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Miscellaneous - 35 WOODBERRY LANE 4/30/2018 (2)
O O W W W go W 0 oco m o � o � 0 1 03V-' Date... �..... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... ................................................................ has permission to perform ... AtA.7X.?�! ..... ............................. plumbing in the buildings ............................................. at .................................................................................. - 1. ,,,North Andover, Mass. Fee.... Lic. No ...... . .. .................... ........................... PLUM INSPECTOR Check # f MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK m_ .- CITY A, MA DATE (PERMIT# ��lD JOBSITE ADDRESS OWNER'S NAME � D P — OWNER ADDRESS Yk' TEL= JFAX TYPE OR OCCUPANCY TYPE COMMERCIAL D EDUCATIONAL F RESIDENTIAL PRINT CLEARLY NEW: F RENOVATION: ® REPLACEMENT: Dl/' PLANS SUBMITTED: YESE11 NOF FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM (. -._ _ _ _ [ - ( __-( L( _—_J DEDICATED WATER RECYCLE SYSTEM _4 DISHWASHER ( _.-.. DRINKING FOUNTAIN .�-._..___ FOOD DISPOSER ____( _J J f FLOOR/ AREA DRAIN i _ I INTERCEPTOR (INTERIOR) [ J -__[ _ _ I (_I.._.._J KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL 1 II J_ SERVICE / MOP SINK TOILET 1 __-- J _ ► _J _ _j j URINAL L-J WASHING MACHINE CONNECTION 1 _ WATER HEATER ALL TYPES ( i _ ( ( _____j _ ___i WATER PIPING OTHER __.._j ,__--# t - _-I INSURANCE COVERAGE: 1 have a current liability insurance its the MGL 142. Ell policy or substantial equivalent which meets requirements of Ch. YES .... NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY© BOND 0 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: OWNER _( AGENT E 11 SIGNATURE OF OWNER OR AGENT 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 innent rovision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME `� 4rr -L j LICENSE # SIGNATURE MP© JPM,-- CORPORATION Rl#PARTNERSHIP #®LLC M COMPANY NAME • I%I1-6MI44C4�]IADDRESS CITY �=5-L(%_ _ _� STATE ZIP TEL FAX j CELL% MAIL O F1 z LU CL u.i LU LL The Commonwealth of Massachusetts - Department ofIndustrial Accidents Office of Investigations Uf 600 Washington Street Boston, MA 02111 www.massgov/dia . Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual): City/State/Zip: �(Ac-S l Gw Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I` 6 El New construction oyees (full and/or part -time). have hired the sub -contractors 7• ❑ Remodeling 2. hZam. a sole proprietor or partner- listed on the attached sheet. ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance.g E] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ EIectrical repairs or additions required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL 11. ❑ Plumbing repairs or additions lf m seo workerscomp. Y � ' p c. 52, 1 , and we have no 1 § 4 �) 12.E] Roof repairs insurance required.] t employees. [No workers' 13.❑Other comp. insurance required.] *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 a're doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. ilz/1— Insurance Company Name:. Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date:" City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. I do hereby ofperjury that the information provided above is true and Date: ` —/` Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. PIumbing Inspector 6. Other Contact Person: Phone #: P Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract ofhire,• express or implied, oral or. written" An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to burn leaves etc) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Ma ssachuse-tts Department of Industrial ,Accidents Office of Investigations 600 Washington Street Boston., MA 02111 TO. # 61.7-727-4900 ext 406 or 1-877:MASSAIEB Revised 5-26-05 Fax # 617-727-7749 www_mass,govfdia . 1Date ....... 7 2...... , ... I .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... \ JL- T ....................................................................................... 6 4tk V/ -Z VY -1 A aQ has permission to.perform .............................................................................. wiring in the building . ......................................................... ............. ................ .... ... ....... at 3.05 .. ........ North Andover, Mass. ........ ...... .. . ......... Fee.... �55 . ........... Lic. No..................N.4 . ............. . . ................................................... �ELE6MCAL INspEcrOR I heck # Jam - 12136 -A, 1,213 6 0 Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. T Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I. 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: 1—IN,—Ay City or Town of: (\c2r-}y, Ry.•Oby-o-iZ 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) '!�S'_ Owner or Tenant 70*h Telephone No. 9. Owner's Address Samrlp- Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building 5%v%%U 0,M; H Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters 5 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��y�.}. �;,�; S� p n r ' \,\t00 M Completion of the followingtable may be waived by the Inspector of Wires. r D No. of Recessed .Luminaires No. of Ceil-Sus (Paddle) Fans P.. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators- _ KVA . . No. of Luminaires p Above In- Swimming Pool rod. ❑ rnd.. El o. o Emergency Lighting B0 Units No., of Receptacle Outlets . Z No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tons Tons No. of Alerting Devices No. of Waste Disposers Heat PumpNumber Tons "' "' ' ' KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Kms, No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Winngg: No. of Devices or E uwalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: Z_CC0r_--,, (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. 1S FIRM NAME: pi GG.t'C) , tl-ta-r. C LIC. NO.: 3gOd-q E ? Licensee: Q� �,1L �� C C-c"C�+� Signature 7_Lr_t1 LIC. NO.: ,%OS -+O A (If applicable, enter "exem t" in the license number line.) Bus. Tel. No. "I 81' Address: ��-� `C�t`e �S�Ont C2'h SVSy S TOA, m \ %O (p Alt. Tel. No.:'1$1- Q"44- Z (a 01 T *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 1 11` V-_�e C1A V), \O -t` C.,vuel"'PI � I LQ_.,4" 'MMS 1 Dor 113 It wvya* P Date ..3;. ....Z.57.-'q'C ................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... . STS.. has permission to perform ........... wiring in the building of ................ 15.H.R.A.145R ............................... at ......AX--. U O'b .... A. C714q.Y ....... North Andover, Mass. Fee ..&-54-0.... Lic. No.Lk.L/7(7* .......... Check # 616;)1 14 Commonwealth of Massachusetts c Department of Fire Services x BOARD OF FIRE PREVENTION REGULATIONS i t)Ilicial t.sc thaly Permit No. Occupancy and Fee Choked [Rev. 9 05] cleave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All ,pork to be performed in :accordance \pith the \•l:assachUSCttS Electrical Code I\ EC'). 52" (AIR 12.00 (PLE.ISE PRLMA INK OR TYPE, ILL INFORH ITION) Date: City or Town of: TO Ille /l7S/V00r a W11TS. By this application the undersiuned oi^ notice of hiso r, her intention to perform the electrical work described below. Location (Street & Number) %Q Owner or Tenant �r.i Sh�P (�)16R-- Telephone No. Owner's Address Is this permit in conjunction with a building permit? YesNo ❑ (Check Appropriate Box) Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of :Meters L.., ( •omplelirm of llle lr;/lou illy table oral /;e ir,III d by lhc> brsr c a r rl I1Sr. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires No. of Receptacle Outlets Above ❑In- ❑ Swimming Pool ;a.nd. rnd. No. of Oil Burners �I- o. of -Emergency Lighting 13attcr� ,FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and ' Initiating Devices No. of Ran Ranges g No. of Air Cond. Total Tons f iNo. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number __ ... Tons _.._ . _._....__._....._.. KW No. of Self -Contained Detection/Ale ting Devices No. of Dishwashers Space/Area Heating KW Local 1:1'Municipal F] Other t Connection_-_ No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heatersata No. of . Noof SiSi=ns Ballasts Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of ,Motors Total HP �`jP _ Telecommunications Wiring: No. of Dcv ices or Equivalent OTHER: .Illaih ul.lilrururr' Jehul rf rlrsr✓c d, "l, as r-rr011'01 ba. rhr !b. f,cOIX .,. Estimated Value of Electrical Work: (\1 hen required by municipal policy.) kkork to Start: Inspections to be requested in accordance with MEC Rule M, and upon completion. INSLRANCE COVERAGE: L•nlcss waived by the owner. no permit for the pert-orni ante of electrical work may issue 1.1111c5: the licensee pravideS proof of liability insurance ineludin(2 -connpletcd operation" coverage or its ,ubstantiA cqui�alcrat. 11W undersi ,ned ccrtitic:; that .urh cMe ) ,e ir, in kwcc..uad has c�.hibited proof Of'.,anne to the permit office. (IIEC1<ONE: IvSt.R.\Nl'E [t l3i)\I) ❑ OT�IiI:R ❑ (Spccily:l If e1 -ti .jr, troller fhe rutins rand iyenul;'ies :If per/rna , 1itif diiee infin-nirNiran ;� his .ipplicwlion i.� /raid and cowl;leie. F111INI NAME: �� b��G 6t��co� �� t..aC:. NO.: Licensee: :ii;n•atua- 1,•' ;tai, • rrlc • rrrt , n IG 1, c r Address: ` -0 6 �--p ----030 � Bus. Tel. No. .11t. Tel. No.:.1���-3�0�'. "Security System Contractor License required tier this work; if applicable. enter the license number here: Ok NER'S INSURANCE WAIVER: 1 am ;aw;u•e that the Licensee do.,.,; not havr the liability inSurancc un ra_e n�:rmally --- tcquired by law. By my signature below, I hereby waive this; requircnnjnt. I ani the (check one) ❑ owlivr ❑owner ::went. Owner/Agent a PF iL 7T FF,F, :i�;oature ��_�ciaraoae �'i•;. R t. R(,. -e-, &q /-r rwL-O�- C9-�- V. i BOISE" Triple 1-314" x 16" VERSA -LAM® 2.0 3100 SP Floor Beam1F1302 BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Tuesday, August 15, 2006 15:22 Build 047 BO B1 LL 3960 lbs LL 3960 lbs DL 1604 lbs DL 1604 lbs Total of Horizontal Design Spans = 24-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (psf) Left 00-00-00 24-00-00 30 10 11-00-00 Controls Summary File Name: larose 081506.BCC Job Name: andover equ Description: FB02 Address: 35 woodberry Specifier: City, State, Zip: n andover, ma Designer: walter dion Customer: Company: Code reports: ESR -1040 Misc: PRELIMINARY ONLY BO B1 LL 3960 lbs LL 3960 lbs DL 1604 lbs DL 1604 lbs Total of Horizontal Design Spans = 24-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (psf) Left 00-00-00 24-00-00 30 10 11-00-00 Controls Summary Value % Allowable Duration Load Case Span Location Pos. Moment 33381 ft -lbs 59.6% 100% 1 1 - Internal End Shear 4912 lbs 30.8% 100% 1 1 - Left Total Load Defl. L/298 (0.966") 80.5% 1 1 Live Load Defl. L/419 (0.687') 85.9% 1 1 Max Defl. 0.966" 96.6% 1 1 Span / Depth 18.0 n/a 1 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram a minimum = 2" c = 6" b minimum = 3" d = 12" e minimum = 3" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALC@, BC FRAMER@ , AJSTM ALLJOIST@ , BC RIM BOARDTM, BCI@ , BOISE GLULAMTM, SIMPLE FRAMING SYSTEM@ , VERSA -LAM@, VERSA -RIM PLUS@ , VERSA -RIM@, VERSA -STRAND), VERSA -STUD@ are trademarks of Boise Wood Products, L.L.C. BOISE" Triple 1-314" x 16" VERSA -LAM® 2.0 3100 SP Floor BeamI171301 BC CALC® 9.3 Design Report - US 2 spans I No cantilevers 10/12 slope Tuesday, August 15, 2006 15:23 Build 047 �al' 24-00-00 A 04-00-00 BO B1 B2 LL 3111 lbs LL 10588 lbs LL 636 lbs DL 1258 lbs DL 4287 lbs DL 0 lbs Total of Horizontal Design Spans = 28-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (psf) Left 00-00-00 28-00-00 30 10 11-00-00 Controls Summary File Name: larose 081506.13CC Job Name: andover equ Description: FB01 Address: 35 woodberry Specifier: City, State, Zip: n andover, ma Designer: walter dion Customer: Company: Code reports: ESR -1040 Misc: PRELIMINARY ONLY �al' 24-00-00 A 04-00-00 BO B1 B2 LL 3111 lbs LL 10588 lbs LL 636 lbs DL 1258 lbs DL 4287 lbs DL 0 lbs Total of Horizontal Design Spans = 28-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (psf) Left 00-00-00 28-00-00 30 10 11-00-00 Controls Summary Value % Allowable Duration Load Case Span Location Pos. Moment 20593 ft -lbs 36.7% 100% 14 1 - Internal Neg. Moment -28745 ft -lbs 51.3% 100% 1 1 - Right End Shear 7083 lbs 44.4% 100% 14 2 - Right Cont. Shear 7428 lbs 46.5% 100% 1 2 - Left Uplift 6895 lbs n/a 14 2 - Right Total Load Defl. U602 (0.478") 39.9% 14 1 Live Load Defl. L/844 (0.341 ") 42.6% 14 1 Total Neg. Defl. -0.014" 2.8% 14 2 Max Defl. 0.478" 47.8% 14 1 Span / Depth 18.0 n/a 1 Cautions Uplift of 6895 lbs found at span 2 - Right. Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 3-3/4". Minimum bearing length for B2 is 1-1/2". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram a o o • C •� �\ e7177 a minimum = 2" c = 6" b minimum = 3" d = 12" e minimum = 3" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALC®, BC FRAMER®, AJST"' ALLJOIST®, BC RIM BOARD-, BCIO , BOISE GLULAM-, SIMPLE FRAMING SYSTEM@ , VERSA -LAM®, VERSA -RIM PLUS@ , VERSA -RIM®, VERSA -STRAND®, VERSA -STUD® are trademarks of Boise Wood Products, L.L.C. �0 ti CA �� 0 Q,r� < i O N ODrn O (n O Cn O �V Z- rN O cm y opo O 0 S'A/ ' a m r (�'� w � � o ►v cn n1 � n o O 28 2.1' r 14.5' v r pOpL1 9.8' rn Cb CZ, 41,C 0) to 00 N3 »rn r W O 6332, o p y 0 9 p < ' D P D Z r 0 v Ut V N 45.00' A 000000 Location No. 7, J Date „oR,h TOWN OF NORTH ANDOVER OM F AiMid& 9 ` Certificate of Occupancy $ s'Mus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ $ �yY TOTAL Check # bb 18983 ire, O 66 m Building Inspector 01 0r 1 1.1 Property Address: 1.2 Assessors Map and Parcel Number: (000y iSerrI ,SE SA f3 14 Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: p F-3 wa s h ges - Z (a 3vo / S Zoning District. Proposed Use Lot Area A Frontage ft 1.6 BUILDING SETBACKS ft Front Yazd Side Yard Rear Yard RegWred Provide ReqWred Provided R red"7 Provided 1.7 Water M.G I—C.4.0 34) 1.5. Flood Zone hdormation: 1.8 SewcrW Disposal System: ;pW Public Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No t� 2.1/ Owner of Record // Name (Print) Address for Service: 686 - 377 Signature Telephone zz 4a 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.I Li nsed Construction Supervisor: Not Applicable ❑ "e*j ),A e Licensed Construction Supervisor: CZ,�2 �IP License Number Ad 0 6 7`C�//�� 170 7 �� Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company N Reg stration Number Addre ` 0,� Expiration Date Si nature Telephone 09 rn X a z O v rn [I v SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buil ng permit. Signed affidavit Attached Yes ....... Er No ....... ❑ SECTION 5 Descri io oPt checklla f � licable New Construction ❑ J � Ek ting Building ❑ Repair(s) ❑ Alterations(sJ� ddition U/ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e_ Above- �� zooms-oyv SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be r: OFFICIAL USE ONLY ' Completed by permit applicant pl: 1. Building Building Permit Fee Multi tier 2 Electrical �� t;. %� (b) Estimated Total Cost of Construction. 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION. TO BE COMPLETED WHEN OWNS G T Or. C CTOR APPLIES FOR BUILDING PERMIT 2fi)Ik , as Owner/Authorized Agent of subject property Her ttbjq& to act on M behalf, a r relati a to work thoriz by is buil rng pe application. �gzv r - Si ature of Ocamer Date SE TIO b OWNER/AUTHOIUZED 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 N Si at e f Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvMERS IST 2 ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE m m X m ,,m V/ m F) m _v CA C d O 0 CO n CD z y CL �• r c 5. = y a� -o � o � CD o p CD o Q CD CD O C. CD y o: v CO) O CD O C N c Sd0C0 4 O yC.) aC2 z m m O 0 fa -490 CO) 6411m > >�o m X00• n -1 oyc) c nom. cc om..: C/)m O m n -o : e as n Nm�3• l J u O O> 1'• y O- p�f � cn o ate. • cn y O E; �e f' O O A O ' =r o zCD 0 CD 0 O m •• ' co: �• wO�o: o ?: s a �' •� O �CD: on 0 9 Cn CA Cb -P ')d X17 y 0"rf '�7 z n 'z 17 Cn ?cp\ -11 7d � I The North Andover Board of Appeals held a public hearing at its regular meeting on PM in the Town Hall top floor meeting room, 120 Main Street; North Andover g 0 may' January 10, 2006, at 7:30 upon the Schrader, 35 Woodbury Lane, North Andover, MA application of Linda F. granting a Variance from Section 7, Paragraph 7.3 ofthe nuit Board to modify the September 13, 2005 decision Plan of Land in North Andover, Ma., g Bylaw for relief of 7.9' from the east side setback per prepared for owner & applicant: John & Linda Schrader, 35 Woodberry Lane North Andover, Ma., Date; June 20, 2001, Rev. August 08, 2005 [by]John M. Abagis, P.L.S. #35773, John Abagis & Associates, Professional Land Surveyors,137 Chandler Rol, Andover, Ma. This plan showed an earlier version of the proposed addition that did not include the proposed chimney. The following voting members were present: Ellen P. McIntyre, Richard J. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M. Vaillancourt. The following non-voting member was present: Daniel S. Braese. Upon a motion by Richard J. Byers and 2nd by Richard M VaillancouM the Board voted to GRANT the TPW for a minor modification to the Variance 2005-024 by the January 03, 2006 lan. Sits: 35 Woodbe Lane 38 Parcel 13 1, North Andover, MA 10 Site Plan Title: Certified plot plan prepared for: John &Linda Schrader at 35 Wa North Andover, MA. Date &Revised Dates): Jan 12 2006 Land Surveyor John M. Abagis, P.L.S., #357 S ors, Sheet/Drawin 9 Bartlett Job No. 4814B• Plan No 1522 i Abagis & Associates,Professional No. 252, Andover, MA M' with the following condition: 1. The applicant shall submit a Mylar of the Certified plot Plan #15229. f - Voting in r: Ellen P. McIntyre, Richard JVaillancourL. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M The Board finds that the January 03, 2006 plot plan shows that the revised addition footprint with chimney is within the, granted east side setback variance. The Board finds that the new plot pin citation is a minor modification to 2005-02Gthe modification request is within the allowed seven (7) year modification time, the modification relief different from that originally sought, and does not change the result of the original modification decision.�� � not grant Town. of North Andover' Bobrd of Appeals, , co Ellen P. McIniyne, Chair Decision 2005-024 Modification. ATTEST: Enclosure: Decision. 2005-024 :! T1 Sze Copy Town tY,1er1, Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 7 . Town of North Andover Office of the Zoning Board of Appeals TownQerkT=mieStamp Community Development and Services Division RECEIVED TCWP; P`E?K'S 400 Osgood Street OFFICE North Andover, Massachusetts 01845 2006 FEB 15 AM 10: 22 Gerald A. Brown Telephone (978) 688-9541 Inspector of Buildings Fax (978) 688-9542 TO "' r NORTH :SDC,'. Mi nor Modification to Notice of Decision Year 2005 MASSAu;!! Property at 35 Woodberry Lane NAME: Linda F. Schrader Modification Date: Janney 10, 2006 ADDRESS: 35 Woodberry Lane PETITION: 2005-024 The North Andover Board of Appeals held a public hearing at its regular meeting on PM in the Town Hall top floor meeting room, 120 Main Street; North Andover g 0 may' January 10, 2006, at 7:30 upon the Schrader, 35 Woodbury Lane, North Andover, MA application of Linda F. granting a Variance from Section 7, Paragraph 7.3 ofthe nuit Board to modify the September 13, 2005 decision Plan of Land in North Andover, Ma., g Bylaw for relief of 7.9' from the east side setback per prepared for owner & applicant: John & Linda Schrader, 35 Woodberry Lane North Andover, Ma., Date; June 20, 2001, Rev. August 08, 2005 [by]John M. Abagis, P.L.S. #35773, John Abagis & Associates, Professional Land Surveyors,137 Chandler Rol, Andover, Ma. This plan showed an earlier version of the proposed addition that did not include the proposed chimney. The following voting members were present: Ellen P. McIntyre, Richard J. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M. Vaillancourt. The following non-voting member was present: Daniel S. Braese. Upon a motion by Richard J. Byers and 2nd by Richard M VaillancouM the Board voted to GRANT the TPW for a minor modification to the Variance 2005-024 by the January 03, 2006 lan. Sits: 35 Woodbe Lane 38 Parcel 13 1, North Andover, MA 10 Site Plan Title: Certified plot plan prepared for: John &Linda Schrader at 35 Wa North Andover, MA. Date &Revised Dates): Jan 12 2006 Land Surveyor John M. Abagis, P.L.S., #357 S ors, Sheet/Drawin 9 Bartlett Job No. 4814B• Plan No 1522 i Abagis & Associates,Professional No. 252, Andover, MA M' with the following condition: 1. The applicant shall submit a Mylar of the Certified plot Plan #15229. f - Voting in r: Ellen P. McIntyre, Richard JVaillancourL. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M The Board finds that the January 03, 2006 plot plan shows that the revised addition footprint with chimney is within the, granted east side setback variance. The Board finds that the new plot pin citation is a minor modification to 2005-02Gthe modification request is within the allowed seven (7) year modification time, the modification relief different from that originally sought, and does not change the result of the original modification decision.�� � not grant Town. of North Andover' Bobrd of Appeals, , co Ellen P. McIniyne, Chair Decision 2005-024 Modification. ATTEST: Enclosure: Decision. 2005-024 :! T1 Sze Copy Town tY,1er1, Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 F,laN NO nL r s NORTH ESSEX RL .,. -. ASSESSOR'S IAP: 38, L' SCALE.• 1 `40' tst: _ 40 0 ;ERTIFY THAT THIS PLAN HAS BEEN *NOTE. 8' SETBACK NEEDED FEPARED IN CONFORMANCE WITH ADDITION TO MAINTAIN 12.1' -- RULES AND REGULATIONS OF 'E REGISTERS OF DEEDS OF THE iMMONWEAL TH OF MASSACHUSETTS. 12-06 JOHN M. ABA GI PLS �g 3 5 •'' \`CO x,50 JOHN 0 ABAGIS & BARTLETT 'LAR 380, ACTS OF 1966 LINES SHOWN ARE LINES DIVIDING SHIPS, AND THE LINES OF STREETS WN ARE THOSE OF PUBLIC OR PRIVATE :TS ALREADY ESTABLISHED AND THAT 'OR DIVISION OF EXISTING OWNERSHIPS ARE SHOWN. . j FOOT Inc ►RAM SCHRADER. RESIDENCE 28x28 GABLE ADDITION HABITAT POST & BEAM MATERIAL. PACKAGE SPECIFICATIONS 10/7/05 Upper Level of Addition not including Garage Lev<,l unless othem•isc specified General Frame Specifications — All timbers to be #1 Douglas fir stamped, graded lumber, pre-cut, pre - notched and numbered. Exterior posts and beams are dadoed with 9/16" sheetrock slot/notch, Vertical posting is 6x6 Douglas fir per plan. Knee bracts are 3"x5" and are included for exterior walls where placement will not hinder design elements such as windows and doors. Girders, ridge beams and purlins are typically southern yellow pine premium laminated beams. Conventional framing materials are all stamped SPF grade kiln -dried spruce, prc-cut, pre -notched and numbered. Plywood is CDX 5 -ply fir. Lumber sizes are indicated in nominal dimensions. Exterior Wall System (Full Exposure Framing System With Knee Braces) — Pre -built sections are typically between 4 and 12 feet of spruce 2$4'$16" O.C. with factory rough openings for exterior windows and doors, and i" Dowg Styrofoam bonded to 2" CDX plywood included for on-site application. The pre- built wall sections sre applied to the outside of the 6x6 Douglas fir vertical posts and 6x8 Douglas fir plate beams. The factory -bonded insulation and plywood is installed on-site to wrap the exterior walls and post and beam frame With owner/contractor supplied high-density fiberglass insulation, this wall is designed to significantly outperform typical U6 wall construction. Notes: tall walls (9' to top of plate); 1" Dow® Styrofoam bonded to J" CDX plywood for on-site application included for Garage Level (no framing). Infiltration Barrier (Including Garage Level) - Housewrap air infiltration barrier provided for exterior coverage. Exterior Siding — By owner/contractor. Exterior Trim - Sub -rake and sub -fascia included. Exterior finish trim by owner/contractor. Beamed Roof System - Exposed ridge beam, collar ties or purlins as required and 6x8 Douglas fir plate beatna. 6x8 Douglas fir rafters and 2x6 kiln -dried tongue and groove western cedar sound tight knot exposed plank decking with v -joint to the underside. 2" beveled interior finish blocking included for placctncnt above plate beams between rafter bays. Two layers of 2" rigid urethane insulation and CDX fit plywood nailbase are included over the dedang. Porch System (Garage Roof Overhang) — By owner/contractor. Roof Shingles — Fiberglass GAFM Timberlineg Ultra@ with lifetime limited warranty, Weathered Wood color textured shingles. Eave drip edge and ice and water shield included for starter course and valleys. #15 felt paper included. Step/valley flashing and caulking by others. Windows (Including Garage Level) - Andersen& 400 Series High Performance`4 Low -E windows per plan. Full screens and i" Colonial pattern removable interior wood grilles included. Extension jambs a4l casing not included unless otherwise specified. Classic SeriesTM' hardware in Stone finish. Window calor choices: White, Sandtone, Terratoneg or Forest Gran. Feb 16 2006 11:50AM Dental Depot Flu .A i�lv�a��t�• F, 2 (2) TW2842 (4) T%V2852 (3) DHT2410-3 over TW2452-3 (2) DHT56 (2) CTQCI over C13 (1) AND45-4242-20 bay window (bay window support & roof framing by owner/ contractor) ,S4a Andersen® High-PerformanceTm tempered Low -E venting roof windows with screens, flashing and (1) pole. TerratoneO color only. (6) RV2857 Evwvw Dkrmo i&*x Lf%& v — Therma.-Tru® insulated pre -hung door systems (thermal factor for panel R15) completely weather-stripped with adjustable threshold. Fire door(s) (house -to -garage) not included. (1) 5262 - Plugs, bolts, spikes and nails are included for the assembly of the component package. Nail gun nails not included. rairs — Interior and exterior stairs not included. ,xmfkar uaaa •• Blueprints include custom floor plans, elevation plans, foundation plan and complete structural pians for assembly of Habitat Post & Beam material package that are typically needed for building permits. Mechanical drawings are not included (electrical, plumbing, HVAC, etc.). T--v�Pmtvivvr •- Insured tractor -trailer delivery to job site of Habitat Post & Beam package (to be unloaded by owner/contractor) is included in the material package price. Foundation is by owner/contractor. Package unloading upon delivery, assembly of the Habitat Post & Beam material package, site work, foundation, all masonry, garage level framing, floor system between garage and upper level, roof step/valley flashing and caulking, siding, Eberglass insulation, exterior finish trim, interior and exterior stairs, window extension iambs (unless noted otherwise), bay window support and roof framing, fire door(s), garage roof overhang, exterior sun decks, railings, interior partitions, nail gun nails, interior finish materials (trite, sheetrock, finish flooring, mechanicals, cabinetry, etc.). Feb 16 2006 11:50RM Dental Depot TAI, PRICE OP ABOVE $ 6 �• eludes transportation} .......................... ,;ES TAX 2/s ...................................... 1TAL CONTRACT PRICE .................. $ 'SS DEPOSITS RECEIVED reed+$R R7 ,•86:..�C,atnth.�oa;rdct'�') ...> $(1 ? G) C.O.D. GLANCE DUE ..................... Sb 1 ayable by bank or certified check) DAY PREPAY (discount received Payment in tIl received 21 days / DISCOUNT ,} . OF $JZ� . ...... :onuact.prtee is,valid•for 90 bOr° a®ntract date, beteafes,pree' subject to triateaal pinre cltattges Drily ?Y iaterial=specifica+aan hs.made front contract O2ise nmettt: from. nward win 8i siiied.aceeptaa(e uyer. 'Important Note: Contract deposit is not refundable 1iE'to S OF I'A7 i CON'T'RACT DEPOSIT: PERSONAL CHF CK OR VI'tA/MASTERCA1tD C.O.D.: BANK OR CERTIFIED CHECKHECK, BANK OR PREPAY: PERSON CHECK CE.R`1 ME (1vLake checks payable to Habitat Pof3 & Beam, Inc.) VISA/MC tP �-- --- (,sat applicable fol pre-pavment) EXP. Date: .,:)to out_ oc;structural .Ji 1 V Post & Seam, Inc. gu"' • fiNU1l�Y� Lantees that for 20 years fxafm tete day of product delivery we w! be responsible for any ma l lied, defects that occurred as a result of the materials we supplied, Defects resulting from unproper constriction, maintenance negligence, substitute materials or natural occurrences are not covered under this guarantee. ladtvid'aal manufacturer's anufacturess warrantees apply. Manufacturer's vr-.,rrinty stickers/ cards/ paperwork can be found in or on packaging (shingles, doors, windows, etc.) upon shipment - keep in a safe place• r.Fr rVRRY INSTRU.�T�I S: SHIPPING ADDRESS AND DIRECTIONS: SITE STREET ADDRESS: �5 u/aodhuxy� u,,,� r TvIA 01845 M Primary residence or 0 second home/vacation home l lease provide D0TR C (as though you were exphining to someone :low to get there) to your site from the nearest maior highway. Our true kers an not £joc 1pvidr you local You are please be as Jcn2,d as possible and identify major lend , to y more familiar with your :tea and potential low wcrpsass<a, low went bridges, ard. etc. it is best to get tbis information directlyfrom demurs, Construction haz ro ms such as Mapst as your only p " Qou. Do not use latcntet map p gra detours low wcnght bridges, trey are not adequate fur landowim, traffic lights low clearances, etc. Feb 16 2006 11:51AM Dental Depot oto our_ l l - disburse the amount due on this contract, In the event paymenr is not made within 45 days from delivery, a lien will be filed to ensure disbursement of the funds. 21. The Buyer understands that Seller supplies the building material package only. We do not, ourselves, nor do we employ contractors to construct your project. You are free to work out your own arrangements with any contractor selected by you, according to your own individual requirements and desires. However, if you do nor have a con"cto;, as a service to you, we would be pleased to research the names of several contractors, some of whom have constructed other HASPTAT POST & BF.A(b9. Seller shall not be responsible. for default of the Contractor. 22. Any problems or misunderstanding arising from any windows and/or doors (including Andersen® or BROSCO® products cot supplied by Habitat Post & Beam) will be the sole responsibility of the Buyer and the Buyer will hold Habitat Post & Beam harmless in any and all disputes involving the non -Habitat Post & Beam supplied windows and/or doors. 23. In the event of a dispute, all parties to this agreement agree to binding arbitration by THE GREATER SPRINGTIELD, MASSACHUSETTS BETTER BUSIlVESS BUREAU and that decision shall be final. THE BL -VERS) ACKNOWLEDGE CONDITIONS OF SALE. BUYER #1 SIGNATURE: X BUYER #2 SIGNATURE: COPB'AN" NAbIE (IF APPLICABLE): FULL UNDERSTANDING OF THE FOREGOING TERIAS AND DATE: I . i , DATE: / / SELLER SIGNATURE X '' l� L�DATE: O J l (HtAB AT POST & BEAIvi OFFI WIMPORTANT — AMAP AND tRIltrEffl DIRECTIONS FROM A MAJOR NUMBERED HIGHWAY TO SHOW THE LOCATION OF YOUR'BUII DING: SITE MUST BE FURNISHED FOP, OUR TRUCK DRIVERS PERSONAL GU RAMEE (If Buyer is a Corporation or Minor) RX pecforn-.ance by Buyer of its obligations under die foregovhg Agrcemert, uhcludingpayment ofaU indebtedness When due, is hereby uneonditionilly guaranteed by die undersigned. The liability crratcd hereby shall not be effected by the amount of credit extended to the Buyer, not by any change in tl^c form of said indebtednes, nor by the acceptamc of any instrumcnb evidencing raid indebtedness, or by any extensions or renewals or changes in the terms of said indebtedness. Notice of acceptance of this guarantee, or cxtenslon of crdi: lwreurxier, ur default in payment, of change in the form of indebtedness or of extension or renewal or change in die terms of any said indebtedness nr of any matmr with respect thereto is hereby waivr d- In the event of default by the Buyer, the Scller shaU not be required to exhatut any remedies against the Ituyer, but mail proceed directly against the undersigned In the event of the death of the undersigned, this guarantee obligation shall continue in full force and effect against tole undersigried's write. 'This instrument is to have die effect of an instrument under seal VYTMESSED BY: NAME OF W11NESS \DDRESS OF WITNESS .a: igi W441 hoar k IOWA p" NAME OF GUARANTOR(S) DATE. OF GUARANTEE 'J9Ltth9&Ot'SlSti!Po�f�ATNEP1�Ei :t{BERiEltGi�!��iRtlli'8'u�!N y.�,eyQ,a,drtv�.;t,Ms.wo�+�»�*^'��� .�TROBSVMaffi!M :l,pylryal✓Pff EEP01rflF WitIW{Ik7a�w�E,T,6'U� ���, �,�� �� -Zy U , y,7o Andover Equity Builders, Inc. Kenneth M. LaRose President Fifty -Three Porter Rd. Andover, Ma. 0181 "v Tel: 978-470-4753 Fax: 978-470-0258 Tuesday ,Nov 29`h , 2005 Schrader garage family room Proposal Andover Equity Builders Inc. proposes to construct a two car garage with a post and beam family room over. Andover Equity Builders Inc. will excavate for the poured concrete foundation and install the foundation as per the set of plans provided by Habitat Post & Beam Co. Andover Equity Builders Inc. will stick frame the lower garage walls and will erect the Habitat Post & Beam package as per plans and specs. Andover Equity Builders Inc. will be responsible for the following items. Excavation Foundation Garage lower level walls framed Erection of Habitat Post & Beam package Unloading of the habitat package Roof step flashing and installation of roof shingles Siding/ Exterior finish trim Fiberglass insulation Interior and exterior stairs Window ext. jambs Bay window support and roof framing Fire doors /garage doors Garage roof overhang Exterior sun deck & railings Interior partitions/ interior finish materials (trim, sheetrock,finish Flooring,mechanicals cabinetry,etc. Estimated total $169,470.56 This is an estimated total. This total may increase or decrease based on the decisions that you as the owner make. The Management fee is based on the cost plus 18%. If this proj2osais acceptpl sign one copy and return it to Andover Equity Builders Inc. Signed lh��6Date% ( //2005 Signed Date /x/2005 Town of North Andover . Office of the Zoning Board of Appeals 41 Community Development and Services Division `�•,. 400 Osgood Street North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9541 Inspector of Buildings Fax (978) 688-9542 Woor Modification to Notice of Decision Year 2005 Property at 35 Woodberry Lane j Town Qerk Time Stamp RECEIVED TCWP r"LEIR ;•S OFFICE 2006 FEB 15 ASR 10: 22 NORTH . W! 'c . MASS,,C;'; NAME: Linda F. Schrader Modification Date: January 10, 2006 ADDRESS: 35 Woodberry Lane PETPTION: 2005-024 The North Andover Board of Appeals held a public hearing at its regular muting on Tuesday, January 10, 2006, at 7:30 PM in the Town Hall top floor meeting room, 120 Main Street, North Andover, MA upon the application of Linda F. Schrader, 35 Woodberry Lane, North Andover, MA requesting the Board to modify the September 13, 2005 decision granting a Variance from Section 7, Paragraph 7.3 of the Zoning Bylaw for relief of 7.9' from the east side setback per Plan of Land in North Andover, Ma., prepared for owner & applicant: John & Linda Schrader, 35 Woodberry Lane, North Andover, Ma., Date: June 20, 2001, Rev. August 08, 2005 [by]John M. Abagis, P.L.S. #35773, John Abagis & Associates, Professional Land Surveyors, 137 Chandler Road, Andover, Ma. This plan showed an earlier version of the proposed addition that did not include the proposed chimney. The following voting members were present: Ellen P. McIntyre, Richard J. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M. Vw lancourt. The following non-voting member was present: Daniel S. Braese. Upon a motion by Richard J. Byers and 2°d by Richard M. Vaillaneourt, the Board voted to GRANT the applicant's request for a minor modification to the Variance 2005-024 by ming the 7annafv Al mm plan - Site: 35 Woodberry Lane P4W38 Parcel 1391, North Andover, MA 10845 Site Plan Title: Certified Plot Plan prepared for. John & Linda Schrader at 35 Woodberry Lane, North Andover, MA. Date & Revised Dates): Januarry 12, 2006 Land Surveyor John M. Abagis, P.L.S., #35773, John Abagis & Associates, Professional Land Surveyors, 9 Bartlett Street, No. 252, Andover, MA. Sheet/Drawing Job No. 4814B; Plan No. 15229 with the following condition: 1. The applicant shall submit a Mylar of the Certified Plot Plan #15229. Voting in favor: Ellen P. McIntyre, Richard J. Byers, Albert P. Manzi, III, Thomas D. Ippolito, and Richard M. Vaillancourt. The Board finds that the January 03, 2006 plot plan shows that the revised addition footprint with chimney is within the granted east side setback variance. The Board finds that the new plot plan citation is a minor modification to 2005-024, the modification request is within the allowed seven (7) year modification time, the modification request does not grant relief different from that originally sought, and does not change the result of the original decision. Town of North Andover Board of Appeals, Ellen P. McIntyre, Chair Decision 2005-024 Modification. 1,3-Lle Copy Enclosure: Decision. 2005-024Qa •x11 Clerk Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 � . ° ./ � ` * e '. 1` /1Y Essex North County Registry of Deeds 381 Common Street Lawrencev Massachusetts 01840 O2/15/O6 ANDOVER B�UITY 'BUILDERS INC KA # 32 Rec: Type P!' 5100 | DOC. 5O67 C. P. 20.O0 R. D. 5.00 # 33 Rec; Type NOTC 50 -,OO DOC. 5O68 C. P. 2O.Ori R. D. 100 # 34 Payment Check 150.00 THANK YOU! Thomas J. Burke ' Register nf Deeds � r MaI?M o •y� Raymond Santilli, Interim Community Development Director Town of North Andover Town Clerk Time Stamp Community Development and Services Division Office of th00sggdoad of AppeaRECEIVED 10oStreet TOWN SIC North Andover, Massachusetts 018-15 Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk, per Mass. Gen. L. ch. 40A, &17 Telephone (978) 688-9541 Fax (978)688-9542 Notice of Decision Year 2005 NAME: Linda F .Schrader _ADDRESS: 35 Woodberry Lane North Andover, MA 01845 1005 SEP 27 PM 4. 19 TOWN OF �,N,���O�RTH ANDOVFi Tl�is�l�UA-Y (20) days have elapsed from date of decislon, filed without filing of a a peal. Dated aQ� Joyce A, Bradshaw Town Clerk at: 35 Woodberry Lane HEARING(S): September 13, 2005 PETITION: 2005-024 TYPING DATE: September 21, 2005 The North Andover Board of Appeals held a public hearing at its regular meeting in the Town Hall top floor meeting room, 120 Main Street, North Andover, MA on Tuesday, September 13, 2005 at 7:30 PM upon the application of Linda F. Schrader, 35 Woodberry Lane, North Andover requesting a dimensional Variance from Section 7, Paragraph7.3 and Table 2 of the Zoning Bylaw for relief of the east side setback in order to build a proposed garage with a family room above. Said premises affected is property with frontage on the South side of Woodberry Lane within the R-3 zoning district. Legal notices were sent to all abutters and published in the Eagle -Tribune on August 22 & 29, 2005. The following members were present: Ellen P. McIntyre, Richard J. Byers, Albert P. Webster, and Thomas D. Ippolito. Mangy III, David R The following non-voting member was present: Daniel S. Braese. Upon a motion by Richard J. Byers, amended by David R Webster, and 2nd by Albert P. Manzi, III, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of 7.9' from the east side setback in order to construct an attached garage below a family room, per Plan of Land in North Andover, Ma., prepared for owner & applicant: John & Linda Schrader, 35 Woodberry Lane, North Andover, Ma., Date: June 20, 2001, Rev. August 08, 2005 [by]John M. Abagis, P.L.S. #35773, John Abagis & Associates, Professional Land Surveyors, 137 Chandler Road, Andover, Ma., and Schrader Addition, Date 06/09/05, Drawn by LAD, Habitat Post & Beam Inc., 21 Elm Street, S. Deerfield MA 01373, with the following conditions: 1. The applicant shall submit a revised Mylar without the "Proposed 50' Roadway Easement". 2• The proposed addition shall be at least 2' less than the existing structure. Voting in favor: Ellen P. McIntyre, Richard J. Byers, Albert P. Manzi, III, David R Webster, and Thomas D. Ippolito. The Board finds that owing to circumstances relating to the soil conditions, (the right rear of the parcel was a stump and boulder dump causing the existing structures and septic system be located towards the left front), shape, (the lot is narrow), or topography of the structures (no room between the structures and the side setbacks) and especially affecting this land and its structures but not affecting the neighborhood or the zoning district in general. The Board finds that a literal enforcement of the provisions of this Bylaw will involve substantial hardship, that the excavation of the boulders and stumps in order to fit the addition without this Variance, would cause financial or otherwise, to the petitioner or applicant. The Board finds that the August 6, 2005 letter from the abutter at 45 Woodberry Lane, stating that the abutter has reviewed the proposed plans and does not object to the variance for the attached garage with great room above has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw. Therefore, the Board finds that the granting of this Variance will not adversely affect the east abutting parcel, or the neighborhood, or derogate from the intent and purpose Zoning Bylaw. of the Page 1 of 2 ATTEST:. A True Copy 9.�_ o s� Board of Appeals 978- 698--9541 Building 978-688-9545 Coacervation 978-688-9530 Health 978-688-9540 Play i Town of North Andover Town Clerk Time Stamp Community Development and Services Division RECEIVED Office of the Zoning Board of Appeals TMJ? QFFreF 400 Osgood Street North Andover, %Massachusetts 01845 2#05 SEP 27 PH 4, 19 Raymond Santini, Interim Community Telephone (978) 688-9541 Development Director Fax (978) 688-9542 ATO N O ��E R N�SSACHUSE"i rS Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal building codes and regulations, prior to the issuance of a building permit as required by the Building Commissioner. Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of Appeals, El en P. McIntyre, Chair Decision 2005-024. M38P139. Page 2 of 2 Board of:lppeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Plannina 978-638-9535 ~ Essex North County Reuistry of Deeds J81 Common 6treet Lawrence, Massachusetts O184O JOHN & LINDA SCHRADB� KB # 61 Rec �All.� 41�� � 62 Rec: Type NOTC -50�OO �8. 41995 C. P. 2O.00 # 63 Pa��t ��k 15O.00 THANK YOU! Thomas J. Burke ^ , ° The Commonwealth of Massachusetts l Department of Industrial Accidents Office of Investigations tl, a 600 Washington Street Boston, 11A 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'Marne 113 usincss/tlrganir.ation/Individual): Address: 53 Po,- lei xEf---------- City/State/Zip: J06/a( �-T 0r'6/0 Phone #: ,Are y u an employer? Check the appropriate box: 1. I am a employer with :3 4. ❑ I am a general contractor and I employees (Full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- 1 isted on the attached sheet. ship and have no employees These sub -contractors have working for the in any capacity. [No workers' comp. insurance required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp, insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. wilding addition 10.0 Electrical repairs or additions 1 I .❑ Plumbing repairs or additions 12.❑ 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 a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy intormation. I am an employer that is providing workers' compensation insurance for my employees. Below A the policy and job site information. Insurance Company Name:r�snGvy� &yG� Policy ,,4 or Self -ins. Lic. It:&LAZa 220 3 Ill ICS 120125' Expiration Date: Job Site Address:.SCvv�g��y �� Ci /State/Zi ,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 line 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 titie 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. / do hereby cert ,Iwu c er the ppitgnd penalties of perjury that the information provided above is true and correct Phone =: UlJicial use only. Do not write in this area, to be completed by city or town olficial City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: �' l e v� om�no�2ureghd����zaaacivaet� ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number J:CS� 012411 ° Birthdate �06116P1958 r116 fbires •b6/2006 Tr. no: 26540 9 Re6tricted0 KENNETH M IAROSE} t. u 53 PORTER'RD ANDOVER, MA 01810 Commissioner. p� Ae eow rno uwe�' ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratigns. 126392 FXPWdtioli 5125!2006 Type Private Corporation ANDOVER EQUITY4UII OE MNlf KEN LAROSE 53 PORTER RD iii rf ANDOVER, MA 01810 Administrator ri ru Permit # Permit Date REScheck Software Version 3.7 Release 1 a Compliance Certificate Project Title: SCHRADER RESIDENCE Report Date: 11/18/05 Energy Code: 2000 IECC Location: North Andover, Massachusetts Construction Type: Single Family Glazing Area Percentage: 22% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 35 WOODBURY LANE 792 30.0 0.0 NORTH ANDOVER, MA 01845 Compliance: Passes t_awmum�(JA ',233. ' Your How 232 D�4%o I efte lrhan Code(UA) Ceiling 1: Cathedral Ceiling (no attic): 1162 0.0 30.0 35 Skylight 1: Wood Frame:Double Pane with Low -E: 66 0.440 29 Wall 1, Wood Frame, 16" o.c.: 1142 15.0 5.0 53 Window 1: Wood Frame:Double Pane with Low -E: 255 0.350 89 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space: 792 30.0 0.0 26 Boiler 1: Other (Except Gas -Fired Steam): 89 AFUE Compliance Statement. Statement of Compliance: 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 2000 IECC requirements in REScheck Version 3.7 Release 1 a and to comply with the mandatory requirements listed in the RE heck Inspection Ch /10 Builder/Designer Company Name Date Project Notes: GBM 11/18/05 SCHRADER RESIDENCE Page 1 of 4 4 REScheck Software Version 3.7 Release 1a Inspection Checklist Date: 11/18/05 Ceilings: ❑ Ceiling 1: Cathedral Ceiling (no attic), R-30.0 continuous insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R-15.0 cavity + R-5.0 continuous insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight 1: Wood Frame:Double Pane with Low -E, U -factor: 0.440 #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Air Leakage: ❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: ❑ Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: ❑ All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded -fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181 B. Exception: Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. SCHRADER RESIDENCE Page 2 of 4 Temperature Controls: ❑ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ❑ Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. SCHRADER RESIDENCE Page 3 of 4 M v' Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Insulation Thickness in Inches by Pipe Sizes Non -Circulating Runouts Circulating Mains and Runouts Heated Water Piping System Types Range ff) 2" Runouts 1" and Less Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes NOTES TO FIELD: (Building Department Use Only) SCHRADER RESIDENCE Page 4 of 4 Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range ff) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure(Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) SCHRADER RESIDENCE Page 4 of 4 r Town of North Andover NORTFI Community Development and Services Division o� •` ° ' Office of the Health Department k JA 0 74 400 OSGOOD STREET i M o•+ N orth Andover Massachusetts 01845 S�cHus Susan Y. Sawyer, REHS/RS Public Health Director (978) 688-9510 -Phone ('978) 688-9542 - Fax Date: [ p 'a'pCU0"'5 Address:. Ci , North Andover, MA 01845 r Re: Application for: Dear: Your application for at Department. The application was denied on, 1. Missing information 2. Z/Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): has been reviewed by the Health 2004 for the following reasons: If #1 is checked, please supply: a , Floor plan of existing and proposed addition - all rooms CP Certified plot plan showing house, septic system and proposed project in scale If #2 is c ked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project If #4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File Oh .11'I'1'.11 ti OXX 0<41 ill 11.l)IN(i 08-'):'Vd (.'( )VSI RV \ I ION til W2 l: 08-9`43 PI.:A•."vN[M I hN'$ OS' EMS ssoaa Pau ugapawv 6ao'ajIlanl6'ni MM J!SIA ao ( U5£ -M-009-0 3J11 3AIJ-009-� Ileo aseeld `poolq aleuop of juawlulodde ue oppops of «awoo ayj 10 aouo(j pool8„ se slapp xos pail lqm of JW3 a3 MOR ai anvA aanopuy WON `1884S uieW OU as}uao aoivas aanop�y 41JON 'w'd 001- 'w'd 00:Z qooz'L aunt Aepsoupom OA,jaiPoom Al!unwwo:) JGAOPUV 4:PON Wednesday Junel,2005 2:00 p.m. — 7:00 p.m. North Andover Senior Center 120 Main Street, North Andover VALID ID REQUIRED! Enter tb win Red Sox tickets as "Blood Donor of the Game" To schedule an appointment to donate blood, please call 1 -800 -GIVE LIFE (1.800-448.3543 ) or visit www.givelife.org i American Red Cross ♦1 04 C14 cc N N O O U � O O O x-80 U O N y N � cc 0] a) En U � Nca N N O c2wUG O 0 CL O c 0 W a=0 J Z m g 0.0 W m o� O rM. T- O o M UO LL m _;[N0 G E U Co x maU J U "2 0 Q: 00 w J oo O 0 U N O 0 CD oQ 0 a a o N N \ � � 'C m T= m m c O aDF-> ° -p o � , Hin in co U) O J le r N 10 r 0E -NO � O Y m UCc � Q mO 2 c c d 9oif31 E 0 CD X .. . 0o �HHFo- W M O a Q o Z O O O � cn a cn a G O F- W a Cd O Z Ma J� O J } LL LLL), w 0!C Q mW m2 —� a o0 c o w 09 poi - U ..cn3:IM Q M (/1 � M a 0 Q 00 La to O N N W y y _ o 0 r3 0 c c Ln LO ON C� UOD 71 -1 N 3� OW 00 00 4) W 0 (.0� Z LL a �� W Z p 3pO ZM w O O' F- O Q QW _o CD Z (D� LO 'a �m JJ 2Z ch dc LLJ O a'O ucn ON Qo m UQ LL 00 Z worn V4 -a Z Nv d Z� U.0 c.. LL0 � �L. Q O OOD NOL l CO)N co 0 Q ' g� W}oo 00 U 0 w0) ; mm 0 c; m U) Q F N O Z LLI 4.-O rL d m —M oD N O M CO U N O 0 G co co0 cc Utl f -o O U) c `p F- = m '= a O Z U) > y n. > U d N O Lc) 0 N (o Go Ln io m QQ@ O) m m c m 0 w . > O>> E U Li U O0 v m 6 ELL m E ZQ = ���o m N rn c C) -,.e o o: wo QMLLCCI w2(n000; d O Zov o N C. O oi� N <Q O CL a its ai w h O NLO CDLL N N N _ `Q N rl cQQ 7 O En m 6 cii �m °a�U °O 0 Z eau- } -iB'O :C .., m cp c t5 V 2DQ�Fo- wrC�Uao Z W r• -e N F- F - La (n Q .. m L: x L W iri U cn fn fA fn I.L. @ ` ` LL O O N a� o o m m mCidw O'fOO m `omm°° �Y EEO O N 7 m X m X to m rs F-COLL2wmYw mmQ Y9 UcVt9m U =O,Z E d U ' 2 m aT@¢ v F- F- — m t F- @ o Omi �.� aci o> Y Wooo c o w 2 LL 2 LL IL U a> U) La l0 N W � y _ o N Ln N ;e, FROM :RJ I NSPECT I ONS FAX NO. :9786877096 Deic. 20 2005 02:33PM P2 COMMONWEALTH OF MASSACTIUSETTti EXECUTIVE OFFICE OF EiNVI.RONMENTAf, AFFAIRS DEPARTMENT of ENVIRONMENTAL PROTECTION TITI E S OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSFSSM.FNTS SUBSURFACE SEWA(;E DISPOSAL SYSTEM FORM PART A CER f IFiCATI ON Property Address: jL_Wgodberry Lane »th-.,Ata qv__r,, MA 01845 Owner's Name: ,Toho ,,.&U nda Schrader Owner's Andress: ,3.5 Wnndherry Lapp_ North- aver, MA 01 845 Date of hiSpection: _ Name of Inspector: (please print) Ja•,Mp.z Wright (:ompany Name: g`� In3�ECtion.T Inc. MailingAddress: One. Osgood Street Methuen, MA 01844 1'elepho.neNnnnber: j7.B-681-87 CERTIFICATION STATEMENT I certify that 'I have personally inspected the ye:wage disposal system at this address and that the information reported below is truc) accurate and complete as of the time of the inspection. The itnspection was performed teased on toy training and experience in the proper function and maintenance of on site sewage disposal systems. I ant a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 ('MR 15.000). The system. � Yt15SCs Conditionally'Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: �,_ `Date: el The system inspecto • slsubmit a copy of this inspection report to the Approving Authority (.Hoard of Health or DEP) within 30 da of completing this inspection. (f the system is a shared system or has a design flow of 10,000 gpd or granter, the inspector and the systetn owner shall submit the report to the appropriate regional office of the 1)F.•.P. T'he original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments '"'" "This report only describes conditions at the time of inspection and under the conditions of use at that tine. This inspection docs not address how the• system will perform in the future under the same or different conditions of use. Title 5 liispection Fnrut 6115r-I.IUO pabt 1 FROM :RJ INSPECTIONS uF11 FAX NO. :9786877096 Dec. 20 X005 02:33PM P3 i , OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS S1iBSCJR.FACE SEWAGE .DISPOSAL SYSTEM INSPECTION FORM PAR'r. A (`E1ZT)`1+IC'A'I'ION (continued} F'tupe:rtY .Address. -1vio b r Lane Owner: John &Linda SS.dhrWerMA O1 5 Date of f.ospeetiott; d hispuction summary: Cbeck A,B,C,D or E L AVS complete all of Section D A. sysle asses: _. I ltuve taut found any information which indicates rhat any of uie failure criteria described in J 10 C'Mlt, 15.30 +:�r in 310 CMJt. 15.301 exist. Any failure: criteria not evaluated are indicated below. ('onlments: H. System Conditionally passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The systetu, upon completion. of the replacement or repair, as approved by the Board oPkleaith, will pass. Answer yes, no or not determined (Y,N,ND) in the for the followI.ng statements. If "nut detenttined" pleaseexplain. — Tate septic tattle is metal and over 20 yens old* nr d)e septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or C01tration or tank failure is existing tank is replaced immi»ent. Systtru will pas, inspection if the with a complying septic tank as approved by the Board of Health, "A metal Septic tank will pass inspection if it is structurally sound, not leaking and if a (.`.ettificate of Compliance tliut the tank is less than 2.,a,101,1e ND explain: ... . _ uhserv:t � n of sewage backup or break, out or high static water level in the distribution box due to broke,i or approvaltructep' e(s) or clue to a broken, settled or uneven distribution bOs., Syntem will pass inspection if (with approval 5uard ofPealth); broken pipe(s) are mpiaccd _, Obstruction is removed __ distributiou boy; is leveled or.replaci:d ND explain; I'hc system required piunping more than 4 times a year due to broken or obstructed pipe(%). 'rhe system will P' s iutspectlon if (with approval of the Board of Health); broken pipe(s) Qrc replaced _ ubsMetion is removed NY) explain; t FROM :RJ INSPECTIONS FAX NO. :9786877096 Dec. 20.,2005 02:34PM P4 OFFICIAL INSPECTION FORM - Noll FOR VOLUNTARY ASSESSMENTS Sii13SC1R1+'ACF; SEWAGE -1)ISPOSAL SYSTEM INSP.ECT.[ON p()RAI PART A C.'ERTIFIC.'AT10N (continuef) pt'ol?ri ty Address: 35 Woodbarry Lane Owner: John & Lund Aa Sc xaCe1; MA 01845 Datr of luspection: -—11i1,.jLj_ _ C. .1+'urther r:vaIll aIion is Required by the fjoard of Realth: Condition; exi>,( which require further evaluation by die Board of Health in order to determin is failiuG to prutect public health, safety or the euvirotut,ent. e il'the system 1. Syste111 will PIUS unless Board of Health determines ill accordanee with 310 CMR .15.303 1 h that tile. system is not functioning in a manner which will protect public health, sAfety and the environment: _ Cesspo()l or privy is withnt 50 feet of a surface water _.. Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the :Board of Health u 11C Water Supplier, if any) determines that the system is functioning in a [Wanner that s the public health, safely and environment: The sYsce►tz has a septi ilc and soil t�bsolptic)n System (SAS) and the SAS is within. t0U feet of Nan-facc water supply or utaty to a stuface water supply, The syste as a septic tailk and SAS and the SAS is withit, a Zone 1 of a public water supply. The stem has a septic tank and SAS and the SAS .is within 50 feet of a private water supply well. _ he system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well•. Mcthod used to determine distance ' 'This system passes if the well water analysis, performed ata D8.P certified laboratory, for coliform bacteria and volatile organic compounds indlcates-that the well is Irce fi'om Pollution i3on, that 1'cility and the l,t"rs�nce of ammonia nin•crgen and nitrate nitrogen is equal to or less than 5 ppm, provided that no otimr failure criteria are triggered, A copy ofthe ana)ysis must be attached to this form, 3. Other: 3 FROM :RJ INSPECTIONS Pae.Q 4 o f* 1.1 FAX NO. :9786877096 Dec. 20 ,2005 02:34Pt,9 P5 OFFICIAL i.NSPFCTION FORM - NOT FOR 'VOLUNTARY ASSESSMENTS SUBSURFACE Si;WA.GE; DISPOSAi, S'T'STEM INSPECT ION .FORM PART A CER'rin.C'.ATION (continued) PropertyAddress: 35 Woodberry Lane _WoFET-Afi-dve or;—MA 01845 ()weer: John �irida ScTiraY' - hate of inspection: IE 6 05 0- S_ysteln Failure Criteria applicnhlc to all systems: You ►nest indicate "yes" or "no" to each of the following for All inspections: 4r4'� �Cf 4kttp ofsewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or bonding of effluent to the sttrlace of the ground or stu ace waters due (0 ,111 Overloaded or ,Ale%,ed SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or _ �CeSSpno] uid depth in cesspool is less than 6" below invert or available vollime is less than % day flow _ Required pumping more than 4 times in the last year N()T flue to clogged or obc tones pumped _ trttctcd pipe(s). Number_ _ y prirtiott O the SAS, cesspool or privy is below high f*t'ound Wilier elevation. _—.,. Any Puttioa of cesspool or privy is within 100 fret of 4 siu'face water supply car tributary to a surface 'iter supply, ._.ty portion of a cesspool or Privy is within a Lone 1 of a public well. _v Portion of a cesspool or privy is within SO feet of a private water supply well, Aptly portion pl a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality atlalysis. [This sy4tem passes if the well water analysis, performed at a DV certified laboratory, for coliform bacteria and volatile organic compollads indicates that the well is free frern pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] _lVa (Yes/No) The system fails. I have deternuned that one or more of the above failure criteria exist as described in 3.10 Cloth '15,303, therefore the system fails. The System owner should contact the Aonrd of Health to deter mine what will he necessary to correct the. failure, L. Large Systems: To he considered A largt� system the sycte gpd_ tn must serve a fAcility with a design flow or 10,000 gpd to 1_4,000 You must indicate either "yes" or ,no,, to cach of the following: (The i'ollowinb criteria Apply to large systems in additioll to the criteria above) yes nig „_ .. the system is within 400 feel of rfnce drhiking water supply _ the system is within feet of a tributary to a surface drinking water supply _ the systemorated in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) ora inappcd Zone Il a public water supply nyell If YOU have answered "yes" to any Question in Section H the systeut is considered a significant threat, or answered "ors" in 5r..ction D abavP thn large Syr has tailed. The owner or uperntor of any large system cu�e;idcrrd significant threat under• Section h or failed under Section I) drill upgt ads- the system in accordance with 310 CMR 15,304. l.'hr. system owner should contact the appropriate regional office of the Department. FROM :RJ INSPECTIONS piige S of I I FAX NO. :9786877096 Dec. 20 ?005 02:34PM P6 OFMCIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENi'S L SURFACE SEWAGE DISPOSAL SY,STFM INSPEC:TIO FoltM PART R CTIEC.'.KLIST Prolkrty Address: 35WoodberrSy Lgrlane _ �-��'�YEx_L A 01845 owner: ,� y j.�a Schrader Date of Tnspectior.�: �14- ".04 _ _ (_'heck, if the following have been done. Ynit must indicate " es" pr `ho°` as ro each of the folluwin Yc� o0 Pumping information was provided by the owner, occupant, or Board of Health _ �J.. Werr.'any of the systeiai components humped out in the previous two weeks'? Has the systemreceived noruta; flows in theJ two ous revi P week period . Hav _large volumes of water been. introduced to the s stern recently y n ly or a4 part of this inspection,? _ Were as built plans of the systern obtained and examined? (if they were not available t►oic as NIA) ..Was the facility or dwelling inspected for signs of sew a backup? ? r& p Was tilt site inspected for signs of break out'? _ Were 011 system components, excludutg the SAS, located on site? Were the septic tank manholes uncovered, opened, and the interior of the tank ins ected for the condition Of the baffles nr tees material of construction, dimensions, depth of liquid, depth th of sludge p111 ' � !• 9 p 6e acrd depth of scum 7 Was th,e facility owner (and occupants if different from owner) provided with information on the pro el. maintenance of subsurface sewage disposal systems ? p I'he size and location of the Soil Absorption System (SAS) on the .site has been detennutcd hase,f on: Yes no _ Fxisting information. For example, a plan at the Board of Health. Determiue(I in the field (it'any of -the failure criteria related to P art G is at issue approximation of distance: is 111j0cceptablc) [310 CMR 15.302(3)0b)) FROM :RJ INSPECTIONS P.lgv- b of 1 I FAX NO. :9786877096 Dec. 20 2005 02:34PM P7 OFACIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART C SYSTEM INFORMA'11ON Pt'Operiv Address: —15. ND.0 pt ry—L.ape -IJ Qr l --h Zd- QY,e� MA 01845 owner: ,7ahn _L Linda Schrader RUC of Inspection: FLOW CONDITIONS Number of be.droonis (design): _ _ Nur»ber ot-be.dt'ooms (actul)l): _ — DE -SIGN (low based on 310 CMR. 1.5.203 (Ibr example; t 10 LIA x # of 8adt•ooms): _ — NantbcrOlcut'rentresideaus: Does residr.nre, have a garbage grinder (yes or tto): !fla Is laundry on a separate sewage system (yes or no):4-O(il`yes separate inspection required] I.aundry system inspected (yes or no): -� SrasOlial use; (yes or no);, Water meter readings, if available (last 2 years usage (gpd)): Sujttp pump (yes or Last date of occuptutcy: C:(' MMG1tC1AL/INDUSTRIAL Type Of cstfiblisllment. Design flow (based ou 3 f O CM—fid FIa_sis of design flow sea —" lrea ;c crap pt•esont or no): Industrial was ulding talk present (yes or no): _ Non-s,u,itu waste discharged to the Title S system (yes or no): Water meter readings, ifavailable; _ Las[ date of occupancy/use: - 0THER (describe) 1'11111piug Records GENERAL (N1+0RMA1'lON Source of information:r Was system pumped as pari o t1P ieuispec lot n (yes or nn...—.. Lf yes, volutue pumped; —_,gallons -- How was quantity pumpe Reason d determined? for — •.-- —• --...— ..— ..— �—.—.. — ,. —. TYP SYSTEM " Scpttc tank, dim-ibution box, soil absorption system _ Single cesspool _- Overflow cesspool Privy — Shared system (yes or no) (if yes, attach previous inspection records, if any) _ Inttovativr/Alternativc technology, Attach a copy of the current operation and maintenance contract (to be obtained froin system owner) _ _ 'Tight tank — Attach a copy of the DLP approval Other (describe); Approximate age of all components, date inslalled (if Uvwn) anal sol l'cr Of illfOrtnation: Were sewage odors detected•when arriving at the site (yes or no): ,,, O FROM :RJ INSPECTIONS FAX NO. :9786877096 Dec. 20 2005 02:35PM P8 Page 7 of I l OFMCIA.L INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWA{:E DISPOSAL Sys,rEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _3 5 WD"d erre Lane »ox-th. Ando-Ym � MA 01845 (.)caner: John &&_ Linda Ch*' 8, r .Date of insp(ctinn:.-LV W' 4.5— 19Ull,.T)IN(.; SEWER (locate on site plm) L)eprh below grade, _ Materials of coustniction: _-cast iron _40 AV( other' (explain): — Diatattce li-onl private water supply well or suction lulu: -- — Coulrnents (on condition of joints, venting, evidence of leakage, etc.) - Sl .DTII' TANK: — (locate on site plan) D,;pth bulow grade: Materiala construction:`cnllcrete nlrla! fiberglass____p)jyethylerle If tslnlc is cnctal list age; _ Is age confirmed by a Cartit%catc of Co,i, aliance cs or no certificate) _ _ i (y no). (attach a copy of Dimensions; _ S Sludge ilptil: Distance from top of sludge to bottom of outlet tee or baffle: ;2L4 Sclun thickness:.,./ // .._ — -- DistFince from top of scum to top of outlet tee or baffle: Distance from bottom oFscum to bottom of outlet tee or Safe: Hc,w were dimensions determined: _ �- - Comm ( P p on ulu ietlts n6 r C��� .�d�„_ ---. — reconunendations, inlet and outlet tce or halfle condition, structw-al integrity, liquid levels I related I:(, outlet. hlvcll, evidence of leakage, etc,): GREASE TRAP: —(locate on site plan) L)Lprin below grade: Alatcrial of cnilstructlun: metal (captain);,— -..—concrete _._ 'glass., Dimensions; — SCunn thicklte.ss: UisAincc ti Om top of nt to top of autlrt tee Or hal7le: _ l )istancr fi,irn b om of scum to bottom of nutlet tee. or haffle: Late of last. pumping; Comments (on Pumping recommendations, inlet and Outlet tee or haftle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc,): FROM :RJ INSPECTIONS Page' of I I FAX NO. :9786877096 Dec. 20 ?005 02:35PM P9 nFFIC7.AL INSPECTiUN FORM — NT FOR VOLUNTARY SUBSURFACE SEWAGE WSPOOAL Y TYM N PECTION F ASSESSMENTS PART C N FORM M SYSTEM INFORMATION (Continued) t'rolxi rty Address: 3 5 Woodberr�Lane Uwne1 NA h. Andover., mA 01845 J_ &. Linda Schrader Date orluspcction: IUD Q5 am`_ T.ICTI'r or I101DING 'rA. . _ — (tank must be pumped at time of insPection)(locate an Site plan) Depth below grade: M;tterial of consrructinu: —•concrete — mc�Z__ .�t.Rlass �,c,Jyotkiylene_ .od,el•(exlilain); Capacity: _.. — .gallons — — — - lle;ign) 1uw; _ gallons/day Alarm present orno): _ Alrum level; Alarm in workin order Date of last pumping; (Yes or no); Comments (condition of alarm and float switeh4s, eta): D.IS'l-RIIAITION BOX'— (if present must be ONTed)(locate; on site plan) Depth of liquid level above outl,ot invert; a leOMIMnts akage into or out n.t�Iiox�, etc,): (nate if box is level arty distributio leakage n to outlet,c equal, any evidence of solids ettrryoyer, any evidence of :-��, fes__ . PUMP ('HAtVC]3FR: _ _ (locate on site Phu)) Pumps in working Order (ye.; or no); _ Alarms in working order (yes or C'rruunents (note cnnditio Pump chamber, condition ui'pumps and appttrteixftnces, etc.): 8 FROM :RJ INSPECTIONS Page 9of1t FAX NO. :9786877096 Dec. 20 2005 02:35PM, P10 OY+FICIAL INS.PECf.ION FORM -• NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FUR.iV1 PART C SYSTEM INFORMATION (continued) Property Address: 35 Woodberr ]vane _North Ando MA 01845 Own er'..John & Linda Schrader Date of Inspection:��� 0 g : _ .` SOIL, ABSORPTION SYSTEM (,SAS), _ ('locate on site plan, excavation aot required) If SAS not located explain why: Typc. _ leaching, pits, number: _ _ leaching chambers, mnnbcr: _ leaching galleries, number: _ — leaehi,19 LTenclles, number, length: _ leaching fields, number, dirnenslQ�1S; _ overflow cesspool, number: ulrutvativeJttltcrnativc system Type/name of technology: __ COmment.s (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, CIO: CESSFOOL,S: _ (cesspool trust be pumped as pair of inspection)(locate on site plan) Number and configuration: Depth - tap of liquid to inlet invert: Depth of solids layer: _ - Depth of sctlm layer; Dimensions of cesspits _ Materials ofcons tion: Indication oi'grn uldwatea inflow (yes or"no): — Comments (note condition of soil, signs of hydraulic f4ilure, Level of ponding, condition of vegetation, elc.): :PRIVY: ._ (locate on site plan) Mitterial:: of consLrUction: f)inlensinns; Depth of solids: — Comwents (tlotc. co tun of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc): FROM :RJ INSPECTIONS FAX NO. :9786877096 Dec. 20 2005 02:36PM, P11 page 10 of) i OFFICIAL INSPECTION FORINT - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE, SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C.. tiYSTEM::INFORMATION (continued) Property Address: 35 woodberry ane Acir..h Andover, MA 01845 Owner:. John & Linda Schrader I)ate of .hispection; SKETC:11 OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or henclw,arks. Locate 311 wells within 100 feet. Locate where public water supply enters the building. 10 Ir FROM :RJ INSPECTIONS Page 11 of I1 FAX NO. :9786877096 Dec. 20 2005 02:36PM P12 . OFT'TCIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTVM INSPECTION FORM PART C SYSTEM 1NVORMATION (continued) NropertyAddress. 35 Woodberry Lane North Andover, MA 01845 Owner: John & Linda Sc ra er Date of Inspection:1 Z; 15 05 _ SH.1" EXAM Shope Slarface water Check cellar Shallow wells Estimated depth to ground water � Feet Please indicate (check) all methods used to determhie the high ground water elevation: _ Obtained from system design plans on record - If checked, date of design plan reviewed: Ubsarvcd site (abutting property/observation hole within 150 feet 01'SAS) _ C--- td with local Board ofHealth-explain: _✓Checked with local excavators, installers- (attach documentation) _ — Accessed USGS database -explain.: ___ __ . You Twist describe how yon established tho high ground water elevation, 11 bii NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of NIGL c 40 S 54, a condition of Building Permit at: 5- wood*" ;j t, is that the debris resulting from this work shall be disposed of in a prdperly licensed solid waste disposal facility as defined by NIGL 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (Location of Facilit ) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit /�' /O Date 1 CN s V. 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 f 4 APPLICANT�NTI f1rc-OSf' PHONE .28`- LOCATION: Assessor's Map Number O PARCEL SUBDIVISION LOT (S) r j STREET &UOOd �1�h �� ST. NUMBER OFFICIAL USE ONLY RE MEN ATIONS OF TOWN AGENTS: 4 CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED k2/c r DATE REJECTED COMMENTS f IGiZ, r pkv /�ie�kia`d RLCow n%f�nn�.., 1;:�•� Rn� DATE APPROVED DATE REJECTED SEPTIC INSPECTO -HE LTH DATE APPROVED DATE REJECTED COMMENTS d 6-A I PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT 2254 - 1 RECEIVED BY BUILDING • 1 A r J- r E a; 7X45s>4rM65775 De�artwcat o6;I-d& Satiety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use ON l`7� Permit No_ Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Sliest & Owner or Tenantl Owner's Address\� Date LA'L ri To the Inspector ck Wires: Is this permit in conjunction with a building permit Yes [?� No ❑ (Check Appropriate Box) Purpose of Building_ Utility Authorization No. Existing Service__Z t C.� Amps Voits Overhead Ci/ Undgmd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work %0112-4 a OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = h valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box SURANCE BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested_ Signed underthe Pe altles o�Q erju7: FIRM NAME � it]1`<r"li/%y I /ef b LIC. NO. 52 3 k/ a LIC. NO. a 9 y Bus. rtNo� �Y9%1-66�1•�4/-3% Address �/� —Alt jjj```al. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) \ Telephone No. PERMIT FEE $ Z_1J_ ) (Signature of Owner or Agent) C��,� Total No. of Lightfing Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA n ' No. of Receptacles Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Oioosal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Soace/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heatinq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = h valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box SURANCE BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested_ Signed underthe Pe altles o�Q erju7: FIRM NAME � it]1`<r"li/%y I /ef b LIC. NO. 52 3 k/ a LIC. NO. a 9 y Bus. rtNo� �Y9%1-66�1•�4/-3% Address �/� —Alt jjj```al. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) \ Telephone No. PERMIT FEE $ Z_1J_ ) (Signature of Owner or Agent) C��,� 4 r17,�l N2 1 *53 Date ... �h .................. •V TOWN OF NORTH ANDOVER V PERMIT FOR WIRING This certifies that ....... ....... 0 ................. t ........................ .. .. ... a t vl,"Uck has permission to perform ............................................................................... wiring in the building of ......... .............................................. tAl North Andover, Mass. Fee ..t�:5 .. .......... Lic. No. ,q- . ...... ............................................................... /11 ELECTRICAL INSPECTOR �05 2T/98 08:59 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer C f Location` N U �_ No. Date � ;t N0P". TOWN OF NORTH ANDOVER n Certificate of Occupancy $ 41 Building/Frame Permit Fee $, cMus `� Foundation Permit Fee $ r Other Permit Fee $-SJ _ Sewer Connection Fee $ ' Water Connection Fee $ TOTAL $ N2 25.00 RAID¢ Buildi � Inspector �� My Pnhlir• Wnrkc . M 1* .1 .1 N O • 9 Z' �! 0 9 °� 4 M i m n 1 -n1 m m nii z iNI iZZ 0 m m° r r 0 0 i -al S m 0 r 0 c I A > r N ° i 0 Z 0 ! m c i I m i N , 0 c m ° 1 ; mm Z I i_ J r I _i 0 m 0 x z O w a a s � i - - A I 0 W c > i a z N v r A m 0 b ;D N 3 c m ° c > -1 m f m Z o m i c . z rn 0 Z 7 n a � 9 m � nj l 0 A [ M 1* .1 .1 N O r > > In -mi °� 4 Z> m n 1 -n1 m m m A N - 0 m m° r r 0 0 i -al S m i n 1 r = 1 m r r N { i 0 0 0 ! m c c N , c 1 ; mm i_ J q _i 0 0 0 mm z z w a a i - - I 0 W I c N i a z N m ;D r c c -1 o z rn 0 = O 0 O A m -mi °� 4 Z> u n 2 n ac 2 m 0o Z m m r as o n A ;0 z m r i°1 00 -1 9 m m m° r r 0 0 i -al S m n m 00Tiz ' { 0 i D. _ z 0 � X11 c J 0 w z a �I 0 m 0 A 0 0 A m m r N n _i 0 z > I i i A 0 z i D m 0 N i z n m A 0 1 r 0 i r z m Lo I N 0 m N 0 0 m c > N n y r I Z 1°n i m A n a 4 0 z N z ; z m m > A m M. 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N cl) m T m CO2 S cn cn R z bd '� �'�° qd C �' 0 C �' r 7d -x w x c° T Cro" ro � z w n x c° -11 c w Oy b Ilk z Location DAA p0, TOWN OF NORTH ANDOVER �w O?•' p ; Certificate of Occupancy $ +li�a Building/Frame Permit Fee $ ,, sACMUs Foundation Permit Fee $;1, Other Permit Fee Sewer Connection Fee $ Water Connection Fee $ 4 TOTAL $ N2 1236 Building Inspector, M„ Puhlir Wnrlec'� -1. Location - Q 0 `s No. tzDaft TOWN OF NORTH ANDOVER n Certificate of Occupancy $ + I Building/Frame Permit Fee $ tz cMu <�' Foundation Permit Fee $ s�sE Other Permit Fee $ Sewer Connection Fee $— Water Connection Fee $ • o`°+ " TOTAL $ r Building Inspector Div. Public Works z l w w s v a 7= a> 0 0--- Z z z z z z m t_, z Ir v VV mrrl n En o ^ m � z n _\ rt ■N 0 Fn 7 -=- z z z 7 n n n T Vi 'mpg 7 r! y z C O z s a c z z x x- x - O d I� o N O w 9 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ; Number: Expires: Birthdate: i �—. CS 008505 09/21/1999 09/21/1935 9 Restricted To: 00 x, " EDWARD E VIEL 55 PORTLAND ST LAWRENCE, NA 01843 gpN P ROMEMPROVEMENi CONTR TOR Registration 114915 i Type - D8A ,. Expiration 11/16/99 " GENERAL CONTRACTING SERVICES ` EDWARD E. VIEL r ORTLAND ST ADMINISTRATOR LAWRENCE MA 01843 1 - 9 CO) CD az OCL O d a� O o p CL Q CD O .... Nm CA 10 CD O CA d d O CO) O H d Cl) CD 0 CD CD CA CD CA O CD O CD = — 0 m S O -•N O Q EO H �.m y O Am O m n O H A CL C.) m CD Z ?-O CL 0 O=r y G y N IE �m S m c 2 O ti' cc.), ( V •O ca 0 p r rn L CL /Vf^) m m H VI m7 c9 -o C O ! V G 1 •, O y O dH r} N OR Q 3E CD -� CA V)CD 5O 0 r.r Cl) b z � O CD ' "' CA -T RE,: o m: C/) a 3 CA CD CD n: C.)m � o 1 t / C m cn cin o C17 '?7 w 7* C� x w T ;� r 'm ro aq "ti m w n 7� 7' `p a. Z < W r b rD rD 'r9 a x :7 x '14 ' R IV z 0 4 y 0 0 C J,o po a/ fJ U G y1'`iS -,0"' C 1 New ❑ Renovation ❑ B . P . # SEWF_.R# APPLICATION FOR PERMIT TC; DO PLUMBING Mass. Date 19 Permit # tk.� Owner's Name Type of OccupancyN/� Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES " gFPTTr 4 Installing Company Name CC" ivyq-rJ ��t ('G ry Address /s-- (1ty tai SX- - /4W if- d Business Telephone �c�d'Z M n r Name of Licensed Plumber Check one: /lq Corporation ❑ Partnership ❑ Firm/Co. Certificate # 7d INSURANCE COVERAGE: I have aY urre liability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. es VIf you have.hkked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy I � Other type of indemnity ElBond 11OWNE9„S INSURANCE WWVER-J.4; ,{avjodV�kat the licensee does not have th • olwiq w-e-oi Liwner or I hereby certify that all e Insurance coverage regwred by on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ and information I havn suhmittarllar antaraM in nKewn Knowledge and that all plumbing work and pertinent provisions of the Massachusetts BY � Title City/Town APPROVED OFFICE USE ONLY) nder the permit issued Chapter 142 of the Q* Type of License: Master E] /' Journeyman License Number ,�/z iA' e � be in compilaDce with all z fA Z Z N Y C r � r W m Y j J I N N >- .O U z Q N C7 W S4 Q) $ ¢ OJ Z 0 WN Q¢ r W N Q r Y Z Q O W Z Z N Z a u N +i x. V N Z ¢ ra N N¢ W r } U¢ �I F N Z¢ N a O Q 0. C ¢ W W = O r, z r ¢ W d 3 N 0 ¢ c 3 Q W— J a Q ¢ of J =¢ o a¢ a 0 W o W r Q U r < a• Y= Q z y t1 y Z= Y a 0 r Q _Z Y _Z Q W a LL 0 U' 0 Q a O Q Q ¢¢ rWr Q O sue—BSMT. BASEMENT IST FLOOR 2ND FLOOR 21I ' 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name CC" ivyq-rJ ��t ('G ry Address /s-- (1ty tai SX- - /4W if- d Business Telephone �c�d'Z M n r Name of Licensed Plumber Check one: /lq Corporation ❑ Partnership ❑ Firm/Co. Certificate # 7d INSURANCE COVERAGE: I have aY urre liability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. es VIf you have.hkked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy I � Other type of indemnity ElBond 11OWNE9„S INSURANCE WWVER-J.4; ,{avjodV�kat the licensee does not have th • olwiq w-e-oi Liwner or I hereby certify that all e Insurance coverage regwred by on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ and information I havn suhmittarllar antaraM in nKewn Knowledge and that all plumbing work and pertinent provisions of the Massachusetts BY � Title City/Town APPROVED OFFICE USE ONLY) nder the permit issued Chapter 142 of the Q* Type of License: Master E] /' Journeyman License Number ,�/z iA' e � be in compilaDce with all w 4 N X m A co In m m i 371 i e NORT1� Date.. TOWN OF NORTH ANDOVER 49 PERMIT FOR PLUMBING �SACMUSE� This certifies that .. '.......'.... ...... . has permission to perform ....... .. ................ . plumbing in the buildings .. .... . ................... at. . ........ . .. ... , North Andover Mass. Fee. .66 c. No........ '...... PLUMBING INSPECTOR 05/27/98 14:59 50.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ' Zoning Bylaw Denial Town Of North Andover Building Department .. 400 Oagood St North Andover; MA. 01845 Phone 9j&" 9646 Fax 9794U41W, Street <3 5 le L� ^� MapfLot 3Q /39 hpplicantv- Reauaist Data: 1,11"0 /© 5nation is Please be advised that after review of your Application and Plans that your Appy DENIED for the following Zoning Bylaw masons: Zonis K _5 Item A Lot Area 1 I Lot area InsAdent Z 1 Lot Area PreexLsfing 3 Lot Area Complies 4 Insufficient Information B Use 1 Allowed 2 Not Allowed 3 Use Preexisting Notes S F 1 2 3 4 5 G 1 2 Item Frontage Fro a Insufficient Frontage Cornpin. P . Insufficient Information No ac cM over Frontage I contiguous Building Area Insttf Area Com fes Notes S 4 Special Permit Required - 3 Preexisting CBA Congreaste Housing Special Permit 5 Insufficient Information Special Permit Zoning Board 4 Insuffldent Infornation Large Estate Condo Special Permit C Setback S Permit Use not Listed but Similar H Building Haight R-6 DemitV Speoial Permit Watershed Special Permit 1 I All setbacks comply 1 HeWht Exceeds Maximum 2 Front Insufficient 2 ComPlies 3 Left Side Insufficient i j 3 PmexiSting Height 4 Right Side Insufficient 4 1 Insuffident Information s 5 Rear Insufficient I Building Coverage 6 Preexists setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage COMPI16s * S D Wabnftd3 Coverage Preexisting 1 Not in Watershed 4 Insufficient Information 2 In Watershed 5 J Sign i4 3 Lot prior to 10124/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient lnforn ition 3 1 Insufficient Information E Historic District K Parking 1 I In District review required 1 More Parking Required 2 Not in dssM C:::7 2 Parking Com fes `� S 3 Insufficient Information 13 Insufficient InIbmation 4 Pre-existing Parking Remed for the above is checked below Mom s Special Permits Planning Board Ione s Variance Site Plan Review Special Permit - 3 Sdmk Variance Access other than Frontage Special Permit Parldna Variance Frontage Exxption Lot Special Permit Lot Area Variance Common Driveway Permit Height Variance Congreaste Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permit Zoning Board Independent Elderly Housing Special Permit speeW Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal SPW481 Permit Z13A Planned District Special Permit S Permit Use not Listed but Similar Planned Residential S ' Permit Special Permit for Sign R-6 DemitV Speoial Permit Watershed Special Permit Special Permit prewdsting nonconformin The abm rwtsw and nUchW repireMm d such is brad on the plans and infarrralion subrniMed. No ddieltvs ravtaw and or advice shaft be bsasd an varbsl a Il by the applby th *Pkm t ewe to Pry dditn ansa b the sbve raseores for DENIAL. Any inaccu ulm miMsadip * ft I n on, or abnr VANO Wal chriam to Un inionnaft subrr11a - by the tpplcart shsl be greeds for this rwiew to be veidad at ft dieereli 0 Of the eWWV Daprbnwt The ' docwmt fused VM Review MmigW shsl be aMachtl hetet and inoaporalad teareie by -dam TM bW tng daparI we term all pWo and downrftw for the above Ae. You rant We a naw building Penni applca m form and begin tln primp Po=L Wilding DepartrTwd official Signature Application Received Application benied Plan Review Narrative The following narrative is provided to further explain the mmm for denial for the application/ permit for the property indicated on the remse side: IIIA tri Police Zoning Beard Conservation 7LDqmtnerd of Public Works s� - S is HWorkxM Commission Othw BUILDING DEPT S,c/c S -rc a Firs Health Police Zoning Beard Conservation 7LDqmtnerd of Public Works Planning HWorkxM Commission Othw BUILDING DEPT '-w-11i lil�u -/0 raj— TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT HLA.%RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUMDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: Lane J 1.2 Assessors Map and Parcel Number- umber:Lavle 4� Map Number Parcel Number 1.3 Zoning Information: Zoning District PrTosed Use 1.4 Property Dimensions: Lal Area Fronts it 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide red Provided Required Provided 1.7 Water Supply M.GI-C.490. 54) 1.3. Flood Zone Infoundion: Public ❑ Private ❑ Zane Outside Flood Zane 0 1.1 Sawatap Duposat System: Municipal ❑ on site D4osd system ❑ SECTION 2 - PROPERTY OWNERSIMAUTHORMED AGENT ' i Stf! Ct: YP-, P,10 2.1 Owner of Record&SuDCA� "-TiO-z Name (Print))//_ Address for Service C Sigrrss re ' Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor. Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone TOM SECTION 4 - WORKERS COMPENSATION (KG.L C 152 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 oermit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Workcheck as a bk New Construction ❑ Existing Building ❑ . Repair(s) ❑ Alterations(s) 0 Addition Accessory Bldg. 0 Demolition 0 Other . ❑ Specify Brief Description of Proposed Work: 07 Car- 4ara A �e W i b�y aQ a room V a ,J, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFIRICIAL US.E ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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. of Owner I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2 ND 3 KU SPAN DM ENSIONS OF SILLS DaIENSIONS OF POSTS DII ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHnVNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE