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HomeMy WebLinkAboutMiscellaneous - 52 SUTTON HILL ROAD 4/30/2018 Jl' 52 SUTTON HILL ROAD 210/097.0-0093-0000.0 Location No. ..- Date " Od NORTH TOWN OF NORTH ANDOVER i Y • � ; . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL i Check # jl 77r Building Ins,�ecior TO ®E NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR OR DEMOLISH A ONE OR TWO FAMILY DWELLING ■���j .... BUILDING PERMIT NUMBER. DATE ISSUED: �e) SIGNATURE: YuSildingtommissioner/117tor of Buildings Date 49 7 SECTION 1-SITE INFORMATION W 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: :Map Number Parcel Ntfmber 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 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record -t7cyv ed Name(Print) Address for Service: '7 0? a O 3 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Lavu Iti Lr � Licensed Construction Supervisor: �f O License Number Wn Address111Ael Expiration Date Signa re Telephone f... 3.2 Registered Home Improvement Contractor Not Applicable ❑ C rz,tnz. Company Name Registration Number Address Expiration Date Si na re Telephone !aJ 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 applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. Demolition ❑ Other ❑ Specify Brief Description1 of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � � = OFk`ICIAL DISE ONLY Completed b permit applicant "" r ,. 1. Building / �� (a) Building Permit Fee / J U Multiplier (P t,5 2 Electrical (b) Estimated Total Cost of Construction t� 3 Plumbing Building Permit fee(a) X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5 C CL>,, Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH.DING PERMIT a 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/AUTHORIZEDA�GENT DECLARATION I, Z i]y S l 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 C'-'1/15 x?44 Print Name -2 C) Si ature of caner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS I 2 3 SPAN DRAENSIONS 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. tt *< tAFFLICA.�aT FILLS OUT THIS J apPLICA��a i e /` U PHONE LOCATION: Assessors Map Number f PARCEL SUBDIVISIO�N— LOT (S) STREET `�ti�/(J✓`J c �� J��' ST. NUMZrER S� OFFICIAL USE ONLY�,� *ttrx* R ENDATIO OF TOWN AGENTS: d I,4 �InD/ CONSERVATION ADMINISTRATOR DATE APPROVED .01171QDDD - DATE(REJECTED COMMENTS � �'t T�h�o I � -_ �U�1 UDOS ulu - a...Q TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUELIC WORKS -SEWERJWATER CONNECTIONS DRIVEWAY PERMIT FIFE DE°ARTN1ENT RECEIVED EY EUILDING ii ISPECTOR DAT—EE I Revised 9'9"im 0 ✓lie -�arvrnonuieaCtl °�,l//,a�acu,./,,uvea BOARD OF BUILDING REGULATIONS iLicense: CONSTRUCTION SUPERVISOR Number: CS 004418 Birthdate: 09/30/1957. J Expires: 09/30/2001 •-r� Tr.no: 2865 Restricted To: 00 LOUIS M KLIPPER 6 LINDA ANN WAY MIDDLETON, M;? 01949 Administrator I The Commonwealth of massac'' Usetts Department of Industrral-.Ac-,'dents -� -; Gfrice of Imvestiaations �i Boston, Mass. 02111 Wcrkers' Comcensaricn lnsur nce Aiiidavrt please riI I�IcfTle 1' I\lairne: Ci`I !/V �1JLW�� ) ✓��J Fhcre = ��� "/ 9�3D 12M a hcmecwrer ceric.rninc all wcrk myself. CI am a sole crccre_cr and 'nave no one ,vcrxInc in any cacac:D,/ I I am an emcic`✓er::rcvidire workers' comcensaticn fcr mV empicyees ''NCr'{Inc Cn ihis job. Ccr-Canv name Address ,�''hcre��I I�Zu�1 yrs�r�w�i�Pr�s /\/w n- Og13 y 13 Ins rrc- Cc C7C�V d�'�I 1��1 A�' F^iici m I Comcarn✓ name: Address Cihi =hone Insurrc- Cc. F^licv Falure to secure coverage or MGL 15C con ieap to the;mccs,iicn er c imir.ai cenaities cr a rine uc to s .°c0.c0 anc/cr one years' imcnscrmer.t as Ne:!as c:vii penalties it the rcrm c:a S CF'n/CF.;C CRCEF and a.ine cr(5;C0.CC) a day _,sirs;me. understane that a cccy ci;`is t may ce icraarcec to the Gtt ce cr Investicstucns cr he CIA.icr coverage /erircpticn. I co iiere-cy csrry uncar ._hs ar�penaitres c> e jury Char:he information crcvided accve is'rue arc corr=cc. ✓� cicnatllre Print name )S G ic:ai use-my Co nct'Nrtte in this area m ce ccrnvetee cv coy cr,c,vn cr,c:ai C;ty or Tccvn L auiidirc Cert iimmec'iate resperse is recuir [I L'Ce 7sine Car t leiec.man's��ice C nrac: erppn: ^one r i-reaith Deparirnent C Cther i �� 1.) �� a-- - -- :, 3 . - ' i -�� 1 lM 1� ����L�� � � '� ��' o ,,Li _ � ' � � c- � a / �� 7 . v i ('� \N \ \' � � \ \. I , _ � _ - _ {I ����_ � /� � � i �' ���\ G���2(Q� �7//lam /�?��L�F/� �� �, �_ �� �_ � i bry S eL — plSt X14 C� IFA Sohthern Pine Council - 1-504-443-4464 - Maximum Span Tables for Southern Pine Lumber Page l .of 2 �171I T11FAM PINE SPA / ISMS SOUTHERN •Maximum spans&=in feet and inches ' APINE •Inside to inside of bearings 1� •Unathorized use of these tables is prohibited,please read disclairar below mead TI Table 44 Floor Joists- 90 ,psf live load, 10 psf dead load, 360 deflection Grade Spacing�n, Machine Evaluated Size Visually Graded Machine Stress Rated(MSR) �� Lumber(MEL) O.C.) SS No.l No.2 No.3 2.OE 21.9E 21.8E 1'7E M-23 M-19 n7-14 IF 24OOf- 12 8-6 8-4 8-2 6-7 8-10 8-8 8-6 8-4 8-6 8-2 84 2x6 16 7-9 7-7 7-4 5-9 8-0 7-10 7-9 7-7 7-9 7-5 7-7 19.2 .7-3 7-2 6-9 5-3 7-6 7-5 7-3 7-2 7-3 7-0 7-2 24 6-9 6-8 6-0 4-8 7-0 6-11 6-9 6-8 6-9 6-6 6-8 12 11-3 11-0 10-9 8-5 11-7 11-5 11-3 11-0 11-3 10-9 111-0 2x8 16 10-2 10-0 9-6 7-3 10-7 10-5 10-2 16-0 10-2 9-10 16-6 19.2 9-7 9-5 8-8 6-8 9-11 9-9 9-7 9-5 9-7 9-3 9-5 24 8-11 8-8 7-9 5-11 9-3 9-1 8-11 8-9 8-11 0000000000 12 14-4 14-0 13=1 9-11 14-10 14-7 14-4 14-0 14-4 13-9 14-0 16 13-0 12-8 11-4 8-713-6 13-3 13-0 12-9 13-0 12-6 12-9 2x10 19.2 12-3 11-7 10-4 7-10 12-8 12-6 12-3 12-0 12-3 11-9 12-0 24 11-4 10-4 9-3 7-0 11-9 11-7 11-4 11-2 11-4 10-11 11-2 12 17-5 17-1 15-5 11-10 18-0 17-9 17-517-1 17-5 16-9 17-1 16 15-10 15-1 13-4 10-3 16-5 16-1 15-10 15-6 15-10 15-2 15-6 2x12 000000000000 19 2 14-11 13-9 12-2 9-4 15-5 15-2 14-11 14-7 14-11 14-4 14-7 24 13-10 12-4 10-10 8-4 14-4 14-1 13-10 13-7 13-10 13-3 13-7 FOOTNOTE: These spans are intended for use in enclosed structures or where the moisture content in use does not exceed 19 percent for an extended period of time unless the table is labeled Wet-Service.Applied loads are given in psf(pounds per square foot). Deflection is limited to the span in inches divided by 360,240,or 180 and is based on live load only. The load duration factor,CD, is 1.0 unless shown as 1.15 or 1.25.An asterisk(*)indicates the listed span has been limited to 26'-0"based on availability;in addition,not all sizes are produced for all MSR and MEL grades. Check sources of supply in your area at the time of your project. http://www.southernpine.com/tables/44.html 01/17/2000 NORTH Town of , Andover No. ~ '0 L A o dover, Mass., 42h 17 JAD 2COCMICHEWICK ADRATED iP�,`�� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......6.11J0.40^P........................... ................................................ .................. ..AY ........ ....... Foundation has permission to erect....T....�0.13......... b;;:?s on ...XQ.......1�.401..... . ...A Rough to be occupied as........642.1r.14i � .....�.r. ........................................................................... 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final 9 UNLESS CONSTRUCTION ST TELECTRICAL INSPECTOR Rough C1S ' ............... Service BUI DING 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. dwoo a ebos Qu: ality Distinction Value , ti �1 ���" Oasis S.,e : na r °I �i1i♦♦iiii♦ �i•♦ •� i♦� ; � �•� iii•Ii. ' ♦♦1♦11.1♦ //♦ a1e11. �♦1.♦♦•/ l.ii1 i .. `♦ ♦1♦1.♦A • • • e � eeiel e 1 4 a ,#•♦ I ya... .', �.. •�.. ,,. PI..a IFt q t 9 #. 9x13 (shown), and 13'x17 10 Octagon (shown), and 12 Octagon ' 'Sk. A v i r ` t `T ft Mira 1 � • i�,t� � • „ ��3 wee p v , . ,<r .. .�•,• 1_♦!.•�i A11/•/.♦1� V ••.... ♦1 1•♦1 1/1 1♦1 1 1 1♦1 •• ♦• ei 1#i•1 i�i�•1•i♦♦n1 1!1 t I 4.x+•v. -. k!` 0.1 4•1♦♦1♦�11♦•1 111 f i♦ C���11! 11!���♦♦1 yI' '� „',T � 9•6A*IIf 1•♦.♦11t♦f��1•. 1 ♦/♦ 1•!�f�♦/♦♦�♦!^}.�.. --Swo _ y i r : 9x12 (shown), also in 9x9 and 12'x12' 8x8 (shown), also in 7.5 x7.5 and 9x9 _ I i I SETTI,NGS Redwoodp roducts since 1989 I .. t o• CROCKER SALES CO., INC. QUALITY SINCE 1919 9 HIGH STREET WOBURN,MA 01801 1.800-834-2036 (781)933-2006 li Location (� a No. =k Date A19 a 's "Oft,, TOWN OF NORTH ANDOVER of�,..o ?. `p Certificate of Occupancy $ a Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector /% 15:59 11247.00 s247.00 PAID 1,42 1 O Q % Div. Public Works Location No. I ' Date w `r �oRTti TOWN OF NORTH ANDOVER €; 0 - p Certificate of Occupancy $ Building/Frame Permit,Fee $ �cMus t Foundation Permit Fee $ Other Permit Feeq.� �""�— Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 1?mkjy���i5 567 25.00 PAID Building Inspector 4 104-86 Div. Public Works i 3 q Location No. Date NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ` Building/Frame Permit Fee $ ��s"••°"nth Foundation Permit Fee $ g sAcm Permit Fee $ J Sewer Connection Fee $ \� Water Connection Fee $ �r TOTAL $ Secy Building Inspector N ' 14 6 fF ------- Div. Div. Public Works Location : oaP r (l ID 2� No. �6 �i ! Date AORT" TOWN OF NORTH ANDOVER 0. p Certificate of Occupancy $ +,�, �; Building/Frame Permit Fee $ 'ss�cHusEtA Foundation Permit Fee $ Other Permit Fee $ I / Sewer Connection Fee $ r, (DD Water Connection Fee $ TOTAL $ 1Idi g�Ins 9®fids Div , Ic Works Location _ u Nit Date N°R7� TOWN OF NORTH ANDOVER imimagw „ Certificate of Occupancy $ o Building/Frame Permit Fee $ �c►+ug ES� Foundation Permit Fee - $ s Other Permit Fee $ ` Sewer Connection Fee $ Water Connection Fee $ o TOTAL $ Z/A5 Building Inspector °10028 Div. Public Works A?X PE&ItIT NO. 't _ — APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MASS. PAGF MAP t�0, 2 RECORD OF OWNERSHIP (DATE BOOK PAGE � LOT NO. ZONE SUB DIV, LOT NC . -J'�---- — I - �a LOCATION - r'- .J�/ �I 1 �... .. ., Z ~.� PURPOSE OF BUILDING .. _ OWNER'S NAME ✓ NO. Of STORIES SIZE - '� OWNER'S ADDRESS r - C' -" -,' l',i. BASEMENT OR BLAB _- - ARCHITECT'S NAME ✓'� (, t.r��• SIZE OF FLOOR TIMBERS IST Y/0 2NOX/p IRI BUILDER'S NAME SPAN �. Y C V a _ DISTANCE TO NEAREST B /y p'JIL ING i DIMENSIONS OF GILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDESp REAR G t^� e J IRDERS AREA OF LOT - 13' FRONTAGE HEIGHT OF FOUNDATION (� p, i THICKNESS i Q /. IS Sul-DING NEW SIZE OF FOI;T'ING x f 'Z -r 2 18 BUILDING ADDITION MATERIAL O} CHIMNEY - 18 BUILDING AITERATION IS BUILD'ING`ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE - 18 BUILDING:C.ONNECTED TO TOWN WATER "S _ _ y S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER --------- 18 BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTION-5 . - - 3 PROPERTY INFORMATION . ... LAND COST j ^� r! SEE BOTH BIDES / C•� EST: BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - ] [ST. BLDG, COST PER Sq . ;V4(S- PADE 2 FILL OUT SECTIONS 1 - 12 .. EST. BLDG. COST PER ROOM ELECTRIC METEPB MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY ATTACHED GARAGES MU4T CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ! DATE FILED J 2 a BUILDING INSP=CTOI SI ATV REO O ER OR AUTHO IZED AGENT FEE `OWNER TEL/ `/2—`-=�2 72` `/ "�.�'•+;: PERMIT GRANTED -� cy ` JJJ ,,,'�r �n '`•` (l t fl __t�l(�, own CONTR.TEL/ >f.G+l.7FM � CONTR.LIC.I DUE FRAME PERMIT H.I.C./ • r l AM MM { BUILDING RECORD 1 OCCUPANCY T2 INGLE FAMILY SrOulfl "1-+ THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI, FAMILY OFFICE-, LOf LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES- GA- ' ._ APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION Z FOUNDATION 8 _.INTERIOR FINISH COHCREIE a ! l CONCRETE BL K. PINE BRICK OR STONE HAROW D If PIERS TLASIE I UNFIN./ 3 BASEMENT I �, AREA FULL FIN. B'/A'T AREA VA 1/1 1/1 FIN. ACTIC:AREA — NO B Mi E FIRE PLACES . HEAD ROOM MODERN KITCHEN 4 WALLS ( 9 FLOORS 5 CLAPBOARDS B I 2 3 - DROP SIDING -CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HAROI'�O ASBESTOS SIDING COMIAGN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME .. BRICK ON MASONRY ATTIC STRS, Ab FLOOR I— BRICK ON FRAME r _ CONC.OR CINDER BLX.- - - - STONE ON MASONRY ' WIRING STONE ON FRAME SUPERIOR POOR _ ADEQUATE �� NON $ ROOF 10 '>FLUMBING R GABLE IF 8A1H 17 f1%.1' Z GA EtIMANSARD TOILET RM.1;IZ FIX.) fLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLAYNO P:JMBING TAR 6 GRAVEL STALL. SHOWER _ ROLL ROOFING MODERN FIXTURES THE FLOOR TILE DAOO g FLAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED"MOT AIR FURN. Z TIMBER BMS. b Cols. STEAM STEEL BMS. 6 COLS. HOT W'T'R;OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT :HEATERS --.. .-. . .. -.. ... -j NO. OF LOOMS - RELECIRIC A�E JAd I_ - NO HEATING _ i FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor's Map Number 1`7 Parcel Subdivision wiz„, Lot(s) l t9 Street t') 1/ St. Number S� ************************Official Use Only************************ RECO DATIO O O AGENTS: Date Approved ?121; Conservation Ad in' strator Date Rejected Comments C Date Approved _ Town Planner Date Rejected Comments CCDM-tA C'±imyI AQ a I I xo� Date Approved Food Inspector-Health Date Rejected Date Approved ,,Sptic : pector-Health Date Rejected Comments y Public Works - sewer/water connections - drivew permit Fire Department Received by Building Inspector Date s 1 • ` w Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the r Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) Map and Parcel :9Y36 Purpose of Application (check below) P on N ber of Applicant: Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. yis/stThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the con±itions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits fron;all other boards and Wrmissions.have L-en-received and the project-is in compliance with-those permits);and the Development.Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued Yna; Her Development until such time as thi&.Development.Sehedu;=accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. SignattirI5 6T Ownejrodir AutKorized Agent who 91 gned the Attached Building Permit Date This form must b1l attached to the Building Permit upon application for such permit. — NORTH O . O 0 ®ve r No. .31q 0 I rt Mass. /6 _19% COCHICHEWICK iA 0RATE 0 PC, BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT..................... ...............�uq le_.Ka BUILDING INSPECTOR . ......... . ..... ........................................................................... Foundation has permission to erect...... .......... bU!IdingA on ...........�57.2................ Rough . . ...................I.......I................. Chimney to be occupied as...... .................. ............... provided that the pers"o'*n*...ac'*c`e*pt*in­g­this permit shall in every res.pect conform to e ie��s of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Altqo Afirstruction of Buildings in the Town of North Andover. OUNDATION ONLY PLUMBING INSPECTOR REGULATED BY FAj?A, I I 48*S VIOLATION of the Zoning or Building Regulations Voids this Permit. * B.C- Rough D PERMIT EXPIRES IN 6 MONTFEE Rj:; /Co Finalff UNLESS CONSTRUCTION START Z�_17 ELECTRICAL INSPECTOR Rough .......... ........ ...... ................................ ................................... ....... .. � i5INSPECTOR R Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. ToVM of over L i ® �► 7',o — s dower, Mass., 1954 �0 '9'COCMICAM.,.I �Y1 - _ _ •f '9S A4rED �G BOARD OF HEALTH Food/Kitchen � . PE -R MIT T Septic System �— BUILDING INSPECTOR THIS CERTIFIES THAT .. ..................�Q. N......1 ..., j<.c......... ....................... ;Foundation has permission to erer:tW..14.......... a.4......... buildings on........Jr ..... ��1�,,/......� Rough to be occupied as......................46.11?..All.....6:61.4.1...... ....................: .. Chimney .........................................................provided that the pers�rr accepting thisshall in every respect onform to the tei;ms 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. PERM11 FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. RE.GULMED R' PARA. 114.8-S. B.C. Rough PERMIT EXPIRES it V 6 M �/FA i D (� W Final '� E ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough ............... Service BUILDING INECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove F nal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT ` Burner �I Street No. Smoke Det. dog- OUT RENCN OF A 30 -:_ R oP �D Via_ -2- o l0 1/ OS N71055'37 ,E I cPROP \G) ® — 3v 3 298 . 0 30�� N �: 1, :✓ 1 02 ry 3�W PRO l C CATCH BASLV ' 302.0' -- ' INV20:0 ® �s�°, • PROPOS r•,r�®►�: �O x vo 0. T- 292 A —H '•, � �: ` ' I 0 ® a e QQ r r EzO PSI S t p aW4 .fie C ® CD N O._ p A lQ EASE NO 'BUILD G` EXISTING ... W ROPO� �1 �...._. 8 O ATC 288. 5NTrAsjN 284 . 0 Country Estate Homes, Inc. � 187 Sanborn Lane / Reading , MA .018617 617 - 942 - 2228 � plrlrlry At ffFfl r fl . Emi Em , Effl LLLJ ETTI UJ ELL] EE� 30 X 42 COLONIAL 52 gwt{� ���I 4 BEDROOMS - 2 1/2 BATHS - 76 X 26 FAMLY ROOM - 2 CAR GARAGE UNDER 1433- 1OJ10 _ -_ ■■■ -_ _ -_ ■■■ -_ _ ■ -_ ■■■ -_ _ -_ ■■■ - ■ _ -_ ■■■ ■■■ __ _ ■ -_ ■■■ - _ __ ■■■ ■ ME _ _- _ _ ■■■ ■_ _ - - _ ■■■ _ - _ ■■■ -_ J OEM mw - ■ - me-'milm r - = M MOM - - ■■■ _ _ ■■■ - ■ - ■■■ _ -- -FlIll IWWWI Full to-Nil - - - - - - - - -- - - ■ ■ -_ -_ M E ■ odg3r , �IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ill lql Iql Illlllllllllllll IIIIIIIIIIIIII � III qll FUmm- III i Im NMI irrrrirrrirrirrrrirr� j �� �■ ■■ ■■ ■ r'1111111111111111111111111111111111111111{ ■■ ■■ • 11 IIS.. .■ uuuni ..Iru.0 lu .M1MPR1MP1MPIM111�1i11�1�1�1�1�1�1�1�1�1�1�1�1�1�1�1I!1M111MPH1MP1�1�111�1�1�1�1�1�1�1�1 IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIp� � II I,lllll,lll,lllIli llllllll,lil�l�l�l�l�l�l�l�l�l�l�l�l�l�l�lil�l�l�l�l�l�l�l�l'I�I�I�I�I�I�I�I�t�l�l�l�l�l�l�lil�l�l�l� ILII 111111111111111111111111111111111111111111111Illllllllll{1111111{11111111111111111111111111111111111111�1�1�1�1�1�I�1�1 IIII ljljlililililililililililililililililililililililililil�lililililililil�lil�lililililililililil " I a Ali.1 i., iii �I�V IIIIIIIIIIIIII �Ilu • - ,I p I��� IIIIIIIIIIIIIIIIIIIII11111111 1111 HIM I:::: mummu II 1 I,I,I i► LEM XC IlI�I IIII! 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III ■ uumiiumii �!I IIII IIIIIIIIIIIIIIIIIIII I��� 111) ■ IIIIIIIIIIIIIIIIIIIIIIIIIIIIII III III r r . ~ • • r 0 16'O" 22'0" 5104 14 14'13/4" 2.6.. 3'0" 510. 31 01 ' 2,611 4'bu 44 10'2"/4► 1'3/4" T 3'0'► 2110'/4" ��1��4. .1101 3'4' 3'5" p2'10" X 4'9' 5V51 X 4'9" 6'O" SLIDING N -------; ❑� i--------_ O 2'10 X 4'9' 2'10' X 4'9" 5REAKFAST KITCPEN ° ;° LAY STUDY . 011 ► 2'4" _O ctl a LL 11 2-2" 2'6' 3'41%° x 31611 21611 .a DESK - 0 - ROOM o 1'6 6,0" 1 30 O-, I � C'14t[1 �• X () s = _o O o v FOYER2'b" X 4'9' 2'10" X 4'9' CotD11� 11�C� R0,01"1 ;� LIVINROOM Cc% 1'10" X 4'9" 2'10' X 4'9' " ► 2'101 X 4'9' 2'10" X 4'9' N I6 30 I6 C 410" 4'0" G 416" 7'0" 416" 3'6" l'0" 3WI , .310►' 8'O'► 31 0" 3'6" 7'0' 3'6" 1 16'O" 14'O" 14'0" 14'0" -410 FIRST FLOOR -PLAl 10110 -3-10 V4' = 1'O" 81011 5'011 51011 Qv,O" &toll 416" G� 6,0"T4'bV5" '0" 4'bV5" 2'10' X 4'btt 5'91i" X 4'9" C-4 01 o Ln L in In = WALK—IN WALK —IN Oslo C) ° r2 cLos T CLOSETE0 BEDROOM 04 o o = � o - 114" 214, _ L A U N D R r CL. 21 .r 2'4' 2'6' 2'6" :0 1 Attic • I " n " I I 3'0" 4'101%�" I 5'O" I 6'0" 3 6 5'33/4 _ 5 4 52 I WHO I I Nd s O I CL-05ET cL. cLIC" I Cv N I I 2 - 3'O" 2 - 'O" I I O - I m BEE) ROOMI, 5EDROOM #2 BEC)ROOM #3 - - - - - - - - - - - - - - 1 ' oe OPEN r0 13EL.OW 0 2`101 x 4'9" 2'10' x 4'9" _ o is O 2'10' X 4V 2'10' X 4'9" 2'10' X 4'9" 2'10" X 4'9 N • s 5'914' X 4'0�2' n 4'6" 110" 41611 316" 1'O" y 3'6" 1'O" 110" 3'61 1'O" 3'6' —F mile I6'O" 14'0" WON 14'0" ;;=COND FLOO 1/4" • I'O' ELAN . i 10110 4-10 Wo120 1310 1010 110" 516" 5'D" 516' r ------------- -I r --------------------------------- ----------------------------------- ---------------------------- ------------------ -1 AL AL � 1 r------/• 1 1 f• 1 n --------------------------- •---------•------------------ r -------------J ►' 1 1 ►' L------------� ►� -••� 1 1 , FOUNDATION I ► r - ------------1------L----------------- ► 1 ' 1 ""� ID' Concrete Wall / 8'O' Pour ION DP x 118N W Cont. Footing i I i GARAGE FINISH ' ' I All wood constructed walla and celling to have 5/8' type 'X' Fte . 1•, O rated Wallboard installed 13401 .S .2 ] 4" Concrete Slab ; O O 1 , Q' l� 9 - 3 U2' Dlt.LaIN Column& p ; I ;o GARAGE 13ASEMENT With W.xl'o Op, I ► 1 Strip Footing 1 1 m. I X410" 610 610" 610" 6'0" 5'13/4 1 41/411 610" 610 610" 512" ►' ' 1 , i 1 I I !------- ---------------- ----------------1________________ ____---____-__ ---------------- --------------- --_____-___-----�-------- --_- 1i 1 0 I 1 t .-------------------------- ---------------------------------------------=;- ----- I _ --�----------- �. - ------- - 3 2x12 Center Beam (typa ----- - - � ►• 1 co 1 BEAM POCKET .•, �1 t _ _ -al 6' W x 6' Pp x 9' H (I req'd)13402 . 8 . 6 ] _ '► -. Shim bean wlth steel ehims or hard brick 4' Concrete Slab _ J , O I O Slope 1/8 per root 1 1 1�•- 1 s �, I 1 1 ►• / � I ; 20 minute rte door(mW ' ly T.0)C. (-) ' 4"Sin) Step down Into Garage O , if• L-------------------------------- - -; ►. L--------1-------------------- -------i r--------------------------- -------------------------------- - ---� . ; ; . . I L ------------------------------------- I � r-------------------- r--------------------------------------- 14'0 N ------------------------------------14'0" - �- 3��1� aloft 14'00 1610" - 42'0" FOUNDATION FLAN, . 10110 U40 • I'O" 5-10 GENERAL NOTES= FLOOR PLAN GENERAL NOTES= FOUNDATION GENERAL NOTES= I. All dimensions are to be field verified by the Contractor and any 1. Smoke detector systems shall be Type i I I in conformance with 1. Concrete slabs on grade shall have contraction joints with a depth adjustments made accordingly. 13401 . 14 . 1 .1 I . Detectors shall be located as follows= of at least 1/4 the slab thickness.These shall be spaced not more 2. All work shall be completed In compliance with all applicable A minimum of one per floor and basement,one per each 1 00 sq. ft than 30 feet in each directlon.Contraction joints shall be placed where Building,PlumbkS Electrical codes. Any other local,state and/or or part thereof. One shall be located outside of each separate offsets are more than 10 feet, federal codes that may apply to this project shall be considered as sleeping area and/or near the base of,but not within,each stairway. Contraction Joints are not required where 6 x 6-6/6 welded wke fabric part of the construction documents. 13401 . 14 . 2 I or equivalent Is placed at mid-depth of the slab. 13405 ,3 . 1 , 11 3. All waste materials and debris shall be removed and disposed of properly 2• Ventalition'. Kitchens and bathrooms shall have mechanical venting 2. The ultimate compressive strength of concrete foundations at 28 days 4. Numbers set within I I reference that section of the Massachusetts systems that provide 20 cfn/occupant.Bathrooms with a window which shall be not less than 2,000 Ibodoq.ft. 13402 ,2 . 1 I State Building Code for additional information, opens directly to outside at,no mechanical ventilation shall 3. Foundation walls shall extend at least 8" above finish grade.I 3402 ,3 .l I be necessary I Table 3401-2 ,3401 . 5 . 2 . 1 I . 5. These drawings were prepared per guidelines set forth In the Mass. State Building Code Section C 34 I For 14 2 family dwellings. aggregate light and ventilation=.All habitable rooms shall be provided with 4. The bottom of any point of a foundation shall be a minimum of 4'0" aggregate glazing area of not less than eight (8)per cent of the below finish grade. C 3402 .3 .4 I 6. Window glazIng shall be considered hazardous when used in doors, floor area of such rooms.One-half(1/2)of the required area of within 5 O of a doorway or closer than 18 to the floor.Windows used glazing shall be openable. 5. the exterior surfaces of masonry foundations enclosing basements shall for emergency egress shall have a minimum opening size of 20' x 24' be dampproofed.13402 .6 I in either direction and shall not be more than 44' above the finished 4. Hall and stairway widths shall be a minimum of 3 feet clear. 6. Lail columns acro 1s determined b C Table 3405 34-16 1 floor.C 3401 .1 .2 4 3401 . 10 . 3 I µandrails may project no more than 3 U2 into the required width. y spacing y pg' 1. Ail walls next to atakways shall have fire stopping installed 13401 . 10 .4 .2 ,3401 . 10 .8 I 1. Wall pockets:Ends of wood girders entering maoon or concrete walls adjacent to and parallel with the stringers per I Fig.3401 - 1 I . shall be provided with 1/2" air space on top,sides and end,unless approved durable or treated wood is used.13402 . 8 . 6 I 8, Masonry chimneys constructed to section. 13408 .2 4 3408 .3 I of the Massachusetts State 5unding Code S. Studs in framed kneewalls shall be 14" minimum in length and when the kneewall is greater than 4'0" in height, it shall be of the size required for an additional story. Kneewalis shall be thoroughly and effectiveiy cross-braced.13402 .14 3402 .1 . 13 ti S, Foundation anchor bolts shall be a minimum of 1/2" in diameter. They shall have a minimum embed of 8" in poured concrete. FRAMING GENERAL NOTES= SECTION GENERAL NOTES= There shall be a minimum of two anchors per section of Bill plate. 1. All structural materials shall be void of any defects that may L Floor design live loads are based on lot Fir Q 400/6q. ft., Maximum space shall be 8'O" on center. C 1104 .8 I diminish their capacity to function In an adequate manner. 2nd Fir. -9 300/sq.ft.and nonusable attics 0 2011/sq.ft Structural Engineering or any other professional services that Roof design loads are 30#/sq, ft, live load and V/sq, ft,dead load, may be required shall be provided by others. C 3405 . i 4 Table 34066 I 2. Framing lumber-Spruce-Pine-Fir,No.2 or better,with a Design 2. Minimum cetltng height for habitable rooms is l'3'. in a room with a Value in Banding 'Fb' of 1000 for normal duration. I Table 3403-3D I sloping ceiling the prescribed ceiling height is required in only one half 3. Minimum bearing for joist shall be 11/28. C 3405 . 2 .4 I of the area of the room. No portion of the room measuring less than 5 Feet Finished shall be included h calculating minimum area I 3401 . 6 . 13 . 4. Use built-up 2 x d posts under all beams (4 minimum). 3. Stahuay Headroom=Stairs between lot 4 2nd flys,and 2nd 4 usable attics 5. Double up floor joist under partition walls above. shall have a minimum headroom of (a' 8" measured vertical from stair nosing. Basement stairs shall have,a minimum headroom of 6' 6'. 13401 , 10 ,8 , Fig.3401-14 816 ,2 . 2 I 4. FireBlopping shall be provided to cutoff all concealed draft openings (both vertical and horizontal)and form an effective fire barrier between storieo,and between a top story and the roof space 13403 . 2 . 1 I . 5, Insulation minimum total R value requirements for Exterior walls is 125,Floor over unheated space Is 20.0, Roof/ceiling assemblies is R30,and Finished basements walls is RUB.I Table 3423-11 . 6. A vapor barrier of IA perm or less shall be installed on the winter warm side of walls,ceilings and floors enclooing a conditioned space C 3422 . I I 1. When eave vents are installed,adequate baffling shall be provided to deflect the Incoming air above the surface of the insulation with a 2 inch minimum clearance under the roof deck 13421 . 1 . 3 3 . 10110 (0-10 Continuous BaFfled Ridg t 2 x 12 Ridge Board 12 9 I x 8 Collar ties 6 4'0" O.C. ROOFING Composite Roofing BuildN Paper 6heathin 2 X 10 %, O.C. r CEILiNG Faecia Board 9 2 x 8 'S 16' O.C. �Overhancilng soffit aR30 Insulation with venting CL 0 o vapor Barrier _ 1/2' Wallboard. � � rn Qo FLOOR WALL _° y 3/4' Sheathing Siding Air Barrier 2 X 10 6 16 D.C. Sheathing,2 x 4 0 16" O.C. O Ril Insulation,Vapor Barrier 1/2" Wallboard i FOO 3/4' Sheathing , 2X10612" O.C. R20 Insulation Ski= 1 - 2x6PT., 1- 2x6KD, 13402 .8 . 4 ] Continuous Sill Gasket 2X Fie Blocking 11/21 Dia. x /12' Lg. Anchor Bolts -e Q 8'0' O.L. (max) 3 - 2 x 12 Center Beam FOUNDATION O 3 1/2' Dia. Lally Columns _e 1O' Concrete Wall / 10'O" Pour SEE FDN PLAN FOR LOCATIONS) _e 10' DP x 1'8' W Cont.Footing Dampproof exterior surface 4' concrete Slab SECTION THRU 4OUS� 1/4' = 10110 1-101 �.._..ry�� <,.��.._..V�a,.,..�,�,o..�x-,....�.-..�.�.._..m.._._o,.�..__�.,m.�......,..�.�...�.. „�....� _._,.�._..-aa..a.._,,......, -- �....�..._�..,_.,_..,u..v,...�....�.�...,...._..,�.............�....._.V..t.�...�. .,.�.�.•....o,�..a_......_. .�a..�,�__.�. .._..v,.....� �...��,.......,,.......v.,M.�. ._.a,..�.._.._.-.�..,-.s..._ Cont1 nous Baffled Ridg t ROOFiNG CONSTRUCTION 2 x 6 Collar Ties 6 16" Asphait/Fberglam Roofing Building Paper Sheathing lZ - 2 x 10 6 1(0 OAC. 9 2 x 8 -0 16" D.C. r C E I L iNG O n ulatbn� O.C. 10" Overhanging Soffit S, . cA FLOOR _WALL Sheath Siding O 2 X 10 g 12" O.C. Air Sheer Barrier - 2X 46 1 " O.C. Insulation vapor Barrier 1/2' Wallboard co FLOOR sheathing BILL 2 X 10 9 i6" O.C. R20 Insuiatbn i - 2x6 PT,, I - 2x6 KD. - Continuous 8111 Gasket - 1/2" pia. x 12' Lg.Anchor Bolts - � 0 8'0' O.C.(max) GARAGE FINISH All wood constructed walls and ceiling to have $/8' tWe 'Xfire - rated Wallboard installed [ 3401 .13 .2 O =co FOUNDATION 10' Concrete Wall / 8'0" Pour 10' op x 1'8' W Cont.Footing SI soECT= VollION THRU FAM ILY / MASTER � a _10110 O 2 x 10 fit 16' O O Flush Framed da • 4 x ffT C14 2x106 W' O All nembers are 2 x 10 9 12' OL.OJN.0) All eembers arm 2 x 10 ,0 16' O.C.UN.01 • pIR3T FLOOR FRAM INCs APreOND FLOOIR FRAMIN6 I/8" ■IV V8' • r0' MAXIMUM ALLOWABLE SPANS FOR HEADER SUPPORTING WOOD FRAME WALLS All.bean of Nesdmre 8tts of Wood bupportrg Ona Btory taro >Storims In Garages or In Walls, Weador goof Above Above not supporting Floors or roofs , 2-2X4 4' 6' 2-2 X i 4'to 6' 4' i' to 8' ? 2-2x & 6' to 8' 4' to 6' 4' 8' to b' s € 2-2 X 10 8' to b' 6'to 8' 4' to 6' 10'to 12' 2-2 X 12 b' to 12' 8' to 10' 6' to 8' 12, to W • ` _ 10110 9-10 I Zr Vaulted Calling Aamm sea 6actw Thm Pandy/MasterLYL Beam Flush Frans y LVL beam Flush Frans Ridge and Valley Rafters we 2 x t All rombben^ars 2 x B 19 I6" O.C."DJ All Rafters reg 2 x 10 ,6 I6" O.C. • Al 1 IL, m e)olR FIRAMI BOOP FRAMING Val -1,01 Val -1,01 MAXIMUM ALLOWAF31-E SPANS FOR JOISTS/RAFTER SPAN NOTES JOISTS/RAFTERS L Span Tables torn First floor joist[3405-2 3 Second floor 4 useable attic jobt t 3409-13 IY b' 14' I6' I6' Attic (no Fuhm room)[34064 3 Capa attic floor joist t 3406-2 3 FIRST 2 x 91/12 2 x 10/16 2 x 10/r 2 x 10� 2 x 10/16 Rooh over office[3406.6 3 2 x 60/16 2 x 17/16 Cathedral Roof Rafters 13406-3 3 SECOND 2 x 91/16 2 x 91/12 2 x 10n 2 x 10/16 2 x 10m 2. MaXMM span for 2 x 8 coflt g joist for AM PA"x�oolw 2 x 10/16 2 x W* cape attics b 19' II"[3406-2 3. ATTTIICC "0" 2 x 6/16 .2 x e� 2 x 91/16 2 x 91/16 2 x 9116 ATTIC•is ow�i.s 2 x 616 2 x 6/16 2 x 6/16 2 x 6/16 1 x s/ ROOF 2 x 6/12 2 x X16 2 x 6/i? 2 x 10/16 2 x 10/16 rnc aren. 2 x 91/16 . 2 x 10/16 CATHEDRAL 2 x#/% 2 x 10/2 2 x 10/16 2 x 10/16 2 x 10A2 2 x 10/16 2 x11/16 • 10110 10 -10 CERTIFICATE OF USE & OCCUPANCY Town of North Andover . Building Permit Number!1 gate 9 THIS CERTIFIES THAT � / THE BUILDING LOCATED ON _ 5- <�u— l o f4 /V t I / MAY BE OCCUPIED. -s��6�� �dIK'f� !�/ IN ACCORDANCE WITH THE PROVISIONS OF THIS, MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS l `h APPLY. CERTIFICATE ISSUED TO Tc k N &a&r7- ADDRESS 1 • t1ACHU5� dig nspector S Y , r f f i ow Of over - 7-**o —*47( LKKE over, Mass., 25 19V leadm w '9 COCMICMEWICK LYS• _ - i,•9s �q�E 6 E BOARD OF HEALTH PER ..M IT T D Food/Kifchen Septic System a BUILDING INSPECTOR THIS CERTIFIES THAT...................% ......� � I� ......SO= • Foundation 4 has permission to erect..........WA .4......... buildings on ........J�..20...... 00. � L Ro �.�., tobe occupied as......................�.t.�'1... c.....�.#K.&...... ...................................:............................................ C provided that tl:� person acceptin this mit shall in eve res ect Conform U.,the terms of the application on file in Y g every P this office, and to the provisions of the Codes and By-Laws relating to thy► Inspection, Alteration and Construction of Buildings in the Town of North Andover. PERK-1 FOR FOiJ^JDATlQN ONLY PLUMBING INSPE R VIOLATION of the Zoning or Building Regulations Voids this Permit. RrEGUATED BY PAM. 114• S• C' Rough w � PERMIT EXPIRES IN 6 M � ��kPAID -LG2 �• �' ELECTRICAL INSPECTOR UNLESS CONSTRUCTION cTARTS Rough 1 Service ............................. ...... BUILDING IN ECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough )0/y f No Lathing or Dry Wall To Be Done FIWE DEPARTMENT Until Inspected and Approved by the Building Inspector. a9Burner IWOLK �'FAL Street No. ,Q g Smoke Det. '� I p N2 2438 Date...: ..... .:. :.......... MOR7M TOWN OF NORTH ANDOVER o PERMIT FOR WIRING o SSACMUS� This certifies that `�- .... l ''........................ has permission to perform .... .G!..,�......-:.................................................. wiring in the bui ding of..!: �:-�............................................................... ... . ..:............/..�,North Andover,Mass. Fee.–'W., ........ Lic.No �.ARY�. " ..&—,/),, -. ................. U ELEcrRICALINSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer dam.\ ThEC0 1M0AW 4LTHOFAM&VA(RUS`MS Office Use only DPA9RTAfi7VT0FPUB/1CSA= PemritNo. BOARDOFF7REPRLYEMONREGM4770NS527CMRIZ-00 Occupancy&Fees Checked y i APPLICA TTONFOR PFJZI VITT TO PERFO"ELE=(RAL 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. MAP PARCEL Location(Street&Number) sc; 5'L �-4J H.Lt Owner or Tenant �_ S�k_utm L. t l Owner's Address -A-^k Is this permit in conjunction with a building penmit: Yes F-1 No r (Check Appropriate Box) Purpose of Building'_ IPA--A--' 1, t Utility Authorization No. Existing Service Amps ,.Volts Overhead r7 Underground No. of Meters C*V- New Service I Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1�u r t0. _ A&w-e 6 Arm j-irl� L No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burne 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 4No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detcction/Sounding Devices NNo.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hmam=Cbtia Plas�tothe �s daselLs(�araaliaws Iaom=Liabdtyh-am Pol yi<rh>c�IgCatIQ� CuxrwcrilsatslarIDalegtmkrt YES NO .l stftni tedvalidpwdofsa=tot rOfce YES M NO r7 if wha%edrad<edYFS pkmi ilco�L-lhe Ofw�aawbydmdar gthe TprcprialobcK BoND o miER o ftase ) KiA,4,t:A,.kL &mac ?19601' 'P Cl Eq�`mmL� a� P AUI EstarrabdVakEdUxbcal Work$ watoslart _ 4.c, �� h>FammDateRe prod Ra>gh fQ1,0L''Q 0AU Final undxTrptrlaltiesof f PAY FIRMNAME Lim-SeNa Liod-Bee MIA L"C�� �Cl�yy'+�U' Signatme Li=wllo ' I BtnirlcssTd.Na Aad 0 O.�A.W 10 �L ' M.fl , 0(?Sa" Alt Tel Na OWNER'SJWRANCEWAIVER,Iamaware iri&L�owdmmtkwthe it,sunrre=aag�crissibstnWlegr,, rt as wqmedby Nlasmdweb GmnlLaws arYithatmysigc>abuernthispetn>itapplica_Vvmesdvswgxre lert (Please check one) Owner M Agent F7 Telephone No. PERMIT FEE$ Signature ol Owner or Agent Office Use Only ., LfJjM III t1WrIIfth of gjn5c•1L#lI52tt5 Permit No. �C�IIIIfIIIEI12 �1S1711t tIfEtCj Occupancy& Fee Checked 3i94 (leave blank) BOARD OF RAE PREVENTION REGULATIONS 527 C'M 12:00 APPLICATION FOR � PERMIT TO PERFORM: ELECTRICAL WORK s Ai9 viark,to be performed in accordance with the Massachusetts E!ectrical Cade;527 CMR 12:00 ; (PLEASE.PAINT IN INK OR TY PE'ALL INFORMATION) Date �JXr or Town of NORTEi `ANDOVER To :the inspector of Wires: F erform the electrical work described below. The udersigned 3ppfies for a permit to p Location:(Street & Number) e+ v + o / wne� or. Tenant.�� Owner's Address IgK e9/Jf3(�'�/ G- N �Ci*��`AV is..his perm in conjunction with a building -permit; Yes No•s {Chet ^ prooriat/e Soxi p Purccse of Suildina �P /1� f�� �' Utility Auihorizati No. Cxis Ing Service, An^,os'_J Vcrs T Overi Mead'' Uncgrnd _ or Meters . ���,� Ne.v SBr�ice � AmpsJVoits Overneac Uhcgrne No. of vteters; t't5umoer of Feeders ane.Amcactty _ `a Lcca(I anc'Nature of Prccosed Electncai,"Icrx . iotai i' ta4di*!No. of:r-anstormers KVA ` tvo. at "_ignting Outlets I No. ct — �s .. _ Abave.— No. at Lignnng Fixtures i', Swimming ?adi' grne. cmc. _ !:.Generators KVA �3r% No. of Emergency'Lighting. rr, No. at Gecectacie Outlets L"No. at Oil Burners I an ery Units No. ^r Gas Burners' of Zones , (( MS. No �r.. -'Nc'. at Switen Outlets 1 r L.ar�, I Tocai i vo. atetectton'and i No. or,Ranges �. No:c', Air Corc:' tons lnitiaung Devices. _ r He totai total:,, No. of 7isbosal§ �' No.af P,-cs Tons C'.v.' No: of Souncing Devices _ No: of Seif'Cancained No. of Cisnwasners - SoacelArea�!eacirg (�•j' 0ecec::onrScunoin9.0svtces s ' _ .Municioai No. of-Dryers I Heactnq.0ev:ces KN �ccat _ Connecc•on ._Othee, NO. �r NO of,.. Low `7ottalge No. of.nater Heaters KW I Srcns Sailasts Wiranc _( k fdfFt ' ;No: :lyaro Massage tuas : i' No. of Motors '' otai F•iP a 07HE la, r INSURANCE C%VEF;AGE:?usuant :o me:recuirements at '.tassacnusacs y@neral "_taws. _ _ sa i have 'a current Liaoiiity insurance Policy rnctud)ng C';m,,:etec Operations Coverage or ;ts suos:anctal'ecuivatenc.. YEn _ NO I � a t nave suaminea valid proof of same to the Office. YES :v0 _ !t ';cu nave one cxea YES. please ineicace the type of.,coverage qy } checxing the appropriate aox .. ." .. t ' INSURANCE — BCN0 OTi-IEa'. lP!ease ^ec:h/) (axotration Datei _ _ Estimaiec Value.of Electrical Work.S Y r'inscect:on;Ogle Facuescec Rough Fnai a .Wcrx :o'Start Signea'unoer to Pena)cies of per)ury. �s �o ere UC:No � w< =iR1.i NAME Signatt:reNO�. -Licensee ,,�.�� � Bus al No. Acdress . ��1:J L �� v Alt ef. Na._. OWNEa'S INSURANCE`NAIVEP: I am aware that the t:censee Does not :nave the insurance coverage or its suostanual eautvaien�t a ce auirea by Massacnusects Generai Laws. and :nat my signature an :^:s aermit aoQticatton waives tats recuirement. Owner g (Please cnecit one)• eiecnane No: PEAtv11T PE= S (Slgnacure at Cwn6e or Agents .. , _ Date ..... . . .... i j 508 ' 3?°e,OORT c1'I'pOL TOWN OF NORTH ANDOVER y PERMIT FOR WIRING $ tiSSACMUS� This certifies that RCII(A4 . . .... �•C--.,4. .-� ` f has permission to perform ... ` .. ci........ ............................. wiring in the building of.11-7 fit' ,, . ,..�s.�. - — at...................... .. /. .... North Andover,Mass. — I'ic.NV�1:U. - s Fee. ... .. ......... .�� ......................................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only l2 ' fit Llt1 If la$gaIhuuttg Permit No. v � _ 3epa'ttntnt a7f Vubtk -1F1ftt1g Occupancy& Fee Checked �( BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) / j, Vj . AP I PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date () ZS (M* or Town of NORTH ANDOVF,R To the Inspecto of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number)JJ `� 440 14t 11 (Z Owner or Tenant K-p Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Aps ;Wei / Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrndr❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd 1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Eiectripal WorkC d Total No. of Lighting Outlets No. of Hot Tubs I No. of Transformers KVA Above— In- o Swimming r G KVA No. of Lighting Fixtures I S g Poal grnd. �- grnd. !! I enerators No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones total No. of Detection and No. of Ranges I No. of Air Cond. ons Initiating Devices No. of Disposals TNo.f Heat Total Total Pumps Tons KW No. of Sounding Devices —' No. of Self Contained No. of Dishwashers Space/Area Hy. ting KW Oetection/Sounding Oevices Municipal No. of Oryers Heating Dsvices hvV Local ❑ Connection ❑Other No. of No. o; Low Voltage _ Nu. of Water HaatsrsK`.v Signs_ _ Ballasts. Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: SPcUY, / (U 1 INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws �u0 _ I have a cuont Liability Insurance Policy including Comple�d Operations Coverage or its substantial equivalent. YES — have submitted valid proof of same to the Office. YES t� iv0 _ If you have checked YES. please indicate the type of coverage by checking the app yopriate box. INSUFANCE E{ BOND = OTHER — (Please Specify) (Expiration Oate) Estimated Value of EI ctrical fork S Ji 00,9 Work to Start Inspection Dace Requested: Rough Final Signed under the Penalties of perjury: � s—L l7l FIRM NAME 'SU ���+!' n eh �/� LIC. NO. Licensee ey J�/� Signature LIC. NO. Bus. Tel. No. a� f H c� /— ����� r�� �4 c r� Alt. Tel. No. Address OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit applica4mn Naives this requirement. Owner Agent (Please check one) —telephone No. PERMIT FEE 3 (Signature of Owner or Agent) x•8505 Date........lv 10 " �- 548 NORTI� TOWN OF NORTH ANDOVER 3? e•+� _...,.a pL PERMIT FOR WIRING ,SSACMUS�t This certifies that / has permission to perform .. ........ . .... .. ;. �! .... wiring m the buUdin of Ia at...................... .... M.. ,North Andover,Mass. �' m " .... Lic.No Fee. ...... .�„�,............................................................. 0 M qS,4Ir ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer r I � I Location E - No. �� Date i TOWN OF NORTH ANDOVER i F • 09 # Certificate of Occupancy $ i i • _ aT/ E<� Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #13912 Building Inspltor 5 li F TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ux BUILDING PERMIT NUMBER: DATE ISSUED: "13 --dd AA SIGNATURE: M A Building Commissioner/IR&OP of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: orA3 Map Number Parcel Number 1.3 Zorimighiformation: 1.4 Property Dimensions: 'Frsj- yc>?, Zoning District Proposed Use Lot Areas Frontage(11) 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard --4�1r�e Required Provide Required Provided Re d Provided 1.7 Water Supply M.G.L.C.40.11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 private 0 Zone -- -- Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(P t) Address for Service: 7W- ?73� Signature Telephone 2.2 Owner of Record: 1(,Y-31 DFC-K*-- Name Print Address for Service: Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 zpoI5 Licensed Constructio(i 91upervisor: -T, License Number Address -3a -- 2 DO -272;e6� 71pl- (T3 31- Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 -,Z)C k Company Name Registration Number Address Expiration Date Signature Telephone 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.......❑ No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction 0 Existing Building ❑. Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �.,,•ST�aC� � 16�31 ��oti� Go2c�.ti,� .S►�r,�'�'�9 �-L -6 k"57 Aavb In F' SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beTCiALUSE'ony d Completed by permit a licant ' 1. Building /�,Y ' J p (a) Building Permit Fee `7 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 �—; �j U Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING PERMIT 1, 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. I i Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION � 1, C0Z."cZt'Q S�D1 Pf Co rl'aJiS k1,;4O? u ,as Ownef Euthlorizedsubject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ,/ S Print Name by Signature of wner/A int Date low" :. EIM1131molso _ I NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 RD ' 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City �6CJ� �N U�Y� . ��• Phone 97r 7W— 73�� aam a homeowner performing SII work myself. �I am a sole proprietor and have no one working in any capacity ® 1 am an employer providing workers' compensation for my employees working on this job. Company name: C ���e`2 �N Address City' ,'bi 2jJ —� Phone#: Insurance Co. oCCV�6�7 /c�rlL i° P'Oligy 31I n- wr�iS 2S 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 m be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify underthepand aloes of perjury that the information provided above is true ancorrect.Signature Date /Cpz//,s �iPhone# ���Print name 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 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 STffh* PHONE on3� ASSESSORS MAP NUMBER Gq OT NUMBER ®x6)3 SUBDIVISION LOT NUMBER \] STREET a�-� �" Ly STREET NUMBER `S 1 ........................................................................... OFFICIAL USE ONLY /6 X 3d A b RECOMMENDATIONS OF TOWN AGENTS Co I►Lo &N,> Poolrcar^ Y�• DATE APPROVED L CONSERVATION ADMINISTRATOlt— DATE REJECTED COMMENTS Ab DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED 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 2' 8 F . T. F m J01 �1� DECK I NG: I « 'M.AHa3�ANY - 45N e" O ---------------- F . T . 2 8 J01 :T. EVEF`' IC 011 "INTEF, �'� STEEL Z 15T HAWIEF"- T Of l EVEFY JO 17 all Raj is h� e 9�a9 poST5 en 6AHAsrers 5FAced ON G B N t 6 t- s Wi llhAve- en, A SW c i p5 1 n.y and Self _ Lgtching 2r3 d,>eab ledl — 7 - - - - - - - � — Tr - - - -f'_�_ �I�_ - - -- boff- 7rk' Z x I? p -T 4 9 P. �,. �o�rt5 yt ru ts9eh� I x �I " t � � NORTH ® _ 4Andownover T nO = LA E 0I' dover, Mass., COCHICHEWICK AORATED PPI S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.........i&.. �....................................................................................................................... ..... Foundation / �, / a........� ..0...40/1....��..... Rough has permission to erect... .. ............ buildings on ........ . . nuc GPr�ud Pow/ w,C$ 's��b Df C� Chimney to be occupied as... ....... . . .............. ................... ....................... .........................t.. ....................................................... 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 Con truction of Buildings in the Town of North Andover. m dy 047 )0 It 130000 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO oeoou�� 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. Burner Street No. SEE REVERSE SIDE smoke Det. i he 16 . 0. l�P6 a� �s ou�}lD Us P? " o R�rn'�atS'�s 2x� TOIS o, t)bv61fD ZxI P'l I )96 �6 2 - 0 () a � / a v� a- a l+e i \ 2XI P. JO hiT5 DEGF:IN6110 PAAFO-Wli, +l C F.T. 2X:5 JC,15T5 EVEP.Y 16' C44 CENTER STEEL JC•15T I-W,6ER5 QN E`.TY J015T FJOT IN6 L:'tAT I ON JO I -)-i — I;A HOC A.PJY \ ; ItH O 1 % F . T . 2:K6. JO I�-Tc; EVfF%( 1 011 ,ENTER `STEEHANi' Ef'c-; �� k --- ')r1 EVE-F",( Ji?I"T � 4 ct l Ra j is h4L e 9z9 qn 64ilAsrers 5PAced 6° mN ce N t•er -the Stepp vci ll. hAVe_ S�1 A SeLf and SeLF 14-tching 5,re a-r -Tbe 2x5 a-�bIed m�o1'1f bb�¢•om of rrk- 7T — — — - - - - - - - - - - - - - - 4 9 P 1 port S 9 t r Y �9 e h� � c�r;c�e.re � .� o •�. L I 1 l t / -T