEALTH 'IRM IT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..... ...................................... ....... ....:--. .......................................................................................... ounoun has permission to erect........................................ buildings on ough to be occupied as........... /„���i ®� � /........... ' ' � '~..: ...!✓... .. `!....C eSt '�f ►....................... . ey provided that the person accepting this permit in every respect conform to the terms of the application on file in In this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of � �- Buildings in the Town-of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTf� UNLESS CONSTRUCTION ST TS ou � �'r3/t�, (%l�� .�t /�.`-`- Service BUILDING INSPECTORS--;� Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Q SEE REVERSE SIDE Smoke Det. ��� GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat,elec,etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girts-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations.required for Beams1LV12s Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 wl3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0'clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints,8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36"high, Baluster max space 4"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. NORTH ' ToVM of � , _ Andover g _ _ _ _- - LAKE o , � lover, Mass., PERM Co HIED PCK C2 ATED P "`s U BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR �*� b . 4 THISCERTIFIES THAT.......... .. ...........1....................................................... . ............................................................... Foundation ..c- els �.•� has permission to erect.......... .... ................ buildings on .. .............................. ugh A to be occupied as.� �/ ............ ......... . q �!.. ..... .... .�I!! ... ..... .... �.� provided that the person accepting this periit shall in every respect conform to the terms of the application on in p 1 / this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of �y�`' �� Y Buildings in*the Town of North Andover. PLUMBING INSPEC OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final • ELECTRICAL INSPECTOR UNLESS C`h'i @J S A RUCTIYJ Rough ........................ ..... ......... .. .. ...... ............ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. Smoke Det. SEE REVERSE SIDE 7-,3 -iZ GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipelstone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat,elec,etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations %"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations.required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent",soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints,8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36"high, Baluster max space 4"on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS i 780 CMR 110.115 LICENSING OF CONSTRUCTION SUPERVISORS (Note: 780 CMR 110.R5 is unique to Massachusetts) f 5.1 GENERAL 110.R5.1.1 Scope. The provisions of 780 CMR 110.R5 shall govern the licensing of construction I supervisors 110.R5.1.2 Definitions. Unless otherwise expressly stated in 780 CMR the following terms shall,for the purpose of 780 CMR 110.R5,have the meaning indicated in 780 CMR 110.R5.1.2. i BBRS. State Board of Building Regulations and Standards. j CONSTRUCTION SUPERVISOR. A person of good moral character who is deemed qualified by the BBRS to directly supervise persons engaged in the scope of work shown in Table 110.R5.1. Such term shall also apply to persons supervising themselves. Code Designation Note 1 Table 110.115.1 Construction Supervisor License(CSL) Scope of Work none CSL' a,b,c,d Construction,reconstruction,alteration,repair,removal,or demolition none CSL 1&2 Family b Construction,reconstruction,alteration,repair,removal,or demolition Dwellings Construction,reconstruction,alteration,repair,removal,or demolition of lA CSL Masonryb a,b,c,d masonry structures that require a permit. Not applicable for construction of masonry buildings CSL Roof Construction,reconstruction,alteration,repair,or removal of roof covering, RF Covering' a,b,c including repair and replacement of 25%of sheathing and 25%of sistering roof rafters CSL Window Construction,reconstruction,alteration,repair,or removal of doors, WS b a,b,c windows and siding including repair and replacement of damaged window and Siding or door framing <4'wide and up to 25%of sheathing CSL Solid Installation of solid fuel burning appliances but does not allow work on any SF Fuel-Burning a,b,c structural elements,including sheathing,with the exception of that required Appliance' for the installation of either the inlet or exhaust elements DM CSL Demolitionb a,b,c,d Demolition only. IC CSL Insulation ba,b,c Installation of insulation including repair and replacement of sheathing and siding necessary to access wall cavities b. Specialty License a. formerly known as"00 Unrestricted"CSL Note 1:Building Types and Structures a Buildings of any use group which contain less than 35,000 cubic feet 991 m' of enclosed space. b One-and two-family dwellings or any accessory building thereto irrespective of size. ic Building or structures foragricultural use. d Retaining walls less than ten feet in height at all points along the wall as measured from the base of the footing to the top of the wall. i I HEARINGS OFFICER The Hearings Officer is the person selected by the Department of Public Safety and approved by the Chair of the BBRS to carry out the disposition of complaints against licensed construction supervisors. HOMEOWNER Person(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is,oris intended to be,a one-ortwo-familydwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. LICENSED DESIGNEE. Any individual designated by the license holder to be present,in the absence of said license holder,during any of the periods stated in 780 CMR 110.R5.2.12. Such designee shall also hold a Construction Supervisor's License in the appropriate category(or better),but his name or license number need not be contained on the building permit application. 8/6/10 780 CMR-Eighth Edition-273 I i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS IIO.R5: continued RECOGNITION The approval by the BBRS of an application and related documents by one desirous of being licensed as a construction supervisor. 110.R5.1.3 Scope. 780 CMR I IO.R5 shall govern the testing and licensing of individuals who are found to possess the requisite qualifications to be licensed as a construction supervisor and to have charge or control of construction,reconstruction,alteration,repair,removal or demolition of certain buildings or structures or parts thereof,as identified. 110.R5.1.3.1.Individuals supervising persons engaged in construction,reconstruction,alteration,repair, removal or demolition involving any activity regulated by any provision of 780 CMR,shall be licensed in accordance with 780 CMR 110.R5. Individuals engaged in the supervision of the field erection of manufactured buildings in accordance with 780 CMR 110.R3, shall be licensed as construction supervisors. Exception. Any homeowner performing work for which.a building permit is required shall be 1 exempt from the licensing provisions of 780 CMR I I O.R5,provided that if a homeowner engages a person(s)for hire to do such work,then such homeowner shall act as supervisor. This exception shall not apply to the field erection ofa manufactured buildings constructed pursuant to 780 CMR 1 I O.R3. Note. Any Licensed Construction Supervisor who contracts to do work for a homeowner shall be responsible for performing said work in accordance with 780 CMR and manufacture's recommendations,as applicable,whether or not the licensed contractor secured the permit for said work. 110.R5.1.3.2 Exemptions. A construction supervisor's license is not required for: 1. construction of swimming pools,the erection of signs,the erection of tents; 2. projects which are subject to construction control pursuant to Chapter 1 of the International Building Code 2009 with Massachusetts Amendments(780 CMR 1.00); 3. agricultural buildings which are not open to the public or otherwise made available for public use; 4. registered design professionals provided such comply with the construction supervisor oversight requirements set forth in 780 CMR 110.R5 generally and 750 CMR I I O.R5.2.12,as applicable; 5. Massachusetts certified building officials,provided such certification is current and they comply with the oversight requirements of 780 CMR I IO.R5 generally and 780 CMR I IO.R5.2.12, as applicable. 6. the practice of any trade licensed by agencies of the commonwealth(see M.G.L.c. 112,§81R), provided that any such work is within the scope of said license including,but not limited to wiring, plumbing gas fitting,fire protection systems,pipefitting,HVAC and refrigeration equipment. 110.R5.1.3.3 Municipal Requirements. No municipality shall be prohibited from requiring a license for those individuals engaged in directly supervising persons engaged in construction,reconstruction, alteration, repair, removal or demolition in those categories of building and structures for which 780 CMR 110.R5 does not require a license. 110.R5.1.4 Administration and Enforcement. The BBRS shall administer and enforce the provisions of 780 CMR 110.R5. The BBRS or those designated by it shall administer examinations,under 780 CMR 110.R5, of persons desirous of being registered as qualified to receive a license as a constriction supervisor. 5.2 REGISTRATION AND LICENSING i 110.R5.2.1 Qualifications. A construction supervisor license candidate shall demonstrate that he or she has had at least three years of experience in their field. This experience must have been completed within the ten-year period prior to the date of application. Successful completion of certain educational programs may satisfy one to two years of required experience. In addition,all applicants are required to successfully pass an examination in order to receive a license. For a list of the pre exam qualifications access the examination application noted in 780 CMR 110.R5.2.2. Exception:An individual holding a current certification per the requirements of 780 CMR 110.R7 shall be allowed to submit an application for an unrestricted construction supervisor license without the need I for examination. 110.R5.2.2 Examinations. Examinations shall be held only by appointment. All exam applications must be filed in accordance with the construction supervisor license examination application found at i www.niass.gov/dps. 8/6/10 780 CMR-Eighth Edition-274 Permit Listin_ty Report . Date Range:Issued between 01/01/2012 And 05/16/2012 by Work Category Printed On:Wed May 16,2012 SQL Statement:Street No.like"303"AND Street like"HILLSIDE ROAD"and([Type of Permit]="Building") Work Category Address(Work Location) District Zoning Owner Proposed Use And Details Est.Cost Permit Type Permit No Online Permit No Permit Status Date Issued Contractor(Phone#) Work Description Fees Paid Check# Residential Alteratio 303 HILLSIDE ROAD DESTEFANO,Dan $20,000.00 Building 757-12 OPEN Apr-23-2012 DESTEFANO,Dan Kitchen Remodel,Vinyl Siding,Remodel Existing Bathroom and Add Bathroom, $240.00 1343 303 HILLSIDE ROAD DESTEFANO,Dan $20,000.00 Building 814-12 OPEN May-11-2012 DESTEFANO,Dan New Roof and Add Bathroom Upstairs $240.00 1352 Work Category(RESIDENTIAL ALTERATION)TOTALS: ESTIMATED COST: $40,000.00 NUMBER OF PERMITS: 2 FEES INVOICED: $480.00 FEES PAID: $480.00 BALANCE: $.00 GRAND TOTALS: ESTIMATED COST: $40,000.00 NUMBER OF PERMITS: 2 FEES INVOICED: $480.00 FEES PAID: $480.00 BALANCE: $.00 GeoTMS®2012 Des Lauriers Municipal Solutions,Inc. Page 1 of 1 Date 1.. :. ... .... ..... . HORTM of �` TOWN OF NORTH ANDOVER F 9 41 • PERMIT FOR GAS INSTALLATION SAC HUSE�S 4 This certifies that . . J� .���.`. :.0 . . . . . �.I ��. . . . . . . . . . . . . . has permission for gas installation . . . . .�. <.'.. ... :. . . . . . . . . . . . . in the buildings of . ! . . :.?!'. . . . .-. t. . . . . . . . . . . . . . . . . . . . . . . . . at . .�. . ��.! :. . . . . . . . . . . . . . . .. North Andover, Mass. Fee. �.`:. .. . . Lic. No. ?�V. . . . . . . . . . GASINSPECTOR Check# 3 � _ ' qj� MASSA TTSUtfIFAPP CATOIY FOR PERMIT TO DO GAS FITTING or print) PARCEL L f -,Date NORTH ANDD Building Locations Permit# Amount S Owner's Name �0h �Qy6 n e—r New❑ Renovation ❑ Replacement Ey Plans Submitted ❑ rn L y '7W z Z L ( z z '� i Z -t z >UB- BASE rt EN "r ASE .M ENT ST. FLUOR ND . FLOOR 3 R 0 . F L U U R .frit . FLOG R S T II . F L U O R 6 r 11 . F L O U R 7'r U . FLU O R 8'r it . FLOU R (Print or type) Check Certificate Installing Company Name Andoypr P1 hg R Htg ('n- T nr Corp. 2122 Address 20 Aegean Dr. Uni t #10 ❑ Partner. MPthiiPn, Ma f11A44 Business Telephone (9789 686_8888 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter George LaRose INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes,please in ate the type coverage by checking the appropriate box. 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner F-1Agent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State G Code and Chapte 2 General Laws. Bv: gnature of ensed Plumber Or Gas Fitter 1212, Tide Plumber � ` City/Town F-1 Baas Fitter License i umoer tivlaster APPROVED(oFi u-t)se()Ni.v ❑ Journeyman f Date.. . . .. .. ... . . .. ..... . Of NORTH Y, �` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION r t SSACMUSEt This certifies that . .`. .`. . . .`. . . . . . : . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .-r . !. ... . . . . . . . . . . . . . in the buildings of . . ... . . . . at . . . . :. . . . . . . . . .. .�. . . . . . . . . . . . . . . . . .. North Andover, Mass. Lic. No.. .:' . . . . . . . GAS INSPECTOR Check# . J , 5 ., M rnv�e ASSACHUSETTS nt TFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) Date o15' 100� NORTH ANDOVER, MASSACHUSETTS Building Locations 303 N'r1\sides Permit Amount S Owner's Name 'Dorg1 Gac-de rye` New❑ Renovation ❑ Replacement Plans Submitted ❑ n n „ _Z — vi tn z J J z z m zcn Cn 7:�V, E r R .\ SE .N E77-r 1 S T. F L 0 O R 2:N D . F L 0 0 R 3 R D . F L 0 0 R +Tit . FLo0 R 5 T 5 F L 0 U R 6 T It F L 00 R 7'r 11 FLOG It 3'r [I FLOOR (Print or type) Check one: Certificate Installing ame Andover Plbg. & Htg. Co. , Inc. pany Corp.C �' N2122 Address 20 Aegean Or. Unit-10 ❑ Parmer. Methuen, MA. 01344 Business Telephone 978 6859-8383 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter George LaRose INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑� No❑ Ifvou have checked ves, please indicate the type coverage by checking the appropriate box. Liabiiiry 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 I42 of the ivlass.General Laws.and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Aoent ❑ I hereby certifv that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertormed u der Permit Issued For this application will be in compliance with all pertinent provisions ofthe Massachusetts State Gas Cod nd Chapter 1.2 of the General Laws. L �gnature of Licc:ns Plumber Or Gas Fitter Plumberwn ss Fitter Icense IvumoervIas[er O'v�EDIol:ric::USF')NI.Y, ❑ Journe:man 3�3 ��Location �--� 5�D F— No. Date �� 6.4 NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�cMus Other Permit Fee $ '~ Sewer Connection Fee $ a Water Connection Fee $ TOTAL $ Building Inspector 7663 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION 303 .� Lt �'�O� `p'` PURPOSE OF BUILDING OWNER'S NAME_? /1 /� NO. OF STORIES SIZE OWNER'S ADDRESS /r�r �d� � BASEMENT OR SLAB/ AR�_HITECT'S NAME 4114 O' �7 SIZE OF FLOOR TIMBERS /1IST•7(� I 2ND 3RD BUILDER'S NAME _ �j fr SPAN DISTANCE TO NEAREST BUILAfAG /Y� zz, ell DIMENSIONS OF SILLS DISTANCE FROM STREET UU "" POSTS DISTANCE FROM LOT LINES-SIDES REAR "" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW /Ji�,.,��r/ SIZE OF FOOTING X IS BUILDING ADDITION J5 MATERIAL OF CHIMNEY IS BUILDING ALTERATION C� 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 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED-BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR/ DATE FILED l r-� 1,?4 BUILDING INSP[CT'OR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E .* OWNER TEL.# PERMIT GRANTED /� CONTR.TEL.a 19 T CONTR.LIC.N. H.I.C.A BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S.-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 1 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE SL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ ORY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/. 1/1 '/. FIN. ATTIC AREA _ N_O 8 MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I--� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 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 n 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &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 GAS IL O B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING Town of over 1`lorth Andover, Mass., l�0 19 `9v ' BOARD OF HEALTH "'BUILD 1 j�. PERMIT TO Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... �.. GoADFd'1E ............................. . .................................................................... Foundation has permission to erect.�+lXao.� .... i1!�.... buildings on ...303...... ��I�1QE... ..................................... Rough ,.... . x Z �a SIJO Q Chimney to be occupied as... .... .. ....................... ...............V- ....S.k� ............... . L .......................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PEIW.[ �^ [:'-�'A 1 ,S it, () �[�,91 � J I I` ELECTRICAL INSPECTOR UNLESS CO is l I?.l l _-, Fj( j ,I Rough .... ............... ............ ...... .. Service BUILDING INSP OR Final Occupancy Pe7"In1t Regtw-e(l to O cilpy Bi/1ldbl!.) GAS INSPECTOR Display in a Conspicuous Place-on--the- laceonthe Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 74,3 .. Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print ) DATE J O B LO CAT I 0N Number Street Address Section of town "HOME0t-7NER" ///`7`- C7i�2/1�QFi�. �5 .' � 7 6 Name Home Phone Work Phone P'.;ESMAILING ADDRESS� 9 �i4//7 �T City/Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor.. (State Building Code , Section 109 . 1 . 1 ) DEFINITION OF HOMEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to -reside , on which there is , or is intended to be , a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a twu-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109 . 1 . 1 ) h undersigned "homeowner" assumes responsibility for compliance with the State Luilding Code and other applicable codes , by-laws , rules and regulations . 'Ile undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements . ill, "'L31."l"ER' S S I G N A T U R E &�,:! X��4 -`. PROVAL OF BUILDING OFFICIAL :•got` : Three family dwellings 35 , 000 cubic feet , or larger , will be required to comply with State Building Code Section 127 .0 , Construction Control . i ' Date. . . . . . .-. . r. . . NORTH TOWN OF NO� (ANDOVER Of t,�co �"gti0 v FOS e° •e �OA PERMITrEOR S INSTALLATION �o •�; X992 1 �9SSACHUSEt N This certifies that!•/. . 1.C". •RraO� : i%.!. .'... J has permission for gas installation .7. . . . in the buildings'of . '. .'f-: . . . �`�:,`t1 ,4 . . . . . . . . . . . . . . . at ._�, �'. f_ .. .F'. . . . . . .. North Andover, Mass. Fee. 7 Lic. No<'. �.'.�. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' • 4' -i 5'/ 2 GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File r ' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING „ (Print or Type) No. Andover Mass. Date .Tan.6 1992 Permit# r~n� Building Location 303 Hillside Rd Owner's Name Lucy Gardner l�- y No. Andovert Ma Type of Occupancy Residence New ❑ Renovation ❑ Replacement L�5 Plans Submitted: Yes❑ No ❑ N N wrA Y z s v( N N U N Q (!) 2 O N S H w W N ¢ O V 0 f' ¢ z O t2.1 f.. Q Y� z ? O W 4 ¢ O O H Q m N H W W O0. W Q H � Q (A R W 2 U W = N W Q Cc Or O F W W W N Q Gcc 0 z j P z W W O O > u. H W J W z Q W W 7 Z Q Q Q Q O O W5 O w F ¢ '2 O t7 2 u. 3 D 0 J U ¢ > G a F- O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RDFLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Mercier Plumbing & Heating CO.Chrone: Certificate Address 77 Maple Street Corporation Danvers Ma. ❑ Partnership Business Telephone 774-0295 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Roulfe L. Andrews INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No 0 If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. . Check one: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted( ntered)in a applicat' n are trujond a ate to the est of my knowledge and that all plumbing work and installations performed u r the permit issu for IN pplicatio ill b complia a with all pertinent provisions of the Massachusetts State Gas Code and Chap r 142 of the Ge I Law By T;Journeyman of License: Plumber ignatur cen lu r as iter Title Gasfitter 9 44 Master Lice Number City/Town City/Town 1 S L BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO OASFITTING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 19 GAS INSPECTOR PEA1411 NO. _ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 I MAP NO. LOT NO. 12 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. I - LOCATION *30 1 &114_ y1_ PURPOSE OF BUILDING 5 OWNER'S NAME � � , - : ( tel• NO. OF STORIES d SIZE OWNER'S ADDRESS 36 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 217yb, I 3RD BUILDER'S NAME �' / _ �, - /� i�'t-L - SPAN CSC/ DISTANCE TO NEAREST BUILDING ISI _r '' DIMENSIONS OF SILLS (tMyiv-�a"L. �.. J�lef (.-w_�. c� /' !9 (F•�.N Yl J6-as... DISTANCE FROM STREET /. l POSTS DISTANCE FROM LOT LINES—SIDES (k �('-' REAR " " GIRDERS I f AREA OF LOT [f (i FRONTAGE HEIGHT OF FOUNDATION •�+��� THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION �J1 A / / MATERIAL OF CHIMNEY J� IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED>h< WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 14— IS BUILDING CO'N''NEECD T,O !TE -TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING COqury ACTED TO TOWN SEWER IS BUILDI X G CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 7 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNA F O ` ER OR AUTHORIZED AGENT FEE 4d PLANNING BOARD PERMIT GRANTED�Kizp�r- 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY r�F' THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY FICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d. 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 '/Z 1/1 FIN. ATTIC AREA _ NO B'M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME _ �_ BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. _ STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR 11 ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT I 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 II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R-OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7, NO, bF ROOMS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING t L I� 6-7- AM = I i i I� II i 1 - i { 7 } { i - ` �� lye-// / f 1�r' �7•F-� �ly jr:� l I 7- � I` __ Zen