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Miscellaneous - 401 BOSTON STREET 4/30/2018 (2)
401 '&'054od BUILDING FILE Location /'d t Q a 7 o l F ('S7 ai No. Date MORTpf TOWN OF NORTH ANDOVER �? O0 F41 9 �� Certificate of Occupancy $ �'�s"••°•Eta cMuBuilding/Frame Permit Fee $ s� s �d Foundation Permit Fee $ Other Permit Fee $ TOTAL $ -- s Check # 18435 C ✓ Building Inspector TOWN OE-NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIJ RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLINGOVIN rima BUILDING PERMIT NUMBER: DATE ISSUED: 9 4 O SIGNATURE: Building Commissionerfl or of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Paroel Number. LOT 10 Boston Street /�� 107D 10 Map Number Paroel Number 1.3 Zoning Information: 1.4 Property Dimensions: R2 SingL217,356 670.42le Family Hot Zoning District Proposed Use Lot Area Frontage R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard. Required Provide R red Provided R red Provided 40 30 30 1.7 Water supply M.tFLCA0. 54) 1•5. Flood Zone Wormation: 1.: Sewerage Disposal system Public X Privite ❑ Zone Outside Flood Zone a Municipal a On site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT • O 2.1 Owner of Record LitdhYield AlmDad. Inc. 26 Ray Ave Burlington MA 01803 Name(P Address for Service: (A z�6 R 6 - 781-270-6859 p Sig tore Telephone 2.2 Owner of Record: 0 N.a&e Print Address for Service: z M Si nakue Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. Not Applicable 0 Paul Litchfield 077199 Licensed Construction Supervisor. License Number 26 Rav-Ave. Burlington. HA 01803 Address .11 2-4-2006 617-219-0389 Expiration Date afore Telephone 3.2 Registered Home Improvement,Contractor Not Applicable 0 Company Name _ Registration Number Address Expiration Date % Signature Tele hone h Location No. � � Date 91 �y- S— a NORTh TOWN OF NORTH ANDOVER H 9 + + ; , Certificate of Occupancy $ 40 �'�s'•^�;.� Building/Frame Permit Fee $ 39' 70 �cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 13 C/C/o ` Check # i 8 56 6 f Building Inspector f.. Professional Land Surveyors £t Civil Engineers ESSEX SURVEY SERVICE 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD B,WEED 1885 - 1972 PIAT PLAN OF LAND LOCATED IN I�U2r AI��IGG1'n, MASS, i //IG L` l // • LcT Z.r lo N I T I i i v gat ly T I hereby certify Ato the /�° /�iGci� Bui l'ctiig InrispecQrirla� I have n�iU iexamnedttie,AYpremises arid' the bui�ldinQ e . oeated 'n:°'th • ;,n X00 X'' �.�M,+t a : DATE:' .�3U�US7' ;. iSr ,;* �r4 , ,end}„b� ldingS ;�tks io conf o (hely imensional w f mac` +I►/ f a414�� 1E l a 15 e Y �+o $� t / / �.�•: REFEREDICE x�� �-- �t ��� �t� � � ,� M'<. {Yw' �s �r�, MA PG � � 1Yt1 c � e� eCd �"d+ �• e t s Plana ”�e ' repay E "$uildg ir� v xSt 5+ a F3+ +1 4o kYs w + R + INN A r. t o ane• +'r o • Min�oan,�inspectigns or• #� j "g?y�F 'f � �f6� �� �,�`}.,��.,•''F�,h'� +�t+SAY. V i 1. t S��t��f n •� ,. � fir, 74- TV 4.� ti n�i F •:S*:? -'M,.r. .:�Y .�_k4.�, i� ;_w _ v P>` v:_ 'I C SECTION 4-WORKERS COMPENSATION(NLG.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 mit. Signed affidavit Attached.Yes...... No.......o SECTION 5 Description of Proposed Work check sII applicable) New Construction Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: New Construction --Single Family House 4 Bed, 2 1/2 Bath, Colonial. a/,2!/ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cosi(Dollar)to be Completed by Permit a licnt 1. Building 40,000 (a) Building Permit Fee Multi lier. 2 Electrical 10,000 (b) Estimated Total Cost of O Construction r D O O 3 Plumbing Building Permit fee(a)x M .4 Mechanical HVAC 12,000 Y/y�---- 5 Fire Protection 6 Total 1+2+3+4+5 74,000 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT s Owner uthorized Agent of subject property Hereby au LAG to act on My beha 1 11 s I r a orized uilding permit upplice,--- Si lure f . 1 Date SECTION 7b O 1 4f WNER/A ORIZED AGENT DECLARATION asu onz g f subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the and belief best of my knowledge Print N Sir im offA ent Dat NO.OF STORIES SIZE BASEMENT eI-81•!!B SIZE OF.FLOOR TIMBERS oZ.Y i INI It fo 2 3Ku SPAN DEVIENSIONS OF SILLS Z. Y6 P f— DIIVIENSIONS OF POSTS 4AII . DIMENSIONS OF GIRDERS it-to HEIGHT OF FOUNDATION THICKNESS /10 SIZE OF FOOTING O X O MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND 5� IS BUILDING CONNECTED TO NATURAL GAS LINE ' .FORM U LOT RELEASE fijRM tl f" corx q • INSTRUCTIONS: This form is used to verify that all necessaryapprovals/permits from. Boards and'Departments having jurisdiction have.been obtained. This does not relieve - ----------+be=applicant-and/sr4andowner=frorr)-�compliance=with=any�appiicable- ffegcjireme�t- '" ********APPLICANT FILLS OUT THIS SECTION*******************"*** APPLICANT Litchfield Company, Inc. PHONE781-270-6859 LOCATION: Assessors Map Number 107D PARCEL_ /6) SUBDIVISION LOT(S) :STREET o i -/y ST. NUMBER OFFICIAL USE ONLY "SERVATION D ON TOWN NTS: . . AD INIS RATOR DATE APPROVED L) r. DATE REJECTED COMMENTS 40W�NPLANNEKDATE APPROVED 2l a DATE.REJECTED COMMENTS FOD INSPECTOR LTH DATE APPROVED DATE REJECTED SE0 INSPECTO -H H DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERNVATER CONNECTIONS DRIVEWAY PERMIT —� FIRE DEPARTMENT All Fe/-/n)4S 2� ���%e.� �2.hr, 1i/i� -, RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm North Andover Building Department. __ —-------- - -.._-.. -- - -- - ._-------- X7-8 6-88= DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S.150 A. The debris will be disposed of in: ERRCO Epping'. NH (LocationyFacill* Sign ure of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massac; s >etts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 M. 5,•"' Workers'Compensation Insurance A>Adawt Name Please Print Name: Litchfield Company, Inc. Location: Lot 10, -Bostpn Street City No. Andover Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity am an employer providing workers'compensation for my employees working on this.job. Company name: Litchfield Company, Inc. Address 26 Ray Avenue City Burl4ngton MA 0180-3 Phoner#: 781-270-6859 Insurance.Co. Savers Progerty. ___ Policy# WC0002104 Comparnf name: Address City' Phone#. Insurance Co. __ - Policy# Failure to secure coverage as required under Section 25A or MGL 152 canlead to the imposition of criminal penalties of.a fine up to$1,500:00 and/or one years'imprisonmeat-gs vell es.civtl:penattiesjnlb6fnunDfa�70P1NORK ORDER�d_aliine cf.($1�M)-a�egainstmm 1 understshd that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains a ena�q,, erjury that the Information provided above is true and correct: Signature 0 1 ) Date Print name l Phoned 781-270-6859 official use only do not write In'this area to be completed by city or town officiar City or Town Perm!V icensina Building Dept []CheckYlmmediate response Is required 0 Licensing Board p Selectman's Office Contact person: Phone M Health Department Other f BOARD OF BUILDINGR�GUL74TIONS 'ti License,CONSTRUCTIONill'4 SUP.ERVISOf ''i� 4g N { NumberS 077199 �� °Birthdate241�959 7✓xpir4120 6 >>r n6 241.90 ?; Res ri 8 pD , �j PAUL LITT CHFIELl1 ` - �47{RUMFOf2D'ST '�w,, • � Commissioned :� k � y rr r 7 .FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:15AM P2 MAScheck COMPLIANCE REPORT I I Massachusetts Energy code I Permit # I MAScheck software version 2.01 Release 3 I I checked by/Dat- TITLE: cl-289 / 30324 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-ElectriC Resistance) DATE: 9-17-2004 DATE OF PLANS: 9-16-04 PROJECT INFORMATION: Juniper 1 COMPANY INFORMATION: - Litchfield Co. 26 Ray Avenue Burlington, MA 01803 COMPLIANCE: Passes Maximum UA = 559 Your Home = 459 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------------------------------------- -------- CEILINGS1525 30.0 0.0 53 WALLS: Wood Frame, 16" O.C. 2518 19.0 0.0 151 GLAZING: windows or Doors 17 0.310 5 GLAZING: windows or Doors 38 0.340 13 GLAZING: windows or Doors 388 0.370 144 GLAZING: windows or Doors 40 0.400 16 DOORS 20 0.350 7 DOORS 17 0.540 9 FLOORS: Over Unconditioned space 870 19.0 0.0 41 FLOORS: Over outside Air 604 30.0 0.0 20 HVAC EQUIPMENT: Furnace, 92.0 AFUE ----------------------------------------- ------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design conditions found in the Code. The HvAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. Builder Designer .l /C,hr On7o.� Date 09/17/2004 FRI 9:17 [JOB N0. 70111 0 002 .FROM :Colonial Drafting NH FAX NO. .:603 879 9696 Sep. 17 2004 09:15RM P3 J TITLE: 'C1-289 -/ 30324 MAScheck INSPECTION CHECKLIST Massachusetts Energy code MAScheck software version 2.01 Release 3 DATE: 9-17-2004 Bldg. l Dept. 1 Use [ ] I c1. R-30. comments/Location WALLS: [ ] I 1. wood Frame, 16" o.c. , R-19 Comments/Location_ 12 we IWINDOWS AND GLASS DOORS: g)I AVX y V L U�1 C LIgSsic• / GpW L ] 1. U-value: 0.31 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No i Comments/Location 42,c M24 1..0t- F. RA4, [ ] I 2. u-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type_ Thermal Break? [ ] Yes [ ] No Comments/LocationS�m c, 6�1f� cl/i4pt�S /C��!;'Ae-S C J I 3. U-value: 0.37 I For windows without labeled U-v lues describe features: ( # Panes Frame Type Thermal Break? [ ) Yes [ ] No I comments/Location 111)LInZe- I ups [ ] I 4. u-value: 0.4 J For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No ( Comments/Locati on� BylrLjLQft DOORS: [ ] 1 [ ] nL ��vNTnCommets/ ocation 2. u-value: 0.54 I comments/Location IFLOORS: [ ] I 1. over Unconditioned space, R-19 comments/Location [ ] I 2, over outside Air, R-30 F� Locati o r T17 0 /a N S I comments/ n 1 I HVAC EQUIPMENT.- 1. QUIPMENT:1. Furnace, 92.0 AFUE or higher 5 IMake and Model Number [ , I AIR LEAKAGE: joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I 1. Type Ic rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. ( 2. Type Ic rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the ( conditioned space to the ceiling cavity. The lighting fixture 09/17/2004 FRI 9:17 (JOB NO. 70111 CM 003 _FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:16AM P4 I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER' [ 7 I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: C a iMaterials 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 I provided. insulation R-values glazing u-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. I DUCT INSULATION; [ ] Ducts shall be insulated per Table 34.4.7.1. I DUCT CONSTRUCTION: L ] I All accessible joints, seams, and connections of supply and- return ductwork located Outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed 1 using mastic and fibrous backing tape g p_ i nstalled according to the manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. [ , f TEMPERATURE CONTROLS: I Thermostats are required for each separate HVAC system. I or automatic means to partially restrict or shut off the heatingl I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design 'load as specified in sections 780CMR 1310 and 74.4. 1 [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION; [ ] I HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 ICOOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I [ i CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.)- PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" ]..5-2.0" 2.0+11 170-180 0.5 1 1.0 1.5 2.0 I 140-160 0.5 1 O.S 1.0 1.5 09/17/2004 FRI 9:17 (JOB NO. 70111 .0004 FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:16RM PS i 100-130 0.5 I 0.5 0.5 1.0 ---NOTES To FIELD (Building Department Use only)------------------------- 09/17/2004 FRI 9:17 [JOB N0. 70111 Q005 .FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:17AM P6 /��YL tC - �iVNLP project Number & Title: KI Calcul atious for Square Footage(s) of Ceiliug(s) 6 � l (Li L•L3)x W ■Area IUkN+aVl Lxw =Area W=kAWe Attic Access Area* l O mea calculattotls }„1Ath - ZN4 Fc.2 28 � 'SS � t�0�y 73 -t4 I OA r pct. l�t' Z �5 wY r2caµ ` 13• � .?Z Sub Total ■ . l , S 3�{ 7 Z Attic Access to be deducted ■ l V gkyltght Total 3q.fit.area to be deducted ■ �-' Total = S 2-q .7 2- 09/17/2004 09/17/2004 FRI 9:17 [JOB NO. 70111 Q006 .FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:17AM P7 Project Number & Title: IL-2. w amFa�ca,.� Calculations for Square Footage of W alls A A N kKiney,,, r __Plan g p Ind Floe-Plan B 143 F v Perimeter I (PI)I A 413 + C + Perimeter 2(P2)° A +8 +C +D N2 ' 2nd Floor D + )= +F +G +H . N1 PI X NI a tat floor wall area (,�►I) ' P2 X H2 : 2nd rloor pertmeter area (A2) ( let Floor 1=3 X H3 = 2nd floor wall area W) Al + A2 + A3 = Total wall area Wall calculatlorla Wry �i ns �wo2- rfrnT � 38 } ll, t Z•St2•S � 1.'1 x 8•�y F%�—VBVL m6i-4 % Zy t Ll (Z4Pz : +• i33 -8 3 FA wim-4 Rµ (o�C3�E3 4•S 4.5 Frw+rp 38 2.S r2.5 �.$% 4,s V.tIz- �z tu�r� Z8 1 3� � 8.0� L1.0$ ¢ R,4AZs tz::?•z5 LC PT �L_,s._H,.•= 1 3't` k •8 3 4 It 5-11 Sub Total = 2- -734 Window Total Sq.Ft.area to be deducted = 4 , F-xterlor Door Total 5q. Ft, area to be deducted = Gp , oD Total • 2- 2-11-0 09/17/2004 FRI 9:17 (JOB NO. 70111 Q0.07 FROM :Colonial Drafting NN FAX NO. :603 879 9696 Sep. 17 2004 09:17AM P8 project Number & Title: - - Calculations for Windows & Doors Table of areae for Double Hung windows Table or areae for Casement window& APPRoxtMAtl:WIPT14ApPR2OxtMAT�WIPTN y 1'10` rz• 2'6• 4'11 2b" 30' 32• 34 r• r01'S" fe" • r4• 10 VO 35 4'a` 4'9" f0' 35' 6.26 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11,98 2'a' 2.83 3.J4 4.0 4.68 5.66 8.0 6.B3 8.0 9.5 12.0 03'9' 6.81 e.t3 8.38 10.0 10.6111.23 11.88 12.491J.13 O 74' 3.26 3.89 4.86 5.43 6.59 6.90 7.96 9.32 11.07 13.98 4h" 7.47 B.BS 10.21 10.89 11.67 12.25 12.93 13.60 14.29 3'0' 4.25 6.01 6.0 8.99 8.49. 9.0 10.25 12.0 14.25 18.0 4'S" 8.18 9.57 11.04 11.78 12.62 13.25 14.10 14.7115.511 D 35' 4.84E6.71 6.B3 7.969.67 10.25 11.68 13.6716.23 20.5iA 4T 8.80 10.29 11.8812.67 13.57W14.256 15.82 16.75 =47 5.87 8.a 9,32 11.32U2. 13.67 18.o t9.a 24.0m 9.74 11.02 12.71 13.5814.30 16.93 17.79 50' 7.08 10.0 11.65 14.1517.09 20.0 23.75 30.0 8 18.04 19.09 55• 7.67 CS 9.05 10.63 12.62 15.3318.5121.87 25.73 32.5 =55" 10.03 11.74 13.54 14.45 15.4 -t a or D J-1,witndo tus Calculation table for Casement wirtdome P total Calculation table ` sub To1ai ��,�, Area�1iei8 x q„�y bub Unit alta Area of W d x �y u. t Z ZS.17. 1[x.0 10 rrs .a1 ax3S 1=12 Ax$s 0.9 Total 2 Total 1 Z.2a" •3 Calculation tabic Por Glass Doom •3-1 Calculation table for other gluing `f Unit size Aro.or w& x quality sub foul UnU sae Ar+a or UA x atuA q bub Taal .31 oXGt3 1 v P•cr. ZxS� ,1-7. l 17.22 s.�. 1°-g1,S 9 Mvp JL Total C0 ation table for exterior doors • `1.� Calculation table for interior do CalculTOW Door MINArea or W A quaw�y • Bub Toial Door Itze Arse o►WA K 4u"v 17 1 L 1(,•b7 7.0 l i3335's•=>sb� �'o"_ TOW 20 . 35 Total I l0• s4 i's'=nsl s'o"s 40DO so =20A 8'0'=5336 .Ss hG ht) A�A.,c various doors(16 � 09/17/2004 FRI 9:17 (JOB N0. 70111 (a 008 FROM :Colonial Drafting NH FAX NO. :603 879 9696 Sep. 17 2004 09:18AM P9 Project Number & Title: 0,c-- 2-Ea- A A _ viva Calculations for Floors Floor Plan E Length Q) LXW •Area Area of floor over unconditioned (unheated)apace (L X W) u Aw V(OVSL dV4A- 134S4tie4NT s`�VT ldtG�Vdc+%sy �Nk+�� 6E , 29x 30 p BMX 'Z•5 � �'Z, r E k i I I Total a 870 Area of floor over outside air 4. X W) s�oy 2�5 R to aayJ Fa�„�y PM: �. s x ti _ %3.!F �,e[r►, y RH • % 4 ►L S 7 Os l�uus E Poor�vN B x Z y Total = 603-6 09/17/2004 FRI 9:17 [JOB NO. 7011T 19 Professional Land Surveyors £t Civil Engineers ESSEX SURVEY SERVICE 1958 - 1986 OSBORN PALMER . 1911 1970 BRADFORD & WEED 1885 1972 PLOT PLAN OF LAND LOCATED IN G�aaTY,nJv V flMAS S. ZiS LIT X< �.glDX ORTH T6wn o : 1 - Andover No. 67 _ S' LAo, dover, Mass., COCHIC EWICK S ADRATED P'?yl �SSAC HU S�� a FOR EXCAVATION ANo FOUNDATION THIS CERTIFIES THAT . AdCr.410VA0.. ......... .............................................................................. ........ has permission to excavate and� pour foundation �o � 7of X305 4W n at .......................................................... p I , r--4 W � w for the purpose of....................... The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. ..... ................................................611f$4W4 ......... BUILDING INSPECTOR �ORTM Town of over No. �O - �. LA E dover, Mass., 83 3 COC MICMEWICK V �S RATED i`P� �y BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 6. i�r /S BUILDING INSPECTOR THIS CERTIFIES THAT.............. .....................�.....%...........0 • .................................................................... ................. . Foundation has permission to erect.................1..................... buildingson.. �. .. ......#y0 ...... 5............... Rough to be occupied as °� �!!r.�.. . a �A ��� v y 4+r '� D0 111� Chimney .. ............... 1.. .............................................. !. .................... .. ...... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatinqpto the Inspection, Alteration and Construction of Buildings In the Town of North Andover. 1&7 D PO PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA-19S Rough .................. .. .......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. - - Ap . 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Ft : 1■It■■■i■■■ ■1■■ =_ ■■■ _ _ ■■■ ■■ _— __ ■ ee■ =— — = ■■■ — _ ■e■ =— ■■■i■ I d►' �■■1■■■1■■■It — — ■� ■� —�� 01 Total Foot—print Dimens.,ions : iii■iii • ,ti��� �iiii■iiii■iii ■■■1■■■i■/' ����� \■■1■■■t■i tl■■■11■■I �o �� �� `■■1■■■11 _ _ = fie■ a■e _ c _= ■■■ ___ ■e■ __ _ � � � � � _ ON loll 1 ■e■ I■e =; == ■■■ _=_ ■e■ __ _ _ = e■e =__ ■il - ■■■ e■■ = _ _= e■■ =_= ■ee = = = -- == e■■ =_= e■■ = _ = Colonial C �I ■� D ! ! NK ,. lie .of these 0ans are for use by the buyer only as referenced on this! . .. sheet—and by Cobrid Drafting Ni Co I on i a I VT Drafting NH House Plan Number - �::. � �!��++.mss -:� .�F�C�i+ri�i�■� • . . . • CL-340/50323 C0�0111A� 56'0" A 32'0" " 603.9 79. 9696 24I 1910 6 1 0 0 1/1021 O II kneewal) neewa neewa ll E ----Drop 4 -- _ Drop 2' �,Q" 16,3„ • , 71611 1316,11 31011 — — — 7le / — rt ------------- - ----------------------- ------------ ----------------- ------ -r--------- -------------- ;-....._... --------—------------ ' ------------------------------ ----------- - ---------------------------------------- - r " --- 2110" X 3'11'2" 2110" X 3111/2" 40 RA. , 1 1 Foundation Garage 11 " 3 DO psi concrete 3 1/2 Schad. 40 pipe col,(4 O.Da A 1 1 1 All wood constructed wallaandW/3'0" sq, x 113" dp, footing 10" dp, x 20" w, contln. ft'g. ; O ceiling to have 5/8" type �X' fire (2 req'd) Dam proof exterior surface ; ' p rated Wallboard installed 10" Concrete Wall / 8'011 Pour X ,- 4n � O 1 x 4" Concrete Slab . n 0 3 1/2" Schad, 40 pipe col:ea, end 6'33 TOLn - (411 O.D.) 3'8" 3'411 Beam Pocket I I '• 1 r O _ W12 x 53 Steel BM w/o Col, or W 1 o _ _ sized per beam n I o (4) 13/4 x ]11/4 LVL w/ 10 — i 1 r- —I I _ I See Framin$ 3 1/2" Schad. 40 pipe Col. (4" OD) ,� J _ I - Plans For Beam Sizl . . n _ 1 - 3 1/2 Dia. Lally Columns J 1 in 1 i > 'A „ I I I I i 1 ctl With 2'6" x 4'b" x 13 dp,footing (3) 2 x 12 r ''JJI O ° O 4" Concrete Slab Beam x � � Slope for drainage 1 � -� 3 1/2" pia. (_ally Columns I " I n � •. , 411(min) Step down into Garage W/2 6 sq. x 13 dp.footing I 1 _ 1 (1 re 1 — ' -------------- - fire door (min) qd) , ----- ----------------- -----=, UP ® Basement o - I — — — — — — — — J I 1 •� , ------.----- ---- r---------------------------- I Drop Drop ; _ _ • 4' 2' L ---------------------- -----1 •.- , 1 t----------------------------- _ ' 1 1 O ' ' ----------------- 1 t , O � M B'O" 6'0° L -------- ---------------- 30 910" 410" 14'0" 12'6" 14'0" kneew It kneewall 16'0, 40'0" 56'0" Notes: * All dimensions to be field verified and changes made accordingly. C1 U O : Fou d at Ion Plan $ Verify window and door rough openings with manufacturer specifications. 0 = I 0 * Under Slab Vapor Barrier to have 6" (min.)overlapping Joints. 3/16 1 O * Concrete Slab Control Joint spacing = 30 Ft. (max) At offsets larger than 10 feet. $ Provide a minimum of 4 operable windows for every 1,500 sq. ft. Basement area sq . ft , S32 Site conditions shall determine the need for foundation drainage. * DampprooFing shall be applied from top of footing to finish grade. Garage a rea - sq . f t . = 606 $ When this drawing is 11 x Il, 1t is the scale as indicated. Tot a I sq , f t . 1 , 540 $ Drawing print out date= 04/21/05 Co%ILY ® Oroffi� N11 9 6101310 11 111611 81611 11 603. 879. 9696 5111 5110" 5111/211 'O U 141.211 61311 61311 20, 5,0" X 316" 2'10° X 3,51/2" 11 - 1lvent - 2'1011 X 415y2OU11 11 �� n C 1. 61/2 n o ® O ® O „ � Fan t(1 Fan f Ba t�WICI ath, Bedroom _ 2,61 = Posi 2 - 2'0" Mt° SQ `gym - ° _ - n � _ _ Post p p Post _� O Nw 0 Post 1 11 � , 11 � - - o M Post 2 5 2 -2 0 3191 31011 6'3r�411 _p aD _ r- _� p 2'411 1131/11 _ L n � S O •�- _ tt- 6, _ X O •r - x Bedroom - ¢ Bedroom #3 0 21811 N O 1'- n 14'33/4" 31811 3,111,211 31911 14'33x4 u n210" X 419'/2" 2110" X Igr�" 2'10" X 419'/2" 2110" X 4'9'/2" Bdrm #2 - Post Post o 0 5'6r/4" X 4'c rn 4,0„ 6,6„ 31611 61011 . 61011 3160 61611 4011 14'011 120 14'0° 40'011 CL - 340 : deco d 1 oo r P 1 a 3/1611 = 110" Notes: * All dimensions to be field verified and changes made accordingly. * Verify Window and Door Rough Openings with Manufacturer Spec(Pications. * Tempered Glazino shall be installed at all windows located near tubs and whirpools. Any glazing located closer than 18" to the floor. ' * Smoke detectors per electrical code - locations to be verified per other * When this drawing is 11 x ll, it is the scale as indicated. Living area 8 q , ft - 1 , 156 * Drawing print out date= 04/21/05 rasneral i� =85: S�Onstruction materiam: touncration Stan: maximum Aiialwat�le c:iear-5t�ana For Joists/Rafters O - Indicates Smoke Detector location D_20-M vapor Barrier with 6" (min.) over lapping Spruce-Pine-Fir Grade No.2 or better Exterior: Steel, U-35, Sidelights - 12" Joints under concrete slab, Code book referenced: I.R.C. 2003 All substitutions and/or deviations from Interior: Hollowcore these plans are the responsibility of the Garage: (2) 9'O" x 1'0" garage under Beam Pocket Shim beam with steel shims or Yel-fzy Code folloer in fector of contractor. Contractors specifications take hard brick, The ends of wood beams shall bulldlna location to deviate from the precedent over any information presented in have a maintain 1/2 (min,) air space on top, EoJlowtna information: these drawings. All dimensions are to be Zero-Clearance - gas-direct vent aides 4 end. LL field verified by the contractor and any �c(nArea (except aleen(na rooms)- adjustments made accordingly, Flaming_ Spruce Pine Fir No, 2 or better Garage Fire Separation 5/8 inch (min,) Type Live Load 40 psf, Dead Load 10 psf Property Zoning, Dimensional Set Backs, Wall Stud Size X gypsum board applied to the garage 2 x 10 Q 16" O,G, = 15' - 5" Septic issues, etc,, are the responsibility aide, 2 x 10 8 12" O,G, = 11' - 3" of the owner. 1st Floor 2 x 6 g I6" o,c. 2nd Floor 2 x 4 a 16" o,c, Basement ventilation: Install 4 (min.) Sliding Live Load 40 psf, Dead Load 15 psf Sleeping rooms shall have B% (min,) Glazing or Awning type windows for every 1500 sq, 2 x 10 Q 16" O,C, = 13'- 10" 4 4% (min,) Ventilation, Wall Stud Length: ft, of floor area, (per engineer) Window Opn'g : 1st Floor: 92 5/8�" (8'- 1 1/8�" ceiling) Framing Plans: 313 sq, ft. 20"w x 24" in either 2nd Floor: 92 5/8 (5'-1 i/8 ceiling) Nftp lee' In_Q Rooms 4 attic: direction - MA Live Load 30 psf, Dead Load 10psf Sill not more than 44" above floor, Foundation Walls : Bearing 1 1/2 (min,) bearing on wood or metal, 2 x 10 e 16O.C. = It - 2" 10 Conc. wall, 8 O pour,. 10 dp x 20 w ft g, Notches in the top or bottom of Joists shall 2 X 10 10 12"' O,C, = M - 0" Exit Doors : 1- 36" wide, others 2'8" wide Anchors: 1/2" Anchor Bolts Q 6'-O" O,C, not exceed i/6 depth/joist 2 x 8 g 16" O,G, = 13' - 6" Basement: Unheated No greater than 1/3 the depth/joist 2 x 8 12" O,G, = 14' -11" Smoke Detectors Not be in the middle 1/3 span. 1, In the immediate vicinity of bedrooms, House Wrap : S Ul Live Load 30 psf, Dead Load 15 psf 2, In all bedrooms. Tyvek or Typar W 2 x 10 a 16" O.C, = 15' - 5" 31 In each story of a dwelling unit, including (per engineer) basements and cellars, but not including Insulation : Stairway Width : 36 clear width above rail, crawl spaces and uninhabitable attics• Floors: RM over basement Attic (no future rooms): Riser = 6 1/4 (max) Tread = 9 (min.) - MA LL 10 sf, Dead Load 5 psf 4, I for every 1200 sq, ft, unit, R30 over garage No Storage, p Windows._located near tubs, whirlpools shall Ceilings: R30 2 x 10 Q 16 O,C, = (Span exceeds 26) have tempered glazing, Walls R-13 - 2 x 4 walls Nosing Profile : 1 1/4" (max,) 2 x 8 16" D.G, = 22' - 4" R-19 - 2x6walls �� 2x6i6" O,C, = 16' - 11' Abbreviations Headroom 6-6 m(nimun MA Cir, - Clearance Interior Wall Finish : Limited storage, LL 20 psf, I/2 Wallboard 4 Tape Guardra(I Onenlna Limitations Dead. Load 10 psf Conc, - Concrete p �� dia, - Diameter 5/8" type X - garage prevent object 5 (max.) - MA 2 x 10 a i6" o,c, = iS' - 10" = dl - Dee Roof Triangular space 4D riser 4 tread 6" di a. (max.) 2x8816" O,G, 16" - 3" El, - Elevation Exp, - Expansion Underlayment: No, 15 Felt Heavy storage, LL 20 psf, (per engineer) Ft, - l=oot or Feet Gable Rakes: Flush Handrails : Having 34 min, 4 38 max, height Dead Load 15 psf ht's, = Footing Ridge Vent: Roll Measured vertically from the nosing 2 x 10 6 16" O,C: = 18' - 5" Height Soffit: 10" 2 x 8 6 16" O,G, = 14' - 10" LVL - Laminated Veneer Lumber Shingles: Composite Roofing HancNatl Grin Size : (per engineer) Circular cross section: 1 1/4 min, 4 2 max, max, - Maximum Sheath(na • Other shapes, perimeter: 4" min, 4 6 1/4" max, Roof: min. - Minimum Cross-sectional: 2 1/4" O,C, - On Center Exterior Wall: x/16 max,"OSB Snow Load 50 psf, Dead Load 10 psf PSL - Parallel Strand Lumber Floor: 3/4" T 4 G 2 x 10 e 16" O,G, = 15'- 1" sq - Square Floor under tile: 1/4" Wonderboard 2 x 6 e 16" O,G, = 12'-4" sq, ft, - Square Feet underlayment T4s - Tongue 4 Groove Roof: 5/8" Plywood T,O,G, - Top of concrete All structural materials shall be void of any T,O,F, - Top of Foundation Shutters : vinyl defects that may diminish their capacity to adequate manner, Structural function in an ade U,N,O, - Unless Noted Otherwise q w, - Wide Sidi Goreboard Siding R-4 Engineering or any other professional services that may be required shall be Windows : Harvey Vicon or other provided by others, per Builder Plan: CL-340 ® C 101 7el Droftbg N1 Framing under whirlpool tub: Account for 9'0^ 603. 879. 9696 (1) 2 x 10 ® S" o.c. or plumbing drains Ganged do post (2) 2 x 10 ® 16 oc. in this area 2 x 6 — -- -., Ganged 2 x 6 0 ost do ost do '7-F Ir Ir Bm 6 i (3) 1 3/4 x 9 1/4 LVL i i d i' uI �t At „ 9. O post x _ t N ;� tt do--� "' " " HHUS725/10 HAnger w/ IL t ,L 1 (40) - 16d Nois 31/2 x 51/4 31/2 x 5 1/4 _ - - - m - _ 4 x 4 _ _ _ _ — _ __ ___._ __ ost do PSL do to header ; PSL up & do - ; post up Ganged 2 x 6 (4 min) Header. o t (2) 1 3/4 x 91/4 LVL or _ __ _`�'_ _ __ _ _ _ — _,� _ ;� J L J L J L J L L�� L J L J L J L J L post do to header r r r r r -Ir -rr, -Tr r -,'Ir -ir -y - r (3) 2 x 12 post post u 1/&dn51/4 PSL ; , �;� 6m 5 (2) 1 3/4 x 9 1/4 LVL or do P P (3) 2x12 u & do 31/2" / Lally do 4 x 4 (4) 1 3/4 x 9 1/4 LVL post u postldn • i. I � I CN Ganged 2 x 6 _ m L::;:tL- post 77 -' � M P 2 ------ged2 x 6 post do ILI t do Ceiling :2 x 8 ® 16" O.C. - - '"�� x 10 ® 12 O.C. Bearing wall C1 - 330 : 5 p-G 0 n d F 1 DO r F r a m i n G directly on LVL Beam 1/4" Shrinkage Gap ( min. } 3/16" = 1'0:' 34" Sheathing 1/4" Shrinkage / 3/4" Sheathing Gap ( min. ) Notes: * All beam, post and header sizes to be calculated and/or engineered by other LUS Hanger LUS Hanger 9L Double Shear Strapping * All dimensions to be field verified and changes made accordingly. Double Shear Strapping * Framing Plans are shown for information and configuration only. LVLBeam Wallboard LVL Beam Wallboard . Actual framing methods are the responsibility of the installer. F I u s h Framed Bea m ' * When this drawing is 11 x 17, it is the scale as indicated. I u 13 }� Framed Seam Un de r a r i n a I I * Drawing print out date: 04/21/05 �J 00%b/ ® brq' �'7 N11 603. 879. 9696 9 IBM 2 13/4 x 9 1/4 LVL - or (3) 2x10 fi J ..d.... I I ! L J L J L J L J L i r r � r -1 r " r -1 r -11Q N se O han ers post 3 1/2 x 5 1/4 PSL do (Post Ea.End I i ! IBM 1 2 x 12 Ridge j (2) 1 3 x141 Hangers (1) 13/4 x 91/4 LVL N L JLJL JUL J LJUL ' ! r , r or (3) 2x10 o Typical Trimmer CD -- xx 2 x 10 Bm 2It Id i 1}13/4x91/4 LVL — — - - `- - - - - - - - - - ^ — — i or (3) 2x10 it — Js 416" 4'6" 0, 26'0" 610"10 01 , 3,6" 9,0" 3'6" 14'0" 12'0" 14'0" Notes: Ridge:2 x 12 All members are 2 x 10 ® 16" O.C. (UN.O) # All beam, post and header sizes to be calculated and/or engineered by other CL _ 340 : O f r ram I tri a � All dimensions to be field verified and changes made accordingly. « Framing Plans are shown for information and configuration only. 3/16" = 1'0° Actual framing methods are the responsibility of the installer. * When this drawing is 11 x 17,it is the scale as indicated. II « Drawing print out date: 04/21/05 G bo/017/9f! Continuous Ridge Vent • oofina Ridge Beam49nRoofing /Yl7 5/8" Plywood (2) 13/4 x-14 LVL 8 - 16d nails 603,B 79, 9696 2 x 10 10 I6 O.C. per connection Roof Rafter 12 2 x S Ceiling Rafters k� 16'0" O.G. . 10 R-30 Insulation . • . '` _ 4e,urricans clipSimpson Strong-Tie ascia Board (3)2 x 10 or Strap Tie 512115 (1) 13/4 x 9 1/4 LVL or equal (typ.} of'� ConnecttconiDet it CZJ with venting ��Fascla Simpson N3 2x Fre Blocking Standard Soffit o I l 10" Soffit w/vent clips each side N each Joist 2x Nailer Plate —Roof Rafter _ Exterior Wall L� � 2 x (o 6 16 O.C. w-(2}- 1/2" die.A301 R-19 Insulation 6 24" O.C. 2x Floor as Crane Board Siding R-4 ;Joist bolts urrtcane clip °D +� First Floor Framina Ar Barrier not staggered �, 3/4" T4G Sheathing Vapor barrier ' 2 x l0 6 16" O.C. 2 x 10 Solid Fre Blocking 1/2' Wallboard Steel Center Beam ascia Board First R-30 insulation ! Lateral Bracin - _ < (2)- Layers 5/8" Type-X offit Beam # 1 wallboard wrap around with venting 3 See Framing PlansL 2x Nailer Plate Steel Beam UL #1-524 G 8raG1CFinish 1 - 2 x 6 P.T,1 - 2 x 6 K.D. Garage Steel Bea m 5/81, type X gypsum wallboard � Continuous 5111 Gasket Va u 1 t ed So f f it shall be instal ed to the Garage 1/2' OD,Anchor Bolts -9 b'O' O.C. 10' Conc.Fdn. side of wall(s)and telling or 20" w. x 10" dp.Ft g. attic for FM separation 6`O" 1'0" w/dampproofing 4"-step to basement slab beyond Simpson W25 clips each side 2x Fre Blocking max. ax Ln each Joist ------------------------ -------------- -------------------- ' �� Q ------------------------ ------------------------------------------ ----- -2x Floor Joist — E Garage slab's to have 3" pitch ; for drainage .::._ Anchors bolts or - 4' concrete slab A 'd uivalent O . pp q _ _ E on b" compacted sand or gravel LVL Center Beam Anchor Bo t t Spacing 24'0" < wallboard wrap around Beam UL *1-524 Notes; 1/4' = 1'0" * All dimensions to be field verified and changes made accordingly. Garage LVLa m # Verify Window and Door Rough Openings with Manufacturer Specifications. * Tempered Glazing shall be installed at all windows located near tubs and whrpools. Any glazing located closer than 18' to the floor. /3 * When this drawing is 11 x 11, it b the scale as Indicated. * Drawing print out date= 04/21/05 1 f r Date./........ _ `r � NORTI{ TOWN OF NORTH ANDOVER p PERMIT FOR WIRING s s ,SSACMUS� f � , This certifies that ./...1............. .:. ...... ................... ................................ has permission to perform ........ .. :...................................................... p, wiring in the building of... c'C `�.................................... + at..................................................' -� .......... ,North Andover,Mass. ............ . .... a Feef'?l?D........... Lic.No ..!.c-..... 2� ... ELECTRICAL INSPECTOR •.•,..••••••• Check # DER11f' MEWOFPER CSAMY Permit No. 7 7 804RDOFF'IRBPRLYVRF gjLA1yMSZ7(.11a1L.o Occupancy R Fees Checked 1 7770 APPUCATTONFOR PERAOTTO PERFORM FT- CTRICA.L, WORK At1.WORK To BE PERFORMED IN ACCORDANCE WTrH THE MASSACHUSSTs EIEC MICAS c0DE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datei Z J[9-0'5— Town Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address els &\-4 Whv e Gr,l k) W4-0;-7 Is this permit in conjunction with a building permit: yes o �N � (Check APpmPriam fix) � Purpose of Building �1Le�� � .\ i„4 thdf Utility Au riza n o. Existing Service Amps Volts Overhead Underground No.of Meters New Service e2Z;L,, Ampsl� Volts Overhead U ttdergcound C3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlet, Zo Na of Hat Tube No.of Trans"ners TOW Na of Ughtia{Fiutum G swinunft Pool AboveBr7le{� � KKVA Around rl No.of Receptaob OU" Q No.of OU Burner No.of Lr—aOaey Ughtins Battery units Na of switch Outlets ,l/ 2— "l No.of On Burners No.of Ranges No.of Air cad. Taal FMB ALARMS No.Of zarss�� Two Na of Disposals No.of Heat Taal TOW Na of Deieetion and Po Ton Kw Initiadna Devices No.of Dishwasher Space Ara Halog Kqr No.ofSouodlq Devi. No.of self ccanined Detecd No.Of Dryer Hating Devices KW LocalNbWdpd aha No.of Water Heater ` Kw No.Of No.of oim Sim Bdissis No.Hydro Mawep Tube l No.Of Molars Tow HP r J hstmxeCo�e P�t�ttltbbete�iQrnbdMa�dsa�Q�glLawrs ff!7 P�eitdn�fie d' d4i�alelt y� Q dteddr>Q ]r *id idY>33, 1=0 On= WCAOSM j Rec�te�d Ra* VI"ofam"WW d�� W 110CMM; had MMNAM LimaNa 1�(sGZy Dere- ��%iCr LAT\ F t t LiaaseNo 454 7), -tl? I owl�R'sII�URAI�WAIVII;Iamaweted�etlheLYaee Ak7dNa ClW`)x-�5�17 arddletrt�s miHapranrapplat�wahesfitegii °� �°4"�'t�t04�"1°dbYMe�>t�lCanwLaste (Pleas check one) Owner Agent Telephone No. °`✓ WPM=Or PER iurr FEE S �© v� 0•NO:T1.� 1 Yk ` CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 67 (8/3/20.05) Date: 04/13/2406 P THIS CERTIFIES THAT , THE BUILDING LOCATED ON 401 Boston. Street MAY BE OCCUPIED AS Single Family Residence - 9 room., 2 2/1 bath,2 Stall garage under IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: ,Litchfield Co 26:Ray Ave B li n 01803 Wding inspector �Y j H` `AORTH Town of 4 over No. (0 o. 3 9► �►0 % - - LAE dover, Mass., COCMIC Ne W ICK ADRATE D i?�\ �5 S BOARD OF HEALTH PERMIT T D Food/Kitchen C�vs s m� 0: BUILDING I&SY WR `. THIS CERTIFIES THAT.........A1....... .. r ?� ........................ Fo tion �0�.16..... ....o/.......t6.s, ,�... N haspermission to erect................. ...................... buildings on......................................... ................................................ tobe occupied as..... ....................1...................................t.. .................................................... ..............................!�"}r l� - provided that the person accepting this permit shall in every respect conform to the terms of the application on file in , final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. �' D f p PL BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. o/ /' l G)� PERMIT EXPIRES IN b MONTHS F&��� o � ELECTRICAL INSPEC O UNLESS CONSTRUCTION STARTS . ough '�4 ............ .. ...../1e.'....................... ................................. 1 Z BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR ou Display in a Conspicuous Place on the Premises — Rough ough Do Not Remove Fig No Lathing or Dry Wall To Be Done FIRE EPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det �( y/n/ Town of North Andover r� t NpRTff Building Department O t�►ao ►•* 400 Osgood Street 3� e'.: "•,• oL North Andover Ma 01845 `- ti • ''" to p (978) 688-9545 Fax (978)688-9542 �isSgCHus APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS qd I ZDdL, LOT NUMBER 1f7 SUBDIVISION �. DATE REQUEST FILED 6 DATE READY FOR INSPECTION TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W.-WATER METER J � a'tq O ATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE/DP AUTHORIZATION i r sC CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 403 (11/30/2005) Date: April 19, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 15 Icehouse Road MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons 121 Carterfield Rd North Andover MA 01845 Building Wnspector i i N®RTH ., ToVM Of No. 4/0df A 3 _= dover, Mass., A/FI/ff -641 I� COCHICMEWICN y1. %ADRATED PPa\ �� `S BOARD OF HEALTH Food/Kitchen Septic System NPERMIT T D � ; 4 BUILDING INSPECTOR THIS CERTIFIES THATr..er..... .. v'� ... 0• .. R.� �/ y ,.. �.I ",� �--w • o ndanon; t�4 - has permission to erect............................... buildings on 4,aw*.... . ough �'16 .......... . ....... 1V" owl to be occupied as...�.I .I/ .................................................................................................. Chittctney �, // �- provided that the person acce t is permit shall in ery respect conform to the terms of the application on file in Finai this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INgEL&OR VIOLATION of the Zoning or Building Regulations Voids this Permit. f -3/ lV, �IG ( UL PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI TARTS ELECTRICAL INSPECTOR .... . Service ... UILDING INSPE - Occupancy Permit Required to Occupy Building GAS INSPECTOR Roug, Display in a ConspicuousPlace on the Premises — Do Not Remove FqaiNo Lathing or Dry Wall To Be Done FIRDEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 0 Street No. rt ItIJ SEE REVERSE SIDE smoke Det. // Town of North Andover Building Department NORTH 400 Osgood Street O�st e o ,e�q•0 North Andover Ma 01845 3? a°; _"• 6 0 `O �► r _ 1VVllll t111UVvc1, 1VjLa 6a1.11UJGLLJ Vlo't.) (978) 688-9545 Fax (978) 688-9542 RATlD nPt ,�� �SSACHUSfct APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS ,S _Z6tA0UJ$ (&P I T- 2,6 LOT NUMBER Zd SUBDPVISIONJA5_�� DATE REQUEST FILED b DATE READY FOR INSPECTION 4A w•2,O y*sj iq i TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED • ALL WORK AND SIGN-OFF'S MUST BE COMP WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTU DOES NOT E ALL APPLICABLE CODES. SIGNATURE OFFICI L USE ONLY i ROUTING D.P.W. -WATER METER `71 (� Q DATE Lo 6 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE/DPW AUTHORIZATION t Date. pF a.ao ,°,ti0 3? �` TOWN OF NORTH ANDOVER is p MOW '. • - PERMIT FOR GAS INSTALLATION , �,SSACMUSES This certifies that . . !-..�� .t� %. . . . . . [ ?` Z.`. . '.l. . . . . . . . . . . has permission for gas installation . . Je. . . .` . . . . . . . . . . . . . in the buildings of . . . .�.�. .'� (: i �. .`�. . . . . . . . . . . . . . . . . . . . at . . . . .(�... . . . .. . .'. . . .. . . . . . . . . . . . .. North Andover, Mass. Fee. .3.4 Lic. No.. . . . . . . . . . >. . ! . . . . . . . . . . GAS INSPEcT6R Check# %/ �C r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or Type) Mass. Date20 Permit# U � A(7. ,::23 s Building Location —/0/ ,�OS?dst( /I,l/� Owner's Name �-U- TelepHon 37 /sg ;4o7-4'/0 Type of Occupancycis New 027Renovation Replacement Plans Submitted: Yes El No❑ rn m a m yO = 0 aNi m $ V m F E x w !0 fb Nd C O C Q O C y O d x y .a E OW 0 > d d fA C x i (7 C a+ O d O w G tC x > X u. 04 O U wC Q Fd w d O N Zd r SUB-BSMT. BASEMENT n 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane,Inc. Check one: Certificate Address 100 Myles Standish Blvd.,Suite 101X❑ Corporation 132 C Taunton,MA 02780 Partnership Business Telephone (800)822-1300 Manager-Bob Olander X8055 Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson(800)822-1300 X8051 Cell (508)294-6660 INSURANCE COVERAGE: EnergyUSA Propane;-lnc:. ". has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes X❑ No El If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the:iicersee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner El Agent Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all,ppr(inent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. °-Type of License: By 00lumber Title .asfitter Signature of Licensed Plumber or Gasfitter City/Town X Master APPROVED(OFFICE USE ONLY) Journeyman License Number 3707 J � )Coll G �- Ck il-e l G C) Vy\.��►�� D&D 23 0E,; 03:34p Contractor Sales 6038805440 p.1 8 Ltl ■ R 261 LOWELL RD HUDSON,NH 03051 DATE: -4S TO: r+�PA /r5 ATTN: DRr11,70E FROM: JASON KEEFE FAX: 1-603-880-5440 PHONE: 1-603-598-6662 NUMBER OF PAGES INCLUDING COVER SHEET Loi o A� L1yeS�roA6 NOTES: 5r nirr► l/ �[ Dl� / Dee-. 23 05 03:34p Contractor Sales 6038805440 p,2 MAIN BEAM Ic -1 roject: LOT 10 BOSTON ST Page 1 Job: FLOOR BEAM 07:47:01 12/19/05 Client: LITCHFIELD COMPANIES Designed by-jasonkeefe Checked by: Input Data Design of(3)1 314"x11 718"2.0E-Master Plank-LVL-Master Plank ✓ Left Cantilever. None Main span: 6'4" Main Span: 7' Main Span: 18'8" Right Cantilever:None Check for repetitive use? No Tributary Width:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow,LL Deflection:1-/360 Anow.TL Deflection:L/240 DOL:1.000 (3 in Maximum) (Apparent)E;: 1900000 psi Fw 265 psi Fe:2900 psi User Defined Loads Load Case load Distance(s)to Load Load at Load at Type Start Length start End Floor Live Uniform ft 24' PE 560 p1f Dead Uniform 32' 280 Dead Linear Floor Live Uniform �z 490 0 Dead Urriform 12` 210 Design Checks Reaction Bending-X Shear LL Deft. TL Deft, Ib psi psi in in Max.Value 15988.1 -2250,17 172.409 -0,351 -0.6437 Allowable 17699.1 2799.43 265 0.6222 0.9333 %of Allow. 90`/ 80 65 56 68 Location 134" 13'4" 14'5-518" 23'1-518" 23'1-518" Reactions and Bearing Support Location Min.Bearing Reaction in Ib 0' 1.5 5082.79 64" 2.347 10612.2 13'4" 3.536 15988.1 32' 1,5 3166.78 Self-weight of member is not included. Member has an actuaVallowable ratio in span 2 of 90 V%. Design Is governed by reaction. Governing load combination is Dead+Floor Live w/Pattem Loads. Maximum hanger forces:5082.79 lb(Left)and 3166.78 Ib(Right). Timber design is governed by NDS 1997, Prognro Version 9.1-5/412004 Dec-23 05 03:35p Contractor Sales 6038805440 p.3 , a MAIM BEAM Project LOT 10 BOSTON ST Page 1 Job: FLOOR BEAM 07:40:13 12119105 Client LITCHFIELD COMPANIES Designed by:jasonkeefe Checked by: Input Data Design of(3)1 314"x91 718"2.0E-Master Plank-LVL-Master Plank✓ Left Cantilever.None Main Span: 16' Main Span: 8' Right Cantilever:None Check for repetitive use? No Tributary Width:0' Slope:0 Dead load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:L/360 Allow.TL Deflection:1-1240 DOL: 1.000 (3 in Maximum) (Apparent)Eb:1900000 psi F,:265 psi Fb:2900 psi User Defined Loads Load Case Loud Distance(s)to Load Load at Load at Type Start Length Start End g Floor Live Uniform ft 24' PW 560 pfP Dead Uniform 24' 280 Dead Linear 16' 8' 60 p Floor Live Uniform 16' a' 490 Dead Uniform i6' 8' 210 Floor Live Uniform 16' 8' 420 Dead Uniform 16' 8' 140 Design Checks Reaction Sending-X Shear LL Defl. TL Def i. Ib psi psi in in Max.Value 19706 -1721.78 163.547 -02693 -0.3788 Allowable 23598.8 2866.07 265 0.5333 0.8 %of Allow. 84 ✓ 60 ✓ 62✓ 50✓ 47 ✓ Location 16' 16, 17'1-518" 7'2-31/32" 7'2-31132" Reactions and Bearing Support Location Min.Bearing Reaction � inIb 0' 1.5 5489.67 16' 3.268 19706 24' 1.5 7022.67 Self-weight of member is not included. Member has an actuallallowable ratio in span 1 of 84 1/%. Design Is governed b �g go y reaction. Governing load combination is Dead+Floor Live w/Pattern Loads. Maximum hanger forces:5489.67 Ib(Left)and 7022.67 Ib(Right). Timber design is governed by NDS 1997. Program Version 9.1 -5/4/2004 Dec 23 05 03:35p Contractor Sales 6038805440 p.4 DINING BEAM Project LOT 10 BOSTON ST Page 7 07:33:03 12/19105 Job: FLOOR BEAM Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by: Input Data Design of(3)1 314"x9 1/4"2.0E-Master Plank-LVL-Master Plank Lett Cantilever.None Main Span: 9' Right Cantilever. None Check for repetitive use? No Tributary Width:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:U360 Allow.TL Deflection:L/240 DOL:1.150 (3 in Maximum) (Apparent)Ee: 1900000 psi F,.:265 psi Fib:2900 psi User Defined Loads Load Case Load Distances)to Load Load at Load at Type start Length Start End ftft p� Plf Dead Linear 3' 60 p Floor Live Uniform g, 245 Dead Uniform 9' 105 Floor Live Uniform 9' 210 Dead Uniform 9' 70 Snow Condition 1 Uniform 9' 5W Dead Uniform 9' 280 Design Checks Reaction Bending-X shear LL Dell. TL Defl. Ib psi psi in in Max.Value 6695 2392.84 164.72 -02278 -0.331 Allowable 13702.5 3467.78 304.75 0.3 0.45 %of Allow. 49 69 V 54 V 75 V 73 V Location 0' 4'5-29132" 10-314" 4'5-31!32" 4'5-3'1!32" Reacdons and Bearing Support Location Agin.Bearing Reaction ft in lb 0' 1.5 6695 9' 1.5 6625 Self-weight of member Is not included. Member has an actuaUallowable ratio in span 1 of 75 V%. Design is governed by live load deflection. Governing load combination is Dead+Floor Uve+Snow Condition 1. Maximum hanger forces:6695 Ib(Left)and 6625 Ib(Right). Timber design is governed by NDS 1997. Program Version 9.1-514/2004 Dec 23 05 '03:35p Contractor Sales 6038805440 p.5 WINDOW HEADER Page 1 Project: LOT 10 BOSTON ST 07:28:20 12119/05 Jab: HEADER Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by: Input Data Design of(3)1 314"x9 1/4"20E-Master Plank-LVL-Master Plank I/ Left Cantilever:None Main Span: 3' Right Cantilever:None Check for repetitive use? No Tributary Width:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:L/360 Allow.TL Deflection:L/240 DOL:0.900 (3 in Maximum) (Apparent)Eb:1900000 psi F,:265 psi Fb:2900 psi User Defined loads Load Case Load Distance(s)to Load Load at Load at Type Start Length Start End ft ft plf plf Dead Linear 3' 5D 0 Dead Concentrated 1307 Floor Live Concentrated 2614 Design Checks Reaction Bending-X Shear LL Deft. TL Deft. rb psi psi in in Max.Value 3981 5.552 0.71 0 0 Allowable 6851-25 3015.46 265 0.1 0.15 %of Allow. 58✓ 0✓ 0✓ 0✓ of/ Location 0' 1'3-7132" 22" 1'S-5/16" 0' Reactions and Bearing Support Location Min.Bearing Reactiion ft in Ib (r 1.5 3981 3' 1.5 30 Self-weight of member is not included. Member has an actuallallowable ratio in span 1 of 58 4/%_ Design is governed by reaction. Governing load combination is Dead. Maximum hanger forces:3981 Ib(Left)and 30 lb(Right). Timber design is governed by NDS 1997. Program Version 9.1-5/4/2004 Dec 23 05 03:35p Contractor Sales 6038805440 p,6 BEDROOM #3 BEAM Page 1 Project: LOT 10 BOSTON ST 07:14:34 12/19105 Job: FLOOR BEAM Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by. Input Data Design of(4)1 3/4"x9114"2.0E-Master Plank-LVL-Master Plank 1f Left Cantilever:None Main Span: 14' Right Cantilever:None Check for repetitive use? No Tnbuta ry yVidth:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:U360 Allow.TL Deflection:U240 DOL:1.000 (3 in Maximum) (Apparent)Eb:1900000 psi F,,:265 psi Fb:2900 psi User Defined Loads Load Case Load Distance(s)to Load Load at Load at Fyfe Start Length start End ft Floor Live Uniform ft 14' pill420 plf Dead Uniform 14' 140 Design Checks Reaction Bending-X Shear LL DeB. TL Deft. Ib psisi P in in Max.Value 3920 1649.32 78.919 -0.4139 -0.5518 Allowable 21315 3015.46 265 0.4867 0.7 %of Allow. 184 55 30881/88 78 Location 0' T 11" T 7' Reactions and Bearing Support Location Min.Bearing Reaction ft in Ib 0' 1.5 3920 14' 1.5 3920 Self-weight of member is not included. Member has an actualfaliowabie ratio in span 1 of 88 V%- Design f%_Design is governed by live load deflection. Goveming load combination is Dead+Floor Live. Maximum hanger forces:3920 Ib(Left)and 3920 lb(Right). Timber design is governed by NDS 1997. Progmm version 9.1-514/2004 Iii Dec 23 05 03:35p Contractor Sales 6038805440 p.7 MASTERIHALL BEAM Page 1 Project: LOT 10 BOSTON ST 07:11:5312/19105 Job: FLOOR BEAM Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by: Input Data Desian of 1311 3!4"x9 114"2.0E-Master Plank-LVL-Master Plank Dec 23 X05 03:54p Contractor Sales 6038805440 p.1 BUMP OUT BEAM Page 1 Project: LOT 10 BOSTON ST 07:08:51 12/19/05 Job: ROOF BEAM Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by: Input Data Design of(4)1 314"x9 114"2.0E-Master Plank-LVL-Master Plank Left Cantilever:None Main Span: t2' Right Cantilever:None Check for repetitive use? No Tributary Width:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:U360 Allow.TL Deflection:1-1240 DOL:1.150 (3 in Maximum) (Apparent)Eb:1900000 psi Fv:265 psi Fb:2900 psi User Defined Loads Load Case Load Distance(s)to Load Load at Load at Type Start Length Start End ft ft pif pff Snow Condition 1 Uniform 12' 480 Dead Uniform 12' 240 Floor Live Uniform 12' 210 Dead Uniform 12' 70 Design Checks Reaction Sending-X Shear LL Dell. TL Defl_ Ib psi psi in in Max.Value 6000 2163.83 115.83 -0.367 -0.5319 Allowable 33495 3467.78 304.75 0.4 0.6 %of Allow. 18 V 62 38 91 V 881/ Location 0' fi' 11' 6' G. Reactions and Bearing Support Location Min.Bearing Reaction ft in lb 0' 1.5 6000 12' 1.5 6000 Self-weight of member is not Included. Member has an actuallaliowable ratio in span 1 of 91 V%. Design is governed by five load deflection. Governing load combination is Dead+Floor Uve+Snow Condition 1. Maximum hanger forces:6000 Ib(Left)and 6000 Ib(Right). Timber design is governed by NDS 1957. Program Version 9.1-514/2004 Dec 23 Q5 03:54p Contractor Sales 6038805440 p.2 FAMILY ROOM RIDGE Page 1 Project:LOT 10 BOSTON ST 07:04:5912119105 Job: RIDGE BEAM Designed by:jasonkeefe Client: LITCHFIELD COMPANIES Checked by: Input Data Design of(2)1 314"x14" 2.0E-Master Plank-LVL-Master Plank Left Cantilever.None Main Span: 16' Right Cant3ever:None Check for repetitive use? No Tributary Width:0' Slope:0 Dead Load:0 psf Live Load:0 psf Snow Load: 0 Allow.LL Deflection:U360 A9ow.TL Deflection:U240 DOL: 1.150 (3 in Maximum) (Apparent)Eb:19011000 psi F„:265 psi Fa 2900 psi User Defined Loads Load Case Load Distance(s)to Load Load at Load at Type Stant Length Start End R ft plIf plf Snow Condition 1 Uniform 16' 480 Dead Uniform 16' 240 Design Checks Reaction Bending-X Shear LL Deft. TL Deft. Ih psi psi in in Max.Value 5760 2418.19 145.561 -0.4655 -0.6982 Allowable 16747.5 3258.77 304.75 0.5333 0.8 %of Allow. 34 V 74 V/ 48✓ 87 V 87 V Location 0' 8' 1'4314" 8' 8' Reactions and Bearing Support Location Min.Bearing Reaction ft in Ib 0' 1.911 5760 16' 1.911 5760 Self-weight of member is not included. Member has an actualfallowable ratio in span 1 of 87 V%. Design is governed by total deflection. Governing load combination is Dead+Snow Condition 1. Maximum hang forces:5760 Ib(Left)and 5760 lb(Right). Timber design is governed by NDS 1997. Program Version 9.1-5/4/2004 Date. .. .. .. .... TOWN`OF NORTH ANDOVER 1 • PERMIT FOR GA.S-1NSTALLATION us i I' This certifies that . . �f. . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .k" in the buildings of . . . 1A . . . . . . . . . . . . . . . . . . at . . .`... `. . . . .�'`. '. `. . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. ': Lic. No. 3.° GAS INSPECTOR Check# MASSACHUSETTS UNIFORM APPUCATON FOR PERAW TO DO GAS FITTING (Type or print) Date ,,;z NORTH ANDOVER,MASSACHUSETTS Building Locations G ✓� 740 L., Permit# Amount$ Coa Owner's Name �� e �� New Renovation ❑ Replacement ❑ Plans Submitted ❑ U a >4 o s o F 0 aW cU� F R7 0- 13 2 U 9 0, SUB -BASEM ENT B A S E M ENT t 1ST. FLOOR 2ND . FLOOR s 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) / t Cne: Certifi ate Installing Company Name r�, . t `'L corp. � - Address ❑ Partner. i (-en./C q liyz O1 Tu–sliln—ess-Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. ❑ Liability insurance policy �� Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber Titl , City/Town © G itter =seum e caster Uzi APPROVED(OMCE USE ONLY) Journeyman Date./ LA 0 TOWWOF NOJR,,TH ANDOVER 0 PERMIT FOR PLUMBING CHU This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . :r. f!': . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .4 1- 4. - . . . - / at . . . �/.C. North Andover, Mass. FeeZ.4�. . . .Lic. No.. . . . . . . ..... . . . . . . . . PLUMBING INSPECTOR Check # 6700 R MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Building Location 1/� �°�S �C% Owners Name C ' ham �� y Permit#-4-?o Type of Occupancy P Amount E ro, New Renovation Replacement Plans Submitted Yes ❑ No FIXTURES w a �• O z W w a o w w z Q o Q Qn a z A Q Z w Q x 3 x a z Q w w z� Q Q a d a o° U H SW>HME RASEVEvr IST HAOCIR __ l M)FLOOR y M HIM 4M MOOR 5M lett 6M FLOCR 71H FLOCR (Print or type) Check on Certificate Installing Company Name-E&-,� S , \\,,12 . Co rP lG Address ` ❑ Partner. Business Telephone ? C7 d 7 ❑ Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 1� Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Pe it Issued for this application will be in compliance with all pertinent provisions of the Massa setts State Plumb' C Chapter 142 of the General Laws. By: igna ure o teens um er Type of PlumSing License Title /2 GO v City/Town 1-icense um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY