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Miscellaneous - 50 FERNVIEW AVENUE 4/30/2018
� ' 1 8 � � NV1w Date.//. �.7/:c... .. .. NORTH TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 9 • h SAC HUSES4 This certifies that . . . . t . . . . . . . . . . x . . . . . . . . . has permission for gas installation . . (,l .�� . . �'. . . . . . . . . . . . . Iq in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .gJ . . . . . . . . . . . . . North Andover, Mass. Fee.�.�! � - • . _ .. . . Lic. No:.�.1?. .�: . . . . . r . . . . . . . . . . AS INSPECTOR Check# j6 36 S 7 01' 4 MASSACHUSETTS UNIFORM Pr PPLICATION FOR PERMIT TO DO GAS FITTING MA. Date:\kv" Permit# 6 City/Town:�K AIf1�a V t 4. — c .�. Building Location: p �'Q.`C'Y1V�Q•� Jh Owners Name:�Q.`C't��►gQ. �r'eF+'h Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ] Plans Submitted: Yes❑ No FIXTURES vi Z W U = H N IX ~ W W m Z 0 W A V � H 0 to O 0 W m ZZ Z 0 � W a. F- 00111 X IX > Z ti W N w W W z = W �, z z. w W Q i Z W >- N '� A ~ m W O Z 0 y H > Z Q t-- v o o � s x g 0 a > > > o SUB BSMT. BASEMENT 1 FLOOR 2Nu FLOOR 3 FLOOR 4m FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Namel3'�� �Mb� >nQ 60 corporation �� Address ' �N'ch�*�ce City[Town- �c.S��r► State ❑Partnership Business Tel:�O\ Cons ���� Fax: ❑Firm/Company Name of Licensed PlumberlGas Fitter:TQ�yr INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ] No El If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 9 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 Massachusetts General Laws,and that my signature on this permit application waives thisCheck One Only Owner ❑ Agent ❑ Si nature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ®Plumber _— ❑Gas Fitter Signature of Licensed Plumber/Gas Fitter Title �Master Journeyman License Number: � CityiTown 40 APPROVED OFFICE USE ONLY El LP installer FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSP.ECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH i PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER:' PERMIT GRANTED DATE: f GAS FITTING WSPECTIOR �h MASSACHUSETTS UNIFORiM APPLICATION FC R PERMIT TO DO GAS FITTING MA. Date:\% ''� �� Permit# �6� City/Town:N. Ar1C`a V Building Location:�� erhV Owners Name: --` �%,- L v Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes❑ No Q�r►cs hQ. 4 FIXTURES ui co W W < W 0 U) Lu D 2 0 UJ W t) F- O W N 0 w O ~ z O Q: ~ W O a r W N W m 00 Q 0. ~ W W = LL N U III W W W Z DC fA =LU W O Z. W W U Q O W W J 0 LL N W F- H W Il z W } W U) J A Q m W O z 0 v~) > Z Q H 00. SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 THIFLOOR 5 FLOOR 6 FLOOR 7 FLOOR 81"FLOOR (7 ` Check One Only Certificate# Installing Company NamS t: Ay ,��b t '�� Corporation Address3� �t�rn(�•�ce 7"� Cityffownf ��+5���'+ State ❑Partnership Business Tel:%-w CAU% WV-0 Fax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter:Y%94 QT INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YesJ No 171 If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. Other type of indemnity ❑ A liability insurance policy � YP y ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives thisCheck One Only Owner ❑ Agent ❑ Si nature of Owner or Owner's A lent checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and By check accurate in the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ® Plumber ❑Gas Fitter Signature of Licensed Plumber/Gas Fitter Title [j Master A Cz� ❑Journeyman License Number: `1 city/Town ❑ LP Installer APPROVED OFFICE USE ONLY Location �S-§0 F--py U Na (0 a Date 5 NORTH TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ �,s'••°•E<�' Building/Frame Permit Fee $ y5 s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S ,--- Check # CJ 0 15 5 6 1 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI5,RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: a DATE ISSUED: sera ` SIGNATURE: .� Building Commissioner/InEeector of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ~.1 Number Parcel Number LAq- S-so ��N 0 p e ,-u Mar 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Area Fronts ft 1.6 BUnDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided Q 1.7 water Supply M GLC.4o. 54) 1.5. Flood Zone Information: 1.8 Sewerap Disposal system: Public ❑ PrM to ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record ` fLC,Lrcpt Name(Pri Address Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor. Not Applicable 0 4Z Licensed C6nsirurtion Supeerr`viisor. O License Number , Address 2/ 9q n AA I (a (0.71 77 Expiration Date _v� ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number parva. Address I� aa® Expiration Date z Signature Telephone G) v SECTION 4-WORKERS COMPENSATION(ALG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ,17" f Existing Buijding ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ R I Accessory Bldg. ❑ Demolition ❑ Other n -❑ +'Specify ,, r n Brief Description of Proposed Work: o Ge-f-00� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ` Completed by permit a licant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Build7G.So Permit fee(a)x (b) 4 Mechanical AC .— 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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 OT I, &X&4:T- e.,C �ittZ, 9S, .cey I CE'S ' flLeas Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge andbelief dcadl�eJ �- �►�� `' Prin am Si ature of A en Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DIIV ENSIONS OF SILLS DIMENSIONS OF POSTS Di1VIFNSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MIITERLAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ;J/cw z.nroN«jl a �. l�ir�uu�e� s�ls BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r Number. CS 075259 I Birthdate: 12/1411965 Expires: 12/1412002 Tr.no: 75259 Restricted To: 00 BRADLEY J SONTZ r 7 PINE HILL ROAD " % SWAMPSC07T, MA 01907 Administrator + The Commonwealth of Massachusetts Department of Industrial Accidents Office or'Investigations Boston, Mass. 02119 Workers`Compensation Insurance Affidavit Please forint Name: Location: Cihi Phone am a homeowner performing all work myself. �i am a.sole proprietor and have no on6 working in any capacity NNOWMAN t am an employer providing workers'compensation for my employees working on this job. Address 92 r Sri/� f f)P fAc1P Citi• �t u1� �� oIS6Z t�hone - SSI 573-g�nCi 1 s. og GQmt�t'rv-Warne: - . Address Citv:. . Phone#- lnauCo. CNS of AJC Irl 561 Failure to secure coverage as required urxier motion 2fiA or MGL 1,52 can lead terthe of crirnirral . and/or one years'imprisonment as'well as c1W penanks hr the font of a STEL'IMOW per!alties• aaline ai s$1; . 1 po understand that a copy of this staternent may be forwarded to the Office of and a ffne of(a1t)QE)Q)a day against-me. 1 Of the.WA for coverage veriR�ioR. I do herby certify under the p rrsr�- ofperfur a UW the.Infarrrrafim provided above is true antfcomect Z Se�vt�S, Inc. Signature Pres date 5 a o Print name Phone# Official use only do not write in this-area to be completed by city or town o({pal- ©Check Yirrimedeate response is [] Building Dept Building Dept p Lieertsin9 Board Contact0 Selectman's face person: Phone# Q Health Department Ufher WORKMAN'S COMPENSATION 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: SSM 1i�s�e (Location of Facility U(I� I StAn jEce.5 Inc- Slynature of ffirmit Applicant ,�;-Z pZ, Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Town of Andove'r Q .. aKM•+ ,Y.... to . No. t all) , i zy =a�/�_o� � a,�A �o�N�� W��,� dover, Mass., %S RATED O` 42 BOARD OF HEALTH Food/Kitchen PERMIT T. Septic System THIS CERTIFIES THAT... �. soS r BUILDING INSPECTOR y .. ..................... ....................... Foundation has permission to erect.. �.. ........ buildings on..4. "'Rough �` ,.�.•, r► w Q to be occupied as..............................................................�0 ago ` • Chimney ..... ...... ..... ...................................... .. provided that the person accepting this permit shall in every respect conform to the terms the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alt ration and Construction of Buildings in the Town of North Andover. &4 to PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTORUNLESS CONSTRU N Rough ..... .............................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. • Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.McCormack Co.,Inc. ADJUSTERS AND APPRAISERS F r ssy_ ECfARD OF H EAD H February 25, 2002 F�L,"Zlj0 2002 s Town of North Andover _-----,..=:a� Board of Health North Andover, MA 01845 RE ASSURED: TOMASELLO, Cathy M. LOSS LOCATION: 50 Fernview Ave., #2, North Adover, MA 01845 POLICY NO: HP1958718 TYPE OF LOSS: Lightning DATE OF LOSS: 2/21/02 OUR FILE NO: 2002-0438 Gentlemen: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 36 is appropriate, please direct it to the attention of this writer and include a reference to the above-captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truly yours, Paul A. Dionne Adjuster cc: Building Inspector 222 Forbes Road ur Suite 304 m Braintree,MA 02184 (781)-843-1222 w MA WATS 800-972-5399 w Fax(781)-849-8191 Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.McCormack Co.,Inc. ADJUSTERS AND APPRAISERS February 25, 2002 Town of North Andover Board of Health North Andover, MA 01845 RE ASSURED: TOMASELLO, Cathy M. LOSS LOCATION: 50 Fernview Ave., #2, North Adover, MA 01845 POLICY NO: HP1958718 TYPE OF LOSS: Lightning DATE OF LOSS: 2/21/02 OUR FILE NO: 2002-0438 Gentlemen: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of this writer and include a reference to the above-captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truly yours, Paul A. Dionne Adjuster cc: Building Inspector 222 Forbes Road w Suite 304 m Braintree,MA 02184 (781)-843-1222 m MA WATS 800-972-5399 m Fax(781)-849-8191 Location j 8 F-e r^)U 1,e w U I �r No. G Date �� y f �ORTh TOWN OF NORTH ANDOVER F A • i ; ; Certificate of Occupancy $ ,SSACMUStt'�' Building/Frame Permit Fee $ 3 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3y Check # C, 7 J . e . 17 b 3 9 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION To CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl ?� f BUR DING PERNUT NUMBER: (P DATE ISSUED: / f SIGNATURE: Q Building Commissioner rofBuildin Date W ,91. —MEMEMENEVEM 1.1 Pro jy Address: 1.2 Assessors Map and Parcel Number. MeP Number Parcel Numbs 1.3 Zaning Information: 1.4 Property Dimensions: v Zonin Distrid Proposed Use I Lot Area frontage(A) 1.6 BUILDING SETBACKS(R) M I Front Yazd Side Yard Rear yid Provide Provided Required, Provided l.7 Water SrpplyM CcL C.40. 34) 13. Floor zone Iofcamttion: 1.E SewwV D4ossi System: Public ❑ Private ❑ Zooe outside Flood zone ❑ Mmkw on silo Dkmd Systm ❑ 2.1 Owner of rd ' Name(Print) Address for Service xgnaturc Telephone m ! 2.2 Agent J Address for Service: Z iignatq{4 Telephone z m t.l Licensed go Conon supervisor Not Applicable ❑ Wdress O 1 License Number , .iceased on Supervisor: I�J` Expiration Date ;ignatureTel on r 2 Registered Home Improvement Contractor Not Applicable ❑ j ; :ompatry Name Registration Number -� 4- � r ro lgnatutr Telephone G E*ratio;Date New Construction ❑ Existing Building ❑ z Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg.11 ❑ Demolition ❑ Other 0 Specify Brief on of Proposed Work: - I OW akz ef i •r s '4h ..•.n USE GROUP Check as a licable CONSTRUCTION TYPE \ A Assembly ❑ A-1 ❑ A-2 ❑ A-3 0 IA 0 A4 ❑ A-5 ❑ 113 0 B'Business ❑ 2A ❑ C Educational 0 2B 0 F Facto 0 F-1 0 F-2 ❑ 2C 0 H High Hazard 0 3A ❑ IInstitutional 0 I-1 ❑ I-2 ❑ I-3 ❑ 3B 0 i M Mercantile 0 4 0 R residential 0 R-1 ❑ R-2 ❑ R-3 ❑ 5A 0 S Storage ❑ S-1 0 S-2 ❑ 5B 0 U utility ❑ Specify: M Mixed Use 0 Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area Total Height ft i Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I i _ I' as Owner of the subject property i Hereby authorize to act on s . My behalf;in all matters relative two work authorized by this building permit application J f i Signature of Owner Date �,,.-. a rg ✓ ,�+�, a Rr tam w. %r;c`. , ��4F'� MaS+s_.4..Fd.,ad.,r:..a.SMvd.JM+n:urt•krvb.�.�.r•-�sY,3.rt...IhA�.A4G..•t.um a'nt64u' N.k.K-.Lvfi�XOW..]a>x�, n1,.J3�Y3.S_��Kt as Owner/Authorized AgeAt tj Hereby declare the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. a • . the pains and penalties „. u of �•% • ;� •ate re 3.�c$tat�sia�:v><ai�v.� ,E��>�r•J.er�r.€7"t-.�reu,.�'.�faere�.��ar`�i�e.°s���.ua� �v,ti•; .� yy R -.ax>< a Kz•' fpc � ' • Permit Multiplier -� 1 • :• Total Cost • Construction 1 4 Mechanical(HVAC) • : Ai k,�, 1,�2 a� �t$��a .:�iZFf�. �� t'j i�,v�' �' a '� '""1�, � t > � �'R` �'r .N�k+°�`1v��'���vr1� j x,� �a��&. '�v�, t• ;4Y'�.t BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 2 No 3" DEMENSIONS OF I DEMENSIONS OF POSTS DIMENSIONS• OF 1• t ' HEIGHTOF • • SIZE OF •• 1 MATERIALOF nI IS BUILDING ON SOLID OR FILM LAND IS BUILDING • TO NATURAL GAS LI d � > �������,, ds-p,4x F 1 'ti Y"��7 °ff''" 7 w,r.,•u f �r �a,1^� ��i`tc'"v�v�'. h '' ' zr''� e 3 zf' a7�., E - m- t 5 �!,'• -� - 7 R '}'F. ? .:7 � 3, 'rt, sib t f 4�r Landmark Insurance 9769769987 08/15/04 0 SSS P. 001 & QRR CERTIFICATE OF LIABILITY INSURANCE DATE IMNAXYYYYYI �p2 06/27/03 PRODS CER11FICATE 13 ISSUED A9 A MATTEROF I FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Insurazoo Agency, Imo HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 198 Massachusetts AvenuiB ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, North Andover MA 01943-4190 IPhone:978^688-8829 Ta::978-975-3987 INSURERS AFFORDING COVERAGE NAIC/ uecRA A.Z.K. Mutual Ins Coup wuRPa a exa[a>�a�,t,y,yu_,a:ame.eo. ...15024 _ ch"l Sa��q�as _. pure ft t i Constr. Methuen MA 01841 wduaaec _ C CO ES THE POLKKS OF VULIPANIM UVW MOW HAVE BEEN WUCO TO THE WSUREO NMCO ABOVE FOR TM POLICY PER=WDICATW.NOiW HSTANUM ANY R MURMeff,TERM OR CONDITION OF AW OMMWT OR OTHER OOCUAEi f NTH FEWECT TD WFIOH TIJIS MTIFlCATE MAY OE RIMM OR AMY PBRTAW TFC iIf VAMC AFFORDED BY TW POL,k;I[B DESCRIBED HEREW W WMCT TO ALL THE THRMS,EXCLUSao AND CONORoM OF 6WH PC JX2,AObRFWR LMTII WOWN AMY HAW BEFN WN Xx0 BY PAID MAW. TR 'L ......__W. a 411104 uAmm FAC"00CURIU= 1300000 H CO1RA9l kOMMIJAai•RY CMIOOS67642PRerAmER daPanno., i 50000 CLAW W=CY I 0=0 _Mky W(MY ice) t _. Z Ynolaass Or+ners 05/05/03 05/05/04 Pm&QKZ&AtTYWJURr :300000 Oeuewu 00;0 ?ATE 6.600000 OertLADOrtI;oATrUMRAPPL66PEk PRaou -COWVOPAW 1600000 POLX;Y I� LOC AU 011100 Li LIABILITY (WM o pLp LIMB i ANYAUtO ALL OWNW)AWDS 3014W 1160 AUTON BCOILY WARY -•• $ 1e1tulMRO! - ... - .. . Nmomwi1)Mims aurum UAAX Y M!1'O AW AUTO ONLY-CA AOWENT 3 .._. ._. _. ...__ ONO THAN _ VA ACC $ AUTO ONLY. A00 • •.. ..-•-- OORAWYNOI'(u UABiLRY MACH OOOURRGNrJ- i I OCCUR I ]QAM M'T AOOR6OATG .F •.• .•• .... RETENTION $ i ....-_ _. : ..... ._.� WOMGM OOMPW9ATION AND LOYM WOR1„ UAYTi A MITYAM• •*9Y>Z BELOR EL tlAG11ACC✓OQPT $100000 ,MIG EL DISEW CA QVPL&Q_ $100000 MLrASEASE•POUCYLUT $500000 op TION$I LOOATv=r 1lXOLOSOfA ADDED BY VNOORSEIIDrtIsPGCiM. vIt+ON$ **Workers Compmasation Certificateto follow directly from A.I.M. for policy t ANC7012920012004 effective 5/9/04-5/8/05. ERTIPICAT�HOLDER CANCELLATION I'IBRITA7 $NOUW MV Or TM AW4 DCCORIBM FMl)C"BE CAM==9Ti W TNG aogI A ION Affinity Pt-ItreAn Cos>f pettil Mg GATE THVdW-TMe WUMQ"SUM WILL ENMAVOR TO KNL _DAY$xmmEW ' Afiai Aealty Property Mg=t i Corp. LLC NOTbe TO T,a LTi INR.DCR NAARO TO THE LirT,OUT rAEURa TO 00 SO i1WLl 39 rarrwood Ave. WPOEE NO aMIGATM ON LMLITY OF ANY KW UPON TMC INWRM IT$AWWm OR North Andover MA 01945 RssRROWAmm A 0 6 1M) CORD CO ON 1 09/28/2004 12:55 5088656809 LEO TURNER PAGE 02/04 HAA7/irrY /N[�iJSTR/ice _ TEST RESULTS Harvey Manufactured Windows and Doors • U-Factor in accordance with NFRG100-97, • Air infiltration in accordance with based on whom window value ASTM E 283 0 1.57 PSF(25mph) Harvey vinyl windows and standard size Harvey vinyl pstlo doors with Low-E/Argon qualify for the ENERGY STAR*program throughout the United States. Heviwd W504 pg 1 of 2 Clear tnsalabed Low-E Low.E/Argon Air -Fades R-VAX -Pacter It-Val. U-FAd.•. RNA. 111WMt1oe CIMN YLNYln K+l� Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 Clas-Wc Doubiv Hurry(Welded Sash&Frame) 0.49 2.04 0.36 2.70 0.33 3.03 .14 Classic Acoustical Double Hung ST040 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .041 Slimline Double Hung(Welded Sash&Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Sliftns Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Dosigner Shapes 0.49 2.04 0.33 3.03 0.29 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.26 3.57 .01 Vinyl Roller-2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0,33 3.03 .09 (2-lice) 'Test resift are based an corrvneraW sizes Nor~Test resuls for offer vf*wkzbws smWe upon request Tampered TI mpered Tempered DbL Temp. Air Clear Low-E Low-E/,Argon Low E/Arg wdn cion � - U-Fiw1w R-Vohs U-Fadi. R-Vater U-Pada R-Vdae U-Fades R-Vnloe -- rt "ffVW'Patio�oor 0.50 2.00 n.ai 1i 4A A,U 2.44 0.35 2.66 09 'Ali vinyl witldaws with Low.EJArgon WON tnr dw ENERGY STAR program throup =A the U.S. The use of tampered Low-E glass may ettect ENEF 6Y STAR qualification in your region. AU voluea are eubject to change ueiltlout noticd due to periodic re-terrthtg. 09/28/2004 12:55 5088656809 LEO TURNER PAGE 03/04 shall dose the door around the jamb frame adding J I. additional wurfty and tightness. The sash shall have a removable interior snap-in glazing bead, which will allow RCHMICTURAL replacement of glass without taking the entire sash apart. X30 A*M snap an interlock*aver shall be applied to each of the meeting rail styles. Vinyl Patio Door hevyoube of heavy tlw um, reinforced at the comers with MOilel; Vinyl Patio u00t extruded *loner keys for maximum sdren(fth. In.". fI Application: Residential screening shall be 18 x 16 non-glare fiberglami mesh held Light Commercial in place with a vinyl screen spline. Avd4MO Finishes: Shall be solid vinyl throughout in Oisgngulshing Features white and almond, Custom Mancdsetured to Site Welded OaO Corners Weathemtripping. Wouthatsilsipping on 4ser main riame Reinforced Sash Panels perimeter shall be silicone treated woolpile with a Stns Urrltatlons polypropylene fin in the Center. Each sash meeting rail WWI contain one course of fin-bps weathem0pping and a Standard Sizes: 5008,6068,8068 positive interlock for a triple seal. Custom Size—Max. Opening; 24 to VUiM W Height 92" Max UI 180 Hardware: A variety of hardware and locidng systems are 3-ft Oft 144' Height try' Max U1228 available. See options. 44 to VWO 192" Height 92 Max UI 276 Gazing: Insulating glass shall have an overall thickness of 7W wtth a nYnimum *W air space. Insulating glass ARCHITECTURAL SPECIFICATIONS. sandvAch shall use a one-piece steel U-channel design glass spacer, and shall have a desiccant mew extruded Generic: Manufactured by Harvey Industries,Inc. into the base of the U.chennei. A butyl sesivint shall ba extruded around the entire perimeter of the spacer to Operatim: Operating panel shall glide on tandem nylon achieve a steal. Ali glass shall be tempered type B axtjAdublu wheatti. Wlveelo shah glide on a Wid anvcitod domestic float type. A dual durometer snap in glazing aluminum monorail. Sttffionary panel shah be fired at bead shall metre the glass in place along the inside head and sill with an aluminum angle_ Panels shall have )mer. positive Wrterloek at the meeting rail when in the de !el OpOons: sands - Colonial contoured aluminum In-glass. Glazing-Low-E,Argon-filled LovwE,and beveled glass. 3 Yaterlals• Frame extrusion shall be 100% vk* PVC. Lite Units, 4 Lite Units are available. Hardware -White, Jamb frame shal have a minimum of 8 hollows,and have aimorsd or bright brave fWeh handles* with dual-point a nominal well thickness of 0.100° WNna system and keylock, standard. Optional muiti- peint locldng system also available. Flush mount Frame Cons ii elan:Comers shall be fttLed with a closed deadbelt. Corrosion resistant.stainless steel rollers are cell foam sealing pad, but-joined and mechanically ave' fastened with four stainteas steel screws per comer, Insta�ttion: Installation shall be in accordance with the sneharod into int>ogral exbution tcraw boat". Screen manta tiro; s ported instructions, res. tack and nab fin are bftgrW to the frame, The hood and Writ) extrusion shah have a minimum of 8 hollows, and Warranty Inibrmallon:Available upon request have a nominal wall thickness of 0.100-.The sill shall have six tubular hollows and a nominal wall thickness of 0.100". A vinyl cover shah be snapped onto the fixed jamb inside lig to give,jamb a finished appearance. Sash ConsOuctien: Sash panels shall have mitered and ReAer trr�rsaHas actual fusion welded comers. Sash profiles shall have a nominal ' waTeray wall trrickness of 0.100". Sash frame shall have five forcomEdete details. tubular hollows and shall be reinforced with a 0.080"thick exmxW alumkwm channel in the meeting rails and k cft stiles.A unique pocket perimeter on the door panel REV 0744 09/28/2004 12:55 5088656809 LEO TURNER PAGE 04/04 �g� Harvey Industries, Inc. [ � , Vinyl Patio Door (1/2 scale) 4 15/16" q. a 0 a O � 5 (1/20) ......................... 0 0 Q o Cha a � O Q �"----� 4 1/,2' 4 1 V1 s' #�E'' 1104 AS 307 t xs �''�Q fl�s�ra xooQ�Hraa�s - "°N �AOQHY K- �$flY.Lig�B t f F' • � C C - i C i C Wier • C i NMUOS C f ' C o - 9 • aoo4 VNIon& N ED C r F T 0 _..._._.._.. _ _... ..J A cr z w _ NOTES L a 1. 16 OZ.LEAD COATED COPPER FLASHING TO EXTEND BELOW THE BALCON DECK,AND DRIP EDGE BRAKED 1" 2. FLASHING TURN-UP IS TO BE THE WIDTH OF THE DOORJAMB,AND A PLACED TIGHT TO THE'ROUGH OPENING. THE TURN-UP IS TO BE SEALED m BETWEEN THE FLASHING AND THE WALL WITH SEALANT OR MASTIC TO PREVENT WATER BY PASSING THE FLASHING TURN-UP. 0 3. TOP EDGE IS TO BE RETURNED TO STIFFEN THE COPPER FLASHING. v 4. ALL CORNERS ARE TO BE SOLDERED,ALTERNATE IS TO FLASH THE O ENTIRE AREA WITH BITUTHENE MEMBRANE,OR PERMA-BARRIER TAPE A MANUFACTURED BY WR GRACE CO. 5. FLASHING IS TO BE SET FLUSH WITH THE FLOOR,AND THE CONCRETE FIL (L REPLACED OVER THE FLASHING. CONCRETE FILL IS TO BE HELD%z"BACF cn FROM THE EDGE OF THE BALCONY TOP ALLOW WATER DRAINAGE. i r� rn LIMITED WARRANTY ` , �• SOLID VINYL PATIO DOORS CID www.haraeyind-can 11•800410MEY LD � Harvey SOIk!VW Patio doors are rrrerntfac#urad from ram This warranty covees suit rranefacturire¢detects, Is materials of 9+e highest quality using the rnosl up-to-ate fita0ert to repalrkV or replacing defective pats or CLAIM PROCEDURE and modern production techniques.They are vmmnted foi oorrtPOnerets and paying lion Ure costs o! return o ion to the manNfact;tkW s nearest place of 0' rresiderrlisE fnslatlallsna as faita+.s_ trarusportat a business, and does not ktclude labor or Other Ecsts Tc make a*Metra under this warranty, the buyer chased p- fiPEf1ME utAtiRJntt+iTY incurood in the rernovis, roplac>ment,itsfellstfon,or contort tfie setter ham whore the product wars purchased CT CT The extrided, wild vinyl msrnbov , screaring and reinsts kdm of the product or any part or conal I f�n b��as nA the lived a satls#actay orespon"frf the om a component mechanical parts are warranted &gains. of the productc details in material and wo*rnans3hip for as Iosg ars the the seller, you must lttsn notify Hervey Irhdutstriss, Inc.,I original pumhaser cwne and brides in the house In hvtrich Tbfswarranty Ismode to the orlglnad purslrsser only. Customer Service Deparhnsnt 725 Huse Rand, Miry Wlendhester. Nil 03109. The claim should Iderttly the are Installed. The Lfetime, coverage offered by this ,varranty WIN order number, paoduot type, date product was trstailed, TWENTY YM yygRRtNn eum toaticatly cease upon the safe of the property or death and to defect. Procuct Information is available Aom a insulating Maw.irtsulttfrtl;gFase is warranted against of the last of Mie original owners of the properly.The IsWI attached to the product in an inconspicuous dace. material obstruction of transparency resutling from ttirn IMstime coverage in this warrantf is intended to cower brmathn or duet collection on the ktterfor surfaces for a individual homeowneps and does not apply to products period of Mrei*Yam,accordng to the foNovAng formula: purchemd by or Installed upon property owned by, for PURCHASER f HpMEOWPlBR 0-i] eats 10096 example, cogxnalfons, governmendal agencies, t t-15 years 5096 i e + tarsus, ra311gious orgsntzatlorsrn schools, or Name ir�talled n r t8-2] years ?596 cooperative housing arrangernanis, r, apat6nent bZngs or any other type of buldings or c EXCLISIONS PAD 11NMTAIMNS promises not used by individrml horneowners as 3helr Address The above wartanty periods commence on titre oats of residence. For such purchasers a entitles to which this shipment tom the inanufach.ring facility. Iifetine coverage does rot apply,the warranty period will Cty,St,Zip ? be(10)years fcpo Ang Mta date of Original installation. r f This warranty does not cover broken glass;tom srxeening: Phone I I damages resulting from Improper Installation;damages The statements contained herein set forth tl a only caused W atbome pollutants such as sett or sold rain. express warrardes of the above products Any smiled Negagenoe or unreasonable use (indudfng failure to warrantles hnposed by law,such as Implfed warranties DEALER/CONTRACTOR provide reasonable and necessary makttenence); stress of marctrantabloy or press for a particular purpose. Peadung tom localized application of heat that causes ars orated in tines to the duration of the abohm express emoesdve temperadnre differential:over the glem surface warranties. Berne fF10506f tfedLae Green Gonda��rgn Trust or the edges of Mie sail; damage resulting frrrn firm Ilghlring, vAndsloam earthquakes, windbome objects, The enanufachtFIr shelf Inst be liable to the buyer t4or City,St f3cstoil fA'k Q21 J!Q skein applied to the unit by movernard of the bustling or Incidental orconsequestial darnagesfor breach ofany inadequate provision for expansion or cont-action of wsilhn or lmplsd warranty. Inetallabon Delle ttarrrfng members;condenestim on windows Be a ratursf TOWN of humidty within the house and the difference Some states do not slow flmltabona on how fond an between he krlsmal and exterior temperatures;kesla%Wn irnpiled vastm y lards,and some etatee do not allow 1110 Omer of 0 f3__—_T_-_-—_..-_._—_,._ in ships,sehlefes,or outside the oontrental United States; exclusion or frntheltlon of fnddentad or consequenlEal seal (allure 9 the seal hoe been subject to knmernion in damages,so lite,above Irndations or extohrsions may not water;acm of God or other causes beyond the control of apply to you.This warranty gives you specific legal rlbhts, Phone [ l the manufislursr. ens!you may have other rights which vary from state to state. aEv 10164 i ' i Town of --'4 Andover No. ,34.5 3 0 MW M C% LAKE over, Mass., 0 COCHICHE ICK RATED C7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......7.4.fl.r WA r S Foundation has permission to erectj? P 14 c ie ... ............................. buildings on ..&/ ...4..... to be occupied as........... f- ............................................................................ Rough .... ....... .......... .. ... . . . ......... .. ..... .... . ..... .... . . . .. .. provided that the person accepting. 'ihWpermit----- ......shall----. in...every.-----...res.pect.conform..to.the..terms .of..the application..o.n..file.in Chimney this office, and.to the provisions of the Codes and By-Laws relating to thejnspection, Alteration and Construction of Final Buildings in the Town of North Andover. q PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR - 00 TS Rough .......610.0. .... ...... �-- ............................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not RemRough ove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. i Location `1tB rt—d + No. .3 6 Date / 4)q b/ t MORTh TOWN OF NORTH ANDOVER O'A lso ,•,4•C F 9 • Certificate of Occupancy $ �'�s',••°�'<�' Building/Frame Permit Fee $ 30 ^CLAUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C99 17840 Building Inspector TOWN OF NORTH ANDOVER WELDING DEPARTMENT A,MjcATION.To CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl ?C BUILDING PERNIIT NUMBER: DATE ISSUED: 7 Z SIGNATURE: A11411 ((,t� E Buildin Commissioner r otbuildings Date .•1.1 1.2 Assessors Map and Parcel Number. Map Number Parcel Number ZeX4� a co q ,23 fl 1.3 Zoning Information: 1.4 Property Dimensions:Zoning Ditarict Proposed ° Use Lot Arm F 1.6 UILDING SETBACKS(g) � � m i. Front Yard Side Yard Rear Yard Required Provide Required Provided Provided 1.7 Water SnpplyM CxLC.40. 34) 1.3. Flood Zone icdoonstion: 1.: Sewerage Disposal System: Public 0 Private ❑ Zaoe Outride Flood Zeno ❑ Mmicipat On site Disposal System ❑ O i 2.1 Owner of Record Law Name t Address for Service: —� Telephone rn X J-2 - Ag t Address for Service: 6 p ii Telephone z M U Licensed Construction Supervisor Not Applicable ❑ Wdnm License Number p .icensod Construction Supervisor. Expiration Date Tel hone ` r 2 Registered Home Improvement Con Not Applicable ❑ .om�may Name Registration Number ddress , r Expiratioi])aft z > i T � � G) New Construction 3❑ Existing Building 0 Repair(s) ❑ TAlterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: OD i i _ I USE GROUP Check as a licabfe CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 0 A-3 0 IA ❑ All 0 A-5 0 1B ❑ B-Business ❑ 2A 0 C Educational ❑ 2B 0 . F Facto ❑ F-1 0 F-2 ❑ 2C 0 i H High Hazard ❑ 3A 0 t IInstitutional 0 I-1 ❑ I-2 0 I-3 0 3B ❑ M Mercantile ❑ 4 ❑ � R residential 0 R-1 0 R-2 ❑ R-3 0 5A ❑ I S Storage 0 S-1 0 S-2 0 5B 0 U utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s I . Total Area s Total Height ft i i Independent Structural En ' Structural Peer Review Required Yes ❑ No ❑ k SECTION 10a Owner Authorization- TO BE COMPLETED WHEN !. OWNERS AGENT QJR CONTRACTOR APPLIES FOR BUILDING PERMIT f 1' as Owner of the subject property l. Hereby authorize to act on My behalf in all matters relative two work authorized by this building permit application 1 , . Signature of Owner Date �- �L.a...+.Sai'.,.,b�.•..,v�lh..�:.,..a.�u.wrr1.�4.F<..�+.Pi.t......�.rhw<.i,w.r.,vro«Y,t�4nsRy.....u.S ic1Y.se`Fa�k.ex..�sne�r.� .sw,ea.f r.�n�f..,d.�iid.a�'..4�.E. 1 ' as Owner/Authorized lare ((t the statements and information on the foregoing application d accurate,to the best of my knowledge and belief. S, under the pains and penalties of pedury r ri Dde {q ¢ a Estimated Cost(Dollars)to be �+d�. -sin.��a`£ i, a�".ns�r�:.a�rw,,. ��h.,-..�Cc�,v,�,�.$:-vP'�. ,•�m.�vr��*r. •��tt`_ 11Z, hd� -is�"�cw��4�a dM'1" ad�•�i�IS, � rr. • �.�_ • ' Estimated• Total Construction from u �►� FireProtection rT�rr'r , r��-5 !'a i�i.(r�"t,1°x5 fSN�"Nke.•. raw :'��3 j '�+ .�rY '.�iT. ��y'�u x.rt�aflY¢�`F,� c '�4 '�;w.k�7�'T �:'p+�gy s.nA. d�i"N/ #.�,^�• i yv - �r a •.,.y .v ��t���'} � � '��'�a,� �•.. r�;tar��t�+. .,,„�K X��y4?�;�'+�x tii�r7.�g��•, ��'. t�;�y M�'k�y�tt, �t G�;rtY�c.�i;� .S!�s i,�`s�. '�;u�'�;;Sk���'��• 1. r..,�;� .:, t a¢�; �����r�, .����ft •4 .{i ���nr:F�YS' i� d'.y�`.� �5 �tra�.t�,s�rc��•xG2'�'�„''�..'S�i�#it'd „�•�;�'.� ^��c; � )��.`.4t r � �. � F�'d�� �^c��,�t�.�� C�, sl'� ?1�;� � £nk, .��,h:cl��{•• t z��,.°�b�' t��•,�§� ai,�� Fk a, 7�� ..YN� ��e�,t.R� 3�fj�1�is �.� a�r.�q} ~.�' ,� ra'�br�ir�f�,`i. %� t� is �'.� iNi^.�'r"�r�t� i i�a3 G�.. ,�Ma�c�c �,�`f � ��, ��T 4� „r �',`tam"�� Y•' . wlu�a23@! x u:�„>�Ya ��,r&dt!};rN�, r� 15A urR f` `�f Pr. �����a�^9�F” t�:��eafw3t,`�(f� ��.v�f,5`as'�k�di�}�.c���'+3.+n`��'S�' ✓�+krrT�r':�'�t��n���� 9�j� •� A� „� BASEMENT OR SLAB SIZE OF FLOOR TIMBERS D DEME14SIONS OF I DEMENSIONS OF POSTS DIMENSIONS OF 1' ' BEIGHT OF • • TMCKNESS SIZE OF •• 1 MATERIALOF u1 IS BUILDING ON • 11 OR FILLED IS BUILDING • To -LINE [ i kr �.tY,�y �srsv,va�4.�a�',+...r�,h 7,t"t: ;�j�9 µ a'�'.�'•v,��i'k ��z. `r F 5i��4�r`t � ��.' aP�° � -,ko� ;t�,r„r��"s ,� a}t1s �ih ;i7�Nt'Ei`}"�i��•�'pr^��"�`��'i �,3`�`...,r". �� l�,w�?'r�s,�+ '�?�,fi€�:�Ftt��'t�•,�:FI�`"�a�n'�+r�ssr���s{*u�l��'�.��`:,? i�� zt,;�.•.c,.,�_,; ,�y��rw t�z�4 >F �r ,� E„ sy ���•�a. Landmark Insurance 9789769987 08/15/04 08t65W P. 001 A.�MD. CERTIFICATE OF LIABILITY INSURANCE �p2 09/27/03 X00 CER Fl UED A E F 1 FO MATIDN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Insuranoo Agency, Tac HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 199 Massachusetts Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, North Andover MA 01945-4190 Rhone:978-688-8929 rax:978-975-3907 INSURERS AFFORDING COVERAGE NAIC f Mutual Ins C wuRFa P, Exef-xod Ikft ,xa w' w Ce. 15024 chael Ha -... ..._. _ t i Constr. rawe�c Methuen Ms 01844 e COVERAGES THE POUOIES OF WSUPANCf LWW BELOW HAVE WEN MSUCO TO THE WSURED NANZO ABOVE FOR THE POUCY PERW INDICATCD.NOTWRHSTANONO ANY REOWW IEW,M3W OR CONOMON CF ANY COKnW T OR OTHER oom ENT WITH RtVLCT TO WHIOH THIS VarIRCATE MAY Be MUM OR MAY Phi?AN TH9 MISURANCE AF Mme BY Tfe DOUgC3 OM20 ED HEREW W 3U&IECT TO ALL THE TERMS,EXCLU04M AND CONDMOM OF BUGH POUPEC,T414W4ATR LIATB 6HOWN IMM HAVE mm REM xvD BY PAD a.ANO. LTRrt�011 ....••-- �.. ...•..POLICY MUYYiJi p��ry OiTt ..._.... „UNTIE $mWALwLnr FACHOCC mGW_2 $300000 8 Om&0 MLQGKRALLNWITY C"0100367642PROAe�eia -$50000 CAM MAD°TOCGU" _mw EO'(my my W—) $ R Buaiaesi Owners 05/05/03. 05/05/04 PVWQNAL$Ai; -NUAr $300000 MEDAL AT+QREMTB S..600000 OEITLAtXATrCUMRAPPU68PETt PRODUCTQ•CO$PNPA00 $600000 POUCV I I Jim "' LOC NnOMOR"V"U" AWAM�•'I COMM=SwOIELWR $ N1QNAiJ)AUTO(` ( . aCF =1MAUTOR BOOLV-JURY _ t �POM-0 HM ALIIab - ...• .. . Nov.tAVNcn Aliln�s t00cw01L.�e $ ......_._�..__ lloaPfmraa►uc� $ CARAti UAbLITY AUM ONLY-M ACCOENT t ANVAUTO ..-• - A ... .. ...-- . 'FAA= $ AUIl')OMt�. ADO $ EMOtAl DMIAUAUM UCIIOCCVRRWCF $ QCCUR r–]CAM MAO[ -' 't .•. •.• t – -. RETENTION i s _.. WORKWA COLVGWUTION AND onLoron LIAbL1TY I.. u►aro A ANr R►g= DZLOWEt11ACHA00010a $100000 IEM t9P6CN1 PROVISICIe 6�.Maw EL DC G _ 1100000 . LL TMHEABE•PLY.ICY usr t b00000 ' TIONb IL00ATON0lVf$�Clfb!lXOli{tgAe AODGD RY 4'NOOR$lMD/T7fPFCkI. YItION$ **porkers Compensation Certificate.to follow directly tram A.I.M. for policy t ANC7012920012004 effective 8/8/04-5/8/05. CERTIFICATE HOLDER CANCELLATION HMUTA7 $NOUTA ANY a TIE AQOJG CE'fORIBEO Fauces QG CANCtLL2b ma�olu TNF OfhMTIQN Hetittqs Green C*bftniniums GATE TNIALR.mG N01INQ NBURER WLL VMVOR TO ML Af&ii{y Realty Property Mgmt T OAYC WRITTfII I C'CIp LLC NOTIOQ rO Tm CORTIATS HOLDER NAM=To TNF LER.bUT FALMETO 0030 WMLL 39 rarrwood Ave. MPO"NO Ol4OATON OR LWNLITV OF ANY NEO UPON mC mURM Rt AQWM OR North Andover MA 01845 RMARUWAMYM ACO ( 1J08) CORD CO ON 1 f I 09/28/2004 12:55 5088656809 LEO TURNER PAGE 02/04 r,r�►r�rs�r �Hvus-r�r�a� _ TEST RESULTS Harvey Manufactured Windows and Doors • U•Factor in accordance with NERC-100-97, • Air infiltration in accordance with based on whole window value ASTM E 283 0 1.57 PSF(25mph) Harvey vinyl vAndows and standard sire Harvey vinyl pllW doors with Low-E/Argon qualify for the ENERGY STAR*program throughout the United States. Revisetl 8125+04 pg l of 2 Clear Emil- Low-E Low-E/Arpn Air -Fades R-VdaeV.FcW R-V U-ftcto. R-Vkh. 1112hUd= ctYallsP YINYia K+l� Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 C mAc Double Huey(Welded Sash&Frame) 0.49 2.04 0.36 2.70 0.33 3.03 .14 Classic Acoustical Double Hung STC40 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .041 Sliimline Double Hung(Welded Sash&Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Srwnhne Single Hung (VMded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2,13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Roller- 2 Ute and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03 .09 (2-lite) Tom msuhs are based an m7vwW shm MW Tarr msuls for arw vW wi*n asbft upon reqs Tempered Tempered Tempered Dbl.Temp. Air Clear Lowe Low E/.A►rgon Lour EfArg InrrlU%U0n MTM U-Factor R-V+lw V-Faaoe R-V" U-Factar R-V,doe U-Fades R-Vafoe c�ltP "Swvw'wt Door 0.50 ?.00 o:41.. `Z" f1 u 2.94 0.35 2.88 09 'Alt vinyl whiows with Lowl-E/Angon quaiily for ft ENERGY STAR program lh wpout the U.S. The use of tampered Low-E glass may effect ENERGY STAR qualification in your region. AN valuers arm eubjed to chane without notice dtm to pw bft fn-torsting. 09/28/2004 12:55 5088656809 LEO TURNER PAGE 03104 • shall dose the door around the jamb frame adding J F.� additional security and tightness. The sash shall have a removable interior snap-in glazing bead, which will allow RCEMICTURAL replacement of glass without teking the entire sash mart. A Pnom$m a sMVK= A vinyl snap on interlock cover shall be applied to each of the meeting rail styles. Vinyl Patio Door Soreen Conshuatipnt The door soreen tome shall be of heavy tubular aluminum, reinforced at the comers with Modell. Vinyl Pena Door sxtrtded comer keys for maximum Wrentith. Insert Applicalions; Resklential screening shall be 18 x 16 non-glare fiberglass mesh held Light 00minerciad in place with a vinyl screen spline. Available FhNshes: Shall be solid vinyl throughout in DlsIngulshing Features white and almond. Custom Manufactured to Size Vftt d Omh Corners Wbaatttrerstrlpping: WeethwUlpping on we inaln fianiv Reinforced Sash Panels pertunneter shall be silicone treated woolpile with a Stas Umitadons potypropylvne fin in the center. Each sash meeting rail Standard Sizes 5088 6068 806& shall Contain one course of fin-type waatherutripping and a positive interlock for a triple seal. Custom Size—Max. Opening: 24 to Willa►96' He92" Max UI 180 Hardware: A variety of hardware and looidng systems are 3-ft Width 144' ight Height 92" Max UI 228 available. See options. 44tc Width 192" Height 97 Max Ul 276 Gazing: Insulating glass shall have an overall thickness of 7ff with a rnInlmum $IV' air space. tnsuiating 91asa ARCHITECTURAL SPECIFICATIONS swKMch shag use a one-pleee steel ll-channel design glass spacer, and shall have a desiccant matrix extruded 6sMral; Manufactured by Harvey Industries,Inc. into the base of the U-channel. A butyl seWeint shalt be extruded around the entire perimeter of the spacer to Operation, Operating penal shall glide on tandem nylon achieve a seal. Ali glass stmil be tempered type B wJkAot+blu.rlreels. Wlrevls shall glide on a slid anq$zed domestic float type. A dual durometer snap In glazing alumirwm moron$. Sialionary panel shag be ftxed at bead shall mcure the glass in place along the inside head and sill with an aluminum angle. Panels shall have Pear' postlFve W terloek at the meeting rail when in the clt*od options: Grtds - Colonial contoured aluminum In-glass. Clfazina-Low-E,Argon-filled Low-E,and beveled glass. 3 Rawrals' Frame extrusion shall be 100% virgin PVC. Ube Units, 4 Lite Uhft are available. Hardware -white, Jamb frame shall have a minimum of 8 hollows, and have apnond or bright braes finish handleeet tui$ dw91-point a nominal wall thidaness of 0.100" locking system and keytock, standard. Optional muld- point IwAdng system also available. f=lush mount Frame Construcaort•Corners shall be flued with a closed deadmA. Corrosion resistant stainless steel rollers are cell foam sealing pad, but—joined and mechanically available, fastened with four sh inlew steel screws per comer, InstaHatWtr: Installation shall be in accordance with the ame�hwod into intWal ext union comw boesos. geman track and nag fin are int VW to The frame. The heed and manutacturers punted mstruatiom, Oft erctruston shall have a minimum of 8 hollows, and Warranty information:Available upon request. have a nominal well thieknew of 0.100-.The sill shall have six tubular hollows and a nominal wall thickness of 0.100". A vinyl cover shag be$napped onto the fixed jamb inside leg to give jamb a finished appearance. Sash Ccnstruatlon: Sash panels shall have mitered and Refer Indo s actva/ fusion welded comers Sash profiles shall have a nominal HXW warranty wail t k4mess of 0.109 Sash frame shall have five for conrphft detalla. titular hollows and shall be reinftmed with a 0.080"thick extruded aluminum channel in the meeting rak and loch Wiss.A WOW*pocket perimeter on the door panel REV 07k4 09/28/2004 12:55 5088656009 LEO TURNER PAGE 04/04 4 si/t B' �g� Harvey Industries, Inc. [ � � Vinyl Patio Door 0 (1/2 SoMe) 4 15/16' i a o a 4D (1/20) 4 1r/1s' U O 1 0� 0 ( /2 ) O AW O ° Q Cha 4 9/16' _ Q O �'—--- 4 1/2' 3 13/f9' 4 11/16' REV. 1/04 AS 307 Z }IS ~'i'�Q fl ?IOOQ JHIQI'I8 1111AOMN N- g9�flV.LIg� r ip r r r N33UOS f • C HON onnang LnN r- -.. m i In m m o A Ix z li cy w NOTES Q 1. 16 OZ.LEAD COA'T'ED COPPER FLASHING TO EXTEND BELOW THE BALCON DECK,AND DRIP EDGE BRAKED 1" 2. FLASHING TURN-UP IS TO BE THE WIDTH OF THE DOORJAMB,AND q PLACED TIGHT TO THE'ROUGH OPENING. THE TURN-UP IS TO BE SEALED 0 BETWEEN THE FLASHING AND THE WALL WITH SEALANT OR MASTIC TO m PREV13NI'WATER BY PASSING THE FLASHING TURN-UP. mo 3. TOP EDGE IS TO BE RETURNED TO STIFFEN THE COPPER FLASHING. 4. ALL CORNERS ARE TO BE SOLDERED,ALTERNATE IS TO PLASH THE o ENTIRE AREA WITH BITUTHENE MEMBRANE,OR PERMA-BARRIER TAPE A MANUFACTURED BY WR GRACE CO. N 5. FLASHING IS TO BE SET FLUSH WITH THE FLOOR,AND THE CONCRETE FIL REPLACED OVER THE FLASHING. CONCRETE FILL IS TO BE HELD %"BACF cn FROM THE EDGE OF THE BALCONY TOP ALLOW WATER DRAINAGE. U r� ,�-r-- LIMITED WARRANTY SOLID VINYL PATIO DOORSLD e na w.harvs-find.com 1.900-**WEYLD Harvey Solid VW Patio Doors are manufactured from rax This ww anrty coversones mm Lt actu defects�� cies materiels o1 Yta highest quality using the most uplo-ate ilrniisd b rstralrlh0 placing CLAIMS PROCEDURE `J' and modem production tschthlques.They are wwmntad for components and paying for rhe costs of rettstr cc o residential inatatlatlana as iai%s_ irusine sat ion to the nunufachr:wt f aatsst plats of business, and does not Mclude tefsoe or otter costs Tc make a claim under this warranty. the buyer should � UPETiME YIARRASTY incurred In the rernaval, mielacarwn'f,installation,or contact the seller from whom the product was purchased The exbr�ded, wild vinyl member, ssxserinq and rakwialktion of the P"~or any part or cornrponemt willtin a reasonable flits atter!'he discovery of the orated. a component rnscEhanical parts are warranted &gains. of the product til the buyer has tut received wnn a sati Harvey I re strias, fecal � defads in mafsrial and worV.manship for as ioag as the the seller, you must ituert rimeotl!y Hervey Industries, Inc., i mheaer cwre and-addes in lite house In which T'ftls warranty is rn ads b the odGlnall purrhsser only. Customer Service Department 725 Huse Road, they are Idled. IvIencihader. NH 0:3109. The claim stmild idertliy the The tratlme coverage offared by this warranty wail order number, product type, date product was taltalled, 7WEM YEAR VVARIWITY autormlioatty coast upon the sale ofthe property or death ahol t* defect Pl r endo o s evietble fo a Insulating (mss.insulating glass is warranted sgalrhst of the last of the origirai,owners of the property. . material obetrudloa of transparency resulting horn Mm IMetime coverage in this warrant/ is; interded to cower formation or dust collection an the hitt dor suftces for a in(IMiduaianomInstalled en upon propes not r ply to i! by, for PUILCWl8t34 f HOMEa1M R rodwis period of Aventy Years,arxortbng to the following tormufa: �� , verrm*r4al agsndes, 0-1,3 years 101396mpfo• , i'a�hdteh�+ treats;, r+altpbus orgrrntaatlons, schools, or cooperative housing arrangements. or installed on Nam t 1-15 years �J6 r- 16-2-3 years 2596aparterent bungs or any other type of bu5dings C EXCLISIONS AND UMMATICNS premises not used by individual homeownsm as 9heit lr Andreas The above warranty periods commence on tate nate of residence. For such purchasers a erttldes to which this m shipment from the rrredtufactLring facility. Iffetima coverage does rot apply,the warranty period will Cky,St,Zip be(10)years fallowing dts date of original installation. r This wamnty does not coverbxoken glassy tom saraeninp: Phone t 1 damages resulting feom improper installation.damages The atetarrrerns aontafned hardn set forth the only caused a airbome pollutants such as salt or sold rein. express wanarires ofthe above products.Any"led Negligence or uw"sonable use (ihduding failure to warearstles haposed by law,such as Implied warranties DEALER r CONTRACTOR provide reasonable and neeaseary meliftnence): stress of ruarchantitbifEhly or Rnese rot a particular purpose. rewiting Iom localized application of heat that causes are it nNed in time to tlea duraAios of the above express Name #1650B1 hdtaae Green Conderninlumt Trust` excessiva temperature diflrarendal over the glass surface wrarrahtlee. or the edges of die unk damage resulting IrOM fire. storms, eaffquakes, windbome objactry The xWufaattarer shah 910tbe Wife to the buYei for Cnf' BG1atOn rvts4 021aU lightning, vrind drain applied to the unit by movement of the tarMIrS or Inctaiemtal oreonsequestiel damWesfor breach ofany inadequate provision Ibr expansion or cortCaction of wrlttsnorimplied warranty. installation Debs ttamft n ernbars;condensation on windows as a natural Twat of humidity within the house and the difference Some stades do not stow limitations on haw WX an between the Irltmal and exterior temperak"C h t&koon implied warranty lards, and some Miss do not allow the Omer S 0 0__ ——_T_.._— ka shi o vehicles,or outside tate conlrerkel United Sta*K exdueion or Imitation of incidental or oonstqueniEal seat failure If the seat thea been subject to Iranersion in damages,so Ute above limitation or wwkrdons may not Phone [ 1 water acts of Cod or other causes beyond the control of apply to you.'This wwranty gives You specific legal dGhts, the manuladuar. erd you may have other rights which very Atm slate to state. REV 10184 i tAORT Town of Andover No.j4lo -0 0 LAKE over, Mass. na Y OWY 0 C C..' WARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT...... .D..........4......W....I....j ....................................................................... BUILDING INSPECTOR has permission to erect...RIP-MRAI�....... buildings on ... Foundation to be occupied as........PA+to ...b 0 a r, ..................................................................... Rough ...................... ........................................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws g0 relati t the Inspection, Alteration and Construction of 1 Buildings In the Town of North Andover. I // PLUMBING INSPECTOR &/ VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN .6 MONTHS Final UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR . UTzA 'T Rough ............... ...... .. . .... ..................... .... ...... . ........................... Service UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the PremisesRough. — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.