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Miscellaneous - 41 PALOMINO DRIVE 4/30/2018
41 PALAMINO DRIVE 210/108.0-0133-0000.0 J i' � I FILE FR TIER "'�"'I ER 447 Boston Street, Suite 9 '� Topsfield,MA 01983 * ` JUSTERS (978)887-8112 FAX(978)887-8113 Y Craig McDonald/Owner-Operator August 27, 2014 g � Town of North Andover Town Hall North Andover, MA 01845 Building Commissioner or Board of Health Inspector of Buildings Board of Selectmen Policy: HP2186649 Insured: Sean&Maureen Ryan Loss Locations: 41 Palomino Drive Date of Loss: July 20, 2014 File No.: C44P-14-7084CM A claim has been made involving loss, damage, or destruction of the above captioned property which may either exceed $1,000.00 or cause Massachusetts General Laws CH. 143 Sec. 6 to be applicable. If any notice under Massachusetts General Laws CH. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location,policy number, date of loss, and claim file number. C�rc�+.q. �Jllc�aria.�.d Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. August 27, 2014 Date i Main Office: 447 Boston Street, Suite 9;Topsfield,MA 01983 (978)887-81120(978) 887-8113 FAX Boston,MA • Boston/Lynn,MA Gloucester/Beverly,MA • Framingham,MA •New Bedford/Fall River,MA Providence,RI • Cranford,NJ • Toms River,NJ • Philadelphia/Bensalem,PA Shenandoah,PA • State College, PA • Williamsport,PA 9 Winston-Salem,NC 6250 Date.................................. '14, TOWN OF NORTH ANDOVER 0 .0 PERMIT FOR WIRING S34C This certifies that .... ............................. . .......... ......... . has permission to perform .... ......5........... ......... ............................................ wiring in the building of....... ....................................... at...'.7. .......... .......... ................. .North Andover,Mass. Fee ......0r ....... Lic. ...................... ......... ELECTRICAL INSPECTOR,/- UCheck # —1,367— Official Use Only Commonwealth of Massachusetts // Permit No. 6 2-5 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: sr City or Town of: Q , I 1)Q,T 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) � moi,rN,0 f Owner or Tenant kAv\ p,. Telephone No. lD - J k) Owner's Address L A %no \ r Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service p0 Amps .\oJD/ 'ADVolts OverheadE?*' Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion o the ollowin table irWy be waived by the Inspector of Wires. No.of Total No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA In- No.of Lighting Fixtures Swimming Pool Above Ej o.o Emergency Lighting rnd. ❑ rnd. Battery Units No.of Receptacle Outlets 1 p No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of"Detection and No.of Switches lnitiatinR Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices ~ No.of Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems: ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that suchge cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify.) Q �o (Expiratio Date) Estimated Value of Electrical Work 1 ID 0, (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I cert, under the pains and penalties of erjury,that the information on this application is true and complete 'FIRM NAME- 5(-A- . f,Cta.x. e,r J i LIC.NO.: pD Licensee: • Q.Uty1 C S I O Signature LIC.NO.: S07 Z Bus.Tel.No.: cl-A . 7 60i- Address: Yb -`�f. �w ����� `'meq . O W)I Alt.Tel.No.: ' b� -1.0 OWNER'S INSURANCE WAIVER: I am aware tha-f the Ricensee 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 agent. Owner/Agent �'�IdMIT FEE: S�-v� Signature Telephone No. Recocpt " — _ APPLICATION FOR ELECTRIC, WORK PERMIT (DO NOT FILL OUT THIS FDLD) NO. SERIAL ST.& NO. Num OWNER ELECTRICIAN ammium PERMIT ISSUED REPORT OF 'INSPECTION OF WIRES goom a Commonwealth of Massachusetts Oficial Use Only Permit No. /Z-5 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: —?6 LC ` 1103 City or Town of: To the Inspector o Wires: Q , �>)L,,(- p f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant G Telephone No = p - \) Owner's Address ` Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service p0 Amps .%0/ aqovolts Overhead [A-,' Undgrd❑ No.of Meters New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion o the ollowin table mity be waived by the Inspector of Wires. No.of Recessed fixtures No.of Cell No.of Total Susp.(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets I d No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Initiating and Initiatin Devices Tota No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals:I I Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other P g Connection Heating Appliances Kms, Security Systems: No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW g Ballasts Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covege is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify.) vo D (Expiratio Date) Estimated Value of Electrical Work ,\DO, (When required by municipal policy.) t Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. j 1 certify, under the pains and penalties ofperjury,that the information on this application is true and complete; FIRM NAME: ( aJ `t� f.Ct.x ;Lt✓ LIC.NO.: 0� Licensee: Q v C ,Co Signature $ LIC.NO.: Bus.Tel.No.. ` Address: )ib flD1, r. �vt �o���pN 1'\g . fa Alt.Alt.Tel.No.: 11F 61 - �3 OWNER'S INSURANCE WAIVER: I am aware that the Ricensee 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 agent. Owner/Agent Telephone No. Signature PERMIT FEE: Location �O $; PR 0filN0 %cl' No. 3 Date i ?o'�Nao':,tio TOWN OF NORTH ANDOVER 3 0. Certificate of Occupancy $ 'Ss^cMusE`� Building/Frame Permit Fee $ 7— Foundation Permit Fee $ I Other Permit Fee $ TOTAL $ Check # aG 14419 Building Inspector 2000 04 :24 PM MARCHIONDA&ASSOCIATES 781 438 9654 P_ 02 .rte S22-42-37' E 91.15' 27.12' 522'42'37"E 112.04' 6.21 �- S22.42'37"E 87 40,7' /d ® 13 i ep�f 11214 S.F. 3 0.26 AG. i r A,"pr'v-'c9 a_Cg-00 .ij yl 31.5' z 2 FOUNDA�,ON T LEV ATI ON=16 0.6 5 ° 16.6' I � f 26.4' px13'2a .` ,.,�,,.:_.,. �' :•, � ��42.5.00 t i0 ;}.i14i1 DRIVE PALOMINO PALOMINO r WE HERESY CERTIFY THAT WE HAVE EXAMINED IK` � oe> TH E PREMISES AND THAT THE BUILDING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN, THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED, ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H,U.D, FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL N0, 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED _.. LINE DETERMINATION. IN AN ESTABUSHED 100 YR,FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 87 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SGALE:1"-2Q' DATE: 12/14/00 Location7 � No. Date NaRT� TOWN OF NORTH ANDOVER F A • i ; : Certificate of Occupancy $ •Eta Building/Frame Permit Fee $ cMus` t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f'y Check # ae 13 r � r� � Building Inspector 1 \ .- sit; Dev Group Fax:978-5578160 Jun 13 2000 12:43 P.02 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT PPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMMY DWELLING -..._..:. ......,�"'..•'----:fit o: ,..'�'�_`�=�' ? ,�-r_-=a,-r�-�r��-�:._-��'�-� - DATE ISSUED: rn- UILDLNG PERMIT MJivffi;�: � )� IGyATURE: Building Comrnissioner/I or ofBuildin Date Z ECTION. 1-SITE INFORMATION � - ) 1.1 Ptvperty,address: 1.2 Assagors Nap and?;reel Namber: O Number Pard Number r � _ -�t Vht FW 455tATIES 1.3 Zoning Information: 1.4 Property Dimrnaeni vB_ Ic r c- dcN 2.& 100. on in g District Prop se Lot.Arca(sf) Frcxuiz--(ft) I.6 BULLDEE' G SETBACKS ft) Front Yard Side Yard Rear Yard Required. Provide R ed Provided R� ed Provided 15' / 0 5 Zone,I»a6ou: 1.3 Sc�Dispersal System . W.= So{ryty�LG.LC.10. 34) I S. Flood ZAn D liblic ❑ Pr:vase ] zr-p2 Cu¢ide Flood Znae ❑ `fimicipa! Q On Site I?isposit Sysscm Q - i ECTION 2-PROPERTY OWi 1`ERSHMAL THORI=AGENT M T Owner of R.xord ime�.S;+ti Moo rIss 1=.alis SLC gV Sui-l-om sr .50ke aF N AyAwya game(Print) Address for Service: 'Lgnamr-_ Tzlephorie O �.3 Owner o[Record: O O -- Name Print address for Service: Z izoature Tele houc �1Q rECT10N 3 NSTRUCTION SERVICES .1 Licensed Cc truction Supervisor. Noc AppLlcable O c� cohlr - ozG�s-y o Licensed Construction Supervisor License i`i,_--lber ED ra�zoa Harz �+ 'ianaturc Tzlephcnc 12 Registered Home Improvement Contractor Not AppLicabie u :ompany Name Rcz:str3dcn Numfxr - r Expiration. Cate Me s i t i De v Group Fax 978-5578160 Jun 13 2600 1243 P.03 SECTION 4-WORKERS COMPENSATION(KG.L C 152 § 25r,(6) Wor'kcrs Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the dcnial of the issuance of the building permit. Signed affidavit Attached Yes......X No.......❑ :. SECTION 5 Describon of.Proposed Work check all z pplicable New Construction 9t %" Existing Building ❑ Repair(s) ❑ Alterations(s) 15Addition ❑' Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Re 01"5 0?��a ,�3 A-7! S S/A SECTION 6-ESTIMATED CONSTRUCTION COSTS - - Item Estimated Cost(Dollar)to be '.-; Com leted by "t applicant =_sa � � i _-„ase; s..,..� .s� 1. Building SS� (a) Building Permit Fee i Multiplier 2 Electrical (b) Estimated Total Cost of C'-2— G>"�D Construction 7 3 Plumbing 6v k--> Building Permit fee (b) 4 Mechanical(HVAC) 0 C-'> 5 Fire Protection 6 Tota) 1+2+3+4+j) Q Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CO:NTRACTO/R APPLIES FOR BTJMDE'YG PERMIT ��° � /—/C as Owner/Auzhorized Agent of subject property Hereby autho ` to act on My benaif " a relative to %pork authorized by Lhis building permit application S i�*ratur o f er Date SECTION 7b AUTRORIZED_GENT DECLARATION C'e as Ow-a/ uthorized Agen of subject property Hereby declare uliat the statements and information on the coregoing application are true and accurate, to the best of my knowledge and Fzliet PnIIt N -ne Signature of Owner/:agent DatD "BASER�;ta ail MEN7 RIES SIZE 1�3r F / A-ft O OR SLAB �.' _A SLZE OF FLOOR TL'MB}uRS 2' S- IP 3 x 0 SPAN DLIvfENSIONS OF SILLS X DIMENSIONS OF POSTS X D�,AENSIONS OF GIRDERS Z' I A, 4 9 '/L UIL FIEIGrfi OF FOUNJDA-170N "t?IICK1rESS iri SIZE OF FOOThi fG " < " jL ivAATERLAL OF CHLti IS BU[LDN�G ON SOLID OR FLI:.LED L.-\.N-D IS 8UU,DLNG CONNECTED TO ti�,ATL'RAL GAS L214AAQ - ivies it i llev �,Droup Jun 1,5 2000 12:50 F. 13 s� FORIM - U - LOT RELEASE FORM I INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Depamnents having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .......r.■■r...r..r..rrr.r..r....r ..r..r...■r r.r r..r.rrrr.r..r..r r..r..■r... AP PLIC AIN Tf� � /�J� �r2,o Orf s �i21/,-j�d PHONE SDS-;;Y7-GYX�a ASSESSORS MAP NUMBER h FS C LOT NUMBER. /33 SUBDIVISION26si //� ��� LOT NUMBER ...r...r...............r STREET .r df STREET-NUMBER r.r.rrrr...rrrr..■r r.rrrr.■...r.rrr.a r..r.■.r r�..r OFFICIAL USE ONLY ................r..................No......rrrr..........r....... .. RECONMENDATIONS OF TOWN AGENTS r r ■■ ■.�r r r..�..... ......rrr...r.rrr.....rrr....r..rrr..r r.r.■ ■.r.. ■r..■ i ' Y, DATE APPROVED I CONS VATION Af)NLL41STRATOR i DATE REJECTED LM COtvF`iFTS �� L DATE APPROVED LO! L vv *() \fNER DATE RL-JECT M COMMENTS DATE APPROVED FOOD INSPECTOR- HT-AI_TH DATE REJECTED a DATE.APPROVED � Du SEPtif INSPECTOR-HEALTH DATE REJECTED COtVIIvtEN,_ S PUBLIC WORKS -SEWER/WATER CONNECTIONS 56/r 4a 1: e GAJ D Y PERJAfT DATE APPROVED EPART� DATE REJECTED Ir li COtVtMFN_M I RECEIVED BY BUILDING INSPECTOR DATE 1 • r 4 4 f ilk i AORTH Town of over Jai V _ o dover, Mass., COCHICHEwICK ADRATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR +e , ,/o �e rvr�40 THIS CERTIFIES THAT....... .... ................. ............. ...... ...... ................................................................... Foundation "t 8 has permission to erect............... ........................ uildings on Q ... ... .. ...... ...A.�Q.�11.A .Q.. Rough to be occupied as. ..�`.IPQ.. ..�..a.�[.a1. A.. . `�... .'...Ap.clo.. ......5�!� ..... A.. �.... ........ Chimney . provided that the person accepting this permit shall in every respect conform to the terms df'the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M lose P 133 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTA Rough ... . .... ................ . ...............................................AAno0 Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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. Smoke Det. SEE REVERSE SIDE f` ORTH Own O � ndover 0 No. 34R ID '" LAKE O ndover, Mass., COC MIC HE WICK ✓,9 0'Q ATE D p`P�,�,�� SSACNlJ5� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .......a/ M #........... . ....... ....... '............................................................ has permission to excavate and pour foundation at all# PJAMI for the purpose of.........Si-v-dl*......��..w,1..�.. .......�.w.�...1.�.�.�.. ........................................ The person accepting this permit must return to the office of the Building Inspector acertified plo t Ian show P of building thereon before Foundation will be inspected. M ( � a Cr P ' 3 3 /PO 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. a 4a ..oo.o.V ......... ..... .14 . ..... ......................................... f BUILDING INSPECTOR v ,K 16U 158 7 / i \ 15.8 O � 1 Fi 162 -LOT , 87 /o 11 ,214 `SF 60 - � L � 11t 159X5 ' �,-J1F 60.5 / CF= l / 153. I 0 � / = BFr x 151.8 x \ \ \\HUNINGTON 1=151.0 31 , \ 595 _ \ \ \\ 158 15, \ 'OT--155.0 ' N coO Lr) 1 \ - � yZN OF4f / 1 M1MCHIGN i I r I rA 10 PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN I { LOT 87 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/27/00 ' �Mesiti Uev Group Fax:W8-5578160 Jun 13 2000 12.:5.3... H. 18 BUILDE TG DEPARTNEi 1T DEBRIS DISPOSAL FORM i In accordance with the p mvisions of N fGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properiy licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility Sigma of Permit Applic� ate NCO.r: Demolidou cerntit&vm the Town of North Andover mus[be obtained for this project through the Office of the Building Iastor '+r ,I ,1 Mesiti Dev Group Fax:978-5578160 Jun 13 2000 12:54 _ P. 19 Ile The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacity lam an employer providing workers' compensation for my employees working on this job. Comparn name.- Address ame:Address g.57 City: SrJuT/f%3o•P�a 0 /77a Phone#: 5-0 = ,��- 000 Z e s-y Insurance Co. //JGi/%i e- v&ee -/tib. GD• Policv# S GF e-y 3011 e'.'1 Company name: Address Cit" Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,5CO.00 andtor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORCER and a fine of($100.00)a day against me. I understand that a copy of this statement mnay be forwarded to the Office of Investigations of the OW for coverage verification. 1 do herby certify under the pains and penaties of perjury that the information provided above is true and correct. I Signature Z� Date Print name �T/Z/C�� C°d�� Phone# i Official use only do not write in this area to be completed by city or town offidaf ❑ Building Dept ❑Check if immediate respcnss is requxed Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone ❑ Health Department j i] Other. . . I i )RM WORKMAN'S COMPENSA-nom i i GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption°und&.section 8.7.6 of the Town of North Andover Growth Iyfanagement Bylaw. The applicant shall provide all of the necessary information as requested below. 'd,L�C�iS/o��C�,� n a� /UGC E.ye%4,r/al y�/fit tori• �C�6: (�o�S>7� Permit Applicant Property address Map Pareeli Sod-z�7-ao0 X a5-5, IX- Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the E`CENfPTION section 8.7.6 oftheGrowth Management Bylaw.I also understand providingthis form does not absolve me or any party to this pvrtut from the requirements of obtaining other permits required prior to the issuance of the building permit_Further I understand that my interpretation of the exemption status is subjedto review by the Building Dcpartme t aiidis only officially accepted when the building permit is issued Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot;in the building permit application and associated auacbmeats,complies with one or more ofthe following sections as indicated by a'check matin This is an applic atiou for a building permit for the enlargement,restoration or reconstruction of dwelling in existence as of the effective date of this bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning,Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior'.'shall mean, persons over the age of 55. This applicatioo is partof a development project which voluntarily agreed to a minimum 40%permanent reduction in: . density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract;wkh.the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,orether similar mechanism approved by the planning board that will ensure its protection. This application represents a trnct of land e_dsting and not held by a Developer in common ownership with an adjacent' parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the-parcel. This application represerds a Id which is ready for a building permit(all other permits from ail other-boards and '. commissions have been received and the projed is in compliance with those permits),and the Development Schedule does not aecommociatc issuing a building permit in that year.One building permit will be issued per year per Development until such time as, the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U.with this EXL�IP'I'ION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDD;G DEPARTMENT N MAKING A DETERN M ATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNNG BELOW I.ATTEST TO THE ACCURACY OF THE LN- FORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEANIPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE-,; CHECKNG OFF OF A ABOVE E,MMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE.OR— NOT IS GROUNDS FOR REFUSAL.BY THE BUILDING DEPARTMENT TO ISSUE A BLTLDNG PERMIT. APPLICANTS STGNATTaE DA E 4. THIS FORTH TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION { 's r h $ _'1a. 1 b U 158 -7-1/ - - --- -- __ 158 - / / 16 162 � l I LST , 87 11 ,214 ` 160 159X5 TF--160.5 Ln CF=153.0Ln / 8 F=151.8 x L Ln \ \ 1=151 .0 31 , \ 59705 �- f BOT: 15 5.0 15�I 15 1 co I I I Ln 4005 PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PL.A�l IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR 7v ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER. IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 87 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/14/00 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-16-2000 TITLE: Lot Huntington Elevation #1 Forest Vi PROJECT INFORMATION: Forest View North Andover, MA COMPANY INFORMATION: Pulte Home Corporation New England Division NOTES: Customer purchased elev. #1, one walk out bay, one additional window, & a transom package. COMPLIANCE: PASSES Required UA = 527 Your Home = 527 Area or Cavity Cont. Glazing/Door I Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1708 0.0 51 WALLS: Wood Frame, 16" O.C. 2567 13.0 0.0211 GLAZING: Windows or Doors 537 0.330 177 j DOORS 44 0.280 12 DOORS 20 0.160 3 FLOORS: Over Unconditioned Space 280 30.0 0.0 9 FLOORS: Over Unconditioned Space 1428 21. 0.0 63 FLOORS: Over Outside Air 16 30.0 0.0 1 HVAC EQUIPMENT: Furnace, 80.0 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°s o he design load as specified in Sections 780CMR 1310 and J . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot # 87 Huntington Elevation #1 Forest View DATE: 6-16-2000 Bldg. Dept. 1 Use CEILINGS: [ l i 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , - 3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.33 For windo s without labe d U-values, describe featur # Panes Frame T e The mal Brea ? ( Yes [ ] _No Comments/Location DOORS: [ ] 1. U-value: 0.28 Comments/Location [ ] 2. U-value: 0.16 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-30 �JT� Comments/Location ? c) [ ] 2. Over Unconditioned Space``Tz2� Comments/Location [ ] 3 . Over Outside Air, R-30 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 80.0 AFUE or higher Make and Model Number 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: 1. Type IC rated, manufactured with no penetrations between the 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 shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. ` 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 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-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] 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 using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be 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. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating j 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 J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 200 of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC -piping-conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 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 COOLING 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 [ ] 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" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 i 140-160 0.5 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- L07- (72-x- 7Z) �4u.trou�.J 2 252 - 3 2 �,ozxr�s� /�`{ (o° o � 31052 q72- �'� 31� a E s y X I oP� a A • I CERTIFICATE, OF INSURANCE ISSUE DATE: 6/16/00 THIS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i i INSURED COMPANIES AFFORDING COVERAGE COMPANY A Pacific,Employers Insurance Company COMPANY B COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFFECTIVE EXPIRATION CO TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. ON AN OCCURRENCE BASIS PERSONAL&ADV.INJURY EACH OCCURRENCE ADDITIONAL INSURED: FIRE DAMAGE(Any one tire) MED.EXPENSE(Any one person) AUTOMOBILE COLLISION DEDUCTIBLE COMPREHENSIVE DEDUCTIBLE LOSS PAYEE: i COMBINED SINGLE LIABILITY LIMIT (Owned,Hired&Non-owned) ADDITIONAL INSURED: I EXCESS LIABILITY EACH OCCURRENCE AGGREGATE ii WORKER'S COMPENSATION and WLR C4 301187A 5/1/00 5/1/01 STATUTORY LIMITS ..................................................................................................... A EMPLOYERS'LIABILITY ', EACH ACCIDENT $1,000,000 MA,NV SCF C4 3011881 5/1/00 5/1101 DISEASE-POLICY LIMIT $1,000,000 DISEASE-EACH EMPLOYEE $1,000,000 PROPERTY REAL AND PERSONAL PROPERTY,INCLUDING WHILE LOSS PAYEE: IN COURSE OF CONSTRUCTION: ,I PER OCCURRENCE LIMIT i MORTGAGEE: SPECIAL FORM(INCLUDING FLOOD AND EARTHQUAKE) DEDUCTIBLE PER OCCURRENCE S ;I OTHER ;I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS is CERTIFICATE HOLDER CANCELLATION e.s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED i BEFORE THE EXPIRATION DATE THEREOF,WE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. f AUTHORIZED REPRESENTATIVE/ 44; 1, CONTINUOU5 RIDGE VENT FALSE VENT 24"EACH END _ Q W I ] c\1 I I I I = I Cf] 1' OPT 00%E6WT RAKE Q' I I COMPOSITION 5HINGLES I I i -< I IPRODUGi SPECS RI2 FYPON 660PR-34 I I EF I I 60M7051TION SHINGLES I I 1 10D REF PRODUCT 5PEC-5 1.00 IL00 REF.PRODUCT SPECS p EQ UQ 6"CORNER BD.W/ p�� a O 4"RETURN 6"CORNER 00.W/ o p to SIDING = 4"RETURN REF.PRODUCT 5°E65 SIDING REF PRODUCT SPECS 51PING W.PRODUCT SPECS - 11.00 4 "TRIM W FYPON°660R-24 @ ORILK L FYPON 660PR-3 q 4"SILL CRICKBARILKET FTPQ4 CAPITAL 950 FYPONIT `850 — FYPON 1650 BRICK FYPON'850 REF.PRODUCT SPECS F w c - ,� I� DOWNSPgIi d SPLASH BLOCK _ II II SIDING REF.PROP.5PE65. OPT.FIXTURE REF.PRODUCT`.PEGS �� - - OPT.FIXTURE m m o LE DOWN5POUT 8 5PLA5H BLO6K FF 6°CORNER W. REF PROD SPECS r. o I �_ 4°RETURN ` IF II II IF II—II ' `„ 4°SILL DOWNSPOUT d SPLASH II FF LH 11SPECS. e"SILL T PART. ELEVATION @ OPT. FRONT LOAD GARA6E� == FRONT ELEVATION '2 (5101N6) 56ALE:114" SCALE:I/4' T-O" ALL W 6DI PfiOJJELTI0N5 6Ls.TRW. ARE FROA FACE OF FRAME WALL REF.PRODUCT ALL ENTRY POOR JAM05 5PEC5. SHALL HAVE EXTENDED JAM35 W/BRICK VENEER PROVIDE MTC.FLA5HIN6 BEDROOM 14 UPPER BEDROOM q Ct ABOVE ALL.WIKDOWS, EXTEND LASING 70 TOP m POOR5 8 CAPITALS. OF CAPITAL (2)2 X 10 w/ 12(2 X IB W/ FOYER = REF iYpILAL wALL SECTION (210+(2)5@EP. 12)0+{2)50 EE. 12)2X705/ (212%IOW/ (2)13/4X91/2 LVI,W/ (210"12)5@EE. (2)J+(2)5@E.E. (212 X4@EE. INF IO.00 FOR ADDITIONAL BEADED MULLION INFORMATION AND --- --- 1212 x 10 W/ o --- 1852 DH 2852 DN 1310,510. 852 DH 2852 DH FOUNDATION NOTES OGEE (2)J'(7)5 @ E.E. I N � -- `Y 3050 SII 3050 SH 3050 5H LIN OF 3050 5!I 1 X 12 CAP W/ _ OP BRICK REF'FLOOR PLANS CROWN MOUID _ 34'-31/2" 30r-4x 25r-Ox 22r-Ox 2852 ITr.Ov 12r_Ou 9lOn 3'-8" AND ENT.11.01 FOR REF=F-11.01 8050 14TFRIOR TRW 4-OPT.BRICK 4"OPf.OR LK INFORMATION 3'-11112" 'L". 8'-D° 8'-O' 3'-8" - o WALL _ ADDER �1 12'-3 I/2" IG'-0° PO DOOR LA51l1G IJ PARTIAL SECOND FLOOR PLAN m SCALE:/4n=1:_0n CHAIR RAIL � oma I IV/ - SIDING-OIK REF PROT SPECS to pn SEs SIDING- LIBRARY LIVING REF PRODUCT SPECS — - 3C BRICK ARCH INT. TRIM ELEV �2 12)2 x low 12)2 x 10 5/ FOYER 1212 x 10 W/ (2)2 X 10 5/ o 1210+(2)S@EE. 1210+1215@EE (2)J-12)56 o 4°BRICK 5URROUM7 $i FYPON 66OR-24 — 4°ROW-06K 51LL r -_- --- 0 3/0 OW I AN 8 -_- ---- -- — --- FYPON CAPITAL°850 T067 DH 7862 DH 1 Tr (2)It LrTES 1 2862 DN 2062 ON GARAGE 30605N 30605H 306054 LBS OF 30605H �iTy -- 4C BRICK JACKARCH - --I OPT BRICK g�7o> -- ----- = Izl2xlow/ 121zx1ow/ (2 �To�n 4ToP T -- — 0❑ - (2)J+(2)seEE. 1210 H(2)s@E.E. FOR FULL WIVT OF FOYER 4°BRICK SURROUND --- - - ------- --- --- GLUE08WAILED 5(160 NAI1-5C. �z<aQ FYPON PILASTER k52-8 54"0' 2852 DN 4B'-Id 84"X 42" 2852 OH 39'-T° ( 31'-0' 30'-4" 25'd I'-d' ELAST 5T 12'-0' 9'-0° 3'-e• 0'-d' 3050 3050 5H 4°OPT.BRICK BRICK VENE93 PROD SPECS m 3r.8n 3'-4:r 3:-0v H-01 r 5•,0. 3r-0v 12'_0" 10'4" 121.0" 20:-01, 344° cN FRONT ELEVATION 12 (5R ICK) ` PARTIAL FIRST FLOOR PLAN $CALF:1/4'-V-0 4"BRICK LEDGE W'/ ^ 5CALE;1/6"=F-0" I I L_ OPT.BRICK VENEER Im 8 ORPAN BY: o J rn �I - I I _ Dare IABH1 Ib ^' L_ _ ___-- - RTEV N°.I OAiE I___—_ —__ _ I ——— I PROVIDE GRAIN TILE AROUND ______—_— I LINE UP PRECAST STOOP{ PERMt`FER OF Fg1ADATION J AS REQ D BT WPROYED GEOTECIINICA.REPORT. IIUI®1 L - 51203 JnI 10OPT BRICK 17'-0' _ 01203EL2 4 - - SHEET NUVEER PARTIAL FOUNDATION PLAN e Zii 5.01 t SCALE,1/4"-I"0" y © COPYRIGHT 1999 PUIte Home Corporation OF a o -1 ►--r ,no W (� B_2" 8'-B° 14'1 C13 `4 285YDH' -2852 DN• IO'O 610 5GO 51P. '2x6 16'_OL.-5TUO WALL 3.00 Q! 3 30 O.SN.���30505H' on,6/0 41RIUM 000R a� I� �.2 X•raw1 ---�2J�. z {2}J'hJ S.£EE W {Z}J-�.ITISfP ".4I.2I ... e_E.E I f OPT,STUDY OPT.REG ROOM 4°PEQ!ME�R MULail°" 5TORIMM RM E, I � fl- 04EXTEND 104 ALOW 511 � - 7 PART.-FOUNDATION PLAN 8 OPT.WALKOUT GOND. SCALE I/4"=I'-d' 7''2° 8'-0" OPT,FLORIDA ROOM LOCATIO$,3 _ _ _________________ _-_ _ -_ ___________________________ BULKHEAD 6x6 OELK P05T5 W/ I s 16"0 FTX DEEP T ---------, I 6 / _ I RITIR", E L FShT15.0R AOOITIONALORMATION FOROPT.REAR OPTIONAL PRECAST- IOO ROOM COW.BULKHEAD 0-4 B'X91TZDL1 �_.,u TPC- --------- CJ - _ W/Z-14 TOP 8 OT.ITiP1••;• 7'-10° 10"POURED CONIC �A' 17'-4" JI I L J Cr'l T.OW FOM.WALL ON f/ / m i I 3�4• 21 8 OR W/0?i. 0�"4° 16"NIO"LONL,FOOTING y - BULKHEAD-REF.A-3.00 T.osLAB W I I 30"x 15"65MT WOW UNF IN 15HED 30°x 15°BSMT WOW I § SET FLUSH W/i0P OF 5ET FLU5H W/TOP OF I I I b _ aaSi FON WALL.oMlr ALL 5TORAGE PON WALL.OMIT ALL = - _ W w/0(ANO.(TYP.) 6 Wro Cow.ITYP.I I ,; PART.FOUNDATION PLAN ";z �+ `^ 121-13n OF COL. ° n FC OF COL. 15'.3�" d 5-9 d' IB'�4` 10' r I -------n WG 1'. W/ OPT.FAM.RM.MA5.F.P. F-•-4 W o" 2-0" 3'-3" 2'-6 10.0 16'-2'7 M OE OF' 212-1 3/4"TO CNTR.LINE ----® AHUS e 2 UNIT COND, 5UMP PUMP E y FOU ATION ALL OF GOLU I I 3110vI 6A.AJ. --------- PM.TO VERIFY I I MALE.1/4"= - ! _ 5TL.COL.ON 36"X36'XI2° FO LOCATION _ COW FTG W/14 a 12'OLE.W O SLEEVE 3 112"6X11 bA.ADJ. o FTG AS ✓ W STC.COL.ON 36'X36I2' BEAM POCKET REO'0 ~ 51L L.REF FON PLAN I LONG FTG W/4 a 12;"l.L,E.W. REF.K-3.00 ;--_-_AHU21 WH J BEAM POLKEI -1 121 F--7 I u2 -_ r K9.00 r-I 120 ---- - -I I - REF.FOUNDATION FLAN I I 2-2X12 1 3/4"X 9 1/2"LVL 2 1 3/4%9 1/2"LVLT 2-2x12 /I I IV 120 L2K "I "BXI GA.ADJ. cj 12.4K J z� l Kf y� I �R.COL.ON Z4'7.24'X12" 31/2"6XI16A.ADJ. G SLAB v z PT p4 m 5TL.COL.ON 36'%36"%12" r `WG (� NL FTG W/'4 a I2"O.LE.W._ v •L� 7'-Id� .00 I I 3.00 OPi.%.UMBING LONG FTG W/'4 B 12"O.CE.. I Fs b f 1 t Z4'X4B XIZ"LGNL FTG W( R�7,GIhIN i.O.W, a '4812 OL.EACH WAY IO.O }+ "Y .'` p-73" I''<" I 0° = I = ` V1l uo SEQER 5HP.15.00 0" 18'-4" O" w 1F/ ADOL INFO. I I = 711 _ I H -a- 3 24"X24°XI2" 6 3.00 Lora,FTG. .00 d. I I GARAGE 3.00 T.O.APRON UNEXCAVATED I C T 2r I I GARAGE I I I o CONTROLLED FILL I I s o RAKEWALL e 34'A-'1, I I _ UNEXCAVATED I - I I I = 'n' OPT.OPENRAILIN6 _ I Q= m�;z ` I I LONTRCI.LED FILL I I CONCRETE W/ I <BIS o Y = I F FIBER ME511 3.00 I b _ CONCRETE W/ CIDER ME5N �L -- -- LJ ---- R = -� Ia4 diZVb I - 3.00 BLOCK EXTO WALL L ---- ---- ---_- I EXi,FACE�/ I I FACEBTO I = I p3i4o I � I _ - ---- ------_ __ _ Le eRla a ovERvw a ovERDIG - �,--- 1'-I0° P-10" T.O. J PROVDE DRAIN TILE AROUND Tow o T.O.W, T.O.ARtON R F m PEa1MEreR�FovlllATION 3.00 3.00 As REO'O BY APPRovED 3.00 =m IN AVM BY: 6EOTECIIN REPORT. 4' 4' '-2° W-61 W/OPT.BRICK W/OPT.BR ILK _ II 34.0' -..1 . 20�0'' DATE"0/99 14'-0° �y.��-•--..Y••- a RLti No. DATE ' F --OPT.FOUNDATION PLAN B OPT.FRONTLOAD GARAGE PARTIAL FOUNPATION PLAN 8 OPT.5UNROOM F O U N P A T ION PLAN - R E V E R S E GOND IT I ON 5LALE=1/4"=I'-0" 56PLE:I/4'-1'-0' - $_ 81203FDNR SLEET NUMBER AS5 2.00a © COPYRIGHT 1999 Pulte Home Corporation OF Y L 4' OPT.BOXOUT WINDOW Q REF.P-1100 Y .e�. •�1 1 1om�u.pL 'Fi G°7 9 0 NOOK i ' ALL LASED OPENNG5 SHALL HAVE C\2PENNGS 1 SAME CASING HEIGHTS A5 OW/DOORS A WW' _ ' ALL WALL5 SHALL BE 2 X 4 UNLESS NOTED OTHERWISE B 1.10 2/0 I ALLIst FLR.WINDOW HORS P 94"A Ff.U N.O. SET ALL 55MT.WINDOWS HDR5 B 82 518"AFS.U.N O. { REFERENCE CORNICE DETAILS FOR 2nd FLR WINDOW d Q' 218 HEADER HEIGHTS I Z Opl. 1 M UP p THIN SET ALL CERAMIC,TILE OVER 5/0"UNDERLAYMENT = ^ a MICROt pplDp ALL WINDOWS SHALL BE TRIMMED PER SPELIF.LEVEL -- ff YYIBT !� SET ALL TUBS ON 90'FELT ai PROVIDE MINVMUM OF 4"RETURNS a ALL OPENINGS ALL ANGLED WALLS P 45 DEGREES U.NA. T'° KIT - ENTRANCE DOOR5 S WINDOWS W/I X RIM B BRICK [z] E A KITCHEN +J COI SHALL HAVE EXTEND JAMBS. z I \/ I i ALL BRICK 5URROUND5 54ALL PROJECT I" ix II REF WALLOVEN 1 2''4" 4'-6° 3'-4" F" DESK ' LIBRARY GENNOTEB - ^ OPT. GOURMET KITCHEN 11 51NGLE FHA GOND. - SCALE:1/4"=t'-0" `- �.SLALE 1I/4'-=1"0" - 12'.IOu OPT.FLORIDA ROOM LOCATION 19'-BIn __________-___________________________ 12'6'. 9'-I ° I I''9' 0-4j' 6'-9" 4 540 0-5 1/2 40'-10 1/2" 34'11 1/2 25-0 191-8 I/2"X - l; OPT.DECK ;1 I0'X I2' ,I OPT.42"MASONRY m - 1 REF H%11.02 FIREPLACE It 12i.pe LIT 7-I 1 1 1 REF!SHT 12.00 FOR - - I ADDITIONAL RfORMATIOIL'I'� 2'1 WNO R..'10" 2'-4"31352 FIX 11 I I I I l o NOTE SAFETY CLASS ±�� ' _L -i J J J J I REF.SHI.15.00 FOR ADDITIONAL 1 it- ----_ INFORMATION FOR OPTREAR .FLORIDA ROOM T ho Q 22 IO1 0086 TWIN LSMT 1(312852 DH 2�� )PT.roxouT 5 B 44 AFF. /0 5GD STD.1 7�� 2052DH1WIN852 OH TWIN 'fREF2X1 /2J=25 EE. 11 13130505H _-__- OPT 6/0 ATRIUM DOOR 3050 SH TWIN 3050 5H TWIN PNC, OOBWYJR'S\I\w'01 z SS PNC, ' 2-1 3/LK'%9 I/2'LVL 2-I 3/4,%�%14"LVL I I r . X (7� 1215WEE. W/(4U'(4$BEE. / r 7`4n F c'wpoulW.'35AXs t:\w o J. 1 — FAMILY RM '33 sac�UIB •m o� B T.10 oKt b • - - z p 32°AFF PA55 THRU m m w/I2"WALL LADDER 1 Q W aw Q m ABOVE REF.1111.01 Io ><If1= a$; DIN INC db KITCHEN = NOOK ST042'DIRELT VENT FIREPLACE CICIOPT.PREFAB FIREPLACE _ 11 ��I �r �% 36"xT6°ISJND If REF SHT12.00 OPT.MASONRY FIREPLACE r� 1�� A// FAMILY RM W I' I I°1 2'-9° 3''4" I .-. 2'p" - - 1 b REF — ` 2/0 2868 CO. FLUEo pE P - _ - mX`� /4FlUlIALL 3/4"X14'LVL W/(412X4 E E —— BF WALL 070 6.0.BE INC WALL N (211 3/ 9 I/2" L BEARING WALL BEARING WALLS = B cl 12X10 TB (2j2%48 E. _ �. m m Y - 3 ' PT - 1 2i.pn I i 8'-0"QG. '.IOL a = � _ - = e�e� IN- - 2/8 70 C.0. 0/4 BTOr O M NB UP 6'SLOPE w 218 ehw I PHIL 3R w 0 MIN. UP L 8 REF.SAT.15.00 _ 'VtiohtiiQ, 33 o:zsim iW LIVING R/ISw _ $ _ o GARAGE w x 101 2'-4" 4''6° 3''4"' . 77 C!6 -- I. • "-' • PROVIDE 1 LAYER OYP.BD.ON ALL WALL5. JN A m - "� FN x o - PROVIDE LAYER GYP.BD.ON CEILING 101 u>m �+.^•-3 _3 _ OPEN RAIL W/ LAYER 7/16"050 W/R-30 // _ PROVIDE LAYER Gtt'.W.ON ALL WALLS. i ,r^=� DBL 2/6 I r e - '-. Iy WSW.UNDER 210 FLOOR FINISHED AREAS. Y re(. = PROVIDE I LAYER 6YP.W.ON CEILING 15 LITE A 9 11 K $-'� 34"AFT a `': L IBRARY _ W/I LAYER 7116"05B W/R-30 = ; � r ter- 3_-__ I _ 1 ,Y _ IN5UL.UNDER 2ND FLOOR FN&E0 AREAS. - t .2/01`R ;m 313/4"%IB'LVL W/ICI 2X4 B E.E. o FOYER' $ IO LITE W/PI OPT.5HLV5—:. III �. $ (3)1 3/4"X 1151 2 STORY '^ �� = ACCESS PANEL ---_- i ~ 12'WALL LADDER—^ g REF.H-11.01 I w'r W/(61 ZX4 B EE, - - REF.N-I101 IPNL I ATTIC �• ---r-1-------------OPT 2T-- L_J �.0 22'x30'ATTIC 9-LITE DOOR o- a 0 20 MIN. ' L_-J A66956 PANEL ! _$ L I PN. 20 MN, 2-2X10 W/ 22X10 M'/ - _ (212 X 10 W/ 1212 X 10 W/ _ - m REF. EVS = - 121J"115 B EE.W/ 1211.12�B EE.W/ - PART.PLAN = L5TL.ANOLe B�.BRICK L56TL4 AA96LE 00OOPT.BRICK DR4WN Bw OPT. SUNROOM 7.00 L T CONIC.5To0P 2852 DH 2852 DH b o 3050 SH 3050 SH - AV GARAGE DOOR 8'x1'GARAGE DOOR OATS III3H9 SCALE X114"= -0" NOTE: b 1,REF.ELEVATIONS FOR PROJECTED FOYER5 0'-0" X 12'-I' 22'-1 1/2" 34'0" 7.00 A 6 STOOP 1--l— 12'10" 9'-p° 1'.7 2 2.REF.TYPICAL WALL SECTION SFEE7 FOR I 20'-0" 6ENERAL NOTE— F EF V F V F V F ELEV F V ' ' .e NUMBER ND3.REF.FLOOR8Roof FR FOR .= PROJECTED FRONTS. PART.PLAN B OPT.FRONT-LOAD-GARA6f__ 1512031 SCALE=I/4"=1'4' b C1203FPIR ` FIRST FLOOR PLAN - REVER5E CONDITION = SHEET NUMBER SCALE H/4',14' 4.00a © COPYRIGHT 1999 Pulte Home Corporation OF t. O .H �D y SAME GAE51NG RIDS AS OLHAVE PEN N05 W/POOR5 a ALL WALLS SHALL BE 2 X 4 UNLE55 NOTED OTFERW15E ALL let FLR.WINDOW HPR5 P 94'AFF.U.N.O. yy SET ALL BSMT.WADOWS HORS P 02 5/0°AF,S,U.N.O. REFERENCE CORNICE DETAILS FOR lid FLR.WINDOW = ^ IX 0,-61" FEARER H'E�M5 X4-4 a I.., P THIN 5ET ALL CERAMIC TILE OVER 5/6"UNDERLAYMENT 1`7" 12'-0" ALL WINDOWS SHALL BE TR XMED PER 51`EUF.LEVEL - z TO CENTER OFTO CENTER OF SET ALL TUBS ON 90'FELT O BDRM WINDOW (DRESSING WN'DOW PROVIDE MINUMUM OF 4°RETURNS 8 ALL OPENINGS _ w E- Z. 2442 bH ALL ANGLED WALLS P 45 OE651EE5 ONO. Cil 0 2840 SH ENTRANCE DOORS 8 WINDOWS W/I X TRIM 8 BRICK E-I CONDITIONS SHALL HAVE EXTEND JAMB$. F216 2-2X1 O 0 48".3e9 ALL BRICK 5URROU11D5 SHALL PROJECT I" p w 2/f 0 H "3 5 R GENFIOlEB - Q-i ['2 77 2T"X50'ATTIC _ _ D E551NG � 1.10 G ALLE55 PANEL 2/4 2 I'� -10'F 16`5 ELF B 5-3°AFF. 7. OPT.ATTIC(ADDER OPT. ABINETS LAWAY NTEWA LaOE dRYE g o = L(5KV5 T 2 B --��R 1Y - HALL o PARTIAL PLAN W/ OPT. BATH °3 a SCALE 1/4"=1'4' Or^ 54'-0" �� ✓ . 2'.I" 7:.4" 12'90" 10'9" 9'-10" 3''3" 3'9" 6'9" 0-0" 7-41' 14'-4 I/2" 20'-1 I/2" 231-2 IN, 30'11" 34"0" A 44'-0" 54'-0' X ^ 7.00 2946 OH nu ?fig �r, 13}265 or: Q' 2052 H TWIN 20310 OH W TE GLA55 (3F305 SN - O } 3050 SH TWIN 3030 5H SET 0 29"AFP. • _ ri 1212%10 W/ /2°PLYWD. (2 J2"21TII58 E CONT.3-5PAN -2X10 A 121 J"(2)58 E.E. 4Bx R (21J'12158E.E. 'IIJ"13158 E. L m 72'k36"TU0 ON p 10"x42"DECK --------------------------- _t{- ______ _. __________ 2/4 W YS LOCA _ 13178M 12 D 1Gi am R a 551 G 71oG� � = r , - NOTE: 2r4IW 5 6 - MSTR SUITE 4 LOCATE L TUB 0 LEFT ° ' ' 5-21° 'o OP W'ASNER IXJ EVERSE PLA � v C-y+ 4114 2-0 - REF.GIIFERED CLO. 1� BEARING WALLS 4/8 2 2x17. (2)Px10 I/6 "(2(2x10 BEARINGWALL ('-I 2x10`FLUE ___ ________________________H 3`4" HALL7.q - HALL MSTR SUITE 7.10 KNEEWALL 0 37"AFF. m --------------------- - Y 6 a' 9'S'• 2/4 OPT.OPEN RAILREF.E-11.01 - 1 i.pi _ __ ___________13'70 ytia= :.�.. AT FCS - PRY BEAR0W L5 - -______--___ 5i 2/0 Q/l /4 Z/04F_ (212x10 `"(2)13/4"x91/2"LVL W/212%48E.E. - zs v I L _ IRIS_ 7 _ IR/15 g C z 7 - (5124" - /�Q 2/4 12"WALL LADDER 0"x8"LOA / aq� . Ir 2la PBL sw.vs 12)2x16 212x10 I REF.µ(IDI aEF.N-11.01 - 1212110 N'G WL 2/8 - -- (212x10 Pl 2xl 2/4 0N :-4 7.5 2/6 .. � � WIG - 5'7#" 3'6" 3'4" 3`q" ;I I� 51TTIN6 RM ,.�4 � 4 a OPT 36"D.VFP. g��iN� BDRM 4 WITH 5HLV05 - m �I 1,'// I _ _ _ z wic I REf.Sit 12.00 _ N I 1 - 5�-6n 6'9° = BDRMBDRM �4 --- ------- FOYER I I t o - YI OPEN TO BELO� Ty- 51NOLE FHA GONG.--- -. '� ` t SCALE:1/4"=1'-0" c DRAWN BY: _Q REF. LEV5 °b REF.E'EV5 A T.00 0 oATe 1NN9 REF.E EV5 REV No. DATE �n X 5f'-0" 40'-10 1/ 19'-8 1/2° % 01-0' 99025 2-II-99 `Y 12 10" 9'-0" 1'"10" ul ELEV F F 34-3° 19'-1" JOB NUMBER e - 51203 7.5ECON0 FLOOR P �� LN - REVER5E CONDITION 5 SHETNUMBM / SCALE:1/4'-I'-0" o � 4.01a © COPYRIGHT 1999 Pulte Home Corporation OF Y (2)2X 10 W/ (2)2%10 W/ ..�j ► 21J(2225PE�E. 12)J 2 5e E.E. (2)J (7)5Ref. LPI J❑IST HOLE CHART o _� _.� F z z z "I E" 10' (� `4'4°`•.� t ~ �_' -12 z z z " ° z z z 6, l 61 FIRST FLOOR FRAMING PLAN @ WALK- OUTw I � w . M i — — 2'-0 8-d' 2 0" 20'-6' `0 z / �o ox o _ I'll-1 1 a 7 I� I� I��I`ll _ w w O L� u II II II II II II II II II II =1F=IF==191=� v a �' II II II I{ n$ID II II II II II ! " o U1 PART.FRAMING PLAN B II B H u u u u B H i � c w START FRAMING II111,7 NOTE:DO NOT SUPPORT W000 m m i•T m m W%OPT:REM BAT WMIDOW B DINING' I II a II II DECK FROM Mr - (]� u' 2x8 015 P I OL. LMTILEVEREO FLOOR STSTEM FROM HERE yy II I I I I/BOSB RIM BD. 1 1/8,050 RIM BD. II II II II II II II II II " N (•y ALL 51DE5 ALL 5IDE5 0°X W9 I2D LOLINTEL II JIIL JIIL 21_11 II II II II II i m "d m i /2-'4 Top SBOT.ITYP) JJJL JL x WWW a � a 6 J �JL J USW - 1015T m li 8.00 P '0.6 AX s H� `�. oIIP02 �t � � 11 - - � ❑ mow= Qr=� G=, 2 F� su= owQ ONE ONE' 5TEM -z' Im a tAi- (A "w 4 5 COL G FTG 24 81i w£c W N I I EAT E R F.F PLAN 2 2 2 i�oa i `"� 4 3-1/2 11.G ADJ STL(AL + 2L4n R F-F PL YARI f LKE 8.00 O 4 H a< Il 120 121 BEEPLAN LEFT_ f a _ -2X12 0>- 2-2x1 2-I 4"X 1/2'L L 2-1 'X III, VL J A III 120 STAIR OPENING B 120 --f 7--13/4"x 9I 'LVL B �S' .00 1 § o a XL j ILI CANTILEVER FLRON ONE JOIST P THIS R9EA,,. - _-=EE__=_=_eeOMIT P ONE ZONE 5YS EN OPT.MA50NRY FIREPLACE 1- 10 _ a z u �►q '- SCALE'I/4"=1''0° N 011E MATERIAL LIST A^N .3�J F+4 1 � 11 2-2x10 •A1 A} t FEW �-I 1 P T.BAY 1/8'055 RIM 00. ALL 51DE5 NOTE: REF.STO.FRMG PLM 6 OPI.SUNROOM PLAN FOR JOIST NOTES. 8.00 LL PART. IST.FL.FRAMING PART.FRAMRI6 PLAN W/OPT. e� i SIDE DAY5 B LIVING ADD DINIW W/OPT.SUNROOM SCALE X1/4"=1'-0° 1/4'44, FIRST FL,--Q-0R FRAMIN6 PLAN (REVER5E CONDITION ) - ELEV 11 & 12 J015T-20 .O.R 2 6 A @ 1 9.2 O.G. (U.N.0. SIR /y��/yy y.� Vi��72111:11 Jm 7110-1=�,T - _ W000 BEAM SEE PLM FOR 5¢E [\\i— PLAN 21/2"1 LAG SCREWS � I 1/4"5TEEL°L"BRACKET 5TEEL COLUMN,5EE REF,FLOOR PLAN5 FOR DIMEN51ON5 FOR 5¢E. (—,,�--� SIECTION e WOOD BEAM ON 5TEEL COLUMN F I R S T FLOOR FRAMING PLAN - ELEVATION 13 o 5ERVER 06K5\5T05T6OL-10 SCALE:3/4" = 1'-0' SCALE:1/4":I'-0" DRANK BW n, DATE:VG199 1-1/B'OSH RIS JOIST-FASTEN TO EACH 1-1/8'DSH RIM JOIST ONLY I-1/8'DSB RIM JOIST+ONE 1-Il8'DSH REINFORCING EACH SIDE-FASTEN TO JOIN DOUBLE I-JOIST HV HAILING TNROJGH WEB JOIN ABLE 1-JOIST BY NAILING THROUGH WEB 2.4 SQUASH BLOCK CUT 1/16'TALLER THAN THE FASTENING SCHEDU E 1 TD 4 PLY FLUSH LVL BENS(SEE FLOOR MIST DS G 1-10d NAIL PER FLANGE ON END Vq:1-IF TOTAL SQUASH BLOCK B 9'o/c-IF EACH FLANGE V/]Otl NAILS R 6'o/c STAGGERED WITH 2-BONS Bd AT 6'o/c INTO FILLER BLOCK WITH 2-BONS Bd AT 6'a/c INTO FILLER BLOCK DEPTH OF THE I-JOIST. USE TINDER FIRST FLOOR 2 DR 3 PLY BEgM.l6d-3 ROWS H]2•a/c EACH DETAIL H FOR FASTENING SCHEDULE) REY NA. DATE LOAD IS LESS THAN 630 PLF TOTAL LOAD IS MORE THAN INTERIOR BEARING WALLS SIDE STAGGERED 0 PLF 1-I/H'DSH HLKG.PHLS. 3/4'!R]/H'MB NOT®RID VERRS L WED NOTE.USE VEB STIFFENERS C>3/23/00 3/4.OR]/H' HET VEEN Eq.CANT.1-JOIST SUHFLOGR SREQUIRED HT 4 PLY BERM ONLY.1/2'BOLTS*FENDERYgS1�RS ^ MB SUBFLOGR� 3/4'OR]/B'USE 3/4'DR]/B'OSE BUTH SIDES-2 ROWS B 24•o/c IF REQUIRED BY THE HANGER THEACTURER 3/4'OR]/B'USE MANUFACTURER SUBFLDDR SUBFLDGR SUBFLGOR STAGGERED _� JOB NUUBJ2 16' 16' 16' S 1 2 3 ` MAX. MAX. MAX. G12031PlR Da 4r VL BEAN 24' , SI1EEi NUMBER NOTES USE WEB CANT. STIFFENERS IF RIX JOIST DEPTH SRME USE CONTINUOUS ai SOTED ON LAYOUT AS FLOOR JOIST DEPTH 24'MIN. USE 2v8v4'FILLER BLOCK2aH FILLER BLK. (1.OOFOR I1-]/B'SERIES 26 630WHERE HANGERS NOTE.USE DBL.SDUASH BLOCKS NOTE.USE SOIIASH BLOCKS IF BRC.VALL ABOVEl}J(NOTE.1E FDR JOIST 16'DEEP OR LESS NOTE,USE FDR JOIST 16'DEEP Oi LESS NOTE.USE FDR JOIST 16'DEEP DR LESS AT ALL HRG VRLLS L BEAMS UN . ARE USED ONLY IF NOTED ON LAYLU NOTE.USE VEB STIFFENER IF NOTED ON LAYOUT TOP NGUNT 1-JOIST HANGER SHDVN 1. RIM JOIST—BAND2. RIM JOIST—ENDWALL 3 RIM JOIST—ENDWALL4, REINFORCED CANT, 5, DOUBLE I—J❑IST 6, DBL, I—JOIST @ BAY 7. SQUASH BLOCKS 8. DROPPED LVL BEAM 9. FLUSH LVL BEAM C COPYRIGHT 1999 Pulte Home C oration O { • TART FRAMINON LPI JOIST HOLE CHART o ,� � FROM HERE V113 - 12)2 X IOW/ 2-1 XI OWI 1/2"PLYWOOD 1 (2)1+(2150 E.E. 116 115 IM i z r z z z W W((3)2%4 BET.WIN90W5 8.01 v E 6 IJ+35 @ EE. OPTIONAL BATH•3 5HOWJ -1 3/4"X 9 12"LV �S 2-I 3(4`X 14"LVL ,S Q, ¢ `Q ¢a¢\ b w Z Z Z ,A ;o P Z Z Z p, I/8" TO TOP OF BOT1OM FLANGE i _-- -- - "'- ----_ 3 I� FLOOR 10157 i M 1/8"KERF TO TOP OFn \o P '-` o_' __ _-1 _-. __._ _ - w , 1!h 19L 2L - 3i 6 1 3` Z N p Zn Z,-m a I> min .� F i�in i 51MPLE SPAN C0NVER510N 2.2X10 W/ FROM 1J�25e E.E. 1 - 1 W I R 0 M MULTI 5 P A N W/TWIN WINDOW 1 I ---- -- irB` 1'0015 'v N a^ Q.' Ey B.OI 3/a"=1'-0" 19.2 .C.M 2.22x10 W/ E O (2)1+12)se EE. Z'• -17" 2'-7" `' `M' UP in o W W/OPT.BAY WND a m a b Z j0 LINE F MIG -L- _ OMI G eON 7 VE DE51 & J T5 Z _ ^' �' PROVIDE SOL ID BLOCKING WALL 0 230 A 7 - BETWFFNJ015T5UNDERm BEARING WALL 2-I 4°X `LV > ARIL WAL 2-%10 BE W y 2-I 3 °X 9 I/2° ARI WAL u u . 1 IOd 109 o a A 110 C 8.01 57A NO - OBI. !K_5 TEM w C - OY' LI f OF EARIN r WAP ' AB -Of!GN a PACE 015T b g - OR WA IL LO OF 2 0 PLF ¢ 5 r w 1.2.2x 10W/ �' z (2 JI(2)50 W�TWIN WINDOW 1 w ❑ �''w u 2.2-2X10 W� z�IIV m�� gjz 12)1+125@E.E. 1�io T/B"IjP015T.,Io 8' I'JO S 'mo W/OPT.BL. WND A 19.1" .M b 19.2'O.G. F a'L. A u 3.22%10 W/ FF�-� (2)J F(2)5 @ E.E 13 1k" 9�01 12i.p j x o �F h'��4 e OPT.SUNROOM OR HDR 8.01 q5 i (3)13/4°X18"LVL (2)2X 10 W/ 117 11)2x10 W/ 117 3 g, 12)1+I2)SPEf. 1211+(2I5e EE. 2ytl 8.11 (212A10W/ 1112xI1W/ 2-2X10 6}2X4 TOP B BOT PL. 1211+12)58 Ef. (2)J X12)Se Ef. z. FOR FLU WIDTH OF FOTER o_ GLUED 6 RAILED N/16d !NAIL o c ti O v E 5ECONP FLOOR FRAMING PLAN - (REVERSE CONDITION ) - ELEVATION 11 MATERIAL LIST SCALE 1/4";I'0' w 11 7/6" LPI 20 OR 26A J015T5 0 19.2° O.G. (U.N.0)11 11 11 � 7/8"1 01ST 11 11 UL j II B'I-J')STS A 19 t ATI 2"0. MAX Iz12x1aw/ 1212x101! (112x111/ (2)2%l1 WI o (2)0°12)5@Ef. (2)J+12)Se EE. 1') (7)5 (2)1°(1)5 a cf. b � 118 IIB IIB '8 REF.ELEVATION') 118 5 N a� REF ROOF FRMG FOR WDW NDR SIZES t3 UP 5ECONI) FLOOR FRAMING PLAN - ELEVATION 12 N 3 '� I Ili/b°1.401575 m I^Yz mNji3 .rAT 192-O.0_Nt� INTERhIEDIATE JACKS 2-214 "' �„R GLUED 6 NA ILEO W(16d NAIL5 @ 6 O.L. "+ /'Ai r'0 MAX -.. STAGGERED W/I'EOGE DISTANCE .� J a z 2-13/4"%91/2"LVL EF.ELEVATION'h'r•. -.12)1%IO W( (1)2XI0 WI-- �@ � O119 FOR PORCH ROOF 12)1+(2)S POf. `)2)J+-(2 )5@E _--REP.ROOF FRAMING 54.10.00 IIB .IIB- �® ® ® o �-- REF ROOF M66 FOR WOW HOR SIZES 5EG0ND-�F'LOOR FRAMING PLAN - ELEVATION 13 ' S' 0 SCALE-I/4"=14" ORAVN BY: -/B'OIS RIM J -FASTEN TO EACH 1-1/8'BSB RIM JOIST ONLY 1-1/8' DATE:V13/99 1 1 I DIST BSB CK JOIST+CME LEACH OSB REINFORCING EACH SIDE-FASTEN TO JOIN DOUBLE I-JOIST - NAILING THROUGH VEB JOIN 2-ROWS )-JOIST . NAILING THROUGH VEB 2.4 SQUASH T BLOCK ST. V16'TALLER THAN THE FASTENING-RCVS SCHEMA.E 1 T 4 PLT FLUSH LVL BEAM HSTF / FL➢CR JDISi US G 1-IPM NAIL PER FLANGE I I BN END VALE-IF TDTAL SQUASH BLOCK Q 4'o/c-IF EACH FLANGE W/IBtl NAIL$E 6'o/c STAGGERED WITH 2-RDVS Bd AT 6'o/c INTO FILLER BLOCK WITH 2-RBVS Btl AT 6'c/c INTO FIC!ER BLOCK DEPTH OF THE!-JOIST. USE UNDER FIRST FLAB? 2 0.2 3 PLY BEANS 16tl-3 RCVS 2 12'c/c EACH DETAIL B FOR FASTENING SLHEBULE) REV No. W1E LEAD 13 LESS THAN 650 PLF TOTAL LOAD IS MORE THAN INTERIOR BEARING VALLS S[CE STAGGERED 50 ILF 1-1/8'OSB BL'Kr'PNLS. 3/4'OR 7/8'OSB NOTE®RE UWEB 6 VEB Ir'/ NOTES USE WEB STIFFENERS L�n3Y� 3/4.3R 7/8' BETWEEN EA.CAM'.i-JOIST SUBFLDOR STIFFENERS D BY �I✓/ 4 PLY BEAM ONLYi[/2'BOLTS+FEND WASHERS IF REQUIRED BY THE HANGER . OSB SUBFLODR� 3/4'OR 7/8'OSB 3/4'DR]/8'OSB TTURER 3/4'OR 7/B'USE SCC////J/ BOTH SIDES-2 RDVS 2 24'a/c SUBFLOOR� SUBFLODR SUBROM STAGGERED MANUFACTURER OB NUMBER I6• 16• 16• 512 O 3 MAX, MAX� �AX. rB.PLY C1203LP2R _ 4'MAX. VL BEAM SHEEP NUMBER u_ NOTE-USE WEB CANT. } r7 STIFFENERS IF RIM J3IST DEPTH SAME USE CEN TINUGUS �('�(NOTED ON LAYOUT AS FLOOR JOIST DEPTH 29'MIN. USE ExSK FILLER BLOCK2K8 FILLER ELK. JIF �J.01a NOTE.USE FOR JOIST 16'DEEP OR LESS NOTE,USE FOR JBIST 16'DEEP OR LESS NDTE-USE FOR JOIST 16'DEEP oR)FSS ATTRALLTBR&SWALLS 2L BEAMS UN , RE UWHERESED NGERS NOTE,ME ERIE.SQUASH ONLY IF NOTED 04 LAYOUTOCKS NNEETE USE SQUASH BLOCKS IF ERG.WALL ABOVE E-USE WEB STIFFENER IF NOTED BN LAYOUT TOP MOUNT I-JOIST HANGER SHUVN 1. RIM J❑IST-BAND 2. RIM J❑IST-ENDWALL 3, RIM J❑IST-ENDWALL 4, REINFORCED CANT, 5. DOUBLE I-JOIST 6. DBL I-JOIST @ BAY 7. SQUASH BLOCKS 8. DROPPED LVL BEAM 9. FLUSH LVL BEAM C COPYRIGHT 1999 Pulte Home oration OF lb A 7 X 10 W/ . NAIL � 0, REP ROOF PLAN FOR IDR SIZES 2)1 )Sf E 9.00 (7)0 17)5,;,Cwfl. 51212 1 E.E.E 6 STAGGERED W/I`EDGE 95TANCE CD q Ln 0) Y5 03 -ji ROO --- -------- - -- - --- ---- ( I IRI C. cn ------------ ---- 5TE EE IMX R ER 16"F rT PA I *--4 i Ne OF, COF ERE: 61.6. E. TOR INC2%I BE ALL ------ -------- _----- —--------: i u i !51 p5a �,Rl; O WN FTEI TO F 7CE FN ------------------- -------- -------- C1.4 -------- NNE TOR YP) 2XI RIC) W I Ell- Ill _x, T 06 AR i: 2.2x -2X1 2-2 2-2)L: 0 1 E. C: Z: M BE �Ift ALL VE.@CEZCE TEM D LLLI it it it REF ROOF PLAN FOR HVR e(ZCS 14- PLAN, (2)2 X 10 W/172"PLYWO. (2)2 X 10 W/112"PLYWD. ffU—4- A (2)J+12)5 It C.E. ti bf� ASSUMED OE516N I IVE LOAD e AT,IC 20 9.00 9.00 (2)J I 2-2%10L__"4:IR 0 24(Z)O'L�.12)(�5 l02 1212 I �i BEARING WALLS 2X4 SPF�,61RADI!#16 .C.UAD. it n ATTIC CEILING JOIST FRAMING PLAN 2X 4 LAPPER @ 24'0.& 5CALE;1/4" 1"0" 1.111IR 11I.L1 FRAMING 5ff ELEV5 ROOF FRAMING PLAN-('R-f---:,Vf-.R-5'E-C-,-O-N-P IT ION ) - ELEVATION 11 5ff FF FOR SPACING 2X60VtR6UILTFRAMI.W 56ALE:1/4'=`0' IW_ W FRM6 PLAN FOR 5PAC _SEE E 5 OF-RAMR5 _Rff_FRl6_PL6N FOR_51Ze$,PAC =VR __LLv "n 'Cr fRM(PLAN FOR 51n&5PACIN6 ROOF R ER5 VV Fff,�F FRIA&PLAN FOR 51ZC&5PWNC E- o--LE IUNG JOISTS 5Ee FRM6 PLAN FOR 51ZI! SPACING 11IL111,001515 - 5EE FRM6 PLAN FOR SIZE&5PAZINO CEILING JOL5T5 5EE FRM5 PLAN FOR 512E&SPACING Oft.TOP PLATE DBL.TOP PLATE 91 LL_ 95L.TOP PLATE WALL 41 EXTERIOR BEARING ;L. MAIN BEARING LINE BEYOND ' EXTERIOR 35ARIN6 WALL Ar. 0 ROU T V 741, TYPICAL 16AL 13EARIN6 13EAR IN6 PROJECTION 1-c�TYPICAL 13EARINC7 U-1 0'filRl Tf 3/4'�_0' \LOO/ �w v �3/4'-0 O�' TfJ x fh, VLesim ■ (2 2 w/ REP.ELEV.'I F 612 X 10 W/ #,e (2)z X 10 W/ 6,111,�ROOF IRAIRY, OR .(2) Ef 2 �215 f Of. 8101 I X 4 LADDER I 24°OL. 2 ROWS 12-16d NAILS 4"O.C. R 0'0 F F R P-kR-T -PLA7N E'C-E-V W f I 77 S 1-111:9 AT EACH FACE CEILING J0 5T 5EE PLAN' 77 FOR SIZE AND 5PA6 INC BEARING WALL 5EE PLAN `4"0 0 1`4" FOR LOCATION FRAMING PLAN IL INC JOIST 5PLICE-DETAIL LT IAO 462 DATE Irol'K WI2X26 .421 11 W/I RARER 12 ZA 12 Jam( 5f C. REP.ELEV.'I f. J 5 5IMP5ON Igo CLIP J21 2 A 10 W/ 10 Wl _1� po riXRAOe ROOF FRAMUNO� ANGLE(TYP) EE. (2)J 12)5 8 EE. R82 U.- (2)d f2)5 8 5# 10 X-4 LAC ONE PER RAFTER REF.ROOF FRAMIN6 PLAN 2X8F RAF R5# CEILING J015T 2-1X10 ?-ZXIO (E) (E) f 2_2X6 2_2x8 2.7X8 bBEET NUMBER H1203RFlR 11 it 11 11 11 11 1 L6,4x3/6 L005C 5TL.AN61_1!LO&ILK—LOx4�3/,B-LOOflE.61L..AL&E-9-BRICX- 2 A 4-L7,24'O.C. RAFTER CONNECTION DETAIL ROOF FRAMING PART PLAN ELEVATION 13 \��j 4 z V-0 �,<OPT. FRONT LOAD (3ARA6f- SCALE 1/4'.N' 9.00a (D COPYRIGHT 1999 Pulte Home Corporation OF - t i I I CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 3�5QDate a rad THIS CERTIFIES THAT THE BUILDING LOCATED ON L5E 17L- MAY BE OCCUPIED AS 5/1,) !� /,e- 7�fi)IJ/ , 1�cv�1/111 y IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY AP LY. o. "'"';,, CERTIFICATE ISSUED TO L'z. ADDRESS . ���.��i t �cC �T✓, f y� ''Uemu' Building Inspector NORTH Town of Andover p No. =_•.r. r o dower, Mass., C OCMIC MEWICN ��. ADRATE D P,?W' `C S 4 BOARD OF HEALTH Food/Kitchen . PERM IT T D Septic System BUILDING I SPECTOR THIS CERTIFIES THAT....... ....... ..... 0 ....... r ............................................................. Foundation /111! • � r has permission to erect............... ........................ wldings on Q....� ...�... ..I...... ...A.�Q. �.N..O.. ,1/1e1.�.0 Rough f'/%� I to be occupied as. ..C.�PQw1.�..a.��a.�13A.. . �!... d.'...A.1I.w��'.. .......5�!� ..... A..�;.... ....... Chimney �- G provided that the person accepting this permit shal�in every respect conform to the terms d�the application on Ile in Final this office, and to the provisions of the Codes and BY' o s C-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M P 133 33 eLUMBING SPE VIOLATION of the Zoning or Building Regulations Voids this Permit. ou /' L PERMIT EXPIRES IN 6 MONTHS 1 UNLESS CONSTRUCTION STop T ECTRICAL IrrSPECTO r - . .. .... .. ..................................... BUILDING INSPECTOR / 00 Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough,,,,p 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 J vvt' i. Street No. _ Z SEE REVERSE SIDE smoke Det. `r l KORTN O Town of North Andover q tteo , qj. Building Department 3? y`; to o 27 Charles Street ti North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �4Q0RITED C Us APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION it ADDRESS PA1!aM1'A/0 DAike- LOT NUMBER 97 SUBDIVISION Fome&- 111 age l p�S fi-J fit= DATE REQUEST FILED DATE READY FOR INSPECTION %/Z/ Z — z3-0/ FIVE (5) 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 CONSERVATION DATE Z 7c3 PLANNINA) G �'`Jli / f / DATE Z� 7iG� D.P.W. —WA METER /DATE a D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR INSPECTION RE ST DATE. SIGNATURE /DPW AUTHORIZATION 5Date.... N2 L! 21 ,40RT#t 6TOWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING SAC U This certifies that ......................... % .................................................. has permission to perform ........................................................ wiring in the building of.. ................... .................................. Yat ................................... North Andover,Mass. Fee.,--.; ................ Lic.No............. ........ ..................... ELECTRICAL INSPECTOR Check # WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 771e ComrnonweOlth of MOSSOCh P.—11 No usettS _°"`"""° 0 . Deportment of Public Sa et cltcvls.n(y ,r t.. chrckr,► _ j Y 3/90 it#aw blank-) , ., BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12-00 I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance will, the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE.PRINT IN I21K OR E;LoIeC4 TFORIMTION) Date City or Town of 91 Io the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street S Number) dig Osler or Tenant L 7-�ticIL O�+ner's Addressy_�,ST L�d..ot+l� d ,a( �i1v � Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization N0. /p O Existing Service Amps / Volts Overhead ❑ Und rd ❑ N 8 0. of Meter- New Service olts Overhead ❑ Undgrd a No. of MS-te-s / Number of Feeders and Ampacity_ Location and Nature of Proposed Electrical Work / No. of Lighting Outlets No. of Hot Tubs u No. of transformers Total Z No. of Lighting Fixtures Above ❑ In- KVA Z Swimming Pool grnd. grnd. ❑ Generators KVA i No. of Receptacle outlets < No. of Oil Burners No. of Emergency Lighting No. of Switch Outlets Ba.ttery Units No. of Cas Burners FIRE ALARMS - N � o. of Zones • o' No. of Ranges No. of Air Cond, Total No. of Detection and w= tons Initiating Devices `No. of Disposals No• of peats Tions Total ' No. of Sounding Devices D No. of Dishwashers Ir Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW ❑ Municipal a Local Connection❑Other LL No. of Water Heaters Kit No, of 10. o Voltage V Signs Ballasts IWIring Low Low V LL No. Hydro Massage Tubs No. of Motors Total IIP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws Sl I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YESM) -NOE] I have submitted valid proof of same to this office. YES LA NO E] If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Elec�zical Work S G ov O -- xpiration ate Work to StartWILT. CALL. Inspection Date Requested: Rough final Signed under the penalties of perjury: FIRM NAME JAMES E. BUCHANAN ELECTRIC INC. --'----- LIC, tao.A15616 Licensee JAMES E. BUCHANAN Signature Address P.O. BOR 544 SUTTON MA 01590 LIC. No. E32062 Bus. Tel No. 508-865-3335 OWNER'S INSURANCE WAIVER! I am w Alt. Tel. No Stantial equivalent as required byaMassachusetts iGeneraldo ssnoandathatve hmytsig-aturensurance cone rroi� sub- applieation waives this requirement. Owner Agent ( lease check one Telephone No. Y 7 Signature of Owner or Agent PERMII FEE S W Date.Z.................. .... 40RTII 4" 0 TOWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING C64us This certifies that ........I ................ ................................................................. 'Cias permission to perform ... .............................................. -wiring in the building of ........................................................................... at...,..:............. . ................................. ...........................North Andover,Mass. Fee-.�.................. Lic.No., .................... Check # WHITE:Applicant CANARY:Building Dept. PINK:Treasurer offi6ul Usc otliv Perm No. r, SV Occummcv and For Checked BOARD OF FIRE PREVENTION REGULATIONS �Rev. 1 L991 I leave blank! APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \it wunk lo be perilormcd in accotdanc-c Willi the massuchuscus Flectrical Code f, (PLE..iSEPRI:\;TIN,'.,*,ik.' ort 7-Yl3L--:ILL I,*Vl"-'OP,1,1.17-IOIV) Date: / J,)-/4 _ Thtiecr ofJVijesCitv orl'own of: _e _ : By this application the undersi,,pied glives notic-of.his or her inicationto aerform the electrical Nvork dttsczibcc��. vv, Location(Street .c: Numt)cr) L 0 1 F:Vrr6—' V j// L44:2,� Owner or Tenant PV I-tc- 0 0 iA c C. r- Telephone No. 50 -000 O- Tier's Address P6-1 Tv"Plytr a-00 Sov-11,6,&o Is this permit in conjuucti It ivith I pilildi(lig perlllit° Yes LW N o Ej (Check Appropriate Box) Purpose of Buildill.. utility Authorization No: Overhead 17, Und-rd No.ofilleters Csistill" Service Amps Ner.- Service Amps Undord Volts Overhead jr _j ito. or'.Nleters Number of Feeders asid Anipacily Loc:ifiun 3nd Nature of Proposed Electrical Work: ee eta&t,, Completion oldie folluiring table wav be iraircd&r the hmuec.,or or 11 lies. No.of Total No.of Recessed Fixtures lqq).-of Ceil.-Susp.(Paddle)Falls I'Transformers A No. or U.-litill",Outlets No. of IlulTubs Generators KVA L 1 ti- C1 11NO.of Emergency Lig tturg Co.of Lighting Fixtures SITimmill- P002: rad. Bittery Units JiNo. of Recceptacle Outlets No.of Oil BurHers IFIRE AL,',RMS 1,\o.of Zones o 0 0 "ul' rs Detection and lNo.of Switclie5 No.of Gas Burne Initiating Devices Total of Alerting Devices I:N'u. of Ranges `(o.of Air Cond- Tons !\a m ING-of Self-Contained- !Nlo. of Waste Disposers Totnis:• ------ Deteclion/AlertinE Devices No. of Dislovashers: SpacciArea Heating KAYLocal Ej IN-luillcipal [J_ Other Connection of D rvei 1o.of Devices or Equivalent of \Vater !.NO_OfKDain lVirine: W Ballt ass Z' Heaters Signs i 'No.of Devices or Equivalent 1'Felecommunications Wiring: iN'o. Hydruma55a-e Bathtubs Na.of Mators Total Ill' No.of Devices or Equivalent OTHER: ,I trach additional detail(fesired.or as required bY the Inspector oi-,Vire s ]N'SUR.aNCE COVE_RLAGE: Unless %valved by flic omller,no permit for the performance of electrical work may Issue unless the licensee provides proof of liability ill5ura-ic4 including"completed operation"coverage or its substantial equivale-it. The zzjjc!l coveraLe is 11 force, aind has exhibited-roof of same to the permit i5suinn-,office. r CHEICK 01N'E: 1\1*SURA\'CC C] BOND [I OTHER 0 (Sr)ecifT) Dzic) lEsriratlar Valli%, 'Work: 3 S7 'When required by nimilcipal policv.) L 19 'A Vulk to Stan: Inspections to be requested in accordance with iEC Rule 10, and upon comoie!ion. jA� I cernfr, mider the pains rurd penalties Qjperjun"Ihat the information oil this application is frue and cony.olef& I'-'H z I N.A.1 I L: L LIC.N 0 LIC."O.J. YJ40C Licensee: Vn'i( LAA Bus.Tel.No.: -3 a-2-S Address- Alt.Tel. No.: 0 WNER'S UNS UR AN C E NVAI VER: 13:11 aware tim the Licensed noes not have the IMbim-,insurance coverage nornialtv i nc 01 0'1%�,Wcr F d 0.U i r c.d i� I'a V S i3'i I e I o-,v: toy kv�i i v-z i is,eg i r,-n ic-i t. 1 Mist`. 3 Si 06 Date./-. `. No _ e TOWN OF NORTH ANDOVER w p PERMIT FOR PLUMBING SS cm SES This certifies that �'.l� <` `` . . .". .1!. . . . . . . . .1 has permission to perform :! :`.. . . • . . . . . . • • • • • • plumbing in the buildings of . . .P.�: �.� �. . . . �.`::r7 . . r`. r'��. at. f. . ; ��:'-; . . . . . . . . . . ... , North Andover, Mass. Fee.-: . ' ��•.: .Lic. No.. PLUMBING INSPECTOR Check # 3 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _ /aunf I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO.DO PLUMBING (Print or Type) Mass. Date _Permit# S' Fes= Building Location y/ 110XI-064A20 A& kar-67 ) Owner's Name Type of Occupancy New 5r' Renovation O Replacement O Z1asSubmitted Yes G*' No O FEATURES P I cn cn z z z U) w LUw J Q cc Cr Y cr- _ ~ Z Z 4 Z N H to QQ Z — Z W ui LL o �, W �, �, = cn � a W � Y � a m v7 ¢ >. F- Z 0 a U rt U) O LL ¢ w M _ o CC w 0 = w Q Q W � cc J Z LL CC w = ~ _ O Z _ Y d 1— Q Y W LL Y W v Q Q ° a D < .o z O g Z Z < 0 _ Y m o o = rQ— vJi tJi c¢7 o ¢ 3 m o SUB•BSMT. BASEMENT I 1ST FLOOR 2 2ND FLOOR 1 12.1 3RD FLOOR 4TH FLOOR Y 5TH FLOOR 6TH FLOOR TTH FLOOR 8TH FLOOR _44�-4�, Installing Company Name /�11�<JZ�ER tr !c�£�L S /ti(ECH1�it�IC/1 Check one: Certificate h Address r• U '60 x s- I� w Corporation -2 �! C ❑ Partnership , Business Telephone 978" �8 9'7`�7/ O Flrm/Co. Name of Licensed Plumber (Z_HAIeL£S 2QAAt)Z INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes CL No O If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ) Other type of Indemnity ❑ Bond ❑ OWNERS 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: Si nature of Owner or Owner's Agent Owner O Agent O I hereby certify that all of the details and information I have submitted (or entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signature 01 LicensedPlumber Title Type of License: Master Journeyman ❑ Ciry/Town License Number (9 APPROVED OFFICE USE ONLY) DEC-14-2000 04 :24 PM MARCHIONDA&ASSOCIATES 781 438 9654 P_ 02 S22.42'37"E 27.12' 522'42'37"E 112.04' 6,21 „ S22 42 37 E 87 40,7' 11214 S.F. 0.26 Ac. 31.5' z Z d' TI ON ti �. TOP Fot,�NDA - L�VATlON=1 c'0.6 5 . 00' 26.4' px1302��Q3 5r= MELrSGiUC � bio :3i:lAi3 PALOMINO DRIVE W£ HEREBY CERTIFY THAT WE HAVE EXAMINED iK/ L THE PREMISES AND THAT THE BUILDING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN, THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D, FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO. 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR,FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 87 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I POLTE HOME CORP, OF NEW ENGLAND STONEH , MA, 2180 257 TURNPIKE ROAD SUITE 200 SOUTHBOROUGH, MASSACHUSETTS 01721 SGALE:1"=20' DATE: 12/14/00 Now, 2720 Date..... NORTq TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACNUS� This certifies that ........ IM Pj u C ct 61 Q 0 � pec ..................................................................................... has permission to perform ......T'-e.p......S P .�1.�.`��....................... � � 7 -� e p wiring in the building of......... ...�:................. ....�.........5............................ at... ........,�f/��Yi.�1?. ..... '..... .............. orth Ando�e w Fee....,1. .......... LIc.No. l.... .................. L CTRICALINSPECCOR Check # ����/ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 0"77je Commonwealth o ter. CI Mossochusetts t'ermll Ne. Department of Public Safety Ckc'Ar—c '� t•• c1..�4.e _ V� 3/90 (L� a bhn41 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12-00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance wllh the Maecachusetts Electrical Code. 517 CMR 12:00 (PLEASE PRINT IN IIIK OR TYPE ALI, IIIFORIfA"Lloll) Date City or Toon of To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number)_ O>--ner or Tenant Owner's Address Is this permit in ❑conjunctiowith a building permit.. Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. j-6- 1 :54 Existing Service Amps / Volts Overhead ❑ Und rd ❑ 11 V New Service g No. of Meters_ \. Amps �i) / () Volts Overhead ❑ Und rd U—_—No. of h'!te-s- / Number of Feeders and Ampacit.y I LocatLon and Nature of Proposed Electrical Work — No. of Lighting Outlets � No. of Hot Iubs No. of Transformers Total = No. of Lighting Fixtures CVA Swimming Pool Above In z end. ❑ E] a No. of Receptacle.0utlets g grnd. ❑ Generators KVA ` llo, of Oil Burners No. of E�mprgency Lighting No. of Switch Outlets Battery No. of Cas Burnerso No. of Ranges FIRE ALNo. of Zones xr No. of Air Cond. Total toNo. of Detection and ns Initiating Devices m No. of Disposals Heat Total Total W No. o f p� s ---_ lJ Tons KW No. of Sounding Devices �� No. of Dishwashers Space/Area Heating KW No. of Self Contained = No. of Dryers Detection/Sounding Devices Heating Devices YGI Local ❑ Hun ---- p Other LL No. of Nater Heaters KW No, of lo, o Connection❑ Signs Ballasts Low Voltage Wirin o No. Hydro Massage Tubs No. of Motors Total IIP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NO E7 I have submitted valid proof of same to this office. YES If you have checked YI:S `•'s please indicate the type Of coverage by checking the appropriate NO ppropriate box. INSURANCE ® BOND ❑ oTNER ❑ (Please Specify) Estimated Value of Electrical Work S y d Expiration ate Work to Start 11 WILL CALL V. � 0� Inspection Date Requested: Rough Signed under the penalties of perjury: g Final FIRM NAME__JAMBS E. BUCIIANAN ELECTRIC INC. Licensee JAMES E. BUCLIANAN �r`- LIC. N,).A15616 Signature �— Address P.O. BOR 544 SUTTON MA 01590 Bus. Tel. No. 5081 865 3335Alt. Tel. 062 OWNER'S INSURANCE WAIVER: I am aware that the Licensee doe of have the insuran�e coverage or its sub- stantial equivalent as required by Massachusetts General La sr and that my signature on oris permit application waives this requirement. Owner Agent ( ease check one) Signature of Owner or Agent Telephone No. PERMIT FEE S St3 Location �A 1A(M iti O �(Z. y No. 1 c Date S NORTH TOWN OF NORTH ANDOVER F s Certificate of Occupancy $ Building/Frame Permit Fee $ cp a0 s�cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 6Z(9 i �a r J Check # 1 8L 41 r Building Inspector 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEM��pO�L.ISH A ONE OR TWO FAMILY DWELLING _ m BUILDING PERMIT NUMBER. DATE ISSUED: _ �/ QO ic SIGNATURE: - - --i Building Comm-ssioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 941 8MmIy6 0,041' a if e- /o« 111 dNA6✓62 NAp Number Parcel Number G, ��. 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zane ❑ Municipal ❑ On Site Disposal System ❑ aaaal SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT }} + '16?3 P10 ITI 2.1 Owner of Record Name(Print) Address for Service: r. r_1 - �i /, Sign-ItTelephone I Owner of Record: l.ne Print Address for Service: z `i M Si ature Tele hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ )a E W-NjrN 710,? � Licensed Construction Supervisor: License Number P� zA) P1. &44Zf A ess /D_d j--0J— Expiration Date SignRC a Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ UC�J€�ls -�PAI/�/� �.�SEirJF�lI7'.J`�ST�►� i.�nnq3 Company Name /"/ �� � �� Registration Number (aaa' u,e�P,Ke- S r" Ad ess Expiration/Date G) Si re Tele hone c. 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 building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all a licabte New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s ) (�' Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: FzntISfF &-tse yb)T usmic, ayws agwm&Bi�S�/�FiJT�iNlsitin/� .SYSa2?1 CP6 O SGS �' '"/— A"SrX0A1-- 2 'K2,' AW aIC A/ t°rrn�C-C SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 2- Construction 3 Plumbing Building Permit fee(a)x (b) Z �_ 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 I, 'sFfw gy/11i as Owner/Authorized Agent of subject property Hereby authorize 0WEs/Sa4Al1A 6 &sC,nE YVSlr-111 to act on My alf, 'n all matters velative to work authorized by this building permit applicati�n���y— Si h Owner Date 5 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are Lrue and accurate,to the best of my knowledge and belief Dn,),eL F Print e SiJQaVrre of Owne Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS b7 20 3ku SPAN DIMENSIONS OF SILLS ' DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS ' HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ti 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 APPLICANT_[/telf!_S 6ao&aL Q E�J�i✓f'Si/�7� PHONE /-J�2/-Gb60 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET ST. NUMBER OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATORDATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH . DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMEN R,� d 7dM l0 072efij �Q�v��� I o 2 -p RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm .0 L 0 . , a . . . -mmm. ., .. a . OWENS IN irmimmam u 4.11,1vowAl / MINS �.�.� — -■ � ■■■ ��. . ■ .. C■ ilipp■�A �■. ■■ ■�I.■■�■ ■t ONE ■■■■■■■ ■■■.■ Grp::■■■■■.!!■■■_ ■ ■■■ /I ■■N ■..■■..■ C.............r'l..f�•.�1. MW■■■■■i'NS ■■■■ ■■■■■■■■ /■rill ■■■■■■ ■ �! KWIM■■■■■■`N ■■■m ■■■■■■■■ ■WA■ ■■■■■■■■■■■■■■■r�� �■■ ,I■■■■■ ■■■ ■■■■ ■■■■■■■M ■r�il�l■■■ ■■■■■■■■ ■■ /�■�! M■■■■■■■■■■ ■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■�iz � '�■ ■■■■!7■■■■■. ■pmp l!■■■■■t MOM■■■■■■■■■■■MEN ■■lAr�lr■ ■■■r■i■■■■■rir�i�r■i■■■■e mi■■■■■■■■■■■■■■■■■�. I ■ ■ ■■■■■■■■ ■■■■■■■■■■■EW=, A ■■■■■■■■■■■■■■■��s■ ■ ■. ■■ ■■■■■■■■■■■■■■■■■■■I/■■■■■■■■■■■■■■■■■■ ��!■ ■■■■■■■■■■■■■■■■■■■ ■■■■■sm m ■ MEMMEMEMEMEMMEMEMME �■ ■■■■■■ww■■■■■r�o�■��,.�� .■ . ■■■■■■■■■■■■■■■■■■■■■■■ ■■MEMO■ ■� at" mi ■p-4■ ■■■■■■■■■■■■■■■■■■■■■■■ ■ -■■! +■ wn7■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■E ■! ■■■■■■■■■M■■ M/ ■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■r■�li Vii■■■■■■■■■■■■■■■■■■■■■mom■■■■■■■■■■■■■■■■■■■IrM■■�■ l■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■■■■■■■ ■■■■ ■ .'. ■■ I■■■■■ ■ ■■■■■ ■■■■■■■■■■■■■e ■■■■■■■■■■■■■■■■■■■■f�■■■■ 1■■■ ■■■■■■■■■■■■■■■R ■■■■■■■■■■■■■■■■■■■■■■■imilsim! mom ONNEENNNER ME IN ME M ■■ ■ ■ ■ ■ ■■■■ ■■■ OWENS . CORNING �.� =■- ___ ■ ■ fie■■ ■ ■■■ Cew ,�0■. e'e �■■■■ ■■■■■ �■■ _ MEL" ■■■ � ��■■■■� ..a _ ilii#( . ■ ■ �..■v ■■ ■■■ ■■■■■■■■■■ ■■ !�■■ ■w �, e. .�,. ...e. ...C.■.....■ �.■.■... ■ll■ ■■ ■ •� IN■. ■■■■■■t ■■■■■■■■■ ■D ■.. ■■■■■■t ■/'p'1■■e■■■e■■■■1�■■e�i�ii►�e on■■■■■■ no .■■e ■■■■■■■. .■■114M ...■■■....[ msl■■■■■ ■■■ .■■e ■■■■■■■. ..►NIUMMI. .....■e...../_�. . ,. { imam MEN■■■e .■■e ■■■■■■■l ■ ■■EI■ e■■■■■■e■■ t■■■■o■■■■■. ap"m 1!■■■■■s ■EE ■ ■ ■■■ ■ ■■e■e■■■■■■■r■nh� o.► n ■rii■■■■■■■■ '. ■ a■■■■■■■■■■■■■■■■■■■■■e �■■■■■■■■■■■■■■■e■■■�01 e ■■■■■■■■■■■■■■■■■■■■■■e ■■■■■■■■���■�■■�■■t■f� 1■140 �►�■■■■■■■■■■■■■■■■■■■■■e ■■■■■■■e■erg. ■■e■■■e■■r��■ �+M>■■■■ ■■■■■■■■■■■■■■■e ■■■■■■■u`iiaere AWE ■■■■■ e■■■■■■■■■■■■■■■e �■■■■■■■■■■■■■■■■■■■VMmum 1■■■■■ ■ ■■■ ■■■■■■■. ■■■■■■■■■■■■■■■■■■■■/ MGM , 1■■■■■ ■■MEN■■■■■■■■■■. IM■■■■■■■■■e■■■■mom ■ee I■■■■■ ■■■■■■■■■■■■■■■ee■■■■■■■■■■■■■■mom■■mom � WIN 0 ieffiiimmmmom MME .■■■■■■■■■■■■■■ ■■■■■■■ "AMEN■■■■■■■■o■ ■■■■ ■■■e ���' ■ee■ ■e■ ■ ■ • INE :!/L� North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit is that the debris resulting from this work shall be Number dis osed of in a properly licensed solid waste disposal facility as defined by MGL P c11, S150A. The debris will be disposed of in: EGD f (Location of ) A Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i SOCA International Evaluation Report B 0 0 0 ,. A avali�i�Irs � p z 11. n > co e 3 condition 1L n of use This reResearch Report port is limited to applications and �ttl B■ � � products as stated herein. BOLA-ES intends 21 *24 that this re ort be used b �� d' ttttm ,a z� P y the code official to determine that the report subject complies .� ��F � '��'�,�r ��•� the code P with requirements req is s . cifi Pe Cally addressed, MANUFACTURER: ft provided that this product is installed in accor- MANUF ACTURER: s dance with the following conditions: OWENS CORNING k � andutpme F �r ■ OWENS CORNING Basement Wall Finish- ONE OWENS CORNING PKWY rt�Jr ing SystemTM is intended for finishing wails TOLEDO,OHIO 43659in basement applications.Other applicationsare outside the scope of this report. lit x ■ The maximum DIVISION 7–THERMAL AND Permitted area of the PVC z' wnt, r�lj x , 3 moldings shall not exceed 10 percent of the MOISTURE PROTECTION aggregate wall and ceiling area of he room. Section 07200–Insulation h3 F Z ■ Installation of the Basement Wali Finishing SystemTM shall be in accordance with this report and the manufacturer's installation DIVISION 9–FINISHES �a� psir ¢4 a a �3 F a manual. � ttI "Jestttfs 3 k, Section 09540–Special Wali G ■ Basement Wall Finishing SystemTM shall be Surfaces - installed over cast-in-place concrete or concrete masonry unit walls, or wood or description metal stud .framing. Supporting structural EVALUATION SUBJECT: OWENS CORNING Basement Wall Finishing systems shall conforming to code require- ments for SystemTM is an alternative to conventional wall f this report system and are outside scope BASEMENT WALL FINISH framing and gypsum wallboard,The Basement SYSTEMTM Wall Finishing SystemTM consists of PVC ■ The electrical wiring in the chase at the - ings, and rigid prefmished support lineals, base, batten, and cove moldbottom of the Basement Wall Finish Sys- fiberglass panels, tem"shall conform to the requirements of Panels are prefinished with a fabric cover, he code and is outside the scope of this Basement Wail Finishing SystemTM is priMar_ report, i1y intended for installation in residential applications. Refer to Figure 1 at the end of items requiring this report for illustrations of the Basement Verification Wall Finishing SystemTM. The The Basement Wall Finishing SystemTM shall reports subject,lbut are no relateds are wihin the the use scope of u installed in accordance with the manufac- this evaluation.However,these items are related turer's installation instructions and this report, to the determination of code compliance. Installation typically consists of either me- chanieal fasteners or adhesive fasteningor a ✓ Concealed electrical,mechanical,or plumb- combination of both to the supporting ing components shall be inspected prior strate. Thermal resistance (R-value) forhe the installation of the Basement Wall Fin- fiberglass panels is 1.1. ishing SystemTM panels to verify compli- Basement Wall Finishing SystemTM ance with related code requirements.Evalu- panels ation of these components is outside scope meet the requirements for classification as a of this report. Class I interior finish as tested in accordance PRINTED AUGUST,2000 � Fr With ASTM E84 and also has demonstrated ami supporting the Basement Wall edge of the Finishing SystemTM shall be inspected prior Page 1 of 2 that it will not spread fire to s specimen or cause flashover in the test room.in to he installation of the panels to verify accordance with the testing requirements compliance with related code requirements. CopynghtOc 2000 specified in Section 803.6 Evaluation of this framing is outside scope BOCA Evaluation Services,Inc. National Building Code/1999. of the BUCA of this report. A Participating Member — of the NES, Inc. Page 2 of 2 information submitted Research Report No.21-24 ■ IntegnexTM Testing Systems,Report No.73143,dated A product identification 2000,containing results April 17, All OWENS W of physical testing. ENS CORNING Basement Wall Finishing S rM ■ Inte rexTM manufactured in accordance with this research report hall bear l; Testing Systems, Report.No. C423-99065,dated the following identification: August 19, 1999,containing results of physical testin . ■ Omega Point Laboratories,Report No..13060-103216a dated ■ See BOCA Evaluation Services, Inc. Research Report No. 21-24." May 14, containing res With ASTMTM ults for fire testing in accordance E84 for rigid fiberglass wall panels used in Basement Wall Finishing SystemTM. All Molding ■ Omega Point Laboratories,Report No. 16218-106644,dated Snaps April 13,2000,containing results for fire testing in accordance into — Existing Foundation Wall with ASTM E84 for moldings used in Basement Wall Finish- PVC or Interior Partition ing SystemTM• Support '. Grid ■ Omega Point Laboratories,Report No. 13060-103213a,dated 2.5"Glass June 7, 1998, and Report No. 13060-104470a, dated March Fiber Board 24, 1999,containing results for fire testing for full-scale room corner testing in accordance with requirements contained in Panel wgith Section 803.6(2)of the BOCA National Building Code/1.999. Facin • PVC Cove OWENS CORNING product Literature, dated May .1998. PVC Su ■ OWENS CORNING Suhntittal Sheet for Basement Wall pport Molding Lineal Finishing System(BWFS), dated April 2000. (top, bottom, ■ vertically OWENS CORNING Basement Wall finishing System every 48°) Installation Manual, dated January 20M application for Permit To aid.in the determination of compliance with this report, the PVC following represents the minimum level ofinformation to accompany the application for permit: Molding Vertical PVC ■ The language"See 130CA Evaluation Services,Inc..Research Batten Report No.21-24"or a copy of this report. Molding Base ■ Plans indicating the aggregate area of the room and the area of the PVC moldings being used. ■ Plans and specifications of any electrical, mechanical, or Figure 1* Plumbing items installed within the wall.system. Sketch of Basement Wall FinishComponents SystemTM Showing Typical Components ■ Details and specifications of the supporting construction to INTENDED FOR USE AS A CONST RUCTION DOCUM *THIS DRAWING IS FOR ILLUSTRATION PURPOSES ONLYIT NOT which the system is to be applied. PURPOSE OF DESIGN,FABRICATION OR ERECTION.ENT.FORR THE NOTICE TO REPORT USERS This report is subject to annual certification.Reports that are not certified shall not be used or referred to.To d report,contact BOCA Evaluation Services,Inc.,orconsult the latest edition ofthe BOLA lnte»:atinnal PrnductEva man' in the.BOCA magazine, eterntine the status of certification of this This report is subject to the conditions listed herein and to the s tnnListingpublishedperiodical.ly Independent test were not performed by BOCA Eva specific product,data and test reports submitted by the applicant requesting Evaluation Services,Inc.and BOCA_ES specifically does not make e w Implied,as to any findings or other matter in this report or as to an representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen 9 b this report. Y Product covered by this report. Evaluation reports are not rra t be onstrued as disclaimer includes,but is not limited to,merchantability. a rity,either expressed or Please contact BOLA Evaluation Services,Inc.,with any questions you may have regarding dation for the use of the report subject.This have any information on the per tprtnance of the product described herein which is contrary to this re porL g g this report,Additionally,please contact us if you 4051 West Flossmoor Road•Country Club Hills, IL 60478-579.5 telephone(708)799-2305•fax(708)799-0310 e-mail: boca-es@bocai.org•http://WWW.bocai.org DI w The Commonwealth of Massachusetts > Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 WorkersConrpensMtbn Insurance Affidavit Name Please Print Name: Location: City P 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees worldn9 on this'ob. 1 COMM rem: W&)5 (foe.-il4ja fwsr-,nEKj7'/tiNlSlffN .SYSi AM, 9G o T R.O/ Sr Cfty: 17/� IV4 0407- Insura wa Co. LI&6� Aw 7ugL Poucv Comp=name: Address Cit Phone�k Insurartoe Co. PokV s Fdture to secure coverage os required under Section 25A or UGL 152 can lead to the i mmiflon of criminal penton d.a Ane up to si.5w.w andlor one yem'Imprisom _aa d-sa.cbAinoaltlesInlhaAm de STOP WDW ORM Rj nd.a.Arr d.(31MAM-adg agah9 ma. I understand that a c may to forwarded to the Office of Inveadgeom of the DIA for coverage vent noon. I db hereby d w ury that the Inlbrmadan provided above is drus and correct Signature I)ate Print name PtWe OAidd use only do not write in this area to be completed by city or town dflder City or Town p ❑ Building Dept []Check I immedlete response Is requked ❑ llCenmft Board 13 Selectmen's Office Contact person: Phone# ❑ Health Department ❑ Other 0:19708510830 Autuil. POberty Liberty Mutual Group BOX 7202 Porisunauth, NH 03802-7202 Talelnhone(800)653-7893 Fax(603)431-5693 -September 22,ZUt14 FOR RF,CORD PURPOSES ONLY RE: Certificate of WoMcerc Cornpenralior Inmrance. Insured: BAY STATE BASEMENTS LLC DBA OWENS CORNING FINISHED 13ASEMENT 960 TURNPIKE ST Policy Number: W(75-31S-34.1359-014 PJTl;clivc: 5P.4/204)4 ):rpiration: 5/24/2005 C:)'-=ge afforded under Workers Compensation Latin of dte following staTe(s) MA Lntnlorcrs iabilii . Bodily hyury I3y Accident: s 5110.001 Each Accluent Bodily lnitnl--by Disease: stlo,n:x1 Each Person Budily Injury by Disease 3 500.01111 Pol;er Limits of this date,the above-refereucecl Policyholder is insured listed above by LRi insurance ccrPor'ation under the policy "!,tic insnnince afforded by the listed policy is subject to all the terms. exclusions ons and conditions,niavi'lTeci by any requireirlalt_ism ,condition Of any or other docaruen��with respec+ to wltieh this d rccxtificr to may be issued. I "'h"3 cedir'Qte lS lssucd 05a twitter of infornistion ally and eanfers no rig!It k9w)you.the certificate holdor. :''his ccttif tate is not an insurance poliev and does not annelid, cxteud,or alter the coverage worded by We polic;listed above. l!'d"spolicpJs QMccile'.d before the slatod e.\piratien date,Liberty Mtluwl wW ende=avor to notify you of such cancellation. � nl rT'NI1Rt2I:D rtL:P(U:t t3N'1)11'1 nit idULRlY I,rtl'i'UALiNRuItANc►.I:ttaur '1'4,.••wtil:nn,.,w u,swwJ I.y l.In17A'1 V M!nl!n!_Mot IR.1Ne'li(:RAI!P uN nMx:its wch i�rtcn v s:„aTva'eo A .Y 1 Moa gKgryNlnx. 04 n DAY STATEr'dt::;: QI'RKnrrl BASEIv1EN7S LLC DBA OW>rNS CORNING FINISHED A\' RLtW C CORDON RNC 1?a-r'a PASUMENT P 0 BOX i!19 S'60 TURNPIKE ST NGRWCLL,MA nllir,l SEP 3 0 2004 `�'2L'anc ANUk-Y•a 91te -CoWt� Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 137943 Type: Supplement Card Expiration: 1/292007 OWENS CORNING BASEMENT FINISHING DANIEL WALSH 960 TURNPIKE ST. CANTON, MA 02021 Update Address and return card.Mark reason for chang .PS-CA1 Ci SOM-04/046101216 E] Address [] Renewal ❑ Employment n Lost Card ,per �/ce ��omvneanueall� o�./�aeoarlcueelG �\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 137943 Board of Building Regulations and Standards Expiration• .1/29/2007 One Ashburton Place Rm 1301 Type: Supplement Card Boston,Ma.02108 OWENS CORNING BASEMENT Fl; IJ=ff%� IXISH 960 TURNPIKE ST. CANTON,MA 02021 Administrator "' Not valid without signature j ✓/ie eanvmoouuecr � ac`aeae BOARD OF-BUILDING REGULATIONS +License CONSTRUCTION SUPERVISOR Number CS', 079893 ry�E 1 Birtlidate 10(05/_1'962 Expires 10105/2005 Tr.no: 79893 5# IRestncfed 00: DANIEL F WALSH i 488 KENDALL RD TEWKSBURY MA 0:1876'' f i9dministrator ------------ i ti m,»�+ww.�.'�.�_-.,J....w...-,ww•swrirmM.a�wA-w Fr .. ' „ a S Sv '�I f tl rA - _ t w %A TH ToVM of : _ aAndover '0 _ o~ dover, Mass.,LAKE 3 y •�?eo s.. COCMICHEWICK �oRATED vv BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.....6C40J * A14 v/"!rV BUILDING INSPECTOR 7h. ...4?.*40 ... ..............."' """""""" Foundation has permission to erect.� �� ....... buildings on �� It I V ............... .�. W .V. ................................ ..�.. ........................ Rough to be occupied as.+'� t a��a A-r 1k�h00.. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on filein this office, and to the provisions of the Codes and By-Laws relating to the InspectionAlteration and Construction of Final Buildings in the Town of North Andover. /08 V/33 ' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N TARS Rough '000q. . ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a LConspicuous Place on the Premises — Do Not Remove Rough 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.