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Miscellaneous - 52 LACONIA CIRCLE 4/30/2018
�-- 52 LACONIA CIRCLE G 210/105.D-0154-0000.0 op f. Location C ` -?c le No. Date d U� �aRT� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Us�CMusEt� Building/Frame Permit Fee $ 39• d U v. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # 3 r -j � 2 4BuIIdi.vffnsPector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. a DATE ISSUED- SIGNATURE: SIGNATURE: L ✓��� Building Commissionerfinsil6dor of Buildings Date SECTION 1-SITE INFORMATION Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Ijdll Map Number Parcel Number {/ , 1.3 Zoning Information: 1.4 Property Dimensions: a W Zoning Diaiic—t Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided Re red Provided a 1.5. Flood Zane Information: 1.8 Sew sal 1.7 water Supply M.G.I,.c.40.154) � Disposal System: Public ❑ Private ❑ Zone Outside Flood Zane ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIiIP/AUTHORIZED AGENT rn 2.1 Owner of Record f �C C, i.ua �✓ Z- �,�}�v,..t.A t/-C-L, Q Name(P ) Address for Service's: / q�( i CnZ5 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name �qq Registration Number 1�o Address 1 r Expiration Date p j Signature Telephone Yi i f 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.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other �` SpecifycW U Qr, Brief Description of Proposed Work: c (Do 54ru SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 5 �' OCL IJSIE ON C m leted by permit applicant A 1. Building (a) Building Permit Fee O(> Multiplier 2 Electrical (b) Estimated Total Cost of $46 p s-o r Construction 3 Plumbing Building Permit fee(a)X (b) �f 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 I, Vd) J V'-r/j L^ i `'* as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf a all matters re ativp to work authorized by this building permit application. 40� Si iatur of Owner Date +� SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, tz-'Su- T L. krj ,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 i l Print Nam/4- 4-, Si at of Owner/A ent �_- Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 16 FORM U - LOT RELEASE FORM ( a 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*********************** APPLICANT. ✓ C Lc,4 w i PHONE S Q� LOCATION: Assessor's Map Number � PARCEL SUBDIVISION LOT(S) a co vt b_ l..-i o l`, STREET ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED C-' k V1 4t( , O DATE REJECTED I11111101 COMMENTS 00 ()om DAC,6)\_L-fi ns,a Q �A-��-� � iL(6 Li L TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS F0O9 INSPECTOR-HEALTH DATE APPROVED DATE REJECTED /4SP:T-1�CIN SPECTOR-HEALTH DATE APPROVED Z 01 DATE REJECTED COMMENTS PUBLIC WORKS-SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm Building Department 27 Charles Street A North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE Cl �u a.I JOB LOCATION ✓ LAA C©^'t OA <- Number Street Address r Map/lot .HOMEOWNER_0_CC_ l-e-�w�,I Name Home Phone Work Phone PRESENT MAILING ADDRESS 2- L-A c ami ,,�, e (12_ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual The hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1 j DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory.to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be'considered a homeowner. The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Town of North Andover 1�0t10 '6 6�O Building Department S - •� oc 27 Charles Street ' North Andover, Massachusetts 01845 2 (978) 688-9545 Fax.(978) 688-9542 °-r C.C. SSACMusi" 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 c 11, sl 50a: The debris will be disposed of in/at: FT Facility location Si ature 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. beck • • • • Laconia Circle bolted to pool foundation 16"on center EO cc CN • . 2 x 8 Joist hangers attached to 2 x 8 cleat bolted to house foundation • deep • • I 4 • •• ♦ rrrrrrrr•�rrrrr�r�r_rs--_—_—___---___r_�.»•ar.rrrrrwvrrrrrrrrrrrrrrr-____—_s_—____—____—�r._-ur__urrr.�••rrrrrr��rrrrr•rrrrrrrr___•_r—____—____—.rrt�_t�rt_rrtlnr_.r.�r..r.rrrrrr�rrrrrru-r_wr_�r_r.a_r�r•••�ur.0rrrrrrrrrrrrr��rrrrrr__—__t______—_—____urr...•.rr_arrr•••..rrr�rrr�rrr�rrrrrrrrrrr_.___—_____________rr__r•trr�r�rr�rrrrrrrrr��r�r--_______—__—__r_r_r_�r•1 I t•-t_t•�r�t_-t_�- deck 2 x 6 . 6 timbertech • below grade) 1 lit ♦ ♦ Barda I � -------52.4 - -------- --j 1 WF4 Existing �% Cairxxrete \ Fowdotion (Poo/ House) ------.---------------- ------------- --- WF3 3S T-3 ` err N11-14; mard. ♦ \ i stQ/r8-,Poem \ ste P Ed of Pavemeri ❑ 4 deep post footin in 4 in total gs BQ.44►l9iA►Jt Flow apyatim = »562, Existing Dwelling ��—rop Of Fozndatiavi ` Elsvatian s 12283' Exiadng �?. Paved GFivewoy 52 Laconia Circle -Pool "as built" i f 15-3 OONTN Town of North Andover o4 fi,.o „;'�o A If the Conservation Department O} Development and Services Division Villiam J.Scott,Division Director 27 Charles Street forth Andover,Massachusetts 01845 Telephone(978)688-9530 Fax(978)688-9542 11)f FSSe� County 'Conditions r ,. yak: JSERVATION COMNUSSION agreed to accept ;r 3f'60-7- Dr. �_ .. iii.!?; d recorded fir of Conditions issued in File 242-989dated 11/17/99 antTJ IA G 7 t,VER CONSERVATION CON%fl Ing86 i 4 On this 0 of 0*4 AW before me personally appeared Scott Masse to me month/yr day executed the foregoing instrument and d who ext known to be the person described m an , acknowledged that he/she executed the same as his/her free act an UNQA DIANE MAGEE Notary Public Of Masswhtie N�tary 'c ce A.receipt from the Lawrence Registry of Deeds must be submiook and pad to this ge numbers. that this Modification has been recorded and referenced to thej �I i'. BUILDING 688-9545 CONSERVATION 688-9530 BEALTH 688-9540 PLANNING 688-9535 BOARD OF APPEALS 688-9541 { N- rv ! u Date-//o.................................. t ,k0RTM 1 ' 3?°.tom`"- "�,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUs� t This certifies that ..........`.: a -'� has permission to perform ....: t. .. . ��'�' wiring in the building of� -- - ..............1........................................................ at '... ... ... T .............. .........4.�..... North Andover,Mass. Feel. ........... Lic.No.:......;? . ...............................................................' / / ELECTRICAL INSPECTOR Check #11--3 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer OfficialUse Only Permit No. 1__Zo9G 77,15 ?�efia�rtHeext oa�u�lie Sa�euy 4� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy&Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 51t27 CMR 12:00 (Please Print in ink or type all information) Date t()/5k0 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_ 52. LCGY-e - C IncAt— Owner or Tenant_ QCL L-e_-4 LUN);-\n Owner's Address Is this permit in conjunction with a building permit Yes C�-- No ❑ (Check Appropriate Box) Purpose of Buildin Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work f-kc\sx es ISG Avr. St bac nye fr P,�-e e, c C NR cL No.of Lighting Outlets Total No.of Hot fuse No.of Transformers KVA Above ❑ In I� No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA 2 No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units u No.of Switch Outlets I No of as Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices h Heat Total Total No.of Di osaf No. Pumps .Tons KW No.of Sounding Devices No.of Dishwashers Space/Area HeatingNod of Self Contained 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 Winn No.Hydro Massage Tuds No.of Motors ` Total HP OTHER:, AA SCJ C/-ke— P�EA` G_J=l it i� V�I� �Cfii r � c wwel LGA-�f� INSURANCE COVERAGE Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includin ompleted Operations Coverage or its substantial equivalen YE = NO = have submitted valid proof of same to the Office E = NO = If you have checked YES please indicate the �o cove a e b checking th 9 g e appropriate box. - - INSURANCE = BOND = OTHER = (Please Specify) L fY) � �� rv-p � G Ga Estimated Valu of ect�'c`a�l,Work$�OO(5 a OV (Expiration Date) Work to Start � � nom— Inspection Date Resquested Rough Ll.;\.V Ct9\t Final ULAA\ (011 Signed under he Penalties ofpperjur, N- • nc � G FIRM NAM`EE� tJ t"�• (C3y1,f�0^� Pj��� V/ 3 �. LIC.NO, Z Lkensee Y 1l �^�x \ ?A fCXy )1 Signature LIC.NO. .3 FJ o3 S�� ��6 �7 ,L� , `� _ 1 f r„ �` p\ Bus.Tel No. Address_L 1—��U �(/1-tOL W /`t!)[ ►^1/}nn � Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE ��F (Signature of Owner or Agent) i N° 2 Z A Date-7............'-..ro......... f NOR711, TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING 4% VPIWMW* CHU This certifies that ..........:.:1t.. .. . ��..................:':'.................................... has permission to perform ............................................................ wiring in the building �......... `-� at...::....:......r_j................:...................:.'` ........... ,North Andover,Mass. Fee..................... Lic.No..: :. :. r............. C ELECIRICALINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE00AW0AWF4LTH0F11 AFS4CHUSETIS Office use only DFPARTi1 W OFPIIBLICSAFM Permit No. Z,-,90;7-d--,:3 BOARD 0FMEPREVEM70NRB9AAT10AN5rGffl12-M ' Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION)' Date 7 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) � 4 C Q A/ / ,� C / Owner or Tenant_ 0 C / i L 15-r- i-,,,��/ Owner's Address Is this permit in conjunction with a building permit: Yes®-No (Check Appropriate Box) Purpose of Building Utility Authorization No, Existing Service Amps//u /d2�t3✓olts Overhead a 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 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures ( Swimming Pool Above BelowGenerators KVA ground ground No.of Receptacle Outlets / No.of Oil Bumers 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 o.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 LocalMunicipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP n OTHER hu=xeCamage,Pusuatibthetaglmar�atisofMassadt Cta�aalIaw+s Ihavea=utL abihtyhnua=PbbLY AXhgCaYq*k C0&2Wcr#smbsW1deJm ti YES NO M Ihm%hn9edva6dp1Wfofsarne10the0ffi=YES r7 Ifj m hmedvJW YES,pkm rdMthe%peefeaaagebydtad4>•gthe >NSUftANCE BOND a 0`MM r-1 ftmeSPedy) O b E an*dVal xdfiecftxi Wade$ WakiDStat — InspectimD*RaWewd Rao Final Suedtrnrix"ieRmit sofpajtay. FIRMNAME «To2o2/w' Ve--y g>n/4 <Si.41-L.(T n/Alice Um twSe j�L J J � e N *Mw LioatseNo Bt&=Td Na Wil,✓,e0-Ci PIt 17- /t/.e?.V,*1&4 AA, �� Ua-1 SZ Alt.TdNa NXS NSURANCEWAIVERJ arnmateditthel-ioamdom rot theiramxeamWa-Ass>b rtialeWhaalatasta*medbyNtsmdiaMCstaallam 'yetmysgtratueatihsperm[appkmmwainthism*E rear se check one) Owner M Agent a Telephone No. PERMIT FEE$ Loc ation° � L AC0Ay) el No. -4JR Dated l00 NORTM TOWN OF NORTH ANDOVER F D Certificate of Occupancy $ �' b',•°•'<�' Building/Frame/Frame Permit Fee $ �Ss�cMusf 9 "v Foundation Permit Fee $ Other Permit Fee 1 $ TOTAL $ 111, Check # J I r `' 7 `� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7,77 BUILDING PERMIT NUMBER.- DATE ISSUED: �l �' ��-moo X � SIGNATURE: C6�� Building Commissionerfl for of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: X 1.2 Assessors Map and Parcel Number: S 2 eco,,I C�2LLM10Si S- Q ('`' N Jd V ,^ a Map Nuraller Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required— Provided R red Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record BrwcG Ler,�Gv�;� C(✓zc L Name(Prin Address for Service Signature Telephone (V 2.2 Owner of Record: V Name Print Address for Service: O Z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Constructio Supervisor: O License Number #Addres Expiration Date Sig store Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name m Registration Number r Address r Z Expiration Date Signature Telephone �l/ 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.......0 No.......❑ SECTION 5 Description of Proposed Work check au applicable-) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 11 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SG r et 6uk' ' ��� G AJC-,-o5U/le— SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICL4L USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 5 Q Multiplier 2 Electrical (b) Estimated Total Cost of �i 00 Construction / U 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 6117, 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, jlzV r-L' L L%w#/•"/ as Owner/Authorized Agent of subject property Hereby authorize 010 ,&1 u L TyuC, to act on My beh ,in all matt s relative to work authorized by this building permit application. / Sigt6hure of Owner 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 5 Signature of Owner/Agent Date `r NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DM ENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHINMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE K 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. APPLICANTLe-4,,i PHONE (9 ASSESSORS MAP NUMBER 105- 9 LOT NUMBER "1� SUBDIVISION LOT NUMBER STREET L Aco O-✓,t STREET NUMBER S Z- ,........................................................................... OFFICIAL USE ONLY ,..............................................................�A. ... ... RECOMMENDATIONS OF TOWN AGENTS ,. /.t.....i�, ....C,./) �� S r� DATE APPROVED UtJ CONSERVATION ADMINISTRATOR (t, / DATE REJECTED COMMENTS ;7,' Ll Cin s rngee' DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH , DATE REJECTED �KJ2i/y V DATE APPROVED / O SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE �-�3r oo DIONNE INC. Juby New England Distributor: Gazebos SHEET NO. OF Solar Structures -, .Automatic Pool Covers CALCULATED BY E 74MZ4ZdK!9 Box 787 Cataumet, MA 02534 (508) 563-7450 CHECKED BNO—P2 SCALE .......... ....................... ... ........ .......... ............. ................... .......... .......... ........... ..................... .................................... ... .......... ........... ............. ............ ............... ................... ....................... ............. 4............. ...........-------............... ....................... ........... ......................... ....................... .......... ................... ............ .......... .......... ..................... ............................ ... ..................... 17 ...................... ............. .............. ........... ........... .......... .......................................................................... 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L ............. ............................. 7 z ........ ........................ .... ........... ......................... ........... .......... .......... .......... ...................................... ...... ............................ 6 46 0 IeR .... ......... A!':5 5;eAO7A,3 ........... .......... ............. ... ............ ......... ........... .......... .......... ................................- ............ ............. .........., .............. .......................................; ............................. ............. ............ ....................... ............ ........... ....... ...... ..................................... ... ............. ......... ...........- ........................... ...... ............ .......................... ............. ... .... ........................ ..... ........... ............. ........................ 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'75 S.. ...... ......v..... 01! ........... 'Fid: k,;;p , 'oW- ............. ........... ......... .......... ........... .....1V ............. ................. ........................... U 7-11-1 .......... ............. ........... .......... .............. 4.......... ... ......... ............ ........ ........... .......... ............. ............. .......... .......................... .................................... lee ............. .......... ................... ........................ PROW M es Inc,G,.X m.01471. 7 P. ---- OVIS1DE Roce BRACKET M.82T Co 'd3Y �C NEA SfR IN MOVABLE a A-3�%li I rS�c 2__4�)r ]2�p��• f-0� 49�]'�1 ST=S•�l• [T�Ir/� r lo'2+r.rC c�a �^ ��b A:Z-'_ e:z/.. A�]ria- A-2�•u H�2'%is A=3•�n e�a•f; _•�_z'�- e� --MOD0Y�INc• ROryOpFy SECTION J6 j I'-•1 on`S --,-- � •�(AiSL�M ED ARH RODFT'byn4T9.OD ;-�_° �I....wir- .._.RIDGE FOR FIXED poor Q [pARVLAT64 IQS�yRf IP TN. F- �We6�Jl) ryY-x7r-flr+f]T - - xLfjn3•2/-017-OTr-oT -- EWE sTw'm-[L-otr•co o Cs't0.0FlBERGL.A.Lt OL.tZrNfs �•r u'A1['AI-OV-W-07 "INSID[RIOGr BR nC rt',loo-CI I HI I 1•. \;.. ..`_- 6At/[aUL/RTGLXMIO4-ooc-n Z-02tr02 \ \ i uow rr eavtu«o 'EyTo-n�om] o- -w � _ /��� �YH�p-rCDPow•oe J� - G .'8 �B •�w�roTrl-snrsM.lo-�•rAr•m _ �� _ � � C•. -� I O oI F ' -9' 'itT atoil - - - - - -- --- - -- ar•LnaNf-nAzwn.'b-iwr•xp•m 0 �•O = ffiYixi� 7y N1�y-mo-sT-aT a aar 'w rAi wsA.THsxrwm•i/1W!aT•r7 - s NLcwoL»(NwenCAALe�wlny 3/[ rXT4 M ITS 030 07 ANCHOR BOLT LAYOUT Hors'cr osD•ao-n ---�-�-� . • _r -a ia�t+��-o°r-o°---� SCALE I/B• I-0 µR711 N�I£rRR1aI��n��RD'»�-aprpploo�-� O _ ../ i 'GVE[R/OIiT AT�7`Ii-aOa-Aa !ft1 QJr OP!'aIINCWTIOry - ifrr b ALB'tr•ofl-OIO-OT Cl± or�`rs�r. SCHMOULE CSF OIAGOr4^L DIMENSIONS 5�{iRrq l�fr��lY L•oR-ofFTO�T ® BEp�,pTy�A�trr!•�FUT, CarNTx•4'Rla-Pf[-00 0C�A� O x'• WIDTH A B C O C F O ERV[/IPRLWT YfMCN6T'7WlA-DT-01 1 NO DG- 1Y tl- Y• IMBN6tlN BLDG Wl[ITYi SPS! 6 [Y O[R✓�6�0 3S'=e Ni 41=I0'Ki +9•T his SS-•9Y�Q!-/�{a TC-Ei -ylI•X I YL•G �O-NT-NI-OF IT �. 4. :. i 3o'D' Be=RAVE STW IB' XI: e/« 4+:+' so's ST=a$ s►=rosfi 72'-3'/]i sl+1° 7 10•SICOCMqNLLO�COLJLWI YD-W-OW-OO f7--- 3b' LJo u aIL[l� .ILLYI � - fC 00 REPORT NO.26B9,A-O RTS rAVE AMEMOLY 'O• 43=5 48-7 mit 64Liry tpLNr`'�i 17=��J►74•ll�Lf r -. •V-/A7'DI•'Q�Iw-y�rl RE 36.T4CM CONry1TTEG RE<aN rn EN OnTori F7��g a�1001� Sa�GVN Sw INNING P{�c�Cei♦TNCLos AES AMC AN A�LTEkNAIC TTTE 6F t• PtucncN JTM^T SPEcIt'I£0 IN•�1E UNITORM gl11lO1NG Cook-..•'(Slc qt WR TnR otTA�I-s� O ROOF PURLINS SPACED 1141*-AA. I DIAGONAL DIMENSIONS TO BE MEASURED e-� �- �- FROOLY OF OUTER BOLT TO € OF OUTER _� - - -911r i ALa•.v-fyl-Mo-OT - :gEYWI�.MLM•rD•lt'Q-owoo our Ta our of CCYNCAErf w x�wvATNearosa•�+-o]a-xa-n -.___. -._.- O Q a cctiurvt- avr To our OF caLUMNr —.------- ✓� ------ - T - _ -- F7BERGLA[6 a..zus A'•• 1+T1• _ ---9`}r3rro-f----- ----"'� 0 a+sYrrr��- wvLE-oo 'b p � I ------- 4 oaaTs CrR-Assmrma-eoj r� , n -- 11C x s•Ma]rrll.o aRAal[rOsm-AT�f) 3/ i i 'I ii i ' 'a' � ..�� , £ -- soEMVLu aorTDAn RNL•[D•En-OS[•W L_-= ----JL------------- 'S � --- rr cAu]un►•s�-as-as-0I -- -.. >I . --{i r 4 TAPER BOLTS 26-IIir-012-44 I I II 11 I - !Y NIASIIER •L-DLO-000-V/ y `� lJ I� j� LI •�1.. h) L a-, L..v t7 __ ' _._. 5C4•BASEPLAT[CD-2r3-WW M � I / -� I � '., .i, � -�M X7L'riSATNBR6A1i�rdf•Oif•A17JJ � I --�-.._.._-.-._.._ / •� _..- .._ `t. -C (EEL GO+FJJSL-EiI L • _.---- _s.... - sIpEwAu BOl'KAN AWOLC o3-nf-osL-oo t3 Y. 1 K wysNw•]s-aso`-o_oo-oT yr-- ---. A,• . ..- .._. CO RErt BOLTS NCSY TMtM) ph" COI'CR[T[FOVNDATtlN CBY OTIICRS) BAST - VNRD B MICNBOLTSCPRt-AyEALBL.) - Yix]'MVNrue BRAcxeT(ex- TING_DETAIL TYPICAL BASE DETAIL96SEPLATE,C£TAIL SCALE: HALF 312E SCALE:HALF SIZE FLTW I N RESIDENCE AS SHOWN JDZ LACONIA CIRCLE IijlstTr - �`� NORTH ANDOVER, MA 4 Tvi)ical Foundation Details uer Mass. Code—Indoor Pool Construction n Pool Patio --j 10" concrete 48"frost wall with footing as wall at per code. Steel reinforced pool Pool Wall 48"ht. patio bridges from foundation with wall to pool wall.Foundation footing wall to be insulated with foam as per code. Letwin Residence Proposed Foundation KTaconia Circle, North Andover, MA Dimensions: 35' wide x 59' long Dionne Inc. Registration #:116809 Henry Dionne Supervisor :026231 W J v 1 >ZO I-j Lu 3612 Page 1 of 5 uiw0z R: �-u W 3 2 4 HI-H5 .5 H5= 2663 LBS. v=V �, v = 46 00 VI=V5 LBS. BUILDING-WIDTH= 36 FT, SNOW LOAD= 30 RS,F RAFTER SIZE= 1225 N. WIND LOAD = 25 P_S.F. J 0 B NAME LE�TWIN RESIDENCE X10 B LOCATION_ ACONIA CIRCLE NORTH ANDOVER, MA J 0 B NUMBER- DI019500 J to Q J iuJ0 >Z0 4 • �Q j Lu w 2= 3612 au�� Page 2of6 wwOZ CC u.w REFERENCE: V. LEONTOVICH SECTION 6 FRAME 89 "GABLE FRAME WITH HINGED SUPPORTS" L = 35.047 FT.(SPAN � - 0 - P= 0. 333 (PITCH) h= 7 000 FT. (EAVE HT) ��` 1.000 (RAT S' 8.4-00 FT (BAY SPACE) W = '3U Z(SNOW LOAD) Wv 25 Fgt(WIND LOAD) (DEAD LOAD) Fi FRAME.CONSTANTS: _ 5.841 FT q 3 F F- L2z -P �' q= (/"e)2 tF2 = 18-472 FT 2 4 h Q �R x q/h = 2 ,6 39 FT 0.835 Y= - Fhm A-=,d313YY 2,I/Q,)=26.315 . B=2(3t2Y)= 9.338 K=A,B+ C+2GY= 47.204 �. C-2(3t-Y�VQ)= 9.1Q5M-h/(h+F)= 0. 545 G= ItY/2= 1. 417 N=I-M;-- 0.455 6-12 VERTICAL UNIFORM LOAD 30 PSF(Ll)+ Z PSF(DL) OVER ENTIRE FRAME W-(WS +WD) 9-S, L=9200 LBS, V V5 - 2 W - 460 :, LBS. I HI -H5 WL 2+B+Y 8Ah Q HI —- H5- 2663 LBS — M2-=M4=— H5xh = 18, 643 FT.-LBS., M =W --L H 5 h (I+Y)=x,107 --L FT13S. '� m3AL 41 0 >zo Qa �_ W 1 Nzyo 3612 a Q Page 3 of 5 wwoz r./ CCF-aw 6-24 HORIZONTAL UNIFORM LOAD OVER LEFT HALF OF FRAME W=WW Xsx(h+F)=2630 Las. - � 3 H5 =4W KN+M Bi-C+VQJ3C 2 A H5= 79 4 LBS, N) 7r15 HI (W- H5) 183E LBS. U5= Wh(}NtNY) _ 2L - 482 Las. V V5=-48., LBS, M2- Wh(1+N) _ 834 . 2 H5 h =7 8 FT LBS, M3— Wh (I +N +HY) — H h ICY = 1753 FT-LBS. ' .4 5 l M =—H5 h.= 5,558 FT. LBS. LOAD COM 131 NAT IONS DEAD WIND DEAD+LIVE DL+WLtLL LOAD LOAD .LOAD 1.333 H', LBS, 166 -1836 2.66: 620 HMAX_2663 H5 LBS, 166 794 266 3 2593 V, . LBS, 288 482 4600 3.089 V5 L 135, 288 4E 2) 4600 3812 VMAX—AEM- M2 FT-LB5. 1165 7834 18643 -8107 M3 FT-L13'& 382 -1753 6107 3266 MMAx-18643 M4 F T-LBS. -116 5 -5558 18643 18151 . J ` b1QJ to D 0 >za0 P 41C • -JOw cn 7= w(3 3612 ZQ- U CC° Page 4 of 5 ..s ww0z CC F-IL W CHECK MAIN FRAME MEMBER FOR COMBINED COMPRESSION A BENDING, SUN/FUN:RAFTER NO. . 898 12 IN, >�ALUM.ALLOY 6061- T6 IX= 78.149 IN4 RX — 4. 154 IN. A= 4. 5218 IN? IY= I0 RY = 1. ) S8 IN. SX_ 12, 4 6I0 ;AXIAL FORCE P = V o + H I3 '= 14 5 +2526= 3g8 AXIAL STRESS: F P — 4.528 -:- -879 Psi X I 1 = A ALUM.-ASSOC. SPEC.7 "COMPRESSION IN COLUMNS,AXIAL" SLENDERNESS LIMITS KL/R<9.5 9L5<K <G6 K R>66 ALLOW-AXIAL STRESS 19,000 PSI 2Q2.126K R 5 000 (KI,IR� K L .8X 18.472 -,- 121 T = USE L/Y i F RX 4. 1 ED 4 . IN. z GREATER THAN ALLOW. AX IAL STRESS: FA= 14.826 Psi KyR, BENDING S T RESS.- F -_ M = 18,643X_ 2' _ 2 S 12.4-61N3 1 989 PSI ALUM.ASSOC.SPEC.I I*COMPRESSION IN [3EAMS,EXTREME F(BEW SLENCERNESS LIMIT Ls R 23 23<L RY<79 L,/Ry L,/R >79 ALLOW.BEND.STRESS 2 ,0OOPS I 239-,I 24Le/R 87,000 (L$/ ;f Le _ 3.68 x121NFT _ R Y f. 198 . IN. — 36. 86 ALLOW BENDING STRESS F13= 19, 329 Psi BOX-13EAM SECT IQ N S: A LU M.ASSOC, SPEC.14 F13=21,0 0 OPS I WHEN Ls SVIY <146 COMBINED AXIAL AND BENDING STRESS F F2 S 1 879 + I G8� _ ;j c;eG FA + F8 14,62C 19, .� 3?G 0. 5Su � J • N Q J W7O >Qa • -�ca w 1 zQ�ff 3612 �z m x -i Page 5 of 5 %-W W W o z SF-LLW FOUNDATION REQUIREMENTS FORCES PER COWIVIN ' V = 4600 LBS UPLIFT H= 2 663 -L 13S U = 5 LFT )( 8.2 ET, x g. 7FT. U= ( cJ7 LBS CHECK ANCHOR BOLTS BOLT TYPE : TAPER -FOLT BY U,S.EXPANSIONBOLTGO. 130'LT DIA: -- 1 2 IN, BOLT LENGTH: 4 IN , NO. OF BOLTS PER COLUMN. 4 DALLOWAKE TENSILE STRENGTH PER BOLT: 10 20 LBS . 1020 L BS_x 4 BOLTS= 4080 LBS,(TOTAL ALL) 4080 LBS,> 757 LBS_(UPUfT) U ALLOWABLE SHEAR STRENGTH PER BOLT; 3044 LBS. 3044 L BS.;K 4 BOLTS= 121176 LBS CTOTA L ALL) !21176 Lf35.> 2663 LBS,(SHEAR) H F-) ER S V ERT I CAL S01 LPRESSURE 1 Y X= X 1,5 FT. Y= 1.5 FT. D= 3.5 �FT. •.1 AREA= XxY= 2.2 FT� D V _ 46CO LBS. _ A - 2.25 FT2- _ 44 PSF HORIZONTAL SOIL PRESSURE 2H — 2x 22663LBs = �U . PSF (X-D� D . _.5.2 5 F Tz-x 3,5 F T F TDEpTjj FOUNDATION VERTICAL SOIL PRESSURE WALL Y X= 6.2 FT. Y= 0.5 FT. D= 1.5 FT AREA=XkY= 4-1 FTS X V 4500 L13S _ I 1 2 2 PSF A =k.l F TZ _ HORIZONTAL SOIL PRESSURE � '2H 2- 2663 LBS ✓ e .: (XX D) X D 12.3FTZxl ,5 FT — 289 FTpE 4 Board of Building Regulations and Standards One Ashburton Place -- Room 1301. Boston . Massachusetts 02108 Nome Improvement Contractor Registration Registration: 116809 Exp.irat ion: ','2-1/02 Type". P r:%v t e Cor ✓ �a,y noruuea�f�i.q� 14 HOME IMPROVEMENT CONTR Registration: 11580! DIONNE INC Expiration: 1/24/1 FIENRY DIONNE Type: Private Cori BOX 787 w RTE 28A CATAUMET MA 02534 DIONNE INC HENRY DIONNE BOX 181 - RTE 28A ADMINISTRATOR CATAUMET MA t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026231 Birthdate: 01/27/1939 Expires:0142712002 Tr.no: 12838 Restricted To: 00 HENRY F DIONNE RTE 284 COUNTRY RD#6 G. earl CATAUMET, MA 02534 Administrator ", i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone aam a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity 7 1 am an employer providing workers' compensation for my employees working on this job. Company name p ,Q d2 Address /�� 2 S3 ��' ���/e�� `f��/- City Phone#: Insurance Co. (�&/0K)r Policy# 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 the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify undgrp7e pains and pena)ti of ifil'ury that the information provided above is true and correct. Signature >���� Date 1z11-:PV_0 Print name Phone# Z3 77 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION O C NORTH '9 O O 6 Andover No. 419 10 dover, Mass., q 0 d COC nIC.E—ICK RATED P'P' S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.......... .r 4C r BUILDING INSPECTOR #4 548 � lowFoundation has permission to erect.3.5.... .. ....... buildings n ...47.. ......ko�_O.N1.0....... r l ►.._....... Rough to be occupied as...... f` N....h• �i a 1 1 , 'N P 1 r 4 f W 4111/ Chimney P �. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in CA 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. /4 /00 ,15- D 00 / 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �/'� Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST S � Rough .........../..#/ ...................................... ........ .......................... Service BUILDING. ..INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location jNo. ��' Date U-/U- Dr) ,40RTh TOWN OF NORTH ANDOVER f R Certificate of Occupancy $ o, ,ss�CMus tt� Building/Frame Permit Fee $ Foundation Permit Fee $ j Other Permit Fee $ TOTAL $ J Check # ? l> Building InspeEtor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ::. , nW Sec im f0C Off* idd t%e OBI BUELDING PERMIT NUMBER. / DATE ISSUED. 43 y_ oge4 ,SIGNATURE: Buildin Commissioner/inspector of Buildings Date SECTION 1-SITE INFORMATION Z 1.l Property Address: 1.2 Assessors Map and Parcel Number: O S9 Lr9cory;� c<<� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: C� Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard. Rear Yard Required Provide Required Provided Re red Provided v 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2A Owner of Record An4v&i frGh,`T-e C� • Ll3C°tvi� C;/L t Name(Print) Address for Service 6bo -2?2 2244 O Signature Telephone 1 Q 2.2 Owner of Record: O, Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ fUoti e-Y 4 4neirke ws �� Licensed Construction Supervisor: Q �l f l4H- ." Lz- 20 (foj4co� © ?y2 /?,1, License Number M Address I` el--O a7;Z Expiration Date Signature Telephone r' 3.2 Fegistered Home Improvement Contractor Not Applicable ❑ /�}✓1�(rlc wtS (Tv„,`T�, Ccy• 7 7� � � �, `r� v Company Name //�� jj�� [ rn g wub�'c, /2 V I t��CI')`G jG} I?i1 ©��(�Z Registration Number AddressRZEN r r litc�tS 6t% 6—" 99 Expiration Date �BUIL EVI-k Signature Telephone T q, 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 emit. Signed affidavit Attached Yes...... No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify pool, , Brief Description of Proposed Work: _Tnsr'nLL- nG��h�, �vh,'re jc�v� 6,1b � SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY .Completed by permit applicant 1. Building (a) Building Permit Fee 4- Multiplier 2 Electrical (b) Estimated Total Cost of Construction 01000 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 I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 1gk?c rc c✓S V V K T Z c-, 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 �•d..-..���c�-f�.,/,!�- 19h�4�e,,ws lryv�.rre Cy. v1-!—thy Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 No 3 PD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF;FOOTING X MATERIAL,OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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******�`*******`****" ** APPLICANTA/'►a,/`e WS G n,'Lf 00 . PHONE LOCATION: Assessor's Map Number / PARCEL SUBDIVISION LOT (S) STREET S L!i CO h,`6- C/4 ST. NUMBER.53 OFFICIAL USE ONLY R MM_ENDATI NS Qg TOWN AGENTS: CO SERVATION ADMINISTRATOR DATE APPROVED 41WOU DATE REJECTE COMilNTS IZ tte Gon - cA {a c1) - o J �s� e f-P - vA-�,tr_ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED 31Q,;;8n DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm DATE MM /DD/Y Y ORDW :: . .;�}�.;��,A►�L�.LT�':#�St��:A:���. 1 n. .:::.:::::::::::::.::..:...................:::::::.::: ::: .::.:...... .... ::::::::::.: :.:::::........... ........:..:.. .: :: ::::::. oz z zz 00 PRODUCER - FAX :»: 60:38 - 93 9450 ••• ( ) 60.3>::>89.::>» 3 94 Lakeside Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Stiles Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Salem, NH 03079 COMPANIES AFFORDING COVERAGE COMPANY Transcontinental Attn: Ext: A INSURED COMPANY Transportation Andrews Gunite Co Inc B Andrews Realty Trust ATIMA 6 Republic Rd COMPANY C N Billerica, MA 01862 COMPANY D �IBRAGES::::::::::•:::::::•::::.........................................::::::.:::::............................................:..:::.::::................................ ............................::::::::. ..:.....................................::.:::.................... THIS(S T. 0 CERTIFY THAT POLICIES" �"�•• OF INSURANCE E RANCE LISTED B•�'• L01NHAVE BEEN ISSUED.TTHE INSURED, �•�� NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION: LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY : PRODUCTS-COMP/OP AGG $ 1,000,000 CLAIMS MADE X :OCCUR: PERSONAL&ADV INJURY $ 1,000,000 A ««<:::>:....... 174087794 : 03/01/2000 03/01/2001 ........................................................... .................... OWNER'S&CONTRACTOR'S PROT: EACH OCCURRENCE $ 1,000,000 i FIRE DAMAGE(Any one fire) $ ....... .....................................................: 000 ................................................................. # MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS $AP1082055940 03/01/2000 03/01/2001 :(Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS ;(Per accident) $ .......: .....................................................: PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........................................ .......::::::::::::::::::::::::::::::::.::.:: ANY AUTO OTHER THAN AUTO ONLY: " EACH ACCIDENT::$.::.............................. ........................................................_..................... AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 . .............................................................. .. .. ............... • X UMBRELLA FORM 174087827 03/01/2000 03/01/2001 :AGGREGATE $ 2,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION ANDAnT EMPLOYERS'LIABILITY TORY LIMITS ER A 120530275 ' LEACHAccDENT ..1.,.000,000 INCL 03 THE PROPRIETOR/ ...... /O1/2000 O3/Ol/2001 ..................... .. PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 1,000,000 OTHER DESCRIPTIONOF OPERATIONS/LOCATIONSA/EHICLES/SPECIAL ITEMS rojects: Avalon Oaks, Route 125, Wilmington, MA 01887 and Faxon Park dditional Insured: Avalon Bay Communities, Inc. giver of Rights of Recovery in favor of Avalon Bay Communities, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL __3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AVALON BAY COMMUNITIES INC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1250 HANCOCK STREET SUITE 80 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. QUINCY, MA 02169 AUTHORIZED REPRESENTATIVE Rossetti U Joseph p / SER39 G9 . SSS. ... 5............................,..,..........,.... .,.:::.::.:::::::::::::::::::::::.:.:..:::..........................................................:..::.::.:::::::::::::.::::::.::::..::::::.:::. A {.::::::: .................................................................................:.::....::::::::........:.........................................................................................Q...GQi;B.0 P:ORATlON.;t98 vr �44, r Aw y 6 64 Zr 47'. Sa- i IT j ct m 4:a'-. z V., -i'l- v-14 %ORTH Town of :4Andover No. _ Ao dover, Mass., V 'q 0 COCn.Cn.WICK A0RA7ED PPa�.(� S BOARD OF HEALTIA Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........B.f4IJA�........... w. ............................................... Foundation has permission to erect...... .. . �... buildings on ........ .;OR ....A C 6�1s I.MC.. Rough to be occupied as.....IAO I40.I04P.�...... 0140/f�........P%*�.....1'v.......J%*a r y 400d Chimney . .................... ..... . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M 1 0 s P Q / PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. O� do* Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST 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 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. 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