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HomeMy WebLinkAboutMiscellaneous - 50 LOST POND LANE 4/30/2018 50 LOST POND LANE D /- 210/104.B-0012-0000.0 � 1 i i V 1 Date TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that-. . C,•Vre•gid;. . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation,,,5, .'. �� 5'�✓e in the buildings of. . .cJ. at . . . 1 - / , North Andover, Mass. •f:6 S�' ' c%Y��f' , . . . . . Fee . C� Lic. No. Jy?-.�0 . ./IV. . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# R 2o`�A 15! UZ isls 8758 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY r/�/�)� - / __ MA DATE� mm PERMIT# t l� JOBSITE ADDRESS is OWNER'S NAME14Ct��17 F i tail GOWNER ADDRESS TEL — TYPE OR OCCU7ENOVATION: YPE COMMERCIAL�_I EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: F REPLACEMENT:El PLANS SUBMITTED: YES F-11 NoDI APPLIANCES 7 FLOORS-- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTERS CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER J f FIREPLACE FRYOLATOR FURNACE [ ==I a GENERATOR J L--,a- GRILLE -.. INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT l_ _.TJ OVEN - POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST !I ^:I �— !I1 _ -J_- 1_..— ( _--�1 . —f _f UNIT HEATER UNVENTED ROOM HEATER WATER HEATER - OTHE+R t ( f J f INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES I 10 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERA Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY _ OTHER TYPE INDEMNITY 0 BOND !_I 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 this requirement. CHECK ONE ONLY: OWNER _i AGENTI SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp'a a with all a ent provision of the "M Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME g M LICENSE# S GNATURE MP E-1 MGF[-I JP 0 JGF n_( LPGI ._. CORPORATION FJJ# PARTNER To#��LLC[]#� � COMPANY NAME: ~~ v yl ADDRESSy}-�'e 1' ks �Q�i tQr, -_- , CITYI STATE ZIP — TEL - _72_.. -.. FAX CELL =EMAIL — _- — - ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSIDECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES I I � ' 1 The Commonwealth of Massachusetts - Department of Industriq[Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Uf www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organizatiorandividual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 2.❑ I am a sole proprietor or partner- �• ❑Remodeling These sub-contractors have 8. E]Demolition ship and'have no employees working for me in any capacity. workers' comp.insurance. 9• []Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work g p p myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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 DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Simature: Date: Phone#: Official use only. Do not write-in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: 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 receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howof the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the ever owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the 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 a 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-contractor(s)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 carry 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 line. 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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. 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 Massac_hu tts Department of Industrial Accidents Office of Intvestigation,s 644 Washington Street Boston,SIA.42111 Tel,#617-727-4944 ext 406 or 1-87WASS.AEE Revised 5-26-05 Fax#617-727-7749 www.mass,goufdia �vRry . O� t�eo sA�I ." NORTH ANDOVER BUILD NG-DEPARTMENT .1600 Osgood Street 3SgCH�SV'-t north Andover Tel: 978.688-9545 Fax: 978-688-9542 BMVESS FORMMR TOWN CLEM DATE: Z- Z ll I NAME: °��c51v1�✓��' VI f,����� ADDRESS: s—® Lq LA e A-rkd vd A- ®1 g"14 S® ZONINGDISTRTCT: TYPE PL o BUSINEss:, On I �c\e- 1�/�s i-fe BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPAM— /v ZONING BY LAW USAGE: YES NO BUILDING INSPECTOR SIGNATURE BUSINESS FORM FORTOWN CLERK i f: 2.40 1iome Occupafion(1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly Secondary to the use.of the building for living purposes. Home occupations shall ',t ' 'iuclude,'but rtot'limited to the following uses; personal services such as fmi shed by an artist or instructor, but not occupation involved with motor vehicle repairs, beau4,padors, animal kennels, or the conduct of retail business,or the manufacturirig of goods,which impacts the residential nature of the neighborhood. 4. For use of a dwelling in any residential district or multi family district for a home occupafion, the following conditions shall apply; a. Not more than a total of three (3)people may be employed in the home occupation, one of, whom shall be,the-ow6er of the hbrne c ccuipation and residing in said divelling; b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customary with residential buildings, • , ' d. Not more than twenty-five(25)percent of the_existing gross floor,area of the dwelling unit. so used, not.to exceed one thousand (1000) square feet, is devoted to'such use. 'In connection with such use,there is to be kept no stock in trade,commodities or products which occupy space beyond these limits, e. There will be no display of goods or wares visible from the'strod; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character.of the neighborhood due to the exterior appearance, emissiozf of odor, gas, smoke, dust, noise, disturbance, or in fury other way become objectionable or detrimental to any residential use within the neighborhood; g. Any such building shall include no features of design not customary in buildings for residential use. A- —9��W. Signature Date I , ...�,g s-..-�...q..-+-.+.-..—...:...�.• ...'�- +.9.-r+s-e^t--.--...r%r�at``'s"`+-t"y�'`�.""."""'"'.'`��"� r'Y`�^" i i'Location �/ S ,7 / No. . ` Date " "ORT TOWN OF NORTH ANDOVER w p Certificate of Occupancy $ Building/Frame Permit Fee $ ;��°'•^°^'tom Foundation Permit 'Fee $ 94 ss�CHusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Z! „off Bull ing 14 nspector 9652 Div. Public Works •,; -�-��•,•.,�»-3y- '.�..y.::..,..•rsv -5` pie.•.+-'-:.+s:at �1ilV'c+.++a"4�dr"ly;..+ .». r.. - , Locaton�' 5o � No. ( ,P Date "ORT TOWN OF NORTH ANDOVER 1y p Certificate of Occupancy $ _ + : Building/Frame Permit Fee $ ', HU tom Foundation Permit Fee $ �� CMUSE sA Other Permit Fee $ a, Sewer Connection Fee $ Water Connection Fee $ '' TOTAL $ — �( G� Building Inspector v 04/041 e,41 150.00 PRIB ! Div. Public Works Location �+�, f,��*40 Vo. Date "pRT" 't TOWN OF NORTH ANDOVER Certificate of Occupancy $ r * _ Building/Frame Permit Fee $ v ,SJACNUSEt Foundation Permit Fee— $ Other Permit Fee $ #" Sewer Connection Fee $ 4-Water Connection Fee $ TOTAL10 $: 9��Xilg Ins` ctor 9 0 2 (, b is orks .i PERMEIT NO." � C APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVEk MASS. �PAGE 1 -1APv0. O LOT NO. Ae)OF l2i r )3 7 js 2 RECORD OF OWNERSHIP DAT�Ei BOOK PAGE ZONE R- ( I SUB DIV. LOT NO. , F)�aT1-,,c4 1,v "0 "f/S I 7Z 130 LOCATION b-MosT Porio LANe PURPOSE OF BUILDING is f� F,4�Ir wc�/r OWNER'S NAME �'INrLdC� r/V� o NO. OF STORIES SIZE yQ,Y7fT OWNER'S ADDRESS `D go)( .�3 j N' Amp DI/e P BASEMENT OR SLAB ARCHITECT'S NAME 0e5i4 N G SIZE OF FLOOR TIMBERS IST ZX le? 2ND 3RD JX S BUILDER'S NAME Fn1j'rj o C r INC SPAN JlI DISTANCE TO NEAREST /BUILDING /�L r DIMENSIONS OF SILLS 2- )A 6 DISTANCE FROM STREET D `v POSTS J �11 •Jr DISTANCE FROM LOT LINES-SIDES 60r 73t REAR Q " GIRDERS(' ,2 (3 AREA OF LOT 6, 7G Z FRONTAGE /oo HEIGHT OF FOUNDATION 'a` �Q rI THICKNESS 161, IS BUILDING NEW C� ye [JSIZE OF FOOTING �0,r ZO X IS BUILDING ADDITION Y / O MATERIAL OF CHIMNEY IS BUILDING ALTERATION No IS BUILDING ON SOLID OR FILLED LAND ./, WILL BUILDING CONFORM TO REQUIREMENTS OF CODE !/ IS BUILDING CONNECTED TO TOWN WATER ye 5 BOARD OF APPEALS ACTION. IF ANY Aj0 f� IS BUILDING CONNECTED TO TOWN SEWER /°.1Q VV IS BUILDING CONNECTED TO NATURAL GAS LINE IVO INSTRUCTIONS � 3 PROPERTY INFORMATION LAND COST Q �6 SEE BOTH SIDES EST. BLDG. COST ,J 41 O 71 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. V EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 12 SEPTIC PERMIT NO. C ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E 7 (.s, y a a cr- OWNERTEL # j� PERMIT y ,gyp PERMIT GRANTED BLDG. PERMI$ FSE �0 Z/ y� CONTR.TEL.� LESS FDA FEE (/ CONTR.LIC.a DUE FRAME PERtNtT$-Z1 d H.I.C.# w. M BUILDING RECORD 1 OCCUPANCY 12 l SINGLE FAMILY TORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW-D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'TAREA _ 1/1 1/1 FIN. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING >Z HARDIVJ'D ASBESTOS SIDING _ COMIICN 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 STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES >4LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING IL i l HEATING ` WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. 1 TIMBER BMS. &COLS. STEAM ' STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G - - UNIT HEATERS - i' 7 NO. OF ROOMS GAS - OIL B'M'T 2n1_ 1 ELECTRIC 1st 13rd 11 NO HEATING X40RTH Town of 0 dover 0 No. 9 4 0 19 dower, Mass.,— 15� COCHICHE w ICK 0RAr E 0 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....................... ..........................5:;�/ ... . .. ............... .j .... ........................................ Foundation has permission to erect........CAP-P.C..:P........ buildings an .........:5-.0........ .......eo..e.k . .... .............. Rough to be occupied as................................................... .. . . ..... .. ......................... /1 — . Chimney ;?e 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 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. I)G Final Rough PERMS f E!E PERMIT EXPIRES IN 6 UNLESS CONSTRUCTION STJ%kfMW'?ERM1T ELECTRICAL INSPECTOR PERMIT FOR FOUNDATION-ONLY Rough REGULATED BY PARA. 114.81. B.C. Service BUILDING INSPECTOR Final DATE F(Dd%qxu2cGAS INSPECTOR ,�it Required to Occupy Building 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 PERMIT FOR FOUNDATION ONLY Street No. REGULATED BY PARA. 114.8-S. B.C. Smoke Det. FFr Pn i p AS--0 y .� : . _ :� _ . - � I .: a � : _ _, '�\ i 1 )i f i . . .. i r , FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: APPLI CANT: RAI l L o � � Phone LOCATION: Assessor' s Map Number 1") Parcel Subdivision LLot(s) Street La�l f a�J ° � St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: ,m (AWUSQDate Approved q _ Conservation Administrator Date Rejected Comments 4E UL �0- Date Approved Town Planner Date Rejected Comments Date Approved Food Inspec~t�o—r--Health Date Rejected Date Approved 3// /V Septic Inspector-Health Date Rejected Comments Public Works --soy i/water connections 1 I S .3/ kK i P driveway ,permit ) A� Fire Department r Received by Building Inspector Date v. 92eu4»vma-ruuea`�ie DEPARTMENT OF PUBLIC SAFETY y CONSTRUCTION SUPERVISOR LICENSE IVIF Nuiber: Expires: Birthdate: CS 005693 01/13/1998 01/13/1954 Restricted To:o 00 DAVID A KINDRED 40-MARBLERIOGE RD POBO%531 N ANDOVER, MA 01845 Restricted To: 00 17 6 5 0 00 - None 1A - Masonry only 1G - 1 6 2 Faiily Holes Failure to possess a current edition of the Massachusetts State 8uiilding Code is cause for revocation of i this license. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 94 Dateo=gEg- 23, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 50-.LOST POND 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 Flintlock, Inc. o: o� P.O. box 531 ADDRESS North Anciov, MA y,. Building Inspector 4 NORTH _. ovm Of over oNo. 94 . � 1,. 4 A", k ^` dover, Mass., 3 ' 19 �ig 'wMCOCHICKE WICK DRATED P / � AP' �LG,Ix�� BOARD OF HEALTH i PERMIT TFood/Kitchen 1 ' Septic System B. LDING INSPECTOR THIS CERTIFIES THAT C .. ................................ ...................... ... d�oun ,� has permission to erect........ ........ buildings on ......... '.d........ .A..S..'�....eO.... ............... /Rough tobe occupied as..................................................., .............. 441.4 ............................... im e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 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. b PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. U L V " dl S G�� OG.PERM PERMIT EXPIRES IN 6 MON �la FEE--- '----�t�DS�v in rr UNLESS CONSTRUCTION STff1E PERMIT ELECTR INSP T PERMIT FOR FOUNDATION ONLY S �' — REGULATED BY VARA. 114.8-S. B.C. ............................ ... ....................... .......................... ervice 1 BUILDING INSPECTOR DATE � 16 06 it Required to Occupy Building GAS INSPE&OR 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. PERMIT FOR FOUND Burn • � 1 Z ATlON ONLY � L1Ilk, REGULATED BY PARA. 114.8-5, B.C. � �ke �`"'' �l f / \"Tr r� i . 1 NO. TRIM AS PER • BLD. SPEC. V 12 r9�§ 10 ELSE BLD. SPEC,. 0 10 fo IA 5 ® ®ILLfld 4 O MA armao as lul 1 FRONT El VATION R 6HT 5117 EL VA�TION 8• � r-o• WINDOW GRILLS SHOWN 12 ARE OPTIONAL AS PER 10 BLD. SPEC,. O ALL RAKE OVERHANG5 TO BE 5" UNLE55 NOTED OTHERWISE 4 W _. ® 4 W 6 A - 2 a 3 RSR El VATION G>-LI=T SIM ELEVATION .J A D• SCALE : I/8• V-0- )'4"',2'-0' 2-6" 2'-6" Z-00 10'-4' 4'-0. DECK AS Allu Q G C B I BLD. SPE DEC PER D ra n I 3-2x12 H R. I �� fog 5-2x12 FLUSH J D06 Jjtj . Fo0HIR o 1 29 TO FRF5HvwKALL op OI -�� DINING ROOM KITCHEN BREAKFA5T O A ® Oi o } I ISLAND D0Xo Y. 4i - O12'-0" l'-O' 4'-0" 'f'-O" m 3'-4' �_8". 2' p• � OI o vll m D05 205. — REF 2_2x10 FLISU'-0SH" G-.0 PANTRY PANTRY _ _ o T- 5/4'xq / A 60 0.0. FLUSH BEAM O W z FIRE-PLAGE AND HEART AS PER 6 BLD. S EC. '-0" 2 3'-10" ry 071. o o - 004 LIVING ROOM UPS AIRS 14 RISERS p FAMILY ROOM m ui o it II ' , z o of I FOYER 116 - N SII IIS A DOI 11112 Ix I a 9 6x6 P05T TRIM A A `;o A i TO IOx10 . 10 �o COVEREID PORCH- 40'-o•- v 3-2x10 NT. HDR. � n INN o � ODO-7 I ION r 12'-0° 2'-4° '-8 5'-10 b'-b 2'- 1111 Li 25L 0 BEDROCM 0 04 )= DO4 004 L I DO DO4 DO3 O 0 3-2x12 .FL 5H OPEN RAIL SOUTTLE HOLE o o� A5 PER BLD. — — DO-1 Q' SPEC. c'+ O w z DOAN z v0,05 14 Fl. - - - - - - - -.- - - - - - - -- p MASTER y BEDROOM -b" 4'-b" DO3 10'-2" 3'-10" 13'-0° O o x OPTIONAL - - - N VAULTED CEILIN6 u. C4 J Q 411204 5 E .m Illq_2 PAM, E E F E: F E E, - 4 4'-b' b'-b° q'-O' 411-0• b�.b• 4'-b' ol i 40'-0° i lie W-O" LIMITS OF GABLE • JAD i � 1 . r I QQc 21 w 401-0' - /— — — — — DECK ABOVE AS 74 \ / \ PER BLD. SPEC. " — —/— — — — — — — — — — ——— — — N6 I - - - - ItLINE - - - - - - - - - - - - - - - - - III OF CANTILEVER ? ABOVE 10" GONG. FDN WALL ON I I I'-&" x 0'-10" CONT. GONG. I I WALKOUT TO BE DETER. - FTG. (48" BELOW GRADE i I AS PER SITE GOND. AND KIN) I I BLD. SPEC. I ® 2x6 K.D. SILL PLATE ON i ( BASEMENT 2x6 P.T. SILL PLATE ON I I o D I LAYER SILL SEAL ?V 9i ANCHOR STRAPS OR BOLTS �p 4" GONG. PAD ON ® 3'-6" O.G. (MAX) I I S 6 COMP. FILL 4'-2'00 41 II I N Q i I 4-2x12 + 4-2x1 + 4-2 i — — — — — _ _ _ _ 4-2x12 4=2x12 n — _ I I L _ J _ J _ - - r — — — — — 3 1/2" DIA. LALLY COL. ON PROVIDE 2'xl' DEEP GONG. 2'x2'xl' GONG. PAD (TYP.) FTG. I' BEYOND LIMITS OF p p STAIR AS SHOWN — — — — — — I ;n iP5 AIRS I _ PROVIDE ALUM, SASH r14 RISERS I I VENT. WINDOWS AS PER iy _ p CODE REQ. p I I w I I � � I _ I u- 6x6 P.T. POST ON 10"0 Q GONG. PIER TO 48" I x+ BELOW GRADE (TYP.) I I I I - I I IL - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - — ——— — — — — — —— — — — — — 1119_2 PAd& A - S 0 1'-0' 111-01 7�-(J• �,_b• SAD �k 14' 14' X I ROOF= CONSTipiXTION TYPICAL FLOOR ° RIDGE BEAM W/ 215«COMPOSITION SHIN61-ES ON 3/4'T.4&FIR PLYWOOD DECKING n CONT.VENT STRIP 154 BUILDING FELT OVER 1/2' GLUED AND RING NAILED TO PLYWOOD SHEATHING ON RAFTERS FLOOR J015TS AS NOTED ON ROOFING SHIN61_E5 AS NOTED ON PLANS. PLANS. 112*1It'fYV00D SHYPI EATHING TCAL SOFFIT TYPICAL SILL RAFTERS® Ib" O G. IXIO PINE FASCIA W/Ix3 FASCIA I -2x6 KILN DRIED SILL PLATE ON 12 TRIM W/CONTINUOUS METAL DRIP I -2xb.TREATED SILL PLATE ON EDGE PROVIDE 1/2'A.G.PLYWOOD I-LAYER SILL SEAL YV NON- 10 OR BLD SPEC. 2xb GLG.JOISTS® Ib"O.G. OR 1x12 PINE SOFFIT BOARD W/ COR 94SWEE METAL O BOLTS q' INSULATION(R30) CONTINUOUS VENTING A5 PER VAPOR BARRIER CODE REGI. SILL TO BE b'ABOVE FINISH GRADE (MIND I/2x3 W.G.W.B.OOD STRAPPING TYPICAL STAIR 1 "ALLGON5TFZIJGTIO'N 2x4 COLLAR TIES 4 112•T.K HARDBOARD SIDING ON 3-2x12 STRINGERS W/4"TREADS Ix3 FASCIA TRIM BOARD 'VI6'ASPENITE OR 1/2'PLYWOOD (MINJ(HARDWOOD OR 3/4'PLYWOOD IXIO FASCIA BOARD SHEATHING ON 2x6 STUDS o Ib'O.C. AS PER BLD.SPEC)3/4'RISERS SOFFIT W/CONTINUOS VENT, MAY,YV R-Iq BATT INSULATION- EWALLY SPACED AND NOT TO PROVIDE 4 MIL POLY VAPOR EXCEED b 1/4'IN RISE. BOTTOQI OF JOISTS BARRIER ON INTERIOR W/V2' SHEETROGK OVER. 1'-0'OVERHANG TYPICAL WINDOW 50HEDULE 2x6 RAFTERS < Q 3/4" T46 PLYWOOD MARK QTY NUMBER R.O. NOTES Z 2x4 G.J.® I6'O.G. BEDROOM �, BEDROOM GLUED d SCREWED x D G. 2x10 FLOOR JOISTS B 1535-3 62"x43" CASEMENT 12 O 3 - 2x10 CONT 41OR o Ib•O.C. G 1628 22"x65" DBL. HNC. Z H� - � SUBFLOORING 2ND FLOOR D 2816 34"x41" DBL. HNC. m E 282 4 4 3 'x57 DBL, HNC. p shy F 1624 22"x5"7" DBL. HNC. Ib'O.G.WD.STUD G bx6 P05T TRIM ] 1/2'6. .B.(INTERIOR) H TO IOAO 2x4 G.J. w b' BATT INSULATION W/VB. 1/2'SHEATHING Q 3/4" T46 PLYWOOD DOOR SCHEDULE uj 4 2x8 F.J.4s Ib' OC. LIVING ROOM °' DINING ROOM pzyiEv :IOLOOOR JO 5151 TS® 16"O.C. MARK QTY DOOR 51ZE TYPE / NOTES x b"BATT. INSULATION o 4"x4' P.T-POST - 3/4" Ix3 GROSS BRIDGING I 3'-Q"X6'-8" 2 - 12" SIDELIGHTS F �� ON loam GONG. DECKING 2 2'-8"xb'-8" 6 PANEL PIER TO 46" BELO 5UBFLOORING 15T FLOOR 3 2'-6"X6'-S" 6 PANEL GRADE(MIND TOP OF FOUNDAul, TION 4 2'-4°X6'-8" 6 PANEL J 1-2x6 KD.No.SILL ON 5 2'-O"xb'-8" 6 PANEL Q 2x6 PT.WD.SILL ON 6 SLIDING GLA55 i- 6'-O'xb'-8" v a � SEALER W/NON CORROSIVE -7 SLIDE-BY-GL05ET Jt r- ANCHOR STRAPS o 3'-6'O.C. Q 8 5'-O'xb'-8" BI-FOLD BEDROOM w 1/2'DIA.LALLY COL. q v ` ON 2'x2'xl'GONG.PAD 10 4'THICK GONG.SLAB 11 mNo d) 12 Illq FININ5HED SLAB 13 14 PAM, 15 A- b - 7AD l LbT 5OLo5T --rl jf�r 74, EES RTI ® - ill FED PAL- FRI 1+H iv, ?o �-�--r - w 1 o 0 PA66 � - I IAD ti r Office Use Only Q o - u�l: �ulztrit�nluettl#� IttBFIIjU �## Permit No. ry, Mepartment of Public thifrtq Occupancy& Fee Checked ars u 3/90 (leave blank) REGULATIONS 527 CMR 12.00 BOARD OF FIRE PREVENTION APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �J d9 cZ _ 2 C� (!K or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical workdescribedbelow. Location (Street & Number) 5V zn-,t Owner or Tenant <Wt�Oe /JG / Owner's Address S 3 U D( Is this permit in con ton with a building permit: Yes C�No El (Check ropriate Box) Purpose of Building N Utility Authoriz ion No. Existing Service Amps _J Volts Overhead ❑ Undgrnd m� New Service t�00 Ampsl� �©Volts Overhead ❑ Undgrnd 22 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work &:v;�No. of Hot Total No. of Lighting OutletsTubs No. of Transformers KVA Above In- No. of Lighting Fixtures I Swimming Pool grnd. ❑ grnd. ❑ Generators KVA / No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners ( Battery Units No. of Switch Outlets d No. of Gas Burners FIRE ALARMS No. of Zones No. of Air Cond. Total No. of Detection and No. of Ranges I tons Initiating Devices t Heat Total Total No. of Disposals No.of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal ❑Other No. of Dryers / I Heating Devices KW Local ❑ Connection f No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Mass husetts general Laws I have a current Liability Insurance Policy including Comple Operations Coverage or its substantial equivalent. YES NO = I have submitted valid proof of same to the Office. YES NO If you have checked YES. please indicate the type of coverage by checking the appro to box. INSURANCE — BOND ` OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work S LG Work to Start Inspection Date Requested: Rough Final Signedunder th P naltie��erjury FIRM NAM LIC. NO.�` Licensee /`C S Signature rr LIC. NO.C/ZrG-r.�l— �//7 r�- E3II51 Tel. No. Address ^O OX Alt'. Tel. No. re- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial a uivalent as I quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Ow r Acrni (Please check one) �✓� Telephone No. PERMIT FEE S (Signature of Owner or Agent) x•6565 7'?t? 2590 Date. . ". .. No o'; of 9ti TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION 'fs,9SS4C NU5ES - � • o. This certifies that . . . . . . . . . . N has permission for In installation. . A// . .. . . . . in the buildings of . . . . . . . . . at GoT. . . .G'1 . . :. . . . . ., North Andover, Masi Fee-,?3� Lic. NO./ �T Q, 208$ # G INSPECTOR 6U22 2 zz WHITE:Applicant <tANARY: Building Dept. PINK:Treasurer GOLD:FIM 4267 Date............................... NORTH °f,��`°;•�"° TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING �SS�cHUSE� ' This certifies that • .......... ..... ....................................... has permission to perform ....� wiring in the building of..,..... -- �/ ................................... .. .. �� ..... s ,North Andover,Mass. Fee......a t...n....... Lic.No' �.:....� .:.............. . ............ ............................. ELECTRICAL INSPECTOR Check # � �� v THECOMMOATH ALTHOFMASSA I CHUSETTS Office Use only DEPARTMENTOFPUBIICS4MY BOARDOFFIREPREVEMONREGUL4HONS527CY1R12.VO Permit No. Occupancy&Fees Checked APPLICATIONFOR 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) Dates�/a Town of North Andover The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location (Street&Number) \:§,-o a5 r- Q Owner or Tenant U JE Owner's Address sre_A- Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building (iu ���� �j Utility Authorization No. Existing Service - .� Amp=��' Volts Overhead Underground No. of Meters S� New Service Amps / Volts Overhead Under •ound gr No.of Meters Number of Feeders and Ampacity --- Location and Nature of Proposed Electrical Work No.of Lighting Outlets / No.of Hot Tubs �P No.of Transformers Total No.of Lighting FixturesSwimming Pool Above Below KVA Generators KVA No.of Receptacle Outlets I / No.of Oil Burners round round 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 No.of Disposals TonsNo.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained _ No.of Dryers Detection/Sounding Devices Heating Devices KW Local Municipal Other VNo.of Vo.of Water Heaters KW No.of ID Connections Signs Bailasis Jo.Hydro Massage Tubs No.of Motors Total HP k uanaeCo Pumwttothe �� WVien]ff1S 0fMa%XhtJseftSGemallaws �w-aamentLiabt7tlyhmnanoePokyQnl)� Co�ageori� �v� YES w-suNniWdvalidpmafcfsan�etotheOffim � YES NO lgdle box � �&h peofmverageby URANCE BOND L7 OTS p kroS`tart �ir �j � ValueofFlectritlWolk$ k=ecfimReWe-*d Rough 3duilderftPamlliesof --4 /l� Filial IiomseNo. Sig]attlte LicffWNo Tel No. 6' W-,7--?-7-7Z7 lER'SINSURANCEWANER,lam awatethattheIicatse nothavethen>s<nance�v �oritssuL�starrial AIL Tel No. �$—�3 latmysigMbxeondDSPMMapphcati®ftrm e� mifft. ° ��edbyMassarilumitsCknerallaws se check one) Owner Agent Signature o Telephone No. PERMIT caner or gen FEE$ LO u The Commonwealth of Massachusetts d Department of Industrial Accidents A W Office of Investigations . ,~ Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: _City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#- Insurance.Co. Policv# Company name: Address City: Phone# Insurance Co. Policy Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as-well-as-civil.penalties in theImm id a-STOP.WORK_ORDER and..a fine_af._($i11DM)a slay against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin f Building Dept ❑Check if immediate response is required ❑ bicensing Board E] Selectman's Office Contact person: Phone#: E] Health Department Other Location No. Date NORTH TOWN OF NORTH ANDOVER Of . o .•,h • o< 41 i Certificate of Occupancy $ ''S CMusEBuilding/Frame Permit Fee $ Ze dd Foundation Permit Fee $ Other Permit Fee $ A TOTAL $ dU a Check # 75 16086 >4BuiId�i=gIns0e`ctor Location No. Date NORTh TOWN OF NORTH ANDOVER 0 9 i Certificate of Occupancy $ 1 « D sACHU <�, Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ de TOTAL $ ®� Check # 16086. Building 11ns ector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMO�LIISAH+A;ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: X02 oZ a Z SIGNATURE: - A- Buil3n—g CommissionerAnspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 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 M 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z m Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: q O License Number Mn Ad s .� /a-,>P-a" ,—D, Expiration Date ic Si natureTelephone gr 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name M Registration Number r Address r Expiration Date ^z Signature Telephone v SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check applicable) New Construction ❑ Existing Building V Repair(s) ❑ Aiterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ 'Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be1"TCIAY,CISE',0 Y Completed by permit applicant 1. Building OCA (a) Building Permit Fee t �n Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 L. I, n A d 8-0 C_Ck i as Owner/Authorized Agent of subject property reb Wudrizej a to act on relative to work authorized by this building permit applicatio i. Si nature of Owlier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE 4 BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 3 SPAN { DIMENSIONS OF SILLS DU\4ENSIONS OF POSTS DtEVENSIONS OF GIRDERS 1-IE IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL,OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE y- ., FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** V,-APPLICANT?0 -A1 a Fi -.occk ,e�L-2 L PHONE 7��7 yr�yy LOCATION: Assessor's Map Number�Q PARCEL SUBDIVISION LOT(S) (STREET L(9,-C,4 TC� Z/-ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED � I COMMENTS J TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED z �, " � )-Q- SEPTIC INSPECTOR-HEALTH DATE APPROVED U 100 l DATE REJECTED - COMMENTS 100 o ` Q .,t__ �) v � d- �� PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT_ Q�hor, PeV�eW gr U P!v icri 164 �rv� to W a Alt ,Illi. L 12)2— RECEIVED DLRECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm r r 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: 24 N ( tion of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations �~ Boston, Mass. 02111 5�1b Workers'Compensation Insurance Affidavit Name Please Print Name: ( to I 'ciG41", Location: ( A- ci2— City N Q- �- �L,1 w 2_ Phone # am a homeowner performing all work myself. EIZI am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone# Insurance.Co. Policv# Company name: ►c.(�' y 20� Address 1660 C) S 0%4 S-r City: Phone#: Q ��` 6� Insurance Co. Polio0 7 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition ofcriminal penalties of,a fine up to$1,500.00 and/ r one years'imprisonment_aswell_as_chni.penattiesinfhefor n nf_a.STOP VILORK ORDFR.and_a fne_af._(.$1D0_00)_a-lay-against.me, I untand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification, do herebTce ^un a a� sand penalties of perjurythat the information provided above is true and correctSignatuDate Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required F] Licensing Board p Selectman's Office Contact person: Phone A E] Health Department I] Other & 14 Customer Name: -j�-fA CARPENTRY Address: E n 1 L r City/State/Zip: `.� 10' I-- ; , a G i`.. 1^ �; 65 Water Street <-� r�.c ^ No. Andover, MA 01845 Phone Number: I -7 ,job No. 978-794-2446 ❑ Kitchen & Bath Install ❑ Builders Change "ther .��scr tivn . C C (\J y it v N (Yrs retterrtif�ertats afrex clays mad rtetns and seiatf drrlers arm rent re?u�ite} ; Re af - 3 a41 0011H.arta+.. Customer Signature ' date arpentry Representative Date 1 Comments: * Payment is to be made as follows: ❑ 50% Deposit/50% on receipt i White-Customer Yellow- Office R&M CARPENTRY 65 WATER ST. NO.ANDOVER, MA. 01845 Robert & Linda Kuniega 50 Lost pond Ln No. Andover, Ma. 01845 BASEMENT REMODEL Play room to be constructed according to floor plan designed by home-owner . All construction to be done according to local building codes . Wall construction **** All walls to be constructed with 2x4 kd with a pressure treated bottom plate . Walls to be insulated with R-11 with vapor barrier . 1/2" blueboard with plaster finish ( smooth finish ) . CEILING **** A supended ceiling system to be installed with 2x2ceiling tiles . Built in bookcase to be constructed on angle wall . Closets to be constructed according to plans. ELECTRICAL SEGMENT **** All electrical to be done according to local building codes. Electrical outlets to be installed . Recess light cans to be install to ceiling area . Cable and phone hook-up . FIRE SPRINKLER SYSTEM **** Lower sprinkler heads to new ceiling height . ht . Tile Floor **** to be installed in play area . Interior trim to match existing house 2 1/2" colonial casing . Bi- fold doors to be installed to closet areas , 1 utility closet door . 1 closet door under stairs for storage area . Stairway **** a half wall with oak cap to stairway . Total cost of remodel ************ $ 101,500.00 Deposit to start ***************** $ 400.00 Payment plastering segment $ 3 5 00.00 Payment on completion ********** $ 3,000.00 I • re. re rr ._ xr w rr re wday y e•+ N•' F d /. A A ; D4CN6 ROOM , A:IE31 BReAWAsr• O pip d b� tn,n AI"M ROOM aw g r ROOK 2 y a �I g ISR 11 Yt �t I O Y A ,M nofr nts� A .A + m tam .vs sae :ttt.a k twr r} yr e Z 1 1 w- r 1 w 1 LYM 1 5e O O 1 1 1 KOppCH i 1 I p 1 A 1 1 = PWCw , ros lNrttl+Els �{1 • Y dOl SIM 001 --------- j R K-6STM ! BEDROOM 0 T6w «• am or re �p = w• a ee P e t w �e rr a N• M3 sa aewesanle _ This form was reproduced by United Systems Software Company (800)989-8727 P Y i i ii I � , i .A a ,, $ i Nva. M E own ® _ Andover leo. J3 q '` _ dower, Mass. _ nn C � O A cocracriM` DRATED PPa,`tC H BOARD OF HEALTH FIERMIT T.. D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT R ... a ....... .'a� ... . .� 4,�. . .. .................................................................................... Foundation hasPermission to erect. a�et.�!t- �... � .. . }�c� ifdings on ........, .: .... . .... 0§1 &1W........../- ..................:.... Rough to be occupied asS. .... . �<r ��� r t9 E•l..) Chimney provided that the person accpting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Reg�u-lations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS v LESS CONSTRUCTION STAR TARTS ELECTRICAL INSPECTOR Rough ............. .. :... .................. .. .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner A Street No. e- C60 SEE REVERSE SIDE Smoke Det.