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Miscellaneous - 46 RALEIGH TAVERN LANE 4/30/2018 (2)
J' 46 RALEIGH TAVERN LANE 210/107.A-0106-0000.0 a14 /"79- 12- Ob' ZGa/6 I� NORTfy own of E : ndover . o �. 0 No. h ver, Mass, COCKIC MI WI[K �,es RAT E O rP ��5 U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System !gj11:0V4eAA .. ..THIS CERTIFIES THAT .......... ... �... ............................. BUILDING INSPECTOR Aft has permission to erect ...... buildings on �{� Foundation ................ I'Wwr .......... Rough to be occupied as�. �v�. ... �. .*#A". lPOIICA.� chimney provided that the person accepting this permit shall in every respect conform to the terms of the applica ion Final on file in this office, and to the provisions of the Codes and BY-Laws relating totheIn n, Altera on Construction of Buildings in the Town of North Andove 01 I 0 PLUMBING INSPE TOR i � VIOLATION of the Zoning or Building Regulations Vol , s �e � v1 Rough �� Final ' PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS N SJn Rough Service XILDING Final TO GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT i Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Date. . .!. .l1 G. ... ... . HpRTNt 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION S S^CHUSEtS This certifies that . . Jam,(-. e�. �. `^ P), . . has permission for gas installation . .: . in the buildings of . .J g . s. a... . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . y . . . .�? r!.5. . . , North Andover, Mass. Fee. . Lic. No.. Q . . �. . -� . . . . . . GAS INSPEC Check# � � 2 MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS FTr]nNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations � /¢� i�t / 7A >�-C-4 N Permit# Amount $ J'e ry,50 e t/ Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ a z p �W F OM C ? F Z9 3 a ° aI &- c SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR _0 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Chesk one: Certificate Installing Company Name �t�L L i V ►� -�'_t` Corp. Address �,- OA A6P A i�-; lel 4'/,� t e k l �� ❑ Partner. 3 usrness Telephone Q 7;F 3-7 4-- y R 3 � Name of Licensed Plumber or Gas Fitter GL G AI d INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indi a type coverage by checking the appropriate box. ❑ Liability insurance policy Other type of indemnity 13Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the :Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber �� ze, S— Tit City/Town ❑ as er License Number faster APPROVED(OFFICE USE ONLY) Journeyman Date. ll. .b . . . .. ... . i NOFTM pf •�ao ,e,1'1'p .. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION y � �,SSACMUSEtt This certifies that . .6h!?. .5Y A�,t�w . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . ./ p a� ?�. "^.� ?s �c�/• in the buildings of . . . . . . . .�-e�f.y. .l. r!vC°'!-+. . .E�a!2-< . . . . . at . ? !'V. . e V . . . . . . . . . . . . . . . . . .. North Andover, Mass. Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# 55 ,18 ,vfASSACHi;SEITS Lel-IFORNI APPLICATON FOR PEP.Nff TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS J-5Building Locations % re:9 /f,4 L %!2," Permit# Amount 3 6 Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ N4 o k F F >G z » x F 061 H o SUB -BASEM ENT BASEM ENT IST. FLOOR 2ND . FLOOR N 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR i 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) C_h.(&k one: Certificate Installing Company Name 6�'ZG,v.) 15 GL. UAja Corp. Address a j (7 . irl�.r�ayG— Gam,L.n t�!� A4 ❑ Partner. us ne �e ep one I &Fim�VCo — Name of Licensed Plumber or Gas Fitter SJL.e INSURANCE COVERAGE Check one: I have a current liability Insurance policy it's substantial equivalent. Yes ❑ No❑, If you have checked des,please in ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing Aork and installations performed under Permit Issued for this application will be in Campliance with all pertinent provisions of the Massachusetts State Ga o and C apter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title .3 Plumber �'— CitylTown Gas [cense Number aster z\-PPRO�'ED,c�CE I,SE c�,t.ri Journeyman Date: 2/21/2006 Time: 11:20 AM TO: ® 19786889542 Page: 003-003 4 ^' IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25-S(2001108) 2 Of 2 *M28265 JENSEN DEVELOPMENT Corporation 5 Pinecrest Road Andover, Ma. 01810 (978) 475-0565, fax: (978) 475-0524 PeterJensen@Verizon.net February 13, 2006 James Diozzi Plumbing and Gas Inspector Re: 46 Raleigh Tavern Road gas fireplace certification. James I have instructed my plumber, Glen Sullivan of Sullivan's Plumbing and Heating to disconnect the two Town and Country Fireplaces at 46 Raleigh Tavern Road, the two fireplaces that have more than 36"of flex piping used. He has disconnected the two fireplaces from the gas piping and capped. He will not nor will anyone be authorized to reconnect the two Town and Country Fireplaces until such time these units have been satisfactorily approved by the State of Massachusetts and this approval accepted by you. In the interest of keeping the remainder of the project going we would like to proceed with the gas inspection of all other gas piping so we may continue with the project. ank u, pret Jensen evelopment Corporation Date.......-..5..�0.'". `` NOR71� °f'"`° '•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ...�...114.e C-0 v/21V.., .................................... has permission to perform .......... .... ......,....................................... wiring in the building of............./S � - . .... .......................................................... at ...4,0V..............North Andover,Mass. Fee!�.. Lic.No.l s��© r./�,��� ............ ELECirRICAL INSPECTOR v 7a Check # 61' Y/ Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. 57 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: &OC? -I To the Inspector of Wires: By this application the undersigned gives notice of his o he intention to perform the electrical work described below. Location(Street& Number) . Owner or Tenant Telephone No. Owner's Address / 12-0 Is this permit in conjunction with a ilding permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps /7 Volts Overhead ❑ Undgrd 0� 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 of the following table ma be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA r No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW o.oSelf-Contained Totals: . . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'c'pal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water Kms, No.o 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: r Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covera&pB in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) /certify,under the pair's land penal 'es of perjury,that the information on this application is true and complete. �} FIRM NAME. 7V 9� r (f::722, LIC. NO.:&S License • �/ (/ Signature C. NO. (If applicable, enter,"exe r)?pt"in he i e mb ine.) _ Bus.Tel. No.: Address: i G Alt.Tel. No.., - *Security System Contractor License required for this work; if applicable,enter the license number here: 6- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Location'�c /?,—",-,4 r No. `4•x'7 Date � � a NORTH TOWN OF NORTH ANDOVER 'A WIWM N fl� i # Certificate of Occupancy $ 15 Building/Frame Permit Fee $ ACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ra/.*94 19599 — -'Building Inspector(��/ s c Locatio No. Date vj Tot TOWN OF NORTH ANDOVER w f 9 ' Certificate of Occupancy $ s'•^�•; Building/Frame Permit Fee $ AC Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19599 (ding Inspector O�M iH 1ti ♦i ;# '4�"Orono✓•�A� SSACN115� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 707 (5/25/2005) Date: August 21, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 46 Raleigh Tavern Road MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Robert Bennett 46 Raleigh Tavern Road North Andover Ma 01845 Building Inspector /0 To*h Of : over No. G -- ' * o dower, Mass ' o� L1. > Mass., COCMIChEWICK " S4 AERATED vf5. 1-. BOARD OF HEALTH fl Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.... �.b.. ..�.e.��.. .......... 1wtB,-`c ,�- � .INSPECTOR . ... . ............................................................... 11 tea+ Foundation !t.` has permission to erect... �IT(rd�3 el L 1 {� 1 A w '��0`h•� RO Rough-'" -.r ... ............. buildings on �.. ................. .............................................. �6 1 t0 be occupied as.. f�„ �p��� tot` '"0'�'�l1 act , Liv ���� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final � '��� Wil, c 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. 10 fl A/ PLUMB INS fP�OR VIOLATION of tie Zoning or Building Regulations Voids this Permit. o dj 6 l/G PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS - ELECTRICAL INSPR Rough J G+L - `f _ c,'Z, C ..... .. . ..iP.`........... .. .. `Service .... .. ... .. .......... ' BUILDING INSPECTOR _ Occupancy Permit Required to Occupy .Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough � /!� ( No Lathing or Dry Wall To Be Done Z511( Until Inspected and Approved by the Building Inspector. FIRE DEPART � �' Burnery�-- Street No. JL_SEE REVERSE SIDE Smoke Det. Cf ttORTH 1 '(t LID �bt �Q 3? oil' - ° Oc RO<.w(H�MRw`V44 ITSACHUS��S`, APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Bui in Permit # ADDRESS/LOCATION OF PROPERTY : Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSER`,OATION ` PLANNING DPW -WATER METER SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW wwam Signature File: OC form revised 2006 JAN-16-2006 08:44 WOODSTRUCTURES 2072822423 P.002 sAlffl%kisw Single 16" BCl® 60s-2.0 SP Joist1J01 BC CALL®9.2 Design Report-US 1 span I No cantilevers 0/12 Slope Friday,January 13,2006 09:2, Buiid 141 16"OCS I Repetitive Glued&nailed construction Fife Name: QUICK CALCS Job Name: BENNETT RES Description:J01 Address: 46 RALEIGH TAVERN AVE Specifier: City,State,zip:NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1336 Misc: Y M T Y i .� ... 7 7�-t...•7-.� � Y Y� Y Y 'Y Y / I Y..-�..r�..-��1 � ! T 24-00-00 80,1-3/4' 81,1,V4• LL 640 lbs LL 640 Ibs DL 320 lbs OL 320►bs Total of Horizontal Design Spans=24-00-00 Load Summary Uve Dead Snow Wind Root Uva Tag Description Load Type Ref. Start End 100% 90% 11S% 133% _ 125% OCS 1 Standard Load Unf.Area Left 00-00.00 24-00-00 40 psf 20 psf 16" Controls Summary value %Allowable Duration Load Case Span Location Disclosure POS. Moment 5760 ft-lbs 67.6% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 954 lbs 65.8% 100% 1 1 - Right be verified by anyone who would rely on Total Load Defl. U453 (0.636") 53.0% 1 1 output as evidence of suitability for U679 0.424" 70.7% particular application.Output here based Live Load Defl. Max Dell. U636"( ) 63.6% � � on building colo-accoptod design properties and analysis methods. Span/Depth 18.0 n/a 1 Installation of BOISE engineered wood products must be in accordance with Notes current Installation Guide and applicable Design meets Code minimum U240 Total load deflection Criteria. building codes.To obtain Installation Guide g ( ) or ask questions,please Call Design meets user specified(U480)Live load deflection Criteria. (800)232-0788 before installation. Design meets arbitrary(1")Maximum load deflection criteria. Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min,end bearing+ BC CALc®,BC FRAMER®,AJST"' 1/2 intermediate bearing ALLJOIST®,BC RIM BOARD- BCI®, Composite EI value based on 23/32"thick'sheathing glued and nailed to joist. BOISE GLULAMTm.SIMPLE FRAMING SYSTEM®,VERSA-LAMS,VERSA-RIM PWS®,VERSA-RIM®, User Notes VERSA-STRANOTM,VERSA-STUDO are 2ND FLOOR JOISTS OVER GARAGE trademarks of Soise Wood Products, L.L.C. 'ISCIL The supplier acknowledges that it has requested JSty Associates Inc to review a pre-engineered building product identified as above for the spar;and loading conditions shorn on this calculation sheet. y• . The supplier further acknowledges that JSN Associates, Inc.will �n ,ts s4e4 not engineer, design, manufacture or erect said item and is not 4E'� responsible in any way for defects or deficiencies. Therefore,the ?off � JEFFREY S. su � pp ier waves all claims against JSN Associates, Inc.arising in u NAWROCKI 40 A any way from any defects,deficiencies,errors or omission$in the Icad determination,design,fabrication or erection of"id Item. STRUCTURAL Note: No.34168 o � Adequate design of supporting structure must be provided by others •sof�foIstt fsa,oM ji�E 1 Page 1 of 1 01/16/2006 MON 08:40 [TX/RX NO 85291 Z002 Uh14-1b-ZUUe U8:44 WOODSTRUCTURES 2072822423 P.003 11111MQ��E Single 11-7/8" BCIO 60s-2.0 SP Joi§WW SC CALCO 9.2 Design Report-US 3 spans I No cantilevers 10/12 slope Friday,January 13,2006 09:2' Build 141 16"OCS I Repetitive I Glued&nailed construction File Name: QUICK CALCS Job Name: BENNETT RES Description:J03 Address: 46 RALEIGH TAVERN AVE Specifier. City,State,,Zip: NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer: JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1336 Misc: �....-.- •-- 7..7,.:,.T--.T�._��T Lx T 9 Y Y Y Y Y Y Y Y Y -� I 7 . rZ 12-00-00 07.00.00 154*-W r: 80,2-1/2" 81,3-1/2" 132.3-1/2" 83,2-1/Z LL 288 lbs LL 666 lbs LL 831 lbs LL 341 ft DL 105 lbs DL 178 lbs DL 271 lbs DL 126 lbs Total Horizontal Product Length=34-00-00 Load Summary uve Dead Snow wind Roof Tuve Tag Description Load Typo Ref. Start End 100% 90% 115% 133% 125% OCs 1 Standard Load Unf.Area Left 00-00-00 34-00-00 40 psf 15 psf 16" Controls Summary value %Allowable Duration Load Case Soon Location Disclosure Pos.Moment 1420 ft-lbs 22.8% 100% 14 3-Intemal Completeness and accuracy of Input must Neg. Moment -1503 ft-lbs 24.1% 100% 20 2-Right be verified by anyone who would rely on End Reaction 451 lbs 36.8% 100% 14 3-Right output as evidence of suitability for Int. Reaction 1081 lbs 37.3% 100% 20 3-Left particular application.output hero based on building da Cont. Shear 635 lbs 34.8% 100% 20 3-Left properties and analysis ld dosis. amethods. Total Load Deft. U1581 (0.113") 15.2% 14 3 Installation of BOISE engineered wood Live Load Defl. U2146(0.083") 22.4% 14 3 products must be in accordance with Total Neg. Defl. -0.017" 3.5% 14 2 current Installation Guide and applicable Max Defl. 0.113" 11.3% 14 3 building codes.To obtain Installation Guide or ask questions,please call Span/Depth 15.0 n/a 3 (800)232-0788 before installation. %Allow %Allow Be CALC D,Be FRAMER®,AJS-, Bearing SUPeOdS Dim.(L x W) Value Support Member Material ALLJOISTO,Be RIM BOARD-,BCI®, 80 Wall/Plate 2-1/2"x 2-5/16" 393 lbs n/a n/a Unspecified BOISE GLULAM-,SIMPLE FRAMING B1 Beam 3-1/2"x 2-5/16" 845 lbs 13.9% n/a Versa-Lam 1.7 SYSTEM®.VERSA-LAW),VERSA-RIM 132 Beam 3-1/2"x 2-5/16" 1102 lbs 18.2% n/a Versa-Lam 1.7 PLUS®.VERSA-RIM®. 53 Wall/Plate 2-1/2"x 2-5/16" 4661bs n/a n/a Unspecified VERSA-STRAND*",VERSA-STUD®are trademarks of Boise Wood Products, L.LC. Notes Dow On meals Code minimum(1/240)Toted bad deflection criteria. et#±(LAMM LtMIload dellecd on criteria. 006n Amem Mabdrrxslr,e load&4%cdoat aftM. Composilte Ell value based on 23/32"thick sheathing glued and nailed to joist. User Notes 2ND FLOOR JOIST Disclaimer: The supplier ackncwledges that it has requested JSN Associates � , Inc ao to review a pre-engineered building product identified as above for i JEFFREY S. A u the span and loading conditions shown on this calculation sheet, NAWROCKI o r The supplier further acknowledges that JSN Associates. Inc.will STRUCTURAL not engineer,design,manufacture or erect said item and is not No.34168 responsible i.any way for defects or deficiencies. Therefore,the arSTE o e supplier waves all daims against JSN Associates,Inc.arising�n A $$ // an way from any defects,deficiencies,errors or om*siona in the �c�fstio ��EM°� yn fabrication or erection of tit W item• load determination design, Note:uate design of supporting sht um must be provided by others Adeq Page 1 of 1 01/16/2006 MON 08:40 [TX/RX NO 85291 Q003 JAN-16-2006 08:44 WOODSTRUCTURES 2072822423 P.004 gip jam" Triple 13/4" x 117/8" VERSA-LAM®3100 Slf loor Beam\Floor ZB_10 BC CALL®9.2 Design Report-US 1 span I No cantilevers 10/12 slope Friday,January 13,200610:55 Build 141 File Name: LAYOUT Job Name: SENNETT RES Description:Floor 2\B 10 Address: 46 RALEIGH TAVERN AVE Specifier. City,State,Zip:NORTH ANDOVER,MA Designer DAVE DOCKENDORF Customer. JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ICBO 6512, NER 629 IVIISC' T •- 18-07-00'........:... ...'. ... _ f31,3-1/2" 130,3-12" LL 995 Ibs LL 995 lbs DL 643 lbs DL 6431bs Total of Horizontal Design Spans=16.07-00 Uve Load Summary Uve head 11% 133%Wind 1� T� Ta Descri ion Load o Ref. start End lem SOX 03-00-00 1 Standard Load Unf,Area Left 00-00-00 16-07-00 40 psf 20 psf Controls Summary vacuo %ABowablo Duration Load Case Span Location Disclosure Pos. Moment 6773 ft-lbs 21.2% 100% 1 1 Intemai Completeness� accuracy wo ooutd rely oust End Shear 1428 lbs 11.8% 100°I° 1 1 -Left be output as evidence of Suitability for Total Load Defl. U671 (0.228") 27.6% particular application.Output here based Live Load Defl. U1433(0.139") 33.5% 1 1 on t wilding code-accepted design Max Defl. 0.228" 22.8% properties and analysis methods. 7 1 Installation of BOISE engineered wood 16 Span/Depth n/a products must be in accordance with current Installation Guide and applicable Notes building codes.To obtain Installation Guide Design meets Code minimum(0240)Total load deflection criteria. or ask questions,please call Design meets User specified(0480)Live load deflection criteria. (800)232-0788 before installation. Design meets arbitrary(1")Maximum load deflection criteria. BC CALC®.BC FRAMER®,AJS^" Minimum bearing length for BO is 1-1/2". ALUOISTO,SC RIM BOARD-,BCI® . Minimum bearing length for B1 is 1-1/2". BOISE GLULAM^" SIMPLE FRAMING Entered/Displayed Horizontal Span Length(s)=Clear Span+112 min.end bearing+ SYSTEM®,VERSA-LAM®,VERSA-RIM 1/2 intermediate bearing PLUS®,VERSA-RIM®, VERSASTRAND-,VERSA-STUDO are trademarks of Boise Wood Products, User Notes L.L.C. 2ND FLOOR SEAM AT PORCH c ;l' Ui3Ctertrtef- The supplier acknowledges that it has requested JSN Associates—Ll <> Q to review a pre-engineered building product identified as above for the span and loading conditions shown on this calculation sheat. The supplier further acknowledges that JSN Associates. Inc. wilt �E��tM a minimum=2" c=4" not engineer, design, manufacture or erect said item and is not io+ C! b minimum=3" d= 12" responsible in any way for defects or deficiencies. Therefore,the e� JEFFREY S. e minimum=3" supplier waves all claims against JSN Associates, Inc.arising in NAWROCKI r Nailing schedule applies to both sides of the member. any way from any defects,deflCieticies,errors or Omit;aid t in th2 STRUCTURAL Member has no side loads. load determination,design,fabrkAW Of erection Of 11814 item: No.34168 Connectors are:16d Sinker Nails Note: *Uchgs f1 w be�d2d by afh Ado," OrSTE Adequate de*n Olr � aPsfIOMAt EMO l Page 1 of 1 01/16/2006 MON 08:40 [TX/RX NO 85291 Cj004 -- ��•Y• WOODSTRUCTURES 2072822423 P.006 Triple 1-3/4" x 1'I-7/8" VERSA-LAM®2.0 3100 SPloor BeamlFloor lXB 1 BC CALCO 9.2 Design Report-US 5 spans I No cantilevers 0/12 slope Friday,January 13,2006 10:55 Build 141 File Name: LAYOUT Job Name: BENNETT RES Description:Floor 1\13_1 Address: 46 RALEIGH TAVERN AVE Specifier. City,State,Zip:NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1040 Misc: -00.00 08-00-00 04.00.00 ! 1300 a0 B0.3.1/2" B1,3-1/2" 52,3-1/2, B3.3-112" B4.3-1/2" 85.3-1/2" LL 2149 lbs LL 7015 lbs LL 6846 lbs LL 7531 lbs LL 7466 tbs LL 2261 lbs OL 815 lbs OL 3713 lbs DL 2276 Ibs DL 2821 lbs DL 3951 lbs DL 844 lbs Total of Horizontal Design Spans=45-05-00 Load Summary Live Doad Snow Wind Root Live T_ga _Dosed Ion Load TM* Ref. Start End 100% 90% 115% 133% 126% Trib 1 Standard Load Unf.Area Left 00.00-00 45-05-00 40 psf 20 psf 15-00-00 Controls Summary value %.Allowable Duration Load Case Span Location Disclosure Pas. Moment 9363 ft-lbs 29.3% 100% 16 4-Internal Completeness and accuracy of input must Neg. Moment -11988 ft-lbs 37.6% 100% 1 5-Left be verified by anyone who would rely on End Shear -2131 lbs 18.0% 100% 14 5-Right output as evidence of suitability for Cont.Shear 5093 lbs 43.0% 100% 1 4-Right particular application.Output here based Total Load Defl. U1021 (0.15311) 23.5% 16 4 on building code-aocepted design Live Load Doff. U1455(0,107") 33.0% 18 4 propedes and analysis methods. Total Neg. Defl. -0,029" 5,8% 1 Installation of BOISE engineered wood Max Defl, 0.153" 15.3% 6 5 products must be in accordance with 16 4 Current Installation Guide and applicable Span/Depth 13.1 n/a 4 building codes.To obtain Installation Guide or ask Questions,please call Notes (800)232-0788 before installation, Design meets Code minimum(U240)Total load deflection criteria. BC CALCO,SC FRAMER®,AJS- Design meets User specified(0480)Live load deflection criteria. ALLJOIST®,BC RIM BOARD^".BCI®, Design meets arbitrary(1")Maximum load deflection criteria. BOISE GLULAM"',SIMPLE FRAMING Minimum bearing length for BO is 1-1/2". SYSTEM®,VERSA-LAM®,VERSA-RIM Minimum bearing length for 61 is 3". PLUS®,VERSA-Rime, Minimum bearing length for B2 is 3". VERSA-STRAND*",VERSA-STUDO are Minimum bearing lengtti for S3 is 3". trademarks of Boise wood Products, L.L.C. Ifek"rSpan+ 1/2 min.end bearing+ User Notes REAR BASEMENT BEAM ft onnection Diagram d Disclaimer: 4 ' „ } ' • i The supplier acknowledges that it has requested ;SN Associates. ir;. &4 ' C to review a pre-engineered building product identified as above for oi'�° JEFFREY S , c the span and loading conditions shown on this calculation sheet. v � • v • � The supplier further acknowledges that JSN Associates, Inc.will NAwROCKI not engineer, riesign, manufacture or erect said item and is not STRUCTURAL responsible in any way for defects or deficiencies. Therefore,the No.34168 minimum=2" c=7-7/8" s;lpplier waves all claims against JSN Associates, Inc.arising in ++o�, rE0ra1E � minimum=3" d=12" any way from any defects,deftiencies,errors or omissions in the s VAL E1k4 e minimum=3" load determination,design,fabrication or erection of said Item. ember has no re:16d Sinker Nails skid toads. Note: mnectors areAdequate design of supporting structure must be provided by others age 1 of 1 6P 01/16/2006 MON 08:40 [T%/R% NO 85291 IM005 URV-lb-LUUb U8:44 WOODSTRUCTURES 2072822423 P.006 BQ�$�• Triple 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beam�FB01 BC`CALCO 9.2 Design Report-US 3 spans No cantilevers 0/12 slope Friday,January 13,200610:57 Build 141 File Name: LAYOUT Job Name: SENNETT RES Description:FB01 Address: 46 RALEIGH TAVERN AVE Specifier. City,State,Zip:NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer: JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1040 Misc: o�-�000 0749-00 �_.......,,... . of-0900 Bo,3-1/2' 01,3-112• 3-1/2• LL 2191 Ibs LL 5516 lbs LL 5483 Ibs L 2174 lbs OL 1033 lbs DL 2689 lbs DL 2664 lbs DL 1022 Ibs Total Horizontal Product Length=23-04-00 Load Sum=mary Uve Dead Snow Wind Roof Live Tag Description Load Typo Rof. Start End 100% go% 115% 133% 125'1• Trib. 1 Standard Load Vnf.Area Left 00-00-00 23-04-00 40 psf 20 psf 15-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 4951 ft-lbs 15.5% 100% 14 1 -Internal Completeness and accuracy of input must Neg. Moment -5983 ft-lbs 18.7% 100% 18 2-Left be verified by anyone who would rely on End Shear 2049 lbs 17.3% 100% 14 1 -Left output as evidence of suitability for Cont.Shear 3234 lbs 27.3% 100% 18 1 -Right particular application.Output here based Total Load Defl. U2861 (0.032") 8.4% 14 1 on budding da properties and analysis d design methods. Live Load Defl. U3894(0.023") 9.2% 14 1 Installation of BOISE engineered wood Total Neg. Defl. -0.014" 2.8% 14 2 products must be in accordance with Max Defl. 0.032" 3.2%, 14 1 Current Installation Guide and applicable Span/Depth 7.7 n/a 1 or ask Questions,please Caites,To obtain tatlation Guide %Allow %Allow (0232-0788 before Installation. Bearing Supports Dirn.(L x W) Value Support Membor Matorlal_ BC CiALCO,BC FRAMERS,AJSTm B0 Post 3-1/2"x 3-1/2" 3224 lbs n/a 35.1% Unspecified ALWOISTO,SC RIM BOARD"' 13CIO, B1 Post 3-1/2"x 3.1/2" 82051bs n/a 89.3% Unspecified BOISE GLULAM�' SIMPLE FRAMING B2 Post 3-1/2"x 3.1/2" 8148 lbs n/a 88.7% Unspecified SYSTEM®,VERSA-LAMO ,VERSA-RIM B3Post 3-1/2"x3-1/2" 31971bs n/a 34.8% Unspecified PLUS®,VERSA-RIM® , VERSA-STRAND ,VERSA-STUD®are trademarks of Boise Wood Products. Cautions L.L.C. Member is riot fully supported at post 80. A connector is required at this bearing. Eieacing gp sr d foCo er bft pray.colcum analysis has not been perforated. 111111111101711MISMIAy scippoelDcf 8tp06t 81. A connaclix;s required at this bearing. Cohmri at gearing 81 died for bearing only,coturm arsell s*s has not been performed. Member is not fully supported at post 62. A connector is required at this bearing. Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. Member is not fully supported at post B3. A connector is required at this bearing. Column at Bearing B3 analyzed for bearing only,column analysis has not been performed. Notes Design meets Code minimum(L1240)Total load deflection Criteria. w���c�G Design meets Code minimum(0360)Live load deflection criteria. JEFFREY Design meets arbitrary(1")Maximum load deflection criteria. Disclaimer NAWROCKI M User Notes The supplier acknowledg a that a STRUCTURAL �avdaica, Int to review a r g ng product identified as above for No.34168 REAR BASEMENT SEAM p e-en meered buildi the span and loading conditions shown on this calculation sheet. Ago �Edrs1EG The supplier further acknowledges that JSN AssoclMes, Inc. will �f'rf/ONAL E not engineer,design, manufacture or erect said item and is not responsible in any way for defects or deficiencies. Therefore, the supplier waves all claims against JSN Associates, Inc.arising in any way from any defects,defK*ncies,errors or omissions in the load determination,design,fabrication or erection of Said item Note: gage 1 of 2 Adequate design of supporting structure must be proyfded by othem 006 MON 08:40 [TX/RX NO 85291 [ 006 JAN-16-2006 08:45 WOODSTRUCTURES Joisffioor tliJ 46 .�+ Single 19-7/8" BCI® 60S-2.0 SP Friday,January 13,200610:57 loop 3 spans I No cantilevers 10112 Slope Report-US 16"OGS Repetitive Glued&nailed construction 3C CALCO 9.2 Design Repo tale Nam®: LAYOUT 3ui1d 141 Description:Floor 11J 4 BENNETT RES Specifier: lob Name: 46 RALEIGH TAVERN AVE Designer: DAVE DOCKENDORF N,ddress: Company: WOOD STRUCTURES INC ;,ity,State,Zip:JACKSON RTH OV ERA Misc: Customer. ESR-1336 Code reports: i _ 17-11-00 83.3-1Z Og.Op 0914 LL 407 lbs 61,s-11a• u, 16.01.12 B2, 9l2lbs" DL 199 lbs 60,3.112 LL 903 lbs DL 420 lbs LL 376 lbs 0L 348 Ibs OL 183 lbs Total of Horizontal Design Spans=4341-1 Snow Wrnd Roof Live Live �% 116% 133% 1257. OCs_ End 100% 90'1. 16' toad Summary Rat. s1aR Of LOQ 00-00-00 43-01-10 40 psf 20 P Ta Dascd cn Unf.Area Left 1 Standard Load g n Location Disclosure of input must "/,Allowable Duration Load14 sa 3-Internal Completeness and e�wt�o would rely on Controls Summa value 36 8% 100% be verified as by anyon 2293 ft-lbs 0 20 2-Right put as eYtdence of su'�tput efroerbased POs.Moment -2335 ft-lbs 37.4% 100% 14 3-Right particular application output Neg.Moment 40.0% 100% 20 3-Left on building codo-accetemded s End Reaction 600 lbs 48,1/0 20 3-Left properties and analysis Int, Reaction 1396 lbs 45 8% 100% installation of BOISE engineered wood 835 lbs 29.8% 14 3 Products must be in accordance with Cont.Shear U828(026") 14 current Installation Guide and applicable Total LOW Defl, U1216(0.177") 39.5% 14 2 building s To obtain installation Guide Live Load Defl. _0,051" 10'2% 14 3 or ask questions,please call Total Neg. Defl. 0.26" 26.0% 3 (800)232-0788 beforo installation. Max Defl, 181 n/a Span/Depth AL JOIST BC FRAMER®,A-S BCM AL WOIST®,8Cw I SIMPLE FRAMING otes BOISE GLU VERSA- 11 tAnA® MRSA-RIM LI240 Total load deflection criteria, SYSTEM®.Design meets Gode minimum( ) , PLUS®,VERSA-RIM®, ad VERSA.STRANDTM VERSA aro Design meets User speollfi�taxi4muni load deflection criteria. trademarks of Boise Wood Products, arbitrary( ) = ear Span+ 1/2 min.end bearing+ Design meets L.LC. Entered/Displayed Horizontal Span Length(s) C P 1/2 intermediate bearing Composite value based on 23/32"thick sheathing glued and nailed to jols Isar PWOR j0'S1 °�> Disclaimer requested JSN Associates,Inc The suPPl1er acknowledges that it has iAentiW as above for � 1r p s, to review apre-engineered buildiQ product on this calculation sheet. editions shown Inc.wiN the span and loading co es that JSN Associates, o� JEFFREY S. '��",, The supplier further acknowledg id item and is riot u NAWROCKI M n, manufacture or erect sa �,the not engineer,design for defects or deWencs There in STRUCTURAL responsible in any waY against JSN Associates,Inc.atfsin9 No.34168 �{�1ertcies,errors or om+as+ in the Sul, ar waves ail defOf s!t> ''►d��EQ�i7t any way from any n,fabrication Or eta load determinatwn,design, Others �'rs'QMAI EMO of suppofin9 sinrctuce must be pnyvided by Note: Adequate design /rJ Page 1 of 1 01/16/2006 MON 08:40 [TX/RX NO 8529] . 008 1j„1v-16-6UUb Ud:45 WOODSTRUCTURES 2072822423 P.009 BONS- Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SPloor BeamlFloor 118_1 BC'CALC©9.2 Design Report-US 6 spans I No cantilevers 10/12 slope Friday,January 13,2006 10,58 Build 1.41 File Name: LAYOUT Job Name: BENNETT RES Description:Floor 11B_1 Address: 46 RALEIGH TAVERN AVE Specter: City,State,Zip: NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer. JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1040 Misc: T T Y Y Y Y NV'V01lV W03-00 B0.3-1/2" Bi,3-1/2" 02,3-1/2" B3,3-1/2" B4,3-1/2- B5.3.1/2' 86.3.1/2' LL 2298 lbs LL 6084 lbs LL 5418 lbs LL 5215 Its LL 5240 An LL 4724 lbs LL 1570 lbs DL 1091 lbs OL 3093 IbS DL 2376 IbS OL 2423 tt6 11:1114na 04" Total of Horizontal Design Spans=45-05.00 Load Summary Livo Dead Snow Wind Root Live Tag Description Load Type Ref. Start End 100% 90°10 115% 133% 125' 16-00-00 ilb. 1 Standard Load Unf.Area Left 00-00-00 45.05-00 40 psi 20 psf Controls Summary value %Allowable Duration Load case Span Location Disclosure Pos. Moment 6225 ft-lbs 19.5% 100% 14 1 -Internal Completeness and accuracy of input must Neg. Moment -7497 ft lbs 23.6% 100% 18 1 -Right be verified by anyone who would rely on End Shear 2414 lbs 20.4% 100% 14 1 -Left output as evidence of suitability for p2MICU12r application.Output here based Cont.Shear 3795 lbs 32.0% 100% 18 1 -Right on building code-accepted design Total Load Defl. U2030(0.051"} 11.8% 14 1 properties and analysis methods. Live Load Defl. U2790(0.037") 17.2% 14 1 Installation of BOISE_engineered wood Total Neg, Defl. -0.016" 3.2% 14 2 products must be in accordance with " c 14 1 current Installation Guide and applicable Max Defl. 0.051 5.1 /o Span/Depth 8.7 n/e 1 building codes.To obtain Installation Guide or ask questions,please call (800)232-0788 before installation. Notes Design meets Code minimum(0240)Total load deflection criteria. BC CALC®,BC FRAMER®,AJS'" Design meets User specified (0480)Live load deflection criteria. ALLJOIST®.BC RIM BOARD-,BCI®, BOISE GLULAM"",SIMPLE FRAMING Design meets arbitrary(1")Maximum load deflection criteria. SYSTEM®,VERSA-LAMO,VERSA-RIM Minimum bearing length for BO is 1-1/2". PLUS®,VERSA-RIM®, Minimum bearing length for B1 is 3". VERSA-STRANDTM.VERSA-STUD®aro Minimum bearing length for B2 is 3". trademarks of Boise Wood Products. Minimum bearing length for B3 is 3". L.L.C. Minimum bearing length for B4 is 3". Minimum bearing length for B5 is 3". Minimum bearkV length for B6 is 1-1/2". EntwedC6played Horimontai Span Length(s)=Clear Span + 1/2 min.end bearing+ 112 inbemvdiiate bear#g User Notes REAR BASEMENT BEAM Connection Diagram b• • d . Disclaimer tie supplier acknowledges that it has requested JSN Associates, inc to review a pre-engineered building product identified as above for i�° JEFFREY S. the span and loading conditions shown on this calculation sheet. u° NAWROCKI M e The supplier further acknowledges that JSN Associates, Inc.will TUR (' not er,c; ,ae design, manufacture or erect said item STRUCTURAL and is not No.3 responsible in any way for defects or deficiencies. Therefore, the 4168 a minimum=2" c=7-7/8" supplier waves all claims against JSN Associates, Inc.arising in b minimum =3- d = 12" any way from any defects,deficiencies.errors or omissions in the o�fJfroaAL EMOdE e minimum= 3" load determination,design, fabrication or erection of&W item. Member has no side loads. Note: Connectors are'16d Sinker Nails Adequate design of Supporting structure must be pfoYlded by others Page 1 of 1 TOTAL P-009 01/16/2006 MON 08:40 [TX/RX NO 85291 Q 009 JAN-16-2006 08:45 WOODSTRUCTURES 2072$22423 r.uur S84$E" Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beamf!301 BC CALL®9.2 Design Report-US 3 spans I No cantilevers 10/12 slope Friday,January 13,200610:57 Build 141 File Name: LAYOUT Job Name: BENNETT RES Description:F801 Address: 46 RALEIGH TAVERN AVE Speafer. City,State,Zip:NORTH ANDOVER, MA Designer. DAVE DOCKENDORF Customer: JACKSON LUMBER Company: WOOD STRUCTURES INC Code reports: ESR-1040 Mise: Connection Diagram b d a 2'�, e :� c� o a minimum=2" c=7-7/8" �- b minimum=3" d= 12" ' e minimum=3' Member has no side loads. Connectors are:16d Sinker Nails c,N AssObate5 Disc! that it has Mquested J. ul �r acknowledges entified as above for Th;.! sUPP,'., r,�lneerp building product Iculation sheet. ev;ew a pfe as 1 conditions show► on this a{es,inc.will r, G pan and . es that JSN Assoc► Is not r•c i,yi,,r,gi acknowledg said item and efore,the or erect r,• (?I,l:If IC:N1: �<,s;r,,�. n,a ftifRs Q''deficiences. ansin9 an ic,: iSN Assoaates,ti IE in the it»ny way dinst. ptie wages all claims ag' s errors(g o�id Imo. t;om any uetects,det'icienae n tabr►catlon or exec bo da!r.,n�lnatian,design, �t be I �by others N` te'. of Supporting stns � k�c�t�taUOtt�dt'a1An Page 2 of 2 01/16/2006 MON 08:40 [T%/R% NO 85291 007 (978)688-9545 Fax(978)688-9542 ®wT NORTH ANDOVER DIVISION OF COMMUNITY DEVELOPMENT&SERVICES BUILDING DEPARTMENT JAMES DIOZZI Plumbing&Gas Inspector Office Hours 7:30-9:15 a.m.Monday-Friday 400 Osgood Street•North Andover•Massachusetts•01845 DF.A1lR NUffOFP(WW&4F= BOARDOFF=PRf�:VffMWRBG�1[A?�O1 R7C1{212W Permit nc G Occupancy&Fees Checked APPLICATTONFOR PERIVIlT'TO PERFORM ALL WORK TO BE FMFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ��CODE WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date-L/V— Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described / ow. Location(Street&Number) % Owner or Tenant ' Owner's Address is this permit in conjuncp'onywith a uilding permit: Yes No (Check Appropriate Boz) • Purpose of Building ��`'� S-G'/ C _ Utility Authorization No. 1 L Existing Service Arnps...�.V otts Overhead Underground a No.of Meters New Service Ampa..4.. Volts Overhead Underground CM No.of Meters Number of Feeders and Ampacity IQ Location and Nature of Proposed Electrical Work --4v( f � No.of Lighting Outlets No.of Hot Tube No.of Transformer Total KVA No.of Lighting Fixtums Swimadng Pool Above Below (generators KVA uralaround No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch outlet No.of oa Burner No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tone No.of Disposals No.of Hest Total Total No.of Detection and Pumps Toru KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryers Heating Devices KW Laval r7 Municipal Other Connections No.of Water Heaters KW No.of No.of Si Bailasis No.Hydro Massage Tubs No.of Motor Total HP OTHER• Iris=xeC vaq@r Pittettettbd�ete4itar�tsafNla�adz>tx�C�at®llawa IhDeactwWIia6g'ty1vmrtaeRiymckzkVCanplete i NO Itmesbrrf0cdvaidpwdof=wlDdrOffi a YM 1Fyouhmedrd1WYMpte=;,dr�eetetypecfeonas�by diedargthebar. - u L1 INst�RAlvM SBM rl OTIIER Q ftw** PapirntiQtl]ete Vatre Wak$ WadcbStatt "® trape�onl�leRec}re�d pal L-)t�°fJ FkW F!<tMNAIv>E tfpt:Itry _ C-f-t'! Li==No, BushaTeLN6 7 – e r-- '" L ?Z' ALTUNa'� 1" Y''LZ3 OWT, RSIIVSIJRANCEWA1V>;R;Ia►rtawaedudzL;cz wdDmnothan mmxewwapasmbs3daloglivalatasmgmdbyN mmd me owlawa of r- L� arddetmysg�tmaeenlhsp-win pictdrnwaivesQaateOM01 (Please check one) Owner M Agent Telephone No. PERMIT FEESy J` bignature or Owner or Agent M� �OIITN .w •�•'` Zoning Bylaw Denial �Irw Town Of North Andover Building Department • <' -=� 400 Osgood St North Andover, M& 01845 Phone 878064645 Fax 87s-68a4M Street Me t 107 1 icant R uest F mi 1 u' Date: 3-31-06 that your Application is Please be advised"11 t after review of your Application and Plans DENIED for the following Zoning Bylaw reasons: Zonin R-2 ' Notes Hem Notes Hem A Lot Area F Frontage 1 Lot area Insufficient -F Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Com ies 3 Lot Area Com ' e 3 Preexists a e s 4 Insufficient Information 4 Insufficient information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Ansa 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 COMFOiss 4 Spedal Permit R uired yes 3 Preexistina CBA yes 5 Insufficient information 4 Insufficient Information C Setback H Building Height 1 All setbacks Comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insuffdeent 3 Preexisting ht yes 4 1 Right Side Insufficient 4 Insufficient information 5 Rear Insufficient Building Coverage 6 Preexists setbacks yes 1 coverage exceeds maximum 7 Insufficient Information 2 Coverage complies D M111 1"I" 3 Coverage Pmsxmbng yes 1 Not in Watershed e s 4 Insufficient Information 2 In Watershed j Sign z i ni nrinr fn I e AMA 1 Sign not allowed ld3a Mcnins Jeyio uass!wuxYj PO!Gle1H OuluuBld vM olicind to Wowinmea uogenMUOO PAWS numoz "10d 411OOH :ol Baa r Plan Review Narrative f The following nan*We is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: IIm PASO M Ilw Ds" 1�hIM10f A Special Permit through the Zoning Board of Appeals JR geQuired for a family suite in R-2 per 4. 121 . 17 of the Zoning Bylaw. a' p011TN Zoning Bylaw Denial �Iirl Town Of North Andover Building Department 400 Osgood St. North Andover, MA. 01845 Phone 91&4864546 Fax 9738"4"2 sheer 46 R Ma t» 107A/10 icant: R uest: F ani u Date: 3-1-06 cion and Plans that Your Application is Please be advised that aflsr review of your Applica ' DENIED for the following Zoning Bylaw reasons: Zonin R-2 Notes Item Notes Item A Lot Area F Frontage 1 Lot area Insufficient 1 Fro a Insufficient 2 Lot Area Preexisting2 Fro Com ies 3 Lot Area Com ' ye;3 3 Preexisti e s 4 Insufficient Information 4 Insufficient Information 8 Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 InsufficieM Area 3 Use Preexisting 2 Com Plies yes 4 S al Permit R uired yes 3 PreexistingCBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height mum 1 All setbacks comply1 He' ht Exceeds Maxi 2 Front Insufficient 2 1 COM10111— 3 Left Side Insufficient 3 Preexisti Height e s 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficierit i Building Coverage 6 Preexisting seft yes 1 Coverage exceeds maximum 7 Insufficient Information 2 1 Coverage Com ies D YYatershed 3 1 Coverage Preexisting yes 1 Not in Watershed yes 4 Insufficient Information 2 In Watershed j Sign 3 Lot or to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic Dict K Parking N/A istr 1 In District review required 1 More Parking Required 2 Not in district yes 2 ParkingCompldes 3 Insufficient information 3 Insufficient Information 14 Pre-exiSfing Parka Remedy for the above is checked below. Item 4 S ill Permits Planning Board Item = Variance Site Plan Review SpwjW Permit Setback Variance Access other than Frontage Special Permit Parldng Variance Frontage Lot S � Permit Lot Area Variance Common Ddymmy Special Permit Hei ht Varialm Congregate Housing Permit Variance for Sign Continuing Care Retiremart Special Permit Special Permits Zoning Board Indeperw1oft Elclerly Hwsirw S ' Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Remolral SPOcial Permit ZBA Planned Development Dis trill ' Permit special Permit Use not Listed but Similar Planned Residential Special Permit -R-41 SDOCiOl Permit W R-6 Demity Special Permit SD6d8I Permit ruexistin nonoonfor nim Watershed Special Permit The above review acid attadnd mglarla1- d such is based an the pMns and ,mMi.subrrMllad. No defrdbve review and or advice shay be basad on verbal err ;M Iii rls by the applicant nor shall such verbal aruplarartials by the ap0cmd saws to provide deflO"arlswM b Iln d ae rsaeals for DENIAL Any inacc umci ,niaialCI ft irrfamsdion,or oew subesquent cher ges to the infamaft #sbrrl0 1 by the appliolrt 811111 be grounds for this r eviaar io be voided d the discretion of the Building Dgwbnw t.The agaclled doanwt died'PYn Review NanaW 811011 be atlacllad haat and incapaalad herein by rshralcs. The bulklV dais—I d vA slain all PMM and doanwMation for the above Ilia.You rnue fie a nM building Permit application form and boon ft p process. 7 Building Department CRiicial Signature Ap. Received Application Denied nnnint gpnt- If Faxed Phone NumberlDate:.w,,_,. r Plan Review Narrative The following naftive is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: 11 11! ftemim ftir Do" 1iMew�we - A S ecial Permit through the Zoning Board of Appeals iq LPCji1jrPd for a family suite in R-2 per 4 . 121 . 17 of the Zoning Bylaw. Referred To: Fire Health Police Zoning Board conservation DeWMmd d Public Works Planning Historical Commission Other BUILDING DEPT !J JENSEN DEVELOPMENT Corporation 5 Pinecrest Road Andover, Ma. 01810 (978) 475-0565, fax: (978) 475-0524 PeterJensengVerizon.net July 25, 2005 Mr. Michael McGuire , Building Inspector Town of North Andover, Ma. Re: 7/21/05 Enforcement Order—46 Raleigh Tavern Road Dear Mr. Michael McGuire, Building Inspector This letter is to confirm that we met today in your office at 8:40 A.M. to discuss the Enforcement Order issued by Allison McKay, Conservation Administrator dated 7/21/05. During our meeting we reviewed together the building permit process time line as it started back in October of 2004 when I first met with Board of Health to discuss the extensive work to be done to the residence. In late November the building permit application was filed with your office along with the construction drawings showing the extensive work to be done and only a small section of the first floor deck framing to remain. The garage and its foundation were shown to be totally removed. There was to be next to nothing left to the existing structure as shown on the drawings submitted. Also submitted with that application was a certified plot plan acquired from your office that we overlaid all the proposed additions to the existing foot print including a new proposed driveway location as needed to accommodate the new garage location. I told you I had made numerous calls during the month of December checking the status of the permit. Two of those calls I was told it was still in conservation. Finally on 12/13/04 conservation signed the U-Lot Release Form to allow us to perform the extensive work that we are currently performing. This letter also confirms that you visited the site on 7/25/05 to see the site conditions and also to speak with me. You stated that your office issued a building permit to do the work currently being performed and that you would not issue a stop work order once our permit had been granted. You gave us permission to proceed but suggested maybe wait a short w ' e before di ging the garage foundation. Sic rely, //�� �(a — dated: P t e ident cGuire, Building Inspector ensen Deve ment Corporation Town Of North Andover, Ma MEMORANDUM DATE: August 18, 2005 TO: Ray Santilli, Assistant Town Manager/Interim Community Development Director CC: Mark Rees,Town Manager Pamela Merrill, Conservation Associate Scott Masse, NACC Chair --� 92 FROM: Alison McKay, Conservation Administrator ( SUBJECT: Fines mandated under Enforcement Orders 46 Raleigh Tavern Lane Per your request, I have determined the amount of fines imposed by the Conservation Commission on the above referenced property as mandated in two separate Enforcement Orders issued (to the homeowner/applicant, Mr. Bob Bennett and the contractor, Mr. Peter Jensen) by this Department and ratified by the Conservation Commission on July 27, 2005 & on August 10, 2005. The first Enforcement Order dated July 21, 2005 to the homeowner mandated a fine of$100 per day, retro active from July 13, 2005 until such time that a valid Order of Conditions (OOC) was approved and issued by the Commission or until such time that the site was returned to its original condition. Since the Commission has not yet rendered a final decision for the proposed work activities and the site has not been returned to its original condition, this mandate is still active and ongoing. The Commission voted to close and issue a decision at their meeting of August 10, 2005, whereas a decision will be rendered at the next meeting of August 24, 2005. If an approval is rendered at that time, the fines will no longer accumulate. Therefore, the amount of fines levied by the Commission to the homeowner/applicant for said Enforcement Order would total $4,300 (from July 13 to August 24). The second Enforcement Order dated July 29, 2005 to the contractor mandated a fine of$100 per day, retroactive from said date (July 29) until such time that a valid Order of Conditions (OOC) was approved and issued by the Commission or until such time that the site was returned to its original condition. Since the Commission has not yet rendered a final decision for the proposed work activities and the site has not been returned to its original condition, this mandate is still active and ongoing. The Commission voted to close and issue a decision at their meeting of August 10, 2005, whereas a decision will be rendered at the next meeting of August 24, 2005. If an approval is rendered at that time, the fines will no longer accumulate. Therefore, the amount of fines levied by the Commission to the contractor for said Enforcement Order would total$2,700 (from July 29 to August 24). Combined fines for the site as mandated in both Enforcement Orders would total $7,000. Date... 7c7 -G f NORT 7 + TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUS� 7—Yeo This certifies that ..................... � S ..................... has permission to perform .....CCG*Z. Y f)��) „��//„�,... ............ wiring in the building of..... ...../�/U/Ut l ......................-�.................................. at....... 16... �:�11........... ,North Andover,Mass. �,j-- /53 3 G �--- Fee..................... Lic.No.,5':rt e.6.,O..................��,,!,/-t�f �. - ECTRICALINSPECTOR ! / .y Check # Commonwealth of Massachusetts Official Use Only A Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 9/051 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 TLL IN TION) Date: City or Town of: I- k dV-eye To theIn p`ector of Wires: By this application the undersigned gives notic of is or Iyer inten ' n to perform a electrical work described below. Location (Street um ) "I Owner or Tenant Telephone No. - ` Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 9b (Check Appropriate Box) Purpose of Building Utility uthorization No. Existing Service Amps ! Volts Overhead ❑ 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: Installation of Security and or Fire alarm systems Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA Above o In- INO.of Emergency Lighting No. of Luminaires Swimming Pool rnd. grnd. Battery Units No.)f Receptacle Outlets No.of Oil Burners FIRE ALARMS INo. of Zones No.of Detection and o ri No. of Switches No.of Gas Burners Initiating Devices mo '&- No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: "'" "' Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent, No. of Water 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 E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: +� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC.NO.: 1533 C Licensee: Kenny Wong Signature �- _ LIC. NO.: 5966D (If applicable, enter "exempt"in the license number line.) rte— Bus.Tel. No.: 603-594-5900 Address 18 Clinton Drive Hollis N.H.03049 Alt. Tel. No.: 603-594-5930 tA *Security System Contractor License required for this work; if applicable,enter the license number here: SS CC 001975 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)[:] owner ❑ owner's agent. .p Owner/Agent ftnature Telephone No. PERMIT FEE: $ Date.//./oll f. . . .1 T , r 4 .0 RT:'�o TO OF NORTH ANDOVER 11 3a .�.� -�•.'• of p PERMIT FOR PLUMBING ,SSUSE� This certifies that . . <... �. .l .�. .1. . . . . . .) . . . . . . . . . . . . . has permission to perform . . . f4..r c,t . . . . . . . . . . . . . . . . plumbing in the buildings of . . Gt . l.`. .�'. . . . . . . . . . . . . . . . . . . at . . .1z. l?.(.-.cJ . t. 14.x. --- ., North Andover, Mass. Fee. Ad .r.Lic. No.0 x . . . . . . . 2 . .r �.. . .:--^ PLUMBING INSPECTOR Check # 6733 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location &L L"%� /f Owners Name �'�'e,�z,oy �� Permitr 7/Q✓ElZnr' I-,q ry C T Amount Type of Occupancy �S r New Renovation Replacement Plans Submitted Yes No FIXTURES .�a w � > c � a w w z c w z H x �� � w w 3 a as A SLIl 1TFWM. MMOCR 3MMOM 4M MOOR s>�>Ft,oat 6M HJoCIR 7MHAOCR (Print or type) Check one: Certificate Installing Company Name SUI V)qiu P�C; �C, ❑ Corp. Address - �^� C�1l� xCvv 6�� 6c% fit 3`istc. ❑ Partner. 9 7 ^ 3 7 Sr` -,/ us�iness�'elep one irm/Co. Name of Licensed Plumber: _Gf Ciyiv . �,1 L,r1/1W Insurance Coverage: Indicate the type o urance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityEl 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 t Plumbing ode and Chapter 142 of the General Laws. By: �w sign T o icenst moer Title Type of Plumbing License City/Town l �. .. ice se um er Master Journeyman ❑ APPROVED tor�cE USE ONLY 1 (j Date............. .....::...... . Ot�e.o DTN 1 a? , "�,� TOWN OF NORTH ANDOVER ` PERMIT FOR WIRING SSACMUS� i L,ra — This certifies that .......................1..........�:..��ra�srf7��'.....�L.E�'T1u c... ' has permission to perform ..... ........................................ wiring in the building of... 7'..................................... 1 �l 4L —� at � �.�.�...A�.l.���...G!t�..... ,North Andover,Mass. d Fee...'/Z?.� Lic.No.11 .76 4 9 ELECTRICAL INSPECTOR a Check # _ r Commonwealth of Massachusetts official Use only Permit No. b2- Department of Fire Services _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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 INF RW TION) Date: 21-190� City or Town of: Y9 To the Inspector of ices: By this application the undersigned gives notice of Mis or her in ion to perfop the electrical work described below. Location (Street& Number) Q/�LGIIeD Owner or Tenant ��(j�� �/�[�� Telephone No. Owner's Address Is this permit in conjunction with a buildin permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 7�,J�LL� til Utility Authorization No. Existing Service 0— Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service AL_ Amps /Z ('Volts Overhead ❑ Undgrd No.of Meters Number of Feeders and Ampacity Z - / �L%Lf/ Location and Nature of Proposed Electrical ork: // Zh Completion o the following table may be ivaived by the Inspector oj4Vires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I.N.P.M.ber Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection " No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 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: ,-1 ttach additional detail if desired, or as required by the Inspector oj'Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the&tuts andpenalties of perjury,that the information on this application is trite and complete. FIRM NAME: C rJ L RZ-1C- LIC. NO.: p Licensee: ,_ /'IC629d Signatur (7 LIC. NO.: � (Ifapplicable, ente nspt"in the lice sse nam line.) Bus.Tel. No.: Address: y Alt.Tel. No. *Security System Contractor License required for this work; if applicable,enter the license number here: 'i OWNER' OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes 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 Signature Telephone No. PERMIT FEE: $ • DEMfi7M f0FPE& SOW LPermWdtNo. BQARDOFFIREPIEVFN7nVRBGUTAMVSSl7aR12i0 Occup, ccupancy Fees Checked APPUCA71ONFOR PERMUTO PERFORM ELECTRICAL WORK AIL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECMICAL CODE,527 CMR 12:00 f (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dates/ Town of North Andover To the 4pect of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) LGe f40 Owner or Tenant N Owner's Address Is this permit in conjunction with a building permit: Yes No [3 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead r7 Underground C3 No.of Meters New Service AmpsL./Z;�LColts Overhead Im Underground �' No.of Meters Number of Feeders and Ampacity °Z^c F"14L�LL_ Location and Nature of Proposed Electrical Work No.of lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Oenertor KVA and ground rl No.of Receptacle Outlets No.of Oil Burner No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burner No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total TOW No.of Detection and. Pumps Tons KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LOW Municipal Other Connections No.of Water Heater KW No.of No.of sign Bailasis ' No.Hydro Massage Tuba No.of Motor TOW HP 4 OTHER- YES 0 NO Ihmeantrndadvaidp a*f=zlD1V0ffi=Yl?.4 lfyouhaedrd®dMpleateirtiiQieh'peefwmvby daiIlv3[lR� BCM[D OUM EagitltbonDab WodcbSWtt a (Z 2� LLSpe mDaleRegr*d Rohl FstiniebdVaireofFJacoiealWtadr$ Rlal 4 �^ �N C l� i2-I c C 1eNa f( lJ 7 �� �` LioenseNo 2- qG r 2 Btt�'hiNa � ,. AkTdNa OWMCSMMANMWAM3klamffmaintheLicx wdmnotrelheira><a aN'a!*crisatxfiyW ta4lac}"bY GefleralLawa e-,--�-L • and,h9tr►,ysgr�eon,tisE,eantappicat9orl,�ua,+eaditreclui�at (Please check one) Owner Agent Telephone No. pER,M1T FEE S Signature J a 52hV fC� eY 1Lt wl,-�0V tv, Commonwealth of Massachusetts 011-1cial use On1, 44' Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK A I I «ork to be performed in accordance\Nith the\vlassachusetts F]ectrical Code(),1K). 527 041112.00 WLEZE PRINT IN INK OR TYPE ALL LVF MW TION) Date:— 1?6G- 2,y- 2-e2e2 City or Town of- To the limpector ol*ires.- By this application the undersigned gives/n0' tice of Mis or her inten-tioll to perforin the electrical 5;�.5-�ed below. C W I'll, , 1 Location (Street& Number) L-c-, -/J -14� Owner or Tenant 5L)-F�, V�-wAU)�e q,,k- 71 Telephone No. Owner's Address I Is this permit in conjunction with a building permit? Ye%61; Io L-J (Check Appropriate Box) Purpose of Building 174,)C-t- Utility Authorization No. Existing Service Amps Volts OverheadF-1 Undgrc! ❑ No.of Meters New Service Amps /i,2- /ZWVolts OverheadEj Undgrc[ ECJ-' No.ofMeters -Z— Number of Feeders and Ampacity 2- - g& L-- Location and Nature of Proposed Electrical ork: ivI e- ) ('()jjjPjejj()1j(Y able mov be waived by the hispector o/Wires. No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle) Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting grnd. grnd. Battery Units -- I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Pump Heat Pu [Number jTons JKW No.of Self-Contained No. of Waste Disposers m ........ ....................... Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalEl Municipal El Other Connection No.of Dryers Heating Appliances KW Security Systems:* 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: 111ach additional delail if'desired, or as required hY the Inspector o/ Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and LIP011 completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit iSSUill"Office. C, CHECK ONE: INSURANCE [] 13OND F1 OTHER F-1 (Specify:) I cer0y,tinder 11�Jpttins ant1pentiffies o0erjury,that the in application is trite and complete. -7 fi)rnuttioll on this applicCA, FIRM NAME:1'.J/1141j A/-,6",Pw,�ZZ LIC. NO.: Licensee:(,Ag,-,-( 10r- redli- Signature� ✓ (Ifapphcahle, eater; - 1 4 Ise)II11111-4.lin us. Tel. No y"I il in I it, B Address: Al Alt. Tel. No. :.Security System Contractor License required for this work; if applicable, enter the license number h=. OWN ER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)E] owner 0 owner's agent. Owner/Agent Signature Telephone No. [PERMIT FFE: .5 7 - / 3 �r , � 1 5912 Date....�:.��:.V.© T f HORTM TOWN OF NORTH ANDOVER 3? e�°P _.• �• OL PERMIT FOR WIRING ��sS�cuusE� e C This certifies that ...... .... a.v. .... ........�.� ................................. has permission to perform ...� "P�`v( `c ...................... wiring in the building of ..N L,e^A- L North Pdover,Mass. Fee. .�....... Lic.No...�lS /.... ��i d{{ — ..............................`�.....F........................ ELECTRICAL It PECMR Check # �� DEPAR7MWOFPUBUCSUM Permit No. ` 12" wARDOFFIREPREvnvn0NREGM4mvs517 avo Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat2 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Le[6- 4 ZA Owner or Tenant `17- N Owner's Address 4tlo ✓�[-�� l`� � - -� Is this permit in conjunctio with a building permit: Yes o (Check Appropriate Box) Purpose of Building ys�� Utility Authorization No. Existing Service Amps/ /Z cYolts Overhead Underground No.of Meters New Service Amps/ZJ/ olts Overhead Underground ^/ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work / ,77M 7 No.of Lighting Outlet No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pooh Aborta Below Generators KVA grou1:1 ground No.of Receptacle Outlets No.of OR Bumers No.of Emergency Lighting Battery Unit No.of Switch Outlet . No.of Gas Bunte No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Device No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Device KW Local 0 Municipal a Other Connections No.of Water Heaters KW No.of No.of Signs Baliasis No.Hydro Massage Tuba No.of Motors Total HP OTHER• ittstm=cora@t AasuertiDft t Wnerna*dWb=dflst3tsCramd1m a lhmaaj m�tliebl'tyhsmtaeFbLYmck&B arAsItgW ffMVabt YM NO Iharesf nhadvaidproafcfsernebtleOffM YES rMV IryouhmededWdYES,pkmindcWdztA ecfa nwWb, PZURAI�IC.EE BCND rl 01M 1:3 ?f=-** V afl]acsical Wadr$ FiRM WcdcbSta+t �L 2 ilspec onDaleR d Rough k ( LL FW of NAME CC CC �- LwwNa 42, 7; c� I iaa � .0 A . � � ,� n Bt�Ta.Na - —c'? ' c� AkTdNa OW?�WSMMANMWANfR;Iamawaethettheli=wd=mttt�edr am'WoritsaWv*9aswWWbyM=da>MCkrzWLawa C,5LL e ardth9mysignt mean SFulaamimlirnwaivesti momo t (Please check one) Owner 1:3 Agent Telephone No. PERS FEES Signature DENJUNW OFANKSUM Permit No. S [ l 2 BOAMOFFLREPREVEWMRBGULA7RM327aoMUiM Occupancy&Fees Checked APPUCATIONFOR PERMITTjO PERFORM ELECTRICAL WORK All.WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION). Town of North Andover To the Inspector of wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) (,��(� ►-� Icy Owner or Tenant -t ' Owner's Address L -1' TP Is this permit in conjuncts with a building permit: Yes©o [3 (Check Apprond-,Wfsqj� as 2 Z purpose of Building Utility Authorization No. Existing Service o O Amps Overhead Unler6und Ca- No.of Meters 4— New Service Ampsl LL2 olts OverheadUnderground ^/ No.of Meters 0 1� Number of Feeders and Ampecity Location and Nature of proposed Electrical work No.of Lighting Outlet No.of Hat Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool AboveBelow Cierrerattas KVA aW No.of Receptacle Outlet No.of OB Burner No.of Emarncy Lighting Battery Unit No.of Switch Outlet No.of On Bumas No.of Ranges No.of Air Cad. Tota FIRE ALARMS No.of Zonas Tons i No.of Disposals No.of Had Tota Total No.of Detection and Pumps Toro KW Initiadrrg Devices No.of Dishwasher Space Area Heating KW No.of Sounding Device No.of Self Contained Detwdon/Sonrding Devices No.of Dryer Hewing Devices KW Loca Mmicipul Odw Connections No.of Water Hewer KW No.of No.of sign &link No.Hydro Massage Tubs No.of Motes Total HP OTHER- hauaroeCo�Pira®ualtbderegii�anabafMaared>lsllst'}�remlLaoi�t IhaneacwetLit tYhsr�raeFbic7'irr�dtgCbnpittz oris 6ileq�vaimt YES NO ItmesubrAwdva1dpafafs=1DdeCffl=711 If)cuhwcfwdaedYBS, IlV LICA — B=[:3 OR= � �leaseSpe� P�i�Dab WodcbStat �L 2 .� ItlepactianDORogueriad Ra* w/' e-1 - C�IedV afPl9cis®lwodcS __ fm FIItMNAME of �� C '��� LioaveNa /S76 Licatsee�-/0t�V �No gL Bueirt Td No,Adiep/ - — `Z G- � 2 Alc'IdNa � - • ow1�It'sIIVSVRAI�wAIVfR;Ianawale9letd>etioenee me die• arddietmy9ppe�rlerndiapam[appic�twai�esfisrequsemet arilalogiivalenta�n+4iedby'Messl�aelisGaretalLawa SGL (Please check one) Owner Agent Telephone No. PERMIT FEES O �— r' 12E� Y 1 7 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Type or print) Date3C2 19 l t NORTH ANDOVER, MASSACHUSETTS �N- Building Locations 6 �'" " ����— Permit# e2- / Amount$ TI`r�1 r N I)IC/ Owner's Name New® Renovation ❑ Replacement ❑ Plans Submitted ❑ z O O z O z w O p F m C7 W C > w W W v� W x a W W F _t 9 z w a W w V Q > w E u a w W > w ] z a � qt 0 0 w O w x C i x w 3 c7 a u x > a F O SUB-BASEM ENT B A S E M ENT 1ST. FLOGR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8'r H . FLOOR (Print or type) ` Check one: Certificate Installing Company Name v �`'��� ❑ Corp. AddressQ.f.22 `� —�/ �� o ��� ❑ Partner. 7dC,d1V Business Telephone 36 2 f _ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Chec one: I have a current liability Insurance policy or it's substantial equivalent. YesNo . ❑ If you have checked yes,please indicate the type coverage by checking the appropriate bo)4 Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 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 Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber e:�?`7!!L2 3 City/Town ❑ Gas Fitter (cense Number Master APPROVED(OFFICE USE ONLY) Journeyman Date. .. . ........ TORT" WN OF NORTH ANDOVER pE�i�ao ,+1�0 PERMIT FOR GAS INSTALLATION SACHUSEt This certifies that . . . . . . . . . . .� . . . . . . . . . . has permission for gas installation .<:. :. ./A . . . . . . . . . . . . . . in the buildings of�.�. . . . . . . . . . . . . . . . . . . . . // at :��: . . ./.�X. .j '. "`., North Andover, Mass. Fee?'�. Lic. No . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer a � Bay State Gas Com any GAS INSTALLATION AUTHORIZATION `j TION Issued to Date �.C�C, �� Address For Installation of: CSS BTU Input )no, _ X� Restrictions BSG Representativ � PERMIT ISSUED BY INSPECTOR This Portion of Authorization r' zatlon To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR No POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO.721 LAWRENCE,MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 IIoil 11111111111 U4t (4,amm Inweulth at fflafial4u.51 tB PIMA ��•�•«y Ecptutittrttt of Public �nfrtq p=Pmq j Fes -cL BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3rso �e'w 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed to accordance with the Massacnusetts Electrical Code, 527 CMA 2.. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 00 Oats or Town of NORTH ANDOVER To the Ina Pector at Wireet The udersigned applies for a permit to per t electrical work describe Blow. Location (Street & Numbe Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No CI (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _� volts Overhead ;._.g Undgrnd L1 No. of Meters New Service Amps _� Volts Overnead _ Una and . ' 9 C No, of Meters Number of Feeders and Ampacay Location and Nature of Proposed Electrical gNorK No. of Lggntfng Outlets I No. of yol '_cs Total , No. of .t ransldrmera KVA No. of Lighting Fixturesi Swimming P_og >ocve— ,n- grro _ Srno I Generators KVA I No. of Receotacle Oud•fs I No. of Oil i:,,(ners I No. of Emergency Lignung Battery Units , No. of Swacn Outlets I No. of Gas 2_rrers FIRE ALARMS NO. W Zones i . No. of Kangas Na Cl Air C.:r.c. 'O1di No. of Detection and I cns Indlating Owlcea i No. of Oisoosals I No.ol Meat -o:ag .otai Pur-=5 Ons ^t'J No. of Sounding Devic" No. of Sed Contained No. of Oianwasners SoacerArea 4eatira K.V 0oleettorvsounang 0evteee No. of Oryers ( Heating Cev cesKW Local — Munrcioal ....0 Connection their No. of No )g Low voltage ; No. of Water Heaters KW Signs 3a las:s wiring No. Hydro Massage Tuos I No. of Motcrs :ogai HP OTHER: INSURANCE COVERAGE. Pursuant :o ins r•ouwrements of •.lass users ;en•rat Laws 1 naw a currant L,aoday Insurance Poucy inctuagng C mc,•t Ccsrauons Coverage or its substantial equivalent. YES NO f have suoftllned valid proof of same to the Office. YES v0 it you nave cn•cxoa YES, playa tnOlca�111e MM a cn•cklnQ tris ippf0 tats box. w INSURANCE �NO = OTHER = IPI•as• Eabfnatfld Value of E!ectncal Work S ' ltt+ttwatan Oalet . work to Start Inao•c:gon Cate ;;acL.as:ec. Rougn Final Signeo under the Pon&"'@' of'penury: FIRM NAME NO. Licenses S.S-a: re C.t4o. ELL /� ^ Q Bus. Til. No. 3 "Q Address �� `P IC,G C ") � o h 0'12U All. Teel. Wo. fr■.�t OWNER'S INSURANCE WAIVER: I am aware gnat the :censrs ^_oes gra nave ins insurane• coverage or tie Substantial equlvelem tom queen by Massacnusetts General Laws• ano trial my sisnauus on .nes z•rmgt aopgicauon waives this requirsingenll. Own/ Agent (Plea" cn•Gt onet- steonons No. PERMIT FEE S t • _ lSpnalure of Owner or Ayengt ! F p►UMMONWEALTH 0r MASSACHUSE T-1- DIVISION OF REGISTRATION Yf OF ELECTRICIANS AS A REgS IfNfgtMNSLE}&CTRI q A�ji ALTON W HITCHCOCK . r P 0 BOX 285 1: DERRY NH 03038-028. �. LICENSE NO. o Date��.... ...`.................. r NbRTM 3: dL °�t •�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ACMU n This certifies that ....... .............!... ........::'................................ has permission to perform :.:}.......J........;........................................ wiring in the building of. ................ - .........`..:.......... `................... at.........f ,.. .f: ..: - .. /`':{ `'�`-',Nn'ithAnd erov Mass. Fee, ... ..... Lic.No.i�..:G.... . .......... / �f / ELECTRICAL INSPECTOR�� c 02/23/98 12:09 35.00 RAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 03/15/2014 03:12 FAX 2001 Dec 16 04 05301P Pennit Number I i RES1:heck CampGance Certificate Checked gy/Date Massachusetts Eiterp Code RESchcckSoftwnro Version 3.6 Rause 1 Data filename:Untitled rck CTl"Y:North Andover STATLr:1assk>Auttts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Fatally,DerRched HEATING SYSTEM TYPE:Other(Non-Ekctt'ic Resistance) WINDOW/WALL RATIO:0.15 DAVE: 12/16/04 DATE OF PLANS: 12/08104 PRO)FCT]DWRIPTION: est RECEIVED ash Tavem Lent JAN 3 2004 DESIGNSR/CONIRACTOR: !er`set' l°PA=t BUILDING DEPT. 37 Porter Road ,gndover,MA 01810 ('OMPLIANCE:Passes Maximum UA= 1034 Your Horne UA=909 12,1°/Boner Than Codc(UA) Gross Glazing Area or CSvitq Coat. or Door Pstimw RY,alu 3 17A Ceiling 1:T18t Ceiling or Scissor Truss 2460 30.0 0.0 861436 30.0 0.0 49 Ceiling 2:Cathedral Ceiling(no attic) 20 Wali 1:Wood Frame, 16"o.c. 5 13.0 1.0 337 S20 0.330 172 , ,,.,.�►-" Window 1:Wood prame:Double Pane-with Low-E 242 0.330 80 Door 1:Glass 35 0.350 12 Door 2:Solid 3691 19.0 0.0 173 Floor 1:All-wood Joiet/Troes:om Unconditioned Spaeo Parnate 1:Forotd Mot Air,90 AFUE Air Conditioner 1:Elcctrlc Ceatral Air, 10 SEM COMPLIANCE STATSMENT: The proposed building desip descnbed hcnc is consistent with.the building Plans, sWtocadons,and other mladations submaued with the Permit application. The proposed building has been deriPed to 03/15/2014 03:12 FAX 1A 002 Dec 16 04 O5: O1p P Meet the Mmachusetts Evergy Cods requirements in REScheckVersion 3.6 Release I(tbttuefly MSCcheA and to comply with the mudatory requirements listed in the RESc iecklaspection Checklist. The hen ing load fpr this building,and the cooling load if appropriate;leas been detemdued using the applicable Standard Des0go Conditiotts found in •Code, The HVAC equipment selected to beat or cool the building shall be no greater than 1259'0 of theoad speci5e 'n 3oCtions 780CMR 131O and 14.4. Bailderlbesiguer Date �� 03/15/2014 03:12 FAX 0003 p. 3 Dec 16 04 05:01p E RESCheek Inspection Checklist Massachusetts Energy Code REScheckSolfivare Version 3.6 Release 1 DATE: 12/16/04 Bldg. I Dept. I Use I Ceding: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R.--30.0 cavity insulation I Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30,0 cavity insulation Comments: I Above-Grade Walls: f j ( C Wall 1:Wood,Frame, 16"o.c.,R-13,0 cavity+R4.0 continuous insulation I Comments: Windows: [ I 1 1, Window 1: Wood Frame:Double Pane with Low-E,U"factor:0.330 Por windows without labeled U-factors,describe feannvs: I #Panes Frame Type Tlit tmal Break?( ]Yee[ ]No I Comments: I Doors: [ 1 I L Door 1:Glass,U-factor:0.330 I Coinrnents: [ ] I 2. Door 2:Solid,U-factor:0.350 I Continents: I Floors: ] I 1. Floor 1:Ali Wood JaiWTru8s:Uver Unconditioned Space,R-19.0 cavity insulation I Comments; _ I I Iftating mod Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 ARM or higher Make and Model Number I ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher i I Make and Model Numl;:r I I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air I leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures I shall moot one of the Hollowing requirements: I 1. 'type IC rrued,manubctured with no penetrations between die inside of the recessed fixture and ceiling cavity and sealed or Basketed to prownt air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no snore than 2.0 cfin(0.944 I Us)air movement ftm the the conditioned space to the ceiWtg cavity. The lighting fixture 03/15/2014 03:12 FAX 0 004 p. 4 Dec 16 04 05: 02p shall have been tested at 75 PA or 1.57 IWA2 prmue difference and shall be labeled. I Vapar, PAiarder.. ( RcgWmd on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Makrials Identification: i ] I Materials and equipment must be identified so that oompfisnve can be detennined. ( ] ( Manufacturer manuals for all installed heating and cooling equipment ad setvice water bating I equipment mum be provided. C ] I insulation A-values,glazing U-lhctor4 and heating equipment effic�tcy must be clearly marked on the building plans or specifications. I Duct bsuladon: [ j I Ducts shall be insulated per Table 14.4.7.1. I Duct Construction: ( l I All acoessibie joints,sen us,and connections of supply and return ductwork located outside { conditioned space,incl"ng stud bays or joist cavideslspaces used to ttata'pott air,shall be scaled I using mastic and fibrous backing tape installed according to the amrmfacutrer's installation i instructions. Mesh tape tray be omitted where gaps are less Hiatt 118 inch. Duct tape is not permitted. [ ] I The HVAC systurn must pr+avi&a rueans for babncwg air and wator systems. I Tempecaature Coatrnts: ( ] I Thermstats are required for each sepaimte HVAC Vaem. A maiwal ox automatic means to I partially restrict or shut off the heating and/or cooling input to each sone or floor shall be provided. Heating and Cooling Equiptttcut Sizing: [ ) I bated output capacity of the heating/cooling system is not greater than 125%of lite design load as I specified in Sections 780CM 1310 and 14.4. I Circulating Hot Water Systems: [ ] I Insulate ciaculating hot water pipes to the lev08 in Table 1. Swlmmtiag Pool9: ( j I All heated swimming pools must have an onloffheater switch and require a cover unless over 20% I of Else heating energy is from non-depletable sourom Pool pumps require a time clock. I Htmtiag and Cooling Piping Insulation: [ ] I HVAC piping mveying fluids above 120T or chilled Mft below 55 of utast be insulated to the levels in Table 2. 03/15/2014 03:13 FAX zoos P. 5 Doc 16 04 05:02p •A d.. cable 1: Minimum tnwholon Tbiekam for Ckemlasq Hot Water Pipes t a a i g 331idmess in inches 1W EWLSIMS Heated Water &GSim lating R=uta CinIttke hbinsu Rn is 1`e nmra o(Fl Uo to 1" Un to 1.2 " 15,to 2.0" Over 2", 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1,S 100-130 0.5 0.5 0.5 1.0 ?'able 2: Miff mrnn lmnlMo» Thkknrasfor RYA CPipe 1.Wd Temp. Insulatonhic s in jpe1w by line Sizes Heating Systeme Low PrMore/Temperatum 201-250 1.0 1.5 1.5 2.0 Loa Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systcmw Chilled Water,Refrigerant. 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO PMM (Building Department Use Only) i i .0 Location No. �l_^.Z Date LORTN TOWN OF NORTH ANDOVER n Certificate of Occupancy $ 41 Building/Frame Permit Fee $ Foundation Permit Fee $ SswcHusa e.tir Other Permit Fee $ .tea Sewer Connection Fee $ 4 Water Connection Fee $ TOTAL Building Inspector 130.00 PAID Div. Public Works •E)it31IT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +JO. I LOT NO. 2 RECORD OF OWNERSHIP IDATFO ry IBOOK ;PAGE ZONE SUB DIV. LOT NO. / LOCATION ^ // �j�I� �} J PURPOSE OF BUILDING OWNER'S NAMEf�G�C1�� K! NO. OF STORIES C_SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME /� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME;_\/At ji it QD L./ ,� SPAN DISTANCE TO NEAREST BUILDING • DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES -SIDES L:5 REAR GIRDERS AREA OF LOT /j, 7L� FRONTAGE/?7' �j� HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Ivo C1 `.7 FRONTAGE/? ! o SIZE OF FOOTING X IS BUILDING ADDITION •V, !O MATERIAL OF CHIMNEY IS BUILDING ALTERATION / IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YES IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY '` `J IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. i PAGE 2 FILL OUT SECTIONS 1 - 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 FIL D AND-APPROVED BY BUILDING INSPECTOR DATE FILED •UILDING INSPECTOR SIGNA OF OWNER OR AUTHORIZED E T /L` �j� FEE --5 6- OWNER TEL.N //L PERMIT GRANTED CONTR.TEL I/ 19 f �- CONTR.LIC.A C S - 4-12- Z---" H.I.C.Af 1 app AA 2,sa 199$ . FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from a Boards and ^ partments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. 'P�CANT FILLS QUT THIS SECTION C� `A , /.(/D � C� � b APPLICANT5W/W/9 O`T /,(/ISG �` PHONE1�a/ " -3,;Zj_3 LOCATION: Assessors Map Number PARCEL I SUBDIVISION LOT (S) I, STREET ST. NUMBEr /, I **********OFFICIAL USE ONLY „ ` 4RECMMENDATIONS OF TOWN AGENTS:Ohio R ATION ADMINISTRA OR DATE APPROVED 31 bL1 DATE REJECTED COMMENTS �Aj r ITOWN PLANNER DATE APPROVED 1 ry DATE REJECTED COMMENTS i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED � -i-Ei INSP OR-HEALT DATE APPROVED i DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT . I FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 1 R J k 17 02- c7' 7 , Town of North Andover BUILDING DEPARTMENT i Homeowner License Exemption (Please print) DATE JOB LOCATION Number. Street Address Section of town "HOMEOWNER"S, -y,Dx,q Name �Jhome Phone Work Phone PRESENT MAILING ADDRESS /1 =�(a/� V 5XX( L14jd a/ a v� City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six 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 109. 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to a reside, on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory Lo such use and/or farm structures . A person who constructs more than one home in a two-year rperiod shall not be considered a homeowner. Such "homeowner" shall submit' -to the Building Official, on a form acceptable to the Bulding Official , �ihat he/she shall be responsible for all such work performed under the building permit . (Section 109. 1 . 1) .The undersigned "homeowner" assumes responEibiiity for compliance with the State Building Code and other applicable codes , by-laws , rules and .2gulations . ,e undersigned "homeowner" certifies that he/she understands the Town of i - Lh Andover Building Department minimum inspection procedures and -quirements and that he/she will comply with said procedures and ,_equirements . '0MEOWNER' S SIGNATURE PROVAL OF BUILDING OFFICIAL jte : Three family dwellings 35 ,000 cubic feet , or larger, will be Lequired to comply with State Building Code Section 127 .0, Construction Control . i i i Location t� No. a _ Date NaRT� TOWN OF NORTH ANDOVER 3? �' - - _•BOOL p Certificate of Occupancy $ } snROW Building/Frame Permit Fee $ Ss•ArMUrlo SE` Foundation Permit Fee $ Other Permit Fee $ U Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ,oil .� /z' ` „J 0 lv Building Inspector OS/15/54 08:44 32.50 PAID v a 7340 Div. Public Works PERMIT NO 0 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. / PAGE 1 - MAP o. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE - ZONE I SUB DIV. LOT NO. �1-1 LOCATION Of PURPOSE OF BUILDING OWNER'S NAME ' NO. OF STORIES SIZE OWNER'S ADDR S _ �'J BASEMENT OR SLAB - ARCHITECT'S NAME YK� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME /,` /3 SPAN -- DISTANCE TO NEAREST BUILDING'S LCJC. Y' DIMENSIONS OF SILLS DISTANCE FROM STREET ' POSTS DISTANCE FROM LOT LINES -SIDES REAR " ' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. C08 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. i PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM y 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 � �T BOARD OF HEALTH SIGNAT RE OF�OWNF� TOR A RIZED AGENT F E E ��(/<�1 OWNER TEL.P PLANNING BOAlRD PERMIT GRANTED CONTR.TEL N ✓v�.� 19 CONTR. LIC. BOARD OF SELECTMEN Lim` BUILDING INiPECTOR .iF 44 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I 5iORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY i_ OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d I 2 I S CONCRETE SL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER — DRY VJAtI UNFIN 3 BASEMENT 11 AREA FULL FIN. B M AREA _ 1/1 1/2 '/ FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 I 2 3 DROP SIDING CONCRETE J�_ WOOD SHINGLES EARTH _I _ ASPHALT SIDING HARD"J D _ ASBESTOS SIDING COMMC:N VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING C STONE ON FRAME _ �+ SUPERIOR POOR 11 ADEQUATE NONE 5 ROOF 10 PLUMBING c GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2ndELECTRIC 1st 13rd I_ NO HEATING is �•.° �t, �i 7.i 1-dt ° °is tt' ° �.° h„T�\ t`° ,L^\,Y �l' 4A. Al \y "1"�'� Y °''Q~i�1—+{,:S .i 'lt s�' •FAt�' --�• T.._ 4. ♦r l; r .1 1 i Sy � � 1G °� }' Y �(� .y( y y yet tY7 \ .``x7 r `sf t�yiNlat��..t`i'>tYi:�ti° irtijfZi+n .`•i ..a.r�..... .::.►�Le.d.::.�'a`•ldJ�.:c'`3c(� �t\,n......... ."��i.Citi..1.._..... a.�.....,,.......��.:....a.t_? Castricone Roofing & Si REPAIRS FREE ESTIMATES ding Telephone: (508) 682-4266 MARIO CASTRICONE 61 Water Street, No. Andover, Massachusetts 01845 I/we, the owner(s) of the premises mentioned belowhereby contract with and authorize �•ou as contractor, to furnish all necessary materials, labor and workmanship, to install,'construct and place the improvements according to the followin specifications, r s and conditions, on pre ices below described: g Owner's Name . . ..... ............... ......................... ........l�..U• ,/ 1`CkR��• .../...t!�`� City Job Address ,.1.... ..... ............ ................ ....... .. .... .. .. .... .............. SPECIFICATIONS ..... .... !. ..... .... .. .. .. -(f-•(•fL�, . .......\.................................................................. . ... ....... . . ... ... -._00E�..... .. ..................... .. . .. ........ ...................................................................................... ........... ........ .. ...... ............ ... . . ...... ... - max... ... . . .. ,��?. ......: ............................................... .... . . .... . . .. ....................................... -4. . . .. .. ... ................................................. . x. i4. .. ............ .................................................................................................................................................... ....... C`..................... ��`a ?materials and labor to cost 3j """" $... ......................... Payable ................. z�:enthl installments of on •••••• ............•••• and balance in ................ y $ •••••............... each, payable on ........................ day of each and every month thereafter until paid in full (............% Y per charge year is to be added to above cost of labor and materials and is included in monthl P Contractor will do all of said work in a good workmanlike manner. Y payments.) Upon completion of above work, all undersigned agree to execute and deliver to contractor, their joint note in accord- ance with his (their) above obligation and a completion as requested by the contractor. Upon refusal to do so, contractor may at its option declare the entire contract price or so much as then remains unpaid immediately due and payable. It is agreed that if permitted by law contractor shall be paid by the owner(s),all reasonable costs, attorney fees and expenses, in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of this contract and/or any lien in connection therewith. It is further agreed.that this contract may be assigned by contractor; and also that the obligations hereof shall bind and apply to their heirs, successors or estates of the parties. The undersigned warrant(s) that he is (they are) the owner(s) of the above mentioned premises and that legal title thereto stands of record in his (their) name(s). PROVISO: This contract shall be void and of no effort if credit approved of owner(s) is refused. There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is this contract dependent upon or subject to any conditions not herein stated. Any sub- sequent agreement in reference hereto shall be binding only if in writing and signed by all parties. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not here- in contained shall be binding upon the parties and that all of the agreements and understandings of said parties are con- tained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in oper i IN WITNESS WHEREOF, the parties have hereunto signed their names this p/.".... • •• 19 day of .� Accepted: / , (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Signed ..yl ��J!Jyl�,� t Signed ............................................... j/ Owner ....... Per .6 H� own oORT f Andover N 0 M.. Tortover, Mass., HIE _19 y COC H I C ME WICK 2! 0RA TE D P? f L / BOARD OF HEALTH Food/Kitchen Septic System �n i l= PERMIT T D BUILDING INSPECTOR f .THIS CERTIFIES THAT .. ........L..L. .. ................... i ................ Foun a has permission to erect... 4011104&buildings on .....y... ... 4".4�49XV Rough ' to be occupied as.......J....... ... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application an 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS � RoughWW s .. .. . Service 0 BUILDING INSPECTOR Final Occupancy Perrriit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT OFFICES OF: North Andover. APPEALS ,l, .w; NORTH ANDOVER Massachusetts o 1845 BUILDING �,•�:-��r DIVISION OF (617)68S4i 15 CONSERVATION HEALTH PL.-\NNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON,DIRECTOR In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licc:ued solid waste disposal facility as defincd by ,MGL c 111, S 150A. The debris will be disposed of in: Y., (Location of Fa lits) � 1 r Sicnature of Permit Applicant Ddte NOT=: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. T Date...?.:� .: � ....... 1 f µORTM, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACHUS� n 1 This certifies that has permission to . .perform , ..`y -�_4 !!.�t �• .... ............. wiring in the building of.... .:� �.......................................... at A..... �..�'-!..tc��...... ..- ,North Andover,Mass. FeeQ ... ..... Lic.No��. �7 e........ `a1 c� ............. .,. ELECTRicALINSPE�UR Check # tl 5 E. iik J Jim t.tJLVlLmuly VVr AtUn Vr 1V"Lh]t►t-lllh]LM l u "•••w�-- DEPAl7NW0FPUB1JCS4F' Y Permit No. BOARDOFFSEPRE'MMONREgAMON5517(, gaga f Occupancy&Fees Checked APPLICATION FOR PER&ff TO PERFORM CTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS EL E ICAL CODE,527 CMR 12:00 / J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described ow. Location(Street 81:Number) Owner or Tenant Owner's Address Is this permit in conjunctiwith a uilding permit: Yes No (Check Appropriate Box) �� 7 Purpose of Building `� s7?rfl C -- Utility Authorization No.��/J-7T Existing Service Amps Overhead Overhead Underground a No.of Meters New Service Ampsolts Overhead Underground No.of Meters Number of feeders and Ampacity Location and Nature of Proposed Electrical Work Nd.of Lighting Outlets No.of Hot Tubs No.of Transformers TOW KVA No.of Lighting Fixtures Swimming Pool AboveBelow Generators KVA and and rl No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tom No.of Disposal No.of Heat TOW TOW No.of Detection and Pumps .Tom KW Initiating Devices .......... � No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained �s Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasl No.Hydro Massage Tubs No.of Motors Total HP OTHER Ir19t==Crna W pl�tatbdtetegtmartt�otMas9adi�setlst st®lLaws I1weaanen1Liah&y1W0xeR&YiditCarlp* crlssub9a6ale(Aivalat YES ED NO a Ihmesutx*dvAdpa fcfs=lDd eOffm M ff3cuhmc tad¢idYES,pleaseiaic*d et)pecfa ymFby �, � V�aileL e Wade$ Wodcbsrat l _0 kgWianl�ei a 1to4 J I3rlal Stgrtadundx ofpatjtay RRMNAME ref G LimveNa 0 gib. C Jsoon _ LioereeNo �� S ((�� Bt>Site�TdNoL � � JJ Z�Z 1 AltTblNa � /" iz3 OWMU'SP61 ANCEWAIVER;lamawatet udcLioereedDesmthm it>samwaAaWcritsmbogWe#vwmtasmW odbyM4. Ga�alLaws c�- ardthatmysigrnancndfopanicappiceimwaimditstt*kmnat (Please check one) Owner Agent Telephone No. PERMyt FEE Signature Owner Location `b. 702 Date g A6 d S Of NaRTM TOWN OF NORTH ANDOVER t �w �1ti 3? � - • OCL •F A Certificate of Occupancy $ ��a"••° Eta' Building/Frame Permit Fee $ 3 JACMUS Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ ` 0 Check # 7 S q o 1 r t 1�x J4 L-'�'�--�� � 1 �; ✓ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATY2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: ' ` �7LO 17 DATE ISSUED. a D c ic SIGNATURE: --i Building Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION 1 O 1.1 7ddress: 1.2 Assessors Map and Parcel Number: Map Number Parcel NumSher \��� 1.3 Zoning Information: 1.4 Property Dimensions: �3 R-a y � Zoning District Proposed Use Lot Ar Frorrta ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ",1710 f!C; 'i s t r!Ct: ��n� �,!7 M 2.1 Ownee f Record ,a� , ??eA4e, 4- 12�:, L V%^ -.e_ Name(Print) Address for Service Signature Telephone 4 2.2 Owner of Record: ✓�1 Natslle Print Address for Service: z Z 1 M Signaiure Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Lic onstruction Supervisor: Not Applicable ❑ r" 4 f ,o- n s,n Q © 3 6 c,f Licensed Const ion Supervisor: License Number -n Addre �( Expiration Date Si Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ �.�, s�� or 'Company Name /� y� � r� /�I �( f�� / � , / I � Registration Number r Addr s 410 !� G !J�—V�(i Expir ion ate/ Si a Telephone 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 buildigg permit. Signed affidavit Attached Yes....... No.......0 SECTION 5 Description of Proposed Work check a0 a ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition or Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 0MCIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee Multiplier tZ t 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 3i a© 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 -7 ` I. as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION r 1, q/00 �'1 `e S Z'/ as Owner/Authorized Agent of subject t property Hereby declare at the statements and information on the foregoing application are true and accurate,to the best of my knowledge f and belief Print Name /10 Signature of O ellWenW Date NO. OF STORIES ! SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 167 z 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X • MATERIAL OF CHIMNEY ( 1S BUILDING ON SOLID OR FILLED I.AND P IS BUILDING CONNECTED TO NATURAL GAS LINE NORTiy ovm Of _ Andover , dower, Mass. Stool $'wel 40060 zs- O�Q COCMICMEWICK` ' ' i V ORATED PPS "♦C S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....�d........�..(� � /�< < . �' /L Irl�i 1 I.....�..�.................................................... Foundation has permission to erect..:�Q �T�a� e1 L �A w�t d►. buildings on ......................................... .. Rough ..... ..................................... to be occupied as 10 Fpm o@O� '�i isj►LI �� �,. M►� ....A..............:............ 1.............. ...................................... Q y ........................................................... Chimney provided that the person accepting this permit shall in everyrespect 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. ' O 11 A/ i ur co PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN: 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR ff Rough ......9... ................... .. .......C .... .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Omupy Building GAS INSPECTOR Display in a Conspicuous 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. Jensen Develo-oment Corporation 37 Porter Road Andover, Ma. 01810 (978) 475-0565 Facsimile (978)475-0524 Page 1 May 25, 2005 Bob and Genie Bennett 46 Raleigh Tavern Lane North Andover, Ma. 01845 Dear Bob and Genie The acceptance of this letter will constitute confirmation of an agreement to extensively remodel your existing home at 46 Raleigh Tavern Lane North Andover, Ma. The contract drawings are by Jensen Developmnt Corportion dated 12/08/04 and specifications are as mutually agreed. Jensen Development Corporation shall supply all necessary labor; materials, liability insurance, workman's compensation insurance, and equipment to extensively remodel your existing home. Jensen Development Corporation will supervise and direct all work to be performed by them and shall be responsible for the acts and omissions of Jensen Development's employees and all subcontractors and material suppliers hired by Jensen Development. Bob and Genie shall be responsible for any subcontractors hired by them and they also shall be responsible for any materials supplied by them and or work performed by them. Both parties agree that the scope of the contract can be changed by mutual agreement and the price may be changed accordingly to reflect those modifications. A written, signed by both parties, change order will be used before any such changes occur to contract. The cost of this contract will based upon actual cost of construction plus 15%for overhead and profit. Payments shall be made as appropriate r gre s has been made. Accepted by: f f Bob Bennett ( e s n !i` Jensen eve ent Corporation Genie Bennett FORM U - LOT RELEASE FORM 3 n iI � o 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*'`***'k***************** APPLICANT_ ? PHONE LOCATION: Assessor's Map Number PARCEL-L SUBDIVISION LOT (S) STREET ,c ('A-LeC�L� ala-ts� ✓�� � � f ST. NUMBER .I le OFFICIAL USE ONLY tES AT S OF TO ENTVATION DMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS a TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED L�--1S- I INSP OR-HEALTH DATE APPROVED �j DATE REJECTED E4 COMMENTS -ss I�Mi �•�� r"U V'�lja T� '� �-f.�/J�7� d'c.r '� "t ✓'acSa..ti S PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 JM Remote User Remote User OJob 2910 005/24105 06:29 AM .............. .......... ......... .............. ............ ,nent. A ',License: CONSTRUCTION SUPERVISOR Number: CS 083696 Birthdate: 07/19/1957 Expires'.07119/2006 Tr.no: 83696 Restricted: ()0 PETER JENSEN 37 PORTER RD ANDOVER, MA 0181.0 Administrator ................. ..........I....... ................. ............. .............. ..................... ......... North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM in accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location o a ility) Sig re f Permit Applicant Y Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ♦ 4 ' 4 a The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: Civ mPhone # cI am a homeowner perfoung all work myself. I an a sole proprietor and have no one working in any capacity I am an employer providing workers' ompensation for myployees working on this job. �+ U -1 Com nam : I Address r ros Cl/ Ci (f 1 , Phone Insurance.Co. Policv# V,211615-19UrJ Company name: , Address City: Phone# InsurM Co. _ Policy# Faikrre to secure coverage as required under Section 25A or MOL 152 can lead to the imposandlor one ition d criminal penalties d,a flue up to 11,500.00 understand that c�� this emenm be forwarded to the office d Investigations���DI'fr�� on °7° I I do hereby un fh psi and aloes of pert ury that the information proyded above is true and Signature Date (/ L Print name Phone# Official use only do not write in this area to be completed by city or town Aciar City or Town Perm ensi ng []Check d immediate response is required C] Building Dept❑ Licensing Board ❑ Selectman's Office Confect person: Phone#: ❑ Health Department ❑ Other \_VV 11LL1 t tvt 4t Xis 1 i " � ,.., .. o `ywy,1, 1500 GALLON REQ \ ov 44,450 SQ. FT � O 3" DROP FROM IN 102 �<9 1p2 'y ABOVE TEES (BA. CA- 91NCH OF AIR SP) L ( '� O TEES TO EXTEND � EXISTING INGROUND � \ 100, ! SWIMMING POOL ' , INLET TEE TO EX" ,� OUTLET TEE TO E U ` \ W i j � o' GAS BAFFLE 1NST 9" OF COVER ON ' '' I R. -- 6" RISERS WITH 2 _ 98 MANHOLES REQ ADDITION ,.d TANK MUST BE� �a, ,�O, - GLIN Z O� 4" SEWER PIPE SHALL E O EXISTING d pRO CONTINOUS GRADE OF `AVERN LANE SUPMOOM POSED INA STRAIGHT LINE P )VER MA. 01845 ;`�. �- i G� ELEVAT DRIVEWAY GARAGE ` .; TOTAL 5 BEDROOM 99.'o i o323 �h�L O - a HOUSE INCLUDING C, / �' 2 c` ADDITIONS sir .,. t-�'-' p lr 'L.J' o NO DRAINS 1 . - 1pp MS INC ADDITION G TA onsite Wastewater sowtionss" ` S►LL 1 UU,'1 Z / � Park Road Old Saybrook,CT 06475 ,. ? ' .. I 00 FAX 860-577-7001 t qty1 O ` ratorsystems.com yq8' z �'1 - )0-221-4436 - EKED .. � r PI S ALL HIT EXISTING Sy 96 J V £ 98 )IL SPECS — -- — `== PROPOSED RELOCATED 'OVEYis'n\C� structed in fill shall consist of select on-site or imported soil i rised of clean granular sand, free from organic matter and WATER LINE ' VC and layers of different classes of soil shall not be used. The l �. -- -- 910 er than two inches:A sieve analysis;using a#4 sieve, shalt _PROPOSED RELOCATED ;ample of the fill.Up to 45%by weight of the fill sample may re analyses also shall be performed on the fraction of the fill GAS LINE ` 197.85' '� i sr- fib• analyses must demonstrate that the material meets each of the PROPERTY LINE see - EFFECTIVE %THAT MUST PARTICLE SUM PASS SIEVE � --- _� _ TREES TO REMAIN 96 EDGE OF PAVEMENT MAY REQu1RE 4.75 mm 100% ,x.. ._ -.a. .. -- TREE WELLS \ O ATION 0.30 mm 100/6- 1000/6 F EXC Av 0.1s nun 0%- 20% � LIMITS 0.075 mm 0%_ 5% 7d � kND #4 REVEALED FILL MATERIAL RALEIGH TAVERN LANE o L AND BURIED A HORIZON, ROOTS LARGE EXISTING WATER LINE TO BE RELOCAT � � y 3E REMOVED FROM THE SYSTEM AND i EXISTING GAS LINE TO BE RELOCATED D REPLACED WITH MATERIAL MEETING THE n`� TOP OF STAKE BENCHMARK 98.00 — -- F 15.255 (3)