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Miscellaneous - 51 NUTMEG LANE 4/30/2018 (2)
i C&� CLOT o', �Olp 34 L I� I I� I r Na 0 ,1 Date. �............�..�....... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SA US This certifies that . '.. has permission to perform '.: -' .................. ........................................................... wiring in the building of........................ .:............`.....:"....................... - at..' ............J...:`:............. .................�North Andover,Mass. FeeZ............. Lic.N .............. ... ...�........... ".c._....................... ELECTRICAL I pECTOR Check # ��� ^ /f WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I111.W1VVV1V1VVrr1ALJnupIVMLN-"("U15LSI]IN OfficeUseonly ly o'nly DEPARTN.ENTOFPUBLICS4FETY Permit No. C 7' L y BOA"OF MEPREVEWONREGMTIOAS527CMR 12:(XI Occupancy&Fees Checked PAPPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: YesL;;:�J No (Check Appropriate Box) Purpose of Building s'/Cl-� i 74/a / Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 4,47,14 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below r7 Generators KVA ground Elground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of r7 Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHE IrstraroeCo Ptasua�tbthetegt�anatis �ttsGaretalLaws Ihaw aa>QattI-i bildyInsumr=PblicyutdudingCcmpi&Opelaticris CovetaWor its akso>tbieWivalent YES NO Iha%esutxni&dvlidpmofof§a=JotheOffoe.YES F7 lfjwhawdie WYES,pleasertdc&thetypecfwmageby&dnttte INSURANCE BOND OHA R F-1 (PleaseSpaofy) ExpirAm Date Work loStart EstesValueobectinlWait$ I*Rac��d Ram Feral FIRM NAME Signed undert�ie P�q�of J t/J �n �I Gti�� LloaseNa _�i S— LeNo Bt>Sin�Td.Na ���-� �f� Arc —2-2 A//�� /4�� t Alt Tel.Na OWNER'S MIRANCEWAIVER;Iarr murethattheI-iamsedoes�$reirmxazneoo�erageorOsst> lac afagasrtzppedbyeCasalL m andthatmysigtrMseatthispeardappClca mvvr,tsd sretp'nn�ot (Please check one) Owner � Agent o Telephone No. PERMIT FE J! cl Date. ....�`:. .`..`.... NORTH TOWN OF NORTH ANDOVER F?Oyas..ao ,ea1�0�7D PERMIT FOR GAS INSTALLATION • � 'a SSACaNUSESt This certifies that . . . . . . . . . . . . has permission for gas installation . . . . ... . . . . in the buildings of C.j�.. . . �. . . . . . . . . . . . . . . . . . . . at .�. . .`. �l. .�7 �f r.-. . . . . . . . . . ., North Andover, Mass. Fee. ,�.r_.:. . . Lic. No..�!. . .?. . . ,.► e i? . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP w PARCEL � d MASSACHUSETTS UNUORM APPLICATON FOR PERMIT TO DO GAS G At 5�6 (Type or print) Da ��_ SCJ 19 OQ, NORTH ANDOVER,MASSACHUSETTS S � Building Locations \� t�UT Permit# 33s� Amount$ O Owner's Nam c&I�LR New El Renovation �, Replacement Plans Submitted m � CA k c x m x z c ¢ F z z 0 z .wa Q x Fx w CywF > Gn w > W 0 o w w O> aM QJ� w H 0 m O c7 x w D 3 ca C7 v x > o a F o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR a 2ND. FLOOR 3RD . FLOOR ` 4TH . FLOOR 5TH. FLOOR „ 6TH . FLOOR 7T H . F L O O R 8TH . FLOOR (Print or type) k one: Certificate Installing Company Name QZV-kLP C*:�,4S _ Corp. Address y6 `ILICIL6 �NLXv-P- Partner. Business Telephone © Finn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [E] No If you have checked M,please indicate the type coverage by checking the appropriate box. 13 Liability insurance policy ® Other type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ^ ❑ Signature of Owner or Owner's Agent Owner -0 Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Q Plumber 1 City/Town Gas Fitter License Number �i Master APPROVED(OFFICE USE ONLY) /E❑' Journeyman Date. N° 4, 6 % 0 tiTOWN OF NORTH ANDOVER o' ..•°;.� o ° 0 PERMIT FOR PLUMBING ;,SSACMUS� This certifies that eye !<! «'� " �• has permission to perform . . . .r�1_. f'r_.-s.. . . <-. f.: plumbing in the buildings of . . . . . . . /r f �/� �i,•.�f, . . . . . . .. North Andover, Mass. Fee. . 7>. . . .Lic. No.. . . . . . . . . . . . ... .t.- PLUMBING INSPECTOR ' Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �t Date 1- S-C7J Building Location I l % . n Owners Name �►J� Permit# z?14", 3 G Amount �j�— Type of Occupandy New Renovation Replacement Plans Submitted Yes ElElEl FIXTURES Fw dz a Cr �, d a W W d' W aEn = W d' W A a kr~ a, Z --t Z H Q s~ Q SZRBM M FIDQt ZD FWM D, 3M ILOCIR 4TH FIOQt 5IH FI M 6M FIOt 7MFL" 8IH HIM (Print or type) Check one: Certificate Installing Company Name Corp. Address F� Partner. BusinessTelephoneg51,`1$OU El Finn/Co. Name of.Licensed Plumber. ��tc�Man�L� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy F1 Other type of indemnity D Bond Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner El Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: �iignatu e ofl.,rcens um er Type of Plumbing License Title \\35S City/Town lcense i um er Master © Journeyman ❑ APPROVED(OFFICE USE ONLY N° 6 5 3 Date..wA [�C/ f NOFTM'1 o:;•�``°:•_�."�0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUs� This certifies that ... �w�� r"<F ............................................................................... has permission to perform '' �,� (ZU �� P .............. ...... ...... .... ..................................... wiring in the building of......a4.1.tr-la✓.......................................................... at /Vy..f.41,&. ��/ ..til� .,North Andover,Mass. i � �/ 7 C.Ke` . Lic.No.. .. �! .7�.,�T !c' Fee. ..........: .... ................ ..................... /���'J ELECTRICAL INSPECTOR Check # --��2;z WHITE: Applicant CANARY: Building Dept. PINK:Treasurer umclal usee'unly 'J Permit No. l0✓��� V rJ?fG`'(�i6�ZZnLC�2L(/G`'�,L�'T�f fly nL�.SS�(?�ZL.SFi�1.S V044�-e�4;Dd&�Sak,4 Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:000 T (Please Print in ink or type all information) Date A)—(/g7 —�j0 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. / Location(Street&Number / /y k-+,4, s Lo t Owner or Tenant U `rirt< Owner's Address ©uco--t,6 ed, Is this permit in conjunction with a building permit Yes K No ❑ (Check Appropriate Box)Utility Authorization No. Purpose of Building �i.�-�ads— �Ats 1�(fJ� tY Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters ` `�C� 12�2ye New Service Amps Volts Overhead O UndgrnX No.of Mete Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained J No.of Dishwashers S ace/Area Heatin KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws Ioves current Liability Insurance Policy includi ompleted Operations Coverage or its substantial equivalen S= NO = hmitted valid proof of same to the Office = NO = If you have checked YES please indicate the a of overage by checking the appropriate box NCE = BOND = OTHER = (Plea a Specify) (Expiration Date) Estimated Value of EI ctrical Work$ Work to Inspection Date Resquested Rough&ta C_git Final Signed under the Penalties of perjury:J_ �� �y.� Cci LIC.NO. 1Z 291w FIRM NAME ,a/ ,,(�,�nJ Lk.ensee �`�( f- ZZ41-'Oe AJ L' Signature LIC.NO. j Bus.Tel No. 7y6 Address o ` Alt Tel.No. OWNER'S INSURANCE WAIV : 1 am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (1/ Telephone No. PERMITTEE $ /L/ (Signature of Owner or Agent) Location No. Date / NORTN TOWN OF NORTH ANDOVER + r Certificate of Occupancy $ ;mss ^°'Eta' Building/Frame Permit Fee $ � SACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #,-'U f } r j `- Buildi spector /or � �,P�r��3©� --G-al=act e , P1--AN OF LAND .� gP 7_ IN t*-s NO, AND 0 VER IWASS. SCALE.• I" = 40' 11-IL Y 26, 2000 HAYES ENG/NEER/NG, INC. ► 603 SALEM STREET CML ENGINFERS & WAKMMTELD, MASS. 01880 LAND SURVEYORS M. (781) 246-2800 / CERTIFY THAT TH/S FDUNDAT/ON /S LOCATED ON THE GROUND AS SHOWN, AND mAT IT CONFORMS TD THE"SEMACK REOU/REMEN7S OF THE ZON/NG BY-LAWS OF THE „ TOWN OF NORTH ANDOVER. / FURTHER CERTIFY THAT TH/S PROPERTY DOE ' NOT L/E WMIN A FL000 HAZ4RD AREA (ZONE A OR V) AS SHOWN ON fZOOD INSURANCE RATE MAP COMMUN/7Y PANEL NUMBER 250098 0010 8,• EFFECTIVE DATE: JUNE' 1 _7l DATE' PROFESSIONAL LAND PV ESS����Q sro 9.13,533•�90"E`Soo N 1 N_ O L OT 17 ' NW •1� 6� L OT 16A 33,298 S.F. w AS SHOWN ON A PLAN 777LED s 'r 'PLAN OF LAND /N NORTH ANDOVER, MA FOR PROPERTY LOG47ED AT LOTS o� 16 & 17 NUTMEG LANE" cIC\ DATED JUNE- 12, 2000 BY �b r NEW ENGLAND ENG/NEER/NG SERVICES: 50 k0 APPROX. LOC. .A\ UNDERDR4/N ry �p 1oP 186. oo� X20 -V A) EL� o �g06�6. � 0 LOT 15 ZONE. R-3 MIN/MUM SETBACKS.• ���stjo3 1=¢2.00 FRONT = .30' SIDE = 20' REAR = 30' ORTH Town o Andover� Z_ LAKE . 0 ndover, Mass., COCKIC EWICK A01 ATED i'P�,`�� SS�4C HlUS� IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT A o �v ........Cod..!f.. . vuk.. �O I' 111 ."�C4 . . . ........ has permission to excavate and pour foundation at .10fl26 ....�� r �• for the purpose of.�Q.r A s��..u�V ! r`. .�N . .,!t....N rY11. .... The person accepting this permit must return to the office of the Building Inspector certified plot plan show of building thereon before Foundation will be inspected. P VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. .B.,:'i' FSE ../T)a Lstow ESS FDA FE�._._._.a...�._...��� . ....... ........................ .................................... f4AiiF � � (�. �. BUILDING INSPECTOR Location No. 3 Date 0 TOWN OF NORTH ANDOVER Ot ir.•o .•,1.0 O? • O� . � Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMus D n Foundation Permit Fee $ v Other Permit Fee $ TOTAL $ s� Check # 300 7 , K/1� v , 7 Building Inspector V' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR.RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Sedim for Off dd-use BUILDING PERMIT NUMBER: /� DATE ISSUED: .•� / Q M pl 1 SIGNATURE: /Y7 A)C6� Building Commissioner for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property.address: 1.2 AssessorsMap and Parcel Number: 3Y-- X77 / ;tap Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (n� Zoning District Proposed Use Lot,area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 340 .. 301 9-0 , ` .0 ' 30 ' j" ' 1.7 Water S ly M.G.L.C.40. 34) 1-5• Flood Zone Information: 1.8 Sew Disposal System: Public Private ❑ Zone Outside Flood Zone A?' Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Ownerof JRecord /y 1 / A/ 4/" t t/,�� � Vt14/(I Olt A 9ls ��s C0^1 Name(P nt) Address for Service ` 7th 7 l- 007.? Signa re Telephone Q 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor. (J" © O 6Z,OlN/J License Number mn Addre • A"- 7 7 / / Expiration Date gignalure Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Sv Company Name M Registration Number r Address r Expiration Date fZ Signature Telephone �• 4111 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 buildine permit. Signed affidavit Attached Yes.......Jr No.......Ci SECTION 5 D*scrip#on of Proposed Workcheep all applicable) New Construction Tr Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l� E4-1 r%Y Clog, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant i. Building (a) Building Permit Fee Multiplier • 2 Electrical (b) Estimated Total Cost of �f C Construction 7 v 3 PlumbingBuilding Permit fee t•) x cb) Mechanical /���. .' 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) C09 110 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. `I,/ gi. /V Owner/Authorized Agent of subject propem Hcreby authorize A144 tI cA L3Q^'S� + p riloI,, Cd URS to act on My a :in 1l ma rs �latrve to work authorized by this building permit application. Swn ture of Owner Date SECTION 7h OWNER/AUTHORIZED AGENT DECLARATION 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 C'V SignatupPotlowner/Agent Date Ell NO. OF STORIES SIZE BASEMENT OR SLAB i sZnyc.►T SIZE OF FLOOR TIlvMERS /p 0 e 1 v •p 2.11D3KD SPAN �� p DIMENSIONS OF SILLS DlIv1ENSIONS OF POSTS Z4 y DD ENSIONS OF GIRDERS C o HEIGHT OF FOUNDATION THICKNESS /o A/ SIZE OF FOOTING /o X MATERIAL OF CHIlvWEY C IS 131IILDING ON SOLID OR FILLED LAND IS BUILDING CONNECT ED TO NATURAL.GAS LINE Lc a ' Growth Wan Cement Eyiew Exemption St2LemenL Town of North Andover Euiiding Cesar tent I i1ls'Cr m Shall t e used to assist the 20dinC Cecartment'n ;heir mer—Ir;;,;Cn or exerrcttens urger sac:1Cn 3.7 Town cf.Ncrth Andover G(cxth Management viaw. 71e :uiidlnC acciiC�nt Snall-mvice all of;.`.e'^eosssar r TfCrr^ai1Cn as recueated oeicw. N > ^i A.CC1icart Cn Editing '-nmit(be!cw) AdCrcS_ Ci r^^=r"/ ;Cr =ar-;+/^o! /.v oy'r-R a,4/ Mac and Parce! : FurCcse Cf ,OCiicctlCr7 (crec:c below) hone Nuri ter Cf AcciiC rit Sincle Fcri lily T wC FarrHy 7fC 7 y�- 00 7_T 1 ttte undersigned acclicant*or the above property attest that the attached building Gerrit-'Cr,,vhic:7 this form is =mcleted does=m;iy with the =<ENIP71CN sec:icn ITS cf the Nor.; ,1.ntcver Cicwth Management Sylaw. I also understand prcvidirc this form rices not absolve,me cr ary par,i to this ter ,it from the requirements of obtaining ether permits recuired aver to the issuarca cf the =wicirg Fur';er I understand that my intercretaticn of the c,<E APTiCN status is sut:iec;;c revte,.v 'tv the Suiidir,c Cepar rent and is criy crFcaily acted when the Suiiding Permit ig issuea. Eased on section 9.7.6 of the Ncrth Andcver Grcwth Eyiaw the above lot and the wC:k as acciied for ort the abcve Iet, in the building permit accli=tion and assccated attac`tments. c:mclies wit;;cre cr more cf the following sections as inci=ted by a cmecY mark. _Tuts Is an-Cpliczticn-'Cr a building permit for the enfarement. restoration,or retorst;rC zr ct a 1:veiling;n existen=as of the effa :ve date of this-y-;aw, prcvidec chat na additional residential unit is crostaz. The Ict(s)wereiwas eeated zricr to May 5. 1956"are exemct frcm the provisions of this Sewcn 3'of;he Ccnirg Eyiaw. This accilctfon is'or eveiling units fcc low and/or mcderrte in=me families or individuals,Nrere all of the =neitiens of 8.7.5.care met and/or represents Cwelling units for senior residents•where ccacarol of the units is reztr c:m to senior persons througn a prccerty exec red and retarded deed restnc cn running wdh'the land. Fcr purposes of this Sec:!cn'senicil snall mean persons over the age of 55. This accfictfen is a Dart of a development project which voluntarily agreed to a minimum sC%permanent reduCen in density,(buildable lots),below the density, (buildable lots),permitted under Zoning and feasible given the environmental rmditi=of the lrac"_with the surplus land equal to at least ten buildable aces and permanently designated as open seaca and/or farmland.The land to be preserved shall be protected(ram deve!ccment by an Agnmiturl Preservation Res„ctcn,Conservation Restr:cten,dedication td the Tcwn, or ether simiiar mechanism approved by the Planning Soars that will ensure its prcte tcn. This apclicntfen recresents a trate of land existing and net held by a Cevelccer in=,manor ovvrersitic with an ac�acsnt parte!on the erfec:ive data of this Sermon 8.7 snail receive a one�ime exericdcn frcm the?!arned Growth Rate and Ceveleprrent Scheduling provisions for the purpose of cans•,ructng one singe family dweiling unit on the part~!. This acpfication represents a lot Nhich is ready for building perrrits.(i.e.all other permits frcm all other beards and wmmissiens have been received and the prciec:Is In=mpffanca with those permits), and the Ceve!ocment Scnedule does not ac=mmedaie issuing a building permit in that Year, one building permit•+vial be issued per Year per Cevelccment until suc^,time as the Ceve!ccment Sc^,educe ac.~mmedates issuing building permit. Acclicant must sucpfy approved form U wrth this E(cPAP'i iCN. Please provide any and all information that wcufd assist the Suiidinc Ceoar.ment in make rc a determination" that your application is allowed are or more of the above EXEMPTiCNS. Ey signing beicw I attest to the ac~.rrac!of the irfcrmatien provided and that the attaG.ed building permit is allowed an "<E-NIP i ICN as dted abcve. Further I understand that the submittai of misieadinc and or iraccarate infermaticr, or the G,eckirg off, of an abcve item which does not comply, wcether acne to my kncwled ar nct, is grounds ler refusal by the Suilding Cepartment to issue a Suiiding=emit. V. ig .at r '(0:7!w 1�e r-,or-Autmenzec Agert +vac sicrec the Attacned Suucire zermi Cate This form must be attz=ed td the Building=emit upon aopiicnticn °cr sucs zermit FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT (10Aff. +'DW117 00164. PHONE 97Y ASSESSORS MAP NUMBER 3 LOT NUMBER 9,-77 SUBDIVISION ad D a-)7_ tri 11,Ag LOT NUMBER /G STREET A41 r ML-9 L` STREET NUMBER ................... .................... ........................... OFFICIAL USE..O..N.LY... ISMOMMUSHMERES RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED L CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TO R DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED�Z Z, a SE ECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRfVEWAy,PERMIT ,I f DZ a w a a D DATE APPRO D FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE 4 ` Town of North Andoverati Na RTN qti 2 6 y6t 0 Building Department o -� 27 Charles Street # _ North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542044aR 9ssgcHusti�c DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. �r The Commonwealth of Massachusett _. ,�r�, Department of InCustra!_.:�ccrcEnts Gt;ics Cf Invesilcations == �' EOStGn, Mass. 0=,, 11/crker.:' Cemcensaricn Incur:ce P-1 ame -'e�s� �IGme: vA 00fYS 1/�� C )"'0 Cit/ 'L/ 4L 41 CI am a hcmecwrer zert.,minc all wcr'.c ryse!f. CI am a sole crc..,e!cr and have nc ene`P/cr'anQ In any cspac:y CI am an emcicyer.rcvidire wcrkers' c:,mpensaticn my err.picJe-es'NcrXinc on this job. Ccr'cariv narre: a&2ay" (?d"vq NL d-d,4,0 Address 5/ ' ')l !77' �l�'!d t(d Insurance Co. 1 i 4ZZ,ir )I-e h4u 7`7i!9 FriicJ T wC/ AN <// ! Comcanv name: Address Citr =hcre Insuranc- Ca. Fciicl Failure to sectae ccverage as recur`=uncer Szc::cn 21.4 cr MC-L t 5.czn leac:o the;n-cesidcn ar cn irm penalties cf a Rine uc to Si.°CO.CO anc!cr one years'irrprscrment as ,ve:!as=vii penalties in the r.crrn c a 5-�CF'r/CRK CRC =ane a fire z'(51CQ.00) a day agsirst me. I uncerstana that a c'j cf;hrs ataemert.may de fcrvarcec tc the ur`c_d Invesrgatfcns cf;he CiA`cr cpverage venfc-ticn. I cc herecy cert7y uncer rhe Gains anc:eennaities ci;e.furl that:he inrcmradcn Frevided acpve is'me arc OIL 2�y Frintname� � �/���/�iAr FicreT �77� —a e) C`ic:at use only Co nct wrre;n this area,c de cpmptetec'py C:-/c::C.vn c=u<f C;ty cr i curt -malLcens rc C Eur7cinc Ce�r [C`eck.f;inrredrate rescprse�s�e:c:red j� L'C�nSJnC �CarC CU, ALL SUBSURFACE!/77 Df21VEWAY ADM/N/SMWOR AWO9 _�S EM ENT / / / RAGS 43-H TO 1717 :♦ . j ,�' H4YB&4LES AS DEPf'CTE fFNCE, AND ARE TO B ADMINISTRATOR TO PF�YWS L.I ,( 4/ r ,dW 15 FF • F. ,..q � t r 1 i \ z Ofd 40 all ` �.. • QUO ` :� - � -• �Ii �,� 0 140- \aJ i i I • , \� / ,• / • i • ..ter ��/ f/ 1 / l BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 009802 Birthdate: 08/24/1939 Expires:0824/2001 Tr.no: 3567 Restricted To: 00 PAUL J STHILAIRE 5 HANSON DR a, MERRIMAC, MA 01860 Administrator 00-35,000 d enclosed space (MGL C.112 S.60L) 1A-Masonry only 1 G-1&2 Family Homes Failure to possess a anent edition of the Massachusetts State Building Code is cause for revocation of this license. ' DIG SAFE CALL CENTER: (888)3447233 I � ORTIy Town o �� ::..: 6 n over O Y, tit No. Y - o ndover, Mass., o n T Q - LAKE COC MIC ME WICK V E SSq D D C H 7744 ITI FOR EXCAVATIONAND FOUNDATION THIS CERTIFIES THAT Am. . .0vtr.....Co d.-!0... .,, V4, O I' ............................... has permission to excavate and pour foundation at .10 24... ..�� .mr. Z • ,offor the purpose of.�.l�.rA t ��..l� '�r. .�N . .,!t....FA 11'1► .. y....., The person accepting this permit must return to the office of the Building Inspector certified plot plan show of building thereon before Foundation will be inspected. P VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PElrNUT EEE LESS FDA FEr ..... .. .....�....... ............. BUILDING 1NSPEC'I'OR NORTH Town of Andover No. X L A o dover, Mass. COCMICMEWICK �t A0RATEO P `C S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 0coovV� BUILDING INSPECTOR THIS CERTIFIES THAT. /1V. ..... NS ................. .... .................................... Foundation has permission to erect...................I............... ... buildings on .A.61.1 to....*..kl..Nv*i�...... .....LAO- Rough to be occupied as..I.Q.roo .. .. .e1... .. ..�. .. ��...0 !tf`.... �11�� %14j imney Ch' provided that the person accepting t is 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 Ins action, Alteration and Con truction of Buildings in the Town of North Andover. p &'n , 22 # PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S Rough .............. .. .... .... ........ .............. ........k10................. ....... ... 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 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. House eatures - - I I - I • • • - Living Room Famfl�• Room / � • I I I Dining • • i 5reakfast ' Sunroom Open.�r�r�rrr�r�r�► � irrrrrrrrrrrrr• �- �-a, rrrrrrrrr rrrr. Studg �.��.rrrrrrrr.�rr �rrrrrrrrrrrrr �.•—.�� �..r..rrr rr.�. p .rrrr+r.�rrrrrr� .��••-•• .+r+r.�r.� r+r.�rr� .rrrrrrrrrrrrr► ���� -i+r+r+ rrrrr� �r�r�r�rrrrr��' ��rrr rr�r�r� C . . . - under i�r..rrrrrrrrrr ��.�ar rrrr�.rr. • �rrrrrrrrrrrrr •rra r..r••r••r••r. .rr��rrr�rrrrr� `err rrrrrrrrM��i �_ �rrrrr.�rrrrrrr, -rr ..r+r.�r�r.�r�• � 4 5edroome MEN 2 5 athisN MEN son son ' Lavator 3 NINE son _ MEINS' no] • i a.I` = mol �I - �� a I�� _ ��� ��� _ In = �H _ !log = i i _ ■�� _ IIS = n� — sms 90 JIM ��� _ oll log TotalRom M 10 .. . dimemiom • . • Drawn . - Colonial . • / • • 170 Main1 ' Tewksbury, 01876 (978) 851-7330 HRT/BD—CC-12x14D Classic House ' . :' 12663 Colonial (99 Drafting Services 110 Main St., Unit #204 Tewksbury, MA 01816 Tel= (918) 851-1330 Continuous Baffled Ridge Vent Composite Roofing H 12 9� 12 12 �g 9 m v r Attic_ s CIA � o D ® D D ® D ® ® D ® D D ® D D ® D D ® D � -� � � Second U Egress window 0 Egress window }—Egress window o Cedar Clapboard Siding LL +H DDC(N tt � 4-HN IBM IM 0 DO F irst Q OqPO D O - — Ap�rox_ 1 x 10 Watertable board f=inish Grade Primary egress door Wainscoting cri 4'0" (min.) below grade ------------- Basement ' _ - -— ' ------------------- ----- ----- ------ -------------------------- ------------ L---------------------------- ----------------------'---------L---------------------------- ---- f=ront Elevation 1'0" Colonial ® Drafting ' Services 110 Main St,, Unit #204 Tewksbury, MA 01816 (918} 851-7330 r i i Con osite roof" 12 TZ Q9 L FF I I I9 Go osfte roof ® Ceder Cl�boerd Composite roof CO oafts roofs OWN Rill 12 Ceder Clapboard etding FFH mm ng a LLLJ ' Approx.Fhlsh Csrade � � . L--j0 0� 00 00 ------------------------------------------ ----, Approx.Finish Grade 1, r---------------------------------------- -- 4'0" (mina below grade T^ kt.-- Elavatf LaFt. Eo� 1/B" -Vol' CEColonial Drafting Services 110 Main 5t., Unit #204 Tewksbury, MA 01816 '. Tel= (918) 551-1330 Continuous Baffled Ridge vent y _O r N 12 12 Composite roofing I I I I 1 19 9 m m T Attic_ — L s Egress window LLLI 40 OIC Ld IF__�- X Second Cedar Clapboard Siding CIA m � m F first Finish Approx. Finish Grade Grade ' l--------------I Basement Secondary egress door � ' -- i ------------------------------ ---------------------------------------------- i I ------------ 4'0" (min.) below grade K ear Elevation • Colonial ® Drafting Services 170 Main Sty Unit #204 Tewksbury, MA 01876 21'0" 20'8'/2" 16'3/2' (978) 851-7330 5'0' 11'0' 5'0" 13'0• 7'8112" r Beam Pocket Size to suit beam3- 2x12 Beam ' m Shin beam with steel r------------------- slims or hard brick 1 1 I I (5 Regd) Beam Pocket • 6" Wx6" D x9" H o �+ Oil 2'8 1'311+• il 2'8%" t'3/+ -All Shm beam with steel �------ --------- ---- or h x11 1 sh s and brick 1 ,. in r------------�- -1-- ---1 --t 1 iD (6Req'd) __-� '• ' LVLbearn_by_others _rn�l I 1 - 1 , N J , - ------------------- ' 1 ------------------- ---------- �I 1 I 1_ " 6 3�'4 �I� ' a• I 1 I I1 CD 4" Concrete Slab o I I _QII'I ' — 1 • ' o �6 x 6--6/6 welded wire fabric placed at mid-depth of the slab. 1 I 2$00 psi concrete o I LVL Beam by others I 3'6" 4'1112' 6'8" 5'10'x+" 7'10'x+" 1 16'13�a' I ;o 11= �,, •• , - -, _jI 4' Concrete Slab o;I o • I , I ' I I_ Slope for drainage_ 0't I 'o .c I + 1 o I •• ; o _ "' ; 3,500 psi concrete 6 x 6-6/6 welded I _G 6 I t J I... I�� - 7 TI — 't T —' — a� h I wire fabric placed at E I I j_I I_ a1 I- .1 I_ _1 I� 21 1 Ip O = 11 I I I T `a T o °' 1 mid-depth of the slab. I I Im'� a '� .�� �I o I I E 0y11 0 �araae Finish o�' I I ••' I ^ 3- 2 x 12 Center Beam o•r. I "' •,W I ., 1 o E I For requ�ements - 1 CD 2' Dia.Ldl� Columns o 1I see "General Notes' o - W 2'6" sq.x 13' dp.footng10 rea I I 'Fre Separation' ( q'd S) °' _j 1 [3603 .5 .2 ] =a) r}--- ----------------- CN CO I1 3- 2 x 12 Beamo'� ' ' r------r-------------- I , --------' I ------------------ - � r------------ -------- -- ---------------- I I r--,- ----I ' ' r------------------ CD I •' L-1 '' t to I L_I I cV I 1 N I I N Foundation 10" Conc.Wall / 8b" Pour 3,000 psi concrete 10" dp.x 20' w.conte.ft'g. 13'812" 3'9vz" 70' 3'9V2' 13'8Y 1610" 58'0" Nb es., 1. All dimensions to be field verified and changes made accordingly. ' 2 2 Foundation drainage shall be provided around all concrete or masonry foundations enclosing habitable or usable spaces located below grade. q I O3O sq ft — Basement • 3. Foundation walls enclosing habitable or storage space shall be dompproofed from the top of the footing to fin"shed grade. 1/8' = 1'0' 819Q f sq. I t. — Garage [3604 .6 .1 ] Notes: C-� • � ,n � ral Notes = . Safety Glazing 13603 , 20 , 4 , 21 1. All notes and details contained within these drawings are to be used 6th Edition M ansae huse tt5 5 u i l d ine G o d e All doors and fixed side panels with 24" to either side of a door. as they would apply to the house being constructed. Exposed bottom edge less than 18" above floor. - 2, When plans are used in conjunction with builder specifications and Notes and details apply as necessary to the house design, Individual panels that are greater than 9 sq, ft. any discrepancy occurs, the specifications will supercede the drawings. basement Ventilation 13603 . 6 . $ . 2 , 3. All substitutions are the responsibility of the Builder, G Irder Ends 13603 , 22 , 4 , 4 Basements and cellars not used as habitable, occupiable space shall The ends of wood girders shall have a 1/2' air space on top, sides 4 end, 4. All dimensions are to be field verified by the Contractor and any be provided with a minimum of four sliding type, or awning type basement t adjustments made accordingly, windows For every 1500 sq, ft, of floor area. Cripple walls C 3606 , 2 , $ 4 3606 , 2 . S , 12 5. All work shall be completed in compliance with all applicable Building, Plumbing, Electrical codes, Any other local, state and/or Minimum CeilingNei ht C 3603 , $ 1 3 Foundation cripple walls shall be framed of studs not less than the studs federal codes that may appl to this project shall be consideredsupported.When exceeding four feet in height, such walls shall be as part of the construction documents. Minimum ceiling height= Nabitab a rooms, except kitchens, shall have a framed of studs having the size required for an additional story, 6, All waste materials and debris shall be removed and disposed ceiling height of not less than T 3" For at least 50% of their rec.Ju�ed areas. p Bracing= Such walls having a stud height exceeding 14 inches shall be OF properly. Exceptions= considered to be first storryy walls for the purpose of determining the 1. Numbers set within I I reference that section of the 6th Edition of 3. Habitable basements shall have a minimum clear ceiling height of seven bracing required by 180 C:MR 3606 . 2 . 9, Stud walls less than 14 inches the Massachusetts State Building Code, feet zero inches except under beams, girders and other obstructions in height shall be sheathed with plywood of wood structural panels spaced not less than Four Feet on center may project not more than attached to both the top and bottom plates In accordance with 8. These drawings were prepared per guidelines set forth in the six Inches below the required ceiling height. Table 3606 , 2 , 3a, or the walls shall be constructed of solid blocking, Mass. State Building Code Section 136 I for 14 2 family dwellings. ,access to Crawl Space t 3603 , 9 , 1 I Garage I Nouse Separate 13603 , 5 , 13 opening 18" x 24" (min.) table 13604 , 2 , 2 I Openings From a private garage with either solid wood doors 13/4" Access to Attic 13603 , g , 2 3 Minimum Specified Compressive thick (min.) or 20-minute fire-rated doors,self closing devices and 22 x 30 (min.) for attics with a height greater than 36�� Strength of Concrete Fire resistive rated door frames are not req'd. All door openings between the garage and the dwelling shall be provided with a raised Sleeping Room Window Opening Type or location of Minimum Specified 1 sill with a 4" min, height. 13603 , to , 4 , 13 Concrete Construction Compressive Strength Fire Separation 13603 , 5 , 2 3 33 sq, ft,, 20' x 24" in either direction. Basement walls and foundations 2,5002 The garage shall be separated from the residence and its attic area by not exposed to the weather means of minimum 5/8 inch 06 mm) type X gypsum board applied to the Exit Doors E 3603 , 11 1 1 Basement slabs and interior slabs garage side, Wherever the attic area is continuous between the garage , . , 1 - 36" wide x 6'6" high, others 2'8" wide min. . . on grade, except garage floor slabs 2,500 2 and the dwelling a firestop of 5/8 inch (16 mm) type X gypsum board Ors 3603 11 , 2 1 with a minimum of one coat compound and tape shall be used to form interior Do E Basement walls,foundation walls, a barrier to separate the garage and dwelling. 30' wide x 6'6' high (min.) exterior walls and other vertical 3,0003 Exception= concrete work exposed to the Floor Surface r 3603 , r.7 , 3 I 1, Bathrooms 28" (min) weather Garage Floor surfaces shall slope to facilitate drainage toward the 2, Existing Bathrooms 24" (min,) main vehicle entry/exit doorway. Porches, car port slabs and steps 3,4 exposed to the weather, and 3,500 Ventilation Required C 3603 , 6 , 2 ] Neat Detectors E 3603 . 16 , 4 ] garage floor slabs Every room or space intended For human occupancy shall be provided (Reserved) with natural or mechanical ventilation. . . Smoke Detectors 13603 , 16 , 10 3 For 51-- 1 psi = 6.895 kPa, Exception: Every bathroom and toilet room shall be equipped with a Smoke detector/heat detector locations: 1, At 28 days psi. mechanical exhaust Fan. 1. in the Immed late vicinity of bedrooms., 2. Concrete in these locations which may be subject to freezing and Minimum Glazing Area E 3603 , 6 , 4 , 2 1 2. In all bedrooms. thawing during construction shall be air-entrained concrete in Exterior glazing area of not less than 8% of the area V2 of the required 3. In each story of a dwelling unit, including basements and cellars, accordance with Footnote 3. area of glazing shall be openable, but not including crawl spaces and uninhabitable attics: 3. Concrete shall be air-entrained. Total air content (percent by volume 4. 1 for every 1200 sq, ft, unit, of concrete) shall not be lets than 5% or more than 190. Roof and Attie Ventilation E 3603 , 6 , 8 1 , 1 1 ventilating area shall be 1/150 of the space. This can be reduced Legend' O - Smoke Detector 4. See 180 CMR 3604 . 2 , 2 for minimum cement content. 1/300 when a vapor retarder 15 installed. tolm. ds Colonial IS ® Drafting 2x Nailer Services 170 Main Sty Unit 204 21'0" 20'82" 16'A' Tewksbury, MA 01876 13'10'/4" Insulate corner (978) 851-7330 7'0' 6'toy4" 4'8/4" 10'61'4' 5'6" 8'1-V4' s'1-/4' 2x Plate xar Corner Framing Detai 6'5Y X 5'514" U-)� N X X P") N �Lr') 4 • O & f OO 1 1 Ln N M 8,3��4. 5'S'/4a � in �+ �n x N In o 2x6 wall x N TW2(}-DHP31052-20 N N o cv N 3'5114' X 3'53t" Ven N 6'0' SLIDING N Post Post — — — — 6'0" SLIDIC R` Walk—in K'rtchert SED. N D Pantry p �imt layoutBreakfastII �' C> may vary R x CSO ° I o = o ,1 11 "M CV � GO 2,4a 11 II • 11 11 II M11 4-/4"— LI, 3'9/2" 3'3' 77'/4" 310" I' _ MArmy - - - - - - Q FamiY 11 1/2 walls w/cokmns Post ost N ® P O _ �., Fan a� o C=) In 'O 3'6" 10'2k2' X R LCa� � L� - _ a u7 L.1 9 J•� O io x O 3/ 3 4 Ln`D Study2'10'x" X 5'5'4" o u CO = N N 011 s0 Foyer 2'10%" X 5'514" o 2'10'/x' X 5'51/4"II PED. v 2'10 " 5'5'/4' Cl. Cl. CL 2'10 ' X 5'5'4' N 3'6' 7'0' 52Y 3'2V2' 70' 3'6' 13'8V2' 3'91/2" 7'0' 3'9V2" 13'81'2' 4'0' 8'0" 4'0' 42'0" 16'0" 580" des: 1. All dimensions to be field verified and changes made accordingly. 2 • 2. Doorways: P.E.D.— Primary egress,S.E.D.— Secondary egress 3. Wall construction: Exterior= 2 x 4® 16" D.C./ R13 Insulation Interior =2x4 ® 16" OD. L-38R : First Floor Plan Plumbing Stock = 2 x 6® 16' O.C. 1, 21 s q. ft — L iv in g 4. Window R.D.sizes are for Andersen 'Builder Select' wndow units. 1/8, = 110' 5. All 4x posts are Douglas—Fr Larch No.2 grade or better M Sid G SPRUCE - PiNE - FIR No.2 Center Girder 4 Column spacing - Modulus of Elaaticity "E" = 1,400,000 Fb: 2 x 4 - 1 ,510 2 x 10 - i , 105 TRS 2 x 6 - 1 ,310 2 x 12 - 1 ,005 w TRUSS Joist Under Bearing Partition t 3605 , 2 . 3 . 2 I 2 x 8 - 1 ,2 1 O I TABLE 3608 .2 . 3 . id I TRUSS ,'30PSF- Joists under parallel load bearing partitions shall doubled or a MAXIMUM ALLOWABLE SPANS 1=0R '- so�s�'. 30 Qs� beam of adequate size to support the load. - PSF Bearing t 3605 . 2 . 4 ] JolsTs/RAFTERs One Story Two Story Three Story The ends of all joists,beams or girders shall have 11/2" (mrQ of Joist bearing on wood or metal and 3" (min,) on masonry. size 2 x 6 2 x a 2 x 10 2 x 12 COLUMN SPACINGS UNDER GIRDERS Floor E Table 3605 . 2 .3 .3b I Bridging 13605 , 2 - 5 . 13 12" O.G. 10 - 1 1/2 13-4 1/2 11 - 11/720 -41/2 Girder size Joists having a depth-to-thickness ratio exceeding 6=1 based on nominal 16 O.C. 9 -11/2 12- 1 1/2 15- 11/2 11 -51/2 F irst 3 - 2 x l2 W - '24 W - 26 W - 26 W - 32 dimensions shall be supported laterally by solid blocking, diagonal „ „ „ „ bridging (wood or metal), or a continuous one-inch-by-three-inch strip one story l0-3 9-10 .3,-b S -il 12" O.C. 11 - 1 i/2 14 -9 V2 18 - 10 1/2 Z2 - 4 1/2 11 �� 11 set perpendicularly across the bottom of joists and appropriately 5 e C O nd TWO Story 1-8 1-4 1-1 6 -allnailed. Bridging shall be installed at intervals not exceeding eight feet. 16" O.C. 10 - 1 1/7 13-4 112 16 -& 1/2 i9 -9 1/2 Trreas,a►y 6'-4' 6'-1" _ '-"' S'-6" Drilling and Notches 13605 , 2 , 6 , 1 1 ,4 tt IC 12'1'0 C. t2 -9 1/2 16 - >0 1/2 21- VZ Colunn sizes - 4" x 4' or 3 1/2" diameter steel No future me 16 O.C, t1 -1 1/2 15 - 41/2 IS -11/2 — Footln Size= 2-6 x Z-6 x 1-3 d Notches in the top or bottom of joists shall not exceed one-sixth of g the depth of the Joist,shall not be longer than one-third the depth of ,4 tt iC 12" OZ. 16- 1 1/2 21-31/2 21-31/2 — the member and shall not be located in the middle third of the span, Notch depth at the ends of the member shall not exceed one-Fourth Capes 3/12 (max) i6' O.G. 14 -11/2 19 - 41/2 24 -s 1/2 — the joist depth. ROOF 12' OZ, 12 - 1 15 -3 la-8 21 -5 Holes 13605 , 2 , 13 over attic 16' O.C. 10 -5 L3-3 16 -2 18 -9 Holes dr1led, bored or cut into joists shall not be closer than two inches (51 mm) to the top or bottom of the Joists, or to any other hole located ROOF 12" O.G. 11 -0 13 - 11 11- S 20 -6 in the Joist. Where the Joist is notched, the hole shall not be closer than Cathedral 16" Z. 9 -b 12 -1 15-4 11- 9 two inches to the notch. The diameter of the hole shall not exceed Notes: Minimum Uniformly Distributed one-third the depth of the Joist. I. All structural materials shall be void of any defects that may Live Loads (lbs. / sq, ft,} diminish their capacity to function in an adequate manner. Structural Engineerincl or any other professional services that E Table 3603 , 1 . 3 I may be required shall be provided by others. LIVE Application and Minimum thickness 2. Roof snow loads calculated for Snow Zone - 3. S LOAD (par) of Gypsum Wallboard Balconies and decks 60 E TABLE 3601 . 2 ,3 .4 I Maximum allowable spans for header Garages (passenger cars only) 5001 Thickness Plane of Long Dimension Maximum Maximum Spacing aupportin Wood Frame Walls Attics (roof slope 3/12or less,no storage) 10 of Gx psum Framing of Csypsum Spacing of of Fasteners E TABL 3606 .2 . 6 1 Wallboard Surface Wallboard Sheets Framing (center-to-center, in inches) Attics (limited storage) 20 in Relation to Members Size Su ort' Headers in Direction of (center-to-center pp g 1 Sto 2 Stories Walls not Livings Areas (except sleeping rooms) 40 of Roof Framing Members in inches) Nails Screws Header Only Above Above supporting Sleeping Rooms 30 Fastening required without adhesive application. floors or roofs Stairs 40(2 ) q 2-2x4 4' Horizontal Perpendicular 16 1 12 Csuardrails and +�andratls 200 3 / 8 2-2x6 (0' 4' (ehgle concentrated load at any point along top) vertical Either direction 16 8 12 2-2x8 8' 6' 10' Note Horizontal Either direction 16 1 12 2-2x10 )0' 8' 6' 12' (2) Stair treads shall be designed for a single concentrated 1 / 2 Horizontal Perpendicular 24 1 12 2-2x12 12' 10' 8' 1 16' load of 300 lbs. over an area of four square inches. Vertical Either direction 24 S 12 1. Nominal four-inch thick single headers may be Design Dead Load Horizontal Either direction 16 1 12 substituted for double members. 5 / 8 Horizontal Perpendicular 24 1 12 2. S ans are based on No. 2 Grade Lumber with Design Dead Load = 10 lbs. per square foot p Vertical Ether d(rection 24 8 12 10' trlbutary floor and roof loads. E Tables 3605 . 2 . 3 . la, 3605 . 2 . 3 . Ib 4 3605 . 2 . 3 , lc I Colonial ® Drafting Services 170 Main St, Unit #204 Tewksbury, MA 01876 (978) 851-7330 r 58'0" 13'101/+" 5'9 ' 9'6' 4'31f 8'S" 4'0' 700' 6'101/+' 5'41/+" 4'13'+" 421Y 4'21-�" ;'0",2'0". Verify clearance between tub and window with purchased tub.Tempered glazing rnstolled 2'101/6' 3'51/+" 4'11 Y8 4'11'+" Vent Vent '6 X '9n�+° 5'7v8" X 4'91/+' a o "' Walk—In o 4 o u Fan N N Closet °° Bedroom # J _ Fan o y 3'3' }y tf•) N 0 N 1 o Nc� J � � - - — — — — - - oN '6 214' CO 5'9 2'6' 0° r----- \QS Post o I — — — — — O "� A access—',-��` N �- I I I I N o N PalldownStair - --' 0' SLUNG I I I 2— 2'6° ted = � Closet Closet Post o O Past Closet Closet N I I M Bedroom 2�11' ' 2— 2 6' I Coffered ceiling I I = 7'0' 7'S' 6'3ki" I I I I �+ � I I I I rn Poyer en to I I I I x - - x Bedroom #3 Below Bedroom #2 210 " x 4°s1/+'2 a 41401/4�" N O 2'101/6" X 4'91/+" j 2'101° X 4'91/+" 2'10Y X 4'91/+" N 2'101t" Post 57'x" X 4'9n�+' Post 2'10%" X 4'91/4' 2 I 3'6' 7'D' 3'21/2' 7'3�" 7'31i° 3'2�z" 7'0' 3'6" 13'81/6' 147" 13'81/i' 4'0' 8'0" 4'0' 42'0' 16'0" i Nb les 1. All dinensions to be field verified and changes made accordingly. 2. # — Indicates egress window units. 3. Wall construction: Exterior= 2 x 4 9 16" 0 C./ R13 Insulation Interior = 2x4 ® 16" 0. L-38R : Second Floor Plan Plumbing Stack=2 x 6 ® 16" D.C. " " 1,760 sq. ft. — Living 4. Window RD.sizes are for Andersen Builder Select window units. 1/8" = 1'O" 5. All 4x posts are Douglas—Fr Larch No.2 grade or better Colonial ® Drafting Services 170 Main St, Unit #204 Tewksbury, MA 01876 (978) 851-7330 r 58'0' 13'1014" 59Y 9'6" 4'3k2" 8'5" 4'0" 12'14'4" - - 1F T - - - -IF F 1- • I I II I�If�ll II II II � 0 IF Attic --; 1 I I I o Puldown wn Stair I--- N Insulated CD I— I �_I— I I I I o I— I I I I I I I 1I I I I I I I.I I � � I I ► I I I II II II I I - - - - - III N +1 I I I 11 -- 11 - I C>TF I I 13'Skz" 14'7" 13'82* 16'0 Notes" L-38R : Attic Floor Plan 1. All dimensbris to be field verified and changes made accordingly. 1/8-= 1'0" Colonial ® Drafting Services 170 Main St, Unit #204 Tewksbury, MA 01876 (978) 851-7330 - 8'1 '4` 8'13/4' r 36" wide Ice & Water Shield Provide metal drip edge applied to all eaves and at all eaves and rakes(typ) valleys(typ) 12 I I 12 = 9 t - 7 ag I I �-- c – a 12 p – — o -Q 5 - I o e I I Slope _ = Composite Roofng (typ.) 115 Felt u derloyment(typ.) lb SIS Continuous Baffled Ridge Vent(typ) 9 II 12 9 9� a -__ Nqq 12 �( - Q 9 N all I b CD `n Slime Slope Iia 1 12 I I 12 v —F uMM I 9� Q9 1.0 s SIS ope Slope 17 � 99 i 7'31f 7'A' 14'1 '4' 14'1 '4' i i • L-38R : Roof Plan , � . • 1. All dimensions to be field verified and changes made accordingly. 18' = 10 Colonial 16'1 %a " Drafting Services 110 Main St,, Unit #204 Tewksbury, MA 01816 13'10'/4" Tel= (918)851-1330 3 - 2 x 12 Center beam Beam by others below below Beam bg others below -- Account for plumbing ! ! m drains in this area lit I I ' m I - CO y, O I U -n Q 13 O O LO I Q7 J O I N lid ' o Qt r r r -rr 2 - 2x10 i r r C O -A U x i I 3 - 2x12 Joist hanger Center beam Simpson LUS hanger \-3 - 2 x 12 below or equivalent ' ' Center beam All dimensions to be Field verified, : below All members are 2 x 10 6 16" D.C. (UND,) " . Walls below floor level are indicated= r Walls above floor level are Indicated: c� L-38R First Floor Framing Joist hang er-J L "Flush Framed Beam" - indicates Built-up, LVL or steel 3/16" = 1'0" beam to be designed by others. Colonial Drafting Services 110 Main St., Unit #204 Account for plumbing ! Tewksbury, MA 018-16 drains 1n these areas. Tel= (918) 851-1330 Lower Gelling Framing O ii 2 x 8 ria 16" D.G. I; l ul r1a 93 23 L L L L L J L MJj_ JIL JIL =LJ '' Flush Framed Beam J r M r r �! I j ; J ! I J 1L i -' CIAi t I - - - - - - - - - - - ! Flush Framed Beam ` I I I I J J L L L J L J L L r I r i ! OI J n ! rn CIA J 2 - 2X10 - - —-- - — — — — — — J i� I --- -- - - J I� � Ap All dimensions to be field veffied. All members are 2 x 10 6 16" O.C. (U.N.O.) _ Joist hanger Walls below floor level are indicated= = Simpson 1.U5 hanger Walls above Floor level are Indicated= o ; ; or equivalent Joist hanger: J L "Flush Framed Beam" - Indicates Built-up, !_V(_ or steel 3/16 Voll beam to be designed by others. gocolonial Drafting Services 110 Main 6t, Unit #204 Tewksbury, MA 01816 141 70, Tel: (515) BE51-1330 J X. .1 L JIL J L J L JL JL JL L. JL. J I. JLJ ST C4 C%4 Ln j 2 - 2 x 8 r L (Z r "I r 2 - 2 x 5 C-19 L _.rJ L 2 - 2x8 1 r r YR Flush Frame Beam L j L IL. AL A L -EnL. -ML J L L_ jnL j L A j Q r n J r -1 r 9 r r -1 -1 r 9 r 9 r 9 r -11 r C-4 r CV C� r L r M r r L r 2 - 2x8 r "I cl L ani CP 9" 1 r TTI LUIv I ! i � Colonial Lower Roof Framingi Drafting 2 x 8 aQ lb" O.G. ! Sery ices 110 Main 5t., Unit 0204 TewksbuN, MA 01876 Lower Roof Framing Tel= (918) 851-1330 2 x 8 16° O.C. I ED Nip Rafter Truss See detail sheet ( r I • i�ip RaFter Truss D See detail sheet LA i 711 i ! ij ii I 2 x 12 Ridge Board I I Hill 2 x 12 Ridge Board ! ii - 1 / M IE AF Note Flush Framed Beam, game as _..---_.__.___...---_.__.,_.._......---------_........__.... -------------. i All dimensions to be field verified, shown on Attic Floor Framing All members are 2 x 10 Q lb" O.C. (U N.0.) Walls below Floor level are indicated: . Walls above floor level are indicated= o : -Roof Framin "Flush Framed Beam" - indicates E3uilt-up,LVL or steel 3/16 : beam to be designed by others. i O Coffered Callina Detal 2x8 1x8 f 2x6sIb" O.G. 2x86161, O.C, 2x (0 161, O,c. 2 - 2x Ring JoistCl 2 - 2x Ring Joist 2x Calling Joist12 2x Cailing ,Joist , lie 2,0' 21011 Room width ' J Section - A 2 x 8 0 16' O.C. 2 x & 16D Vo 0,C. 2x6rla 16' O.C. 2 - 2x Ring Jo lot 2 - 2x Ring Joist 2x caning Joist 2x oiling Joist T IN, N N r I I� �- - - - ---------- ------ - - --- - -- - -- ---- 21011 - - - - - - - - - - - - - -2,O„ 21011 Room Length L ' Section - i Colonial Drafting Stair Data it-A ` Services Stairway Width: 110 Main St., Unit $204 (oth Edition Mass. l5 l d g. G o d e 13603.13.1 I Width=Stas shall rot be lees than 36' in clear width.. Tewksbury, M,4 01816 Treads and Risers (918) 851- 330 13603.13.2 I Treads and risers The maximum rlserheight shall be B 1/4" and the minimum tread depth shall be 9' Tolerance between adjacent risers:3/16" ' Total riser dimension tolerance 3/8' • _ hosing Profile: + C 3603.13 .2.13 Nosing profile:A rasing shall not extend more than L, 11/2" beyond the face of the riser below. Headroom= ' C 3603.13.3 J Headroom=The minkum headroom in all parts of the • + + stairway shall not be less than , r1resto in pp g' 13606 .2 .1 I FirestoppN shall be provided to cut off all concealed spaces between stair stringers at the top and bottom of the run. Guardrail Details= L 3603.14 .2 .11 Guardrail detaita Porches,balconies,decks or raised floor surfaces located more than 30" above the Floor or grade below shall have guardrails not less than 36" in height.Open sides of stairs with a total rise of more than 30" above the Floor or grade below shalt have guardrail,which shall also serve as handralls, not less than 34" in height measured vertically from the nosing j, of the treads. Guardrail opening Limitations= I 3603.14 .2 .2 t Exc.I= Required guardrails on open side of staFvays, balconies,porches,deck&and raised floor areae,shall have intersmediate rails balusters or ornamental closures which prevent the passage of an object -- 5" or more in diameter. 1=xceptbn=Triangular spaces formed by the riser,tread and bottom rag or ___________________ a guard at the open side of a etaiway may be of size to prevent g+� the passage of a sphere 6" h diameter. _ tread Flnlsh floor the ( min. } i —Subfloor [ 3603 . 14 . 1 . I I Handra1s having 30' min. and 38" max, heights 3011 - 38" hi respectively, measured vertically from the nosing of the treads, handrail (typ.) , m o 'Deader shall be provided on at least one side of stairways of 3 or more risers. C ` EC I ' ._.. C------I ,---- Exceptions: Finish floor 1. �landrails shall be permitted to be Interrupted by a newel -- post at a turn. Joist hanger 2 x 4 !_edger the use of a volute,turnout or starting easing shall be allowed supports central over the lowest tread. 2. 36 high (min.) Subfloor stringer I 5ta1r stringer 34' h h min, I Stair Guardrall Horizontal Deader Locate floor header Handrail Grip Size: '• � Uuardrail to intersect with bottom of stringer Stairway circular handrail cross section= 11/4" min, and 2" max. Other shapes,perimeter•4" min.and 6 1/4' max. Hand ra 11/Guardrail 5 ase Detail To Detail Cross-sectional dimension of 2 5/8" max. 13603 . 14 . 1 ,2 I p WO" i'6" 5'6" 5,6' 1,6" 12 x 14 Wood Deck ------- ------- ---- Colonial Drafting Services r 110 Main St,, unit #204 1,0" Dia. Concrete Pier x 8 (P.T) 6 >6 O.G. Tewksbury, MA 018I(b ; rn Number of risers and ' treads may vary due (9-18) 851--1330 ' m -- -- -- -- -- -- -- -- -- -- to site conditions O Q3 O m , v Joist Hanger (I yp.) A AL 2 x 8 (P.T.)Ledger Lag bolted @ 16' O.C. Deck Fra Foundation L/4' = 1,0" Maximum Allowable Spans For 1/4" = 1'0" Joists in Decks and Balconies I TA5LF 3605 . 2 . 3 . lc 4 3605 .2 . 3 , id 1 Southern Pine No. 2 Non - dense Modulus of Elasticity 'E" = 1,400,000 Fb= 2x6 - 1,325 2x 10 - 1,035 2 x 8 - 165 2 x 12 - 1,035 Joist 2 x 6 2x8 2x10 2x12 5" C lear (M ax,) Size P.T. Rail Joist 12' O.C. B - 11 11 - 10 14 -8 T1-5 Spacing 16" O.c. B - 2 10 -5 12 - 8 14 - 11 Flashing p P.T. Post 1. Deck design loads; 60 lbs par - Live Load, 10 lbs par Dead Load. Lag bolts ,@ 16" O.C. 3 - 2 x 10 (P.T,) 2- Bridging requirements apply when live load exceeds 40 lbs. / sq, ft. Decking One line of bridging for each 8 feet of span. C 2305 . 14 . 2 I X 6 (P.T.)Post Csrade Post Anchors 3. Final deck location to be determined by builder and site conditions. �—�2x Deck framing (P.T.) 4. Deck finish materials to be determined by builder. (±L Decking,Posts, Railings, 5alustero ' Joist Hanger pu v s 5. Bottom of footing to be 4'0" (min.) below finish grade. a 6, See Stair Framing Section Detail drawing for additional information - ' regarding: 5tai way Width,Treads and Risers, Guardrail Details, Concrete Foundation Guardrail Opening Limitations, Handrails 4 Handrail Grip Size. Sect k / Pouse Connection 1/4" = 1,0" 1/2" = 1'O" Colonial ILS _ ONE L STAI S D raFt ine services FRAMING SECTION DETA1� 110 Main St., Unit #204 Stairway Width= Tewksbury, MA 010-16 (otai Edition Mae e, E3l d!J, C O d e 13603. 13.1 I widths Statwayb shall not be leas than 36" in clear width.. (978) 851-1330 Treads and Risers L 3603.13 .2 ]Treads and rleerb:The maximum riser height shall be B 1/4' and the minnum tread depth shall be 9" Tolerance between adjacent risers:3/*' Total riser dimension tolerance 3/8' Dosing Profile= 2x Header L 3603.13.2 .1 I NosN profile=Q nosing shall not extend more than 1 VZ" beyond the Face of the riser below. 2x Header --T2xFloor�olat -------- Headroom: o Center Beam L 3603.13.3]Headroom=The nininum headroom in all parts of the v etalway shall not be less than 6'-6". cc i ) I Firestopping= 4s X _v E i 13606 .2 .1 I Prestopping shall be provided to cut off all concealed spaces between stat btringere at the top and bottom of the run. Lally column (beyond} Guardrail Details= 2x12 Stringers 13603 .14 .2 .1 I rsuardrall detalle-Porches,balconka,decks or raised Floor eurracee located more than 30" above the Floor or grade below shall have guardrails not less than 36" in height.Open sides • _ of stats with a total rise of Wore than 30 above the floor or grade -� below shall have guardrail,which shall also serve as handrails, not less than 34" in height measi vertically fron the nosing V Minimum tread = 9' or the treade. Guardrail Opening Limitations: I 3603.14 .2 .2 E Exc.]: Required guarrcdralle on open side of stairways, balconies,porches,decks and raised Floor areas,shall have Intermedift rade baluetens or ornamental closures which prevent the passage or an object 3" or more in dlas ter. ' Finish floor Exception-Triangular spaces Formed by the riser,tread and botton rag of a guard at the open bide of a stairway may be of size to prevent c'- —Subf loon the passage of a sphere 6" h diameter. 30 - 38' high Handrails= handrail ( } ------ -; Neader " typ- � � 13603 , 14 , 1 , 11 Nandrals havinngg 30 min, and 38 max,heights respectively,measured vertically�'rom the nosing of the treads, shall be provided on at least one side of stahuays of 3 or more risers. 2 x 4 Ledger exceptions Stair strip stringer 1. Handrails shall be permitted to be interrupted by a newel ' 36 high (mina g post at a turn. 34" high min. I 2. the use of a volute,turnout or starting easing shall be allowed Stair Czuardrail Horizontal Guardrail over the lowest tread, Handrail Grip Size= • H and ra ll/G card ra ll Top Detall Stanway circular handrail cross section= 11/4" min, and 2" nax. Other shapes,perimeter=4' min, and 6 V4' max. Cross-sectional dimension of 2 5/8" max.13603 . 14 . 1 .2 1 i �k I t Colonial Hip Rafter Truss / 5race Details D raft ing SerY1GE8 —Continuous Baffled Ridge Vent Nip Rafter Truss option 110 Main 5t., Unit 0204 Tewksbury, MA 018-16 Ridge Board Tel= (918) 851-1330 1 x 8 Collar ties 6 4'0" O.C. slope -- -- Composite Roofing Bullding Paper � I Sheathing I Roof Rafter I i One hurricane anchor per connection each side ( Simpson+42 . S or equal ) i Nall connection between roof rafter Coiled Strap stock x 3'O' loE and ceiling Joist with S - 16d nails One each side of ceiling Joi , (typ. each end) use 8 - hanger nails per side ypa Simpson 'G " or equal Hip Rafter Truss Detail I i I Vertical Brace Continuous Baffled Ridge Vent below option 2x Ridge Board I g i I x 8 Collar ties aQ 4'0" O.C, __ Composite Roof ing i Building Paper 12 I Sloe Sheathing - p I - Roof Rafter i Vertical post 4x4of3 - 2x4 r – – – – – – – – – – – – I -- - Partial Hip roof F ram ing Plan Bearing partition Hip and Valley ReFterb Hip Rot�r �-3rac� I� �toil >: 3608 . 2 . 3 I �raming details= . , . Nip and valley raFters shall be supported at the ridge by a brace to a bearing partition or be designed to carry and distribute the specific load at that point. Continuous Baffled Ridge Vent 2 x 12 Ridge Board L-38IR e i x B Collar Ties 9 4'0" O.C. 1/4" = 1'0' -- -- located in the upper third of the height of the roof,measured from the sill plate to the ridge. 12 t 9D Composft.e oofing 15 ib, Building Paper . 15'p" 15'p" 1/2' Plywood 2x10016" 0.C. Attic ino Fascia Board rn 2 x B " O.G. Soffit R30 Insulation n o Valor Barrier with venting v m O s 1/2 Blueboard 4 plaster o 00 Qo Floor Gomposfte oofing 3/4 T 4 G Plywood 15 lb. Building Paper Q Second 2 X 10 6 16" O.C. 1/2' Plywood 2x10Q16" O.C. M Q tit LVL beam by others lual I Joist hangers Cedar clapboard siding ceiling Tyvek Alr Barrier <r 2 x B I6" O.G. 1/2' Plywood •Q r R30 Insulation 2 x 4 16 Ori. m Floo RD Insulation �� V 3!4 T 4 Cs Plywood 1/2' or Barrier Blusboard 4 plaster Vapor barrier 2 X fO @ib" OL, 1/7 Blueboard 4 plaster First R19 Insulation - - - 511 _ _ 1 - 2x6P.T., I - 2x6K.D. Continuous Sill Gasket -A Ox. Mudsill anchors 6 3'6" O.G.(max.) Finish 3 - 2 x 12 Center Beam beyond GradeFoundation .• 3 1/2" Dia.Lally Columns (typ.) 10 Concrete Wall / 8'O" Pour 3,000 psi concrete cA 10" dp.x 20' w. Contin.ft'g. r Dampproof exterior surface Basement 4' Concrete Slab Perimeter drain (tub,) _ _ _ 4" perforated PVC, pipe - - - Crushed stone Filter membrane cover 13604 . 5 Foundation Drainage 1 I Table 3605 . 5 . 1 1 i Ceiling Joist Roof Rafter Insulatio Maintain 1" min.clear. air space Continuous BaFfled Ridge Vent �_ r Ridge Board Fascia Board Joist Hanger ( typ.) 1 x 8 Collar Ties SoFfit ' Q 4'0 11 0.0. with venting Floor joistL ° Floor joist Roof Rafters 6tandarcl 6ofsoffit \ ' ----- ------ —LVL Beam -- ------ __ Colonial Flush Framed LVL 5eam id � oard � g � � DraFting C-A 110 main 5t,- Unit #204 o TeA6bury, MA O lblr Tel : (1310) E351-1330 2 x 4 Bottom Plate Floor Sheathing MEL- 2x Bottom Plate 2x Floor Joist 2x Band Joist - 2x Fire Blocking Floor Sheathing Chimneys shall extend at least 2' higher than any portion of the 2 - 2 x 4 Top Plate building within 10' but shall not be less than 3' above theF '— 2x Floor Joist point where the chimney passes through the roof. C 3610 . 2 . 5 I Chimneclearances2 - 2x Top Plate Inte rna l I me rme d iate Floor Exterior Interm. Flr.. Colonial L-ZSiz : ,Section - 2 Drafting Continuous Baffled Ridge Vent U4" = 11O" Services 2x12 Ridge 110 Main St., unit #204 Board h 1 x 8 Collar Ties 6 4'0" O.C. Tewksbury, MA 01816 located in the upper third of the Tel: (31b) 851-1330 height of the roof,measured from "" -- the sill plate to the ridge. r 9 Compos ite oofing No. 15 Building Paper 1/2Plywood 2x10 0 16" O.C. r– Attic _ - r i Fascia Board Soffit with venting 2 x 8 6 16O.C. � R30 Insulation Vapor Barrier d 1/2' Blueboard 4 plaster `i Floor 3/4" T 4 G Plywood _ Se_Gond 2 x 10 Qa 16" O.C. O -— Cedar clapboard siding Tyvek At Barrier 1/2" P lywood j 2 x 4 -9 16" O.C. C R13 Insulation Vapor barrier = 1/2' Blueboard 4 plaster `p m Floor 3/4" T 4 G Plywood 2x10616' O.C. _ FIrst R19Insulation _ _ — I - 2x6P.T., I - 2x6KD. Continuous 5111 Gasket _ - -— Mudsill anchors �Q 33'(o' O.C. (max) ,4p nprOX. Gare Finish LVL Beam by others J777,Foundation I F In Ish 10 Concrete Wall / 8'0* Pour Grade For requirements 3,000 psi concrete see General Notes , 'Fire Separation" 10 dp. x 20 w. contin. ft g. 13603 . 5 .2 I Dampproof exterior surface Perimeter drain (tub.) Basement - 4' Concrete Slab _ Crushed stone Filter pie Filter membrane cover 13604 .5 Foundation Drainage I r Table 3604 . 5 . i I E—Center Beam Lally column cap Simpson LCC 2x Bottom Plate or equal — 2x Bottom Plate - Lally 2x l=ire Blocking column Lally bottom 4 base 2x Sand Joist plate embedded Insulation Insulation in concrete slab 2x Floor Joist 2x Floor Joist I - 2x6 P.T. Center Beam I - 2x6 K.D.Sill Lally Column Cap Plate Concrete footing w/Sill Sealer fasten to Center Beam Mudsill Anchor Straps 1 l Coluinn Detail y -1 4 Concrete Foundation Lally Column - 5ill Center Beam Colonial ® p ra Ft ing 5ery ices -+ 110 Main 5t., Unit #204 4'-0" .41-0" * Imo, h � 1 -2x6 P.T.41 - 2x6 KD.Sill I s w k 6b u ry, MA O 181(o Q w/Sill Sealer Tel : (1318) 851-1330 O I A Mudsill anchor straps Concrete Foundation 3,..6 1'-0" 10" - (max) (moxaCara a sillStepFooting X o j NIL SimpsonMudsill Anchors "MA6 ' I `�" See note 'Sill Anchorage" t 3604 . 10 ] m in. 61ab 6tepdown Mudsill Anchor 5pacine AFUE rating with Multiple Systems _ ' MAScheck Software User's Guide Chapter 11, 3rd paragraph motes and details apply as necessary to the house deslen. . . . When installing more than one piece of equipmeni, National Fenestration Rating Council Minimum Duct insulation I Table J4 , 4 . 1 . 1 you must use the efficiency of the equipment with the lowest rating. .( NFRC Label ) t J1 , 5 , 33 Inside building envelope or in unconditioned spaces, ,fir leakage J4 , 3 . 2 1 Windows, Doors and Skylights shall have (NFRC) labeling. TD is less than or equal to 15 r Not required Use default values from tables JI , 5 . 3a, 4 b when U value Window and Door Assemblies is not available. TD is less than or equal to 40 and greater than B R 2 3 . 3 Manufactured doors and windows,maximum allowable infiltration Vapor Retarder t J4 , 2 , 1 3 TD is greater than 40 R = 5 . O see note I rates in per table J4 . 3 . 2 t� Required on winter warm side of exterior walls, floors and TD is defined as the temperature difference at design conditions Frame Type Windows Doors unvented celings, between the space within which the duct Is located and the (cfm per ft of (cfm per ft2 of door area) design air temperature in the duct. operable sash Access openings: t J4 , 2 , 5 ] crack) r Note - 1= Insulation resistance for runouts to terminal devices less than Openings through insulated envelope such as hatches, 10 feet in length is not required to exceed an R-value of 3 .3 . Wood 0 , 34 O . 35 0 . 5 scuttles, pull-down stairs, etc, shall be insulated to the Aluminum 0 . 31 0 . 31 015 same level as surrounding area. Minimum ripe insulation L Table J4 , 4 , g 3 PVC 0 . 31 0 . 31 0 . 5 System capacity= t J4 , 4 , 2 , 1 , 1 4 Exc, 1 I Rated output capacity of the system at design conditions system up to 2" diameter shall not be greater than 125% of the calculated design load, Low pressureemperature system= Table J1 . 5 , 3a if the rated output capacity of available equipment options 201 - 25 /t0 degrees 11/2" thick U-value Default Table For Windows, Glazed Doors and Skylights exceeds 12EA. of the design load, then equipment with the Low pressure systems= II smallest output capacity above 1259. of the load shall be used. 120 - 200 degrees 1/2 thick Single Double glazed g 4 Single glazed Glazed with storm _ Air Leakage t J4 , 3 , 3 1 Metal-Glad Wood45°bevel 98 O . 60 Joints, seams or penetrations in the building 450 bevel Operable O . Fixed 1 , 05 O , 5S envelope that are sources of air leakage shall be Protective membrane Door 0 , 1313 O . 51 sealed. . . examples= I I s Skylight i . 50 0 , 88 e a a 41b �e �a 4 11 n a n Joints between framing 4 window/door frames, E la 11 s II II Wood / vinyl Wall assemblies or their sills 4 plates, Operable 0 , 134 O . 56 Walls 4 roof/ceiling, a Fixed 1 , 04 O . 51 _ Rigid insulation p`� A + 15 = 48" (min,) Door 0 . 98 O . 5(0 Separate wall assemblies, O b a° (see MAScheck , Skylight 1 . 41 0 . 85 Walls 4 floor assemblies, v a print out For min. a LRigid insulation 's R value req d) ° (see MAScheck print out Glass Block Assemblies 0 , 610 Penetrations of utility services, o° D. for minimum R value required) e n ' Table J1 , 5 , 3b Penetrations thru wall cavity top 4 bottom plates, o o . U-value Default Table For Non-glazed Doors sealing around tubs and showers, Af a e s Steel Doors (1-3/4" thick) With l=oam Core Without Foam Core Attic and crawl space access panels, 0 . 35 O . 60 Recessed lights, Plumbing, electrical and HVAC penetrations, option - i option - Z Without storm Door With Storm Door and all other openings in the bid g envelope. Wood Doors (1-3/4" thick) These are openings located in the building Slab on Grade Panel with 1/16 inch panels 0 . 54 O . 36 envelope between conditioned space and Hollow core flush 0 , 45 0 ,32 unconditioned space or between the conditioned Fx erior Perimeter insulation Details Panel with 1-1/8 Inch panels 0 ,39 O . 28 space and the outside. V21' = 110" Solid core Flush 0 .30 0 , 2(0 Town of North Andover NORTH O sz,.eo ,6'qy Building Department `6 °oL 27 Charles Street o North Andover, Massachusetts 01845 -V (978) 688-9545 Fax (978) 688-9542 0 O cOCwKMWKR 1• Arm 9SSAC HU`��t APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS S/ LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE S74UCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ************************************************************************ ROUTING Lie CONSERVATION DATE ` 0 PLANNING DATE D.P.W. -WATER METER a� QQ DATE �63 O S D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIG O THE INSPECTION QUEST DATE. 1 i SIGNATURE /DPW AUTHORIZATION t CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Q3 a Date THIS CERTIFIES THAT THE BUILDING LOCATED ON ^� /vy` �� A1L) MAY BE OCCUPIED AS N 4 tnll well�N IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. t34741 3 Sall U.ti��� " CERTIFICATE ISSUED TO kdLfle o D �(!K tiG/vIJ-e P ADDRESS l Assam 40 . r '+sACNUS� Building Inspector Town of RAndover O V ;., .., TIM o LA dover, Mass., ro / 0 COC MICMEWICK \� ,p ORATED P BOARD OFHE TH Food/Kitchen ..PERMIT T D Septic System , BUILDING INSPECTOR THIS CERTIFIES THAT.AmdopeA.....0IS►................ ..........v.•......�d� � ...... . �.................................... Foundation ,�M� has permission to erect..................../.......... buildings on . .silty... ..1 .�.. V�� ��• RoughJ� O �� 1 ' ��� p AMN Ch`imn y c) /17�1cC�--� to be occupied as.. ......... ...Q............ ........... ........�..a�..�. �....�......V�..................��.....�. . ..... provided that the person.accepting tflis permit shall in every respect conform to the terms of the application on file in Final �/J/%�f(/ -�� -U/ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Con truction of Buildings in the Town of North Andover. p , PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. n' PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI ST ELECYF7� R .............. .. .... .... ........ .............. ........................... ....... ...... M BUILDING INSPECTOR W� Einj Occupancy Permit Required to Occupy Building GAS INSPECTOR ou Cl/—��,` Display in a Conspicuous Place on the Premises — Do Not Remove it No Lathing or Dry Wall To Be Done FIR PARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.� SEE REVERSE SIDE Smoke Det. �� y � Town of North Andover o& 14a RTy qti Building Department �? 9t�;%I • 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �°q�reo� ay(y 9SSACHU`��t APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS S-/ Av 7 ?ate LOT NUMBER ,/� SUBDIVISION ,/9 ea DATE REQUEST FILED DATE READY FOR INSPECTIO - -,0 FIVE (5) DAYS NOTIC R TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES: r; `J ✓ ^ SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATIONV-7DATE I/ ae PLANNING 4J DATE - (/0 D.P.W. —WATER METER / 0 6` DATE �3 4 s D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P O THE INSPECTIONQUEST DATE. SIGNATURE /DPW AUTHORIZATION Location .5/ /Uva Al p q 1 , I-- No. -')17 C� Date 1171-C/ d'3 M�RTM TOWN OF NORTH ANDOVER a •• ; Certificate of Occupancy $ ��s'•^"'<�' Building/Frame Permit Fee $ as d suNusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a Check # i 6 2- U 9 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. / DATE ISSUED. -q rn — SIGNATURE: ..q Building Commissioner/Inspector of Buildings Date Z SECTION i-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: _off� vaQ6 nn \ 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 Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record I�or►� dbe� ,�I, SI lU�1Nte� lQ Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name P ' Address for Se ce: `�— co Si nature Telephone SECTION 3-CONSTRUCTION SEEC 3.1 Licensed Construction Supervisor: Not Applicable ❑ 17 ST. �VL,7,ip /1 _ icensed Construction Supervisor: ` v L313 S t�t License Number 1hoo MnMn Ad 3—Z" ic �/��yG Expiration Date ate � Si nature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address r Expiration Date ^� Signature Telephone Y• 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 all a Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: [' �(�V` Prara�t 7[UC� S� Tr 1 dr C n A1'5h e� �a,.ir�44r'+ 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building ll (a) Building Permit Fee pyo` QQQ,oU Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 2 Z 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR GONTRACTOR APPLIM FOR BUUMDOPERMIT ��_ )30i&*tIorized Agent of subject property Hereby authorize 1 1 to act on My b�all ers relat vet work authorized by this building permit application. Si nature Date SECTION 7b OW R/AUTHOR ED AGENT DECLARATION 1, ,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 r Print Name Si 6. ature of Owner/Agent Date J NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHNWEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations �~ Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: 51` U7, !-e 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. \ t Company name: J J e' i 1 ,I Address L^ T City: to e cr•M U C iNl Phone#: Insurance.Co. i9 Q(AP T..,s,,rg,-e e amu:,O Policy# n w 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_weU_as_civ l jmaltiesinlhelorm-daSTOP W-CM ORDEP-and_a fine_of_($1110.pA)-arlay.againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do herebynder M pains and penal. of perjury that the information provided above is true and correct. car`� Signature � Date G� Print name Pbone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required !] Licensing Board E] Selectman's Office Contact person: Phone#. E] Health Department F-i Other North Andover Building Department Tet: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: ��..� v L:.�,.sT��rS <�n L leil Tiii R? /a�✓v lka ��$lo (Location of Facility) Signature of Permit Applicant 3 -3J -0 3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector 67' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numbet: CS 063135 Birthdate:.03724/1967 t` s i Expir-o :03/24/2004 Tr.no: 21130 4; Restricted: 00 PAUL J STHILAIRE 87 CHURCH STREET ( «�, MERRIMAC, MA 01860 Administrator t " a Paul St Hilaire 87 Church Street Merrimac,Ma. 01860 978-346-8291 PROPOSAL March 30, 2003 Tom Oberdorf Date To: Tom& Suzan Oberdorf Paul St. Hilaire Date 51 Nutmeg Lane North, Andover, Ma. 01845 I agree to provide the following work, and to supply the following materials, to finish off approximately 700 sq feet of unfinished basement at 51 Nutmeg Lane N. Andover, as per our conversation on 3-29-03. WORK TO CONSIST OF: 1. Supply building permit from town of N. Andover. 2. Remodel existing entry area in basement (remove too doors and open walls) 3. Frame all walls with 2x4 construction. 4. Licensed electrician to perform all electrical work. 5. Electrical work to include 12 recessed lights, cable tv, and phone outlets, all plugs and switch's to code. 6. Insulate all exterior walls. 7. Blue board with skim coat plaster on walls. 8. All interior finish including doors, window trim,baseboard, etc, to be same quality as in existing house, any support columns or plumbing pipes will be (boxed in),there will be a wood shelf along back wall of basement. 9. Paint all woodwork with 2 coats oil paint, walls will have 2 coats latex paint. 10. Ceiling in basement will be suspended, and will match existing entry area. 11. There will be no carpet or other flooring material provided. Customer will provide there own carpet. az'Pet. 12. Care will be taken as not to damage existing carpet in entry area, although, contractor cannot assume responsibility if damaged. TOTAL CONTRACT PRICE: $22,000.00 Payment terms: Upon completion of rough inspection. $11,000.00 Upon final inspection. $11,000.00 Commencement of work shall start upon signing of contract, and issuance of building permit from town .Work shall be completed in approximately 4 weeks from start date. ��a�v5� �ro?�SQ� F1h:�NrZ Are" T L s a J V � t Ll y eZ -�\vwr �rvp�s 3'I �.1.�1 rhes l cn.►e Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1)BUILDING PERMIT APPLICATION DEBRI REMOVAL FORM j�3)WORKERS COMP AFFIDAVIT � )PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5.} COPY OF CONTRACT FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS /DECKS 1)BUILDING PERMIT APPLICATION 2)FORM U 3)MORTGAGE PLOT PLAN(MINIMUM) 4)DEBRI REMOVAL FORM 5)WORKERS COMP AFFIDAVIT 6)PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8)FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9)MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1)BUILDING PERMIT APPLICATION 2)FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5)PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6)WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9)MASCHECK ENERGY COMPLIANCE REPORT In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with application. NORTH E Town of Andover No. Ll 7 Al -acs 3 o�A CoC,;� ,y dover, Mass., 9' S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...............O l!�'1 . .. .. .. ...................................................................... Foundation has permission to .......... buildings on �...... V A#�......... Rough .............. 1...... �,� r)ODII ��� � �M a h Chimney tobe occupied as...... ................................... .................................................................. ................................................ 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-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 5 7 a s Q. aLp am— PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR C Rough ...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove R Rounal 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. Date........� 1.. .. f NOR7M 1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING F 9 4 i �i ,.yam _ • ♦ o,,"'...CCC ��°'• SSACMUS� This certifies that �- �.-.4..1 vll?-y!�.x........... /.ro'..r..........v.....�..... has permission to perform .....0 q.5.r ....... .s..y..r..a...G...�......... wiring inbe building of......... .........n...........U.!?Pit N.U/l.. ................. Cr at.....✓....... .... 4i... ....!!!�1. �... .�............-,-N-orth Andov r, s. Fee. ,1�s. 1v. Lic.No:.—f-.../ �7.............�4� �'.... ELECTRICAL INSPECTOR Check # 3 7 ` 4, 461 TLIECOA MONWEAL7HOFAl' SSACHUSE77S Office Use y DEPARTAIff0FPUX1CSA= Permit No. E (fl BOARDOFMEPREVEVHONR C4JL HONSR7CMRl2M Occupancy&Fees Checked APPLICATTONFOR 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) Date Town of North Andover To the Insp for of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 57/ tiIT Ae:2 Z.Yl Owner or TenantT� ego X Owner's Address Is this permit in conjunction with a building permit: Yes No M (Check Appropriate Box) Purpose of Building /6(,W--4 14 4L4/j;,, r- Utility Authorization No. Existing Service Amp / Volts Overhead M Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ' A,#_ -B s'!v j No.of Lighting Ou0ets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fiqures Swimming Pool Above Below Generators KVA ground ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.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 Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other r Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Mgsage Tubs No.of Motors Total HP OTHER• kWrdnceCovaage.RnuarttothewWff=adsofM mdxwffs Laws Ihawaam i iibi ykoxmmPblicymck dingComplee CommWcritsmbmriWeWvalat YES �NO IbaveatufimdvandpmafofsametDdrOffim YES Yymlhaedle3WYFS,pleWu dicae&PpeofcoWrdWby cheddng INSURANCE M BOND r7 OTHER M ft%eSpecify) E*6ml)alr Eshm*dValueofDectdcalWotk$ WotkioStart L G hWecdmD,,kRegtlesWd Rough Final SignedunderTr FIRMNAN E �' . LmwNo. Cl 7/7 LIOMM /S v "416w Sum= �� Liar�eNo 97A- Cbref CTY4 BusumTel.No. STb 6P 7 e 3 o c S7 ddiess AltTUNTo. OWNER'SWSURANCEW Iamawatethatthelicrrwdntsnothawdiemstuamooverageoritsabs=tnleWnulemasmquirWbyMassxtnasettsGanalLaws andthatmysignammon thispemritapplicationwaivesthisro m mi (Please check one) Owner F-1 Agent Telephone No. PERMIT FEE V4?�3, Signature ot Uwner or Agent G The Commonwealth of Massachusetts Department of Industrial Accidents b , �.... t d 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 I 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$1,50Q.00 and/or one years'imprisorunent-as welLas_cival.penattiesrs2hefnun-fA-S?oP]MORK OR31RAnd_afine-f_(,$100-0A)-attayAgainstme. li} understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of pefjury 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&icensin% D Building Dept Check if immediate response is required -0 Licensing Board E] Selectman's Office Contact person. Phone# E] Health Department Other