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Home My WebLink AboutMiscellaneous - 47 BOXFORD STREET 4/30/2018 C-- 47 BOXFORO STREET 1 2101106-A=00 0000.0 J I c II 295a Date. .�1) ..�..l ... 0 ar NORTq TOWN OF NORTH ANDOVER 3r ' PERMIT FOR GAS INSTALLATION,$ p � F A s i • SSACHUSEt This certifies that ..-. . .. ..`.e: ... . .. . . .. .. . . . .M. nJ hs permission for gas installation; . . . . . . .. • iNthe buildings of . . . . . at :.! ��•:� _./.�% �1�. : •, North Andover, Mass. Fee-.s. . . .. Lic No::r?.`,/,,9. . . . . . . I't. . . . . . . . . . . . . . . . . GAS NSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I Y I � MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING kType or print) Date 149 " �— 19 NORTH ANDOVER, MASSACHUSETTS Building Locations Permit,�/Ci,�i Permit# Amount S C,'-�� Owner's Name � 6 r�� / New Renovation ❑ Replacement ❑ Plans Submitted ❑ m C U Z4 F C = W N Z GC m W z w = n Z -t C C p W Z w w v .Ew. z E= w L > .a Z •� w - �t 7 n Z C 7 C C � w > C� w z 't SUB-BASEMENT B A S E M E NT ST. F L O O R 2N D . F1, 00 R 3RD . F L 0 0 R 4TH . FLOOR 5'r if FLOOR 6T H . F L 0 0 R 7•r 11 . FLOG R x•rFi . FLOGR I I ` (Print or type) Check one: Certificate Installing Company Name (/ 111 Corp. Address 44 Partner. Business Telephone 4 al /Co. tame of Licensed Plumber or Gas Fitter G rJ/h?��/C INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ .If you have checked ves,please indic a the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 13Bond E] 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 p rformed-under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus Sate as�nd hap neral Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber zy City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFF[CE use ONLY) V� meyman Date.. N2 3 .... ........................ TOWN OF NORTH ANDOVER PE� OR WIRING SS US This certifies that ................................................ has permission to perform .4...... ........ ........................ wiring in the building of......- ................................. at....y.7......... ..... ..... X-.; ........................ North Andover,Mass. 6MI 13,711 FeeF.V. ........... Lic.No1q......... . ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer (� office Use only �\ Permit No_ � u�voccupancy a,FFeeC;;ecked ,S�BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All worts to be performed in accordance with the Massachusetts E!ecmcal Code 527 CMR 112:00 0 C/ (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 49 Acv,crolzo Owner or Tenant �44c'�S Ownees Address SIA / Is this permit in conjunction with a building permit Yes Q No ❑ (Check Appropriate Box) Purpose of Building UtilityAuthorizationNo. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacty Loatlon and Nature of Proposed E'.e=c.31 Work 71--A7?t,-, AC<A r 1-k0 N h Total No.of Lighten Outlets [f No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighanq Fixtures Swimmino Pool qmd C gmd C Generators KVA No.of Emergency ugnang No.of Receamc:es Outlets No.of Oil Burners Battery Units No.of Switch Outlets 1 o No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranoes No of Air Cond Tons Initialing Devices Heat Total Total No.of Moo" No. Pumas Tons KW No.of Sounding Devices No.]of Self Contained No.of Oisnwasners I SoaceiAres Hestino KW DetectioniSounding Devices C Municipal C Other No.of Owers Heating vi Oeces KW Local Connection No.of No.of Low Voltage No.of Watbr Heaters KW Signs Bailases Winn No.Hvorgivisace Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuam td the requiremen6ts of Massachusetts General Laws I have a current Labtlity Insurance Policy inducing Com5"Operations Coverage or its substantial equivalent YE5 6NO = have submitted>o id proof of same to the OtBce YESW NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCEVS BONO = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrics Work$ ?-&T �� Work to Start Af�!yt � Inspection Date Resquested U/°I/ C A f( Rough Final Signed under the Penalties of perjury: FIRM NAME I _T- M,S N 4--L 1LP C . CLIC.NO. A 13 Licensee Signature 1� 35( --L429(, LIC.NO. Bus.Tei No. C- r[D) J5--L4 DSC, Address Aft Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S__-- (Signature of Owner or Agent) a ��,��',/ �'' •.:�,::.A;.e�uklq��e��J;�,' �9;4',y�,,,`� � 4iFi�:,it, } � 1 i :�;•r {1 1' . f ? :1 h it��' t �;� 'r . . RECEIVED• TOWN OF NORTH ANDD \ • 'h,,,�Y�,i„1' ,r�iQ�/Iy�lY�l��yl�ti,��, ,1, ,,r,r. iy,' HEALTH DEPARTMENT oe :vmtDrorldo, )hN loan forro;01 Goer `,, r IlOdllo Vil toc+l 8carc: i �v�lin pr cule rc+ or iA?rOrin� 1 .Inpr,(y A. Facillry In(ort0on ;,, •. Sys °m loc��'on;. Om� :1�r'r '•'+r;r�;'.�:ir,r'Il:msv/W[ l18�;,;��,.: �,.; .r. 1 •,; '•ti• � rrl«• 4,1;11.1 Y1,1;:'iti�, �4+►++ ( 4 uinl ligm buvvn - a 1 7,On, '�I�','�i,'(L'i '. 11'1 ,,1;' '',"'•'.1 •,. '. .6,:Rumpinq- ,. o ord /^d Itr/�'If1�I' �• � !/ '� I �".,1 t r:,'•�'r, I{,111,1?•' I: 044 o!Puminp ,� ' •, �• rYPr 411Y111em; ,' "eC . ep 1� •'� �';,:�;11,l,�'l�'i1�G,��!n�,; 11' ,r;;.,,, Oma— II y e 3. �'8) ,, c, ., • • 'u,!',rl";,bu�i•hp n, 9y 11 ,11 .,•,' , is _ 17 �•,:1�I,,�cj1• �•�' '�;til Ir, . 1,,.i'.��. 'Irl vn�ll�r Ir' ' •'I'VL ;1•, .•,,, rN 1 11, Y � : -• ,•i Ir�' 1.1.;I/� ^"' ��I1�' { .�{I, Cr Jcen{I n��vll ._ ' r•I!'1''�t'�^�'/✓`�,+r'�M4�{� (1t1 ti;;�yy1111y ' • ._ .�.�,.: ';'1 'I,.l oc� on.wh e i�'' r'`'�''�•,'v I', 1:�r 4/7 . � :1�:�:' '.;vt,,;�l�ll,�! •,ei� l,4u�Ibn�a,rt,Q/,8 dhP0300; • ;•{,' 11..1 •;� '.�:!;ij�'��''�1'��;'y��'••;•:, . � ' 1. '\'''r�'it�'�J.�i;:r',,� I;,If,+Y��i,i�{�r •,.. -- ;. ..�: it ;�'� S�ntk►rl olNlV4 1; '�.r,•r�.mas,�.pov/depl�el �P(yLtr s, '' 1, .. ��Ir ,. � ,,.. . vilb /9Ya�a/lblorrrt�,r1:'nain,�ocl _ _�.. •til �C^r Commonwealth of Massachusetts W City/Town of No.Andover a System Pumping Record Form 4 M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: fs�l) When filling out 1. System L c tion: forms on the computer, use TOWN OF NORTH lNOt1/ER only the tab key Address to move your No.Andover Ma 01845 cursor-do not use the return City/Town State Zip Code key. 2. System Owner: &� a U,/ ,60 ` Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping /I n pate—� / / 2. Quantity Pumped: Gallons�d 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 4�7)� 6. S stem Pumped By: ( ( 1G-e 411 Name Vehicle License Number Stewart's Septic Service Company 7. ation where contents were disposed: to art's Pre-treatmeri FAa4, 20 So. Mill Bradford, Ma 01835 All] /W ignature o auler Signatur eceiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 RIDGE VENT { NEW ASPHALT SHINGLES MATCH EXISTING MAIN HOUSE MATCH EXISTING ROOF LINE NEW D.H. WINDOWS MATCH NEW WINDOW mr_-t., � A t h KUN 1 MAIN HUL �w i i�rti�surR1NYYA INSULATING GLASS FIXED SASH i I GUTTER i 00111 1 rTTI 0.1-1-1 I MATCH 8, TRIM FINISH IST FLOOR ---------- --------- -------------------- FINISH FLOOR ENTR FINISH GRADE I 1 5' DIA. SOLID PVI . f NEW FRONT DOOR } I 1 MATCH EXISTING SIZE JR --- ---------"--'------ r DDYLIGHT' ATSSL INSULATING GLASSNEW D.H. WINDOWS INSERT GRILLEMATCH EXTG R.❑. ------------------- ---------------------------INSULATING GLASS -________L _------- ----------------- -------- DECORATIVE W❑❑D COLURAILING PER OWN i ri----------------------------------------------------------------1 NEW POURED U NATIl --------- FOOTING S� FOUNDATI[ ------------------------------------------------------- NEW INSULATING GLASS NEW 'FROST WALL AT ENTRY DOOR WITH GRILLE FORMER GARAGE DOOR OPENING FR1:1 E E VAT 1!J ' 1 i �� 'i � ... , . __ -- -- - - . ------ -- -- - -- - � - ----- - -- - -I EXISTING PROPOSED . J ' WORK TABLE PROPOSED FIRST FLOOR PLAN NEW D,H WINDOW STUDY MATCH- EXISTING a J ai t- o m t Ci ul DOUBLE HUNG WINDOW EXISTING BEAM -- Z-- - --------- RECESSED LIGHTS ! KITCHEN o ENTRY FAMILY ROOM ` o ' 2'-10' 2'-5' POCKET o DAWN DOOR 2 ❑ 2'-8' t ,,�� DELETE EXIST;":G WINDOW Dt LIVING ROOM FILL-IN WALL TO MATCH EXISTING ........................... ..........................•........•. ..........•..... Y J 1'-2' Q C3 3 NEW D,H, WINDOWS DINING ROOM C L,§ Lo MATCH EXISTING WIDTH R.D. PORCH s� a INSULATED GLASS a i y s e c --- DOUBLE HUNG WINDOW 1STFLRI MULLION UNIT 'OOD POSTS & RAILING MATCH NEW FRONT 14INDE DELETE EXISING GARAGE DOOR INSTALL TYPICAL :X T ERIER 'MALL ;''KG-VTZ_. 4' 'FROST`WALL' i i I I ; EXISTING DWELLING CBEYONID { f MATCH EXISTING RQOF SLOPE a MATCH EXISTING RMF SL13PE r f r OUTLINE 13F CEILING ' AT FAMILY ROOM 1 PROJECT NEW ROOF SLOPE T O NEW FRONT WALL 13F ADDITION �t �� - --...-----.--�- ---------------- I: GUTTER 'I EXISTDM DWELLING ($EY0ND) NEW DOOR PER 1 OWNER SELECTION FINISH IST FLCER FIN. FL. ENTRYJFA* RM. v i --------------------------------------- ------------- ------------ 3' SLOPE FINISH GRADE i i AWAY FR13M STRUCTURE t"--s-------1 FINISH GRADE -------T--S------------i IL---------- ' ----------- 37,ZP 3C,77::M 13F FM I:NG AS iii:E AMY FOR PR`F R F7i=T PR13TECTZN t II 4 "` � � .. RIDGE VENT ASPHALT SHINGLES MATCH EXISTING MATCH EXISTING ROOF SLOPE 1/2' CDX PLYWOOD SHEATHING R-30C FIBERGLAS INSULATION 2 X 10 ROOF RAFTERS AT 16' D.C. 2X4AT16' 0.C. SECURE CEILING JOISTS KNEE WALLS 70 RAFTERS USING / MATCH EXISTING THRU BOLTED CONNECTIONS EXISTING 'LET-IN' 1 X 6 RIBBON JOIST FINISH 2ND FLOOR TYPICAL EXTERIOR WALLi SIDING TO MATCH EXISTING HEADER TYVEK BUILDING WRAP 2 - 2 X 8 1/2' PLYWOOD SHEATHING TYPICAL i 1/2' GWR 2 X 4 AT 16' D.C. Li 1 X 3 FURRING 2 X 10 AT 16' D.C. POLY VAPOR BARRIER 1/2' GWB T & F z s EXISTING FINISH IST FLOOR FINISH 1ST FLOOR ------------- co ----- -------------------- FINISH GRADE I FINISH FLOOR AT FAMILY ROOM _—_FINISH GARAGE_aLikB —_--_— SWALE 2' RIGID D HT. MIN. PROVIDE 4 AM POURED CONCRETE FOOTING o & FOUNDATION SLOPE FIN, GRADE TO DRAIN T 4' CONCRETE SLAB 2 X 8 AT 16' D.0 8' COMPACTED GRAVEL SHIM TO CONCRETE SLAB _ FOOTING TO REST ON SUITABLE BEARING SOIL BRIDGING AT CENTER SPAN PROVIDE MIN, 4' FROST PROTECTION STEP BOT. FOOTING AS NECC'Y FAMIiY ROOM CROSS SECTION r r S I EXISTING ROOF STRUCTURE i ji REMOVE EXISTING CLOSET WALL AS REQ'D EXISTING BEAM TO REMAIN NEW FIXED SASH ASPHALT SHINGLES INSULATED GLASS EXISTING FLOOR STRUCTURE USE ICE/WATER SHIELD MEMBRANE TRANSOM WINDOW 2 X 6 RAFTERS AT 16' O.C. ' USE FRAMING CONNECTORS i{{ FLASH 'I GUTTER & DOWNSPOUTS '! DISCHARGE TO UNDERGROUND j PVC PIPING R-13 FIBERGLAS INSULATION �l 2 - 2 X 8 BEAM 4' X 4' WOOD POST UNDER BEAM ENDS EXISTING WOOD FRAMED WALL 1 EXPOSED T&G V-JOINT > WOOD SOFFIT =? E 3/4' T&G PLYWOOD + NAIL & GLUE TO FRAMING FINISH IST FLOOR I. -- - --------- ---------- k FINISH GRADE FINISH FLOOR ENTRY/STUDY '- - EXISTING FINISH CONCRETE SLAB 'r PROVIDE DRAINAGE SWALE 2 X 8 AT 16' O.C. EXISTING CONCRETE SLAB SHIM TO EXISTING SLAB BRIDGING AT CENTER SPAN 4' CONCRETE SLAB POLY VAPOR BARRIER PITCH TO DRAIN EXISTING CMU r HAUNCH AT OUTER EDGE FOUNDATION WALL i NEW POURED CONCRETE 'ROS T WALL' i i � UH SROSS S "'JON r y 1 z+: � �- 1 �, a � � � � i 1 t • j�'� l{,`ta yi t � 7'• t � r r�\�a ` ' � \ ^ � ��- � �� j e�Cz- � ,. . • � � . . 1 1 N N _ -- - ly) 4-1 TSL .►� `Co. -a C C O M PA w Y _ HOF M,q _ Re1Sf'��'2�.�� Lard Spry VELI; fit'" ROBERT yc+Z ZE GILLETT N 8 Z C NT Rlsri„STR� fi o GOODWIN y _._.. v #7930 GIST GD�� r it f Q I Sa4.1 i r r a-K �7 _ a H OF ROBERT 40 sur-veyor GILLETT ti�R.M I'f TOUiLp� gZ �CNYR�i,.STR�E i o GOODWIN ovEp7930 `r Location 7 b o No.,, -3 0 Date 7 1f NORM 1A TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CH �'�b'• UFoundation Permit Fee $ SSACMSt Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector Div. Public Works R Location Nox Date ✓ //�'r/ NQRTM TOWN OF NORTH ANDOVER QG aCertificate of Occupancy $ ` Building/Frame Permit Fee $ 'Ss�cMusEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 07/27/98 03:49 291 H iL.:4�.��Tr��r DVF'fPublic Works PE'IZMI"1' NO. O APPLICATION 11-OR I (KNIT "I'(J 13UIL1) ""NOR-I'll ANDOVER, MA Al4t - I // - - (1'NO. l p6-,A �A 1.Or.Nu. OO�� / 2. RECORD 01 OWNI-I(S11'P V DATE 130>0K PAGE 7.I/NL SID DIY. LO NO. `Y) LU( A I ION I'IIH11)Sl:lllIlml DIM; 6 C OWNER'S NAML C l``��J N(1 OF STORIES SIZE ()WNER'S ADDRESS S BASEMENT OR SI API AR(-1111EC'I'S NAME J SIZEOF FIOOR IIMBERS �� I Z 3 ) sly DUII DE R'S NAP,IE kA, K SI}1N mow. DISI ANCE I O NEAREST'DUII DING 11 1 DIMENSIONS Op SILLS DISIANCEIROMSTREEI- f DIMENSION SOf I'OSIS INSIANCEFROM I.OTLINES-SIDES 33 REAR OU DIMENSIONS OF GIRDERS AREA OF l.Ui C FRtNJTAGE � IIEIGIIT(N=F(XINI)AII NJ � THICKNESS IS BUILDING NEW N� SIZE'OFF(%)i INC L X I IS BUILDING ADDITI(NJ (/ , MATERIAL.OF Cl IIAINEY IS BUILDING ALTERATION'! T` ,7� IS BUILDING ON S0(.11)OR FII I-ED LAND 0.91 I.BUILDINGCONFORM TORE(KIIVIREUMENfSOFCODE es IS BUILDINGC(NJNECIEDiO1OWNWAIER BOARD OF APPEALS ACTION, IF ANY IS DOWDING CONNNECI ED IO]OWN SIiN'GR V ISBUII.DINGCONNECIEDTONAItJRA1.CASI.INE N� INS Ill(`IIONS 3. PROPER IX INFORMATION I.AND COSI ESI. BI IX).COSI 0 L761 J P.\(-.E I F11.1.C>11 T SEC]IONS 1-3 ES I'. 131 DG.COST I'LR SQ. FI. ES1. BLIx;. COSI I'ERROOM ELECTRIC),IETERS MUST BE ON(xTTSIDE(U BUII DING SEPTIC PERMI I NU. AflnCIiEDGARAGES MUST CONFORM IOSfATEFIRE REGI)LAIIONS a. APPROVED B PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECT(N( 1)l I I I.DIN(:INSPF:(:I OR DA I E 1:11 i:D ("'1 I 2� 1 X Q !' - 2-q 7 ) (. (J OWNERS I I'.1 a 14 `� c CONI R.11:111 -S 3 S._ k-Sl(NAII .(A:UWNFER(y��JCy�.('�IINNiI' a)AG/LlN/f C(WI R.1.101 4S1 U t q I II. C.a (� I'l RAIII GRANIF 7 19 Town of over o m No. .3 d/ - Z s dover, Mass., �- �Y � 7 19 lip A 9�cocHicHewIcK �• '9 4�gATED S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...............P.J ...........S5.4Jk i..U.. - -.................................................................................. Foundation has permission to ..&VI buildings on .........+77.......0.44170d.....S7...T..................... p .••••• Rough to be occupied as........�.�1�,, V!C.............I...g.IM.I.. . .....................C.....r—.Ck-.-4terms ...ik.r 1......p:�.��-....P.ki.`�..211�.... Chimney provided that the person acce ting this permit shall fi every respect conform to of the application on 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 WOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough 6G�..-!�'4.............. Service LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR r 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 ` 7 Street No. Smoke Det. _I ule 8., In accordance with the provisicAs of . M.G.L. c.- 143 § 3L, the permit applica- tion form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. "e a tic tion ha e s, Mr= �� • gib; s� e �Tie 1 MUSH tens �•c i. al = � e. { e• es tfi e out t:L w A s �� " ,mss t2 — Date..............2.....7............... 40RTPI 0 TOWN OF NORTH- ANDOVER 0 PERMIT FOR WIRING Z_;-z—,-c 7— This certifies that ...................................................................... has permission to perform ........3....................................................................... wiring in the building of............. ....... ............................;............ ..................... at..... ...7. .K/ North Andover,Mass. FeeJ!�.–'o—. Lic.No.............. ................ELECTRICAL INSPECTO� Check # to 8013 \ Commonwealth of Massachusetts Official Use Only Permit No. �� C Department of Fire Services O BOARD OF FIRE PREVENTION REGULATIONS [Rev 1//07]y and Fee Checked I (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 W INK OR TYPE AL�INFORMATION) Date:p), G og City or Town of: NORTH ANDOVER To the Im pector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Li 7 plk'xq�, S— — Owner or Tenant SV Iu u cy\ Telephone No. Owner's Address S0k1yVXL Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility.Authorization 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: Completion of the ollowin table mav be waived by the Inspector of Wires. No,of Recessed Luminaires No.of Ceff.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.ofKmergency Lighting _grnd. grnd, BatteEy Units No.of Receptacle Outlets `` No.of Oil Burners 1� FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and InitiatingTR— Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pum Number Tons. KW No.of self-Contained Totals -`' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ 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 Wir' Heaters Signs Ballasts. m No.of Devices or Equivalent F No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:— No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 and penalties of perjury,that the information on this application is true and complete. FIRM NAME: i C.c�xt t,; LIC.NO.:ADaO�� Licensee: (J; r,rc L Signature Q LIC.NO.: (If applicable, enter "exempt"in the license num er line.) Bus.Tel.No. Address: Il� CWycy �-b _cL� �CI�S / �� Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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. Owner/Agent Signature Telephone No. PERMIT FEE:$ ti.,,` B'�(.,. r '. �f The Commonwealth of Massachusetts ki ! Department of Industrial Accidents .. Office of Investigations VV1.it ° 600 Washington Street k i Boston, MA 02111 www.nzass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Ataolicant Information II Please Print Legibly NaIrie(Business/Organiza6on/Individual): C CG c ri Address: 1-I G(C-/s r3-,0 CZ City/.State/Zip: VS�1& Or-,)ab1G0(o Phone #: . a. -7 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with t4 4. ❑ 1 am a general contractor and 1 6. Q New construction employees(fill]and/or part-time).* have hired the sub-contractors 2.❑ 1 am a.sole proprietor or partner- listed on the attached sheet-_ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. Q Demolition workingfor .in k ' insurance. me any��'�'• workers' comp. 9, uilding addition [No workers' comp.insurance 5. Q We are a corporation and its required.] officers have exercised their 1Q•❑El trical repairs or additions 3.[] I am a homeowner doing all work right of exemption per MGL I I.Q Plumbing repairs or additions myself.[No-workers'comp. c. 152, §1(4),and we have no 12.[] Roof repairs insurance required.]t employees. [No workers' comp. insurance required..] I3.Q Other *Any applicant that checks bort#l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contnictors must submit a new affidavit indicating such. SContractors that check this box most attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infomration. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:,oj rC n k S f iN110' I c'N Policy#or Self-ins.Lie.#:_ (j1 Q q Gj Expiration Date:_ ael 0 Job Site Address..--4-2 XVo=`C) -S T City/State/Zip:_'�fy'\1(�r- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a • fine up to$4500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine S of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. I do hereby certify under t ns and penalties of perjury that the information provided above is true and correct Si tore: Date: C, Phone — Fonly. Do not write in this area,to be completed b cityor town official yff n: Permit/Liicensehority(circle one): Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. 'However the owner-of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should , be returned to the city or town that the application for the permit or license is being requested,not'the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate tine. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitflicense number which will be used as a reference number. In addition,an applicant that must submit multiple permiMicense applications in any given year,need only submit one affidavit indicating current ` policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial.venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. 4 The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industria! Accidents Office of Investigations 600 Washington Stmt Boston, MA 42111 Tel. # 617-7274900 ext 446 or 1-8.77-MASSAFE Revised 5-26-05 Fax#617-727-7744 www.mass.gov/dia Date.. . .. i/0. NORTH pf TOWN OF NORTH ANDOVER o, PERMIT FOR GAS INSTALLATION ,SSAC14USEt r�f4o P This certifies that . . . . . . .T.�4 . . . . . ULU!/f. ./ . . . . . . . . . has permission for gas installation in the buildings ofG'A.?i. . . . . . . . . . . . . . . at . . / 6 0? . . . . . . . . . . ., North Andover, Massa Fee. ;3DB Lica No..�.( .N?. . . . . . . . . . . . . . . . . . . . . . . . . .P GAS INSPECTOR Check# c2 3 y_ 6363 MASSACHUSETTS UNU ORM APPUCATON FOR PERAW TO DO GAS FTnTVG (Type or print) Date J ~ 1 G/ NORTH ANDOVER, MASSACHUSETTS Building Locations y 5 Permit# Amount$ Owner's Name e leo r New Renovation ❑ Replacement ❑ Plans Submitted ❑ � x v� U CZ vi C7 'I a W O OU D � x LQ x z u Q O o a 94 > w v, a x cG a w w H a b z W > W �" Z CG C Q O O W W F m o x 3 in c� a U z > o a t- o SUB-BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) �� Check one: Certificate Installing Company Name ��j s ❑ Corp. Address �(/ ❑ Partner. 7 Business I a ep one 13-fi-rm/co. Name of Licensed Plumber'or Gas Fitter ,'G fi(� �� ' C✓ INSURANCE COVERAGE Check one: I have a current liability Insurance,policy or it's substantial equivalent. Yes No❑ If you have checked Yes,Please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemni ❑ indemnity ❑ Bond 13 Owner's Insurance Waiver: I,am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the p 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 Massachus State as Coeea Ch er 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter �CitTitle ❑ Plumber y/T , Gas Fitter License um er ❑ Master APPROVED(OFFICE J m - , ( CE USE ONLY) n�y an MAR-05-2008 11 :56 AM LARRY OGDEM 978 352 2858 R. 01 i +i I LAWRENCE H.OLDEN,E.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978--352-8318 fax 978--352-285$ pager 978-502-5931 March 5,2008 Mr, Kevin Murphy 16913VAfUld 3Uvol North Andover MA. 01845 RE: Sullivan Residence,47 Boxford Street,North Andover,MA. 01845 Dear Mr. Murphy As you requested I visited the above site March 4,2008 to review the LVL Beams used in the rear addition to the above property. These Beams were shown on drawings prepared by Steve Foster.The LVL beams consist of the following: Ridge 2- 1.75* 14", Ridge support header front 2-1.75 *7.25" Ridge support header rear 2-1.75 * 11.875" Window headers 2-1.75*7.25" First floor support 2. 1,75* 11.875" 1 reviewed the design and installation of these beasts used in the structure and can certify that to the best of my knowledge the beams are acceptable and meet the loading conditions required by the Massachusetts State Building Cade. Should you have any questions please do not hesitate to call. Yours truly, «�. j tk r wrens H. Ogden,P.E. Structural 27765 27 �� f Qe �.ti�c;iV lTt.i� I PEAZMI'T N0. APPLICATION FOR I'EIZMI"i "TO BUILD********NORTH ANDOVEIR, MA ?I 1PNO. t 0,16—,A 1.1)1'.NO. OO 1. RUCORDOr OWNIAISIIIP DATE BOOK PAGE 7/NL S1I11 DIV. LOI No . LUI A I ION 1111016F(4:131111 DING 6 C OWNER'SNAIMIE C 11 `��i NO. Of*SI(XtIUS Slj(. 1)WNER'S ADDRESS �^l 13b 51---, 1 �J BASEI.IEN'r Olt SI API AR(-I It I ECCS NAME 1 CSIZE OF H OOR I IAIIIERS 2,- 1 D l I 2 3 131111 DER'S NAME � c 1 SVAN ' DISTANCE IONEARESI13UII DING ( Do , DIMENSIONS OF SII_I S DIS DANCEFROM SIREF I 40 ' -UTAIL•NSI(NdSOt:POS IS IHS DANCE FROM I.OT LINES-SIDES REAR OU DIMENSIONS OF GIRDERS �- AREA(T-OUT C A>� rR(NJIAGE f + I mca IT ou F(x3NDAIION < THICKNESS � 1 ISBUI.DIM;NEWN L StZEOFF(X)IINC L X ) 1513111LDIN(iADUlrI(Nl p'� j , MAIERIAI.OFCIIIIINEY IS BI111.DIN(1 ALTERATION C` ,J� IS BUIHNNGON S"11)(Nt FII I.EDO.AND Iv U L L✓� NIl 1.BUILDING CONFORM TO RECK IIREMEN I S OF CODE eS IS 130ILDING CONNECT ED TO TOWN WATER 110ARDOF APPEAI.S ACTION, IF ANY 15 DMLDING CONNECT ED 1010"SEWER V IS BUILDINGCONNECIED10NAT URALGAS VINE N� INS fUCIIONS 3. PROPER Fl-INFORMAI ION I.AND COST -------- ES 1. BI IX;.CUSr Q L�U v PAGE 1 F11.1.Oil rSECIIONS 1-3 ES 1. BI DG.COSf PLR So.F1. ESI. B1.IXi. COSI VLRR(IOM 1111C-TRIC METERS MUST BE ON(X FTSIDE OF BIM DING SET']ICPERMIINO. AI-IAC1IEDGARAGES MUST CONFORMfUSrATEFIRE RE(;OI.ATIONS 4. APPRUIul)B lit PI.ANS MUST BE FILED AND APPROVED BY B1111-DING INSPL-CrOR I11111.I1IN(;INSPECTOR DAIEI:II1:D ^ (.12� �� X � � - 2,g7 1 J LLLJJJ UW NI:RS 11:I 11 CYNJIR.I.ICH c� .6J SRINAI7)I .(N OWNIiRI 11KAU�1:1)AGE F �� y t J I1.1.C.JI _ k o rJ t -7'`! PI:RAIII GRAN IED 77 7 19 FORM U - LOT RELEASE FORM - APR 2 9 1998 INSTRUCTIONS: This form is used to verify that all necessary approvals//pefrniVNITNIE Boards and Departments having jurisdiction have been obtained. T.h S doe � c the applicant and/or landowner from compliance with any applicable or requirements. ************************* 'APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT S;uc L%.JA,4 - V",Ag-q PHONE 5_1 —2-4-7 1 LOCATION: Assessor's Map Number We PARCEL i SUBDIVISION LOT?(S) STREET CiaKfo" ST. NUMBER USE ONLY*************** *************** * RECOM TIONS O TOWN AGENTS: �, 5rxhtffiVia CONSERVA ION ADMINISTRA OR DATE APPROVED Q DATE REJECTED COMMENTS �U�'1'l h IL .J/1) 'D0 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED IC IN ECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE i I ---------------------------- 1 ------------------------, I I ! t t 1 1 1 1 FOUNDATION PLAN ! ! I ! 1 ! 1 I f t ! 1 1 t I I . I ! EXISTING FOUNDATION ! 1 I I i ! { i c NEW FOUNDATION a I i FILL-IN EXISTING GARAGE DOOR OPENING 1 { WITH NEW 'FROST WALL' i ! I 1 I { 1 EXISTING FOUNDATION I I I I - - ----------- 1 1 I ! I I ----------------- I I t I I I 1 j j I i I I 1 1 ! IL -------_--------------� ! ! 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