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HomeMy WebLinkAboutMiscellaneous - 333 RALEIGH TAVERN LANE 4/30/2018 (2)N w to O to O r - m D � o x PA -4 ro n m o o z o z m L TO D ^� TIM/Mit:, P FROM , ,� PHONE ( ) CELL ( ) FAX ( ) SE Important U A R�FNI ` M E O E-MAILADDRESS I SIGNED PHONED❑ gACK❑ CALLRNED❑ WANT WILL AGAIN CALL[:] WAS IN URGENT❑ .6 10621 Date.J[11-11 ............. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ......... K ....... e ...... j..t..*-, .................................................. has permission to perform 2- � --6 1 1 - +--) .................................................................................................. plumbing in the buildings of .......................................................... at ..... .... ............................ ....&ofth Andover, Mass. Fee......... Lic. No. �-�....` l ........ ................................................................................. PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ?{ I CITY MA ,pATE "_3*=M PERMIT # JOBSITE ADDRESS 333 �a t %� -�-VAJ LJ�i OWNER'S NAME POWNER ADDRESS _333 '�,� Q i j„ +V f AJ TEL g 71--,90-�f 717 FAX TYPE OR ( OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT I CLEARLY NEW: RENOVATION: - REPLACEMENT: PLANS SUBMITTED: YES NO `7! -------- ---- - - ' -1 —rf t-- T- - - t-T----�— i FIXTURES Z FLOOR- BSM 1 2 3 4 5� 6 7 8 9 10 11 12 13 4 . I -- BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM i DISHWASHER DRINKING FOUNTAIN i FOOD DISPOSER FLOOR 1 AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY - ROOF DRAIN i SHOWER STALL SERVICE / MOP SINK TOILET 1 URINAL WASHING MACHINE CONNECTION - WATER HEATER ALL TYPES 'I i WATER PIPING I OTHER- _._ __ _.- _ •- INSURANCE COVERAGE: 1 have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO — P y q s � IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW \ LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the J Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT _ SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comalia4ce with all Pine provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Kevin Downer LICENSE # 30417 SIGNATURE MP JP CORPORATION # PARTNERSHIP # LLC # COMPANY NAME Kevin Downer ADDRESS 6 South Stowell CITY Worcester STATE MA ZIP 01604 TEL 508-425-0359 FAX CELL EMAIL ���.G! VyY A,1 11 • ' The Commonwealth of Massachusetts 4. ❑ I am a general contractor and I Department of Industrial Accidents have hired the sub -contractors Office of Investigations y1 Congress Street, Suite 100 These sub -contractors have Boston, MA 02114 2017 employees and have workers' [No workers' comp. insurance www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Kevin Downer Address:6 S Stowell Street City/State/Zip: Worcester MA 01604 Phone #:508-425-0359 Are you an employer? Check the appropriate box: 1. ❑ 1 am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2.9 I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance required.] 5. r-1 We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] r c. 152, §1(4), and we have no employees. [No workers' coma. insurance reauired.l Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13. ❑ Other *Any applicant that checks box # I must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew 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: Travelers Insurance Policy 9 or Self -ins. Lic. #:680-006E156972 Expiration Date: 5/8/2015 Job Site Address: All Jobs City/State/Zip:All of MA 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 Date: 9. W � L Phone #: 508-425-0359 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Pere-dVLicense # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: DRIVER'S LICEMSE MONE 04-30-197 0 -30-20 SFX NI -I NGT 5-10 9E KEVIN W 6 SOUTH STOWELL ST WORCESTER MA 016044-5309 n COR. MIONWEALTH OF C3 RT@fC3TKl., (xi � I- F- 03 1 MV�lg PLUMBE09M EASE I TTERS ISSUES THE FOLLOWING LICENSE L I UEMSFED AS A' JOURNEYMAN PLUMBER KEVIN td DOWNER S STOWELL ST •�-x N-10VICESTER MA 01 601, 30417 05/01/16 — 214133 :j I- 7t It t I Location 33 3 �A .� �� ( -Au4Pte► No. Date 9 _ o MORT#j TOWN OF NORTH ANDOVER Oiit.•o :•,4,, 0 R 9 Certificate } of Occupancy $ CMUS <�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �Q 3 3 S Check # 16723 MAA `��`-�-�-- Building Inspector SIGNATURE: Building Commissioner/Inspector of Buildings Date - SECTION 1- SITE INFORMATION 1.1/ Property AddrepL-, 1.2 Assessors Map and Parcel .� 10-7-Ati Map Number ti' Number: ✓/ Parcel Number' 33 Name (Print) V 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft •, i ... ; - Front Yard Side Yard 2.2 Owner of Record: Rear Yard Required Provide Required Provided ReqWred Provided SECTION 3 - CONSTRUCTION SERVICES 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes --No 2.1 Owner of Record 33 Name (Print) V Address for Service p% q-1 X& 7 Signature Telephone 2.2 Owner of Record: Name Print g Address for Service: Sri nature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licenje.J Construction rvisor: Not Applicable ❑ Licensed Construction Supervisor: r0S-/7/Q ,/ License Number Address Expiration Dated Signatupe Telephone . Y 3.2 Registered Home Improvement Contractor Not Applicable ❑ 6 Company Nan1p ,� Registration Number '" (/�U Address Expiration Date Si nature Telephone rn _A, SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 6 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 ......X No ....... 0 SECTION 5 Description 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: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit a licant �ICIALSEE)1!Y Y- Building(a) Off= D� Building Permit Fee Multiplier 2 Electrical "(b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (8) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4t5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OW R/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief �NG rn'�►'Sb DUKI Print e i ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1ST 2 ND 3 TM SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHI1vINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE f" � ✓iie -Po�rrunwn�uP,all! a�,/lfizaoculivaelZa ` _ i s j BOARD OF BUILDING REGULATIONS ' License:. CONSTRUCTION SUPERVISOR i Number: CS 054795 .- ..5 Birthdate: 06/18/1956 ` Expires: 06/18/2004 Tr. no: 1619 Restricted: 00 } THOMAS D- DEAN` I 12 SHELLEY DR t HUDSON, NH 03051 Administrator ✓!ze-Po7.�mzo�.uuea�� o�✓,/�faa.Tc�c�.caeltax 2L r Board of Building Regulations and Standards isHOME IMPROVEMENT CONTRACTOR e _ Registration: 129804 9wj Expiration: 11/5/2003 t. Type: -DBA T. DEAN CONTRACTING , } THOMAS DEAN j 12 SHELLE_ Y DR. G i HUDSON, NH 03051 Administrator The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations Boston, Mass. 02 911 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers')comp"on for rry employees working on this job. InW,MW-M •.••,..,xa,�e���uw�attaY�g�mnstme. understand that a copy df this statement maybe forwarded to the Office of Investigations of the DIA for coverage verftMon. do heresy ceridy under ns and pe n9" ofpe,7wy that ttaeurfarmaborp provx]bd above is tragi and correct //-4-? Print names ray A S ?j t ,A Phone -&�(?t`i % Official use only do not write in this area to be completed by city or town ofWar City or Tawe Perm*Ucensi D El Check Y immediate response is required ❑ BtfiPding Dept LicelWng Bard ❑ Contact person: Phone # 0 Selectman's ice Health Department ❑ Other Thursday, August 28, 2003 8;08 AM T. DEAN CONTRACTING 12 SHELLEY DRIVE HUDSON, NH 03051 (603) 886-0613 Mass. License #054795 TO: s Thoma & Marybeth"Shea 333 Raleigh Tavern Lane North andovsr MA 01810 suemi% speeltications and estimates for: Repairs to rear & side knee walls of garage P-02 3, I 1-978-686-0626 18/28/2003 108 NAME / LOCATION Jacking the rear wall of house in the garage area & repairing wall that is off foundation. JOB WE will remove a two foot area of drywall in the garage rear ceiling to expose the floor joist then we will install two crib piles on each end of the garage_ We will install hydraulic jacks and a steel beam on top of the crib piles supporting all floor joists when jacking house back into place. When the floor is in place we will then remove two feet of siding & plywood from the rear wall of the garage and the side wall up to the crack in the foundation to expose the framing, we will remove any shims and clean the sills to add solid Pressure treated blocking along the length of the back wall & side wall to where the foundation is cracked. We will then drill through the sill's and concrete every eix feet and lag bolt the sill to the foundation with 1/2" bolts and shields. In the process of jacking there may be some cracking or movement of the concrete floor, and the drywall in the garage and master bedroom may crack from jacking if this occurs repairs are not included in this price. We Propose herehy to furnish material and labor — complete in accordance with the above specifications, for the sum of; Six Thousand Five Hundred and 00/100 Dollars dollars ($ 6,500.00 Payment to be made as follows: Fovr thousand on the day of jacking, the remainder upon completion. All material is guaranteed to be as specirted. All work to be completed In a proteesional manner according to standard practices, Any arooration or devlafon from above specifica- Authorized��� (� tions involving extra costa will be smouted only upon written orders, and will become an extra Signature—'--' —� r >-.—:�.��., charge over and above the estirnate. All agreemerns contingent upon stnkes, accidents or dslaya beyond our coMmi. Owner to carry fire, tornado, and othor ncoocrwy Insurance. Our Note: This proposal may be workers are fully covered by workers Compensation insurance. withdrawn by us if naccepted within n days. Acceptance of Proposal —The abova prlow, opoodioatlone and � condilionaare satlsfactory and ere hereby accepred. You are authorized to do the work Signature v �w as specilied. Payment will bea as utllned above. <,� � Signature C`.. Data of Accaptance; 1—r— ® To Reorder. 600.2258980 or neba.mm FRODUPT ui;e FOLD at (s)TO Fn COMPANlonnr Du -O -rut EMYELDP£! PRINTED IN u.s L 13 09/10/03 WED 09:35 FAX 603 883 6046 SADLER INSURANCE AGENCY C01 PRODI••ter`�Irll�;ATE�OF�LIA�BILITY lNSU RINSURANCE THE SADLER INSURANCE AGENCY 24 Railroad Square P.O. Box 2021 Nashua, NH 03061 T. Dean Contracting Thomas D. Dean 12 Shelley Dr. Htnlson, NH 03051 ONLY�AND Cpj 'a rMull ASA MA � M3 tJPONrTHE HOTHIS CERTIFICATE DOES NOT AME ALTeR THE COVERAGE AFFORDED BY THE I WSURERS IJ INS IF SFO of N�IJ INSURER C: n,Ls�— INSURER E• 0001 DATE (MUM 09/10103) NFORANATION MFICATE EXTEND OR CIES ElEtow MAIC` a — THE POLICIES OF INSURANCE LISTED ANY REQUIREMENT, TERM OR CON �IIA� BEEN SUED TO 711E INSLIREO MAY PERTAIN, THE Dll OF ANYCONTRACT DOCLIM NAMED ABOVE FOR THE POLICY PERIOD INDICATED. INSURANCEAFFORDED BY THE POESCRIBE�D HEREIN EENT WITH RESPECT TO POLICIES. AGGREGATE LIMITS SHOWN MAY HA WHICH THIS CERTIFICATE MAY g�pES A DING VE BEEN REDUCED BY PAID CLAIMS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND A TR TYPE OF INSURANCE NDITIONS OF SUCH A SAL WBBJTY NUdBER 603918510502 12!34/02 TE X CuLlrls Ohgy(ERCIAL GENERAL LIAB@JTY 12131w EACH OCCURRENCE CLAWIS MADE Q OCCUR $4 O00 000 ►MED EXP IAny one Person) $5000 GEN1 AGGREGATE LR.IR APPLIES PERSONAL & All INJURY $10000011 PER; Poll PRO. GENERALGATE $2 000 OW LOC B AUTtxtOgLLE UABIUTY t810544H4829PHX03 PRODUCTS - COMP/OP AGG 32 000 OOQ ANY AUTO 05/12/ 03 05112/04 ALL OWNED AUTOS (Ea 6D �IGLE LfiJ $1,000,000 X SCHEDULED AUTOS X HIREDAUTOS BODILYINJURY {Per person) 3 X NO6WwNEDAUTpS BODILY INJURY (Peraccideq $ GARAGELL424M PROPERTY 3 ANYAUTO AUTO ONLY-EAACCIDENT S EXCESS/UMBRELLA UADI�y OTHER THAN EA ACC AUTO ONLY. $ OCCURAGG CLAIMS MADE EACH OC(XIRRENCE S $ DEDUCTIBLE AGGREGATE 3 RETENTION $ $ C WORKERS COMPENSATION AND$ EMPLOYERS. iiWC731S339820012 ANY PROPRIETppryARTNER/EX EXCLUDED? ECUnVE 12118/02 1211 X uuC STA TU- O S VCERAI5I�ER PE 'At PROVISIONS below dal unda, E'L EACH ACCIDENT $10Q QQQ OTHER E.L. DISEASE -EA EMPLOYE x1 nn AAA DESCRIPTION OF OPEitATIOIII S / LOCATIONS / VEHICLES f EXCLUSIONS RE. 33 Raleigh Tavern Lane, Noah Andover, MA ADDED BY ENDOR!ENT/ SPECIAL PaMLI CANCELLATION Town Of North Andover Sf°°ULe AN�"D THE ABOVE DEa=BED S eE CANCELu� Atln• Mchael DATE THEREOF. THE ISSUING INsuRER VaLL THE EXPIRATION McgUlre NOTICE TO THE CERTIFICATE HOLDER NA ENDEAVOR 7o MAtt —�� DAYS WRITTEN Fax:978-688-9542 MED TO THE LEFT. BUT FAKURE 70 Do So SHALL =NO OBLIGATION OR UANUTY OFANY KIND UPON THE INSURER ITS AGENTS OR EUTA ACORD 25(2061ft)1 Of 2 031317 0 ACORD CORPORATION 1988 /10/03 WED 09:35 FAX 603 883 6046 SADLER INSURANCE AGENCY IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the on this certificate does not confer rights to the P°H�ftes) must be endorsed. q certificate holder in fieu of such endo anent If SUBROGATION IS WAIVED, subject rsement(s). require an endorsement. A statement to this res and conditions of the holder in lieu of such ate does not confer ��� � �Y endorsement(s). Mer rights to the certificate DISCLAIMER The Certifipte of Insurance on the reverse side of this the issuing insurer(s), authorized re form doesnot constitute a con aff+mtativ Presentative or Producer, and the tract between ely or negatively amend, extern or alter the coveragecertificate holder, nor does it afforded by the Policies listed thereon. CORD 25-s (200"OB) 2 of 2 431317 la002 Sep -02-2003 96:362M From -GEOTECHNICAL SERVICES INC 16036248733 T-733 P.001/001 F-710 GEt�TECM%CAL SERVICES, INC. • ft' emkwom" • cattilnao" *N tto w • Met"To" TELEFAX MEMORANDUM To: Thosm =6 hwy fth no Fax Noy 078-849-1061 Ad&=, 333 Rt+W& Tevem lane Borth tmlov&, MA klcoaa: H. Wetbdboe, PI;, Ptinew EnOum bate: 011/18/03 13. Ltive , EPI'pwj%*Enffinva gap* proposal ft the mw and side kam walk of tht garage. GSI Project 0. 2,0330.3 No. Paps Oududa$ oa7 u sheet): ryas t�►s Mtend agp3uee NYU otedabove. to rem fbr�ilertton ra oxpresOW pmh - W. Sheat: b is ottr tmdt at; *d the Town of Nattlt Aodsvet bu coacetns that the aisdn I'oaadedou would bmtoonae datuagodorfsiltosuppotetbc=W to bumwbftthopmposedtepeltsar nwkf,otbebuikting"=Walle, YooAsve asiaed is to tevicw turd cottatttatt on the repair ptvp06al. We oar tUc fo kwina cotntaam'. • As aorod it► ow report dated AQV# Zs, 2M, wAtah caromed our texM sb visit and 5m=Vm Of the founWon and undepiPf"g, the Imm bad not been kvckd ager the ineullatloanofin the ftion ttta espimmaddiiaobut the ftnnde�log bad been tttade 0* to arrestflttther Ottlennatts 01 shucttatal work to wlevel the blame brad be I OPO&MUdAtathm • As the un&*WWng sYgm was dMIPW'by Mr. Richard pizA ;p.E., to swp doe sddeateasts and provide a=ptablofuwWfid=SdPPOrthtlbcbodKtbcqPMg=g& to the suactico sw ono incic s oto the loading aumtl7 by tie Pom tlm but ** soave t0 mote adequt 0* the Soaudadoa and:q i&*ing rapport soils, l. E3 12 e:a Road. Na�rerftiNHMA bl�t az4l'M x Ott � ���ea 1i; 1s Page Avis. �aa�n. ❑ 108 Whipple S' hWo LOWISM, NIE 0"" 101" 207")M7Id fax: 207/z0219271 Z'd IVe*O1 WdTS:8 E002'2 'd3S 4CBck two and type retum address and Ouga and Mx nuts XMr To: Mr. Mlchael McGuire From: Tom Shea Fa:c 978-688-9542 Pages: 2 Including cover Phone: 978488.9545 Date. 9/212003 Re: 333 Raleigh Tavern Lane CC: Tom Dean d Urgent For Review 13 Please Commmtt C1 Please Reply O Please Recycle e Comments: Select this text and delete it or replace it with your own, To save changes to this template for future use. choose Save As from the Fie menu. In the Save As Type box, choose Doalmeht Template. Next time you want to use it dose New from the File menu, and then double- click your template. Hopefully this will provide sufficient documentation. If there are any questions please call me at 976.848-1016 (W) 978-686-0626 (N). T'd Tb6'ON WUTS:8 E002'2 'd3S Aug -25-2003 04:40pm From -GEOTECHNICAL SERVIC�,S-INC 16036243733 T-593 P.001/002 F-602 3 GEOTECHNICAL SERVICE S INC. Geotechnical Engineering ® Environmental Studies ® Materials Testing ® Construction Monitoring August 25, 2003 Mr and Mrs Thomas Shea 333 Raleigh Tavern Lane N. Andover. Massachusetts 01845 RE: Foundation Evaluation 333 Raleigh Tavern Lane N. Andover, MA GSI Project No. 202303 Dear Mr and Mrs Shea: The purpose of this letter is to report the results of an evaluation of house foundation at the above noted site in North Andover, Massachusetts. The specific scope of our evaluation was to observe the condition of the foundation, assess soil conditions encountered within a test pit excavated adjacent to the foundation, and make recommendations as to any required foundation repair. OBSERVATIONS GSI visited the site on August 22, 2003 to view the test pit as well as to observe any visible or potential damage to the house foundation. The site is currently occupied by a 2 -story, split level, wood -flame house with attached garage and was built approximately 10 years ago. At the time of ourvisit, no new cracking or visible settlements in the foundation were noted. No other cracking was visible in the other areas of the house and/or garage foundation wall. The garage floor immediately adjacent to the north side of the foundation had been cracked and was separated.from the foundation wall about 1 to 2.5 inches. It appears that the cracking was not recent and is related to the original settlement that necessitated the foundation underpinning. Based on documentation dated April 26, 1995 that was provided to GSI by T. Dean Contracting, it is our understanding that the perimeter foundation in the garage was underpinned using concrete underpinning designed by Richard Pizzi, P.E. of Geotechnical Consultants, Inc., (GCI) and was installed to prevent additional settlement and prevent further damage to the structure. It was not indicated from the documentation that any other steps, such as sacking to raise and level the settled portion of the home, nor repair of the concrete garage floor slab had been performed. The test pit was excavated on the north side of the house, approximately 12 feet from the northeast foundation corner, and was continued to about 6 -inches below the bottom of the underpinning to a depth of approximately 8 feet from the existing ground surface. The underpinning was supported upon a dense f -in to f -c SAND, some Silt, little f Gravel (glacial till) as noted in the underpinning design by GCI. EVALUAITO1N AND RECOMMENDATIONS It is GSI's opinion that the above noted underpinning appears to be performing as designed to prevent additional settlements in the northeast corner of the foundation. It is recommended that the homeowner keep an eye on the situation if continued settlement redevelops in this or other areas of the house. It is further recommended that site grading around the house be arranged so that stormwater is divested away from the foundation. ® 12 Rogers Road, Haverhill, AOA 01835 ® 978/374/7744 -A FAX 978/374/7799 ® 18 tote Avenue, Goffstown, Nle 03045 603/624/2722 ® FAX 603/624/3733 A Aug -25-2003 04;40pm From -GEOTECHNICAL SERVICES•INC 16036243733 T-593 P.002/002 F-602 FOUNDATION EVALUATION 333 Raleigh Tavern Large - N. Andover, MA August 25, 2003 Page 2 The cracked section of garage floor slab should be removed, the edges saw cut straight and a. new concrete floor slab section cast in its place to match the existing floor slab elevation. If desired, the remaining gap between the floor slab and foundation walls could be filled using foam backer rod and and an elastomeric sealant designed for concrete, Geotechnical Services, Inc. has performed an evaluation of the referenced property to evaluate the existing foundation s and this report are limited thereof. Our work has been provided in accordance with generally accepted geotechnical engineering practice, no other warranty is expressed or implied. This report contains recommendations with respect to repair options. These options have been based upon the results of subsurface explorations and our experience with similar projects. R is suggested that we be provided the opportunity to review specific contractor proposals to evaluate compliance with the recommendations contained herein. This is particularly important in the event that differing conditions become apparent. We trust that the contents of this report meets with your satisfaction, if you have any questidns regarding this report or require further assistance please do not hesitate to contact our office. Very truly yours, GEOTECHNICAL SERVICES, INC. A4-�- - Bryan L. Levesque, EiT Geotechnical Engineer AUG 2 62003 BUILDING DEPT. r u w w m " c� o r w2 M U 0 a a�' w WD W S.: oa m u w w m " c� o r w2 a°' U w a a�' w a w a°' w UM w�' w a w rA z U) `' cn ui am J:cc o :l^ 2 c o CJ C-1 C C • r'7 ev ea m c A cf .t o • .� ev : fA c O o a ca b9. Z O m r7 J a Ste+ E N �V Cd Cy � ti CA 3 � cm AICID •� C y z : O:yco0p may - w U m CL, `G Rm act L m U) r: N m CC U) Lcm C OQ w N cg m O caro z � ol: c OCL o c N C •O Z coo r L LA - F= .y at 1p c Z y d ID o� Q~ _ _ J a=.. CO 9 I MI, O 2 O CD 0 E O i cc O Z co CL O CO) D C I Com_ H CD — H CD GO m 3� O OQ CL i CL �a COD 4- c O CO2z� CL O C C C COD G 0 W ir W CO Location 33 3 No. t Z5 R 64 L 4- 4-� wI- . SM _ Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ z Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Ji� PER.AlIT NO. V� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4J0. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ONE SUB DIV. LOT NO. LOCATION J3 T0.VeJhC �..CLKG .r POSE OF1L•09NG _ RGImtYS o"a- IDK, 6WNER'S NAMEt)bUe.L� tCd",4 NO. OF STORIES SIZE jPWNER'S ADDRESS 333 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD -B01LDER'S NAME ErN A C ONsT6t rtvN SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS - IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3pt PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED A F E E PERMIT GRANTED 19� 3 PROPERTY INFORMATION LAND COST .ft'I'. BLDG. COST 000 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY OWNERTEL.# 6?G pz-!�/� CONTR. TEL. # ° / CONTR. LIC. # H.I.C. # to7 WK��0 BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY STORIES - THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH B 1 2 13 PINE HARDW D PLASTER CONCRETE CONCRETE BL K. BRICK OR STONE PIERS DRY VJAII _ UNFIN. 3 BASEMENT AREA FULL 114 1/1 1/1 FIN. B'M'TAREA FIN. ATTIC AREA _ _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 _ 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING CONCRETE EARTH HARDVJ'D COMMON ASPH. TILE VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOREQUATE I-1 POOR ADNONE 5 ROOF 10 PLUMBING GABLE GAMBREL I I HIP BATH 13 FIX.) MANSARD TOILET RM. 12 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ _ TILE FLOOR TILE DADO 6 FRAMING I i l 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 _ 10 13rd ELECTRIC I NO HEATING IA R-7] LM Chi uj 6 z m c OR c " 0 o O Q C2 co O ti Cc v v E 7�7 co i CD O CO) E< cm m Co � CL 5 CODCC w O y CD �p U) :wm U O � $ i O co U i os � � p a:.co OA ev U L m C) C O ^��O N J: C cm m'O Qi 0 O c V L 0. �p H p d a •� R m CL Q C CD w O G y m U h� -a o � o � c CD +- ILE L o C/)a' �p O CD CC C10 cm's S w v J CL '3 4Z. 32 C Z co z IS mO d (.� ' Z - C3 cv c CL �=+ a f= m = 1 :msa �'. $ o$�' v! C .900 =4D m .m.-_ o Q' oc m a; o p _ v m.: oM= � -.�,0 � z COD ar Ca :M. � MA. a �..., �+� »rrR.�rweF _....... .er. v. �. — - 7.. _ ...rte-r.•..�... - U w w w d u � � L Q � Ca C G m � U w m dao rte° ii w c� w .0 �° w w m 0 Z cn a3 D v O cn R-7] LM Chi uj 6 z m c OR c " 0 o O Q C2 co O ti Cc v v E 7�7 co i CD O CO) E< cm m Co � CL 5 CODCC w O y CD �p U) :wm U O � $ i O co U i os � � p a:.co OA ev U L m C) C O ^��O N J: C cm m'O Qi 0 O c V L 0. �p H p d a •� R m CL Q C CD w O G y m U h� -a o � o � c CD +- ILE L o C/)a' �p O CD CC C10 cm's S w v J CL '3 4Z. 32 C Z co z IS mO d (.� ' Z - C3 cv c CL �=+ a f= m = 1 :msa �'. $ o$�' v! C .900 =4D m .m.-_ o Q' oc m a; o p _ v m.: oM= � -.�,0 � z COD ar Ca :M. � MA. a �..., �+� »rrR.�rweF _....... .er. v. �. — - 7.. _ ...rte-r.•..�... - , 1 O• . ~wyA , 7 ' OFFICE OF BUILDING INSPECTOR i y, TOWN OF NORM ANDOVER '' .�,' i • CONSTRUCTION CONIROL PVnCT NUMBERS PROJECT TITLES PROJECT LOCATION: 333 e, ,���& .,.:-..-,NAME OF BUILDING: /G� /AVay�irjlD�il�'LS ;,NATURE OF PROJECT: �YO•�Tf1Cs�i 57LL�J�.tl _ , IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING. ODE Registration No. ''BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHIIECT HEREBY CERTIFY THAT I•HAVE PREPARED !OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA— ;N ..TIONS CONCERNING: - ENTIRE PROJECT O ARCHITECTURAL Q STRUCTURALS HECHANICAL Q FIRE PROTECTION Q ELECTRICAL Q OT!!ER (specify) 6- jrjf/ . FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THEOAPPLICABLE PROVISIONS OF THE MASSACHUSETTS .STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. - AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE • PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETER)fINE THAT :THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN.SECTION 127.2.2: 1• Review of shop drawings, samples and other submittals of the contractor as required by the construction contract docunents as sutrnftted for building permit, and approval for conformance to the design concept. + 2. Review and approval of the quality control procedures for all code -required controlled naterials. 3. Special architectural or engineering prof essional.inspection of critical construction carponents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.39 I SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANllUVL11, BUILDING INS4'1,: l,. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORI' ORS Ste, IS,FACTORY .,COMPLETION A14D READINESS OF THE PROJECT FOR OCCUPANCY +' S '' 't7 • SUBSCRIBED AND SWORN TO BEFORE ME THIS - DAY OF ss� t NOTARY PUBLIC MY COMMISSION EXPIRES 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 November 21, 2005 RECEIVED North Andover Board of Health N0Y 2 9 2005 400 Osgood Street TOWN OF NORTEK 1i;2�`,,,VEP g HEALTH DF P. -- North Andover, MA 01845 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF 156 Attached please find the Field Inspection & Service Report for services performed on 11/10/2005 at the property of Thomas Shea located at 333 Raleigh Tavern Lane - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Thomas Shea Massachusetts DEP Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Q Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and 0&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Thomas Shea Owner 333 Raleigh Tavern Lane Facility Street Address North Andover 01845 City Zip Mailing address of owner, if different: 333 Raleiqh Tavern Lane 4610 Street Address/PO Box: North Andover MA 01845 City State Zip (978-686-0626 Home ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508) — 880-0223 ext. Telephone Number Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information MCF156 DEP ID Installation Date Bio-Microbics, Inc. Manufacturer's Name & ID 11 /05/1998 Start of Operation Approval Type: _ General _ Provisional _ Piloting X Remedial Seasonal Residence — used less than 6 mo./year: _ Yes X No D. Operating Information 11/10/2005 Inspection Date Sludge Depth (to be checked yearly) Color: N/A Odor: None Effluent Description MicroFAST .5 Model Name & Number Previous Inspection Date Pumping Recommended —Yes X No DEPMicroFASTnew.doc - 11/21/05 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and 0&M Form for Title 5 I/A Treatment and Disposal Systems 4610 E. Sampling Information Samples Taken: _ Influent _ Effluent Parameters sampled: _ pH _ BOD _ TSS _ TN _ Other (list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,, Splash Recycle, Notes and Comments: Also tested: , , , . Alarm inside - not accessible. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Michael Dillen Operator Signature 11/10/2005 Date - System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January Piloting & Provisional Use - 31st of each year for the within 30 days of inspection previous calendar year date Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 General Use — by September 30th of each year for the previous 12 months DEPMicroFASTnew.doc • 11/21/05 Page 2 of 2 V*- , B10-MICROBICS INCORPORATED 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 w Fax: 912-422-0808 4610 e-mail: onsitetp'�. biomicrobics.com w www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name Wastewater Treatment Services, Inc. Owner Name Thomas Shea Street Mail Address: 333 Raleigh Tavern Lane North Andover, MA 01845 Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip Phone 978-686-0626 Home Fax e-mail I 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST .5 MCF156 11/05/1998 06/01/2004 -EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color N/A Temperature Odor None Comments: Alarm inside - not accessible. TECHNICIAN SERVICE DATE Michael Dillen 1 11/10/2005 Date .... 9 ..... ......... NORTq TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ................... .................................................. has permission to perform ..—"1..`.-.... . .............................................................. wiring in the building of ......................................................... rez, .... .................. . North Andover, Mass. Fee ................ Lic. No., �?/ .................. ............................. ELECTRICAL INSPECTOR Check # 4724 MECOMMONWFALTHOFMASSACHUSEM � f� Office Use only DEPAHINI'OFPUBIICS9FEIY o. BOARD OFFIREPREVEMONREGULAHONS527 Occupancy &Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 3 3 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes © No r7 (Check Appropriate Box) Purpose of Building 9,Z6,a.-"{; c Utility Authorization No. Existing Service Amps / Volts Overhead a Underground 1:3 No. of Meters New Service Amps / Volts Overhead r__J Underground ® No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Wt S — No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below M Generators KVA round round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained ��• Detection/Sounding Devices Local Municipal _ Othe No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER- lhaw . n : r i r c •• 1 i 1 w • n :r 2Lw.6onsCc)mWcrAssubsWntW equrvalfft IhawahTi tedvandpiuofofsametodrOffim YES VywInwchec]DdYES, plaqeirdcai tbevA)eofcDw ageby cheddngtbe box INSURANCE BOND MEM F1 (Please specify) Licensee to )/ Signature EstQrnted Valueof lechicrl Wolk $ Rao Final /S/ 7 I �J nn Address q(o a f t< r a I t��� S o k) CSS / Alt Tel No. OWNER'S INSURANCE WAIVER; I am aware that the License does not have the insurance comnge or its sutgwiU ecfuvalent as w4red by Laws and that my signattue on oris penrnt application waives this regturelrent (Please check one) Owner O Agent 0 6tJ� Telephone No. PERMIT FEE $ Signature ot Uwner or Aoent Name Location: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Afdavit Please Print City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone #- Insurance. Co. Policv # Company name: , Address City: Phone #- r Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.0() and/or one years' imprisonment_as_Htetl_as-cMi.penattiesinshelmn-of-a_STOP WORK_ORDFRand_a.fine_of.-($1DO-0D)-ariay agains-t-me_ t understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. / do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Print name phone # Official use only do not write in this area to be completed by city or town officiar City or Town ensing J ❑Check if immediate response is required Contact person: ❑ Building Dept ❑ Licensing Board ❑ Selectman's Office ❑ Health Department ❑ Other Date..9 : li In3. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .......... has permission to perform-.-".' f plumbing in the buildings of . ................... f Andover, Mass. at. *:-: ...... 7� . . . . . . . . . . . . . . . . . . . . . . . elo Fee.�;i ... Lic. No/. . . f2........ . ....... P �MBG INSPECTOR Check 11 . -' - A k- 5694 r r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLLT M E (Type or print) NORTH ANDOVER, MASSACHUSET f��ti�[�qv� I �J ,. Date 6 Building Location ers Name r Permit #eG �.►� Amount New Renovation (Print, or type) Installing Company 0 Address Replacement ® Plans Submitted Yes No FIXTURES Check one: Certificate ElCorp. FlPartner. F FimVco. Name of Licensed Plumber: J Insurance Coverage: Indicatothee ofinsurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond El Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the ab( 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 tl best of my knowledge and that all plumbing work and installations performed un it Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PlumbinC. e�Chap�ter 142 of the General Laws. Title . VED (OFFICE USE ONLY License Master Journeyman °f HORT" 1M O P �,sSACNUSE� Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ....?..!?''N her.,!-! !�e ^. C ................... has permission to perform ... Y ............................. plumbing in the buildings of .... .......................... . at....3...'. '.l........:. f:.... , North Andover, Mass. Fee. . � ...... Lic. Noel..% 7 !.... ....... N, . U .- .......... PLUMBING INSPECTOR Check # ` 5440 nx MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Date A10 U_ 2ao.2 Permit # jDwner's NamgLt'16'r4th-al-If C<&a_ Type of Occupant,5 + 17 E N TI ,-1 L_ 1--ja New ❑ Renovation ❑ Replacement fly' FIXTURES Plans Submitted: Yes ❑ No ❑ • Z Z N Z Y Q O Z ZLU W W Y J N Q Cl N O d ¢ ¢ N ¢ YCZ7 JN m NQ C¢d O _W~ J y=¢ ¢-c W¢ m =C z Q acc d2 G<H 0 U. O W n Y W _ W O O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing. Company Name'20Mel A. LrIY►MiAzAe7 Check one: Address ;o Cr; ,4 c N Malo � AJ ❑ Corporation iY) E N4 ie -A) tO A U 1 S VLI ❑Partnership Business Telephone 4�f Z - 1q7 1 9--,�irrn/Co. Name of Licensed Plumber6 Fie T Ott • .SAemmtel reqOp. Certificate INSURANCE COVERAGE: I have a current flability insurance policy or its substantial equivalentwhich meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please /Indicate the type coverage by checking the appropriate box. A liability insurance policy >,d" Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: _ Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations rierformed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g Oode andapter of the eral Laws. BY .�' Title re of Ucensed Plum er Type of License: Master g/ Journeyman ❑ City/Town APPROVED OFFICE USE ONLY) License Number 133 5 i N A Fa m z p V m O O m N N z N V m A O z N �" •ci o;o -ai � c < C 9 m O y In ; z m � o c o m C O z �I C m z p V m O O m N N z N V m A O z N Location 33 Lit r�YeQ,1J. No. Date EEa o< 'A01V of TOWN OF NORTH ANDOVE Certificate of Occupancy $ Building/Frame Permit Fee $ <' Foundation Permit fee $ Ss�CHust Other Permit Fee $ �^ 4 Sewer Connection Fee $ 19 < Water -Connection Fee $ 1 TOTAL $� Building Inspector nM Div. Public Works PEBJIIT NO. � � �V APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. c V v PAGE 1 MAP d40. I V ✓OWNER'S LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE ONE SUB DIV. LOT NO.I LOCATION -333 PURPOSE gi.� n OWNER'S NAME'�i�. U„ / S r. / _(/ NO. OF STORIES SIZE^ ADDRESS 333 RALll_�;r1�'1�47,'/C�211/q,V(�}/✓L� BASEMENT OR SLAB ARCHITECT'S NAME - SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY 'IS BUILDING ALTERATION Y—CE� IS BUILDING ON SOLID OR FILLED LAND MALL BUILDING CONFORM TO REQUIREMENTS OF CODE %L� i IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 INSTRUCTIONS ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR _ ,V///ATE FILED h I Q SIGNATURE OeJOWNER OR AUTHORIZED AGENT F;E E �a��ldn I PERMIT GRANTED 19 CI 3 PROPERTY INFORMATION LAND COST�! ,,EST. BLDG. C"Ir EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL.# 49L Q 5-19 CONTR. TEL. k CONTRAICJ H.I.C. # BUILDING RECORD i 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ _ CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/. 1/2 % FIN. ATTIC AREA N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 _ DROP SIDING WOOD SHINGLES CONCRETE EARTH HARDNWI) COMMCN ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER ELK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ _ TILE FLOOR TILE DADO 6 FRAMING 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_ to 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. w O a o UCd wE V) � O w z z Q° w° - O Pz U O a o V w z z a w O a o UCd wE V) � O w z z Q° w° - O Pz U u a o V w z O C w' O w U) G w aG O d a�' G w w d w A w z i. cin cn W c� m G •cri O O C N O C :vV i; CL = INC_- �! mco t � L N Oct 1, m = • 'r O _C.21 Q a z ME CJ O O CL=CA co E a . N = O N 7 ;go a co N= OCD co w N O ' 4D m D CZ0 s C/) J •- * cm w w .Q�oa m di Ocx CL 1--� clua cm ~ D "� `O rCD H m co c GO06.= Z clm 0' O v T34 P4 ft Q O O � Z °o O CO) D C N2 C 'O co Cc CD cm CD CD CDcm i MO CL �a ca c CD � cvCc CD c Z CD C2 CL C.3 H c C cc CO3 z a W Cn z O U OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PLANNING R . 1 Town Of 120 main Street North Andover, NORTH ANDOVER Massachusetts 01845 <<° s.. DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris wiII be disposed of in: LJ (Location of Facility) "', M. JWl"JA I# I Sign cure of Per tnit-Applicant D/e NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (P_-_:zc :)r,nt; DA--7- 7 tiL r Street Address Sec:'Lon OE tc,. ,Vc HcmE F i0ne _,G A :.� � 3 33 �C�LrtCr►1 �n,�C'r2N Lc�2i�� `//0 0 �,tata Z_� c_ "homeowners" was extended to include 0�. ° Of Slx un;tS Or Less and to all0',J Sllc:, 10Cf1e0'.:i E== t� For hire who aces not possess a Lice"se. prc' ac _S as superviscr. . (State Building Code Se= --'-- - ow --S ar l Oi Laid on wh.c:, her s"E res d -S Or -_..e_l_ is, or is in_ended to be, a one to six aT�_ - tac-Er s true tures aczasSOr; to SL::Cuse �, oe_son who constructs more than one hcme in a nuc .. be cor.Siaered a Zo�„eowner . . uc: ncmeo.�ner nai^ s =.._ . 0�=_c4aL , on a �or::i acceptable to the Buld_n< =-onsibie "o_ alL suc:. 'Ncr... per_or:. ed u, _ rig s Eumn e CO., 1 _a Lie,, E ar_`._..t Location PA � e' Gt 4� V P 0 X No. S Date T Check # 3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ y Foundation Permit Fee Other Permit Fee TOTAL 'f 6 12 7�-- �� 'Building Inspector s � • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH AO�*NE OR TWO FAMILY DWELLING 4 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner for of Buildings Date SECTION 1- SITE INFORMATION LI Property Address: 1.2 Assessors Map and Parcel Number: 33 3n i � n T.A-,(j-e., (p Map Number Parcel Number C 1 \� 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record llmsAr�ii��'ih Sly 333 rint) Address for Service a Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed onstruction Su rvisor: Not Applicable ❑ , CS 7 q5-' Licensed C struction Supervisor: License Numberozi� ,r CS y ���3 / Addres X J' -9s'91 06& -qv b`%0plQ kL / I/s�r✓' /AkiiY.Q,?— _ Expiration Date Signature r Telephone 3.2 Registered Home Improvement Contract r Not Applicable ❑ /Q? 9 ,PAL/ Company a e I j " L 4 )j/ L) Registration Number Address Expitialtion Date Si nature Telephone M M X ic O Z M 90 O wnr v M r r ^^Z Y 9 . 9 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 2506) 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 Description of Proposed Work check au a licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: '6" f c,. )14 4 11 16420 Q1 OR I 21A AI SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 , Electrical (b) Estimated Total Cost of Construction 3 Plumbing o, 00 Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, t7l MA4,4644, as Owner/Authorized Agent of subject property Hereby authorize to act on dxo, - 4 4 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 Na Si a sue of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3RDt SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I ff IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND 1S BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that tfie 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: w 4 (Location of Facility) 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 Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02 911 Workers' Compensation Insurance Affidavit Please Print City hX& VN o) 6 c5- Phone # d ' ��C-� t�6 13 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Address Citv Phone #: Insurance. Co. Policy _# Company name: Address City: Phone #: Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,50o.00 and/or one years' imprisonment_as_wed_as-chni.penaltiesjn-thelwn-faETOP WORK -ORDJERaid-a fine -dol -00-00)-a AN againssi-me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under theins and penalties of perjury that the information provided above is true and correct Print name /� m, _S 1� 1� �1� Phone.# 603 --PY - 0613 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensinq Building Dept oCheck if immediate response is required 0 licensing Board E] Selectman's Office Contact person: Phone A n Health Department Ei Other C/) m m m 0 m COO) CD CD O wa. r W � a n� .� o 0 0 CLCD Q CDo Eo �CD CO) 'O CD O O CA O y iv� ID C'! CD O CD CD y� CD CA �71- CCD CD0 n n O`O fl CO2 ® n m Cl) ZHmCLC =r.0 H .Oi. .-► C .dr m N � a o =r o ao'm � 0 O m N C =r CD m 2 > > m ti t m 2 O O Z C2 O y CJ CA =r m a o o CL '�� is o =r V/ O H Cn v _ 1 na c CD Q�:O OIWH Z ►l"} y I C%) � a 1•x.1 yCD i►1 C , VJ ?N Q O H O � C, �s 0 z o w®o.CD . ca cn �A cn, H 'c4* =CD tv o, ,o C,)c nc) ca o O o� Ma o cn O CD C*O ° F =; pay w F x G7 W �n w cn ; ro s n w Ilzn x '� r w ` 7y G x rLrD 0O cn b ` rt iD 91 O O H 0 J - ✓bisLlb9t!(�Qll� b ,r(r,y�,lXl3rtlYtt[3EEJ 071. BOARD OF BUILDING REGULATIONS License: CONSTRUCTIONSUPERVISOR Numbs"r CS 054795 3 x Birthdate: 06/18/1956 1 Tres: 06118!2004 Tr. no: /619 Restricted: 00 THOMAS 0 DEAN _ 12 SHELLEY OR HUDSON, NH 03051 Administrator a uistions and Stan ' Board of Building ReB CORTRACTOR } }TOME I MPROVEMENT ` itegisiration: 129804 Expiration if 512003 Type: DSA I T. DEAN CON"fRACT1NG THOMAS DEAN 12 SHELLEY DR. Administrator HUDSON, NH 03481 Geotechnical (508) 685-4800 26 April 1995 Building Department 146 Main Street North Andover, Massachusetts Attention: Mr. Richard Colantuoni RE: 333 Raleigh Tavern Lane North Andover, MA Bldg. Permit No. 95-125 GCI Project No. 951149 Dear Mr. Colantuoni: Consultants, FAX (508) 685-2271 Inc. On behalf of our clients, -'Mr. & Mrs. Douglas Michaud, we •submit herein _a summary of the foundation repair work done at the single-familyresidence located: at 333 Raleigh Tavern Lane mi Norih'Andover 'Massachusetts.' ' The foundation repair work consisted' of underpinning the existing footing beneath the northeast comer, of the house. Details of the work are shown on the plans prepared by Geotechnical Consultants, Inc. dated 11 April 1995. A large vertical foundation crack was observed in the east (side) wall as were other obvious indications of settlement in the northeast comer of the foundation. The underpinning was done to the limits shown on the aforementioned plans in order to prevent additional settlement and further structural damage. The underpinning was done in two stages: along the east side wall on 14 April 1995 and along the north side wall on 20 April 1995 and was monitored on both dates by Geotechnical Consultants, Inc. The excavated material consisted of granular soil containing significant amounts of tree stumps, - peat and other organic matter. The unsuitable soil was carefully excavated down to competent bearing soil consisting of dense glacial TILL with depths from the bottom of the existing footing to the top of competent soil ranging from about 5 to 6 feet. The underside of the existing --- footings were cleaned to ensure intimate bearing between the underpinning pit concrete and the footing. Forms for the underpinning concrete were constructed of 1/2 inch -thick plywood and were braced adequately to support. the wet concrete loads. 'Concrete was placed in the forms with the final level of concrete observed to be more than six inches above and approximately level with the top of the existing footing at the northeast corner.- According to the concrete manufacturer, IGI— the underpinning.concrete design met the required specifications. APR 2 81995 Willows Professional Park a 799 Turnpike Street a North Andover, Mass. 01845 Foundation Repairs 333 Raleigh Tavern Lane North Andover, MA Bldg. Permit No. 95-125 page #2 The work was done by ETNA Construction of Haverhill, Massachusetts. All work was done in a workman -like manner in accordance with the foundation repair plans and will ensure no significant additional settlement will occur in the underpinned areas. We trust the foregoing is sufficient for your immediate needs. Should you have any questions or need additional information, please do not hesitate to call me. Sincerely, GEOTECHNICAL CONSULTANTS, INC. .acfiitm Vt, ci Rtc a -Pd ':E:'•. �. w5 RP/LRM/aae cc: Mr. & Mrs. Douglas Michaud APR 2 8 10,95 i Thursday, August 21, 2003 2.58 PM T. Dean Contracting 12 Shelley Drive 1 Phone# (603) 886-0613 or (603) 765-9591 Hudson - FW (603) 886-0613 . August 21, 2003 Michacl Mcouirc Town of North Andover - Building Department 27 Charles Street North Andover, MA 01845 Fax# 978-688-9542 Dear Mr. Michael McGuire: On August 20, 2003 Q 8:30am, I Stopped in to inform you that at 333 Raleigh Tavern Road, I have found that there is a structural problem with the home of Tom and Mary Beth Shea. The foundation has cracked and settled, and the garage knee wall is hanging off the foundation. Vire discovered that in 1995 a permit was issued to repair this problem and ,� a town and engineer signed off as being complete. Since our last meeting the Shea's have retained our services and the services of Geo - Technical Services, Iuo to inspect the foundation and soils to insure soil and foundation stability. This will insure the coned course of action, that will be taken to repair this Problem. We plan to dig test pits to be inspected on August 22, 2003 at 8:30am. I would hike to request that you or a FcFeserltative of the Building Department be there for this inspection. I anticipate your cooperation and look forward to hearing from you. Cc: Thomas and Mary Beth Shea Sinc Iy, Tomas D. Dean W�� T. Dean Contracting p.02 4 Thursday, August 21, 2003 2:58 PM • T. Dean Contracting • Pho=# 603$86-0613 or 603.7654591 Fag 603-886-0613 f e To: Michael McGuire Fax: 1-978-688-9542 From: Thomas D. Dean Dabs: Thursday, August 21, 2003 Re: Shea Home — 333 Raleigh Tavern Pages: 2 including this gage Please find affaohed a Leber perbslning to the ftud ural Problem a 331 Weigh Tavern Lane, NoM Andover, GAA. • • • • If you should have any quedlons, please don't tombs to glve me a all (603) 7658691 $kV"*, Thomas D. Dean T. Dean Conbacft 0 0 . . 0 . . . . . . . . . . . . . . . . P.01 F • ? R a FOUNDATION REPAIRS 333 Raleigh Tavern Lane North Andover, MA Z �J 0) Ln L� C�� N C7 m 1� o D �Q �s000 oqID oa-Q oo� NO �-� Q � � g (D -'' LLQ � �- Dco r Q�� �'t7 ��_ o 'olromQri� °n SDS Q�mom Qrom� �ro ro 1 3 `�Qm (D ro m�c��� �(D °, CD �A ID �Q°-��ro �,4 Crob� cXoo��� g QQ a cv N �OQ'�'p � �Q CD CCD C) (OD i �oom fig- Z - m Oo Q Q C) �x(D 1, oC-) (D ro 'E5M a O-OQ' �O m o� nim=.Q= �_ n-g000`-�D`D ooh g(D C) off �_��=j 3N O`er CD n u min p �� Q 25.0 D O 0 ._ �� S Q CD OLD ((D y (D (-03��- CL ?�Q t�O QCD O I.ro c LZL7-CpA CD _ 2:3S�Dp=O ,,,� 4� O->jCDO p r� �* 5 (D y, n k-0 O Q . CD 0— C) ro �) T UNDERPINNING 11 April 1995 Geotechnical Consultants, Inc. 799 Turnpike Street North Andover, MA 01845 _�f_' 1 LO O i QST CD -na' O' C") 1 1 O � I ,D 1 9 Cq = 1 t 3\j< 1 1 O �• IT�.O 1 .3. � I 2 1 I t--------------------- Ir �J 0) Ln L� C�� N C7 m 1� o D �Q �s000 oqID oa-Q oo� NO �-� Q � � g (D -'' LLQ � �- Dco r Q�� �'t7 ��_ o 'olromQri� °n SDS Q�mom Qrom� �ro ro 1 3 `�Qm (D ro m�c��� �(D °, CD �A ID �Q°-��ro �,4 Crob� cXoo��� g QQ a cv N �OQ'�'p � �Q CD CCD C) (OD i �oom fig- Z - m Oo Q Q C) �x(D 1, oC-) (D ro 'E5M a O-OQ' �O m o� nim=.Q= �_ n-g000`-�D`D ooh g(D C) off �_��=j 3N O`er CD n u min p �� Q 25.0 D O 0 ._ �� S Q CD OLD ((D y (D (-03��- CL ?�Q t�O QCD O I.ro c LZL7-CpA CD _ 2:3S�Dp=O ,,,� 4� O->jCDO p r� �* 5 (D y, n k-0 O Q . CD 0— C) ro �) T UNDERPINNING 11 April 1995 Geotechnical Consultants, Inc. 799 Turnpike Street North Andover, MA 01845 11 .© Im FOUNDATION REPAIRS 333 Raleigh Tavern Lane North Andover, MA r� Cn --0 CD n. n C QFF] = O C- �= r—i n -� n � (D ' = c D 0C� 0 (D O� _< CD �� �D —, C C-) CD (D O C� , � CD ,_ n 7 QN =�. G U,c� P,n N Pte. G(,}^•(�.-^�l�"�q+ �Q o . , E �� • r � �friyS' G y 1 � D 0� T VV�FF G m�1 I`JI x G���'0 —I- G G Cn FOUNDATION REPAIRS 333 Raleigh Tavern Lane North Andover, MA r� Cn --0 CD n. n C QFF] = O C- �= r—i n -� n � (D ' = c D 0C� 0 (D O� _< CD �� �D —, C C-) CD (D O C� , � CD ,_ n 7 QN =�. G U,c� P,n N S ck ina m UNDERPINNING 11 April 1995 IWn o Geotechnical Consultants, Inc. 799 Turnpike Street North Andover, MA 01845 �Q o . , m G �GO 1 � D 0� T VV�FF G m�1 I`JI x G���'0 —I- G G Cn CD 2� Q N S ck ina m UNDERPINNING 11 April 1995 IWn o Geotechnical Consultants, Inc. 799 Turnpike Street North Andover, MA 01845