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HomeMy WebLinkAboutMiscellaneous - 44 OLD VILLAGE LANE 4/30/2018/ 44 OLD VILLAGE LANE - -- -- _- - 210/059.0-0065-0000.0 -- Location No. �P �?' f Date L NORTiy TOWN OF NORTH ANDOVER O � s certificate of Occupancy $ CM�s<� Building/Frame Permit Fee $ � r Foundation Permit Fee $ I Other Permit Fee $ TOTAL $ Check # (r 24049 Building Inspector The Commonwealth of Massachusetts FOR Board of Building Regulations ulations and Standards MUNICIPALITY Massachusetts State Building Code, 780 CMR,7`h edition USE Revised Building Permit Application January 1, 2008 This Section For Official Use Only Building Permit Number: Date Applied: Signature: Building Inspector Date SECTION 1:SITE INFORMATION Residential ❑ Commercial ❑ Other Description: 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers LI a Is this an accepted street?yes no Map Number Parcel Number l.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided l.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Zone? Municipal❑ On site disposal system ❑ Commercial- Service Size Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Rec d: Name(P ' t) Addrslor Se ce: , JC` 4, 6;i5;2 — ,9��iz�a� Signature Telephone SECTION 3: DESCRIPTION OF PROPOSE WORKZ(chec ll that apply) New Construction ❑ Existing Building❑ Owner-Occupied Repairs(s) Alterations) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': 9FMoue SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials) Official Use Only 1.Building $ ( 00 °,— 1. Building Permit Fee:$ 2. Indicate how fee is determined: I 0I 2.Electrical $ ❑Standard City/Town Application Fee 3.Plumbing $ ❑Total Project Cost'(Item 6)x multiplier x 4.Mechanical (HVAC) $ 3. Other Fees: $ 5.Mechanical List: (Fire Suppression) $ o Total All Fees: $ 6.Total Project Cost: $ x/00 Check No. Check Amount: Cash Amount: µOiRTH TOWN OF NORTH ANDOVER L OFFICE OF A BUILDING DEPARTMENT * + 1600 Osgood Street Building 20 Suite 2-36 North Andover,Massachusetts 01845 S'9CHu5 '.. Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: 2 2o!/ JOB LOCATION: Number Street Address Map/Lot Ii.OMEOWNER 70AC17.r Name ome Phone Work Phone PRESENT MAILING ADDRESS /V /fin(®d cJC,�2_ City Town st�tw. Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units-or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE 6�Ajk_,r:2,0. APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 CERTIFICATE OF LIABILITY INSURANCE bATE(MMID111'r ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORI♦gATION ONLY AND CONFERS ND RICvHTS UPON i'I'!t:CERTIFICATE HOLDEl7,TNI$ CERT IFIcATC DOES NOT AFFIRMATIVELY OR NEGATIVELY Ai16END,EXTEND ON ALTER THE COVERAGE 4E CER ED 8 14/�7/2�11 BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CpN$nTU1'E q CONTRACT TER THEN THE ISSUING INSURER(S), REPRL$EN7ATIVE OR pRODUGERI AND THE CERTIFICATE HOLDER. Y THE POLICIES RfiR(S),AUTHORIZEp IMPORTANT.If the certificate holder is an ADDITIONAL IN.8URIib,the poliCy(ips)must be ondorsod.If 3uBRpGATION is WA1VE17,supject to[Arms and Conditions of tho policy,certain pofictot may require an endpl8Om9nt A Statement on this CSI'$BRO do cerdficat®holder in IIEau of such ondor5enlent(s). PRODUCER 95 1101 COnfor righty t0 trio ALPHA INSURANCE AGENCY INC CO aCT NAME. 648 CENT5RAL ST A/C,Nv, 978-45 $47 LOWELL MA 01852 ADDkEss ALPHA INSURANCE(PJHOTMAIL.COM NO:975.459-4131 PRI] CUST I - JNSUij);p INSURE 5 ORDINC COvI; TWIN PINES CONSTRUCTION INC INSURER A: SAFETY INSURANCE AGENCY INC Nac# 3 CHARLTON ST*61 INouRER o.J ALTERRA EXCESS&SURPLUS INSURANCE EVERETT MA 02149 INSURER C, INSURER D: INS UR m COVEiRA fto CERTIFICATE NIJM13E INBUAGR F: THIS IS TO CEIII TJFYT}{AT'rHE POLIC14S OF INSURANCE:LIjSTEO BELOW HAVE BEEN ISSUED TO TME INSURED ---------- CERTIFICATE NOT WITN19SLI I O ANY I�EQUIREMBNT.TERMOR CONDITION OF ANY CONTRACT REVISION NUMBER; CERTIFICATE IV)AY BE ISSU4p OR MAY PERTAIN, NAMED ABOVE FOR THE POLICY PEfUOD INDICEXCLUSIONS AND CONDITIONS OF SU TME INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN NS SUB JECEr r EC'C TO WHICHT1.118 INS CH POLICIES.!!NITS SHOWN MAY HAVE SEEN REDUCpD BY RAID CL/{IMB. 0 ALL THE T2RM3, I TY►'COFIIdBIIRANCE I R WVD GENERAL UADIEM POUCY NURIUER rN/ntrrYYw -- M/GpIYYYY 11Mh'S COMMERCIAL ORAL LIABILITY GACH OCCURRENCE ICWIMlS•MgDE OCCUR q�T'�' 9 I P'pMfSE6 EnQ D S MQD EXP(Any o%0 F*fW) 6 PCRgONAL&ADV JNJURY y CI RL AGGREGATE LIMIT APPLE$PER: GENERAL AGt OSC-ATg POLICY PRO y 3 I ECT I LOC PRODUCTS•COMPIOP ACG AUTOMOBILE UAnIUTY ANY AUTO COm3IN9D BING'LE LIMIT 1 ALL QVftD AUTO$ (Eseccdmt) 1,000,400 A SCHEDULEDAUTOS QOOILYINJURY(p®rpmrson) 20,000 • HIRED AUTOS 8212010 01/0/2C11 01/08/2D12 BODILY INJURY IPw aaoldy,tl) 40,000 NON WNW AUTOS PROPER'ry DAMAGE (Por wt—idonll S 100 000 2006 FORD 9250 UMBRELLA LWS OCCUR B =ESSIJaS CLAIMS-MADE DEDUCTIBLEEACH OCCURRENCE R MM11240008514s � IU7/2010 12/07/2011 AGGREGATE RETTE;(4NTNN $ S 2,000,444 WORKERS COCAf+@�SAT1ON AND � EMPLOggY��ERS'Lla[lIM Y I N ANY PON ICEIUM6 BER/PARwD pUZCUTtt/C F ' NIA fDRYTIM S If Ya s.d wry b NH) E.L.FACH ACCIDENT DESCRIPTION OFP 0 ERATIONS belo,u E.L DIaS.WE,g,eMpjoy E E.I..DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATION6/W Q 1 'jON8/VE}{ICLEB(A 00 ACORD 101,AdWtionpl Rop,a ft eCh04W9If MOM*Paco is requirod) CERTIFICATE HOLDER CANCELLATION ROBERT FOX SHOULD ANY OF THE ABOVE DEsOR1ElEj)POLICIES Be CANCELLED 44 OLD VILLAGE LANE It+IA 01845 ✓EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN qL THE NORTH ANDOVER IMTH THb POLICY pROVI910N0. 4p FAX# AUTII QED RESENTAnve ACORD 25(2009/09) The ACORD namo and logo erd"t9h Orod Marks of ArACn n0 0 RD CORPORATION.Au rights reserver! IMF law W�11b,"rinll s, 03 Charlton St,Unit 1310Everett, MA 02149 Cell: 978-504-97810)Phone: 617-381-0081 m Fax: 617-381-0811 q o d Proposal Date: 4/5/2011 For Project Information Company Project# Contact Benjamin Osgood Title Robert and Dana Fox Address Old Village lane Address 44 Old Village lane 978-682-9553 City,State,Zip N.Andover,MA City,State,Zip N.Andover,MA Phone 978-683-3163 Cell 978-265-1322 Plans Dated: Recent Addendum: Email Wage Rate:Residential We are pleased to quote the following Labor&Equipment in accordance with the plans and specifications listed above.This proposal is subject to exclusions that may be listed below. Scope of work for the project to be constructed as depicted in the plans and details as described herein: SCOPE Roofing material removal and installation materials and labor - Removal of existing Asphalt roofing shingles - Apply ice and water barrier to All Rake, Facia, and valley locations - Cut 1.5" slot on either side of existing Main roof ridge - Install new"Cobra"type vent material to entire length of all necessary roof ridges - Install new drip cap at all roof leading edge locations - Install new vent pipe boots where required - Remove existing clapboarding and rake trim @ right cheek section of sunroom wall over garage - Install new ice and water barrier, and white coil metal cover trim at this location - Install new section of Azek trim boarding at this location - Install new roof drain collection basin at same location - Clean up our debris to dumpster Global Inclusions Fasteners: - o Gun nails up to 16d - Equipment o Typical roofing Staples o Nail Guns o Boxed nails up to 16d o Catwalks, Pump jacks, Scaffolding - o Typical construction tools PRICE EXCLUSIONS - Permits and fees - Police Detail - Materials - Fasteners, Bolts, Screws, and Hangers (except those specified above) - Caulking and related materials - Installation of all felt paper or vapor barrier under brick or other masonry 415111 Pagel of 2 P �r 03 Charlton St,Unit B1OEverett,MA 02149OCell:978-504-97810)Phone:617-381-0081mFax: 617-381-0811 - Installation of metal stud walls, Steel trusses, steel stairs, or metal soffits or steel decking - Installation of any seam metal, EPDM, TPO, other membrane roofing, or Asphalt except where specified. - Installation of Storefront windows and metal framed doors and windows - Dumpsters TOTAL PRICE FOR WORK TOTAL PRICE FOR ROOFING $9,100.00 DESCRIBED ABOVE: Twin Pines Construction shall supply Fasteners and Equipment as specified above, all other items not specified must be agreed upon prior to signing contract. All work to be completed in a workmanlike manner according to standard construciton practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders[change orders],and will accrue an extra charge of$50 an hour for each man hour and additional equipment costs above the costs in this proposal.All agreements are contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,flood,earthquake,and other necessary insurance.We are fully covered by Workmen's Compensation Insurance. Authorized Signature: Acceptance of Proposal: The above prices,specifications and conditions are satisfactory and Signature: Q44 4a- hereby accepted.You are authorized to do the work as specified. ^ Date of Acceptance: �I v p2a Print Name: r1AA U1� - • i Page 2 of 2 The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code,780 CMR,7th Edition Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling SECTION 8:ADDITIONAL APPROVALS 1. Ballardvale Historic District Commission: Date: 2. Board of Health: Date: 3. Conservation Commission: Date: 4. Design Review Board: Date: 5. Electrical Permit Number: Date: 6. Fire Prevention: Date: 7. Planning Board Lot Release: Date: 8. Preservation Commission: Date: 9. Zoning Board of Appeals: Date: I� i SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) rW p�c�° &1-�&-e_ License Number Expit tion D to Name of CSL-Holder p i'o a - F List CSL Type(see below) Addre Y V Type Description c" U Unrestricted(up to 35,000 Cu.Ft.) gn ure R Restricted 1&2 Family Dwelling �� y_ 3 �v1�� M Mason Onl RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date Signature Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(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 .......... ❑ No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Z I,64L,— V . f () as Owner of the subject property hereby authorize to act on my behalf,in all matters relative /]to��Jwork ////^J]authorized by this building permit application. �' �—(a- Signature of Owner Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION I, Vrb'�l{_. as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name ` 7 aw Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of perjury) NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.86 and 110.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basement/attics,decks or porch) Gross living area(Sq.Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open Date. /.�, c3/' �.. .. NORTH OE o? TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION �9SSACMUS This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas . installation : . ` �- -r- a-r �, . . . . .G in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . /7No'rth Andover, Mass. Fee= Lic. No. ...... .. . . . . . . . . . GAS It R Check# L/' 52 : 8 MASSACHUSErf'S UNIFORMAPPUCATONFORPERNIITTO DO GAS FITTING (Type or print) Date �p -„Z�-e2 5 NORTH ANDOVER,MASSACHUSETTS Building Locations % �� 1,/ Permit# Amount$ Owner's Name M Q q-AQ S ABX New❑ Renovation ❑ Replacement Plans Submitted ❑ O O W H F a C F W W F O CA O , GOz a a 00 aO 9 o1 H SUB -BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Che one: Certificate Installing Company Name �� ff Corp. Address 7S ❑ Partner. Business Telephone g `7 f S-/5- Nd N A Firm/Co. a 0 Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: e I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked Les,please indicate the type coverage by checking the appropriate box. ❑ j Liability insurance policy 0 Other type of indemnity [3Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State as Code an haptur 1.42 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By: ❑ Plumber � / Title L z City/Town ❑ Gas Fitter License Numner, Master PROVED(OFFICE USE ONLY) ❑ Journeyman PEWAIT NO, z S-3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. '� PAGE i MAP K40. ` LOT NO. �� ,�- 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE — ZONE T—I SUB DIV. LOT NO. I LOCATION a PURPOSE OF BUILDING ® r OWNER'S NAME D NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB 3.' ` T ARCHITECT'S NAME p i SIZE OF FLOOR TIMBERS 1ST // O/2ND 3RD BUILDER'S NAME /1_� SPAN �l -- DISTANCE TO NEAREST BUILDING OF DIMENSIONS OF SILLS _7 rX��q /�}`-- DISTANCE FROM STREET �oa ` POSTS ( �� DISTANCE FROM LOT LINES—SIDES REAR `�?° GIRDERS f, AREA OF LOT sa ��+ FRONTAGE, HEIGHT OF FOUNDATION fJl/� THIC�KNYE'S�S IS BUILDING NEW �1/© i SIZE OF FOOTING l7®rr q /i Is X IS BUILDING ADDITION MATER:AL OF CHIMNEY OF• 7 IS BUILDING ALTERATION, © a IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS Oi CObE IS BUILDING CONNECTED TO TOWN WATER f' BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 16 IS BUILDING CONNECTED TO NATURAL GAS LINE Q j INSTRUCTIONS 9 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST ��^ ati a PAGE t FILL OUT SECTIONS 1 - 8 EST. BLDG. COST PEA SQ. FT. PAGE 2 FILL OUT SECTIONS I - 12 +. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED D,NLiCI / BUILDING INSPECTOR SIGNATURE OF'OWNER OR AUTHORIZEd AGENT p FEE OWNER TEL.II PERMIT GRANTED r CONTR.TEL.# T V ` f lq- 19 CONTR.LIC.# H.I.C.# y BUILDING RECORD 1 OCCUPANCY ' 12 SINGLE FAMILY SroRIES THIS SECT'^" " O ' EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILYOFFICES LOT LI '•dSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES "S REPLACES PLOT PLAN. CONSTRUCTION 1 � 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 CONCRETE BL'K. BRICK OR STONE HARDW'D PIERS PLASTER __ _ AV DRY WALL UNFIN. 3 BASEMENT I AREA FULL I FIN. B'M'TAREA _ '/. '/o 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM _ MODERN KITCHEN _ 4 WALLS 19 FLOORS CLAPBOARDS B 1 2 3 J O/ F DROP SIDING CONCRETE �_ S / WOOD SHINGLEARTH ES ASPHALT SIDING HARMU'D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME / BRICK ON MASONRY ATTIC STRS. S FLOOR I_ / BRICK ON FRAME / CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR DEQ _ 1 1 Cl 5 ROOF A10UATEPLUMINGNE .O i:sro�Y kESiDr �E GABLE I HIP BATH (3 FIX.) _ 16 GAMBRELMANSARD _TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET — ASPHALT SHINGLES LAVATORY p'��C n WOOD SHINGES KITCHEN SINK `Aec SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ N ROLL ROOFING MODERN FIXTURES Pg. PoSFD TILE FLOOR eviLf ADD TILE DADO (,1 6rorz 17IOA/ Y) 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPORI WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAL O B'M'T 2nd _ ELECTRIC lst 13rd NO HEATING 1 tAOR (over 7-� Tow n- of - o. Q 3 LAX doves , Mass., '9 COs HIC if E w i CN ' 1• - BOARD OF HEALTH Food/Kitchen f M _ Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..............................................................+�......:h-................... cs.. .................... ............................ Foundation . ......6..(..(.h; 6.�......�: .�` Rough Ease permission t0_®ract.... .?...,..�. ..:''. buildings on ......... g tobe occupied as................................................/i. .............. . ?..<.. i..0. ....................................... Chimney provided that the parson accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS� � ELECTRICAL INSPECTOR Rough .................................... Service f BIIILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises ® Do Not Remove Rough nal No Lathing or Dry ball To Be Done FIRE DEPARTMENT Inspected and Approved by the Building Inspector. Burner s' Street No. Smoke Det. r, f COLLOPY 3 ENGINEERING CONSULTANTS SHEET NO. / OF 65 Ayer Street CALCULATED BY 661 C DATE //2-/177 METHUEN, MASSACHUSETTS 01844 TEL/FAX (508) 685.8069 CHECKED BY DATE SCALE _... .......... __. _ ._... l.� W ....... .....�: ... ....- 1 , . . ci ......... �. _ BEr-J . ... ........... 1 �x 4s r+N gs S o✓£2 F.Q-A,7- 5�QRS' FRANCIS H OLLj I F ca20172 ..,� ....... ...... rrr., .t.a ... i J lR01D&RY QTCG� � � ,8E . eom ......._. .. , ... 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OF 3 ENGINEERING CONSULTANTS 65 Ayer Street CALCULATED BY Fr DATE 7/2/97 METHUEN, MASSACHUSETTS 01844 TEL/FAX (508) 685-8069 CHECKED BY DATE SCALE '.........._..i............ .............j.............................._................... ..................i......................... ..... ..... tir ti1ATL ✓S� F/4GG� BLT Bv:TT,uF Q FT 2...... ......... .. �..... /g r� P. 113 ;. .......:. C.aua. a-6-p: o-K......f /5 � G,o ... . ,i ,$AJe7 W L oi9�1> P . PA�gL4.,Ai l ,z BLTTL .. y lmf' G . ......F�.us.H ............F , . / i Fie... �.... .... :....... .. ....... ... .:... ........:.. .: . .... .... .... ....... .. ...... ...: ... 8 � . .t .. .... :.. . ..... i ..... ... . , . ..... .......: ; .. .. . ...:. - - - ........... ..... G T/,:0 A.1 g FRANCIS H ._. .COLLOPY ... "-A. .... ...... v ' 20172 ... . ... SfGNA% ........ ..... .. .. . .. -PRODUCT 204.1(Single Sheets)205-1(Padded)Q0 Inc.,Groton,Mass.01/71.To Order PHONE TOLLPREF t4l*225-M ..:SURVEY PLOT PLAN 7 / I HEREBY CERTIFY THAT: *THE DWELLING LOCATION IS SUBSTANTIALLY AS SHOWN ON LOT. *THE DWELLING CONFORMS TO THE ZONING BY-LAWS AT TIME OF CONSTRUCTION. *THE LOT DOES NOT LIE WITHIN THE 100 YR. FLOOD PLAIN. i d *THIS PLAN IS BASED ON THE SURVEY �i MARKERS OF OTHERS AND MEASUREMENTS MADE IN FIELD OF BUILDING SIZE. F PREPARED BY: FRANCIS H. COLLOPY <.9 PEGISTER.ED PROFESSIONAL 1' ENGINEER F x OF�� FRANCIS H. cum COLLOPY 20172 NAL�� n� UOTF-5 I. Fog w/LolNG il�c2M/T c�SE aNL`f uS�D 7a O F F S�TS Nor To SE N �6 ZST°ey E \ I �STHBLrSf� PkpP�2TY LINeS , ciI •2 Sin Lor SypwN AS L.07- 4L Iq oN PLf)N $Z 31 Pmt` No• E55Ex /LEGIST,9y p giCicf Sfp � • �/ s ro°D�>/a tV m COLLOPY ENGINEERING 65 Ayer. St. 1/6.31, METHUEN, MA 01844 PLOT PL PN FOR : NO. f}NDOVE2 ). MR55 sCAce - FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant/fills out this section***************** APPLICANT: l�r/��a/I /� 7/0'1 Phone LOCATION: Assessor' s Map Number Parcel Subdivision Vt �ol 1(23. • Lot(s) Street St. Number ************************Official Use Only************************ RECO fJDATTONS F TO AGENT M ]2 Date Approved Iq Conservation Admin strator •. Date Rejected Comments Date Approved _.Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected -' Date Approved ptic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date I C 1 - e�tj COLLOPY ENGINEERING CONSULTANTS 65 AYER STREET METHUEN, MA 01844 FRANCIS H.COLLOPY REG,PROFESSIONAL ENGINEER Residence:(508)685 7969 office:(508)685.8069 CIVIL Fax: n STRUCTURAL DYNAMICS April 30, 1997 North Andover Building Inspector No. Andover Municipal Building No. Andover, MA 01845 Dear Building Inspector, I am writing in regards to the renovation work being done to the Fix residence at 44 Old Village Lane in No. Andover, MA. The purpose of this letter is to update your Office from an earlier design report regarding this project. On April 3, 1997 , I prepared an engineering design report for Donald Landry, General Contractor for this project. In that letter, I had indicated that' there was one area at the peak of the roof over the enclosed breezeway which may require framing modifications which could only be specified at the time that the existing framing was exposed,, when the builder opened up that section of the roof. Mr. Landry called me earlier this morning to inform me that he was opening up the roof and the existing framing would be visible. I visited the site late morning after Mr. Landry had removed two layers of shingles on the back part of the roof and a section of plywood sheathing. The existing enclosed breezeway roof is framed with fabricated 2 x 6 wood trusses which span approximately 18 feet . These trusses are capable of supporting the planned construction for the new addition without any additional framing modifications . The removal of the two layers of shingles will reduce the existing weight and the additional weight of the dead load of the added roof over the trusses will cause a slightly increased dead load. The strength of the wood trusses appear to be sufficient enough in strength to carry the appropriate design load . If there are any questions in this regard, please do not hesitate to call this Office . - w OF�j��s Sincerely, ac FRANCIS H. COLLOPY ENGINEERING CONSULTANTS ® COLLOPY ca 2017 51997Francis H. Collopy, P.E. Structural Engineer cc: R. Fox & D. Duxbury Don Landry, Contractor i � Office Use Only 041: C mmonwralo of Mass U4ugett8 Permit No. !department of public &ttfetg Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 a 3/90 (leave blank) 'I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR 1 � er'TYPE ALL INFORMATION) Date ' ct i City or Town of A)o CIA AvnyTo the Inspector of Wires: The udersigned applies for a per//mitt/to perform//the electrical work described below. Location (Street & Number) Y'7" 0/C, P;219�e LAl Owner or Tenant ���A 01)x bu CSI I Owner's Address SA171 �- Is this permit in conjunction with a building permit: Yes 19 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service -'116 — Amps 111J140 _Volts Overhead ❑ Undgrnd ® No. of Meters New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work jEJ.RC'A('1C.t1 llt'tVVlc _&C_ Yl2W Y)Vk Q,,n AZ4, 1: :e" I ✓ S j V1 l ( S ' rr , No. of Lighting Outlets Cz No. of Hot Tubs No. of Transformers Total 1 KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA p No. of Emergency Lighting No. of Receptacle Outlets O No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring I No. Hydro Massage Tubs No. of Motors Total HP 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 ❑ I have submitted valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. I INSURANCE & BOND C1 OTHER E) (Please Specify) (A ti A �(ElxpirationDate) Estimated Value of Elect ical Work$_ ���_MJSZ& hWorkto Start `s 23 Inspection Date Request- Rough SO7Final Signed under th�A Penalties of per'ury: FIRM NAME /v!�G •1 ` /s//��Q V2 r 10. O. p 4 Licensee Signature LIC. NO. aG L76E / I t , us. Tel. No. ASO$ 649- Ll 14 Q Address �y K (o !U C bl�X/Y�'►S��ci NW QC &' Alt. Tel. No. X11 !;49 3 ng-So OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) x-6565 t Date....,.... .��.-.�.�.... TO 964 NOR7h . °ft"`°:•�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUSES This certifies that .............. ............... C.................................. has permission to perform . .., �IrG�G,f�: a,,...G�((( ..... � wiring in the building of.c.... . . .......1...... -r. . . . . . .......................... Lit/ / Md , at.....` . . . ....... .. ............... North Andover Mass. Fee:...�57: :... Lic.No:Xf k, ...:!. !.`:.... E �11ALNSIIIJ�C-� 05/27/97 15:49 M 00 PAID WHITE:Applicant CANARY: BLilding Dept. PINK:Treasurer Date. . .U. . . . . . . . . ",O RT:1� TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ol ^ _ SSACNU5�4�+ This certifies that . . . . . . . . . . . . . . . . . has permission to perform- "Q*�" °. . &...fir. . ."/'�'` , e plumbing in the buildings: of . . .� at . .q�. . . .C.' . . . .I-J. . . . . F�-�.,. North Andover, Mass. J Fee.l-. . . . .Li c. No. � �'��.. . . . . . . . . . / PLUMB NG�1iSPECTOR Check # Col 6662 I, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS _ Date /0 275� Building Location a /2 U/ Owners Name yl.t2 9- t-4X Permit# Amount L—C- c p Type of Occupancy New 1:3 Renovation 0 Replacement ® Plans Submitted Yes No ! FIXTURES W. Cr ga�Ivr I a�ni�tt �t>�oat I 4MHDM sn3EWOR 7MHDM sn3� (Print or type) Check one: Certificate Installing Company Name u ❑ Corp. P6 Address /'6 &!�'Y- 7 S y Partner. 7— Business Telephone 9 7 8-- IS-/ 5- ya y Firm/Co. v Name of Licensed Plumber. �( � G ��N` Aco r�n©a Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E Other type of indemnity D Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S Plumbing de a ter 142 of the Gene r Laws. Plumbing oO S�iOGlyo�f BY Signa o is Type of Plumbing License Title City/Town i n m Master Journeyman APPROVED(OFFICE USE ONLY 13 Date. . �G. . 0.5.. . ,,ORTH 6 WN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION t•�e, o a ,�9+ SACHU tr This certifies that . . '.�. . . . . .. .. C". . . . . . . . . . . . . . has permission for gas irnst-,allla�tiion . . . . . . . . . . . . . . .`'G.�'�' . in the buildings of . .! '` ?� . . . . . . . . . . . . . . . . . . . . . . . at ' . . .-• *'-. /"a` . . .1 '� North Andover, Mass. Fee!,r�47. . . . Lic. No.. .3! __�L ..�! . . . . . . . . . . . GAS II�SP�CTOR Check# 17-If 5t �s8 i k MASSACHUSEnSUNIFORM APPLICATON FORPERNIlT TO DO GAS FTITING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations `7 OT4"A— d3tll � � Permit# Amount$ Owner's Name New❑ Renovation Replacement ❑ Plans Submitted ❑ w � o N a z o F w a a Gc c E.o U z c o. o o w p 3 G1 �7 a U x A w E~ o SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) �, / Cff Corp. one: Certificate Installing Company //A L/� Name /N•/�` Address O yc '�� V`�C b k ❑ Partner. usmess Telephone G - / ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check�-oyne: I have a current liability Insurance policy or it's substantial equivalent. Yes �v. No If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy [a,- Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas CgOe and Chap r 42 of the General Laws. Signature of Licensed Plumber Or Gas Fitter 7y: Plumber J l7- tyo ❑ Gas Fitter tcense Number Master PROVED(OMCE USE ONLY) ❑ Journeyman --• �•••••••••. �.. 44tior%inm M1"t'L1LrAilUi,1 f Vfy t'L't1Mi/ iLI uV ('ti.ulvw��w (Print a Ty") In NORTH ANDOVER, Mass. Date ---J997 Building Permit ' 4� Location .1'LI Q}= L—h Owner's Name 1z o b e�� T-o X New ❑ Renovation ,® Replacement p Pians Submitted: Yes p No p FIXTUREk3 at « _ ar � H w w }} 0 06 V ! M ► < M = 43 O S ' 46 a a ar a me > I. a Y a s o $ w s o u iXe'ai sus—estwT. aAGRUGHT 1sT FLOOR IND FLOOR 1180 FLOOR 4TH FLOOR 0TH FLOOR eTH FLOOR. ITH FLOOR STHFL00R Check one: Certificate Installing Company Name 2 PQ 13 Corp. Address 14 H SA t°a 6 miE we'1 O Partnership . VA a\ ❑"Firm/Co. Business Telephone S-09-&M- 6 0-3 6 3,5--/?O&2 Name of I Icensed Plumber rn INSURANCE COVERAGE: Check one 1 have a current Ilablifty Insurance policy or Its substantial equivalent. Yes ❑ No p If you have checked y_". please Indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature an this permit application waives this requirement. Check one: Slonstuto of Ownet or Owner's Acent Owner ❑ Agent ❑ I herby arllty that all of the detalb and Information I have submitted tot entered)In above appHcatlom are true and accurate to the best of my Itnovrledp i end that all plumbing wok and installations performed under the p rmit Issued tat two appkatkm will be In compliance with all pertinen provisions of the Massachusetts State Plumbingen uCode d Chapter 142 of the RY Titlegna ure o ansa um et Ctly/Town Uan Number CP6 e1 r Type of Plumbing License: Master ❑ Mf'i1GlEI)(OFFICEUSE ONLY) Type 1 Date. . .$ .! 4:.57 i 3348 00 'r oj�.<� •°;.��oo� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �#�,•o `y ty I SSACHUS� y�� I •.� This certifies that . . �. . . !. . . . . . Cf. [�K . . . . . . . . . . . has permission to perform . . . .l. . . . . . �. . .X --� . . . . plumbing in the buil 'ngs of . . . .. . . . . . . . . . . . . . . . . i at. . . . . . . rth Andover, Mass. Fee Lic. No-?U. V.J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S PLUMBING INSPECTOR 05/16/97 14:28 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer '•� mr���At:HUSETTS UNIFORM APPLICATIONFO (Print or Te) N PERMIT TO DO C3ASFITTINC3 NORTH ANDOVER, , Mass: Date .S 19� � Building Locatlo _ QV Z� Permit # Owner's Name 6 (0 eOE4 Fox New D Renovation ® Replacement 0 Plans Submitted:. Yes d No p „ s tln w 'aC' �s o a�<at e a 20 hV Py ~ X t , Q s w Ir OC N 10 f! r = X !` ti 10 ! > ray IL i �_ *O d S � D ;, � � J V * I � d � �0 $U11-8sMTs SASRMENT 1sT FLOOR , 2NO.FLOOR i , SADFLOOR 4tH FLOOR STH FLOOR } GTH FLOOR 7TH FLOOR t , STH FLOOR PGL tC?Uk5 Check one: Certificate Instatll CompanyName 2 Address_ 1 '13 . a virl to s f e r d 9+ Q Corp. d Partnership e ✓) d ��l y 0 Firm/Co. Business Telephon63 635-5;0 6 'a- Name Name of Licensed Plumber or Gas Fitter l/<-o��?`s INSURANCE COVERAGE: Check one have a current liability Insurance policy or its substantial equivalent. Yes O No 11 If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy V� Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application wolves this requirement. Check one: nature of Owner or Own if's Vgent Owner 11 Agent O I=hereby certify that all of the details and Information I have submitted(or entered)M above application are true and accurate to the best of my knowledge and that an plumbing work and instellaticns performed under the permit Issued for this a pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the a1 Laws application will be M compliance with all +1 BY Tof Ucense: Plumber �T` b Gasfitter n ° nae um of or as er Mosler f �-- �OW" l�Journeyman License Number' Pi'nown(OFFICE USE ONLY) I 'r"-.^-'t+-,.;;• 3;r,+�;..t"'�.�.ayw'""'�""' .,.-....,.,�.-....y-..+.ice... _.. �.,,__ � ..,;K+'_-, r %To253S Date.. .. f of No RT e.4 . TOWN OF NORTH ANDOVel(A4 PERMIT FOR GAS INSTALLA �9SSACHUSEt .. . /-� � m This certifies that . . . . . . . . . . . . . . . ... . . ... . . . . c� has permission for gas installa ' n '�G�rig in the buildings ofQ/�. . %., . . . . . . . . . . . . . . :°. . at . .` dr .�,1 1.- ; . -4Z-t,.,--North Andover, As. Feo.)0 ."-'). Lic. N . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applica,46ANARY: Building Dept. PINK:Treasurer GOLD:File