HomeMy WebLinkAboutMiscellaneous - 337 SUMMER STREET 4/30/20189800 Fredericksburg Road
San Antonio, TX 78288
USAA®
04664.1SND6.JSS1016146949.01.01.4885
TOWN OF NORTH ANDOVER
ATTN: BUILDING COMMISSIONER
120 MAIN STREET
NORTH ANDOVER,MA 01845-2420
Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Attention Building Commissioner,
I am writing regarding the claim referenced below.
Policyholder:
John 3 Reddington
Reference #:
003359937-4
Date of loss:
January 26, 2015
Location of loss:
North Andover, Massachusetts
March 10, 2015
Address: 337 Summer St, 01845
A claim has been made involving loss, damage or destruction of the property referenced above,
which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139,
SECTION 3B is appropriate, please direct it to my attention and include the reference #.
You may submit correspondence or questions to me. My contact information is:
Address: P.O. BOX 659461
SAN ANTONIO, TEXAS 78265
Fax: 1-800-531-8669
Phone: 1-210-531-8722 extension 44950
Sincerely,
Holly Weld
Property - TFL Unit 13
USAA Casualty Insurance Company
PO Box 659461
San Antonio, TX 78265
Phone: 1-210-531-8722 extension 44950
Fax: 1-800-531-8669
003359937 - DM -04664 - 4 - 8024 - 13
54577-0914
Page 1 of 1
Date. /P//?./..// .........
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ..1)�! er .........f ..... .... .
has permission for gas installation . =./!�%
...,��
in the buildings of . ar1... t/.-he..�.�.'?'. . .
at ...... �. ,//Norrttthh Andover, Mass.
Fee.?P�! . Lic. No. l-?/.? �.. /%r�4!. .. w .........
GAS INSPEC
Check # w9
• A
4'" FLOOR
5 FLOOR
6 OLF OR
7 OLF OR
8 OLF OR
Installing Company Name:
Address: 71 City/Town: Zi'X State:
Business Tel: _ (, 0 7� y3 r�i r Fax:
Name of Licensed Plumber/Gas Fitter:
Check One Only Certificate #
❑ Corporation
❑ Partnership
❑ Firm/Company
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes VNo ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy ff--� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
By checking this box ❑, I hereby certify that all of the details and information I have submitted or entered) regarding this application are true and
accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
t A a A
By �ihc.�%1J/ //�
Type of License:
/ /� �/
Title ZZZe /i/
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town:
/( �,
❑Journeyman
171 LP Installer
�l
, MA. Date/6
Permit#
Building Location: )
`7�'�n�
�,,� S� Owners Name:
»
Type of Occupancy:
Commercial ❑
Educational ❑ Industrial ❑ Institutional ❑ Residential
New: ❑
Alteration:
❑
Renovation: ❑ Replacement: ['Plans Submitted: Yes ❑
No ❑
FIXTURES
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Installing Company Name:
Address: 71 City/Town: Zi'X State:
Business Tel: _ (, 0 7� y3 r�i r Fax:
Name of Licensed Plumber/Gas Fitter:
Check One Only Certificate #
❑ Corporation
❑ Partnership
❑ Firm/Company
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes VNo ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy ff--� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
By checking this box ❑, I hereby certify that all of the details and information I have submitted or entered) regarding this application are true and
accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
t A a A
By �ihc.�%1J/ //�
Type of License:
/ /� �/
Title ZZZe /i/
❑ Plumber
❑ s Fitter
Master
City/Town
APPROVED (OFFICE USE ONLY)
❑Journeyman
171 LP Installer
Signafure of Licensed Plumber/Gas Fitter
License Number:
•
9'150
Date ./Ql.�9:/*/* . .
'0.��•',;:_1ticoc TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that. /.7./. Q ...'....... .... ....... .
has permission to perform
plumbing in the buildings of............
......... ........
11prth Andover, Mass.
Fee,P4. Lic. No. ......
�^� PLUMBING INSPECTOR
Check #
D
3
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•SUBS T,
BASEMENT
1F OOL R
2"c FLOOR
3RD FLOOR
iT" FLOOR
STH FLOOR
iT" FLOOR
'T" FLOOR
T" FLOOR
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
mwiown L I
MA. Date: Permit#
Building Location: Pj 7
Owners Name:
Type of occupancy: Commercial[] Educational ❑ Industrial❑ Institutional
❑ Residential [�]�
New: ❑ Alteration: ❑ Renovation: �
❑ Replacement: 0 Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing cr, r �• > EEIFIMICompany
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INSURANCE COVFRnrap•
DEDICATED
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INSURANCE COVFRnrap•
DEDICATED
J nave a current liabi fty insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 Yes [dao
If you have checked Yes, please indicate the -type of coverage by checkingthe ❑
A liability insurance policy. � ppropriate box below.
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 0
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
p of the
Sicinature of Owner or Owner's A ent Check One Only
Owner ❑ Agent ❑
t hereby certify that all of the details and information I have submitted (or entered) regarding this application are Prue and ��+o r
Knowledge and that al! p!!�mbing �vcr&and Installatio„s performed under the permit issued for this application will be in compliance witfi all
Pertinent provision of the Massac�ttusetis State Plumbing Code and Chapter 142 of the General Laws. a., , a.,, tc the bes”, my
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3YL
'itte
%Z ji Type of License:
(]limber
Ify/Town VMaster '
PPROVED (OFFICE USE ONLY) ❑Journeyman
Signature of Licensed Plurfiber
License Number: /J 45-7
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J nave a current liabi fty insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 Yes [dao
If you have checked Yes, please indicate the -type of coverage by checkingthe ❑
A liability insurance policy. � ppropriate box below.
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 0
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
p of the
Sicinature of Owner or Owner's A ent Check One Only
Owner ❑ Agent ❑
t hereby certify that all of the details and information I have submitted (or entered) regarding this application are Prue and ��+o r
Knowledge and that al! p!!�mbing �vcr&and Installatio„s performed under the permit issued for this application will be in compliance witfi all
Pertinent provision of the Massac�ttusetis State Plumbing Code and Chapter 142 of the General Laws. a., , a.,, tc the bes”, my
I l n
3YL
'itte
%Z ji Type of License:
(]limber
Ify/Town VMaster '
PPROVED (OFFICE USE ONLY) ❑Journeyman
Signature of Licensed Plurfiber
License Number: /J 45-7
Date ...3/ ` r�c .
,,ORTR
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TOWN OF NORTH ANDD, ZR
PERMIT FOR GAS INSTALLATION
t -HU5'
This certifies that .... ...�... ,S 1(.�� :^.... ...... .
has permission for gas installation ... ......... ` ......
in the buildings of .... ............�.............. .
at ... ....... , North Andover, Mass.
Fee.)..... Lic. No...,. .. ........ .... -..
GAS INSPECTOR �!
Check #
5941
MASSACHUSETTS UNIFORM APPUCATON FOR PEI NUF TO DO GAS FITTING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
c
Building Locations 3 f7 S V Kin. w`,—o 12— Permit #
Owner's Name /� Amount $
G��
New El Renovation Replacement Plans Submitted 11
(Print or type) S
Name
Address J-0 9.Sy !r U
us
Name of Licensed Plumber or Gas Fitter
/I,z 4,k— — Pd1 X./
Check one: Certificate Installing Company
1-3 Corp.
ElPartner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. YesEr NoO
If you have checked Les, please ind' the type coverage by checking the appropriate box.
Liability insurance policy 13Other type of indemnity ID Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner rl Agent n
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 installation rmed under Permit Issued for this ap lication wil a in
compliance with all pertinent provisions of the Massachusetts ate Ga Code a Chapter 14 o the Gene I Laws.
Title
City/Town
ED (OFFICE USE ONLY)
ysigna�Ure of Licensed Plumber Or Gas Fitter
Plumber
Gas Fitter License Numiyer
tester
Journeyman
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SUB-BASEM ENT
BASEM ENT
1ST. FLOG R
2ND. FLOGR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
STH. FLOOR
(Print or type) S
Name
Address J-0 9.Sy !r U
us
Name of Licensed Plumber or Gas Fitter
/I,z 4,k— — Pd1 X./
Check one: Certificate Installing Company
1-3 Corp.
ElPartner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. YesEr NoO
If you have checked Les, please ind' the type coverage by checking the appropriate box.
Liability insurance policy 13Other type of indemnity ID Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner rl Agent n
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 installation rmed under Permit Issued for this ap lication wil a in
compliance with all pertinent provisions of the Massachusetts ate Ga Code a Chapter 14 o the Gene I Laws.
Title
City/Town
ED (OFFICE USE ONLY)
ysigna�Ure of Licensed Plumber Or Gas Fitter
Plumber
Gas Fitter License Numiyer
tester
Journeyman
G
1ASSACNUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING v
(Print or Type) I
h1411Q,� , Mass. Date F") '1 19�Permit #/l
Building Location L)Is�;n,. ir- Owner's Name -x Qk 6iS5 I
Type of Occupancy H4,j -
New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑' No ❑
Installing Company Name Check one: Certificate #
Address �bc�o,�,,;�.,�,�z_ ❑ Corporation
cA V` r ; I &I a ❑ Partnership
Business Telephon - L:Z4 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE:
I have a curve(( 4labllfty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy U� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) In above 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 ben compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws.
ey T dof Ucense:
Plumber Signature of Ucensedum er or Gas Fitter
Title Gasfitter (
aster Ucense Number.
City/Town Journeyman
APPrK VF.D-07r1C . • O
.
Y
ONE
..
■EENNEEMERNME■
■t■
■o■
MEN
Installing Company Name Check one: Certificate #
Address �bc�o,�,,;�.,�,�z_ ❑ Corporation
cA V` r ; I &I a ❑ Partnership
Business Telephon - L:Z4 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE:
I have a curve(( 4labllfty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy U� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) In above 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 ben compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws.
ey T dof Ucense:
Plumber Signature of Ucensedum er or Gas Fitter
Title Gasfitter (
aster Ucense Number.
City/Town Journeyman
APPrK VF.D-07r1C . • O
Say State Gas Company
Cha GAS INSTALLATION AUTHORIZATION
y Date �D -�� �q✓`�
Issued to lag4kracl �P
Address fnAt, car.
For Installation of: _
BTU Input Ate,60
Restrictions
19
BSG Representative
PERMIT ISSUED _ BY
INSPECTOR
This Portion of Authorization To Be Returned to BSG.
Inspection Has Been Made of the Following Gas Equipment:
❑ Heating System (BTU Input ) ❑ Range
❑ Water Heater ❑ Clothes Dryer
❑ Room Heater
Location
All Work Has Been Done In Accordance With The Massachusetts
State Gas Code And Is Ready For Use.
INSPECTOR
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES
BUSINESS REPLY CARD
FIRST CLASS PERMIT NO. 721 LAWRENCE, MA
POSTAGE WILL BE PAID BY ADDRESSEE
BAY STATE GAS COMPANY
ATTN: SALES DEPT.
55 Marston Street
Lawrence, MA 01840
'IN t'' 1957
Date..
of MO oT e-1 TOWN OF NORTH ANDOVER
e ° SOL
p PERMIT FOR GAS INSTALLATION
This certifies that .../�!G-.. '..... .
has permission for ga 'nstallation ! ...... .
in the buildings of . .............. .............
at . ,..3.3. ' - :�L�.. �,7t..... , North Andover, Mass.
e. w q /
Fee.. .. Lic. No...�.q.�1./.. /'
1`J.Q� ''PA S*
INSPE ...��„n'
WHITE: Applicant CA Y: Building Dept. PINK: Trea rer GOLD: File
'The Commonwealth of Massachusetts
t.
t.
}_
Department of Public Safety
BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200
V-
O:c�c Use Ont
` ,
Pereit b: i i
Occupancy & Fee Checked re;
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed In accordance With the Massachusetts Electrical CodJ527R 100
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
City or Town of—���A To the Inspe for of Wires:
a
The undersigned applies for permit to perform the electrical
work described below.
Location (Street & Number) 337 Sum i 1-erc v J
Ot.'ner or Tenant
Owner's Address
Is this permit in conjunction witlh a bu=iM
Yes ❑ No � (Check Appropriate Box)
Purpose of Building L>- he /`-f Utility Authorization NO.
Existing Service Amps r / VoltV Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Aapacity,
Location and Nature of Proposed Electrical WorkIKFVIF� / o � D ? X-
1K -P_ 12 Qb_e -ro'nrnl-I
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No. of Lighting Fixtures
No.
Above In -
Swimming Pool grnd. ❑ grnd. ❑
Generators KVA
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 Detection and
f R
No. of
No. of Air Cond. Total
_
tons
Initiating Devices
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Local ❑ Municipal D Other
No. of Disposals
No. of pumps TTons Total
No. of Dishwashers
Space/Area Heating KW
No. of Dryers
Heating Devices KW
Connection
No. of Water Heaters KW
(Si'nsf No. o7
Ballasts
Low oltage
Wiring
No. Hydro Massage Tubs
No. of Motors Total HP
-74M
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YESJ& NO C] I have submitted valid proof of same to this office. YES ® NO
If you have checked YES, please indicate the type ofcurage by j ecking the appropriate box. ?
INSURANCE JcJ BOND ❑ OTHER J (Please Specify) % /Z4W
(ration Date)
Estimated Value of Electrical Work S
Work to Start Inspection Date Requested: Rough Final
Signed un
FIRM NAZE
Licensee_
Address A
Alt. Tel. No.
014NERIS INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit \
application waives this requirement. Owner Agent (Please check one) 1^ C/1(
Telephone No. PERMIT FEE S
Signature of Owner or Agent
Date .... /.1.�1.. (�1✓..
2390
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that t fi v
has permission to perform ...... e„`? c. e........... ! .`..'. Z- ..................
wrongin the building of.......e. .v:.t.`.........................................................
at .... ........... ........................ t..W..r.:..................... . North Andover, Mass.
'r7 . 7
Fee.. �. f...... ... Lic. Noll.. J..............................................................
ELECTRICAL INSPECTOR
C
04/12/% 1134
WHITE: Applicant CANARY: Building A noo PROM Treasurer GOLD: File
Looiition 3-'1 E U M mS2 ST
No.! Date ld 11 qJ
D
(44 14
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fe ,,�
$ Z "�
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL ,/�
$ �Z i
Building Inspector
Div. Public Works
PERIfIT NO.
44
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP iJO.
LOT NO.
2 RECORD OF OWNERSHIP jDATE
BOOK .'PAGE
ZONE
SUB DIV. LOT NO.
LOCATION 3,39 Su. MM
ple C7--
PURPOSE OF BUILDING j ,//0le0IANQ (,w1MM1.(1G �7 L
NU U
OWNER'S NAME Jai Y
SA,ti�,�21+ Z?f , ,
L�
NO. OF STORIES SIZE
OWNER'S ADDRESS � ? *7
7
Su M MFS? S�
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME rAM I (-y
/
QOL`� f ��'�O
SPAN
DISTANCE TO NEAREST BUILDING
S} S I
--
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET c^f0
DISTANCE FROM LOT LINES -SIDES
.5-j, s qo REAR 70
GIRDERS
AREA OF LOT 2' S ` '
FRONTAGE 00- 1
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 E i/, � �
�Q]{�
PAGE 1 FILL OUT SECTIONS 1 - 3 ��JJ
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 jo -pt qLs_
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE �Z
PERMIT GRANTED (�
L01 It 19 —lr�
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COSTo
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
(pJAl6t>
BUILDING INSPLCTOR
OWNER TEL. # /// ff -S—-?,-5 0
CONTR. TEL. a l., d e" LJ O 7
CONTR. LIC.# o)6,330
H.I.C. # / 1 $020 q
BUILDING RECORD
1 OCCUPANCY 12 v
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
—I
8 INTERIOR FINISH
CONCRETE
PINE
d
1
2 I3
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
1/1 I/f 1/1
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TIMBER BMS. & COLS.
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7 NO. OF ROOMS
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s
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:
APPLICANT: F F `4i "eA Ris ZL1, Phone
LOCATION:
Subdivision
Assessor's Map Number Parcel
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Street _3 3 2 C�Um m s,C 9--r, St. Number
************************Official Use Only************************
RECOMMENDA O S O WN GENTS:
777Date APProvedAldlfY
Conservation Ad ini trator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Food Inspector -Health
dj/2�
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector Date
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DEPARTI4ENT OF PUBLIC SAFETY
ONE
BOSTON , 11A 02108-1618 1301 FPA
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: Birthdate:
CS 010330 07/19/1997 07/19/1960
Restricted To: 00
WILLIAM C POULOS
92 S BROADWAY
LAWRENCE, 11A 01843
�ie TDomr�no�eureal o�✓f�aQouaelld
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: Birthdate:
CS 010330 01/19/1991 01/19/1960
Restricted To: 00
x WILLIAM C POULOS
92 S BROADWAY
LAWRENCE, MA 01843
Restricted To: 00
D.P.S.
vetacn Dottom, rola , sign on
back, and laminate license card.
Keep top for receipt and cliange
of address notification.
00 - Hone
lA - Masonry only
1G - 1 & 2 Family Homes
Failure to possess a current edition of the
Massachusetts State Buiilding Code
is cause for revocation of this license.
a HOME TM1'F�i)uI: P-1r:lv'r r t:)rJl F ,7f C; T:`")1"f2�11".T.0P.I
Eir>cir c:l t Iica 1< rv�I.,I..(. ).Lioii at;ar"I��aT':.:1':;
02100
L.li:)i`II I:i"11 'I":t1i:: h'j;"..i (' c t llr!)
c a i. t:; T- a t, i_ o n J. 1 £3 0 4
FAMILY P (,") (:) I _ S
W I L _ l._ I r1 iI
92 S BROADWAY
I_r)WRCNC[_ m(t , iJ1t3�i.
lTe t?mm�nan�crall�i r�.�%:wrc�r�%,v!/�
/ HOME IMPROV'EEMENT CONTRACIuR
ft Registration 118204
Type - PRIVATE CORPORATION
Expiration 02/12/47
FAMIL'r NOLO, -PATIO, iN!'
G�4„�� �ILIiAM C. GIAMOPOUI.OS
ADMINISTRATOR
Elf-Is3ROAi,WAY
LAWRtNfE MA 0134',
SEP -28-1995 11:27 DRISCOLL-PEARCE, INC. 617 449 6734 P.02
r': wra^rwar. tars...�.....ra.r...._.r..�.....,...._.,.�.....,._-...�..,.,.. _,—..._..._--'-- ----
.o....w.■.• �.r:ea. e i i :e e e v:nt a V E is 1'I V r7 V llt'illl!I,f
C
Il►AMIFDI 09/28/95 --------------
PRODUCER
Driscoll-8•earce; Inc. • '
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION •
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
687 Highland Avenue
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 178
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Needham Height# mA 02194
COMPANIES AFFORDING COVERAGE
COMPANY-+
Arthur P. Pearce, III
617-449-0660
A CNA Insurance Company
�.-__.......
INSURED
___.— —...
COMPANY
B
COMPANY
Family Pool & Patio Company
C
92 South Broadway
Lawrence MA 01843
COMPANY
D
COYERRflES ....
777
THIS IS TO CERTIFY THAT 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMBS
DATE IMMIDP/YY)
DATE IMM/DD/YYI
GENERAL LIABILITY
GENEAA_LAGGREGATE
61000000
A
X COMMERCIAL GENERALI.IAOIUYY
C133825409
06/05/95
06/05/96
PRODUCTS - COMPIOPAGG
:1000000
CLAIMS MADE fx OCCUR
PERSONAL & ADV INJURY
1500000
OWNEA•S & CONTRACTOR'S PROT
$ 500_000
EACH OCCURRENCE
FIRE DAMAGE (Any ono flro
*5()()00
MED ECP (Arty one pereonl
$ 5000
AUTOMOBILE
LIABILITY
A
ANY AUTO
3280883
09/17/95
09/17/96
COMBINED SINGLE LIMIT
61000000
ALL OWNED AUTOS
X
SCHEDULED AUTOS
BODILY INJURY
(For peraon}
X
HIRED AUYOS
" --
X
NON -OWNED AUTOS
BODILY INJURY
(Por accident)
a
PROPERTY DAMAGE
GARAGE UA4ILITY
ALTO ONLY - EA ACCIDENT
i
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
5
AGGREGATE
e
EXCESS LIABILITY
EACH OCCURRENCE
E
UMBRELLA FORM
AGGREGATE
a
OTHER THAN UMBRELLA FORM
6
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
X STATUTORY LIMITS
_ _
EACH ACCIDENT
i 100000
THEPROPAIEYOR/ J( INCL
PARTNERSIEXECUTIVG
WC133821909
06/05/95
06/QS/96
DIS AGE LIMIT
3 500000
OFFICERS ARE: EXCL
016LASE - EACH EMPLOYEE : Z Q Q Q Q Q
OTHER
DESCRIPTION OF OPERATIONSA.00ATIONSMHIICLES/SPECIAL ITEMS
.CrRTIFICATE HOLDER
CANCELLATION
FARIP01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE-
HEEXPIRATION
EXPIRATIONDATE THEREOF, YHE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Family Fool &Patio Company
10 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT,
92 South Broadway
BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OSLIOATION OR LIABILITY
Lawrence MA 01843
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVLS.
AUTHORIZED REPRESENTATIVE
Arthur p Pearce, ZI2
ACORA:25 S (37931 ':.
ACOFiDC13RPO:RATION.;799.3..;.:
TOTAL P.02
l(G.c.Ii..'
ea
Lo -r a i rA
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t N cAL.
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33'7 Si(Mw(F2 S, (085-3530
�J. #I-Oo✓FR, Mp
�ocation�/ �Lt M �- -3r,
No. Date
A
rr
TOWN OF NORTH ANDOVE&
S
Certificate of Occupancy
$
_
Building/Frame Permit Fee
$
s s�
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
k 44
Water Connection Fee
$
TOTAL
$
uilding Inspector
�T r
7 71 Div. Public Works
Location
!! + ! t .� �- T
No. `
Date
MaRTM
TOWN OF NORTH ANDOVER
t(``o ,•,hOOw
O?O•
p
Certificate of Occupancy $
Building/Frame Permit Fee $
b
Foundation Permit Fee $
Other Permit Fee $
a
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
—'Building Inspector
13
Div. Public Works
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(Print ot Type)
NORTH ANDOVER, , Mass. Date o< ^/J .lo 2—
Building
Building �' `r Permit
Locatlon
Owner's j
Name I
C/
New El Renovation j Replacement Q Plana Submitted: Yes p No p
�iXTUAE$ ......... 'OEM
Installing Company Narnal" e -h
Check one:
Cera_
rship
Business Telephonez (
Name of Licensed Plumber
Certificate
INSURANCE COVERAGE: ec
1 have a current liability Insurance policy or Its substantial equhnlenL Yea No 0
It you have checked yam, please tate the type coverage by checking the appropriate box
A liability urance policy Other type of indemnity ❑ Bond ❑
OWN t SURA ER: 1 am ware that the licensee does not have the Insurance coverage required by
Cha a of the neral L.a , and that my signature on this permit application waives this requirement.
Check one:
1,46017 /
--- - - -- - --- - - Owgjr t7 Agent 9--'
I hereby certify that al of the details and Information I have submitted tot entered)
knowledge and that •l plumbing work and Installations performed under the perm
pertlnen provisions of the Massachusetts Stale Plumbing Codand e Chsptw 42�t
8y '
This
city/Town
APPf"IED (OFFICE USE ONLY)
d aocurale to the best of my
be In mance with all
License Number4//—_ f -S -2 2 l
Type of Plumbing Manse: Master
Journeyman 0
�I��C10■11■111■�����//����������1:11.11MI.1-1.1
MENN
so
MEMO
No
NONE
am
EEMENNNNNN
Installing Company Narnal" e -h
Check one:
Cera_
rship
Business Telephonez (
Name of Licensed Plumber
Certificate
INSURANCE COVERAGE: ec
1 have a current liability Insurance policy or Its substantial equhnlenL Yea No 0
It you have checked yam, please tate the type coverage by checking the appropriate box
A liability urance policy Other type of indemnity ❑ Bond ❑
OWN t SURA ER: 1 am ware that the licensee does not have the Insurance coverage required by
Cha a of the neral L.a , and that my signature on this permit application waives this requirement.
Check one:
1,46017 /
--- - - -- - --- - - Owgjr t7 Agent 9--'
I hereby certify that al of the details and Information I have submitted tot entered)
knowledge and that •l plumbing work and Installations performed under the perm
pertlnen provisions of the Massachusetts Stale Plumbing Codand e Chsptw 42�t
8y '
This
city/Town
APPf"IED (OFFICE USE ONLY)
d aocurale to the best of my
be In mance with all
License Number4//—_ f -S -2 2 l
Type of Plumbing Manse: Master
Journeyman 0
NORTH
O 9
,SSAC14US�
Date. .!
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ..I .r................................... .
has permission to perform .'..... !. `.-..................... .
plumbing in the buildings of ............ { ......................
at .................! ................. , North Andover, Mass.
.. Lic. No.....
Fee..) ........' ...............................
PLUMBING INSPECTOR
42/14/94 11:25 32.54 RAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
s
Location :3
No. ���� Date
NORTH TOWN OF NORTH ANDOVER
p Certificate of Occupancy $ t
* • ,' Building/Frame Permit Fee $
,sSACHUSEt Foundation Permit Fee $
Other Permit"Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL f/ $ 4f,
//
Building Inspector
r
r
6801
? Div. Public Works
PEA�tIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
t
VGE 1
MAP 4.40.
LOT NO.
I
2 RECORD OF OWNERSHIP IDATE
BOOK PAGE
NE
SUB DIV. LOT NO.
�1-1--
LO ATION U t►��+e
�aY
PURPOSE OF BUILDING � j�n��r OVrd /!an
e'v'f /C C7tTT
NER'S NAM Jo5E PNC5)9�,v&?R/
r
�%S�/� iGL
NO. OF STORIES SIZEJ
OWNER'S ADDRESS rh c-
Ji7
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
UILDER'S NAME l] 11�`+�
� t1A�l/�r/' �J�
CT /���1'C�ILC:. C7
/�p��+
1J/ZJ
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 11
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
f
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
1
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FXqD
ti
zam (X
SIGN TORE OF OWNER O AUTHO ZED AGENT
FEE 4c�(O er, Uy
'/'p�
PERMIT GRANTED /
19
" ER TEL.'N 9 -a voo
C R. TEL. # &5 y
CONTR. LIC. # 6
3 PROPERTY INFORMATION
LA "D COST
EST. BLDG. COST ZB�t
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
a�6 �I�
owm"mv IpiRGTOR
• a r
BUILDING RECORDOR
QIP
1 OCCUPANCY 12 T! -
C , �:.
SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DIS'1 k FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
B
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
CONCRETE
PINE
B
1
2 13
CONCRETE BL'K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
'/, 1/1 V.
It
11
FIN. 8'M'T' AREA
FIN. ATTIC AREA
_
_
N_O B M'T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
4 WAILS I
9 FLOORS
CLAPBOARDSB
_
1
2
�_
3
_
_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
HARDVJ'D
COMMCN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BILK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I -i POOR
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
I
HIP
BATH (3 FIX.I
GAMBRELMANSARD
TOILET RM. (2 FIX.(
_
FL AT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. 3 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'T2nd _
1st 13rd
ELECTRIC
NO HEATING
B
OFFICES OF:
APPEALS
BUILDING
CONSERVATION
HEALTH
PLANNING
• Tow-u.orth
a� ; �: l 20 Main Street
:1 Andover
NORTH ANDOVER Massachusetts. 01845 '
DIVISION OF (617) 6854775
PLANNING & COMMUNITY DEVELOPMENT "
KAREN H.P. NELSON, DIRECTOR
r '�-
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number 6—e-2 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 ill, S
150A.
The debris will be disposed of in:
l,yrvti m)q.
(Location of Facility)
Signature of Permit A licant
_ 1z%is �93
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
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i
MAGEE BUILDERS INC.
95 Chestnut Street SHEET No. 3Z-.a��((�'r— of �q
WILMINGTON, MASSACHUSETTS 01887 CALCULATED BY=—,,y��%DATE_L�—/__ L _
Phone 846-5515 658-4442
CHECKED BY DATE_
SCALE _
PM)<%1C1 MI C�NLi�53Inc, G'01-4 Mata 01 c11
MAGEE BUILDERS INC.
95 Chestnut Street SHEET NO.E2 L GF
WILMINGTON, MASSACHUSETTS 01887 �J�Cuhf
Phone 846-5515 658-4442 CALCULATEDBY�1�.1__�2_ L.__S r DATE_.....::Y.
CHECKED BY_4 ' Ltd V6-k'DATE_-_-- -
m�
i
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Lq
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"OrI 1101.1 tF—S-;w. c'.l.. M.. 01671.
}i
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"OrI 1101.1 tF—S-;w. c'.l.. M.. 01671.
Page No -, /
of 'IW / f ages ,
,r
m.- AG.E.E"gUILDERSI,
- - rd- 'Vint
Vr.1RIt�lC N, MASSAC tl1SE T 81887,
845- 315.
PROPOSAL SUBMITTED TO
PH}O!!��{�NE.j�p/��y/�
DATE
y��ryy {y.� x}r'. (
J-0s'e-p i' '3�3andra flisse l
Jy �/�y
0V Y894, ^2 L '.
//Jjyy ff((,,;[4{
j.l l 4 (' .3:..:
STREET,
JOB NAME:
373 S:un.mer St
,.
CITY,. STATE AND ZIP CODE
JOB LOCATION -
�.a �'.�I.�M.over D-1 .� 0184.rJ
ARCHITECT
DATE. OF PLANS
�'
JOB,:PHONEt
��
dr
r• ., i1 N.t
We hereby submit specifications and estimates for:
� aster Bath Closet 'Area*.
All r`labor ';& m. terial to, commpl ete toaster Bath a -' c1oc 'tares
+�•idc"C '4�.X1.C�
submitted dated '10/22/93... _ r ..
4;
2'.f x11 dormers $ e —0"x14 # 7011. '
�''inish exterior .to match' exist�.xig'
InsulAte exterior' walls n
v
-
Thin coat plaster walls; & ceiling � '
J
Pine. tram anterior, molded- 6 oanel doors.,`
.French doors ..to-. Master bedroom.
?Paint interior &, exterior 2 coag approved finish..
:x,28; 03.€�Q i
Allowances included in price;
1. C�rr3tt11?i, h•exteriorfinish, C 4�'it2G? t on r
7' 951,0
2. ; Window allowance bub area & peak 4Tc�lI
3. Insu.Late & pla:ster
3,.420�f30; ..,:
4-. Intcrio trim
5. Tile -- :Labor & materi al
l � 200 00,
Carpet - labor & inater ial
al
`60 40;
7. Vanity
900 00;1
8."Elactr1c
2,QOQ.00.
9. Plumbing
�s.O.
.0. f eat
1., 4 00i . 0 1
.1. Interior & exterior paintiag
112000;00
Y` Ri 11.�.1.A1 , i�tMr4na7 �ii. ,.5.✓i. i..h�t.lu i.44 l .ix lA.i�4e.? :gni ... �CI L} �'
44
Y
SBP iII}�IISP hereby to- furnish material and ' labor, = complete in, accordance with above specifications ; for;the ' sum of:
7r.s:. r ' rs.- Wind -reel 1-bir4y' Lye
dollars ($2'A
,1�_Cf0" }
Paymen to be mSde as follows:
" �iQ'.0 4)tl wlint'a tdinrlti .ax^ ;, fes) It * Ot7- tarp .ai'c s� - csr .'
r'araii2 _cc
..^f ;_'
$9,000.00 when 1.)Ia.stered, balance on 'completion.'
•
All material is 'guaranteed to be as specified. All work to be completed in a workmanlike
- AUthorlZed
manner according t0 standard practices: Any alteration or deviation from above specifica-,
Signature
tions involving extra costs will be executed only upon written orders, and will become.an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents c .
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance, Note: This, proposal may be -
Our workers are fully covered by Workmen's Compensation Insurance., withdrawn by Us if not .accepted WtthtnI
days
Arreptau a of propl Dual —The above prices, specifications
: t
and conditions are satisfactory and are hereby accepted. You are authorized Signature,.
to do fhe work as specified. Payment will be made as outlined above.
Signature
'
Date of Acceptance.
` FORM 118-3 COPYRIGHT 1960 - Available from J�inc.. Groton, Mass. 01450
E
r'-
DEC 14 '93 11:40 1,4000 F ABF,'IC:HT1'DRS (50113)667-9809
P
HOW TO USE MAXIMUM UNIFORM LOAD TABLES (FLOOR) •,
LL - Live Load (PSF)
DL = Dead Load (PSF)
o.c. = On center spacing (inches)
Live Load PLF = LL Y otia-9
Total Load PLF = (LL + DL) x oc/L
EXAMPLE:
LL = 40 PSF
DL - 27 PSF
o.c. = 24 In6es
Joist Span - 26'4"
live Load PLF 40 x 24/12 80 PLF
Total Load PLF = (40 + 27).,(24/1,9 _ 1:rl PLF
SOLUTION;
For a 26' Joist (with nailyd and glued sheathing):
Check Live Load deflection 1-1360 for 80 PLF
Select 18" GNI 36 at 24" o.c. spacing (80 < 93)
Check Total Load design for 134 PLF:
Select 20" GNI 36 at 24" o,c, spacing (134 = i34)
Total Load deflet on governs - use 20" GNI 36
Chock Stlifeners:
Reaction = 26 -v 0, 5 x 134 =1742# > 1167# stiffeners required
NOTE:
For a stirrer door use L/480 Live Load deflection Column,
20" GNI 36 at 24" o.c. spacing (80 : 88) meets this crite..,�.
M.A IMUM UNIFORM FLOOR LOAD (PLF) AT Oho INCREASE
Joist spans shown include 2" minirnum bearing at each end.
Loads given in table: assume ;OlSt $D, QnII 24" ar leas nn rantP. a io, O?zn 1 ..i .�; __❑ _ __
NOTE: Web stiffener requirements must be checked, refer to page 4. 15
21/4' x 117/811
21/4" x 1411
21/4 x 16"
21/4 X,184'
..-,_.____......o.._......
21/4" x 20"
...... g.....�.,�wy ,,,,
21/4" 2211
.rbc.
seri
fit
Uva Load
ooracslon
Taal
load
Live Load
Deflection
Total
Load
Ulya Load
Wtwctlon
1bu
Load
Llys Lead
N56etlon
Toai
Laad
Uva Land
t)otlocdon
TOW
Load
x
Llvn oad
Tow
Tove
21/4" x 24"
Li Load
1bta1
`.
Dellecdon
Land
DarNcdort
Load
.
U460 L/a60 LI600
Li140
LAW L1480 L/600
L1240
L/360 L/r80 L/640
L/240
LIM L/480 L/600
L/2
LAW 14480 L/800
1440
LIU L/480 1./800
L/240
4 U L/eoo
LIM
8
421
421
421
421
477
477
477
477
527
527
527
527
570
570
570'570
605
605
605
605
635
635
635
635
658
658
658
658
9
372
372
372
372
422
422
422
422
466
466
466
466
504
504
504
504
535
535
535
535
562
10
334
334
311
334
378
378
378
378
418
418
418
418
452
452
452
452
480
480
480
480
503
562
503
562
562
582
582
582
582
11
302
302
244
302
343
343
337
343
378
378
378
378
409
409
409
409
435
435
503
503
522
522
522
522
12
276
243
194
276
313
313
271
313
346
346
348
346
374
374
374
374
397
397
435
397
435
397
456
417
456
417
456
417
458
417
473
432
473
432
473
432
473
432
13
255
196
157
255
289
276
220
289
319
319
288
319
345
345
345
345
366
366
366
366
384
364
384
384
398
398
398
398
14
214
160
128
236
267
227
181
267
295
295
238
295
319
319
301
319
339
339
339
339
356
356
356
356
369
369
369
369
15
177
133
106
220
249
188
151
249
275
248
198
275
298
298
252
298
316
316
310
316
33`�
332
V 32
332
16
148
111
89
195
211
158
126
233
257
209
167
257
279
266
213
279296
263
296
�
310
344
344
344
344
17
125
93
75
172
178
134
107
209
237
177
142
242
262
227
181
262
278
4296
278
225
278
292
310
292
310
272
310
292
322
303
322
303
322
303
322
303
18
19
105
91
79
68
63
153
152
114
91
186
203
152
121
218
247
194
156
247
262
262
193
262
275
275
235
275
285
285
280
285
20
54
137
131
98
78
166
174
131
104
195
224
188
134
224
248
209
167
248
261
255
204
261
270
270
243
270
78
59
47
118
113
85
68
150
151
113
91
176
195
146
117
202
229
182
146
229
247
222
178
247
256
256
212
256
21
22
68
59
51
41
102
98
7.4
59
136
132
99
79
159
170
127
102
183
207
159
127
207
231
195
156
231
244
233
187
444
23
52
44
39
36
89
86
64
52
123
116
87
69
145
149
112
89
167
187
140
112
188
210
172
137
210
232
206
155
232
24
46
34
31
28
79
76
57
45
113
102
76
61
132
132
99
79
152
165
124
99
172
192
152
121
192
212
183
146
212
25
69
67
50
40
101
90
68
54
121
117
88
70
139
147
110
88
158
176
135
108
176
194
163
130
194
26
-
-
-
-
59
44
36
89
80
60
48
112
104
78
62
128
131
98
78
145
161
121
96
162
179
145
116
179
27
-
-
-
-
53
40
32
80
72
54
43
103
93
70
56
119
117
88
70
134
144
108
86
149
165
130
104
165
28
-
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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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: _?ET, MA -G EF Phone
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street _SU M M C—"(Z St. Number 373
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Z,, -'*'Fire Department i . Ka^w/
Received by Building Inspector
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
0
I
JOB l 65 -F 7- L
MAGEE BUILDERS INC. 3��
37 5uMPI-57—
95 Chestnut Street SHEET N0.— - or
WILMINGTON, MASSACHUSETTS 01887 CALCULATED By D/A I E 144
Phone 846-5515 658-4442
CHECKED BY DATE
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