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HomeMy WebLinkAboutMiscellaneous - 34 BALDWIN STREET 4/30/2018f P Location No. l Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ �sa+cMus Et� Building/Frame Permit Fee $ l >f Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #" 1812 8 Building Inspect V, A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT MPAa RKNOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING "ft sew". BUILDING PERMIT NUMBER: q DATE ISSUED: SIGNATURE: Building Commissionerfln for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 3y a�,g,- s} 1.2 Assessors Map Map Number and Parcel Number: 13a Parcel Number 1.3 Zoning Information: V4 Sin��(tz �p t(K Zoning District Proposed t1se 1.4 Property Dimensions: 10,53 �5 Lot Area Fronts It 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided RegWred Provided '101 "S►' 151 15'•s ° 3e` Ss t 1.7 Water ly M.GL.C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: S° � Public ZY Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 1iSt(jCt: 'Ye3 J, 1,0 2.1 Owner of Record 'C��I iris ams = N;Rme (Print) Address for Service: J19a Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address c, Signature Telephone Not Applicable ❑ 0 i C) S License Number 15 --19 - ago ko Expiration Date 3.2 Registered Home Improvement Contractor �i,�1� C' ,��i✓��,-- �. Not Applicable 0 It ` 1 Company NameS3 Q R M M 1-�J� �� C> Y Registration Number Address. ` - e 13 13 Expiration Date Signature Telephone a SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 f 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 builo, it. Signed affidavit Attached Yes ....... V No ....... 0 SECTION 5 Descrlptldh of Proposed Work check a9 a ble New Construction V I Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed bpermitapplicant OFI+`ICML USE ONLY , . 1. Building (a) Building Permit Fee Multi lier 2 Electrical S 0 O (b) Estimated Total Cost of Construction oat) 3 Plumbing S000.010 Building Permit fee (a) x (b) f� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0 000 0%Z Check Number SEU'I'lUf4 7a UWPIEK AU 1-r1UKMAIIUPI lU HE UUMFLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT 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. a x V/ Signature of Owner Date SECTION 7b OWNE,wRIAUtTHORIZED AGENT DECLARATION I,& (L►S�. ` Aa as Owner/Authorized Agen of subject property Hereby declare that the statements and information on the foregoing application are Lrue and accurate, to the best of my knowledge F and \`belief J Sianatur of er/Agent Date NO. OF STORIES Z SIZE BASEMENT OR SLAB SIZE OF FLOOR T AMBERS Is, Oyu v 2' 2-% 10 3Ru SPAN 14, DMENSIONS OF SILLS ,1y to DMIENSIONS OF POSTS ti/ t_ l.oAl M ENSIGNS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS e) SIZE OF FOOTING 3 b X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND S IS BUILDING CONNECTED TO NATURAL GAS LINE t-7 0 1 PROPERTY LINES FROM PLAN OF LAND PREPARED BY FRANK S. GILES ENTITLED "PLAN OF LAND" LOCATION 50-52 MARBLEHEAD STREET NORTH ANDOVER MA PREPARED FOR MICHAEL LIPORTO DATED JUNE 30, 2004 AND RECORDED IN THE ESSEX NORTH DISTRICT OF THE REGISTRY OF DEEDS AS PLAN #14927. SAID PLAN WAS APPROVED BY THE ZONING BOARD OF APPEALS ON 10-12-04. SEE DIMENSIONAL VARIANCE RECORDED IN BOOK 9177 PAGE 317. DEED REFERENCE: BOOK 9321 PAGE 354 N/F LIPORTO 50-52 MARLBEHEAD ST �n 0 N/F GIARRUSSO 60 MARLBEHEAD ST ZONING DISTRICT: R-4 REQUIRED MINIMUM SETBACKS: FRONT: 30' SIDE: 15' REAR: 30' HEIGHT: 35' PROPOSED SETBACKS: FRONT: 31' SIDE: 15.5' REAR: 65.5' HEIGHT: 29' Ln 0 N/F KING 46 MARLBEHEAD ST v ME SL`.1lX: vs . FES$1 �QQ� izo SUA�� BALDWIN STREET PROPOSED SITE PLAN ASSESSORS MAP 8 PARCEL 13-2 MARCHIONDA & ASSOC.,L.P. BALDWIN STREET ENGINEERING AND PLANNING CONSULTANTS NORTH ANDOVER, MA PREPARED FOR 62 MONTVALE AVE. SUITE I CHRIS MELLILO sro� 8H) 438-6 21180 BALDWIN STREET SCALE: 1"=20' NORTH ANDOVER, MA DATE: 4/7/05 75' MAP 8 PARCEL 13-2 10,537.5 SF 65.5' PROPOSED ROOF EAVE 14.5'-1 15.5' 15.5' 16.00' 28.00' PROPOSED o o o DECK 4 (6 00 16.00' PROPOSED �* 2 STORY b W.F.D. PROP o GAR N 16.00' 0 28.00' �� 15.5- 15.5' PROPOSED PROPOSED UNCOVERED DRIVEWAY STAIRS 31.0' 31.0' 75' Ln 0 N/F KING 46 MARLBEHEAD ST v ME SL`.1lX: vs . FES$1 �QQ� izo SUA�� BALDWIN STREET PROPOSED SITE PLAN ASSESSORS MAP 8 PARCEL 13-2 MARCHIONDA & ASSOC.,L.P. BALDWIN STREET ENGINEERING AND PLANNING CONSULTANTS NORTH ANDOVER, MA PREPARED FOR 62 MONTVALE AVE. SUITE I CHRIS MELLILO sro� 8H) 438-6 21180 BALDWIN STREET SCALE: 1"=20' NORTH ANDOVER, MA DATE: 4/7/05 .f TO DATETIME AM PM P FROM PHONE( ) I"' CELL ( ) OF 0 FAX ( ) N E M E !47( - M S s M E 7 r�'/S O E-MAIL DRESS SIGNED PHONED ❑ CALK ❑ CALL RNED ❑ YOUO ❑ AGAIN ALL ❑ WAS IN ❑ URGENT ❑ SEE Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Any aim shall be filed within (20) days after the date of filing of this notice in the office of the Town C NAMES. Michael Liporto Telephone ((978) 688-9541 This is to certify t ia�f ivtie9�V^2A42 have elapsed from date of derision, filed without filing of an ap I. DateA0 o Notice of Decisim Joyce A. Bradshaw L -- Year Year 2004 Town CM*' o at: 50-52lViarblebead Street HEARIIVG(S): August 10 & October l 2004 �Aj ^+—< orn-D ter -I CDr --*acnL NorthAndover, MA 01845 . -"-"` •. TYPING DATE: October 1S, 2004 w ` The North Andover Board of Appeals held a pahlic 120R -Main Sir+eet North A�aver, MA � hearing at its r+egoilar meeting in the Senior C'cetce, Gaelead street, October 12, 2004 at 7:30 PM upon the appligtion of Section 7 tri, North Andaver, requesting a dimensional Variance from existing ructuresplts 7.1, 7.2, 7.3, and Table 2 for relief of lot area, street frontage, and setbacks on the -, in order to divide an existing, retire 1 Special Permit from Section 9, Paragraph 9,2 m Orderto� got into two nonconforming IOU; and a P new lot, The said premise affected is property with proposed e- Y side ug on the Street within the R-4 zoning district. The fr�omagi t the Northeast side ofMarblehe d. ; August 2, 2004. notice was published in the Eagle Tri'buce on July 26 8c The following members were AlbAlbert P. _ III present: Ellen P. McIntyre, Joseph D. LaGiasse, Richard J. Byers, and = ' ert M � following non voting members were present: John M Pallone, T>m ., t D. , arl>anoogn% and David R. Webster: ` Upon a motion by Joseph D. LaGrasse and 2°dbY Richard J. Byers the Board voted to GRANT the cera I— Variance from Table 2 and Section 7, � 8' Parcel 13) into two lots, both needing dimensional Para 7.1 fol relief of 1,463 sq. IL lot area eh, from Paragraph 7.2 for relief of se street frontage each, and from Paragraph 7.3 for relief of 7' from the Id t side setback of the existing house, and 10' from the right side setback and 28.5' from the new rear lot line for the S.garage; and upon a motion by Joseph D. IAGM a and 2°d to GRANT a Special Permit fmm Section 9 by Richard J. Byers the Board voted . � 9.2 in order to allow an existing non.conforming lot to be divided into two non -conforming lots in order to construct t a new single new lot per Plan of Land, location 50=52 Marblehead Stred, North Andover 1 �y dred� on the N or Michae LipOft, Date: June 30, 2004, by Frank S. Giles A P.L.S. 0 41713, Scott L. Giles, Frank S. Giles 1 -.�. Surveying 50 Deermeadow Road, No. Andover, MA 01845, and -... Marblehead St., Fast and South Elevations, Roof Plan and Second Floor Pg p for] Mike Liporto, .Ground Floor Planl/8"=1'-0", with the folio Plan, and Basement Plan and 1• The Proposed new lot's � condition: Voting in favor: Ellen newtructure shall be a one family dwelling, only. McIntyre,byrJoseph D. LaGra w, Richard J. Byers, and Albert P. Manzi, III. The Board finds that the long, narrow lot shape has satisfied the the Zoning Bylaw in that the granting of this V peons of Section 10, paragraph 10.4 of the two new lots are not more non -conforming than not adversely affect the neighborhood because the niteot and purpose of the Zoning Bylaw. Also, the exrstn neighborhood iatthe applicant parcels sa derogate from Provisions of Section 9, Para Boum finds that the applicant has satisfied the shall be s<� 9.2 of the zoning bylaw and that such change, extension or alteration substantially more detrimemal than the existing structure to the neighborhoodATTEST Pagel oft A True Copy Town Clerk Board of Appeals 978.688-9541 Building 978.688-9545 Conservation 978-188-9530 Health 978-688-9540 Planning 978.688-9535 Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax(978)688-9542 r., C= a n C� ry (Tl f- Z C:3 Furthermore, if the rights authorized by the Variance are not exercised within me (1) year of the dated c the graak it shall lapse, and may be re-established only after notice, and a new hearing.ufhamore, i� o rn Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a tvW m x c year period iron the date on which the Special Permit was granted unless substantial use or construction ? bas commenced, it.shall lapse and may be re-established only after notice, and a new hearing. w ` w Town ofNorth Andover Board of Appeals, P'U.f'WJIA0 Ellen P. McIntyre, Chair Decision 2004-021. M&P13. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-088-9530 Health 978.688-9540 Planning 978-688-9535 Nn — �`^ IS 7-1 LAwRF I I,,Ry ��c� copy r: "'--�!-e4 IOr� I'S y�. '�S UR DESO * N of Deeds 381 C05151 . or, Street Lawrence, nassachkisotts 11/09/04 JC Type PL ^ # 15 : �, , — 20.00 5.00 ��10 '~ D, 15�OO 0 16 Rec. /Yp= DOC. 52111 R, D. 5.0V .O0 # 17 F�ecx Type 0O Copzey 2.0� Check THANK YOU! Thomas J. Burxe s Register of u==. e.LU VW Ddu L 2- alop roM°� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION //,l. O lc>G l j '�t %9` — Q6' —131-3 APPLICANT PHONE LOCATION: Assessors Map Number (2-D PARCEL 13 SUBDIVISION LOT (g) STREET ��t ��� ` ST. NUMBER CO ff97,TTr1 OFFICIAL USE ONL fte DATE APPROVED nwra nae TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT ®5 FIRE DEPARTMENT % RECEIVED BY BUILDING INSPECTOR DATE ROV IOW 9167 Jm IN °§0 to . \ j\2d / . % • �§ . o k� C) 0 J I . U, \}\/ .\/§:.§// }. Eco \ ) 0.K7. . } o ° J % ]2 �))ee ! 1\ » /y (\ o z�°l (] 00, R' «&<. .. �, ■ �?b<� «y:�� ..,: ?2 ■2 �� \� 6 2 � §\�� \} � /{ CL CL ® y m x 51 F- ' b a <U-. f j \ � �Z « . \ \-. i \ . % • �§ . o / k C) 7 k . ./ . .\/§:.§// \ ) 0.K7. . w2rL .k 2- o ° J % ]2 �))ee S I £ o . ))}k /{ CL CL ® y m x 51 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 the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) 0 - 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 The Commonwealth of Massachusetts Department of Industrial Accidents Ofte of tnvesdgaft ns Boston, Mass. 02111 Workers' CompenssUm Insurance Aflldn* Narr>. Please Print j -13 I im a homeowner pedorMng all work, myself. 0 I am a sole proprietor and have no one working in any capacity �I am an employer providng workers' compensation for rry employees working on this job. COMM name' Addrom rmffarm Co. Pclm s Fdk a to ssmn corenpe o rMAred under SecUm 25A or MGL 192 can Iced to the knposMm d aknind penal ve d.s Ane up to $1,5W.00 arrdtoroneyeen'Imprilave u.m.wd.r.dd4aoebnJnlnf=dASTDPWDMORDERAndAfkwd.(SIW.0MAiftapekwmL I wxk ntend that a copy d IN@ dderrrerd may be forwarded to the Ofte of Inveedgetlone d the DIA for coverepe verMedlon. I db hereby cw* undw Me pains and Pa UMYSs d perjury Met Me WOMMOM pmftd above /a bus and correct Signature Date (&to S Print name ���s w Phoned Ki - 14�-i 313 Of kw use only do not write In this arae to be completed by dty or town drfdd' . CMy or Town ❑ SuktlnA Dept ❑Check IImmediate response Is required ❑ Ucermtg 8oald ❑ Selectmen's Ofte Contest person: Phone s1 ❑ HeaNh Department 13 Other 2004 APPLICATION FOR SEWER SERVICE CONNECTION 2�05 North Andover, Mass. �� 19—s Application by the undersigned is hereby made to connect with the town sewer main in �Gr(('�Lt� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. ✓`� or subdivision lot no. --- 4 r%_l� Owner Contractor PERMIT TO CONNECT The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date -�'4 Address Add r Applicant's Signature TH am SEWER MAIN /1'.1AIN)%l/;/ Street Street Di, ision of Public Works By rf See back for rules and regulations 1374 APPLICATION FOR WATER SERVICE CONNECTION 4 T --?e90'5- North -?e90<jNorth Andover, Mas rl 1-9 Application by the undersigned is hereby made to connect with the town water main in (tel Street, subject to the rules and regulations of the Division of Public Works. / J� The premises are known as No. �/ �W < �( Street or subdivision lot no. 0 6 �I� jilrb A�e-� � C1' Owner Address Contractor PERMIT TO CONNECT The Board of Public Works hereby grants permission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date Address ny�' Applicant's Signature H WATER MAIN 1 fid s Vf'1f1t14 Street Board of Pu lic Works By See back for rules and regulations June 1. 1999, Revised 06-01-02 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Telephone (978) 685-0950 Fax (978) 688-9573 DRIVEWAY PERMIT (Please Print) DATE: 4-7-05 STREET & NUMBER: 5-!�2/ 21 �r LOT NUMBER: CONTRACTOR: TEL: ADDRESS: FAX: OWNER: TEL: ADDRESS: PROPOSED PLAN OF DRIVEWAY ATTACHED: PROPOSED SITE DISTANCE: DIG SAFE NUMBER: SITE INSPECTION IS REQUIRED BEFORE FINAL SURFACE IS INSTALLED AND A FINAL INSPECTION WILL BE MADE WITHIN 48 HOURS OF NOTIFICATION OF COMPLETION. INITIAL INSPECTION DATE: BY: FINAL INSPECTION DATE:' BY: FAIL URE TO COMPL Y WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT. APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROM MEETING ALL OF THE REQUIREMENTS FOR SAFETYAND DRAINAGE. A SEPARATE STREET OPENING PERMIT IS REQUIRED FOR WORK PERFORMED WITHIN THE STREET PA VEMENT. Attachments made a part of this permit: Form U & Driveway Application Requirements Sketch "A" Proposed Driveway Plan, dated 06-01-99 Sketch "B" Typical Driveway Detail, dated 06-01-99 APPLICANT SIGNATURE. DATE DIVISION OF PUBLIC WORKS SIGNATURE: DATE: �1--7 rbrm U& Drivewar Applications Rev 6-7-02 'r a 0 Eft � 1417k 3 F° o1 z so un�+ o un Z Oz U o o �v �At O +' LL caj � C �• O C En 0 o1s�0� 0 MU U O t% E'= c0 Q L u Q' a° ® e Q Z OL O y O V m C 4- O Oe ml .y v ,r W ay c �c E U � *5 Q � N L° a`i a t o. 9 d 4 a r 2. m s o N m 0 0z z 0 a u �:2 .z '- 0 L F- m N ki I a a JX 0 a Q u10 O V CL * v � CR w° a4 U w • ,V�� A A w ago ° V) cn I C 0 JX 0 m c -moo O_ Q u10 O V CL * mew ev ERc ?:Aj • Ile. o� ` z • ,V�� 0 O H a z� F� a z 0 U U) r -a y h E L a C t 0 CD r� 6L CA O O. y C 0 ev C a O CO2 O CL. CA C JX 0 Q u10 0 O H a z� F� a z 0 U U) r -a y h E L a C t 0 CD r� 6L CA O O. y C 0 ev C a O CO2 O CL. CA C M r Date Received at PFS PFS, 7M , ADDITIONAL OR MODIFIED ACCEPTANCE (MODULARS/PANELIZED) This form is to be used only when the manufacturer is seeking acceptance of an additional model, modified model or model name change which uses a previously accepted building system. Current PFS Building System Acceptance # 01-518 Model Name/ No. SPECIAL C-00707 Manufacturer's Name LES HABITATIONS TECHNIQUES LTEE (HABITEC.2000) Plant(s) at which model will be produced. i tjebac i bAAw Check One: ❑✓ NEW MODEL ❑ MODIFICATION* TECHNICAL DATA (Submit 2 copies of this form and all data) Submitted by: mario cloutier Date 03/23/2005. For PFS Use Reviewed and Approved by Date** �-1.6-045 Remarks "(1) copy sent to IBC within 15 days of MODEL WAS DEVIATED ❑ THIS FORM SHALL BE FILLED OUT COMPLETELY WITH EACH MODEL ACCEPTANCE OR MOS SUBMITTAL TO PFS. APPROVAL LIMITED TQ' KURT cc:Iv lT--�J 1 1 �1 FACTORY BUILT PORTt� A. mu\form-m ) = �-' ST \fo Rcv 1/13/05 kc Q Ann o. 41131 ..G Conforms Floor Plan Showing: Yes No Building Size (LXW Dimensions) Room Sizes, Light & Ventilation Schedule Exit Requirements Electrical Outlet Spacing & Smoke Detector Location of Labels & Data Plates ✓ Use Group, Type Const., Total Sq.Ft. Area Plumbing System Design or Reference No. ( ) Heat Loss Calculations or Reference No. ( ) Furnace Size/Model No. ( field installed 1 Thermal Performance Calculations or Reference No. ( ) ✓< Electrical Load Calculations or Reference No. ( ) ✓ Service Size and Location ( 200a /basement) ✓ Applicable Building Codes ✓ Submit model to the following states: MASSACHUSETTS *Description of Modification N/A Submitted by: mario cloutier Date 03/23/2005. For PFS Use Reviewed and Approved by Date** �-1.6-045 Remarks "(1) copy sent to IBC within 15 days of MODEL WAS DEVIATED ❑ THIS FORM SHALL BE FILLED OUT COMPLETELY WITH EACH MODEL ACCEPTANCE OR MOS SUBMITTAL TO PFS. APPROVAL LIMITED TQ' KURT cc:Iv lT--�J 1 1 �1 FACTORY BUILT PORTt� A. mu\form-m ) = �-' ST \fo Rcv 1/13/05 kc Q Ann o. 41131 ..G �1„i,\Nii'? tON A. r' forms2 mf transmittal - Revised Dece $t}1LT _ S =ENS u' 5 CommonweaXth of M°' sa : usetts. Manixf acture* d Ruildiii Pr6 *m - Tran.5mittaX Form far all correspoiidences,relating to . Manu adored BW in .-and Bu ld ri .Com .onentS To: Kimberly Spencer, Manufactured Buildings Program Phone Number. Date Transmitted 508-898-0167 D3 - a 3 -. P0015" Commonwealth of Massachusetts 167 Lyman Street / P.O. Box 1063 Board of Building Regulations and Standards Hadley Building - Ground Floor Westboro Massachusetts 01581 The person forwarding material shall complete the following portion of this transmittal. Please print clearly or type required information Name of Person MC Number TPIA Number Transmitting Material MARIO CLOUTIER 0.100 02 The following information is being transmitted to the Board of Building Regulations Please indicate the Distinct Use And Standards and\or the Department of Public Safety for reasons detailed below Model and\or Serial Group (Please check the appropriate box or give a further description of the transmitted Number pertaining to Items under the section labeled other. Be sure to identify the appropriate Use Group.) transmitted items. Building plans for review and approval Building plans forwarded as a record copy for your files (review not C _ 0-0 W -7 R,y required). Revised building plans for review. (Please clearly identify revisions on the Tans.) Revised building plans forwarded as a record copy for your files (review not required - Please clearly identify revisions on the Ians.) When submitting materials identified.below, please ensure that you clearly indicate modifications to each page(s). Also, please - indicate the BBRS\DPS Identification Numberon all applicable materials. Modifications to programs manuals or drawings shall be accompanied by an index which clearly identifies which Rages are to be removed and which pages are to be replaced. (Check the a ro riate box for materials transmitted.) Compliance Assurance Programs Original submission Modification to: Calculations Manual Original submission Modification to: Installation Manual Original submission Modification to: Systems Drawings Original submission Modification to: Other - Provide a detailed description of any other materials which are being transmitted. Identify any revisions clearly along with BBRS No. Also, identify the requested action . The office transmitting this'information has reviewed the above mentioned and attached materials and has found them, to the best of our knowledge and -abilities, to be in compliance with the codes and\or rules and regulations for the Commonwealth of Massachusetts' Man red Building Program, as applicable. Signed by: Dal,iiiuu►,►►►���� �1„i,\Nii'? tON A. r' forms2 mf transmittal - Revised Dece $t}1LT _ S =ENS u' 5 I P4;W*IUW� PFS Corporation An Employee -Owned Company Assurance you can build on"" Accredited by the National Voluntary Laboratory Accreditation Program for the specific scope of accreditation under Lab Code 100421-0 Letter of Transmittal To Kurt A. Stenberg, Northeast Region 2877 Skatetown Road Bloomsburg, PA 17815 Dear Kurt: Date: March 28, 2005 Phone: 570.784.8396 Enclosed please find the following: Fax: 570.784.5961 X Prints Calculations Other Website www.pfscorporation.com Manufacturer. Habitee 2000 Richard L. Wenner, PE Vice President Number of Copies: (3) Northeast Region rwenner@pfscorporation.com Description: C#00707 - 2 -story Headquarters Please review and, if everything is satisfactory, seal for the following State(s): Madison, WI 608.221.3361 MASSACHUSETTS Regional Offices Please return sealed documents to: Northeast Bloomsburg, PA . Manufacturer: 1 PFS Bloomsburg Office: 1 State: 1 570.784.8396 - South Central Dallas, TX 214.221.5585 Sincerely, Western sten ry�M �• Los Angeles, CA Los 310.559.7287 Midwest Madison, WI 608.221.3361 Mark Wagner Staff Plan Reviewer - #P089 Southeast Raleigh, NC Pennsylvania Office, PFS Corporation 919.845.8450 sales office Cc: PFS Corporation NER — File Copy Mentone, AL Mario Cloutier — Les Habitations (Habitee 2000) — Quebec -Canada 256.634.4071 Accredited by the National Voluntary Laboratory Accreditation Program for the specific scope of accreditation under Lab Code 100421-0 REScheck Compliance Certificate Massachusetts Energy Code REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\00707.rck PROJECT TITLE: C-00707 CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 03/21/05 DATE OF PLANS: 03/14/2005 PROJECT DESCRIPTION: MELILLO CONSTRUCTION SAME COMPLIANCE: Passes Maximum UA = 394 Your Home UA = 388 1.5% Better Than Code (UA) Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 24" o .c. Window 1: Vinyl Frame:Double Pane Door 1: Glass Wall 2: Wood Frame, 24" o .c. Window 2: Vinyl Frame:Double Pane Basement Wall 1: Solid Concrete or Masonry Wall height: 7.8' Depth below grade: 7.0' Insulation depth: 7.0' Floor 1: All -Wood Joist/Truss:Over Unconditioned Space Floor 2: All -Wood Joist/Truss:Over Unconditioned Space Permit Number Checked By/Date APPROVAL ,t,tl TED FACTORY BUILT PfiN MAR 312005 tj111111111111i,��� OF MA�q� KURT STEN R U I 41131 Gross Area or Cavity Cont. Glazing or Door �,� 90,E L'I 1A .I Perimeter R -Value R -Value U -Factor UA 1232 35.0 .. 0.0 34 1152 20.0 0.0 51 152 0.500 76 101 0.062 6 1152 20.0 0.0 56 172 0.500 86 1123 0.0 10.0 71 120 28.0 0.0 120 28.0 0.0 4 4 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release le (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checklnspection Checklist. APPROVED PFS CORP. The heating load for this building, and the cooling load if appropriate, has been determined using the ipplicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall ben greaMM41:860,Mhe design load as specified in Sections 780CMR 1310 and J4.4. APPROVAL LIMITED TO FACTORY BUILT PORTION REScheck Compliance Certificate Massachusetts Energy Code REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\00707.rck PROJECT TITLE: C-00707 CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 03/21/05 DATE OF PLANS: 03/14/2005 PROJECT DESCRIPTION: MELILLO CONSTRUCTION SAME COMPLIANCE: Passes Maximum UA = 394 Your Home UA = 388 1.5% Better Than Code (UA) Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 24" o .c. Window 1: Vinyl Frame:Double Pane Door 1: Glass Wall 2: Wood Frame, 24" o .c. Window 2: Vinyl Frame:Double Pane Basement Wall 1: Solid Concrete or Masonry Wall height: 7.8' Depth below grade: 7.0' Insulation depth: 7.0' - Floor 1: All -Wood Joist/Truss:Over Unconditioned Space Floor 2: All -Wood Joist/Truss:Over Unconditioned Space Permit Number Checked By/Date Gross or Door U -Factor Area or Cavity Cont. Perimeter R -Value R -Value 1232 35.0 0.0 11$2 20.0. 0.0 152 ��. P�ZH 86 KURT 101 1152 20.0 0.0 172 .1123 0.0 10.0 120 28.0 0.0 120 28.0 0.0 Glazing or Door U -Factor UA Vp►L LIMITED T4 A��� Y BUILT PORTIot A 51 31205 0.500 76� 0.062 6 $6 OF M,1�9''�•,y 0.500 ��. P�ZH 86 KURT `�.�`;� 71 A �• s STENSG ' N 1 = 4 ' a 4 910 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release le (formerly MECchec4 and to comply with the mandatory_ requirements listed in the RES checkInspection Checklist. I APPROVED, The heating load for this building, and the cooling load if appropriate, has been determined using the Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be nc design load as specified in Sections 780CMR 1310 and J4.4. PFS APPROVAL LIMITED TO FACTORY BUILT PORTION I#F Commonwealth of Massachusetts Manufactured Buildings Program - Plan Identification Number Assignment Name of Manufacturer LES HABITATIONS MC Identification Number 206 TECHNIQUES LTEE Third Party Identification Number - 02 Project Title C-00707 Use Group i� 'p4 BBRS\DPS Identification Number 0396-05 Review by MA. State Inspector Required yes no x Date: 04 / 04 / 0 5 Manufactured Buildings Program From: Kimberly Spencer, Program Coordinator Manufactured Buildings Program Re: Confirmation of Receipt of Building Plans & Assignment of BBRS\DPS Identification Number (BBRS\DPS I.D. Number) The Board of Building Regulations and Standards and Department of Public Safety (BBRS\DPS) has received your building plans for the referenced project and has assigned the identification number noted above (in the block marked BBRS\DPS I.D. Number). This number has been assigned for purposes of internal tracking methods. This number shall be used in reference to this project and on all future correspondences, inquiries and plan revisions. Thank you for your cooperation with this matter. Send all correspondences, inquiries and plan revisions to: BBRS / Dept. of Public Safety P.O. Box 1063 167 Lyman Street Hadley Building - Ground Floor Westboro, MA 01581 Bbrs\forms2\manufacturedbldgplanid - December 17, 2003 `~ Commonwealth of Massachusetts Manufactured Buildings Program - Plan Identification Number Assignment Name of Manufacturer LES HABITATIONS MC Identification Number 206 TECHNIQUES LTEE Third Party Identification Number 02 Project Title C-00707 Use Group R4 BBRS\DPS Identification Number 0396-05 Review by MA. State04 Inspector Required yes 110 is Date: / 04 / 0 5 Manufactured Buildings Program From: Kimberly Spencer, Program Coordinator Manufactured Buildings Program Re: Confirmation of Receipt of Building Plans & Assignment of BBRS\DPS Identification Number (BBRS\DPS I.D. Number) The Board of Building Regulations and Standards and Department of Public Safety (BBRS\DPS) has received your building plans for the referenced project and has assigned the identification number noted above (in the block marked BBRS\DPS I.D. Number). This number has been assigned for purposes of internal tracking methods. This number shall be used in reference to this project and on all future correspondences, inquiries and plan revisions. Thank you for your cooperation with this matter. Send all correspondences, inquiries and plan revisions to: BBRS/Dept. of Public Safety P.O. Box 1063 167 Lyman Street Hadley Building - Ground Floor Westboro, MA 01581 Bbrs\forms2\manufacturedbldgplanid - December 17, 2003 Of ,NO�o' �.f� W 5 5 . O Lp • Town of North Andover HEALTH DEPARTMENT CH CHECK #: C;.! D ,T (i LOCATION: H/O NAME: CONTRACTOR NAME: -- Type of Permit or License: (Check box) �. ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other.teate) =1� $ - G /1 eaIth Agent Initials White - Applicant Yellow - Health Pink - Treasurer wg Z� o D OWE NrrH :C7 H ee zo p� �rn c9 m $z� m Z Ln D O O (n S Qg 42 Prn p�-n :co 6 �1 CORP ?Aa 0 .. Dm v C Ln. 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Vs 1 Start Bnd start O Dead I COMPANY PROJECT (Boodlam Olvlalon_ ���.....: Tei. 1460.361•660� Fax 1460-935-3728 �••� Mar. 1, 2006 15:26:60 13eam1.wwb Design Check Calculation Sheet LOADS: ( 1139m Pl%'wv. F;1I V 1 s -3.r Type Distribution Magnitude Location (ft) Pattern xnd Load? Vs 1 Start Bnd start M;j Dead UDL _ 0 U j 2849 FUll UDL 180 _ja. m r �w. 21412 CC O ?7 . a 0.61 L/364.'• 0.:33 Total'.Defla, 0.67 L,326: COMPANY PROJECT (Boodlam Olvlalon_ ���.....: Tei. 1460.361•660� Fax 1460-935-3728 �••� Mar. 1, 2006 15:26:60 13eam1.wwb Design Check Calculation Sheet LOADS: ( 1139m Pl%'wv. F;1I V 1 s -3.r Type Distribution Magnitude Location (ft) Pattern xnd Load? Vs 1 Start Bnd start M;j Dead UDL _ 0 No yen Live 1i5b 3559: 2849 FUll UDL 180 Total1Faotored� MAXIMUM REACTIONS (Iba) and SEARING; LENGTHS (in) : peal eis V V 1 s -3.r 2a:7.3^ 44'-0* o' Vs 1 mfaotoradf B*T 645 M#' Dga�d 380 2713 2264 Live 1i5b 3559: 2849 E113 Total1Faotored� m r �w. 21412 5129 4112 Total. . 2710 0.61 L/364.'• WELDWOOD LVL, 1-314P Wide,.2.0E,1.3/4x91/4", 2-PIYs tea• :� wMbfTl11 AA11�' ~pw ^wft.&_tkAs f 1k.- M4.0- IS0.111 V ADDITIONAL D' TA; Moment (+,)I LCiE 6 D+e (patteral Sea) KD :• 1.00 101 1.00 K2b+ Z...d� KL s-1.000 Mvmsntf-).1 'LC#. 4, • D+8 (Patte=rLCif 4 i8 e) KD R 1.•00 K8 N 1..00 it*w 1.00 .1M "1.000 slsheart . D+8 ' (pxtee:rsi$ age) XD . i.o0 M1 w 1 1 .06 K2v- .00 De1:a.ectioal LC# 6 . D+8 .(Pattse f- Sa8) gY• 460..BBa06 lb.- t�2/D1Y Wadead LWlive 8 enoyl ttJ•r+ l7ld L>•pezm. live) (AYl L :�LN a;e li,eted iin that Attsl!Y* 16 Output} . (Load Vatternl a.$/2 to -. XJJpL 7i�>J.8rOz PL - •trhiohnvpr ip applicable) DESIGN NOTES: 1. Please veiny that the default deilectlon limits: are approptlate foryourappilcation. 2.6 S.requlre restraint against: lateral displacement and rotation at poirna cf bearing S. SOL -SEAMS: Structural' Composite Wmber design has assumed: • dry service conditions -full lateral support - no 4. peal eis V V s naass nY Criterion 28QB Vs 1 V Vr :.0 38 Shear Moment (0 M#' 8491' Mr • 31412 Mt/t+ll' r..0 40 MOAtiY1t (�) . Mf • 656.0 m r �w. 21412 ML/Mr , V AD Llve Def l*a O..SY Lf l 6: 0.61 L/364.'• 0.:33 Total'.Defla, 0.67 L,326: 1.22 • _.L 180. ADDITIONAL D' TA; Moment (+,)I LCiE 6 D+e (patteral Sea) KD :• 1.00 101 1.00 K2b+ Z...d� KL s-1.000 Mvmsntf-).1 'LC#. 4, • D+8 (Patte=rLCif 4 i8 e) KD R 1.•00 K8 N 1..00 it*w 1.00 .1M "1.000 slsheart . D+8 ' (pxtee:rsi$ age) XD . i.o0 M1 w 1 1 .06 K2v- .00 De1:a.ectioal LC# 6 . D+8 .(Pattse f- Sa8) gY• 460..BBa06 lb.- t�2/D1Y Wadead LWlive 8 enoyl ttJ•r+ l7ld L>•pezm. live) (AYl L :�LN a;e li,eted iin that Attsl!Y* 16 Output} . 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Lolled SoOL HYOI 8o Z0 AW PeM 'aul •'s. •OI >te11W 1002It daS t 00t'9. oD' 8'4do of`IS' 09n7 Lld t`nssa+npnag 1 0 : aouawed.clof' sautoln 1. 91• ssnau.sooa lv ct 001 AL41 +dAl a,ul ssnrl 4o t 23 i 1 v/osrtpe scale a 11. —_ ADING (pit)+—_ LL 34.8 SPACING 2-" -G G Cal TO 0.12 DEFL In VeR(LL) -0.00 (loc) Vdefl Ud 1 >999 380 PLATES GRIP MIt20 1971144 )of Snow-.14.6)Lumber Plates Increase. 1:15 Increase 1.15 do BC 0.02 Vert(TL) -0.00 1 >999 240 Mm DL 10.0 Rep Stress Ina YES W8 0.00 Horz(TL) 0.00 4 n/a We Weight:8lb LL 0.0 Code ISC20001ANS195 (Simplified) MBER BRACING TOP CHORD Sheathed or 2-944 oc purlins. P CHORD 2 X 4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. rr CHORD 2 X 4. SPF No.2 !ACTIONS (Wsbe) 1=t17/O�i-8.:4=87/05.8 Max Hort 1.17(load case 5) Max Uplift 1r-19(load case 5), 4■-.19(load case 6) Max Grev 1s141(load.cose 7), 0141 (load case 7) IRCES ob).- Maximum Comp[ession/Wxlmum Tension W CHORD 1-2-30,3-4-36M )T CHORD 1-4 -0125 )TES Wind: ASCE 7.08;. 90mph; h=2811:,TCDL-4.2pp$: 6CDL=5.0psf; CategoryII; Exp B; enclosed; MWFRS:geble and zone; cantilever left and right exposed.; and vertical left and right exposed; Lumber DOLm1,33 plate grip DOL -1.33. TCLL: ASCE 7-98; K44.8 pat (flat root snow); Exp B; Partially Exp, This truss has been deaigned.fW 2.00 times flat roof load of 34.8 pef on overhangs non-ooncurrent with other fire bads. This was has been designed4dra.10.0 psf bottom chord tive.load nonooncutrent with any other INS loads. Basrinp at jofnt(s)1, 4 conafders parallel to:gra in value.using ANSVTPI 1 angle to grain formula. Building designer should verify capacity of bearing surface. Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 19 Ib upliftat jolnt 1 and 19 Ib uplift at joint 4. - Beveled plow orshim required to provide full bearing surface vdth in= chord at joint(s)1. 4. i Gap between inside of top shorn bearing and firat diagonal or vertical web shall not exceed 0.5001n. DAD CASE(S) Standard Mitek Canada, Inc. 100 Industrial Rd., P.O. Box 1329 Bradford, Ontario, UZ 2B7 2 March,2005 LOADINO AND DIMENSIONS SPECIFIED BY FABRICATOR, SUBJECT TO VERIFICATION BY AUTHORITIES iN JURISDICTION. -G G a -0 'TI -u W:5; r � n� �� do QO M -4 m (3 Mm >o T4 o Ln 00 z 2 March,2005 LOADINO AND DIMENSIONS SPECIFIED BY FABRICATOR, SUBJECT TO VERIFICATION BY AUTHORITIES iN JURISDICTION. F 1OCLs- -fit L ` rd 4-4 z . ® c 0 0 � r s op 0n 0 o 0 p N ice' m - O ao d� am O 0 JJZp as a o cr- CL. 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Ln REVISION: 03/02/2005 BY S.B. 4, m MELILLO CON RUCTION MffEC 2000 ® SAME rn m o � C— 00707' m rn m p I�1..r� Sante: Dr. 6y: App. by: Dote: Plan: RIG(l I Po9e A 4•=1'-o' S.B. 01 28 2005 ELEVATION 't T ►►►u►►nrtrr<<� Y > oO z m T. o"� o 'nm Z�'� pwa Cr - C n still =•1 zO MORTf/ h ! t ssA' gft�' N CERTIFICATE OF tJSE & OCCUPANCY TOWN OF NORTH ANDOVER 1 Building Permit Number 598 (0/03/2005) Date: September 28, 2006 P THIS CERTIFIES THAT THE BUILDING LOCATED ON 34 Baldwin Street MAY HE OCCUPIED AS Single Family Dwelling INACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: North Andover Ma 01845 Building. Inspector .s m m m m y M m y C d d Cos Cl) 'C O CD oz y CL r � ? o CL y + CD o p CD O cr d CD CD O � CD CD Cos . d0 y S. CD I CC0310 O CD Z. CD0 CD 0 O Q L 5 �d 0 0 { r� O cn Vx C �d 0 0 { r� O cn Vx C cn \ J O ;a 1Zn n cn , 72 0 Z cn, 5\. C c 2 O N O Q y MOSM .0 y mo m Z �� y -n CL� o gm 9 y O O m y p N O m CD = > > "a Is �. 7 .••► A O O OZ H• CD N a... so O =DrO m N 71 n.0CCILI c CD N N G w a),c E. =�►a N �O O � m H A N CO cD IW OR A' Co m, a1 0 C g ® : 1 co N CD til 01 . O � d' . CA oma: h .7^I 0 { O z Vx C �' ;a cn n � , 72 PWr�, V/ • omi 0 c I -i Location c( Lc� No. 1�5-19t S Date �3 6 "0 X— TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #� 18188 Building Inspector PROPERTY LINES FROM PLAN OF LAND PREPARED BY FRANK S. GILES ENTITLED "PLAN OF LAND" LOCATION 50-52 MARBLEHEAD STREET NORTH ANDOVER MA PREPARED FOR MICHAEL LIPORTO DATED JUNE 30, 2004 AND RECORDED IN THE ESSEX NORTH DISTRICT OF THE REGISTRY OF DEEDS AS PLAN #14927. SAID PLAN WAS APPROVED BY THE ZONING BOARD OF APPEALS ON 10-12-04. SEE DIMENSIONAL VARIANCE RECORDED IN BOOK 9177 PAGE 317. DEED REFERENCE: BOOK 9321 PAGE 354 N/F LIPORTO 50-52 MARLBEHEAD ST ,2 3 q 3 A-, (4l wt,v ."-J in 0 v N/F GIARRUSSO 60 MARLBEHEAD ST ZONING DISTRICT: R4 * REQUIRED MINIMUM SETBACKS: FRONT: 30' SIDE: 15' REAR: 30' AS BUILT SETBACKS: FRONT: 34' SIDE: 15.5' REAR: 62.5' 15.5' 15.5' 75' MAP 8 PARCEL 13-2 10,537.5 SF 34.0' 34.0' 75' BALDWIN STREET FOUNDATION AS -BUILT 15.5' LO 0 v N/F KING 46 MARLBEHEAD ST STEPHEN M. ASSESSORS MAP 8 PARCEL 13-2 MARCHIONDA & ASSOC.,L.P. BALDWIN STREET ENGINEERING AND PLANNING CONSULTANTS NORTH ANDOVER, MA PREPARED FOR 62 MONTVALE AVE. SUITE I CHRIS MELLILO STONEHAM, MA. 02180 (781) 438-8- 6121 BALDWIN STREET NORTH ANDOVER, MA SCALE: 1"=20' DATE: 5/2/05 Y.Y ^ 9 - (I- o';;, Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... 4k , W t -c-- C, 14014,F 5 -e --'Rel . ....................................................................... ty has permission to perform.......... ............................ t .............. I ........................ wiring in the building of ................... A..: 'c.. . ................................ at ............ S-:7 ................. .. North Andover, Mass. .... .... ......... ... .... . ..... ....... r Fee.. �-r .. Lic. No.. ................. ........ ............ .......... ELECTRICAL /4 INSPECTOR Check # t5-2-36 7570 N Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 7, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: - City or Town of: A/ " CXwQ A To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 3 q j6A1 Q l,V(,v $ l Owner or Tenant 4, -t -I /y% c.Utt2{ Telephone No.927E 6 7$76 Owner's Address J-zy 61V1> -,l-0 5% C��$ Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building. Utility Authorization No. Existing Service New Service Amps / Volts Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans TransTotal Trsformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ ❑ rnd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners Detection and No. In nitiatin Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers P Heat Pump Totals: I.Number Tons I KW I No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ Other Connection No. of Dryers Dr Y Heating Appliances KW Security Systems: 1 No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail ij desired, or as required by the inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) _ (Expiration Date) Estimated Value of Electrical Work: 3vs .� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Brinks Home Securit; LIC. NO.: 749C Licensee: Paul Defuria Signature LIC. NO.: 10028D (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443 Address: 155 West Street, Suite 7 Wilmington, MA 01887 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required bylaw. By m s.gna re below, I hereby waive this requirement. I am the (check one) ❑ owner ® owner's agent. Owner/Agent 1 PERMIT FEE: $ Signature Telephone No. 978-657-0443 978 Date...P— i ............................. yORTM + TOWN OF NORTH ANDOVER PERMIT FOR WIRING '2SACHUS This certifies that .....T�E.................. ? ............................................................. has permission to perform...........7.;Z— --" .... o ........................................ wiring in the building of ............................................ ............................... ..................... . North Andover, Mass. FeeO.e ............ Lie. N A/✓.......................................... ELECTRICAL INSkCX0I V Check# DEFAM rIDV!'OFPIJB KMFETY LPernnadtNo.BQAI?DOFF=Pl:E'VF1V11rwRB%7ATDOVII' m7C1&vw Feu Checked APPUCA77ON FOR PERNff 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) DaleL� Town of North Andover To ft4fispector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street d: Number) `- Owner or Tenant C CV, Owner's Address Is this permit in conjunction with a building permit: Yes[M No (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps. Volts Overhead Underground No. of Meters New Service ZL90 Amps �/ "Z 1,Volts Overhead (Z3' nlLIkeWound No. of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Q.' No. of Lighting Outten No. of Hot Tubs No. of Tnmfatee Total KVA No. of Lighting Fixtata Swimming Poo' Above El Below Gertentttrs KVA yound and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Borers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tom No. of Detection and. No. of Disposals; No. of Had Total Told Pumps Tom KW rnitiatiag Devices No. of Sounding Devices No. of Dishwashers Space Ara Heating KW No. of Self Contained DetactiorJSonrding Devices tai municipal Other No. of Dryers Heating Devices KWI Co Comectiom No. of water Heaters KW No. of No. of Sign ailub No. Hydro Massage Tubs No. of Knots Total HP ` lhmeshAWdvddpeafofs=loi ;Oltir— YM ® j WadcbSmtt ir>�onDideRocµsisd Ll Efartdvalree BXbicalWak $ Rao aw . Lio=M besTdNa lo_/2-AY/-9,�/7 �, V •//V- CJ�� 7V AkTdNa owM CSMJRANMWAIVQt;lanawaelhe bLicmwdbolrgdleir�nnaeoo ar et�ivala�tasroc�}ired(�rM fisel�GaiealIBws ardUletmp+sig�erndrspertritappicadma®i�trsn�quiarns (Please cbeck one) Owner CM Agent Telephone No. PER&ff FU g Signature of Owner or Agem N J" � 7 Permit Na � Occupancy & Fen Checked 2 0- MINEW APPUCA71ON FOR PERMIT TO PERFORM ET CTRICAL WORK ALL WORK TO BE PEMRMBD IN ACCORDANCE WITH M MASSACHUSM ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D e= Town of North Andover To the Inspector of wires: The undersigned applies for a permit to perforin the electrical work described below. Location (Street d Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: purpose of Building Existing Service Amps�� offs New Service O Amps "E / .Z i7Nolts fNo (Check Appropriate Box) Utility Authorization No. �und -, Overhead Un�' N ;. of Meters Overhead""� � No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical work 77,77777, Na of Uslifing Osthu No. of Hot Tubs Na Of TnWAA men Total KVA Na of Lighting Hectares Swirwaing Pod" Above Below Oertetstots KVA No. of Recapncie Oudeti No. of 00 Burnere Na of Emergeaoy Lighting Battery Unita Na of Switch Oath" No. of Ow Huruers FIRE ALARMS Na Of ZOOS No. of Ranges Na of Air Cold. Total Tool Na of Deeecdon and. Na of Disposah Na of Heat TOW Totd Pump Toga Kw iaida ft Devka Na of Sounding Device No. of Dishwaehen Space Area Hea ft KW Na Of Sett Curgained Locala Other No. of Dryers Heaths Devices KW Connectiom No. of Water Heaters Kw Na of Na Of AM Baink No. Hydro Mawese Tubs Na Of Motors Total HP 1tNm ffnlbdmMpxic(9 nebheCMM WS BMC:] all=[D WO&IDSM ,� iilpac>�oriD*Re4ieRed S�iedundrr Ptrtaiimdpt�►. � "��- �� � �-c MMNANN ��Emla Lir- j By, 'k,n� Eftn*dVAzdEhcszdwbk S Roto l�.l AXTdNa cJwi�It'SIIVSIJRAI�wANBLIama�edirtiheiicais �lheirei�neaoteigar�9�emoiirla}ivalmtasn0WbpMealadslsft(lmWLmw ardthetrrq�sigttetl�ondiispemiiappicsdmvtiwsfitequieme:t (Please check one) Owner Agent Telephone No, PMtWr FEB s �cToJy oic F 5t_o-s- SFav o &. e. oo. s i - /mss 0 0 Date..�.�..�. �. ".� RT" TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SSACNUS� This certifies that �.� ��� ................... has permission to perform4,0 ..... Q! ......�`' L E .1^^ ................. plumbing in the buildings of................................. . t at ...3 �t. �� t `'_" ``j ........ , North Andover, Mass. Fee .,�M... Lic. No. b9K ..l lt?Z Z i i� I/{ ,t(� �c• `cue,_ �( PLUMBING INSPECTOR Check !t 1� 6473 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 0 New d Renovation S't OwnerslNam6 ('1J Type of Occu nc Replacement FIXTURES TION FOR PERMIT TO DO PLUMBING Date Permit #___' Amount � 3 Plans Submitted Yes ❑ No (Print or type) �\—C�heck on installing Company Name Co E] Partner UFirm/Co. Name of Licensed Plumber: �,p Insurance Coverage: Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11 Bond ❑ Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent El 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 plumbin work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of th assachu to untng Code and Chapter 142 of the General Laws. By: na ure o Llcenseu iriumoer Type of Plumbing License Title A Z>01 (0S City/Town icense Numver Master � Journeyman ❑ APPROVED (OFFICE USE ONLY j