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Miscellaneous - 324 BERRY STREET 4/30/2018 (2)
324 BERRY STREET 210/108.C-0014-0000.0 J I I I I } r1 Location No. /j ' �� Date N°"T" 41 TOWN OF NORTH ANDOVER 3? • • OL p Certificate of Occupancy $ Building/Frame Permit Fee $ S SSAC U t� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ate+:, 19g� Building Inspector ©� �ww�" Div. Public Works PERXI(TT NO.�D f APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE — ZONE — SUB DIV. LOT NO. GCIZeb O F I LOCATION a S PURPOSE OF BUILDING ZCLjo OWNER'S NAME Fol wa rJ C il; NO. OF STORIES 1 SIZE jo, O-t"Q,5O Y1 S koL f e- OWNER'S ADDRESS 3a a 14 /1 �r,� rt BASEMENT OR SLAB ARCHITECT'S NAME lX •7i SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME OyGI WOCd �GIDOS E ZiT F�nCe SPAN -- DISTANCE TO NEAREST BUILDINGhw®V. DIMENSIONS OF SILLS - --- DISTANCE FROM STREET Aerro.r 16D i POSTS DISTANCE FROM LOT LINES —SIDES C1S i REAR �.SO " " GIRDERS AREA OF LOT / /1 Acre FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Yes SIZE OF FOOTING 9 i X 41► SanG`fi,,,,eS S BUILDING ADDITION MATERIAL OF CHIMNEY J IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE OF APes IS BUILDING CONNECTED TO TOWN WATER O BOARD PEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER V IS BUILDING CONNECTED TO NATURAL GAS LINE n INSTRUCTIONS 3 PROPERTY INFORMATION /-//�� //yp _ �pI 'ND COST SEE BOTH SIDES it PA� F, - 6 6A 2 0 vv �O "� ��� ��,v��" PA / J J/�}✓'J EST. BLDG. COST �y 7� vJ PAGE 1 FILL OUT SECTIONS 1 - 3 K�d Com- V S �/ EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P�.ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ✓DA FILED 3 a6 - c I ex ( BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE /5- PLANNING BOARD PERMIT GRANTED OWNER TEL.# G%6-693-5' :.-27 CONTR.TEL.# CONTR.LIC.# BOARD OF SELECTMEN MAR 2 6 BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY —i-OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE ' HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/ 1/1 3/, 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 HARDIIJ D ASBESTOS SIDING COMI.ACN VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK N MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR Il ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3BATH (3 FIX) GAMBREL MANSARD TOILET RM. (2 FIX.( _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 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 OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING � f .r t w • n , rr b • t UkeIPoydwoodT" gabebo loy Uh,Took Specifications ■ Four sizes 9', 11', 13', 15' ■ Number 1 grade pressure-treated southern pine j ■ Parquet flooring ■ Built-in step ■ Archway entrance ■ Choice of two decorative side rails ■ Cedar roof shingles with slat construction ` ■ Vented cedar top cupola OPTIONS i ■ Built in benches ■ Screening package ■ Copper top cupola ■ Concealed electric wiring provision SITE PREPARATION_ ■ Accessible area ■ Level base t ■ Site work and materials not supplied DELIVERY �Ine I�oya�woodTM C�a�el�o - a Irael�ya�cd netiteat ■ Fully assembled and delivered to your prepared We invite you to experience the pleasure of view- site ing and enjoying our magnificent display of Gazebos ■ Leveled and secured and then . . . we are certain you will be convinced ■ Immediate use of the unique pleasure a Gazebo will bring to you. WORKMANSHIP ■ Handcrafted elegance UkeImo dwoodTM ■ Maintenance free construction C. O. M. � A. N. Y. a division of DISTRIBUTOR . . Rte. 53, Norwell, MA 1-800-972-53BO Rte. 1, Peabody, MA 1-800-542-1075 Gazebos and Out Buildings EX I Rte. 28, Hyannis, MA 1-800-5.42-89v0 V 617 878 2�91�6.W0�� Expert Fence Co. 03/15/91 11: 11 P03 � ,.t,����i�"rwlTl�.�!1�U.,���..��. .irr...'��,•�C�;ltkt� ISMS • - g.,,7.C�' f yyelynington !;f. CUSTOMER''5 NNAME I'. O. Box 800 ref L-:3--/�V?_J A r4or'WFII, MA 02061 SALESMAN a) • — - - 617 7e0 0300 TEL. NO (y S T `F r^ � 7U280 IynnuuUlt Rodtl DATE. '. 5�Rln. 20 EdV _ CITY ANU (A( L'. NO. Hyannis. MA 0260{ ERECrSOY-771.7062 C)ELJVER�---. NT • )ATE207 Newbury St. — TND- P.O. NU DATEPeabody, MA 01960PICK ur ❑ 61046 508 53.ri•.5A(1.1 SPECIALS 1. MATERIAL TERMS BILL: -- NAME 2. LABOR _ TEL. S. 07HFR CHARGES r.� 'r— INSTALLMENT F1 AD(.1RESS— __ NO. • • G.���� �j 1 STATE _— ZIP ! Z3.`�� C.O.D. CITY . —_ 5 SALES TAX SALES CATEGORY ngr,m -2406, � M.ofw E. V� SHOWROOM. COMMERCIAL pF, ❑ DISrn(;IvT 1. POSIT V /O V CC7NTRACTr $. HALANCE C.O.D. ( ��%"`..'.'� __ OUTSIDE Rh`y ❑ jR ❑ OTHER El FABRIC i -- ❑B ❑K _. -- -- SCREEN LINT POSTS LINE _.. _r—.... PICKET Q, ' �1 TOPS. RAIL -- RAILS -- — a -- - POSTS TERM L — TERMINAL GATES — CAP$ TENSION ---"" - PASTS BANDS TENSION _ ❑PT BARS ..._ -----= ---- -- ❑REGULAIi _ - RAIL - CUPS RAIL OTHER END -- BANDS SLEEVES —- IT IS AGKF:ED AND UNDERSTOOD BY BOTH PARTIES THAT ALL —_ _— PAYMENTS ARE DUE AND PAYABLE UPON COMPLETION OF eARB.W ARMS WORK OR RECEIPT OF MATERIAL, THE CUSTOMER AGREES BARB.vVIRE TO PAY EkPERT FENCE A LATE .OH t�ELINOUENCY TRUSSRODS _ CHARGE OF 18% PER ANNUM PRO RATA ON ALI. LATE PAY- - -- -- -""' MENTS AND FURTHER AGREES TO PAY IN ADDITION, Al-L ABOVE SUFIS IN DEFAULT, IF PLACID WITH AN ATTORNEY ' FOR C()LLECTION, ALL COSTS, EXPENSES AND REASONABLE MATESATTORNEY FEES. o0 TTO GF .+ PR4Y1S10NS AN I (WEI THE UNOFRSIGNED HEREBYCERTIFY,THATALL GOODS — AND SERVICLS SOLO TO ME HAVE BEEN FURNISHED AND TIE WIRES I PERFORMED COMPLETELY IN ACCORDANCE WITH THE TERMS MISC. FITT. S ATTACH OF YHE CONTRACT. KINDLY ENTER MY CONTR CT AS SET FORTH ABOVE _ IN THE AMOUNT OF ZCC'L L ..__.. - - DATE�' -- - SIGNATURE 9 Z ov l - 1 r r � f �. 1 r V0 E H11 H,14 91 M P. TAOR Town of 6 n over No. o 'm " . WI Jon ,HiVEWHEWIC K AY ENTRY PERMIT er, Mass.,�a'�cA 1901/ C A? ? PERMSSA IT BOARD OF HEALTH THIS CERTIFIES THAT.AF WAO!kf; . ......00%7. CW'i ................................ 0.4 J.A.ft 40- BUILDING INSPECTOR has permission to erect 0 .... buildings on ..... ...... ........ Rough to be occupied as/jQ-.jP ...6.A.7'.4.4.4p... Lot Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONST TION STARTS Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Promises. FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approyed b' y Srhoke bet. Building Inspector J. __j Location_ �el � .S No. Date `P a9 NORTp TOWN OF NORTH ANDOVER O s }�o Certificate of Occupancy $ CMUSE<�' Building/Frame Permit Fee $ 2� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: D IMPORTANT:Applicant must complete all items on this page LOCATION (3tfi-A. PtD P" t PROPERTY OWNERS I Print MAP NO: Of PARCEL: ZONING DISTRICT: Historic Districtyes no !Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: / J -r�S c,^-�hone: D�-S�f Address: 5�- C/L4 &'Opucq t-stz� Supervisor's Construction License: q5?6*7 Exp. Date: !2/ ZO Home Improvement License: V 9� Exp. Date: �( ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ I�.(,rj() , CIO FEE: $ c '� Check No.: Receipt No.: ;�2&Ke NOTE: Persons contracting with unregistered contractors not have access to the uaranty fund Signature of Agent/Owner t gnature of contracto Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS NORTH Tomm oft 4 over . No. / _ _ C% dover, Mass., 0 LA E COCHICHEWICK 0RATE D C7 S E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ..............eV...................... ................................. ........................................................................... Foundation has permission to erect........................................ buildings on .._?,o(........ . .... ...........&. ... . fs & - ....................................... Rough Chimney tobe Occupied as.... ..... ....................................................... ......................................................... Z/- i ting i Final provided that the pe pis permit shall in every respect conform to the terms of the application on file 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 7-01 - PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUfaN STARTS Rough de2 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. Burner Street No. Smoke Det. IF SEE REVERSE SIDE 11 NpRT#q And over . Town of 0 No. - �, dover, Mass., / • l '6 o 2COCHICHEWICK 0RATEO I V A '9S BOARD OF HEALTH . Food/Kitchen PERMIT D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT ' ..............��...............� ........�..........,........................................................................................ Foundation has permission to erect........................................ buildings on ..//��..?A?�.�(......,4„]..//�� ................ Rough �....�................... g to be occupied as...... ... . -T ���- J L�7 Chimney ................................................. ...:................................................................ provided that the pars acceptingYl:s 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 24 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N STARTS Rough �. a�................................................. 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. Burner Street No. SEE REVERSE SIDE J1 Smoke Det. Q R JEWAL BY ANDERSEN HIC License# (expires 1/24/10 Renewal N Fedderaecall T Tax ID#B3-04042011 byAndersen. WINDGIN REPLACEMENT mAr.&mcMTw OF GREATER MASSACHUSETTS AND NEW HAMPSHIRE 104 Otis Street•Northborough,MA 01532 Phone 508.919.0900•Fax 508.919.0903 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyerlsl NameDate of Agreement Buyer(s)Street Address,City,State,and Zip Code 3� 63�rr Sfi /U A.4uvu NIA 0i8Y E-Mail Address Home Telephone Number Work Telephone Number "e-J -77 683 rcia,i 9?8 696 Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of J&L Windows,Inc.dba Renewal by Andersen of Greater Massachusetts and New Hampshire("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Method of Pymnt:U Cash heck Ll Mastercard ❑VISA Total Job Amount: 000 Estimated Starting Date: -- ❑Discover ❑Financed,App#: Deposit Received(33%): V r r;a Name on Credit Card: ` Balance at Start of Job(33%)j0-!-(—), of Estimated Completion Date: Credit Card#: (f\/V Balance on Substantial Completion of Job(33/a): �, rj11 CC Security Code: By initialing here,you acknowledge that the Balance at Start of Job and thebalance on Substantial Completion Buyer Initials of Job cannot be made by credit card and must be made by personal check,bank check,or cash. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. RenAb' dersen of Greater MA and NH Buyers) B er( By: e of Product Manager Signature Signature Print Name of r, 't Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - X NOTICE OF CANCELLATION NOTICE OF C N ELATION , Date of Transaction .You may cancel I Date of Transaction .You may cancel this transaction,without n ty or obligation,within I this transaction without any penalty or obligation,within three business days from the above date.If you cancel,any I three business days from the above date.If you cancel,any roperty traded in,any payments made by you under the property traded in,any payments made by you under the tontract of Sale,and any,negotiable instrument executed I Contract of Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt I by you will be returned within 10 days following receipt by the Seller of your cancellation notice,and any security I by the Seller of your cancellation notice,and any security interest arising out of.the transaction will be canceled. I interest arising out of the transaction will be canceled. If you cancel,you must make available to the Seller atI If you cancel, you must make available to the Seller at your residence, in substantially as good condition as your residence, in substantially as good condition as when received, any goods delivered to you under this I when received, any goods delivered to you under this Contract or Sale;or you may,ifou wish,comply with the I Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the retum shipment of instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk.If You do make X the goods at the Seller's expense and risk.If you do make the goods available to the Seller and the Seller does not the goods available to the Seller and the Seller does not pick them up within 20 days of the date of our Notice i pick them up within 20 days of the date of our Notice of Cancellation,you may retain or dispose of the goods of Cancellation,you may retain or dispose o the goods without an yy further obligation. If you fail to make the I without any further obligation. If you fail to make the goods avaifable to the Seller,or if you agree to return the I goods available to the Seiler,or if you agree to return the goods to the Seller and fail to do so,then you remain liable Igoods to the Seller and fail to do so,then you remain liable for performance of all obligations under the Contract. I for performance of all obligations under the Contract. To cancel this transaction, mail or deliver a signed and To cancel this transaction, mad or deliver a signed and dated copy of this cancellation notice or any other written I dated copy of this cancellation notice or any other written notice, or send a telegram to Renewal by Andersen I notice, or send a telegram to Renewal by Andersen 04 of Greater Mass chu tts and New Hampshire, 104 1 of Greater Massachu efts and New Hamps R TFIAN Otis Street,No MA 01532,NOT LATER THAN Otis Street,Nortlrborou h,MA 01532,NOT LATER MIDNIGHT OF .(Date) MIDNIGHT OF •(Date) I HEREBY CANCEL 714ISYRANSACTION. X I HEREBY CANCEL THIS TRANSACTION. I Consumer's Signature pore I, Consumer's signature Date RbA Copy- White Customer Copy-Yellow Customer Copy-Pink MA HIC License#149601(expires 1/24/10) RenewalRENEWAL BY ANDERSEN Federal Tax lD# 83-0404201 b'Andersen. OF GREATER MASSACHUSETTS AND NEW HAMPSHIRE WINDOW REPLACEMENT –Ak,C--P" 104 Otis Street•Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 508.919.0903 SPECIFICATION SHEEP Buyer(s)Name Date of Agreeme*.accordn The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,iniththe prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(DB) ❑ Equal sash ❑ Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.1/3 bottom) Casement(CW) ❑ Hinge right ❑ Hinge left(as viewed from exterior): ❑ Standard handle ❑ Metro handle Double Casement(CDW) ❑ Standard handle ❑ Metro handle Casement/Picture/Casement(CPW) ❑ 1:1:1 or ❑ 1:2:1 ❑ Standard handle ❑ Metro handle 2 Lite Gliding Window(GW) Glider/Picture/Glider(GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window Patio Doors(see separate Door Specification Sheet) 2. ( Yes ❑ No Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes �No Qty of Sills to be replaced by Contractor: 4. El Yes No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings) Exterior casings: ❑ Pine ❑ Maintenance-free materia Factory applied 908 Fibrex brickmold 5. Glazing to be: [RHP Low-E®SmartSunTM (TaxG1V&t9f901e) ❑ Other If other,please specify: 6. Exterior color to be:f�=VhiteE] te an anvas ❑Terratone❑ Cocoa Bean 7. Interior color to be: Sand ❑ Canvas ❑Terratone EJ Pine E] Maple❑ Oak Note: Interior c ly be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware: ❑ White Ston ❑ Canvas ❑ Brass Double Hung: 9. ❑ Yes No Install Lifts i Double Hung Windows 10. Scree s: No to have: ❑ Half or Full screens Screens to be: Fiberglass E] Aluminum ❑TruScene a I'm izd RILLS DEFAIIS 11.Windows have;rilles:A grilles: Yes EJNo If yes:❑ Grille Between Glass(GBG)❑ Removable Interior Wood ptsrw)❑ Full Divided Light gm) Qty, Qty. Qty: Qty: Qty Qty: Qty: DH DH m1pictue Glider CPW or G Draw grille patterns above Use additional sheet if needed Owner approved(initials): ADDITIONAL WORK DETAILS 12.❑ Yes X No Contractor will remove metal frames of windows. Qty of Units: 13.❑ Yes No Contractor will install new paint ready or stain-ready casings. Inte)ttttttor casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance-free material 14.❑ Yes No Contractor-11 install new paint-ready or stain-ready inside or outside stops qty of openings: In or stops qty of openings: Exterior stops of openings: ❑ Pine ❑ Maintenance-free material 15. Owner is aware that Contractor does not do any painting. Owner Initials 16�..a ❑ No Contractor will wrap exterior casings with aluminu coil stock of f�1�..� color. / Note: Wrapping may be required with storm window removal;removal of storm wmdows will leave screw holes in casing. v 17 Yes ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18. Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19. Yes ❑ No BuildingPermit—Contractor will secure any and all necessary permits. The fee for the permit(s)is not included in the Contract In and se rate ch is r ui at t e time o ale for th ee. 20. Additional job details: r U � ` 21. Yes ❑ No Owner agrees to be present i the final day of ins lation for final inspection and to deliver final payment. NoYina/ No shdll be demanded until the contract is completed to the satisfaction of all parties. It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AG ,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the a This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are . Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. in writing an s the Buyer(s)and Contractor Renewal by de Greater MA and NH Buer(s) Buyer((ss)) D 42 t, �s By: / S' of uct ag Signature /. S' Print Name of Product Manager Print Name Print Name RbA Copy- White Customer Copy-Yellow The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 uq� www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Colitralctors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): Wene.JuJ �B v Nl1 rel E1'S e Yl Address: /0J/ are,- City/State/Zip: NDir�,bboj-o , A4 Phone Are you an employer?Check the appropriate box: Type of project (required): 1.&I ama employer with JC) 4. []'.1 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 t emodeling 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 ate a corporation and its t - officers have exercised their 10. Electrical repairs or additions required.] . 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.❑Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp.insurance required.] *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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that isproviding workers'compensation insurance for my employees. Below.is thepolicy and job site information. J� Insurance Company Name: �,1 l f/C f)e_o M-- l f'I ✓G 1'1 C�' Policy#or.Self-ins.Lie.#: W � �'1```f ,L- Expiration Date: Job Site Address: G Ciry/State/Zip:/ y „ �(/y '� 'J- Attach a Copy of the workers'compensation olicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up-to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer Lner tJie pains and penalties,of perjury that the information provided above is tr a and correct: Signature: Date: �� Phone#• i� ,�U�� 71 Official use only. ho not write in this area,to be completed by city or town offcciaL 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#: � i •�`�" _:� i-'-°� �'�anamwnu�...zlNo n�'�',�s�^".�tcc�.,u:: � � . ia Board of Euildin;P.:g ilstns snd <tn rdsrds I . ' � . • ��,g . �cns�r�c.icn.Supe�i'iscr;_icsr.��•.: ,„. �• .. '. i G Licopt; CS -957/07 !. •: — �_—_ _,��_�.' � 970! ! _u"zrrcti /ii]?Q1 p i�- B.R A14 86 ME57 CIRCLE VdOr?G_�I=r�.,IJAOioO '.� Commi.sion.r L[� 1(II�L LY�, !OL � GSON DL 1MSOt� fin= OT:ES STREET .,,'b tHBOFOUGH, MA-0.1532 . ' cis-ca.� �, sor�•�r;-=cs;:o . . ' Board of;uildi>:g R_dnlaiions<rd Standards �-r HOME IM]ROVVENT CONTRACTOR rr. �i�'31��at1i13'e; I^3001 ioff IW20104 =Bt !sn_ Card . =NEV/V.=,1-Y kl�iD=SSG!; BRIAN DEN NIaOt� lr 1 ns 0?IS ST?. NORTHBO?OUGH,Nu�.01832' ` zdministra for • f ` , s 3 cr' �3.� �-u'�• E r :+� d �i a g R E° "baa 5 1 9A�!C°..�Jm` zza /21 0 Cie �--AM�DON 'OHL- `a ! '' :SGL � _ " l ! 1 �, ltiiCn20i3� I�I�ur;,•C:, C. ! .I'd.`�. •�.S~N - �� �ME vgg ppp F� ' Ann A�uU�� Ml AQ105-0:,v �. v. IiFvv L((.f e..S9i.+"a.N;'°4w'P� 2" a �`:"W�4.£•,E9m R°a �.0 =nSwal by Anderson I INSURER A: ;L f'!f insu�mczv Comnnc--v :Vt(1do"ma, Inc. 104 l7Ua v{ CCe .. ^-^„ F ^a^^7 15 T9r4 lI I,gVl i.VSl7� IUIFi Jl✓.:� IINSUR_R D: COVEPAGES LIP , E rOUCIES A2 INSJr',ANCE UST=D?__'OW'HAVE�E_!�I;-SUED 70 THE INSU'r,=D€v Sv.O AB;1r�FO?i r'c POLICY r'=1'I^L'!N.D!CnTcD..tdC i r/U17F5TnfdDIfJD Y.REQUlP.EPdEN i'fu1 CR CEIWCI i!O OF ANY CDN i?,ACi OR 6TrE i ROCU—Io 1Nf7'r. RESr='nr.T 7p 111fc'ICH-I H! CEYT!FICATE f�tAY = E:" i N PERTAIN,i i.i!dSURAPlC=Am0'r,DE� BY Ti=POLICIES D^SCRIB_D HERE!N IS-UeJECT 70 ALL T._TERfLS,EXCLUSIONS-Ak10 CuND1Ti0f1! OF aUDC'.P ' AGG?==;TE LIPAMS SHOWN h y -E-`sRAC , :iAVc _d R_DUCPD 3 PAID CLANZ. r !'? Iu:aDI -1:tkeURrPf,C- I PvLi-YPJF'am_R �.• GENERELLJ"DILl,i o'"L'rtr'507 404 -09/07,120,09 019/07/2 010 I=lc}IDCCu 'n_N cc- n C,')MLS RCIALJNERALLY+E!L,YI D_niv�!"I07M,- CL ilF.'S MADE n C.^CUR MED E,P(Ane cro Derson) P-ee?SONAL'ADV INJURY I.G°N'c?,A!ASR= T_ I s 2.000.Q0o. Awnsi-L1MfiA??LI=S PRCCUCTS•C,^.iiPly?AGGI 1000.000 S' S POLICY 7',_,� !CO I IAlBiD_�SR�LI�°_lLi. '2 �^ e ✓v vv ftL 3�0 101011')00 1°.7�nJ I��� CC EIN:]SIN:'.=LIMIT i ANE AUTD n ALL OWN--D AUT CS ` ; .fRYSi-=DUL:D AT^5 'Per p_z-1) a , AUT+(.$ ?ODIL Y INJURY 5 'r.'Cfi;-0's1IF!cD (Pw z�nq I� f ZR0P=_-.'TY Y DAMA.Gc j(CARAGc'I''.^_7JZ I I ALt CCI OCN!Y,cAAD'cA(T I S I �At fY AUTD 1 � _ CA n"...�S GTH:E 1LWI AUTD CNLY: I S AGO Cr_-_uR CLAUS MADE I A _ 5 i GF-OAT 'a IS G_DUC;1E1° F.Tcid ON I I S y I 1-o�YLIr.�; 10TH- _5 E0tP 1 A ' l' 1 i1%00= esd11 i12; 1 I ANY R&RIST,CP�� iiE'l-:_CUTItiS A I e L.?ACM A=IDERT p 1C_°Jh=uEE='e%CLUCED?. It yes.tl=---m.»�er O1 D'-SASE-EA._MPLOYE= SPECIAL PP,DlRSfO!;b ' O L ° I- D' AS-.•C^LICY LIMIT I - D�lmoh,DP - s L�.A' d _ 4DW. 1 Dt /L ._�S I .!'l^-P!-5 cr o ea,F.�>ecu-n+,-se. , ?=iSiONS ' F t e ,[ ELL2 PAIY 5M:f °CLe p= `!_D ORE ElPf.-ui,C,%I C:."j-,R :,cel 10 _ dnomem—,f, q!I F L�- t I -`:d�C_.`d �:i•r a=,i��C'r P',v=--•. .�:�C._+ a.� al - _ _ 7 I ° •+,re v •'AGF. ,'+.W;rR'_t1;_1;.`?'Ct:.F.". 1 Da; ITS n-.Cc3u:'S f! tl � A e - i tl �:,!•;t'.GF.=e=r:P 3�E.ii�'iT•r-e 1 ��.f h t " '�.. _3 F P .. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Location�� No. J O5� Date NORTM TOWN OF NORTH ANDOVER 0 • O9 t Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�CMust 9 Foundation Permit Fee $ f Other Permit Fee $ TOTAL $ Check , o 19 . aI Building inspector TOWN OF NORTH ANDOVER V►ORTii APPLICATION FOR PLAN EXAMINATION Permit NO:.-,, v, Date Received ^�/ ' 4, Date Issued: "� '3►7�°R+*.°��"�.c'� SSACHU IMPORTANT:Applicant must complete all items on this page LOCATION -12-4 bS cy- l S Print PROPERTY OWNER �Q=a1 i Print MAP NO.: 1 L PARCEL: ZONING DISTRICT: e-2- TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑ Addition ❑Two or more'family 0 Industrial C.9Alteration No.of units: ❑ Repair, replacement 0 Assessory Bldg 0 Commercial ❑ Demolition ❑ Moving relocation ❑Other ❑ Others: 0 Foundation only DESCRIPTION OF WORK``TO BE PREFORMED k i�C�:� lie.vKc3U GK.uk Identification Please Type or Print Clearly) OWNER: Name: C--,,V,, 1 OCA Phone: q-z Lo l-3 iq Z Address: 7�z4 CONTRACTOR Name: Tic amxim, A. \"t3 Phone: <!'U--42-3-143? Address: �Z o I, Vx �1��.Q_ 12�A. U,�z� A LSA, v�-�c. . • Supervisor's Construction License: C'J Exp. Date: 31 Zk l oS� Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ FEE:$ o,-S/ --- Check No.:�a�o"��' Receipt No.: Page 1 of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ F1Tanning/Massage/Body Art ❑ g Public Sewer Well 11Tobacco Sales ❑ Food Packaging/Sales El Permanent Dumpster on Site ❑ Private(septic tank,etc. El Permanent Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund Signature of Agent/Owner Signature of contractor, Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ kamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT -Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit KITCHEN IMAGES 235 RIVER STREET Estimate HAVERHILL,MA 01885 978-352-6123 Number: E107 978-352-6123 Date: December 04, 2006 Bill To: Ship To: Ed & Linda Pedi Ed & Linda Pedi 324 Berry Street 324 Berry Street No. Andover, 01845 No. Andover, 01845 Description Tax Amount Tedd Wood cabinetry d 17,260.00 Granite Counter Top ( Verde Fontaine) V/ 5,384.00 Applainces (dw, ref, oven, micro, cook top as per plan) 4,326.00 Sink, Faucet, and Hood VI 1,200.00 Handles & Hardware �/ 250.00 Presidential door / drawer extra 2, 000.00 Raised end panels w/ Pres doors N 1,285.00 Please note that price may vary with dimension changes. No other material other than listed is included in price. Cabinetry,plumbing,electrical installation is not included in price. CABINETRY TO BE MAPLE FULL OVERLAY/WITH AM RETTO STAIN MOULDING.PULL OUT TRASH.ISLAND AND OTHER RA AS PER PLA 1 0-06 pplaince &Granite counter price is installed price. Sub-Total $31,705.00 State Tax 5.00%on 27,379.00 1,368.95 Total $33,073.95 1 rr 243," 2 36" 115 6" 42-18-11 42" 48 8" 30"— 16 16" WCWR3032 �. RE W331113 15842 OC3084S PD3024 B IIS 441-1,;' I ----------- 441L16 N Lo V I rnh 3 rr , m DCR24 3L 1824 W 3I� ... 3 184err 974n - 1 1" 58' —1045" All dimensions-size designations given are2O Y7This is an original design and must not be Designed: 10/30/2006 subject to verification on job site and TECHNOLOGIESreleased or copied unless applicable fee has Printed: 1/8/2007 adjustment to fit job conditions. been paid or job order placed. ED1 ILegend Drawing#: 1 01/09/2007 17:27 FAX 978 532 2217 B K McCARTHY IA 002/003 Client#-.113731 14EBBC ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0110910°" '"Y' PRODUCER THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION B.K.McCarthy Ins.Agcy.Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Centennial Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody ,MA 01860 978 532.5445 INSURERS AFFORDING COVERAGE NAIC 9 INSURED INSURERA; PrOBUllders Speciality Insurance Co. 34754 Hebb LenINSURER B: AIM Mutual Insurance Company TO Lakeshore Rion Road Inc. INSURER C: Commerce Insurance Companies P.O.Box 379 INSURCR D: West Boxford,MA 01885 INSURFA E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLU510N5 AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DD' TYPE DF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITSLTA N A GENERAL LIABILITY N135012679 12/16/06 12/16/07 EACH OCCURRENCE S11,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 850.000 CLAIMS MAOE FX-1 OCCUR MED EXP(Any one penton) S5,000 PERSONAL 6 ADV INJURY 11,000,000 GENERALAGGAEGATE i2 000 OOO 0EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1.000.000 POLICY PRa LOC C AUTOMOBILE LIABILITY 06MMBBKMTP 12/16/06 12/16/07 COMBINED SINGLE LIMIT E ANY AUTO (Ea eccidenl) ALL OWNED AUTOS BODILY INJURY X SCNEDULEDAUTOS (Perpor-.on) $20,000 X HIRED AUTOS BODILY INJURY X NONOWNEDAIJTOS (Peracdaem) $40,000 PROPERTYDAMAGE $100,000 (Per occidml) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY: AGG S EXCES&UMBRELLALIABILITY EACH OCCURRENCE 4 OCCUR CLAIMS MADF AGGREGATE S E DEDUCTIBLE $ RETENTION E E V B WORKERS COMPENSATION AND AWC7006999012006 07/28/06 07/28/07 X ° I WIT- rR EMPLOYERS!LIABILITY E.L.EACH ACCIDENT $100,000 ANY PROP RIETORIPARYNER/EXECUTNE OFFICERIMEMBER EXCLUDED? E.L.D13ME-EA EMPLOYEE 100,000 Ir ee.descrroe under L PROVISIONS below E.L.DISEASE-POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATION$i LOCATIONS I VENICLJEB I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROV1810NS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE mCSCRIBED POLICIES sECAMCELLED BEFORE THEEXPIRATION Town of North Andover,Building DATE THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAIL _D- DAYS WRITTEN Inspector NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT.BUT FAILURETO 0060&HALL North Andover.MA 01845 IMPOSE ND OBLILMATION OR LIABILITY OF ANY IDND UPON THE INSURER.ITS AGENTS OR rA��=ED EPRESENTATIVES. REjPRE6ENTATIVe . .'k. ACORD 25(2001109)1 Of 2 #53195 LEG 0 ACORD CORPORATION 1948 The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations s ' ' d 600 Washington Street Boston,MA 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): p L0" ('r,A Address: 7o slnct�t� KA, City/State/Zip:1,( ,,-� b3�X �r V1&r 0i"-5Thone.#: Are you an employer?Check the appropriate box: Type of project(required):. 1.DQ I am a employer with—) 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' insurance.$ 9. E]Building addition [No workers' comp. insurance comp. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[I Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs j insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A\w, liJlkA. Policy#or Self-ins. Lic.#: {�iwGZc3t� �l�w(�Coir Expiration Date: 1(2,e/L, Job Site Address: 3 14 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: ADate: 1 L010 7 Phone#: IR- -4-23•-tp(0 3�7 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#• r FRANCIS A. HEBB CONSTRUCTION, INC. DESIGN/BUILD CONTRACTOR CONSTRUCTION MANAGEMENT AND CONSULTING Residential, Commercial Building & Renovations Construction Supervisory License #033217 Home Improvement License #107916 CONTRACT DOCUMENTS P.O. Box 379, Lake Shore Road, West Boxford, MA 01885 Shop (978) 352-6123 Cell (978) 423-6637 Fax (978) 352-5068 COMMERCIAL CONTRACTING AGREEMENT Designated Registrant's Name : FRANCIS A.HEBB CONSTRUCTION,INC. Construction Supervisory License 033217 This agreement is made on January 6,2007 between FRANCIS A.HEBB CONSTRUCTION,INC. of P.O.BOX 379,LAKE SHORE ROAD,WEST BOXFORD,MA 01885 (978)352-6123 hereinafter called "Contractor" and Ed Pedi,(Owner)of 324 Berry Street,North Andover,MA hereinafter called "Owner". I.DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Re-do kitchen and tile floor as follows: • Remove existing kitchen window and board-up. • Remove partition between kitchen and dining area. • Install new 30o bay window and redo all siding. • Install new kitchen ceiling and cabinets. • Install new tile floor and counter-top back splash. • Redo plumbing and electrical as necessary. New lighting includes 8 recessed light and 4 under- cabinet lights. H.PRICE Contractor agrees to do all work described in Section I for the total ce$36,190.00. M.PAYMENT Payment will be made as follows: $10,000.00 due upon completion of demo and framing; $10,000.00 due upon completion of rough plumbing&electrical and plaster work; $ 8,000.00 due upon completion of cabinet installation and finish trim; $ 6,000.00 due upon completion of tile floor and backsplash; $ 2,190.00 due upon completion of any punch list items,which result. If additional work is performed as part of this contract, it will be invoiced at such time that the work is completed. Notice: No agreement for contracting work shall require a down payment (advance deposits) of more than one-third of the total contract price or the total amount of all deposit or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about January 22, 2007. Barring the delay caused by circumstances beyond Contractor's control, the work will be completed by March 10,2007. The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. V.INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontracts in the performance of, or as a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VI.SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. VII. CONSTRUCTION RELATED PERMITS The following construction related permits will be necessary in order to complete the scope of work included in this Agreement: Demolition,Building,Plumbing and Electrical Permits. The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,permit granting or inspectional agencies, authorities or individuals. VIII.MODIFICATION This Agreement, including the provisions related to price(Section II)and payment schedule(Section III) cannot be changed except by a written statement signed by both Contractor and Owner. IX. CONSTRUCTION CHANGE ORDER Construction change orders will consist of any change to the original scope of work, such as hidden conditions and changes requested by Owner. These conditions may require adjustment in the overall price and time frame to complete the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and when necessary a written amendment to this Agreement will be negotiated and executed by the Contractor and Owner. X.WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replace such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner may be required to register or mail in a warranty card or other evidence of workmanship and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the Owner specific legal rights, and Owner may also have other rights which vary from state to state. Under Massachusetts law, sales of goods carry an implied warranty of mechantability and fitness for a particular purpose. XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. PROPERTY OWNER: DO NOT SIGN THIS CO CT IF THERE ARE ANY BLANK SPACES. fl (Owner's Signature) Date Signed ' 11.t 1 (oaj (Contractor's Signature) ate Signed NORTH Town of S Andoverdover, Mass. T Q LAKE > I� COCMICKEWICK y�. ADRATED P`? -`y S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT �� "" BUILDING INSPECTOR """ Foundation has permission to erect........................................ buildings on..'s.& ......aev%A. ........fr............................ Rough yy to be occupied as...............'T�.1....11:111110#4~....... .�wk. Chimney . ............................................................... 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 �3 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR . UNLESS CONS TRU STf S Rough .. .... ... . . .............................. ..... Service BUILDING INSPEC Final Occupancy Permit Required to Om tpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SCERVISOR Number: CS 033217 a. Birthdate: 03/26/1953 Expires: 03/26/2008 Tr.no: 20058 Restricted: 00 FRANCIS A HEBB PO BOX 379 W BOXFORD, MA 01885 Commissioner i Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 Date......?....... ��...f... �1 t pORTM� 3?;•_t `'° :"�,� TOWN OF NORTH ANDOVER = A PERMIT FOR WIRING ,SSACHUSf This certifies that (�F �� CFS .......................................... ................................................. has permission to perform ............1t..1 TCS/est/....................................... wiring in the building of.....................f. µn . .............................................. at..J:�':q....1 Y.....57.7.................... .North Andover,Mass. Fee SG ...... Lic.No. 17/�I ........... . - c !� ..... q 'ELEcrRICALINSPEC-dR Check # I 0 1202 Commonwealth of Massachusetts Official Use Only - Department of Fire Services Permit No. Z69 Z— Department and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z -g-,97 . City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Z�/ � ! Telephone No. Owner's Address e Is this permit in conjunction with a building permit? Yes ®--- No ❑ (Check Appropriate Box) Purpose of Building SI k0/le dill, �r/req Utility Authorization No. �' Existing Service Amps / Volts Overhead ❑ 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: t%L p ` �L n Completion of the followiniztable may be waived by the Inspector of Wires. 4 No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.OF— Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets 9 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 No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No. of Water KW No.o 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 t 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: 2-6?-OZ 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: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the ains and penalties pf perjury,that the information on this application is truirand complete. FIRM NiME: (/-agc dq LIC. NO.: Licensee: An)e ya cei , l Ie44.31 Signature LIC. NO.: (If applicable, enter al"exempt"in the license number line.,)/� /� Bus.Tel. No.: Address: & cC f ,�C�' �'�4" L �CG Alt.Tel. No.: y *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent FP7ERMIT FEE. $ Signature Telephone No. JUN-09-2000 10:20 HATEM and MAHONEY 978 682 1712 P.02/03 RESTRICTION The Restriction herein set forth shall apply and be appurtenant to the following d"ribed property located at 324 Berry Street,North Andover,Essex County,Massachusetts,being more particularly described as follows: A certain parcel of land located in North Andover,Essex County,Massachusetts,on the easterly side of Berry Street and being shown as Lot B on a plan of land entitled,`Flan of Land in North Andover,Mass.Prepared for Barco Corp."Scale: 1"-40',Date:Jan. 29, l 979,Rev. March 19, 1979,by Frank C.Geh=&Associates,Engineers&Architects,451 Andover Street, North Andover,Massachusetts, said plan being recorded in said North Essex Registry of Deeds as Plan No. 8080. Reference is hereby made to slid Plan for a more particular description of said Lot B. Being the same premises described in deed recorded with Essex North District Registry of Deeds in Book 1665,Page 153. 1. Maximum Number of Bedrooms At all times subsequent hereto,unless connected to an approved municipal sewer, the property described hereinabove shall be limited to use as a single family residence containing no more than four(4)bedrooms. This Restriction is being implemented due to the maximum capacity of the current septic system and the nitrogen loading restriction when a property is served by a well. 2. Prior to Sale The current owners,Edward C.Pedi and Linda D.Pedi,shall remove the wall between the storage and family rooms prior to any sale of the premises unless connected to municipal sewerage. 3. Enforceability These Restrictions may be enforced by the Town of North Andover,by action in equity in any Court of competent jurisdiction. .v UNi -I' healthcare Dear filen l), Provide►, We are returning the enclosed documentation received for a member 110 could not be identified. For us to proceed, we need additional information. Please send us the following: Emplovee'sname: -- -- --------__ �leniher ID number: --- --- — — 1--mpio\er's name: __ ----- United HealthCare Group dumber: This information is shown on the members United HealthCare ID card. You may either list it above or send us a copy of the front and back of the ID card. When Nve receive this information, the documentation can be reviewed. Please return the documentation, this letter and the completed information to: United HealthCare P.O. Bos 740SOO Atlanta, GA 0374-0800 If the documentation applies to a carrier other than United HealthCare. the member should contact their Employee Benefits Department to obtain the correct mailing address. If you lha\e ani L1LICSt10I IS, please contact 011e oi'our Customer Service representatives at the phone number listed on the member identilication card. Sinccrcl". Your l3�nc(it< Representati\c Enc. JUN-09-2000 10:20 HATEM and MAHONEY 978 682 1712 P.03/03 V Witness•our hands and seal the day of ,2000. Edward C. Pedi Linda D. Pedi COMMONWEALTH OF MASSACHUSETTS Essex, ss ,2000 Then personally appeared the above named Edward C.Pedi and Linda D. Pedi and acknowledged the foregoing to be their free act and deed,before me. Notary Public My Commission Expires: HAG7757\RESTRIMONdoe. TOTAL P.03 f v UNI"I-Fi healthcare Dear Mewl)", Provider, We are rcturnin`, the enclosed documentation received for a member who could not be identilied. For us to proceed, Nve need additional information. Please sand us the f0ll0XVinCY: • I mplowe's name: - -- --- --- • Member 1D number: -- —-— -- — - • F.n,111mer's name: _ --- • United Healthcare Group Number: — — This infornlLition is shown on the nicinber's United HealthCare 1D card. YOU may either list it above or send us a copy of the front and back of the ID card. When \tie receive this information, the documentation can be reviewed. Please return the documentation, this letter and the completed information to: United HealthCare P.O. Box 740800 Atlanta, GA ')0374-0800 if the documentation applies to it carrier other than United HealthCare, the member S1101.11d contact their Employee Benefits Department to obtain the correct mailing-, address. If Vou 11av e anV Lluestions, please contact one of our Customer Service representatives at tilt P11,011- number listed on the nlenlber's identilicatiorl card. Sincercl". Y01-11' l3cnelits RepreseritatiVe F11c. cn1(4or Location No. U Date w t10RTh TOWN OF NORTH ANDOVER 3?0�t„`o •,h0 � e 9 t ; ; Certificate of Occupancy $ a i s,cNust� Building/Frame Permit Fee $ Foundation Permit Fee $ er Other Permit Fee $ b TOTAL $ Check # .� Building Insp 6or TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ` IlS bbl'Q1tK'T8 �SE BUILDING PERMIT NUMBER. DATE ISSUED: N.5 6.; 1 //-/ Q cq..� SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 3�2 /3catzy s; /o� c �0 !Y Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Y3, S-(,y 15'0 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RequiredProvided RNifired Provided is" 3(0 30 ' -:210 T iGo ' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System lY SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) Address for Service r7g 6 � X535 Signature Telephone ®y 2.2 Owner of Record: 4 Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ e �r Ili.>r /of r2,1561 Co Licensed Construction Supervisor: Q t( 7 _ License Number mn Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0f /1-11Qc?t0 (01,5Ti�'uC71OiV Company Name IV C_1� L/9 M Registration Number I r (;L cl CG�0►m y t�r ���� �i' /moi C G � /1-T��J I Address LP� f_j Y`-- Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......8' No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 T ddition Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 3 v ,L -Z c97. r 7 /lj 1 CXLert. SC f9 %" lr � `e� 71• V (Zoo SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building 000 - (a) Building Permit Fee Multiplier 2 Electrical S�0 (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical(HVAC 3 5-0 0 - 5 Fire Protection 1,006 6 Total 1+2+3+4+5 7 g'00'0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT N I, as Owner/Authorized Agent of subject property Hereby authorize C h r 'i 76 Sa fv to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name . Signature of 0e/A ent Date NO. OF STORIES SIZE D 3 0 BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 >/ 2 r.Tr � �1 3 SPAN a c, / C i 0 -C DIMENSIONS OF SILLS '�t- x DDAENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION (Q ' THICKNESS SIZE OF FOOTING C ` X MATERIAL OF CHIMNEY )3 ,'c k C 54"s T"'6- IS ,''CIS BUUILDING ON SOLID OR FILLED LAND S'c t IS BUILDING CONNECTED TO NATURAL GAS LINE No. Date NORT1y TOWN OF NORTH ANDOVER O F R 9 • s Certificate of Occupancy $ cNusEtA Building/Frame Permit Fee $ "U Foundation Permit Fee $ 3 Other Permit Fee $ TOTAL Check # c% " " / Building Inspect TOWN OF NORTH ANDOVER F7 BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - f iovily BUILDING PERMIT NUMBER. DATE ISSUED: rn SIGNATURE: Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O NY 8c-/Z17y s,—. 41 bio - lo$ c 60 /y Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: —L— P�-�W w`- '13,S(-y 1 So Zonin District Proposed Use LA Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided I S ' 30 30 ' .1 Go ` 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone outside Flood Zone ❑ Municipal ❑ On Site Disposal System R- SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT F rn 2.1 Owner of Record &d t L,, !? Pea Bed py S';. Name(Print) Address for Service: L Signature Telephone Q, 2.2 Ove,+r of Record: Name mint Address for Service: i rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ C �rrITop4R 1141r2HSQL0 Licensed Construction Supervisor: Q"� y 7 O L h License Number q� 6 C1 �� (!p n r V ri�✓C �-�/9�rar`�i�L� �'��'r• ,1 Address _ L, 3 -.S-o� � tC,, 7 -a yS'SS-�4 Expiration Date E Signature. Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ /)A,.(IlgfVt0 (OAS ifL)Ci;OH p Company Name U / -/9 rn Co to, r t tJ�}�� /=�t c � M 9S s Registration Number r Address r yr v 1G�lJ'� 7 %-02 Y S-S-S 8r Expiration Date Signature Telephone G) 1 z r SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......®' No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 13v,L� a �_70r11 J -7 �Cqr-. 4 /i ,� 71• V fZaQ.� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by pern-tit applicant 1. Building 61 c� foo - (a) Building Permit Fee Multiplier 2 Electrical S0 o (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 3 So o - 5 Fire Protection 1,00 b 6 Total 1+2+3+4+5 79,000 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,� M as Owner/Authorized Agent of subject property Hereby authorize C h r i ioell/Z ,R 9 soy to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject , property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE ao X 30 BASEMENT OR SLAB KD SIZE OF FLOOR TIlVMERS 1 r �,>/ 2 T ,! 3 SPAN 'a 0, i •C u a , DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING ac ` X MATERIAL OF CHEVIVINEY 13 r,'c k ,'s T n(: IS BUILDING ON SOLID OR FILLED LAND S'o t'• IS BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORUM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number -36 a is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: Vi r)l X15 oS"L nper9�Q�r Nl�ss (Location of Facility) (."W Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r ` The Commonwealth ofMassachuse"s Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers` Compensation Insurance,4.Fdavit Name Fle.=se Print Name: LGc-ilCn Circ FhGre I am a romEGWnEr CEr G( WGfK f ySe!f. C CI aril a Sole prcprie cr and have no one WGrCinG In any Cacactj I am an em,cicve'r ircviGinc ,,vcr,<er=' c:n m.censaiicn icr my emc. lc`/ees 'Ncr{!r C Cn 'ills jcb. Ccmc.any ra-le' M t Rq SO p CO.,Sr ru-c.7,�&R �� c Address i S- 0 tie CO to ny b rf'✓e City- tuq (,` M*IS- 0(85x0 P}tcne T►rl✓cLer3 r.'s Insurance Co. Aw� L--clic-' = / g d 3 y r Hol d -r Comanv nar^e: Adcress C;rl. nccne Insurance Co. Fclic�= Failure to sec:.,e ccver=ce as re~uirea uncer Sec:icn 2`A cr AAGL c--.n ieac to ene ir,c�iticn , c-.-lila' nai er a ne uc ;c S'. CO.CO ander c ,e ye3r5'inmcnscnime^t as-Net! G c:,/II renaltle5 in :t~e iCrC^c--3 S CF'NCRK CF,Cc=ar�c a ne 1- (S I CO-CC) a Cav c,c:rai,me. I u�Gerszanc a ai a cCCy Cr;i^IS Szz:emeni may to;cr varce^_:c t~e Ci�ilce C' c(:ne-.IA ic:cc:'erzce ve`TlCaiicn. I Co erect'csn., uncer:he cams ane cenaities CC ce.?Ur/:rcC CI~e InrCr*uCiC•^ CVICe =Ccve;s free Enc C.......,.. Sicnature _rat. 7`3o -S5 Frint name CA w;s /oy�f�� M .114 so e6 Frcne= d rr S-rS'S- Ciffical use cniy co nci'Nate in tills area tc ce ccrncle!eC CV c:i7 c.ic%vn C`:c:ai Gty cr-cem cuiidinG Dept [C,`eck.7 rm,^ iai2 res, case is r^vire ( L 1Censlr;c :Gard i SCiCC�f l fan`s GiIiC- C ntec: -^cne T - r,'eal'th Ce cIIJ;; t F GihEr MAScheck COMPLIANCE REPORT Massachusetts Energy Code ; Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-22-1999 R DATE OF PLANS: 7/1/99 TITLE: PROPOSED ADDITION PROJECT INFORMATION: ED PEDI 234 BERRY ST. NORTH ANDOVER,MA. COMPLIANCE: PASSES Required UA = 238 Your Home = 216 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 255 38.0 0 . 0 8 CEILINGS 85 30.0 0 . 0 3 CEILINGS 260 38 .0 0 . 0 8 WALLS: Wood Frame, 16" O.C. 1332 19 .0 3. 0 72 GLAZING: Windows or Doors 39 0 . 350 14 GLAZING: Windows or Doors 201 0 . 350 70 GLAZING: Skylights 21 0 . 600 13 FLOORS: Over Unconditioned Space 600 19 . 0 28 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans , specifications , and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 an J . 4 . Builder/Designer Date? _& `0 a MASchedk .INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 PROPOSED ADDITION DATE: 7-22-1999 Bldg. ; Dept . ; Use CEILINGS: [ ] ; 1 . R-38 Comments/Location [ ] ; 2 . R-30 Comments/Location [ ] i 3. R-38 Comments Location WALLS: [ ] ; 1 . Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ J ; 1 . U-value: 0 . 35 For windows without labeled U-values , describe features: # Panes Frame Type Thermal Break? [ ) Yes [ ] No Comments/Location [ ] ; 2 . U-value: 0 . 35 For windows without labeled U-values , describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS: [ ] ; 1 . U-value: 0 . 60 For skylights without labeled U-values , describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] ; 1 . Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ J ; Joints , penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] ; Required on the warm-in-winter side of all non-vented framed ceilings, walls , and floors . MATERIALS IDENTIFICATION: [ ] ; Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: ( ] ; Ducts in unconditioned spaces must be insulated to R-5. i Ducts outside the building must be insulated to R-8. 0. DUCT CONSTRUCTION: � [ ] ; All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] ; Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] ; Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified ' in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] ; Refer to 780 CMR, Appendix J for requirements relating to swimming pools , HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only)------------------------- I i t-- -0T E 159 .% t_ o T 5 Ar 6 4 S.F. * J r tn a u 6) o vD -� o to �}dJ'71c4 ! HEREBY C&MI Y THAT THE "` S14OWN ON 't�IS PLAN Avt� sir„ ] - i LOCATED WIMN A FLo®D HAZARD rd ZON[' AS D!71-I CATFD ON THE MAP 41�r Z ST,ar PP OF CO,S�M U; i'!'f" y Z S C 119% ^ /> WOOD as N o R 7-R u vv E R i`1�sS. EFFECTIVE Y_ J vri E 2 0� �l q"14 5 0}BY THE ! PR"IRTJw'EINT 0i HCUSiNE) AND ui1RAN I iNSUkkNCE ADttil?iSTRATiCN. CERTIFICATION MADE TO THE' �y � o BDE OSTON FIVE CENTS SAVINGS Ror4o w� f`" G I NEASEMENT I 'LJO .Ao BANK, .AND EP`�'ARp WNP�, 61. 52 1b45 0 �_ PEPS -- —�. BERRY- STf�E �T MORTG AGE __S_UFkVEYA DONALD S. FOX. REGISTERED LANG SURVEYOR SVNSET R oAo - CARLISLE:, MASS. LOCATION: NoR. 1714 ANPoV RK MA_S�__ Ihereb� cv- y that tebvi{d►hq shown 1' - DA E: "'��` 9�!9�3 on fhfs plan iS tocotad onthagrround aS SCALE : � ` 30` T — -- shown Qnd(hot itconFormStoth(ZZon?ry PLAN REFERENCE. laws af'fhe 64-j /Town of: Being Lot,_e _ l _ --- -_ N_oRTI{ ANocwEft , _ or, a p 4� by T ,�" P R AN K C. GELt n�AS $. ASS oc. __ when cc) ti UCf d. vC{t j AN. 2qL °1n tel_ QI'ld 1'QCO od¢d �!7 S t QED' Esse x _ Counfy — R¢g istry of D •��'' ook P692 No. a -- �ll PLAN tQw '%o%p. w This plot plan 'was not' madert2430y ifrorn an instrument survey and a NOTE: is for On 'useof the bank only.- G' sar:vn�- Property tin cTn d street lir%¢ OF s2 Under.no circumstances an oftsf shown: on this p�gn qrQ Spaciftcctfly for#Fra to used-Ace establishment at :, daterminatfori of-zoning t egvirare¢lits "ohlf . �stta.. . etc. M,.5, Cl T4 r � FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT lie�° PHONE �G � C ASSESSORS MAP NUMBER 6�C LOT NUMBER _ SUBDIVISION LOT NUMBER STREET a Y ��l2 (1 Y S STREET NUMBER a Y OFFICIAL USE O Y o20 ( �34 -;2 &,CRy RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED ter CONSERVATION ADNHNISTRATOR \\ DATE REJECTED u � DATE APPROVED TOWN PLANNER DATE REJECTED COMNIEN TS DATE APPROVED FOOD INSPECTOR-I�ALT I DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERNHT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE RESTRICTION The Restriction herein set forth shall apply and be appurtenant to the following described property located at 324 Berry Street,North Andover, Essex County, Massachusetts,being more particularly described as follows: A certain parcel of land located in North Andover, Essex County, Massachusetts, on the easterly side of Berry Street and being shown as Lot B on a plan of land entitled, "Plan of Land in North Andover, Mass. Prepared for Barco Corp." Scale: 1"-40', Date: Jan. 29, 1979, Rev. March 19, 1979,by Frank C. Gelinas &Associates, Engineers & Architects, 451 Andover Street, North Andover, Massachusetts, said plan being recorded in said North Essex Registry of Deeds as Plan No. 8080. Reference is hereby made to said Plan for a more particular description of said Lot B. Being the same premises described in deed recorded with Essex North District Registry of Deeds in Book 1665, Page 153. 1. Maximum Number of Bedrooms At all times subsequent hereto,unless connected to an approved municipal sewer, the property described hereinabove shall be limited to use as a single family residence containing no more than four(4)bedrooms. This Restriction is being implemented due to the maximum capacity of the current septic system and the nitrogen loading restriction when a property is served by a well. 2. Prior to Sale The current owners, Edward C. Pedi and Linda D. Pedi, shall remove the wall between the storage and family rooms prior to any safe of the premises unless connected to municipal sewerage. 3. Enforceability These Restrictions may be enforced by the Town of North Andover,by action in equity in any Court of competent jurisdiction. s ' Witness our hands and seal the I� �h day of� , 2000. Edward C. Pedi IU64'�L Linda D. Pedi COMMONWEALTH OF MASSACHUSETTS Essex, ss Ione_ , 2000 Then personally appeared the above named Edward C. Pedi and Linda D. Pedi and acknowledged the foregoing to be their free act and deed,b fore me. fission Expires: u ot ublic y HAG7757\RESTRICTIONdoc. M L- -OT E 159 . 3 4 3, 564 S.F, +- r J H D V d� o M Rda�7,'G1r 30 -5' f I HEREBY C&I 7VFY THAT THE SHOWN ON -111S PLAN Akt t46T LOCATED WIT-WN A FLO400 HAZARD ZONE+'AS G` 1.iNEATFD ON THE MAP Zsrony P OF CO,�,wjt,4fi'f # ZS X90 ^ as woeD N o_R_TH E R h 1"\55. ItFFFCTIVE_^J V N E?b t q'14 5 03 _ - BY THE 0i"FART.,� CNT -) HCUS NO _ _ _ - W. AND U IRAN JNSUk+kNCk ADS^ d4iSYRATION. CEMFICATION MADE TO TRE' ko,\o 80STONFIVECENTSSAVINGS ft0A0 w�c��YiNG EAsenENT •Ro BANK, AND 0 EpwA�a L4NDP+ QEDI ST-FtE et-r Signed d�- AG VV A DONALD 5. FOX. REGISTERED LAND SURVEYOR SVNSET RoAO - CARLISLE, Mg5S. (-OGATION: NORTH_Atj0oV ER `1AS�__ Ihereby Certi y t c�tf ebUlldinq 5 oVM SCALE . 1" N 30. DATE: MAac 9—i' 9cb3 __ On011s plan is )ocatad onthaground W S h own and that it confo r m S to th¢Zon ing L.A N REFERENCE-. taws of+•h2 64N , I,, of 80-in9 L a — — -- -_ NORTH /�NaoV ER — Lot-5 _o�, a pique by T ♦ ,.�`� FRAN rf C. G-E"N As g ASS ac __ wh2n con trtict¢d. UQIQU ,AN. 29 � 0+�`1 t'1C� 1'QCOI^dQd �lr] SIGNED: --- a F_Sse x _ County Rqc3jStrj of k No•_'4 0�___Pocgd No. -.3—c>-- seem >c -A PLAN Na. %0010. � w This plot plan was not made rem` from an Instrument sufm and ' a NOTE: Is for the use of the bunk only. SUR`r��- Property (ir,cc�� o d Streef ime ollrsa-p unew no circwnstanm err affsKs shown on this plq.n Qra. 5peci�cq{ly forth¢ oe umd'for estabiist mt of deft-r.mina+fon of zoning regViramcEnt5 only- eafU6, etc. m..5, a17I. 0-11•. ' w NORT#j 01%?M . Of 4 Andover 3 &a oLA o dover, Mass., COCHICHEWICK A°RAreo P �(c S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT � , ;..............�....... ................ .......................... Foundation r has permission to erect...070..X3.Q......... b 'Idings on .�OZ.�.....��..L�......./.�.. .........�.. ........................ Rough to be occupied as !� biO Jj 1 f6Y F'&M r0% T 00 M .torr/b M Chimney p ............... ........................................ provided that the person acceptin this permit shall in every respect conform to the terms of the application on file in A Final this office, and to the provisions of the Codes and By-Laws relating to the I spection, Alter tion and Construction of Buildings in the Town of North Andover. I" 'O'q C y �� I,� aw PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N �RT � 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. Burner Street No. SEE REVERSE SIDE smoke Det. O • - - - - - - -- -- - ------ --- -- ------------- ------ -- EXISTING BRICK CHIMNEY- _ _ _ _ - - - - - - - - - - - -- - -- - - - - -- - - - -_-_ _ - - - - - - - - --- -- - -- - - - - - --_ - - -- ---.---- - -- -- - - - - - - - - - - -- - --- -- - - - --- __ _ _ _ _ ___ ___ _ ____--__ ___ - __ _______ ❑F 0 FINISH GRADE FOOTING FRONT ELEVATION L FOUNDATION I SCALE, f/•¢"_ 1 = O°' PEDIFRONTELl u 10'-0' a 10'-01 3 c i o � A STORAGE U Att • o N c � a J FAMILY ROOM X ; a � c RAILING 03 v T V in Ix o� un i N " Z� ROOM .. 317 W ix ALi W TREATED WOOD DECK w M W L STAIR = w i NEW STAIRWAY J TO 2ND y DOWN w TO FINISH GRADE y 3'-0' p REMOVE EXISTING o m EXISTING KITCHEN WINDOW INDOW TO REMAId UP m vi WC D ALIGN < Z BATH KITCHEN <01 LE EATING K=ar!n 11 EXISTING BATHROOM FIRST FLOOR PLAN FIXTURES TO REMAIN SCALE1 1 f4'iA I`- 04 EXISTING CHIMNEY LIVING ROOM DINING ROOM 1STFL2 h � • I I '- SUPPORT MULLION (TYPICAL) a I I BR ALG z I j�'�0 V7 W = J -r w = 3 J oe w ? SKYLIGHTS v x Z NCie y I W r N Q I I • z ...SLOPED CL O O fY - - - - - - - - - - - - - ��LL BRACING EXERCISE ROOM _ ALIGN RAILING SLP (TYP) DOWN 2'-4 14 R -w WALK-IN 0 y CLOSET m d '-0' MIN. . • 2ND FL2 X N ' zzi REMOVE EXISTING WINDOW I FOR REUSE AT LOWER FLOOR. + NEW WALL TO MATCH EXISTING 0 EXISTING EXISTING BATHLO BEDROOM Z 3F- Li o(4 U rz- W J W 32 � _F- a►- ca¢ z wz L4 0 ¢ W W O Q U v z F- EXISTING MASTER BEDROOM EXISTING BEDROOM EXISTING STAIRWAY T O R SECOND FLOOR PLAN SCALEi 3 � � i r ._- amp awn i i DWELLINGEXISTING EEE:EEEEEEcEEEEEEEEEEEEccEEEE:EccEEEEcEEcccEEEcEEEEEEEEEEEc:ccEEEEi •EccEEEE99c:E� i\.iiii��. \..\..ii\i.....\ \\\\\ .....Y..\\.\..\....Y...\.....\.\...Y.\.......\\\.\.\\.............\• —-- - \M\\...\\iiia iii\\\...\\. .\\ Y.\..\.\.\\...ii•iii\•iiiiiiiiii-\\\\.\\i•i•iiiiiiiiiiii••iiiiiiiiiiiii•iiY••� -iqa ••..............i•iiiiiiiiisi•ii\-���ii�iiii•i...•i••iiiiiiii-i-iiii•-iiiiii�iiiiiiiiiii\\\i••ii�\�-ii-iiii i� ��\..\\• \.��\\\.\\\\....\.\.\.\\\.\\..............................\\\..\\\t\...\.......\\\.\.\.\....\\\\...\\\\..\..I �••�.\i �..\������i�����\\��.�\�i\i��..�.i\iii.��ii�ii.�i�iii�.�.�iii�i�.�i�i\.......\....\...\....Y.\\.\\\\......i —_ --- ��..\....■\\.. i�..■�i�\.\...�\it.\\�.\it.■��\�i.Y..��...�.\....\i....�.i.\.i\\....����i\i��..Y...���...�.Yii\.\.....til i.�i�.�.�\\.�...i..i ieiil�.iiiiii................•�i���:......\.\\...\...\.......\....\\..\....\Y\.......\.........\...\.\..\.I • Y��.i\\.� ' ..\.iiia.��.��.i�e��ii.\........\\..Y\\...........Y....\....\..\...\.•\....Y..Y..\\\\........i i\i...�..s�..\Y\...� ••••..........•...........................................••.• ..............................�iiili�.1 •-i� +-���-----\� .��......i...\ ......1...i.i........\...\\\.�.\.....Y.\\Y....i \.........Y..\....\.\. •.................1 �Ex l ST��1G r2ciP�iS�� ASPHALT SHINGLES SADDLE RD IP ROOF RIDGE VENT EXISTING — — -- ;-_-_7� — — — — — — — — — — — — — — — — — — — — — — — — — ICE/WATER MEMBRANE ——_ -- — - — — — ___ _ _ _ ___-- —/7 - - — — — —- — AT ALL VALLEYS — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — — — — — — —--—— - - - - - -- - - - — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - VES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - EXISTING DWELLING FINISH 2ND FLOE FINISH IST FL❑ MATCH SIZE OF EXISTING BASED WINDOW ....'.. .... . . .. .. . . .......... .. . ... .. . . .. . . ...... ...... .. .... .. ...... ........ .. .... ................ ...._ FINISH GRADE CONTINUOUS POURED CONCRETE FOUNDATIO .CONCRETE FOOTING RIGHT ELEVATION SCALEi 1/4' = 1'-0' OUTLINE OF ROOF SLOPE BEYOND CATHEDRAL CEILING GUTTER HORIZ NIAL SIDING HIP ROOF PORC - - - - - - - - - - - - EXISTING KITCHEN WINDOW TO REMAIN LEI FINISH IST FLOOR NEW TREATED WOOD STAIRS L RAILING O FINISH GRADE El ..................................................... ......................................................%*.,.".*.*.,.'.,.*.,.,.*.,.*.,.*.'.*.*.*.'.'.,.%'.*.,.,.*.*.,.,.*.I................. ................. ......................................................... ............................. ......................................................................................................... FINISH GRADE TREATED LATTICE WORK FL 12' DIAMETER CONC POURED RETE PIERS REAR ELEVATI❑N PEDIREARELl SCALES J RIDGE VENT DOUBLE HEADER C REUSE EXISTING SKYLIGHTS FROM MASTER BEDROOM 2 X 10 RAFTERS AT 16' D.C. 12 ' 4f R-38 INSULATION2 X 8 AT16' D.C. R-30 INSULATION PROVIDE 1' MIN, AIR SPACE USE 'PROPA-VENTS'OR EQUAL TRANSOM WINDOW UNIT P PLATE DOUBLE HUNG WINDOW 1/2' GWB ON 1 X 3 FURRING AT 16' D.C. Z FLASH DECORATIVE WOOD 1 CONTINUOUS 2 X 10 LEDGER BOARD COLLAR TIES L_ SECURE LEDGER BD, TO FRAMING MEMBERS IN WALL 3/4' TLG PLYWOOD NAIL L GLUE TO FRAMING • _ _ FINISH 2ND FLOOR • 11 7/8' TJI/25 AT 12' D.C. — TYPICAL EXTERIOR WALL, CONTINUOUS HORIZONTAL WOOD SIDING DOUBLE 2 X 8 TYVEK OR EQUAL BUILDING WRAP 1/2' CDX PLYWOOD SHEATING 2 X 6 STUDS AT 16' D.C. R-19 FIBERGLAS INSULATION WOOD RAILING FINISHEIER CEILINGD WOOD 1/2Y VAPOR GYPSUM WALL B ARD 2 2 X ac f.- cn FINISH IST FLOOR TREATED WOOD STRINGERS WEATHER RESISTANT 11 7/8 TJI/25 AT 12 D.C. 2 X 6 AT 16' O.C. WOOD DECKING R-19 INSULATION (6' FIBERGLAS) FLASH 1_ TREATED 2 X 8 SLOPE FINISH GRADE FINISH GRADE 4' CONCRETE LAB E 0'-5' 12' DIA. POURED °D CONCRETE PIERS. ' SECURE TREATED 4 X 4 :......... USING GALVANIZED COMPACATED GRANULAR BASE POST ANCHORS o r. i 0 TYPICAL CROSS SECTI❑N SCALE, 1/4' = 1'-0' Date. 21.�l v. NORTq oo ' TOWN TOWN OF NORTH ANDOVER '° PERMIT FOR PLUMBING ,SSACHUS� This certifies that <.f!� . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . , . .�. -. . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . .�. r. .� . .r. . . . . . . . . . . . . . . . . . . . . at . . . .3 - -0 C.��.n. .'!. . .c4- . � � . .� . . .`North Andover, Mass. Fee. 3? -� .Lic. No.) V. ??.Y. �.J--:-• .r ` _ PLUMBING INSPECTOR Check # S 7272 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / �9 Date Building Location 314 �j�� l y ST Owners Name ��C I Permit# Amount --3-2 1— e of Occu an ,e �` I !n New 1:3 Renovation Replacement 0 Plans Submitted Yes No FIXTURES A s[a>asvlc BA9RW M' ISI:FIUR �FIR 3MRDM 4M FID(R 5M FLOOK 6M FLOOK 7M FIDCR SIH FIODt (Print or type) , Check one: Certificate Installing Company Name 7t/, -To o �'o ElCorp. Address (� Partner. � Q Svc Business Telephone (j3 �f( �Firm/Co. Name of Licensed Plumber n n YTk te— QI- Insurance Coveraee: Indicate the f insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity ❑ Bond ❑ insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 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 Pl bing C and Chapter W of the General Laws. By: igna ure 01 Licenscuum er Title Type of Plumbing License City/Town License NOW Master Journeyman APPROVED(OFFICE USE ONLY 1 11 Date... Ng 23 11 ...1...0... NORTH °f,"`° '•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� This certifies that ......... .f.. .: ......... f........ .../ . ............. ........ has permission to perform FF ' ' C y wiring in the building of.... ...4.11.... .! 'p.....Z�/ .......1 ....................... at....../..........1.:.:PA.t............................... �........... ,,North Andover,,Mass. ee.......... ()d.. Lic.No.1. : . /�.�.......... .. ...: .1.:. :. ri` �'LECCRICALIWECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer JIM*WMMULVWP-4L.11YV1'IyMam lfiwIIII vwceuseOnly DEPAR73 EVTOFPUBMCSAFM Permit No. BOARD OFF7REPREVEWONREGULVTOASWCMR12:010 4 'FA Occupancy&Fees Checked CTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,S27 CMR 12:00 �� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat j Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Q 11 7B1E2fL SJ- Owner or Tenant l- Owner's Address S Is this permit in conjunction with a building permit: Yes r" No a (Check Appropriate Box) j Purpose of Building SIIUG�-Lf- Utility Authorization No..! Z' Existing Service Amps Amps /2,D/ O Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity (,� S Location and Nature of Proposed Electrical Work - i %17 oAJ No.,pf Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA _ ground El ground No. f Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis N .Hydro Massage Tubs No.of Motors Total HP OTHER h&rwxCmwge.Ptastmicitheta4mmaisdWbssadusdtsQnMWLam Ihaw aaxragLiabdtyhtstrd=PehcyundixdnigCarp Ca"dwor fts sthtirtd afmalat YES Y NO Ihamestrt mkdvalidptoofofmnebtheOfoe YES U NO M IfymhmdWWYES,PIMSen bC*theiypeofMtrdWbydcdcrrgthe WAIRANCE d BOND 011-JER ftweSpaafy) B#afionD* � 11Plini&d Valueoft3mbical Wak$ly6D WakioSwt �� �' h�spectionD*Rec�tad Rough Ww Final Sigrred taxier�ie Per>al�s FIRMNAME CWQ W Li=WNTa. --r /o 6 Licatsee S�� � Lioa>SeNo Adless. AIL Td Na OWNER'S PsELRANCEWAIVER,lam methattheL=mdomnot theiranxec ymWoritssuhsWtialapivalatasm#edbyMmdxseMGataalLam and drat my sigratiaern the pem�app�rn wait ibis tegtmsnai (Please check one) Owner Agent s, Telephone No. PERMIT FEE 9 S - �` ,%ORTN TOWN OF NORTH ANDOVER = ' PERMIT FOR WIRING cwusE� This certifies that .............. !. '... .f{... .±' ................. has permission to perform .ie.!�f'�l N .�...J.t? wiring in the building of......... .............................................. at .. ..........,North Andover,Mass. ..............:NK: .... .............. .E INSPECTOR C. Check # III,L h WHITE:Applicant CANARY: Building Dept. Treasurer lI 09W0A'E+ LTH0FA14W HU nn Office Use only DEPARTMEVTOFPUBLICSAFM Permit No. o�� b� BOARD 0FF7REPREVEM70NRWUL4H01 N3rCMR12A0 OVAPPUCATION Occupancy&Fees Checked FOR PATO PERFORM ELECTRICAL WORD ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL_//3 ) /Z) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 3 RH pl;�-7 14),A l` Owner or Tenant Eo F. F—D Owner's Address Sofmt Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 9F Amps �a�Volts Overhead Underground a No.of Meters I New Service AmpsVolts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets (10 No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixturesi Swimming Pool Above Below Generators KVA t517, and ground No.of Receptacle Outlets l No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. - Total 911-5- FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER 1rnA=XeCWaage Ptasuantbthera"Unff2SdMmsadzse sGmeralLaws IhaNea=utLiah1tyhts m=PbhcymldrgCar#lege * ComagecrAs egtrivalelt YES NO Thaw% rWedvalidprcofofsarne1othe0ffi=YES NO F-1 If}cuimtd,ecWYES,pimeirdc*thetypeofwmaWbydakrgttc N& ANCE ® BOND GUER ftweSpadfy) r Vahiecf ict1w Wak$ "71Qr WaWSMJ � h�MD&-Regtlated RD# !.t/�� Fmal Sighed taxla'�ie i � � ��1 {� Ch?21� FIRM NAME LioeeNa �52/6-0 Lioa>see — Sigrmn i L'+otm l b (..1JC)���� V� � �'s- _ BtshtessTel.Na _ Addru .. ��. Ah.TeL Na OWNER'S 1NSLRANCEWAIVER;iana%vatetlA1heLi==doesnut te etheia moe anfs%kWEtalegretala>taste#WbyMsmdasezCstaalLaws aoddtatmys4lak ,nthispete pficmmwai%sdzm*Mmlad. (Please check one) Owner a Agent o d� Telephone No. PERMIT FEE$ a� PF fZ l 4 rr NO. APPLICATION FOR PEIZA41T TO T3 CJTLD^^* n.^^"NORTYY ANDOV G.R, J\/IA nIVI•NO. a)U � � LOTNO. 00 2. ItLCORDOFOWNERS11III DATE BOOK PACE - 7ON'I. Still DIV. LOT NO. I lIt .\Tu)N 3�L/ Be IZgZ �% rtluPOSI:OF uuu.ulN(: x F4 M�L� f ��f�rC ��S� IZDD o?S' E A t Li ,�A (fie NO.OF S"roR1Es —� `�G✓-(j S12L t1\\'N'1:12'SADDItLSS '1) if ry /-�`f2 (zy S.T• HASEMENI Olt SLAII �•9e i Se/,-) r .15 o AIUA11I'l-TIISNANIE \/ , ,7 . I / 5 2M) rr �'�•3RD SIZE OF FLOOR ll,\111k:RS �' �" 7 Itlnl.nElt'sN:Nnlh: W IZA7SO lIj 0 CG7i0N •-r" c SPAN aO 11I1,TANCI: MNEARLS'1'BUILDING DINT ENSIONS OFSILLS bao /Ce a J 4 DIS I'ANCE FROM STREET DIMENSIONS OF POSTS ✓� III.S'I \NUV FROM LO'I'LINES-SIDES REAR DINIENSIONSOFGIRDERS .N It LA 01:LOT FI1ON"rAGE if Or FOUNDATION 4W#v A ` T1IICKNILSS /b IS UIIILDING Nk:\V SIZE OF FOOTING ' x ,� a o ISlit IR.DINGADDITION ,/' MATERIAL OFCTl1NINEV IS BIIII.DIN(;AI.II::RA'I ION IS BUILDING ON SOLID OR FILLED LAND SCI I \\'H.1.BUILDING CONFORM TO REQ111RLNIENTS OF CODE IS R1111.1)ING CONN'EC'TED TO TOWN N'ATk:R IM.WD OF AI'ITAIS ACTION, It-ANN' IS BUII.DINC;CONNEC'I'k:D'I'O"I'O\N'N SEWER - IS BUILDING CONN L•'CTED TO NATURAL GAS LINE IN1-',II1CHONS 3. Pit 0PERTYINFOR NI•N•IION LAND COST EST 111 DC COSI' 9 ®Q ' I'\Ck: 11'll I,ou rSECTInNS 1-3 EST.IILDG. COST PER so. FT. Es'r. BLDG. COs,rPElt imom I'I 1'('I'ItIC nll"I'FI25 NIIIST RL ON OUTSIDE OF IIIIILDING SEPTIC PERMIT No. \I'I'Wit I'D G.\R\(:FS NI115'I'CONFORM TO S'r: IT FIRE RECULA'IIONS 4. APPROVED BV: Pl.\NS NI IIST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPLC'TOR D N'1'1:FII.I:B — ON1'NERS 7I:L✓ Bt ' O N / 9 CONTIUI'L 8 �i. a ys' -s-s's s- CON'1'It.1.101 (_ D 2 Y'2&3 SIGN.\'flllih OF.O1\'NICR OR AUTHORIZED A(J II.I.C.11 o to 7 I PTltNlIV(;IIAN'ITI) _ 19 Revised 5/5/99 ,IINI- ---- -- --------- _ II h FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT UC pe i , PHONE (036, -(� 53 LOCATION: Assessor's Map Number off )0 _f fig c PARCEL 00 1 y SUBDIVISION LOT (S) STREET Be-1Z 1Z5� Sj. ST. NUMBER 3,;t V ** ******* ************ **************OFF 1 C lAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED ��� DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED �- _ DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 5f COMMENTS 1, S -,� 'Ldp 'PZAtJ S IST//U G- PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm