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Home My WebLink AboutMiscellaneous - 55 ROSEMONT DRIVE 4/30/2018 55 ROSEMONT DRIVE 210/098.6-0063-0000.0 I Q Date......................!........... H°RrM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING S^CHUsf� This certifies that ......... ...... ............ ................................ has permission to perform >.....<.:-5........-:.... ." ... .......................................... wiring in the building ........ ................................ .. ...... ,North Andover,Mass. at......................................v. Fee Lic.No ELEcrRICALIN P MR Check # 82G5 �ar u sr awsa£tfs o Isla rr�uraalfl Officiat Use Gaily ` j s Permit No. ¢frarEmsrst ai �sre eMice$ o,? REGULATIONS �/Fi�' OtV I Occunancy and Fee Checked -_X BOARD 4F FIRE PRE Rev. f ligsl llca�e blank► � APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK r= } iAU work to/be prycrrrbrn-oj in accordance dwith �t,he Malm ciiusc.ts E, ctrical Cade t�; ). 2 i 4:tt 12.00 PRO City or Ton n ;: _,yf/��I �Q�r�t" To fire Insl ct r of Wires: By this application d:e undersigned givcs<.tc►ti-e n;leis or h r uit .tion to perf.�rm the electrical work described below. Location(Sireet& Number) �/S 6 717 O►utter or Tenant /aI` ®��,kI�GTIs „��r17/�ZJ✓'�,�/7 Telephone No. -_ Owner's Address Is this permit itt conjunction►tritlz a building}icrrrze#' fres No El (Cheek Appropriate Box) 1'urliosc of Building Utility A z(horizatiote No. (existing Set-vice zl A t Lt � `—` ps /j� 1 1 oats Overhead!..f Utidgrd No.of lleters Ne►r Service Amps 1 'roils (}rcrheatl� i_ Undgrtl Q No. of(deters. Number of Feeders and Ampacity Lccatioti and Nature of Proposed Eledrical Work: C`arnletiou of d ie fieo urbir rabte trray be naimd 6f die fru'rctor or I tires. No.of Recessed Fixtures Nc.otCtit.Susp.(Paztdlc)Fans t o.° Total rr:azzsfornters XVA No.of Lighting Outlets No.of Hot Tubs Generators, l�;b'A No,of Lighti:tg Fixtures S►villzmit3 poo) Above In- _ 0-03 Mergency tg lung Swimming rztcl. r,d. Bane 'Units No.of Receptacle Outlets No.of Oil Burners FIRE AIA UVIS Yo.of Zones No.of Swishes INo,of Gas Burners No.of Detection an Initiatine Devices 1o.of Ranges A1AAA00,;7 1 No.of Air Cond. Tons No.of Alerting Devices unzp t tzns er ons 1<�Y t o.o elf anta ne a. of Waste Disposers t. r '- �"!--`"� De.ectiottlAle.tztz Devices TOtals: t rs• lNu. of Dish-syashers ISpacehkrea Heating KW Loral [] Conna¢unical on G Other It`io.of Dryers Heating Appliances K; CCU Iso rity vstents: . i No.nen--ices or Equivalent i o.ager IiIY No.of i o.of Data 1Yiring: I Flea ta rs Ballasts , Stens No.at Der ices or Equivalent Tc ecommunfcatzons Wrin No.Hydromassage Bathtubs Nu.of i►Iotors Total HF i`lo.of Devices or Eguiva,'ent j ©TI-IF..11: Attach addiri&ral detail if desired(,or as required by the inspector of;Yi-res- ItiSL'R,s.tiC.`E COV EI>A,GFi Unless waivcd by the owner,nv permit for the performance ofelectricai work may issue unless u,e licensee provides proof of liability insurance including"coy:-pleted operation'coverage or is substantial equivalent. The undersigned ccrbiles that such coverage is in force,and has exhibited proof of same to the permit suing office. CHECK ONNE: INSURANCE M BOND C1 OTHER [I' (Specify-.) -/ (Espiratian Date) f stinted L alum of El ctric:l }'ork: BCJ (When required b;municipal policy.) iVork:o Siart; Y Inspections to be requested in accordance with MEC Rule 10,and upon completion. __ I certify,render tis' palns Atte(penaldes o rpeJirlryP Mtrl the tnforrllrQtl9R on this QJJfTItcQtlafJ tS l Ile and complete. Anel le r• L1C.NO.:,j723U__ Licensee: Richard J. Arel Signature , LIC.NO.: 27514E Af arrplicable,enter "evetupi-hs tire.) Bus.Tel No.• 978-37 -1601 Address: 4_r19-4,42_3_ Alt.Tel.No.L M-302- 187 OWNER'S iNSUR ANCE WAIVER: I am a%iSfC' (fiat the Licettse.-dots not have the liability insurance coverage normally required by is w. By n.v signature below,l hereby waive this requirement. I am the(check one)Q owvner ❑owncr's a*e O►s ttnrlAQes.t SinataturcTelephone No. PLRi1TI�`r£rr: $�� j r �� Z�a� ��-- �' h .� w The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i iiq^�'r i 600 Washington Street w-; Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/individual): jJ^>!i/ �C �� Address: 773S� City/State/Zip: f!liL�i' �� /'�� Phone #: 9-7� Are ou an employer?Check the appropriate box: Type of project(required): 1. I am a employer with I7 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.7 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners wino submit.tbis afiliiavit indicating they ale duing all work and then hire outside contraeiors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Q1-76 `I-- Z—lrl- U� — 1 c A Policy#or Self-ins. Lie.#: -'O 7J-1Z,�/ a Expiration Date: 3 D5 Job Site Address: 51 Azl<ozo1�l;� A- yfl City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undff the pains and penal 'es o perjury that the information provided abo a is true and correct Si�riature: 7 Date: Phone#: f7,L - 7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. if an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia X197 •�7 Date.. ... .,�!....N........... NORTIi °f�"`°:•�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ......... ....................................... haspermission to perform �.,., ..t--c-M_..�.,,.. ..r... ........ .,; ,.•.:,:.. i..... wiring in the building of...................... ,.. ............ f at :." ..................... .North Andover,Mass. .... Lic.Noh..� ,:.A, EL$CrRICAL INSPECTOR Check N _ Commonwealth of Massachusetts Official Use Only Department of Fire Services permit No. / Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: �Z�U.u- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below_ Location(Street&Number) Owner or Tenant �,i„� qTelephone No. 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 d Amps ray , D.�L L)Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _ C 4A>�� Completion o the ollomn table nwy be waived by the Inspector of Wires. No.of Recessed FixturesNo.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA In- o.o mer No.of Lighting Fixtures Swimming Pool Above gency Lighting rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons --J No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection x Heating Appliances Security Systems: No.of Dryers g pp KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or uivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such7B0 e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ND ❑ OTHER ❑ (Specify:) (Expirat Date) Estimated Value of Electrical Work WOQ O , (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I cert, under the ains andpena`lties ofprerjury,that the information on this application is true and complete. C FIRM NAM : 5 {les L�Q �t V ( LIC.NO.: �� Z Licensee: Signature � � LIC.NO.:�—:-S aAZ Bus.Tel.No.:''-IIL Sbl Address: r� > r �Uh7 F old Alt.Tei.No.: t1lS G`[W 1;-7%3 , OWNER'S INSURANCE WA ER: I am aware at e Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ Ree 'Pt — APPLICATION FOR ELECTRIC. WORK PERMIT (DO NOT FILL OUT THIS FOLD) NO. SERIAL ST.& NO. OWNER ELECTRICIAN PERMIT ISSUED REPORT OF 'INSPECTION OF WIRES Commonwealth of Massachusetts Official Use Only �,�f ' Department of Fire Services Permit No. •y Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonried.in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12M (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 City or Town of: To the Inspector of Wires: By this application the undersigned'givenotice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or-Tenant ��.c�2 r u� Telephonev6.,\.. Owner's Addressis this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ' � Amps �` t..-'Volts Overhead[3"" Undgrd❑ No. of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _- --C_omplenon o the followin table Wbe titini ved by the Inspector of Wires. No.of Recessed Fixtures — No.of Ceil.-Susp.(Paddle)Fans No.of Total ----- - - — - --- ----— ---------- Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA — Above In- o.o mergency Lighting - Na of Lighting Fixtures — Swimming Pool El In- —�d. Battery Units No.of Receptacle Outlets �'� No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No. of Switches '� No.of Gas Burners No. Initiating Devices Tons - No.of Ranges No.of Air Cond. Total No.of Alerting in Devices 1 _ _ No.of i Waste Disposers Heat Pump Number Tons KW No.of Self-Contained_! Totals:I I Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other ---- ----__.— _.— _-- ---•_.-- Connection — Heating Appliances Security Systems: No.of Dryers g pp K�' No.of Devices or Equivalent No.of WaterKit No.of No.of Data Wiring: Heaters I Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent OTHER: F Attach additional delait if desired,oras required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. I CHECK ONE: INSURANCE C BOND ❑ OTHER ❑ (Specify:) (Expirati n Date) Estimated Value of Electrical Wor - 1Co a (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under th_epains and penalties of perjury,that the information on this application is true and complete- FIRM ompletesFIRM NAME: LIC.NO.: f1 Licensee: 2�, v� 1_, .,jk Signature �-; ,:.�;{� LIC.NO.: �: �F 7 t, :1),-; l� `` � Bus.Tel.No.: Address: �.� l-,) ' r�r�,' � 1 f. Alt.Tel.No.: '11n � - t 37'6 OWNER'S INSURANCE WAIVER: I am aware that e Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent. Owner/AgentPERMIT FEE: $ SignatureturaTelephone No. P e c e.,.pI --------- - Location`� AA—�— No. Date -3 �aRT►, TOWN OF NORTH ANDOVER Oft•. o , 1,b O 9 + Certificate of Occupancy $ �'�s'•• E<�' Building/Frame Permit Fee $ d AC MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # r fBuilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER 3q7 DATE ISSUED. �� X • • SIGNATURE: Building Commissioner/1r of Buildings Date Z SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6 -A, Map Number Parcel Nu`mbe# i 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 Required Provided v 1.7 Water supply 1'drt'q0 54) �, 1.5. blood Zone Infomuition: 1.8 Sewerage Disposal System: Public ❑ Private -❑ r Zone Outside Food Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY O RSE11P/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record l C 1 t�f i vl'11�1 �"✓!��t 1-� J GS t'y✓E c,��' (',) Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: / we v1 ct t/ Name Print Address for Service: O �� Z ; 7 G - � / m Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: O License Number on Address Expiration Date Signature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name m Registration Number r Address r Z Expiration Date, /1 Signature Tel G) Telephone 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 it. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction +,� ) sting Junding ❑ Repair(s) ❑ Alterations ti Addition ❑ i Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: h I ec� 4o -�'e C VC > -r / // P 6,/,( I/C SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 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 1 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,, f.fJ e t'nn x'11 er)';It-' as Owner/Authorized Agent of subject property Hereby authorize to act on My beh f,in all matters relati t9-work authorized by this building permit application. Signature of OwnerDate SECTION 7b OWNER/AUTRORIZED 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 Si2nature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS iST2ND 3RD SPAN DEVIENSIONS OF SILLS DROENSIONS OF POSTS DRAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE woarN TOWN OF NORTH ANDOVER °0 OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover Massachusetts 01845 �SSACHUs�� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please Qrint DATE: JOB LOCATION: Number Street Address Map/Lot HOMEOWNER n-) ni er nut s1 �% 7;�'�� -SS%� 3�C'� '�S�% ;�3� ,f(_ Name Home Phone Work Phone PRESENT MAILING ADDRESS ! ',-o�-)e City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner act$as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances 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 North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE L41__k J ,- APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption RX)ARU OF AITE ALS 689A541 CO\S1?RV.11]ON i)NS-9530 11FAL Hl o88-9540 (TANNING 6M-0,35 POSTWOODWORKING.COM STORAGE SHEDS i 4 I -866-PWI_ SHED 1 z. - ,zi 1 M NEW FEATURES STRONGEST ROOF IN THE INDUSTRY • 2x6 Engineered Roof Trusses 1611 on Center • Pressure Treated Floor Joists 1211 on Center • Functional Aluminum Windows w/Screen Why Should QUALITY CONSTRUCTION With over 40 years in the shed business, Post �--� Woodworking's objective is to build you a superior quality shed. Starting with the roof, "y we use engineered trusses made of kiln dried M's framed 16" on center. Our walls are framed with premium kiln dried, 2x4's 16" on Shown in Vinyl 8x14 ` nter and we frame our floors with pressure \ APPEARANCE reated joists 12" on center. � Are you proud of your home's appearance? Is \ t!rampRoof your yard nicely landscaped? Shouldn't your shed be as attractive as it's surroundings? At su PWI we believe your shed should be as good tated NEW looking as it is functional. That is why we have _ is supported both wood and vinyl sidings to choose from, / 1 by engineered raised panel doors and functional windows / 2' x 6' trusses with screens shutter / louvers with " sand window boxes are Aluminum louvih 16 on center all standard to complete the look. screens in all models for ventilation Premium grade, Kiln dried 2x4 16" on center construction Sidings secured with gal- 77' f I vanized nails _ �'' Double studded corners for rigidity NEW 12" on center pressure treated floor joists Shown in Vinyl 8x16 - 4" x 4" pressure treated FREE DELIVERY & INSTALLATION foundation beams for Every shed we sell includes installation by ourextended life 5/8" exterior grade own professional installation technicians. In 2 under 6' +8 wide sheds plywood floor / most cases your shed will be completed in less 4 under 10' + 12 wide than 2 hours. Free delivery to most of New sheds Concrete bricks ever England. under bea a Post Woodworking, Inc 1 .866-PWISHED ua PWI FLEXIBLE DESIGN Shed )• At PWI we believe your shed should be Bdesigned with your storage shed needs in mind. That is why we offer several styles and sizes, all with flexible door and window rim- EE ON-SITE CONSULTATION placement. Still not sure what to order? �N Call us to arrange an on-site consultation A Post Woodworking trained with one of our trained representatives. presentative will come to your home or business to help evaluate your storage needs and site requirements. 1/2" Exterior grade plywood roof Self-sealing asphalt shingles (20-year guarantee against leakage) Available in black, brown or gray Drip-edge on all roofsGo to our website for a quality weathertight Postwoodworking.com finish for more options or to design your own shed. NEW I "a� Classic styled aluminum t single hung window w/screen, shutters and - �- '�' window box rj 20-YEAR 5 LIMITED WARRANTY — -� Your Post Woodworking,Inc.building has a S Heavy-duty �� 20-Year Limited. Warranty for structural Lv in This warranty does not include 5 doors and windows (for obvious reasons). 5 The roof shingles have a 20-Year Warranty ��!! Classic style 4-panel steel ` against leakage. Natural disasters, damage door with 3 hinges \� 5 by accident or neglect are excluded. With0 5 5 proper maintenance we expect your building Post's own patented 5 to last a full lifetime and more. We expect 0 5 that when we have been gone a hundred 5 Ironclad' Hinge Covers years many of our buildings will still be 5 Financin9 standing all over the United States. Post 5 12 m S Woodworking,Inc.,gives no other warranty 5 o. expressed or implied,either oral or written. 5 Jnrr�.li:J-r.I-cn�nrJ�cni:.rr�i:.rl:.rl:.rl:.rcl�tJ-� o .pOstwoodwor kinme- ST WINDOW AND D OOR PLACEMENT v� � • iii i� i� iii ��1rL 111T,�' ,.�, ;`, ^\y,�. Y v� PINE A B C D E SIZE VINYL & T-111 CEDAR ✓ 6' x 8' $1,479 $1,339 $1,619 ✓ ✓ 6' x 10' $1,819 $1,659 $1,969 ✓ ✓ ✓ 6' x 12' $2,099 $1,879 $2,269 ✓ ✓ ✓ ✓ ✓ 6' x 14' $2,339 $2,099 $2,539 ✓ ✓ ✓ ✓ ✓ 6' x 16' $2,609 $2,349 $2,819 ✓ 8' x 87'X $1,839 $1,689 $2,059 ✓ ✓ 8' x 10 ^$2,129 $1,959 $2,369 ✓ ✓ ✓ Q 8' x 12' $2,469 $2,289 $2,729 ✓ ✓ ✓ ✓ ✓ 8' x 14' $2,679 $2,489 $3,029 ✓ ✓ ✓ ✓ ✓ 8' x 16' $3,079 $2,869 $3,369 ✓ ✓ ✓ ✓ ✓ 8' x 20' $3,659 $3,329 $3,999 ✓ ✓ 10' x 10' $2,489 $2,309 $2,769 ✓ ✓ ✓ 10' x 12' $2,789 $2,679 $3,169 ✓ ✓ ✓ ✓ ✓ 10' x 14' $3,099 $2,899 $3,509 ✓ ✓ ✓ ✓ ✓ 10' x 16' $3,559 $3,349 $3,899 ✓ ✓ ✓ ✓ ✓ 10' x 20' $4,249 $4,009 $4,639 ✓ ✓ ✓ 12' x 12' $3,239 $3,049 $3,609 ✓ ✓ ✓ ✓ ✓ 12' x 14' $3,629 $3,339 $4,019 ✓ ✓ ✓ ✓ ✓ 12' x 16' $4,029 $3,809 $4,459 ✓ ✓ ✓ ✓ ✓ 12' x 20' $4,809 $4,589 $5,249 Applicable sales tax is not included.Delivery charges may apply to some areas.Prices,materials and specifications are subject to change without notice.Payment may be made by cash,check,credit card(mc/visa,disc)or through our financing. OPTIONAL DOOR PLACEMENTS Double End Doors available OPTIONS AVAILABLE PRICE in these models Steel Roll-Up Door (End Wall Only) 5' wide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$309.00 7' wide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$369.00 Additional 4-Panel Steel Single Door (29") . . . . . . . . . . . . . . . . . $100.00 Gambrel Roof Shed Roof Additional 4-Panel Steel Double Door (60") . . . . . . . . . . . . . . . . $150.00 8'x8' &UP 8'x8'&UP 4' Shelf Kit (customer installed) . . . . . . . . . . . . . . . . . . . . . . . . . . $20.00 Cupola " ' • " " " " " " " " " " " " " " " .$ 5' WideRoll-Up End Doors available ' • • • • • • • • • 150.00 in these models Additional Aluminum Single Hung Window . . . . . . . . . . . . . . . . $65.00 (includes grills, screens, shutters and window box) One Ramp Included Pressure Treated Single Ramp . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00 Pressure Treated Double Ramp (Fits 5' Roll-Up Door) . . . . . . . . . $75.00 8'x8' &UP 10'x10' &UP Pressure Treated Extra-Wide Ramp (Fits 7' Roll-Up Door) . . . . . $100.00 Storage Lofts 7' Wide Roll-Up End Doors available 6'x4' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $60.00 in these models 8'x4' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $80.00 10'x4' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 12'x4' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $120.00 Solar Powered Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $119.00 10'x10' &UP 12'xl2' &UP Pool Filter Hole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75.00 2'x8' Workbench (installed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . $130.00 6 Post Woodworking, Inc 1 .866-PWISHED rVKM U - LV 1 KCLGAOC rvv%m J� INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from �•p:��W v�iVi opp S PACE AREq p 2 Z o - x LOT 41 N L07 +2- m �x Nass X433 Q �_,r- �?se/ JOHN S. LAW f ,. I == PROFESSIONAL LAND SURVEYOR, J HEREBY CERTIFY THAT THE AMERICAN SURVEYING COMPANY 30VE MORTGAGE INSPECTION 1264 Main Street, Waltham, MA 02451 (781) 893-6477 - P_FIEF_AREp_FOq qyK IN PREPARED FOR INTEGRATED MORTGAGE SERVICES, INC NJ IS NOT INTENDED E ORR GAaE RPRE_ Mortgage Inspection Plan JO IS NOT INTENDED OR REPRE- :NTED TO BE A LAND OR PROPERTY 4E SURVEY. NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED�IT- COUNTY REGISTRY�OFEEDS T. IT CANNOT BE USED FOR E6- DWELLING SHOWN HEREON EITHER BOOK PAGE L.C.C Ji ,BLISHING FENCE, HEDGE OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: JILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSOR'S :REON IS BASED ON CLIENT FUR- FECT WHEN CONSTRUCTED WITH RE- MAP M SHED INFORMATION AND MAY BESPECTTO HORIZONTAL DIMENSIONAL ADDRESS: 9-11 f\_T pTEpy IBJ ECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT KINGS,EASEMENTSANDRIGHTS OF FROM VIOLATION ENFORCEMENT AC- BORROWER: >Y. to RESPONSIBILITY IS EX- TION UNDER MASS.G.LTITLEVII,CHAP. NDEDHEREINTOTHELANDOWNER 40A, SEC. 7, UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD ZONE I OCCUPANT, IT IS NOT INTENDED NOTED OR'SHOWN HEREON. A CON- AS SHOWN ON NATIONAL FLOOD INSU NCE PRQWM FLOOD BE RECORDED. FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP OATEJ� 2 . ATE 18 ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL A - HT SHOWN TO BE 1' OR LESS FROM IENT R J► O O PROPERTY OR REQUIRED ZONING ELD RA E CH C ED IE NT Ji^ SETBACK LINES. Jay t_ . . �.r NORTH Town of Andover0 ` No. �47 ~ 0 C A E dover, Mass., COCMIC ME W ICK ADRATED H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........�y�..9................ ..... ...... .. ...................... .......................................... . .....4...... Foundation has permission to erect........................................ buildings on ........T...... .. : ........ Rough to be occupied as.......... ...? 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION T TS ELECTRICAL INSPECTOR Rough ... ........ ...!.... .. Service UILDING 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. Bumer Street No. SEE REVERSE SID:E:::]l Smoke Det. Location��"� No. 13 Date 11 aY" ,.ORTq TOWN OF NORTH ANDOVER Ota•`•° '',ti0 F .'I 9 i v y Certificate of Occupancy $ ,�' Buildin /Frame Permit Fee $ s nc 4U Building /Frame Permit Fee $ Other Permit Fee $ TOTAL Check # / 7c� 18750 50 w // ' -Building Inspt1or 161-- TOWN G' -TOWN OF NORTH ANDOVER = BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING rn BUILDING PERNUT NUMBER: rRATERSESUED:33 Ir0 v —O + SIGNATURE .'.Lzz Building Commissioner/I r of Buildin Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 55, &SwDar U14,6 0q Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS t1 Front Yard Side Yard Rear Yard Required Provide Required Provided Regi red Provided v 1.7 Water Supply M.GL.C.40. 54) 1.5. blood Zane Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zane Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record Name(Print) q Address for Service: SigVture Telephone 2.2 Qwner of Record: 1r O Name Print Address for Service: z m Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Z)A bi JEL r"4 + C� Licensed Construction Supervisor. ya / O 4/fff ` ` License Number on Ad 1' 7 7 tExpiration Date Sign re Telephone r 3.2 Registered HoImprovement Contractor Not Applicable ❑ 0114 rr Company Name 3� v M -/d „7��%pwc S7 �, �� Registration Number r Address r .7 Z Expiration Date G) Signature Telephone 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 gffidavit will result in the denial of the issuance of the buildi it. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all a Hcable New Construction ❑ xist;g$uild}ttg ❑ Repair(s) ❑ Alterations(s r 'Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: riNfSk f�sFri�✓r— GfS�,uG C. �r�c��,� � f.��r�inr/srtrc..0 YSP + 5Z,77 50 FT f'/- Z X2 f PAW OFIUAZ I IN SA il-n 7 4660% ZZ SECTION 6-ESTIMATED CONSTRUCTION COSTS' Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAQ r f 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS SSJJAGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, /�/IcmCL '�'a<ISJ/7ta<t�i19� ,as Owner/Authorized Agent of subject property 7 Hereby auth a r' to act on M behal al tt rs re ive o work authorized b this building Y / y g permit application. Signature of Owner Date r SECTION 7/b,OWNER/AAUUTHORIIZZE�D AGENT DECLARATION ,�$gLGU,�/t I, om—l/6JSLd+�N/� �� rl1l� •ST �► ,as Owner/Authorized Agent of subject property �j" Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Pr' ame Si ature OLO / Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 ST2ND 3RD SPAN DIIV ENSIONS OF SILLS DEVIENSIONS OF POSTS DEVIENSIONS 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 NORTH '� Town of No. 3 s - - W___ C A dover, Mass., ' COCMIC EWICK S RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT0001 ........................ ........... ... ..... ..... ......... .. . ..... ... ............................................................... Foundation has permission to erect. buildings on .. ..�...�..... ... ......... Rough to be occupied a :......... ............................................................................. 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONS ON START ELECTRICAL INSPECTOR Rough .. ...... Service BUIL ING 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approAR"fih ®om Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or�r Ouire6e= s. *****************APPLICANT FILLS OUT THIS SECTIONTMNtTDEVRUWT7M7S1 APPLICANT 1// cy,t Y /rnrn&AAx) PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET 5"S &QS'60160+ ]D,? ST. NUMBER *************** **********OFFICIAL USE D RECOMMENDATIONS OF TOWN AGENTS: C � 5 CONSERVATION ADMINISTRATOR DATE APPROVED NORTHANDOVER DATE REJECTED YDEVELOPMENT&$VCS COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RII fe/rn y�s RUQ Uric-� � `C �9(/�� a,. --�., 1J�Z 1//p1— RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of F cility Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date CONTRACT Customer Name /G14f- h 4k4c P Z z 11`--7,1 iz,/2/„4AV Customer Signature SKETCH Contract Date OS5S�Dl�/7ryhC Sales Representativp.Signature ATTACHMENT Cus1]er Phone b L / "17 D�y�Contract Price 4J i000 11 2 3 15 6 2] 28 n 30 31 32 33 30 35 36 37 38 39 00 41 62 09 50 51 52 53 50 55 56 5] 56 59 6o 1 j.... r _ 2 - - ' o 3 _�.. �.. — 5 L I 6 i I ,z J- 13 _ 14 I — ,5 16 _ - I / I 17 +r I 16 9 Wt 20 � 21 23 2. 1 25I -2114- -L 27 28 f 29 — - - - - - Tl 31 FI NOTES: (' box equals one foot unless otherwise noted.This sketch is a good faith representation of the work to be done, it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. • / • - � LAMM �. ... OWENS • . CORNINGINEW • • ` �� ■■ ■ ■ ■■■■■■■ ■■s---■■■ n �..�■■ ■ ■M ■■■■ ■■� ■■■■■■■■■■■ i i■M N�ii■■ ■■ ■ ■ ■■ NEMf 60. iE ■■■■■■■■■■■■■■■■■■■■■■■■■■■� MEMO ■ INN�■■E\ No am ■■■E■■■■EE INE ■■ ■E/J■■EE■M■■EMM ONEM OMENE ■■■■■ ■■■■■�■ ■■■■■ �■■■■■■■■■ ■ � �■ ■■■■■■■ MEN■■■■N■■■■ ■ OMEN 110■■■■■■■■■■ ® � vilg■■■■ S■■■ ■■■ ■EE■■ ,�! s JN■M■■■■EEM®� Jr ■ .�lE■N� Mno IN No � ! is mu- K Is MEN M No no Em [if� JM M no ME ME im ■E■■■■■.MEN. ■.■.....MEN , ■.mom..■■■■■ . ■ ■■�N�'l�li No . :1■mom M■■mom■■■■■MEEEEmom � ■■■■EE■■■■■■ ■ � m■� MORE I ME NONE 0 M NONE ■ M■■■■NEON MOM No M mom MM ■ ■N t ENE EENE ■■■E■■EM■E■ I EEE■EE ■■ ■ ■■■EE■E■E■■■■■M■ENMill ME MM E E ■E■N■■■E■■■■EEE■■EOE SME■MON M E■■■ rm ■■■EE■■■■■■■EEEMEMMMM�EM■EOE■MER■N ■ ■ ■ €: MN■N■E■■■MOM■■EEEEMEME ■ .. E■■■■■ ■■■E ■ ■■EE■■■EN■M■EE■■EEE■ ! i' NEE■ ■E ■ ■ ■ 1 E■ ■E■■N■■■EM N■■ENE ENE ME ■ ■ M■■EE■■■NM�■Mmom �. ,� i- ■NE■N SNEON ■■■■ ■EOE CMN NEON MOM ENEN EE EEE■ E■ f? Ammm ■■� NN■■ M E NM■Emom �EEM ■ ■ ■ i yip \ The Commonwealth of Massachusetts l Department of Industrial Accidents �� Office of Investigations ' 600 Washington Street ,I N Boston MA 02111 t www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 4A-m a&_ma &L'ala"l sysi6n Address: 55&Legr ST— City/State/Zip: (" & d2,oal Phone #: PZ/--Gid (o® Are yo an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 ain a sole proprietor or partner- listed on the attached sheet. # modeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. q, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' I3.❑ Other comp. insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy ant!job site information. Insurance Company Name: L./ 9a7wtK_ Policy#or Self-ins. Lic. #: b&2-36-.3W3 -01S— Expiration Date: e Job Site Address: _5-7 41 T"DK City/State/Zip: VA41jrx 0.)k475— Attach )k45Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations oft for insurance coverage verification. 1 do hereby ertii 1 uncle h tr s 1 n !ties of perjury that the information provided above is true and correct. Signature Date: Phone#: O.ficial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined.as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia rv05/26/2005 13:04 FAX 1 781 659 4725 Andrew G Gordon Inc @001 lz:zs PAGE 002/002 LN(I ' w 1 • e f • I&eaty M1da+s1 Gr*ap i . PO Ban 7202 M]Y Parfsnta.a,N1i 03=2-7202 Tdcpk=c(39 663-7843 j Fax(6"431-5693 May 2A 2005 i NAUGUrON do CO %0 TURNPIKE ST CANTON,MA 02021- RE: CertlSeste of Workem Campe.edim Iarrra'aoe Iawred: OWENS GM NTNG FII41S®BASENINT 960 TEIRNFEK E ST CANTOW,MA 02021 PofiryNmbm.- W(2-31S-344359-015 E>Eodvc 5Q42M EgaauaiL S!142006 Coverage azm*d ander Watem Cao an Law oftib.foaming ttaW* MA Em0lovars LiabiTi[v: , BodilylajmyByAseidmt 3 500,000 Eub Accident BodilyIsjayb7Diseme 3 -%k000 EaefPasm Bodt'!1►bjEybyDiseaae 3 50 000 Paricplmils As of this daeq Atibwrrdxmoed poFirykOldQs assaeod byLibetty)Ifilaal Foe bsmsaetCe ander the policy listed abov.. The msmsnee arbnJed by tite fisted policy is sabject b all the tern eadQaans aa+d eaodi iaes,and is not aheved by nay tegmraaat,tem or condition of my or cam dom meats vrib Impact 10 WWWh an eatifiate maybe issoed This ca&u:;de is b=ed as a aaatter of inbcffifion ady and confers Sa ii&upon y,%Ga aenfi6ute W"er. This mbficateic oat rn mgwmaepoieyand does ant amend,emend;arakw Obp--a vrr paffm*d bythe policy Stied Wk c If dkis policy is caaceilad befiure the stated agaatka date,I13aty Mahal wM admvar to notify la of such eaaceBatiaa. K ft_ _ ,� AUUKWzm1EMEW tiJeA7M IJ9EAIYIaHII0LLDtRit 11KEC&0UP INcr-��h�f1 yi�AT1Wr�1.IIf9[=+►1K�CiDors�a�iuooe a�f�y�c� cc: lmsmck PnKbw rafItecm* OWENS CORNING FINISHED BASEMENT ANDREW G GORDON ENC 960 TURNPIKE ST P O BOX 299 CANTON,MA 02021 NOIAWEIT,MA 02061 s+zsreots 05/26/2005 7W 12:36 (TXM NO 51441 Q002 ��V.r 1.L.v o.yrl Waw nV IpI/.u..,.�y u...rr.�...a. �w.u.V...avw... .... w..p. ...-........_•____ _...... ... _... ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID E "'OE(MMOD"rc" BAYST-1 08/19/05 PRODUCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION t ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kaplaosky Insurance Brookline HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 114 Harvard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brookline MA 02446 Phone:617-738-5400 Fax:617-738-8214 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Norfolk 4 Dedham Group 13943 INSURER B: BBe�yy§tate Basement System LLC D/B/A Owens Corning Finishing INSURER C: 960 Turn=pi022St 1 INSURER 0: Canton A 0 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSIRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA7E MAY BE ISSUED OR MAY PERTAIN.THE I SUIWJCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU ECT TO ALL THE TERMS.DaUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMTS 91OW(MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE(MNDOMI) DATE 004UNM LBMTS GENERAL LIABILITY EACH OCCURRENCE i 1000000 COMMERCIAL GENERAL LIABILITY PREMISES ocaralce $ 100000 CLAMS MACE F-1 OCCUR MED 07(Any one person) $ 5000 A X Business Owners R0309626 02/10/05 02/10/06 PERSONAL&ADviKLRY s 1000000 GENERAL AGGREGATE s 2000000 GENLAGGREGATELIMIT APPLESPER: PRODUcTS-cOw;,,wAGG s2000000 POLICY Loc AUTOMOBILE LIABILITY ANYAUTO (COMBINED SNOLE LIMIT $ ALL OWNED AUTOS BODILY NIURY s SCHEDULED AUTOS (Per perw) WIRED AUTOS BODILY KIURY s NON-OWNED AUTOS (Par acddvQ PROPERTY DAMAGE $ (Par aecidoM GARAGE LIABILITY A M ONLY-FAACCIDENT $ ANY AUTO FA AOC $ OTHER THAN AUTO ONLY: AGG s OICESSIUABR9IA U SKIM EACH OCCUZRENCE s OCCUR F-j aAw wAx AGGREGATE $ s DEDUCTIBLE s RETENTION s s WORKERS COMPENSATION AND EMPLOYERS'UTABIUTY TORY UMTS ER ANY PROPRETORIPARTHEWEIECUTIVE E.L.EACH ACCIDENT s OFFICERA,EMBER EXCLUDED? E.L.DISEASE-FA EMPLOYEE s dyes,desaffie rrder SPECIAL PROVISIONSbelaw El.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES I EXCLUSIONS AOOED BY EHIDORSEMEHT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DE msm POLICIES BE CANCELLED BEFORE THE EXPL4ATHON ()ATE THi3iEOF.THE ISSUING INSURER WILL ENDEAVOR To MAIL 10 DAYs WRITTEN NOTICE TO THE CERTHFICATE HOLDER NAMED TO THE LEFT.BUT"FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LMBILTY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. THE AC 0 ACORD CORPORATION 1988 Board of Building Regula ons and Standards , One Ashburton Place - Room 1301 l Boston. Massachusetts 0210$ Home Improvement Contractor Registration n , ReAistra : 137943 Type: SUPPlem t Card . Expkaabon: 189/2007 OWENS CORNING BASEMENT FINISHING DANIEL WALSH 960 TURNPIKE ST. CANTON, MA 02021 . Update Address-and return card.Mark reason for chang S-c,A1 a SOM44/04-GlOI21e Address E] Renewal E) Employment E] Lost Card ✓71.Tonm�noxsoaa�l�c or✓uiraeacuaele3 Board of BaOding Regulations and Standards License or registration valid for individol use only HOME IMPROVEMENT CONTRACTOR before the expiration date.If found return to: Rogfstntbn--\137943 Board of Badding Regulations and Standards � j412007 One Ashburton Place Ra 1301 Boston,Ma.0210E -int Card c -- OWENS CORNING Mr } ��SIEL�IDESH t=. 960 TURNPIKE ST. CANTON.MA 02021 Administrator Not valid without signature ✓die 1✓nrnareartur2�� a�.-'lfa:lsac�2ctsef�6 BOARD OF BUILDING REGULATIONS rr +' License: CONSTRUCTION SUPERVISOR Number: CS 079893 Birthdate: 10/05/1962 Expires: 10/05/2007 Tr.no: 6491.0 Restricted: 00 DANIEL F WALSH 488 KENDALL RD G—� TEWKSBURY, MA 01876 Commissioner Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Inspector of Buildings City Hall No. Andover, MA 01845 RE: Insured: Michael and Wendy Zimmerman Property Address: 55 Rosemont Dr, No. Andover, MA 01845 Policy Number: HP2128683 Date/Cause of Loss: 6/25/2004,Water Damage File or Claim Number: 13743-G Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Gary Knox Ext. 13 On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. .�r Signature anh Date ANDERSON ADJUSTMENT CO., INC. 54 Stiles Road, C-106 Salem, NH 03079 AUr ,j �, l.004 BUILDING DEPT. JUL-24-1996 09:44 N.E. DIVISION ACCT. DEPT. P.01/01 Toll `Brothe. . GInc. Quality Homes by Design' July 24, 1996 Jim Decola Town of North Andover Building Department 120 Main Street N. Andover, MA 01845 Dear Jim: This letter is to inform you that Toll Brothers, Inc. releases Robertson Electric from the Electric Permit at 55 Rosemont Drive, Lot 41 at North Andover Estates. Respectfully, Daniel Bernatas Project Manager New England Division 321 Commonwealth Road, Suite 102. Wayland,MA 01778 • (508) 647-6750 • FAX (508) 647-6774 Corporate Office. 3103 Phlimont Ave., Huntingdon Va11ey, PA 19006 TOTAL P.01 Location No. Date �oRTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ i ^ # Building/Frame Permit Fee $ c+ Foundation Permit Fee $ SSAcMu`+t c Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ i TOTAL $ c wilding Inspector 07117196 12:01 25•00 PAID _ . ru, ku - Div. Public Works PFR3f[T ]rO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. V PAGE 1 MAP 440.,c ffi I LOT NO. 4feogx 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE — ZONE _ / SUB DIV. LOT NO. LOCATION . �n?�I7►7M1 /��fV� PURPOSE OF BUILDING OWNER'S NAME �'� // NO. OF STORIES SIZE OWNER'S ADDRESS `?�! G8'�I77dMdI JBASEMENT OR SLAB ARCHITECT'S NAME d `//� J ter` SIZE OF FLOOR TIMBERS +IST 2ND 3RD BUILDER'S NAME /O 1, `P�11�rC SPAN - DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDESF REAR /�S ` " " GIRDERS Jro AREA OF LOT Jeeex}� FRONTAGE//b HEIGHT OF FOUNDATION �"1 ©�� THICKNESS /O 1 IS BUILDING NEW / w_j� / SIZE OF FOOTING r oolX IS BUILDING ADDITION 0 MATERIAL OF CHIMNEY IS BUILDING ALTERATION _I ��„[ ► IS BUILDING ON SOLID OR FILLED LAND 5V , WILL BUILDING CONFORM TO REQUIREMENTS OF CODE / r S IS BUILDING CONNECTED TO TOWN WATER C BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER, tt IS BUILDING CONNECTED TO NATURAL GAS LINE ee, 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EBT. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED mad BUILDING INSP[CTOR d SIG ATURE OF OW ER 6R AUTHORIZED AGENT F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 40*02 7-7� V 7g CONTR.LIC.J/ H.I.C.✓Ef T BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY rO ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY FICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B I 2 I3 CONCRETE BL K. PINE _ BRICK OR STONE P PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/ 1/1 3/ FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 wALLs I 9 FLOORS CLAPBOARDS ItBs 1 22 f 3 DROP SIDING CONCRETEWOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMIAGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ADEQUATE I� NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES (� TILE FLOOR 'V TILE DADO i 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC lst 1-j',_dl NO HEATING NuKIM Town of 6 O n over No. 330 :: 6*1��__A!)" <. K er, Mass., 10P44 C OCHIC Kl WICK SS BOARD OF HEALTH IPERMIT LO . THIS CERTIFIES THAT.............. .. ...................... ..^.. ... . ..................................... BUILDING INSPECTOR v has permission to erect o'v.�... buildi son ...... ......... Rough P ... .. .. .......... ... .. .. .... Chimney tobe occupied as.................................... .. .. ...... ..... ....... .... ....................... Final provided that the person accepting this permit shall in ever respect conform to the terms o he application on file in PLUMBING INSPECTOR this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTORRough Rough UNLESS CONSTRUCTION STA Service Final ..................... .. ................ / B LD G INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector .W .T.bAR - v 24IA V Xeb F�N� I LAUNDR `fib G \ h !yl.d koFYED I3 .i WTT- IX. 1 -�� `,f �\ .h� t k �P� rt �,,,�� i ` �� '\� �•ti "r.h ;I,. , r.�, i . ^^ .r� x .� rr, 3• � V' '. � �1�A ��1 r�I��.+ ,��:� �'?�+1� \ P/•`� �"1 � *.,� R j{!�� \j 1 ,�r41COG.-•�+�` i , :1•y�:i \ ,' '� 1 y� F0& y�:� i H` iik I. a�+`x��tt \ ( .b �/ �. >= r•�,' t wll� r Yjo 4l1 h !` ` � 5 *T- ^• ( r .` <P° ,.r� a i`.�SF,!._ f .•r-� .p a}rl�l ('�, _.� �� ::�� -� S. art:►�� ; .��i'�cx�;:r:�t:.. � �� ,x�i, C EL �, •, .. t1 1+r raj + r CGI � - F 1 I r '•, p.�, .:�'t 1 � rat .��\ , .�}i �L�'�. �r - � '` .L `� ..t ( II 1 2-CA GARAGE , �L l�. �; � Y �: d t ,.• , fw4 ", atA.t �.S.., r ¢ _ r�tVN,�4^* r- _.• ( j ' , .n ,r - r P, •I�1. 'r�l(nIF.,: 11 C 'Y.,,.� .+� �� `r r /�.�" tt F� J,� '.LL 'l.' I � �( � j•� ►"�„��,rl' $ .i 4+ �Y.•' I I I I f li e Location Nod. Date ~ORTII TOWN OF NORTH ANDOVER Of t`i° ,•,�O F 9 Certificate of Occupancy $ 41 I: ,' Building/Frame Permit Fee $ f O� see.... y ♦ _ __ S tFoundation Permit Fee $ ssACMUE RECEMEM F HENT Other Permit Fee $ NORTH ANDOVER COLLECTOR Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ,APR' 9 1993 i', ��u) Building Inspector' z , Div. Public Works i -FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. (/AGE 1 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE r , F I _ PURPOSE OF BUILDI 9 R' �y NO. OF STORIES C aK \SIZE !`p I O 0 D 7i .(�\ \ \v BAS HENT OR SLAB � Z fl Z -0 X Z W -- SIZE OF FLOOR TIMBERS IST 2ND 3RD SUILDL.:' qri� O SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET Zo POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Tn�\ SIZE OF FOOTING X IS BUILDING ADDITION O ` ,L.. MATERIAL OF CHIMNEY O IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND V-11"-- ILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER J a BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER O IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR FILED �3jDATE WARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED GENT FEE 2 OWNER TEL.# PERMIT GRANTED CONTR.TEL.# PLANNING BOARD CONTR.LIC.# 19 WARD OF SELECTMEN BUILDING INSPECTOR - 1 �; 2 � BUILDING w 1 OCCUPANCY 12 II SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISYI. MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCr. APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 t 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL IN. BMT AREA _ 1/1 1/1 V. FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING IA 'D COM _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. d FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME 1 SUPERIORI� POOR ADEQUATE NONE _ 5 ROOF 10 PLUMBING j GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY i WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 NEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 3 L l � II NORTI-� Town of dover No. 085 COCL A dover, Mass.,HIC ARRA T E D PP�\�'�5 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System `sT'r� BUILDING INSPECTOR THIS CERTIFIESTHAT... �t.�i�...... �..ffi .. �a •••••••••••••••••••••••••••••••••••••••• Foundation has permission to erect..76A .4.40% buildin s on.rir.&&r4r/�� •••••Wmz�ej Rough • Chimney to be occupied as............ f:.�.�. �.. .�.. ..... provided that the person accepting this permit shall in every r pact conform to the terms of the application n 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 UNLESS CONSTRUCTIO STARTS ELECTRICAL INSPECTOR Rough 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 PLANNING FINAL dA01�5-3S_1,'O'v CONSERVATION FINAL street No. Smoke Det. SFWFR/WATER FINALSS 2f- DRIVEWAY ENTRY PERMIT P2*1114fir-No• I,) FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1 MAP d40. LOT NO. 4� 7— 12 RECORD OF OWNERSHIP (DATE BOOK iPAGE ZONE SUB DIV. LOT NO. I I LOCATION &H5ScLN� PURPOSE OF BUILDIN '��A� OWNER'S NAME R' NO. OF STORIESO SIZE OWNER'S ADDRESS BAS MENT OR SLAB ARCHITECT'S NAME vO ww SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET Zo POSTS DISTANCE FROM LOT LINES- SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW iz TQ�� SIZE OF FOOTING X IS BUILDING ADDITION O \ MATER:AL OF CHIMNEY Q IS BUILDING ALTERATION c, IS BUILDING ON SOLID OR FILLED LAND CO , ` /GVILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER J a V BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER Q IS BUILDING CONNECTED TO NATURAL GAS LINE 'tk1, INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST > o O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY t ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR \ DATE FILED3wX t k \' p BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT rw �FEE jK42j-' d OWNER TEL.# PLANNING BOARD PERMIT GRANTED CONTR. TEL.# CONTR.LIC.# 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL IN. B-M'TAREA _ y, 1/1 IN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD114'D _ ASBESTOS SIDING COMMC:N VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASUN'RY ATTIC STRS. 6 FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR1--i _ I POOR ADEQUATE l NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY C WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OI L B'M'T 2nd ELECTRIC 1st 13rd NO HEATING 3 t Office Use Only uhe (�ammanwealth of 4Ua5aaz4U9et#5 Permit No. { �C�TIIrtTriEI12 pf VUbliL t6afPtU Occupancy& Fee Checked Z 3/90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL aaWORK All work to be performed in accordance with the Massachusetts Electrical Cod (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _e5lzwl (X* or Town of NORTH ANnOVFR To the specto of Wires: The udersigned applies for a permit to perform th ectricallwwork describe elow. / Location (Street & Number) Owner or Tenant _ Owner's Address _ Is this permit in conjunctionLith a b ildin permit: Yes No ❑ (Check Appropriate Box) Purpose of Building _1- r7 Utility Authorization No. j Existing Service _�� Amps A Volts Overhead ❑ Undgrnd l_� No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Pr posed Electripal Wo k, U O" Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Ahovsr—, In- No. of Lighting Fixtures I Swimming Pool grnd. '_ grnd. ❑ I Generators KVA i No. at Emergency Lighting No. of Receptacle Outlets No. of oil Burners I 'Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones Total No. at Detection and No. of Ranges No. mf Air Cond. tons Initiating Oevices Heat Total Total No. of Disposals NO'Of Pumos Tons KW No. of Sounding Devices t� _ No. of Self Contained No. of Dishwashers Space/Area H,-,,ting KW Detection/Sounding Devices ^/ - Municipal Other Nd. of Dryers Heating Devices KW Local Connectipn No. of No. o, Low Voltage g Nu. of Water Heaters KN I. Signs_ _ Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws _ I have a cuont Liability Insurance Policy including Comolet Operations Coverage or its substantial equivalent. YES O have subnMted valid proof of same to the Office. YES NO = If you have checked YES, please indicate the type of coverage by checking the appro ate box. INSUFIANCE BOND = OTHER :: (Please Specify) (Expiration Date) Estimated Value of EI Etrica) W r c 5 Work Ip Start (9 Inspection Date Requested: Rough Final Signed under th P n Itie of erjury: v LIC. NO. FIRMNAME fr `� GIS i9?/11 gn LIC. NO. Licensee Bus. Tel. No. r r AIL Tel. No. Address e or its substantial equivalent as re- OWNER'S INSURANCE WAIVER: I am aware that the Lice t. Owner Agent does not have the insurance coverag quired by Massachusetts General Laws, and that my signature on this permit application waives this requiremen (Please check one) Teleohone No. PERMIT FEE (Signature of Owner or Agent) X•5565 ` 355 Date...7.... .q........7 NORTH °t< ``°:•�"° TOWN OF NORTH ANDOVER �? •e OG PERMIT FOR WIRING + � SSAOMUSE O This certifies that ... ... ... ... .......... . :......... has permission to perform .......... 41y......... .... �/Q � wiring in the building of s ..` -. ...................................., .. North Andover Mass 00 Fee.Z5 " ... Lic.Ni. , ELECTRICAL INSPECTORAj- C WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 5. \ \ Office Use Only- - u4t LfammDntue# of 1fiagoa 4U0tft9 Permit No. 43epartmtnt orf Public -'afEtg Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK�� All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12.00 h6 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date - (X* or Town of NORTH ANDOVER To the Ins ector f Wires: The udersigned applies for a permit to perfqgn the electrical work aescribed below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes Ft? No ❑ (Check Appropriate Box) o Purpose of Building 61,00)lf R/j'��/��— Utility Authorization No. Existing Service 4400 Amps /0?10/ 9940 Volts Overhead ❑ Undgrnd ©� No. of Meters �— New Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location anp Nature of Proposed Electripal Work' Total No. of Transformers No. of Lighting Outlets � I No. of Hot Tubs KVA Above In- 77 i No. of Lighting Fixtures Swimming Pool grnd '_ grind. L_ i generators KVA Oma— No. of Emergency Lighting No. of Receptacle Outlets 1,5 I 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 No. of Air Cond. tons Initiating Devices T Total Total No. of Disposals TNo.of�'mfps Tons KW No. of Sounding Devices -- No. of Self Contained No. of Dishwashers �� I Space/Area Hooting KW Detection/Sounding Devices ❑ Municipal No. of Dryer i Heutin-, :)Pvices 'rON Local Connection ❑Other " No. of No. Of Low Voltage ._ Nu. of Water Heaters KEN. Signs_ Ballasts "WiringNo. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a cuj!ient Liability Insurance Policy including Complet�perations Coverage or its substantial equivalent. YESNO I have submitted valid proof of same to the Office. YES t,, NO — If you have checked YES. please indicate the type of coverage by checking the appr late box. INSU.PANCE BOND - OTHER : (Please Specify) # , (Expiration 0 te) Estimated Value of EI t cayWork S L. Work to Start Inspection Date Requested: Rough Final Signed under the P ies o riury: FIRM NAME LIC. NO. Licensee Signature �� No. rA Bus. Tel. No. ! Address �/�C- Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Lioll n e does not have the insurance coverage or its substantial,' puivalent as re- quired by Massachusetts General Laws. and that my signature on this permit applicagon waives this requirement. O er Ag .n (Please check one) �Q Telephone No. PERMIT FEE S VVV (Signature of Owner or Agent) x-6565 . : , 332 NORTH °t, •�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ".s CNUSE 2 - j This certifies that ...... :. ... .6(,:1/�•-,: ..................... j has permission to perform .. LY.L� wiring in the building o�owj��. Q............................................ .. at ... . ........................North Andover,Mass. rlJ� 7 .. .............. Lic.N41�l��t Fee..� ............................................................ ELECTRICAL INSPECTOR 647;212 s—i 1 pp�� WRITE: Applicant CANA Y: Building`6bP9. PnIOPINK:Treasurer 9 a Location No. Date NORTty TOWN OF NORTH ANDOVER 0. Certificate of Occupancy $ ` ; Building/FrafAe Permit Fee $ ,L ,JS4,vo � Foundation it Fee $ ACHU y 't -4 Vher Permil@jo $ ver Conne6t�NF.ee $ Wee Connecti*�� o $ i o TOT`S(71 •, Building Inspector Div. Public Works Location No. Date pGRTH TOWN OF NORTH ANDOVER �?O•,t``o .•,AOR ,. . A Certificate of Occupancy $ + # Building/Frame Permit Fee $ ,ssACMUStt Fou r1da "�t.Elep— �j $ r Other"T{#7; FMCOLLECTOR $ Sewer Connection Fee $ d Water Connection Fee $ TOTWN 2 7 1993 $ Building Inspector Div. Public Works Location S --D'p•�i%��/r �J�I v�Fi No. Date : of ro,pTN TOWN OF NC $R o0L v ' p Certificate of Occupancy $ C�<<�OTOR ' Building/Frame it Fee $ p s o, .. • �Ss�cM45 Foundation Permit eg, $ Other Permit Fee 5� Sewer Connection Fee $ ^1 (M'd Water Connection Fee $ TOTAL $ ' Building Inspector r r. ' Div. Public Works 1 PER1fIT NO. 15- APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.fiAVS �/ PAGE 1 MAP K40. TB 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. LOCATION �� -;11� 3r , PURPOSE OF BUILDING SIKjLAF OWNER'S NAME n�_u�Orl ` NO. OF STORIES 7- SIZE "7 Q OWNER'S ADDRESS `L�5 <;Tjbz� - >KitxTbo) lik- BASEMENT OR SLAB -F�;11�tr ARCHITECT'S NAME '� `'�4r _, SIZE OF FLOOR TIMBERS IST 2ND 10 3RD -WI-5; BUILDER'S NAME 'l�('L"µ � .A` SPAN �1�+/ � A ��Uc7' _ F�1e,�tit 14 © I 4�C, j�_ il"O_c= _ DISTANCE TO NEAREST BUILDING I;�T 16l IN -1"Pz-:; S'1"' DIMENSIONS OF SILLS qr �,�r� oj DISTANCE FROM STREET t2�� J�t s POSTS 'l- ��1'7 DISTANCE FROM LOT LINES— SIDES 17 '7 O[ REAR GIRDERSAssaTja�> ..��Y AREA OF LOT CSL.: r�,r. FRONTAGE .rt�— HEIGHT OF FOUNDATION Q� THICKNESS w IS BUILDING NEW �� I' J SIZE OF FOOTING lA v X lo• IS BUILDING ADDITION �JtMATERIAL OF CHIMNEY� IS BUILDING ALTERATION Nv IS BUILDING ON SOLID OR FILL D LAND rI� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE\IES IS BUILDING CONNECTED TO TOWN WATER \J�S 1 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER "r\!�s' IS BUILDING CONNECTED TO NATURAL GAS LINE( 7�y INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES Bm p ' me 2 "J-Z�j f U/©] EST. BLDG. COST22/�2 0o U d ? PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FMi� I.y�' � I/ EST. BLDG. COST PER SQ. FT. DUE FRAME PERMIT$f/6 4�0 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 ©w0 O SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING �i 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR �d ifi-; DATE ED A, n ,{�` , BOARD OF HEALTH SIGNATURE OF OWNER OF AUT_ ORI ED AGENT !1f a ! F E E i PLANNING BOARD PERMIT GRANTED R. TEL. ��. N a � 19 WR. LIC.# BOARD OF SELECTMEN 'M 21 Z' 4? BUILDING G1NSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S OR1ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE 3 t 2 13 ~ CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER c _ DRY WALL a UNFIN. n 3 BASEMENT I v AREA FULL FIN. B M AREA _ '/, 1/1 3/, FIN. ATTIC AREA N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"y D - ASBESTOS SIDING COMMON __ fi VERT. SIDING 6SPH. TILE _ STUCCO ON MASONRYt t X _ STUCCO ON FRAME 'A'`'a'; yl BRICK ON MASONRY ATTIC STRS. 6 FLOOR BRICK ON FRAME ,�•��;_i •. �,�,_. CONC. OR CINDER BIK. STONE ON MASONRY WIRING r < STONE ON FRAME `�'"`��"""" """� ••�� . SUPERIOR POOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY i WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING - TAR 8 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING t• WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. .... TIMBER BMS. &COLS. STEAM STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 4 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVE. OF MASSACHUSETTS BOSTON,MASS.02215 't .:' j ENCLOSE CHECK OR MONEY ORDER LICENSE FOR REQUIRED FEE, EXPIRATION DATE CONSTR. SUPERVISOR MADE PAYABLE TO 03/31/199&I_*_:','--) o EFFECTIVE DATE LIC-NO. RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE 03/31 /1991 043786 IS m THOMAS A FRANGOS (DO NOT SEND CASH). 41 BROOKLAWN TERR SS A 023-48-5678 LYNN MA 019C4 PLEASE NOTEtE_WREASE PHOTO(BLASTING OPR ONLY) FEE: 1 100.00 E FECTIVE FAQ. 1 1989 HEIGHT: NOT VAL TIL SIGNED BY l N EE OFFICIALLY 4, ST D OR -SIGNATURE F E 1: MISSIONER DOB: 07/02/1957 D0 NOT DETAO.JkONSE STUB THIS DOCUMENT MUST BE N RE OE ICENSEE « SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG _ OTHERS -RIGHT THUMB PRINT ED IN THIS OCCUPATION ��C COMMISSIONER 20OM-2-87-81429 � Y FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone 50� 13 Z(7 LOCATION: Assessor's Map Number Parcel ly �►� subdivision ($ j' Lot(s) StreetSt. Number X55 ************************Official Use Only************************ RECO ATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected • Comments Date Approved 0 - 7 aL To Pla ner Date Rejected Comments ` eDate Approved alth A en 1 Date Rejected Co nts ` J Public Works - sewer/water connections driveway permit but Al- XxT A43Kc Fire Department 77,7 Received by Building Inspector Date lN.STALL EROS/ON LO�'�/ I %� PLAN • CONTFZOL FABRIC 3/8-- ,'93,85'? SCAL E AS REouIk�D ------ Q.54 310 ,3og ~ — - ----�'T SLOPE --- - LEGEND FILTER FASR/C ��• _ --�-�/� h------- ------ 3p2 EX15T/n/G GRADES _ ��/ --- --------- ---- -_��" r'�- 300 F/Al/SHED GRAG>ES �a--- 300- - 6 TOP 04--J-V .='-26_2.z-- CELLAR FLOOR= 279.$ - �Z%2 LOT LOT CFR. rc. 3s6.3 r a Z-90 TJ -------- - �G 7� '"S W"E E P - 6 F A 280 FZ _ 280 ------- J -- sow !�% G—t: . sc Prof SMy �P.T ER r LUSLIGHT DOUBLE SHEAR 06060/SIM JOIST HANGERS ki BuyLine 5162 Q A light duty joist hanger that takes advantage of double shear nailing for 'i greater strength and lowest installed cost.See illustration. o I MATERIAL: 18 gauge Patent Nos.4,291,996 and 4,480,941 FINISH:Galvanized Canada Patent 193;418 INSTALLATION:•Use all specified fasteners.See General Notes. 1,193"418 ■Not designed for welded or nailer applications. o m ■ 16d sinkers(9 gauge x 31/4')may be used where 10d commons are called out with no reduction in load. ■Where 16d commons are specified in the table,10d commons or m m 16d sinkers(9 gauge x 31/4")may be used at 7/s of the table load. m OPTIONS AVAILABLE:■LUS hangers cannot be modified. o c H CODE NUMBERS:BOCA,ICBO,SBCCI No.NER-209 and NER-421 when o 41 used with 10d commons(see INSTALLATION).Dade County,FL No.89-0131.5 for all except LUS24,LUS26,LUS28,LUS210. c City of L.A.No.RR 24949(except LUS2X). 0 m Typical LUS28 MODEL JOIST DIMENSIONS FASTENERS AVG ALLOWABLE LOADS3 Installation NO. SIZE W H B HEADER JOIST' ULT UPLIFT2 FLOOR ROOF 9� 100 LUS24 2x4 19/16 31/a 13/4 4-1Od 2-10d 3850 450 (625 (8b LUS28 LUS26 2x6,8 19/16 43/4 1 13/4 4-1 Od 4-1 Od 5167 895 785 980 LUS28 2x810 19/16 65/8 13/4 6-1 Od 4-1 Od 6067 895 1020 1270 _ LUS210 12xlqjj14 19/16 713/16 13/4 8-1 Od 4-1 Od 77501 895 1255 1565 LUS24-2 2 2x4 31/8 31/8 2 4-16d. 2-16d 53031 460 805 1 1005 Double Shear LUS26-2 2 2x6,8 31/9 47/8 2 4-16d 4-16d 6076 920 1070 1335 Nailing LUS28-2 2 2x810 31/8 7 2 1 6-16d 4-16d 7750 920 1350 1690 LUS210-2 2 2x1012 31/8 9 2 8-16d 6-16d 10906 1380 1875 2340 LUS214-2 2 2x14 31/e 1015/16 2 10-16d 6-16d 12750 1380 2140 2675 LUS44 4x4 39/16 3 2 4-16d 2-16d 5303 460 805 1005 ° LUS46 4x6,8 39/16 43/4 2 4-16d 4-16d 6076 920 1070 1340 /� LU 48 1 4x810 39/16 63/4 2 6-16d 4-16d 77501 920 1350 1690 m ld LUS410 l4x10,12,14 39/16 83/4 2 8-16d I 6-16d 1109061 1380 1 1875 1 2340 LUS414 I 4x12,14 1 39/16 103/a 2 10-16d I &116d1127501 1380 1 2140 1 2675 ° 1.Joist nails must be driven at an angle through the joist into 3.Roof loads are 125%of floor loads unless limited by to `4 the header to guarantee the table loads. other criteria.Floor loads may be adjusted for other toad ° 2.Uplift loads have been increased 33%for wind or earthquake durations according to the code provided they do not loading with no further increase allowed;reduce by 33%for nor- exceed those in the roof column. mal loading criteria such as in cantilever construction. o @ 0 a as�.m REINFORCING L30 EiOMetiE�-11 LUS410 ANGLES ® a General utility reinforcing angles with multiple uses L50 """°'" L70 Curved metal speed prong reduces labor and overall construction cost. Staggered nailing pattern reduces the potential for splitting and allows installa- tion on both sides of a member. MATERIAL:16 gauge ° a s,^^°,• 21.8 FINISH:Galvanized ""°" "` L)0 INSTALLATION:■ Use all specified fasteners.See General Notes. OPTIONS AVAILABLE:•See LS for adjustable model. �F CODE NUMBERS:BOCA,ICBG,SBCCI No.NER-413.Dade County,FL 1 No.89-0131.1.City of L.A.No.RR 22086. Typical L50 _ o - Installation ALLOWABLE LOADS 1.Load values are for condition F,or F2. o r MODEL 2.Roof loads are 125%of floor loads unless °o ° NO. LENGTH FASTENERS FLOOR ROOF limited by other criteria.Floor loads may be (100) (125) adjusted for other load durations according to the code provided they do not exceed L30 3 4-1 Od 235 240 those in the roof column. F2 L50 5 6-1 Od 350 440 3.A 21/2"minimum lumber thickness is required L70 7 8-1 Od 470 565 to achieve the full load;reduce table loads L90 1 9 1 10-10d 590 735 by 10%for 11/2'lumber. ©Copyright 1991 SIMPSON STRONG-TIE COMPANY,INC. 29 • LUMBER 9PECIrICATIONS Top Chd Bottom Cho Webs SPECIAL PLATE x NS li POSITIONING-CHART---- lop Chord 2 '4 w d2 S. PINE T 1- -2942 B 1- 2446 H 1 - -371 H 2 - 674 JOITX: n) Y: (in) ANGLE Bot Chord 2x 4 IN 01 S. PINE T 2- -2686 B 2- 2006 M 3 - -776 W 4 - 1502 Meb Pfeee 2IN 4 M ♦9 S. PINE T 3- -1855 8 3- 2006 H 5 - -776 H 6 - 674 1 11.61 3.90 0.0 T 4- -1855 B 4- 2446 14 7 - -371 1 14.96 10.10 33.7 Left side Slider 2x 8 some grade as TCII T O- -2606 1 35.69 23.92 33.7 Rfgnt side Slider 2x 8 some grade as TCLII T 6- -2942 1 2.25 1.32 0.0 4 0.00 -4.21 90.0 7 -ff.01 3.00 0.0 BEARING REGUIREMENTS LOADS MUST BE VERIFIED. 7 -14.96 10.10 -33.7 8EARIN6 ACT. SIZE REG. SIZE LOS 7 -30.09 23.92 -33.7 Bi 9.00 In. 2.33 In. 11978 7 -2.25 1.32 0.0 9L 3.50 In. 2.33 In. 1976 BRACING FEMBERS SHOWN BY IN WHERE REGUIREd. op TT N1.(UU g TE Standard Unlfprm Loading (PSF) MITHC?MdI12EVBdLtAIVRAL BRACING ATTACHED TCLL - 30.0: TCOL - 50.0: SCOL - 30.0: WHOEpREEE C N��FIL1.IpSIEOEgNqEEMAY CCEXIST CONYCyERZNINO Uniform Loads PLF Load Cost 1 PFt` MA I EV ppgR ANDAR�IENOCMiOppA$IOF YH ATTUSS BCLL tIC Initial 40^02 4.701 End 0.70 Vr. TO RIVEN, IMPROPER INBTALLATI�. BCLL 40.0 40.0 10.17 19.17 V p�f N(�(�� pp I E CpT59 BCLL 40.0 40.0 19.39 24.33 V 114 FAOMLEITHER STCLOREBCAf74LPT1NEL POINTE. 5-11-13 5-8-8 'DCV 12 40.0 40.0 27.75 29.75 V E�gI pA 1 ( 1 ( 1 _Increase -11.180 1 THIS TRU 98 I9 OFiSIBNEO Sf�EED T90 MPHI I w..an YCf F Ca a•+• ...CEO ON L/240 A58.1pCOUN.4 QAS C WINO�1.(pp TE - (t�� 5-6-12 9-8-8 5-11-13 DEVELOPE60Bl/ITSHERCOMPONENtEMA UIFACTURER. 112 84052 o �P�SN OF Massy 2445 oy 2445 o•� R`/1 N A. � SP3252 SP3252 -111 3 r I m 12 e �lv 16 / 11-10-5 2445 2445 6�- 1 c�'wJ ,#,� F\`OP;gt Eyo 3252 3252 3252 3252 _r+45 2445 0-4-5 4860 2445 3282 2445 4860 , SP3252 1-O 8 8-5-13 8-9-3 1-0-8 I ( ( 34-6-0 OVERALL SPAN PIJIT! CODE SPACING DATE 1111 INS A(SrOM1111tIIT 111111N1A110 AICFAIAIR IR4I 11I4 LOAOf 111111119011 THIS 111110"M1EI 01(7Ctt/?"I ktitl4l sit,tells Impost/�1 INS 85000 TPI-85 24.00' D.C. 2/20/92 IIAUCIURI ANO INE IRI t0A0f IMrOlEO IT THE Local IUM1OINO Coot ON NIf10r1C41 CIIMAIlC 4EC9A01.MO 4tir0NSIIIIIIT IS 4239ME/109 A0.*&,, MMENflON4l ACCURACY.T1RIFT Alt OIMENSIDI ►"1011 10 fAlA1CAlION at 110 1 pLgIIILT INOt111 ANI IAVITHE 1/.11.t N/All lT SPECIFIEDAl fAIRMA110N INAtt COWLS 111111 INE"CUOt11T CONTACT MANOR Of IMI 1111113►UI(1Nf llttl It TIMI 4110 THE IAVfTf4l IAVTCOII MINVAI All r►NEtt 1101 SRCIIICA(U 0ETIONAI[0 ANt IO It(OUALLT DIVIDED .�D[MOT(S TrEfUI Ctl111NO O11lT(AI[RAl NACINO AEOU14l0 Of INOITIOV4 T IAUTf MEM tat IT"011e ON INIT ONAWINO.THIS VISION ASSVNl1 IN1 101 CN040 TC C01111NVOUSt1 ITAC(0 91 SPIAIN1111 llNtflT OINIAIT131 A T r u s P 1 u s D e s 1 g n 31A1(D C IIIIJI YD AIOIO CHINO O 4rrltt9 01RFISSI to IMI 1011010 M ADIXG 11 SNALL TE IC1104 11 IY IIr PAIS 1101[LC!!0'9C 11 •0 rEdSO"! !A[C TING NV f PC ARE 4 CIt1P 1 ID SflE fAOICIty 103 ADVICE A164A40 01It SHA4AT V[CItON IFICING WHICH N Al11'M1 IEOUTA[D IO frtvlwf 7 ►�E MJ IO r►(INS ANO"OOMINOINO' RfIl4 10 OWING WOOD 1111131[3 COMMINIIAT IND 4(CnxYtNDlI10NS IIF" WNtr1 CO.IUSIO•M4T t1'31 as CONC(A 1140 PROW(ILO friction,VIAlt1 NINI 1"ItIT10A 1(491110 IOCAIIONT.C44111,11tRS.ANO 1NI CNOAOS OI IM( MIS 10 R[vtyt TfUSWaI S 3191315 COf OfeIIOf1 IMIM10M41N31ALtAl10M.IAI1SSf3SPAII1101/f►lACEOIN ANYfNT1AONM[NIIN410`111C4VflIMF MOIf1V4t[ONIINIO/THE*COO 10l1U[D11� y n ANDlDA CAUSE tONN[CIDR►VIII CONROSION C4M1EA WN(N N(CISSART.11,14%10`111 S 1t3t Df ISAMINIO OI JUDICIOUS A►rtICAl10N 01 (I►(NIINU ANO t) 1 K (1 U 3 ILE/ IN(Atf ONE IS OUTSIDE THE ICOM Of R(TrONSlldlit Or TRUfWAt DW 0 e24233 % T.I.S. / Version 3.25 LUMBER SPECYrICATIONS lop Chd Bottom Cho webs SPECIAL PLATE POSITIONING CARANGLE T Too Chord 2x 4'x •! DENSE S. PINE T 3- -2819 8 1- 2344 w 1 - 308 W 2 - -789 JO1NTd X: (in) Y: (I ------ Bot Cherd 2x 4 IT •2 S. PINE 1 2- -2040 B ?- ?3ee w 3 - 645 W 4 - -18 0.0 4_ web Pfeee 2x 4 w w3 9. PINE T 3- -1703 B 9- 1711 W 5 - 666 w 6 - -789 f 11.96 3.30 T 4- -2049 8 4- 2372 w 7 - 308 1 14.88 10.10 33.7 30.33 33.7 Lett elde glider 2x B same grade as TC 111 T 5- -2828 B 5- 2352 1 45.31 1 2.23 1.32 0.0 R1pht side Slider 2x 8 same grade as TCLII 3 0.00 -9.81 118.8 4 -1.70 -0.80 -18.8 BEARING REQUIREMENTS LOADS MUST BE VERIFIED. B -11.61 3.50 0.0 BEARING ACT. SIZE REO. SIZE LBS O -44.98 10.30 -33.7 91 3.80 In. 2.30 In. 11972 8 -45.33 30.33 -33.7 0.0 BL 3.50 In. 2.31 In. 1958 i' BRACING WILL BE SIIBSTITUIEO FOR 6 -2.25 1.32 LATERAL BRACING WHEN LESS THAN THnEE BRACING MEMBERS SHOWN By x WHERE REOUIRED. 131 CONSECUTIVE IDENTICAL TRUSSES ARE PRESENT. 1X4 T' BRACE STIFFE14ER Standard uniform Loading (PSR') 1X4 CONTIjVpUS LATERAL BRACING ATTACHED NAILED FLAT TO EOGE OF WEB WITH BO WIT" Two 2 Bd NAILS. NAILS AT 8 INCHES O.C. OR A SCAB (OF TCLL - 30.0: TCOL - 10.0: SCOL - 10.0: WHERE CONFUSION MAY EXIST CONCERN1140 i1tE SANE DIMENSION AND GRADE AS NEL) PROPER FIELD ERECTION. CLEARLY MARK NAILED TO FACE OF NEB WITH 100 NAILS Uniform ini lal PFi load Care 1 INTERIOR BEARING LOCATIONS CANTI- Al 8 INCHES O.C. STAGGERED - NHERE Initial Fine] Start End Dir. LEVERS AND THE CHORDS OF YHE TROSS INDICATED BY Ixl . SCAB OR 'T BRACE i0 BCLL 40.0 40.0 4.75 7.29 TO PREVENT IMPROPER INSTALLATION. EXTEND FOR 9OX OF WEB LENGTH. BCLL 40.0 40.0 7.58 10.08 V 1/4 PANEL POINT SPLICES ARE LOCATED 12 IN. BCLL 40.0 40.0 18.58 19.46 V 4 - FROM EITHER TC OR BC 1 4 PANEL POINTS. BCLL 40.0 40.0 24.42 26.82 V gggg Ig EE 1JgI gg BCLL 40.07.�1.�� 40.0 27.21 29.75 V A58.1 COOE.IBASICI"IND SPEED T90 MR. 7-7-1 5-0-0 ILIVEesOAD OHFLEClION BA ED ON L/240 TM IsI� p BIION I6 pROM CO��pI.) p NPUT 1 I I OEVELDCEO BY 7HE COMPONENT FIAt/FACTURER. 4860 48150 OF Mgss ay�c, 9C e e r.S hN A. y� "TRZYZRZYZ SKI m CI L � 10 E Q 2445 2445 10-2-9 3252 3252 3 2445 252 3252 2 45 Sq_4_g 0-4-8k1l R2445 4860 3282 4860 4860 R2445 , u 1-O 13 1-O 8 7-115-7 7-3-11 7-5-5 4-10-4 7-5-8 34-6-0 OVERALL SPAN PLAT! COO! SPP "0 OATS 1111 tNI1tSI0NSItM11i1 OR OlMtfl to AtC►AtAtN iMtp IHf 10A0!011tllts ON THIS OtltCN MITI ON I1Cttf tits ACIU4tfill Lists I�tOlt1IT INT 87000 TPI-85 24.00' O.C. 2/20/92 11A,CIVRI ANO IME lift SOUP 1101`01111191 WE IOCAI IVM1OIMt COOL OO NIftOAKAI CItMAilt R%[IRC.IA 81.10.It N T U LfTOMN ION ', gMENSIONA!ACCUt+ACI Y[RI/1 All OtM[N310Ns PAIOR to ISIfICA110N CONNtCIOI FLAT [l tNORM ARI 1NtllMAt ti.1i.OA 111 VS 1f lP[CNI[0 Pat ICAIION S"All COw►LT filial TNI"011/1111 CONIN01 MAN,AI" OF IME IRUSS K41l ttiflliVII TIMI ANO 1H[iRUSNAI 1AUICOM MANVAL All PANttS Nn1 SPICIFICAIIT OISIONA110 A1[to It tOUAUT QjyMf1 A.O[NOl1t SNErlA1 CUt/1x0 Calif 1I11RAl$*Act%$R[OUIRtt Of INp/IOUR INVSS Y[Illtlt 11 NOT[$ON IPII ORAIRINO.IN'S VISION Atilt"is tall top CNORO 10 I1 COPI NVOUSLT IPACt011 SPIAIPINO UNIT'S 01NfFWS1 31Alto.WHEAT PO 111310 C111140 U AI►llto 01111clil 10 IP1 follow CN0110 If$MA11 It 244CID of INIIPTA1.1 Pot IICtEO'Nf 10 •I AtAIONt T r u s P 1 u s D e s i g r+ ItPICTillf IRUSttf ANL CAU1101110 t0 SRN PPOItsSIONAt ROVICt AI RlA01N01I N►ORARt lA1C ZION Q/[txl TIII1[M Il ALT+NI A(O,IAIO 101P I+'1N1 ,�-_-�-,ill 'c1�Q 19,011 APO-00111-110140'.Rf1t4 10 INACIRC W00n TRV311S COwS11"11N/IND AtCOxYfPOIItONs IIn1 IY"Pt CO"IV s10N Yl/U'sl SMEMS TaS "NC1RNIv0►NOrTR II1lO INIC110N•CIUNt>' NRNI INIERIOR IEARIPO tOCA110"I CRYIIItTERS.ANO III' CHOPIS 01 IN( IRUSI t0 rlt+t Nl Truswal Systems Cor oration INMO'SHINSIPLUt10N.IRIIfSriSPANNot OfFtAC101NANIEN51N0YUtN11PL11N1ll"USE IN'Vot"U"CONI[NIOtINtMDo*10Erulatilt P ANO/OR C/VSt CONNICIOP PLAN CORROSION CANNER WHIN N(CgsA".Is list Ott(AwIRto IT )VOICIOUS Application Of 11►(NI(NU ANO owls U J 1 K U U 3- I FILE 1 1N1RI10Nt Is OUlslot IHt Scott OF a(spo"311.tllT Of(NUPTIAL version 2.25 ' LUMBER SPEetrICATIONS lob Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART Too Chord 2x 4 « f2 S. PINE 7 1- -2875 B 1- 2390 W 1 - 206 W 2 - -607 JOINT# X_(in) Y_(Sn) ANGLE- Bot Chord 2M 4 « 02 S. PINE T 2- -2276 8 2- 2390 W 3 540 W 4 - 336 Web Pieee 2x 4 « 03 S. PINE T 3- -2075 8 3- 1900 W 5 -400 W 6 - 336 i 11. 3.90 0.0 34.0966 T 4- -2075 B 4- 1900 W 7 - 540 W B - -Sol ! !O-fo 33.7 Left side Slider 2x B some orade as TCill T 5- -2276 B 5- 2390 H 9 - 206 1 37.815 7. 25.33 33.7 ! 2.22 55 . Rignt side Slider 2x B some grade OR TCLI1 7 6- -2875 B 6- 2390 3.32 3 1.75 -O.BS 786.86 5 -1.77 -0.05 -10.8 I BEARING REQUIREMENTS LOADS MUST BE VERIFIED. 7 -11.61 3.50 0.0 BEARING ACT. SIZE REQ. SIZE LBS 7 -14.98 10.30 -83.7 B1 3.80 In. 2.25 In. 1908 7 -37.83 2 1.32 O.O .33 -33.7 BL 3.50 In. 2.25 In. 1908 [,ATERALCINGBRAWILL INGMBEIESUBSTITUTED1HnEE 7 -2.29 1 BRACING MEMBERS SHAWN By « WHERE REOVIREO 131 CONSECUTIVE IDENTICAL TRUSSES ATIE PRESENT, 7X4 T BRACE STIFFENER 1X4 CONTINUDVS LATERAL BRACING ATTACHED NAILED FLAT TO EDGE OF NEB WIlm BD Standard Uniform Loading (05F) WITH TWO 12 8d NAILS. - NAILS AT 8 INCHES D.C. OR A SCAB (OF TCLL - 30.0: TCOL - 10.0: SCOL - 10.0: WHERE CONFUSION MAY EXIST C014CERNIIJO THE SAME DIMENSION AND GRADE AS WEBI PROPER FIELD ERECTION. [[,EARLY MARK NAILED TO FACE OF NEB WITH 100 NAILS Uniform Loads rLF Load Case ! INI RjOR BEARING LOCATIONS [ANTI- Al 8 INCHES O.C. STAGGERED - WHETIE Initial Final Start End Dir. LEV RS AN b THR CHORDS OF 'f HE TRUSS INOICATEO BY 1141 . SCAB OR 'T' BnACE 10 BCLI_ 40.0 40.0 4.75 6.04 v TO RELENT IMP OPER INSTALLATION. EXTEND FOR 90% OF NEB LENGTH. BCLL 40.0 40.0 6.33 7.50 V 1/4 PANEL POINT SPLICES ARE LOCAIE0 12 IN. BCLL 40.0 40.0 12.54 17.98 v + II ROM EEgITHHEpR TC On B[C�giI 4 PANEL Pg0INTS. BCLL 40.0 40.0 10.13 21.98 V A'H39glTCODE.IBASIC MING SPEED 790 MPHI BCLL 40.0 40.0 27.00 28.17 V BCLL 40.0 40.0 28.48 29.75 V aa pC�eOgDI [[��[[ g pp � [L►► Increass - 1.180 GE�EI.OPEDQBYIV4ROM COMPUTER 4144FACTURER. LIVE LOAD DEFLECTION BASED ON L/240 6-4-1 5-0-0 5-10-15 5-10-15 46150 R2445 48150 ie 12 e� e OF Aq � 2445 SMA INA. s� ST RZ' EW +, 3252 z IVIL t 3252 o.36610 3252 3252 GisT 2445 S�0NAL EH 2 ,45 0-4-5 4860 R2445 2445 3282 2445 R2445 4860 SP3252 !-O B 6-0-11 5-0-0 6-2-51-0-8 5-0-0 6-0-11 34-6-0 OVERALL SPAN PLATE CODE SPACING DATE II IC 111181SIONSIII(ItytoOIN[AIlslliCtNIAIR 111AtINV taxes U1111[[DONTHIS 0U1NNMEEIONt7CE1O1NfAtlUllDES 1LOIOtl011DSE//TINE RS000 TPI-B5 24,00� O.C. 2/20/92 ItNOOtUAt ANO INE llvt LOAOI NM"OStN Of IH[tOCAI 1040tAN 000E ON NISIOAK4l CIINAIK AE00A0I.NO 110PON1111111T is ttSNEtI FOA '.► OIY[NSIONAI ACCUAALT TLAt►1 Alt OIN[NSIONS INION 10/A tittAf10N tONNlCION FIAIEI[1101414 NII[[140#143 11.11.ON Zt NNE AI IFICIT110 TAINICAI!ON 1NAR COMFIT 111114 1141"OPAUIT CONIAOt NANVAt Of INE 11013 TL411 IA1t11U11 It Mt 0140 INE IAVSMAt INUSCOY M4NUAt All 1,41111.9 pal SHCNICAEty 01111NA1E0 ARE to 11 t00AtLT OWION A,0IA011I t/tftAI CY!"INI ONU UI(A1t IAACINN AEO714E0 Or IN0Iy10UAt IAVf3 WEM1IAf 1I 140110 ON INTI OtAMINO 111113 Ot1lON A1lVNt1 INI 10►CNOAO 10ll tONtINU011ttr IAACIO 1I SNIAIHINC 11"t111 OtHIP101+31 314110.W11EAf NO 111010 CI1.111011 4"VEO 0111If ltT IN IM 10110M 04OA0 11 INltt of 044[10 AI 1NIRyAtf NOI ETCIIOAC II •I IZ4S0Ni .� T r u s P 1 u s D e s i g1-1 IP 01119 IAVT7ti ARE CAV1104flit 10[4►A01E%*003 RQvitt RIMANCIN7 tISAV$4 I IAIOIION IA/104 y1111CN 11.AlTA11►19ulAt0 101"!rl Ni T `�l MS IOnUNN AMO OOR litt10•.ATflt 1C IAACINB %I" Ilion p( CON LOCAll y AMD AICNNVIN0AND Nf 11"11 w-tlt CON TV 71014 0 P EI171 /�7 Ji�7■a+Iayau CONCf 1414#14[►NDIFO litto(117 I10N,pUAty N4A4 IN IEAIOA#041140 lOCA 310143,C4NIIU�EAS.AND 1147 CN9fOf 01 lr( 11111% 1011! !Yl Siettl5 ('pt Ote110n INMOn41N11AtLAIEON.IM13112 SHAtt Not IF rtA0E014ANI tNIi140NVENT 1144/wtIt 04VfE INI M01fIV4t LOHI[N101 INE'A'00010 t1U1D 11`4 lruswai Systems P AND/ON CAVS[CONNICIOA PLAIT COAAOSION CAMPER 111111 NtCE3S411y.IS 8131 OINAMIN10 IT JU010001 Arl'ticallOw OI 11"011NtE AND DWG#For" F FILE# 1N1Atf ONE IS OUTSIDE 1111$ctln or A[froNf111lOy 0►INUfwAI 0 5 /24234 1 T.I.S. / Version 3.25 LUMBER SPECIFICATIONS Too Chd Bottom Cho Webs lop Chard 2x 4 x 02 S. PINE T 1- -6174 8 1- 5133 W 1 - -327 W 2 - 1329 T Bot Chord 2x 6 x 02 S. PINE T 2- -5857 B 2- 4891 W 3 - 1590 W 4 - -955 Neo Pleee 2x 4 M s3 S. PINE T 3- -5860 B 3- 5881 W 5 - -3a N 6 - -928 2 compLETE T11t1e9E11 "EauTfIral T 4- -5860 B 4- 4911 W 7 - 1591 W B - 1341 SPECIAL PLATE PO4ITIONINO CHART Left wide Slider 2x 4 game grade as TCfII T 0- -9881 8 5- 5153 W 9 - -325 JOINttt X• fin) Y: tin) ANGLE Right side Slider 2x 4 some grade as TCLiI T 5- -9881 ------ ------ ------ ------ T 7- -6198 1 11.22 5.50 0.0 1 15.48 11.10 33.7 BEARING nEOUIREMENTS 1 32.73 21.94 33.7 BEARING ACT. SIZE REG. SIZE LBO LOADS MUST BE VERIFIED. 1 2.25 1.32 0.0 81 3.80 In. 2.20 In. 3724 3 1.75 -0.60 18.8 BL 3.80 In. 2.20 In. 3737 8 -3.75• -0.80 -16.8 C NF I HA pEXISTECONCCERN NO 8 -31.22 !3.10 0.0 INT RO I `k CTICN ICOS LYMAB -16.48 11.10 -33.7 LE �4E C�jp s p p 8 -32.73 21.94 -33.7 TO �ppR�ppWAT I=MNIPROgPEtR NggSTALLeeATppICO/N��TT.EE IINp B -2.28 1.32 O.O pA MLEI7HER TCLZREBCAl7 4LPANELDPOINT9. I ( CC TT Uniform Loads PLF Load Case 1 TOJETHMEAACHICMHSOdRTMAj (FIAT !20NNECTHgOUOMO Initial Final Start End Mr. oo Ai EEAA 99EE u3 B AA E C qqpp TCLL 60.0 BO.D 0.29 9.70 V RL tEB BOTH AC- OF KCH JOINT AS MOWN. TCLL 20.0 20.0 0.29 4.78 V `I�LC� ((�� yy �{/t LL BE TCLL 143.0 l43.0 9.70 24.78 V TCOL 48.0 48.0 9.70 24.76 V EOUALLO.YOTOSEACN BEYDI9TgIBUTEO (BY OTHERS) TCLL 60.0 60.0 24.70 34.21 V TTHH S Tp��s I EEgPIIBMgD uu NI,IO TSI•IEE /ANSI TCDL 20.0 20.0 24.75 34.21 V A130.1 COOS. HA�tC HIND SH1EO -90 MPH. SCOL 20.0 20.0 0.29 4.84 V THIS OESIBN I FROM COMPUTER INPUT SCOL 48.0 45.0 4.84 24.68 V DEVELOPED eY HE COMPONEN MANUFACTURER. BCLL 20.0 20.0 24.68 34.21 V BCLL 40.0 40.0 10.04 11.70 V LL 5-2-9 5-0-0 NJ-!-12 BC 40.0 5-40Q0 17 22.17 24.48 V 4-6-7 4-10-A 4-f3or?eentreted Lands Live Deed Located 48150 R2445 2445 or.- 020.0 346.0 J2 V BC 520.0 346.0 J5 V in crease - 1.190 12 VE LOAD DEFLE"If BASED ON L/240 °� 48150 � 2445 2445 3252 / �VNI OF fv,'.ass n\ 3252 3252 a. 3252 � M Y;N A• 2445 YZEWSh; �) 2 45 �I� CIVIL 0-4-5 =0-4-5 ((o,36610 4860 4090 N ? / 4090 4860 48150 7290 f-O-B 5-0-0 4-10-4 1-0-9 9-9-0 5-1-12 9-9-0 34-6-0 OVERALL SPAN PLATE CODE SPACING DATE Il is INE IISPON111111it Or OTHERS I*4tCIII1IM IM4l ipl 1010101N.1Itp ON INIS 1(Slow oil,04[ICIED lot RIVAL 1109 1.011111111111111 S3 IMI 1MUCIVAI A119 IN livi IDADI IMPOSES IV 114R7000 TPI-B7 0.00 " D.C. 2/20/92 INMENS ONAI ACCURACY TERNS Ott DIMENSIONS PRIOR IO I1111CAt ONO tONNIC ON PUIE1 SHOWS AAIOIRUIW t II.IPol M 01tN1SASE 43 is 41 Iff I0/ ,►� � 111110/110/SHALL COYIt►NSIN IM /11 I"01111 CONINOI MANVAt'Of IMI IPUSS PROVE 1011,1VII IIPII ANI IMI IRVINAI IAUSCOP MANUAL Ott ►A11Ett NOI SMCI(ICAtIT 0[I1ON011 All(IO It IOUtA tT IIVIQI$ .OtNOilt SMCIR11 CV11INo OIIl l 101E1/l I4ACINI AIoyDIE1 Of INDIVIDUAL T IA UIS A1EMitAI Is polls ON 11418 OMNINO tNIS DE11%.&MINIS IMI for CHORD Is top I90111t11PACII 11 SPIPININp 11111 Its OTHIPAPH IIAlto.WHtpl NO 111610 CRINO is ArItRP OIPICII,IS lNl IOr10N CNOpp It SNAtI II 144tE0 It 111 RpVAIs POT[it((01N1 q •1 VIAL9111 MIT 14VS3tS M[CAVII0410 to stip PPOIISSIONAt 40VICE At04RQlN011x1044RT tp(CIION IpACtNf+'HRH 11 ALWArt I(DUIRED 10 PPIVINI A T r, u s P 1 IJ s De s i g n Is LINO ANO"OoM1N01N0' AfrE4 10 IPACING WOOD 1AU31I1 COYMINIAAI I%p 4(COMYIMOAl10NS Itfll OHtPl CO"1Vt10•PIT!2131 ,�_-��I Ms MS COMC(NNIVo psortR IITto(PICIIOM,Ct(ANty 11441 INI(4104 t(4RtN0 lOf.p llONt.CRN IIII V(Pt,ANO 1111 CMOP pS 01 IM( TRV 1S 10 IA(Vf yt IMPROMRINSIAttAl10N.IAIIS1tS 1FAl(Not It rlACtO IN ANT INTIRONYENI IN41 N'Ilt CAUSE IN1 MDISIVA(CONI(NI 01 INE T100010(11110 11\ 1 Truswal Syslems Corporallon AMDAON CAUSE CONMICIOR P(Atf CORROSION CAPIA[I *HEN PlEf3sAR Is list Or IfRMINEO/T IUD.ttlOUt ArftICA1tON Or 13"RIINCI AND Dw0 jr 0 J 1 ,� '" A ', FILE/ IMf A[(Opl IS OVISIOE IH[fCOM Of pE/roNSISWIT Of *Hill 024236 T.T.S. / version 3.29 LUMBER SPECIFICATIONS Too Cho Bottom Chd webs SPECIAL PLATE POSITIONING CHART Top Chord 2R4 w i2 DENSE S. PINE 7 !- 1105 B !- -of N ! - -381 JOINT! X_(in) Y: (I ANOLE- Rat Chord 2R 4 w 02 S. PINE T 2- 54 B 2- -81 -- • 2.50 3.00 30.8 Meb PIOCO 21t d IN 03 S. PINE 3 3 -9.88 83.32 19.9 SEARING REQUIREMENTS Standard Uniform Lending (PSF) BEARING ACT. SIZE REG. SIZE LBS TCLL - 30.0: TCOL - 10.0: BCOL - 10.0: 02 3.00 In. 1.00 In. 494 BL 3.00 In. 1.So In. 394 Uniform Loads PLF Load Cass 1 WH E CONFU ION MA YYY EXIST NCERNING In1CLL 0.01 40.Fjn01 Start End Oir. PR P R FIEF 05CCCIT,,ICOAYI101ER IMAzRK Incrsess �01.150 40.0 4.OB 7.80 V `pybENIMPROF�HORRINSAIATITRU33 LIVE LOAD DEFLECTION BASED ON L/2d0 RRR NOT€111100 2X4 CON IN U L DNR L A INO f7 �H€o. 2d- o.�. bio �� 16 B�I�AHING LOADS MUST BE VERIFIED. TH 9 TRVSgg I 10111E11p ug NB 7FiE SI ��4t A9�.1 co°E. BASIC 1150 SPED -90 MPH. - 6-7-6 7HIgg O SgIGH I9 FROM it C000PEO pp I�ACTURER. DEVELOPED BY 7HE COMPONENT MANUF C 1>t 10 (3) 16d TOENA LS �P�SF, OF cy p MARVIN A. G zF STRZYZEWSKi m mi CIVI v No.3 R2445 (2) 16d TOENA LS 0-4-6I 2445 n R2445 6-7-B t - I 1 1-2-4 t - I 1 7-9-10 OVERALL SPAN PIAT[ CODE 810 fflp DATE II a IN11111011l111tily Or 0►N111110 RSCIIIAIN pill,TNr t040t Y[LU(1D ON T►"10(lmN 1/I1t 0R FICItO INr AtIUll1lA1l0AOtINr03t/1T TNI R'S000 TPI-86 24.00 O.C. 2/20/92 STRUCTURE ANO Int SITE EVROS lopostO 0T INS IONS/a401"G COOL 01 NIil011K41 CITMAIIt RECORDS.110 N(IPONIISIUII q 41111111T FOR pIYEMlIONAt AC[VRACT tIRIFT Alt OIIIENSIONI PRIOR IO I4IRICAITON CONN(ClOR►111111 tH0W11 ANl invivAt is.11.01 to IAIt 111 incillto {I/RICA ZION 11411 COYER 1111"1111"OIIAlIt1 CONI1101 MANUAL of IN(pals 11,411 INstlralr 11/1111110 THE IAUIWAI IAUIC011 11411111111, All ►ANEIs Not STECIrICALIT OEIIONATIC ANE 10 It 1411ULs DIVIDED Av OENOttt l"CIAt CUTTING OKI S 1411pot INACIRO 11141111044 of INolviolIAI (1111111 IIItA1ENi IS 110110 ON 111,11 ONAWINO.THIS DESIGN ASSURE(IRI IOP CHORD 1011 COp11N0001tT IPACFI$I SP(ATNING"Rill$ol"[PWII( T fIP 110.WNIpr YO 111010 CTII"I IS 1"111[0 OIPICIIS 10 IPF follow CNOAO It INAtt ot 1NTC10 PI INIEPSALS par EICIED-NG 11 •P 11N1041 A T r u s P 1 u s D e s i g n 1RCIIXO 111USsti All CAUTIONED IV HIN rpOItIS10NAt AOvICI RIGANDINO 11111MART tPICtION INCINO WHICH 11 ALWATS PIOUTA(D ►ACPTNI 7 T �, rE IOPKINI Apo'OOYINOIND'.RISEN 10 /11A[ING WnOo IRUSSI11 COYVSNIA11r ANO 111Cn11wIpAAl10vi 11111 w Epl COvIU110"wit[1171 - � .71.7■ MS -ONCIRNING►1101111(IItO WESSON,CIUIU Nin[INtENloR MARINO LOCA"ONS.C4MIIIE"t11S,ANI IMI CNOP01 01 Ep[ 111111 10 PPIr[vl slams Cor orallon IMMOr{NIMSIPllAl10N.18118111714(tNOT ItItACEDIN ANY INTIRONVIN11HA1WIttCNUStINIY0ISIVAICDMIlNIOIIHEAOnolo"C"DIT.' T►uswal S y P ANOlotl CPUIE CONKICION RATE CORROSION CARNIl 111111111 NICIISANT TS list OIIINNINIO of JUDICIOUS N"rlIC11110N OT 11"NI[NCl Ivo D O b 5 1 K 0 O 3 - 11 FILE 0 IHIAErOpE is OUTSIDE Kort 01 RISPONSIMITT Or INUSWAt 024237 / T.I.S. / Version 3.215 FOS 6K 0 10 SPECIAL PLATE POSITIONING CHART LUMBER SPECIFICATIONS Top Cho 8ottam Chd Webe -_--r- ANGLE • Top Chord 2x 4 m •1 S. PINE T !- 248 8 1- -220 W 1 - -873 W 2 - -535 JOIN7R ----- ----- ---- Bot Chord 2x 4 M e2 S. PINE T 2- O B 2- 476 H 3 - -450 1 2.55 3.90 27.5 IIeD Piece 2x 4 of 03 S. PINE Uniform Loads PLF Land Cees 1 BEARING REQUIREMENTS Initial Final Start End Dir. BEARING ACT. SIZE REO. SIZE LBS TCLL 0.0 63.3 0.00 12.20 V 02 5.63 In. 1.00 In. 659 TCOL 0.0 27.8 o.00 $2.20 V SL 1.50 In. 1.50 In. BOB TCLL 0.0 71.0 0.00 10.44 V WHpEpR C N Ug I N MA NXIST CO11JJCEgNING TCOL 0.0 23.7 0.00 10.44 V pp g pp EEAR Y IF1I SCOL O.O 27.5 0.00 12.20 V P"KIM- E CTIOCA I0�9 ANIIAR_K BCDL O.O 23.7 0.00 10.44 V ,lEE1TEE PPP��$ /1g1IHoc�{ORo O t AT„USS Increase 3.150 TpVgEg(V//EppNTggINP OPER i STALLAATIEON. LIVE LOAD DEFLECTION BASED ON L/240 REOUIREDTA 2224'CD.C. IFUNo HIO IOL SHEATHING IS ATTACHED. 6-2-13 ENO VERONLVALS ARE DESIGNED FOR AXIAL it LOADSgg gg ggp �t,[Eggj({��E 9_ 5-11-9 TA58.1HIS TCSODE. BgASTCINI(JD(�pPEEO THE MPH OEVELOPEDgBYITHEROOMPONENTEMAN�ACTURER. 82445 OF Mq a2 3c�,P SS9c e.s•a� O MARVINA Z STRZYZt In 4052 6-9-3 �? Sc' Cr 6-10-0 01Vgl 0-3-151 2445 2445 2445 10-3-9 3-6 i-10-13 12-2-6 OVERALL SPAN R' PLATE CODE SPACING DATE 11 is I"t 9111,01111119111 of 014103 to 41CF11111N INAI INI long$Vlltll[o Olt IHI{SISIGN Mill Of 91111111 INS ACIVAI OSS l0AIANI 1t IMPOII9IN( B O.00 O.C. 3/26/92 {IIUCIUR[AND lift IIYt IOAOS IWP01I1 11 liltIOCRI 111401110 CODI 00 NIS10AltAl Climatic 0[COAOS MS Il1►ONI111llll 11 atiouto 100 89000 TPI- �,►` OIM[NSIONAI ACCURACY YlOIII ACL DIMENSION[PRIOR to flattICAIIgN CON4tclon PtAl({SHOWN ROI taOfWAI 11 TI 00 11 SAIL 41 SMCiII[I I AI a1CAtiDM{Nall LOM/l►Mill 111("pUAl1t1 LO",Rol MANUnI"O[INS IAUI$/CAI(1NSIIIVII IIH(alit INS IRVSWAl IaU1C0M MANUAL All TRUS%M FA.(LS M ./ OI S/'1 CIIICAll1 OI[IOMAI(/AAI IO It IOVAIIi OIYI0t0 .0[NOtlt 1►ttlAt 11111146 ONII lA tlAAI IAACINC A[OVIA[0 OI INOlYlOUlI 1RVis M(Mllat 17 Motto ON 11111 ORAWINO loll OtSIGN AItUm(1 INS 101 CHO%O 1011 CONIINVOUSl1 0AttO at IN1AI111N0 UNlI i1 OIHIPYA1t t,alt 0.W.IAI 00 81010 CIIlNO O 4nitt0 OiPlC1l►t0 IPI follow CNOPO If INAII It ISACIO II t11111f111 Not IIC(10140 is -1 VISIONS v. T r u s P 1 u s D e s 1 g n 111111.0 IaU11Cl CAV11011 010 311K PP01($SIONAI AO RICAAOINO I(MPORARI IPICII04!Latina WHICH 11 ALWAYS PIOVIAtO 10 PP11I41 ,--��,L-'l/�'T-� c 10?1`0114 ANO"OOMIAOIND altlR 10 IAACING W000 IAVSIIS COMWINIARI AND RICOUVIN04110NS I'll$ W-I$i CONFUSION WAY t11[1 N,/�7l W LONCSANINO Poona 11110[01[110",tl(ARY MARI INIIRIOR HARING LOCATIONS 94411ltY(P1. AND thl CNOPO[ of INS 11V11 10 folvvil 6101116 COI Ol11II011 1m PAon%INIIALLAt10N.IIV{IFS IHAII Not a1 fl ACIOIN ANY INYIRONWINI 1041 Will CSVII INI 1101111101 tONt(M101 IN(*00010((1![011% TfUSW aI S y P AND/OR CAVSt CONN1Clan Mll CaRAOS10N C4M1la WHIM NICIISAAY.11 IIIc 0111RMINSO It 14)OlCtOUS AFF11CS11OM OF tt►IaItNCI AND OWO FU O 1) �1 /� FILE 1 INEauoaE It Suttm(INS Stn Of AI{ro"sulun Of ua$WAI � __0�2,�gIlBJ// T.1I.5. / version 3.25 LUMBER 9PECIF,ICATIONS Top Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART Chord 2Pt 6 M 02 DENSE B. PINE T 1- -6914 B 1- 9137 W 1 - 70 W 2 - -247 JOINt! X: fin) ----- ANGLE Bot Chord 2xt2 N DENSE SEL. BTR. S. P T 2- -879! B 2- 4186 W 3 - 3034 W 4 - 7133 --- -3.19 6.69 19.9 * Web Plses 2x 4 M •3 S. PINE T 3- -6791 B 3- 6407 W B - -2d7 W 6 - f3B 1 Web Piece 3 4 T 4- -8466 1 7.44 9.23 0.9 4 0.00 -8.00 90.0 2x 6 w 01 DENSE S. PINE T e- -8624 7 -7.87 9.69 -19.9 Right Side "edge 2x 6 02 or Bottorff LEFT SIDE HEDGE 2X6 #2 OR BETTERII GABLE PLATE I9 p IP9F1 BEARINO REQUIREMENTS : GCOL Un Standard Uniform BEARING ACT. SIZE REO. SIZE LBS TCLL - 30.0: 7COL - 110.0: SCOL - W-0: B! 82.63 In. 4.88 In. 4836 Uniform Loads PLF Load Case i BL 6.23 In. 6104 Initial Final Start End Mr. THi9 TRV99 19 DESIGNED USING THE AN9I BCLL 618.0 618.0 B.B9 18.78 V A9H{9Sa.1 CODE. BASIC WIND -90 MPH. SCOL 346.0 348.0 6.89 112.79 V pEIlLOpEDGBV BTHEROM CONENTEMANUFACTURER. Live Dead Loads Live Deed Located V 3-7-13 2-111-8 3-2-13 8C 2!77.0 1451.0 J3 Fie 120 0 O 14.78 V MARK FOR PROPER ERECTION OR BUILD AND 3-2-113 2-11-E3 Bec 7 3� 0 5010 18.78 V 3 .�bf3 20.0 18.79 v PLATE SYMMETRICALLY FOR HORST CONDITION. Increase - 1.150 R72120 LIVE LOAD DEFLECTION BASED ON L/240 - 2475 22 t2 Ao F R2445 R2445 to OF M�SS9 MARVIN A. �G STRZYZENShi m -� 610 C1 9-0-e 2445 2445 ' 0-10-3I --n 48150 - 120120 120120 48150 IO-10-3 REVISED SYMMETRICAL PLATING 5-10-12 2/27/92 B. CARLIN B-10-10 6-10-10 1 19-8-0 OVERALL SPAN 1 PLAIE CODE SPACING DATE II 11IHtltf►ONSIIIl11T0101NEAl104fCft11AININIItxtl0A01U11UCE00YfM110({pNM[[IOItICt(ItNtJUlU1S11tA0L0/011N►OftOlitN( {INUCIURE ANO THE MEACY rr10AOS IVPOSEO IT IMI IOCAI lU1lOINA COOS 011 NISICIIIC(l CITNAIIC RECORDS.MO atIMNSIIIUIT 1{ASIVNEI FOR n8000 T P I-B9 [4. 00' 2/21/92 ' III lost 41 intl7tto „� talon 10 FAIRICAPON COMINICION 1 1i1111CA10 DN{MALINAI aCOV►lTNWIT"111"O1 At tTSCONINOt Ug"USt,of THE TRUST nail PLAt1T11 1Ulf(1111 AMO T0*0 Aid HE INUSIV IIS to. ITRU1CON MANUAL Ill IAN(LI 1401 InCIFTCALL/DUIONa1E1 AR[IO IE EDVAIII OTYI0t0 A OIN DIES 11¢Illl WIIIII{ OMU t/IO/L IMCINO N(ODULISS OIMFPWIAI 1/V31 YEN/EN7 11110115 ON IN11 OAAWINO.THIS 0(SION ASSVN(1 INE 101 CNDAD IO 1I CONIIMVOUSI►IAACfO It SME/ININC UNL[!f 01MIPTI1IE Des -L9 � 11A1(0.'NNlllf t0 111010 Ct11NO TS A►►II[D OIPICtIT 10 TN(1011011 CNOAO.It 1NAlt 1E IA4C(0 At 1NIEPTAIS NOT(ICIEOIMO 11 •1 PERSONS A i r u s (� 1 u s lJ S 1 g �� IAtC IINO APO f(f ANE CAVIIOMEO TO 1AC(D WOOD IMUST AIDAAOINO Ltx10MAT EEEC11VI /LINO A TIN If IWA'S NEOUTAfO IO ll I l'ST ,�--��,SWUM IOT7UN1 ANO"OpY1NOIN0 Alit(10 IRAt1N0 HOOD IRU1T17 COYVENIIaI/NO NlCDMV(MDIIlON3 II►11 TI AI CONN 110N YlT(i�fl �J Ell..77�j i.jj�r��7 CONC(ANIMO MO►IN 11I10 try C110N,Cl.[AAIT Mail[INItRION II NIIIMO IOCAIDNf.CAMIII(vUS.AND /HI CNOPOS 0' IHt IAUSS 10 11"(4I Systems Cor Ott11�On INMOMaINS1AL(AIIONTRIIIS[1 fTIAlt not Of FtACEOINAN11N11A0MlIENI Will PIT I.CNVS[IH(YOIlIUNt top TIN I01 1"(*OD010E1C110IIN Truswal S yl p ANOIOR CAUSE CONMICI0,ttAlf CORROSION CA NA(A WHIN NICISSAAI If IEfi OIIENrIN(D IT )U01C10US APPIICIIIDN 01 11"A1(NCt 1.0 ate• r) j K0 0 3 5' FILE I IN(N(foNl IS OUTSIDE IHE SCOP!01 RFfMNfltdlll 0►INUIWAI 9 T.I.S. 24240 �iB.CARLIN / version 3.25 ~ LUMBER 9E'EC]FICATION9 Too Chd Bottom Chd webs SPECIAL PLATE POSITIONING CHART---- r x 4 'K I! S. PINE T 1- 459 B 1- -353 W 1 _ -1035 W 2 - 2138 JOINT/ X_!!n) ----- ANGLE Too Chard 2 N 3 -1013 ,5 4 379 39 T 2- Bt3 B 2- 3.50 N 2.30 Bot Chard 2x 4 M •2 S. PINE B 3- 379 1 Web Piece 2x • M 03 S. PINE - - 2 0,00 -5.52 9.0 B 4 351 3 -2.50 3.'JO -39. BEARING REQUIREMENTS BEARING ACT. SIZE REO. SIZE LBS Standard Uniform Loedin9 (PSP) Be 3.50 In. 1.50 In. 831 TCLL - 30.0: TCOL - 10.0: SCOL - 10.0: 84 3.50 In. 1.50 In. 802 BRACING MEMBERS SHOWN BY w WHERE REOUIREO. Uniform Loads PLF Land Cera i Fins] Star! End 01r. 1X4 CQNTI LA7FRAL BRACING ATTACHED BCLL 40.0 40.0 4.013 0.00 V WITH lWO t d LS. BCLL 40.0 40.0 7.19 10.00 V MHE C 205 CT ONXICTEgARLCEMARKG increase Le D 1.150 PROTPIRE �{ CpAA IOp § ANpT - LIVE LOAD DEFLECTION BASED ON L/240 "IRIVPIT EANE) ERpI 9T LLA ICT LOADS MUST BE VERIFIED. �O RE7—o—e ROXEOTEa 224'CD.C. CINVFOVNL��OOLHqAT�IITE . NO 7-0-9 I HED. THIS TRUSS I8 DESIGNED USING THE ANSI 5675 A�►58a..1 COVE.l BASIC WIND SPU�EEgqD -jj��9��pp0((��TMPH. OEVELO0E05BY BTHERCOMPONNENEIIANUFACT R. �C zH OF Mgrs 12 12 1/s 9c 10 to ?�Q h" VIN A ST V "' m 09 a C . a. B-2-12 2445 IO-4-5 0-4-5I 2445 2445 82445 2445 !1-10-4 1-2-4 1-2-4 5-10-4 14-1-0 OVERALL SPAN PLATE COOS SPACING DATE It Is flit RI110M111111IT OF OTHERS 10 ASCINIAIN 1110 IN(loop!Vtltltle ON THIS OtSIDN"tit OR ISC(le IMI Adqu pilo Loops lMMlto of INE R7o00 TPI-B_ 24.00" D.C. 2/213/92 SlpVCIURI ANO IN 11TE IOAOs IMPOSED SI INE IOCAI IURptM6 CODE Do N131011CAI CIIMAIIC AtCOPOS.NO At1►ONSIIIUIT It AStyIIEt 1'OP '„� pIMENSIONAt ACCUNACT TERIIT Ott DIMENSIONS PRIOR 10 tI1R1C1110M CONNICIOR PLAIEI iM01to ANt IRUS*Al IS.tt.IN 111919141 SPECIFIED TAINICAII001 SMALL COMIIT WITH IPI"OVALIIT CONIROI MANVAI"'O/IMT IpUif PUtI 191111 y1111MI ANO THE INVSKA►IAUICIM MANYII All PAMEtl 0101 SPICITICART 0111094110 ARE 1011 LOVAttl QIt1011 A.O[MDIEI!P(t14t CVt11NQ OMtT llllp/l tMCIN/REOVIAEI O/IMOITIOVAI I101s MEMIERT It N011e ON INTI ORAWIHO IN1t OLIlow ASIVMIS tool IOP tHONp TO IE toM11NVOUStl IPACft If SPEITPIMO UR(Ill OTHIPmft A T r u s P 1 u s Design SYSTEMS 1111(0. lit ji is Sia[t C/1190 1! 0 3111 POFtSl1 10 IPI IOIR IC CHOPP401HO tt!MALI 11/ARCED of IpActm PTALS POI tivs,l licst 11 •t .(NSOII (DEC 11M0 ITV SI(S AAL[IU UGH(p IO Slf■►101(SSIOHAI AOYIC(RI EAAOINO II MPORART EPIC TION 111 CINI KN1CN IS R'YA11 P(COIN(p 1p PPlv1Y1 - TonuYi AMO"00YIMpINO Al1IN 10 IMA[IMO w000 1pV SfL3 COYY(M IA Al PNp N(CDM Y(MDA110Ns 11 P11 wI1[PI CO"iV SIOv YlI (SISI 1� COM[L RHINO MOPER lifto 111C110M,CILA1lT N ANI 1M1(RI04 1(AIIINO JOCA1144l CANIIIIT(AS,ANO IM( CHO►OS OI 1N( 'QUIT 10/1Lvt Y1 Truswal S 5�9rn5 �'DI oreINMO►IRIMI11lUTION.101ISSIS1NPIlNOT IfnACtQ111AM1(MYIAONN(N1Will Wilt CRV$f IMF M0111ITN(COMI(MIOFI"(*Do%10(laloIR\ y p AMDIOR CPV1E COMMECID,Pu IT COMAOSION CAMRU WHIN NCC(ISART.Is TEST Of1(AMIM(0 IT IVOIC10Us VPUCA110M IIP(11INC( ANO Dwo O �� O /}'I F INUEIORI IS QUI1101 INS Stan of RfsPOHsndln Of TRVIWAt F58 624241 / T.I.S. / version 3.25 ALTERNATE LOAD CASE (2) LUMBER SPECIFICATIONS 35 PSF TCLL (SNOW) Top Chord 2x 4 x *2 S. PINE Bot Chord 2x 4 x 02 S. PINE BASLE PLATE IS 2446 MGD Piece 2x 4 x 03 S. PINE 6.5 PSF TCDL stan30.0: rd L - 10m : BCDLq (PSF) TCLL - 30.0; TCDL - 30.0: SCOL - 10.0: 10 PSF BCDL Inereeee - 1.150 0 1.15 DURATION LIVE LOAD DEFLECTION BASED ON L/240 "FOR GABLE BRACING, REFERENCE DRAWINGS REVISED 7/6/92 MAS #F303J025-1, #F303J025-2." 6-0-0 6-0-0 R3252 ZH OF lAgsSq� p MARVIN A. �G Y STRLYZE,VSKi m 12 12 C IL to fo v No. So NA AL 5-10-3 R2445 R2445 0-10-3 R2445 Io-10-3 I R2445 CONTINUOUS BEARING. 6-0-0 6-0-0 12-0-0 OVERALL SPAN 1 PLATE CODE SPACING DATE „ if 11 THE AESPOMSIIIl11101 OTHERS 10 ASC(ITAIN THAT INF tOADI UIIUE100N THIS DESIGN MEET OA IRCIIO tMI AC104t/EAG LOADS IMPOS(O IT SME gB000 TPI-B9 24.00" O.C. 2/20/92 STNUCIVAE AN INE IIV[tOA0S IMMSEO II IN[LOCAL/U4DING CODE OI HISTORICAL CIIMAIIC RELOADS NO AESPONSIIIIJIT IS ASSUMED TOO '` '` DIMENfIONA/ACCURACT Y(RIFV All DIMENSIONS PRIOR 10 FAINICATIOM CONNECTOR PLATES SHOWN ARE TRUSWAL li 11.OA r0 CAC(AS bUAt L FABRICATION SNARE COMPLY WIIN IHI"OUAt11T CONTROL MANUAL"OF INC TRUSS PLATE INSTIIUIF IIMi AND INC tAUSWAt IRUSCOM M4MWL All IANELI NOT SFTCIFICAIIV O[SION4t[OARE 101E[DUALLY OIVIOIO �OINOIES SMCIAI CUTTING ONIV lAT[RAL TRACING BEOUIREO D►11101v10UAl IBUSS MEMBERS 1f MOTSD ON THIS DRAWING THIS DESIGN ASSUME!INC IOP CHOIO 101E CONTINUOUSLY SOACED IT SHEATNTNG UNITSI OINIPW'31 A T r I� s P 1 ' s [Des (� STATED WHLBE MO All 0 CITING D ATS IN O101t SSY TAG BOBBIN ADING CHORO IT SMRLL BI ICIIOM RPOCINOf BVAl1 0101 fACA"11CAI If •0 PERSON"A"(4S [AEC RIND IRUSSI!AAE CAU IIONlD IO SEFX YP01(SSIONAt ADVICE RICAROINO I[N►ORA1Y lBfCIION SPICING WNI(M IS At WAIS AIOUtR(0 101PF VI MI ,----�,(RE�'/vr (� IOPPLIMO AMO 11'W1.GIMO .111. 10 .RAI MG WOO.t.U"., Co..,....,AND RECON Y(M OA HORS 1111( WM[AI CONFUSION MAY EI'SI CONCEONI46 MOft INTO IPICIION.CIEART MARX INTERIOR 11441016 lOCA11043 CAM1111VIRS,AND INI.CNOB.S OT IN[ TRUSS 10/SEVEN( St9f1T$ Corporation IMPROKII INSTAtLAIIOM INUSSES SHALL NOT If PIACEO IN ANY EMVIAOMMEOIT THAI WILL CAUSE IHI MOISTURE CONTENT OF THE WOOD TO EICEIO 11% Truswal S y P AND/OB CAUSE CONNECTOR PUTT CORROSION CAMB[I WHIN NFCESSAAY.IS$($I OE1fAMINEO IT JUDICIOUS APPLICATION OF EIPf11EMC(AND Dwo 1 V 0 5 1 K 0 p 3 FILE/ THEREFORE IS OUIf1DE INC SCOPE OF RISIOMSIItLIiT OF TAUSWAL L_ _ 024242 / T .I.S. / version 3.25 + F328 • LUMBER SPECIFICATIONS Top Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART Top Chord 2x 6 * #2 S. PINE T 1- -1280 8 1- 0 W i - -1454 W 2 - 1015 JOINTS X: (i n) Y: (i n) ANGLE Bot Chord 2x 6 * IFI S. PINE T 2- -961 B 2- 878 W 3 - 84 W 4 - 72 ------ ------ ------ ------ BC Piece 2 T 3- -214 B 3- 0 W 5 - 1052 W 6 - -1511 4 0.00 -7.16 90.0 2x10 * 82 S. PINE T 4= -221 W 7a= -838 W 7b= -838 Web Piece 2x 4 * #3 S. PINE T 5= -969 W 8 = .37 WEB Piece 1 6 T 6= -1271 Standard Uniform Loading (PSF) 2x 6 * 82 S. PINE ALTERNATE LOAD CASE 2 TCLL = 30.0; TCDL = 10.0; BCDL = 10.0; WEB Piece 3 4 2x 4 * 82 S. PINE 35 PSF TCLL (SNOW) Uniform Loads PLF Load Case 1 6.5 PSF TCDL (ADDITIONAL LOADS Initial Final Start End oV TCDL 10.0 10.0 5.46 7.09 V 10 PSF BCDL REMAIN THE SAME) TCDL 10.0 10.0 13.91 15.54 V BEARING REQUIREMENTS BCLL 80.0 80.0 5.46 15.54 V BEARING ACT. SIZE REG. SIZE LBS @ 1.15 DURATION Web Member Loading BS 3.50 In. 1.79 In. 1513 5-3-12 3-4-15 1-9-5, Live Dead Web BL 2.00 In. 1.50 In. 1539 1 0.0 10.0 7 1-9-51 3-4-15 5-0-4 0.0 10.0 8 END VERTICALS ARE DESIGNED FOR AXIAL R4052 LOADS ONLY. Concentrated Loads Live Dead Located THIS TRUSS IS DESIGNED USING THE ANSI BC 0.0 60.0 J2 V A58.1 CODE. BASIC WIND SPEED =90 MPH. BC 0.0 60.0 J3 V 12 12 Increase = 1.150 THIS ATTIC IS DESIGNED FOR OCCUPANCY. 10 3260 3260 Q 10 LIVE LOAD DEFLECTION BASED ON L/240 ONE ROW OF CROSS BRIDGING ("X-BRACING') R24 5 IS REQUIRED AT CENTERLINE OF ROOM. 83260 R3260 12-6-2 8-1-14 5675 85675 q3 q4 3-9-2W1 4-0-1 W LEDGER & CONNECT (BY OTHERS). P��µ OF A✓1gSS R4052 72120 72120 _ate 9� 10-1-0 J o� MAR INA c i 5-5-8 i ( 5-2-0 84052 STRZCI'E 20-8-8 OVERALL SPAN v No. q90 9� F 0 PLATE CODE SPACING DATE IF IS THE RESPONSIBILITY OF OTHERS TO ASCERTAIN THAT THE LOADS UTILIZED ON THIS DESIGN MEET OR EXCEED THE ACTUAL DEAD LOADS IMPOSED BY THE R5010 TPI 85 24.00 O C. 11/23/92 STRUCTURE AN THE LIVE LOADS IMPOSED BY THE LOCAL BUILDING CODE OR HISTORICAL CLIMATIC RECORDS.NO RESPONSIBILITY 13 ASSUMED FOR '` '` DIMENSIONAL ACCURACY.VERIFY ALL DIMENSIONS PRIOR TO FABRICATION CONNECTOR PLATES SHOWN ARE TRUSWAL 13.18.0120 GAGE AS SPECIFIED.• FABRICATION SHALL COMPLY WITH THE"DUALITY CONTROL MANUAL"OF THE TRUSS PLATE INSTITUTE(TPI)AND THE TAUSWAL TRUSCOM MANUAL.ALL T PANELS NOT SPECIFICALLY DESIGNATED ARE TO BE EQUALLY DIVIDED A6.DENOTES SPECIAL CUTTING ONLY LATERAL BRACING REQUIRED OF INDIVIDUAL TRUSS MEMBERS IS NOTED ON THIS DRAWING.THIS DESIGN ASSUMES THE TOP CHORD TO BE CONTINUOUSLY BRACED BY SHEATHING UNLESS OTHERWISE. STATED.WHERE NO RIGID CELING 13 APPLIED DIRECTLY TO THE BOTTOM CHORD.IT SHALL BE BRACED AT INTERVALS NOT EXCEEDING 10 -0' PERSONS A T r u s P 1 u s Design c�c ERECTING TRUSSES ARE CAUTIONED TO SEEK PROFESSIONAL ADVICE REGARDING TEMPORARY ERECTION BRACING WHICH IS ALWAYS REQUIRED 10 PREVENT S___-_, Yi•W TOPPLING AND"DOMINOING".REFER 10"BRACING WOOD TRUSSES COMMENTARY AND REC OMMEN CATIONS JIM) WHERE CONFUSION MAY EX131 �j�� Al•Y7 CONCERNING PIT FIELD ERECTION.CLEARLY MARK INTERIOR BEARING LOCATIONS. CANTILEVERS.AND THE CHORDS OF THE TRUSS TO PREVENT Truswal Systems Corporation IMPRDPER INSTALLATION.TRUSSES SHALL NOT BE PLACED IN ANY ENVIRONMENT THAI WILL CAUSE THE MOISTURE CONTENT OF THE WOOD TO EXCEED 19% Y P AND/OA CAUSE CONNECTOR PLATE CORROSION, CAMBER.WHEN NECESSARY,IS BEST DETERMINED BY JUDICIOUS APPLICATION OF EXPERIENCE AND DWG S Fi 3 2 8 rt O� 1 8 r ` THEREFORE IS OUTSIDE THE SCOPE OF RESPONSIBILITY OF TRUSWAL *24245 / T.I.S. / Version 3.75d f LUMBER SPECIFICATIONS Top Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART Top Chord 2x 6 * #2 S. PINE T 1- -1313 8 1- 0 W 1 - -14B9 W 2 - 1046 JOINT# X: (i n) Y: (in) ANGLE Bot Chord 2x 6 * 02 DENSE S. PINE T 2- -986 B 2- 905 W 3 - 98 W 4 - 98 ------ ------ ------ ------ BC Piece 2 T 3- -212 B 3- 0 W 5 - 1046 W 6 - -1469 4 0.00 -7.16 90.0 2x10 * #2 S. PINE T 4= -212 W 7a= -872 W 7b= -872 Web Piece 2x 4 % #3 S. PINE T 5= -986 W 8 = 37 WEB Piece 1 6 T 6= -1313 Standard Uniform Loading (PSF) 2x 6 * #2 S. PINE TCLL = 30.0; TCDL = 10.0; BCDL = 10.0; WEB Piece 3 4 2x 4 * #2 S. PINE Uniform Loads PLF Load Case 1 Initial Final Start End Dir. TCDL 10.0 10.0 5.46 7.09 V TCDL 10.0 10.0 13.91 15.54 V BEARING REQUIREMENTS BCLL 80.0 80.0 5.46 15.54 V BEARING ACT. SIZE REQ. SIZE LBS Web Member Loading B1 3.50 In. 1.55 In. 1535 5-3-12 3-4-15 1-9-5 Live Dead Web BL 3.50 In. 1.55 In. 1535 11_9_51 F 3-4-15 I I 5-3-12 0.0 10.0 7 0.0 10.0 B THIS TRUSS IS DESIGNED USING THE ANSI 14052 A58.1 CODE. BASIC WIND SPEED =90 MPH. Concentrated Loads Live Dead Located THIS ATTIC IS DESIGNED FOR OCCUPANCY. BC 0.0 60.0 J2 V BC 0.0 60.0 J3 V ONE ROW OF CROSS BRIDGING ("X-BRACING") 12 12 Increase = 1.150 IS REQUIRED AT CENTERLINE OF ROOM. 10 V 3260 3260 10 LIVE LOAD DEFLECTION BASED ON L/240 13260 2445 R3260 ALTERNATE LOAD CASE 2 35 PSF TCLL (SNOW) 12-6-2 6.5 PSF TCDL 10 PSF BCDL 1.15 DURATION 5575 43 4 15675 (ADDITIONAL LOADS REMAIN THE 3-9-2W W3 3-9-2 SAME). R4052 72120 72120 Sid cy.: 10-1-0 R4052 p= MAR 5-5-8 5-5-B STRZY 21-0-0 OVERALL SPAN14 C;� 9� 3��j k�� . l PLATE CODE SPACING DATE ITIS TME RESPONSIBILITY OF OTHERS TO ASCERTAIN THAT THE LOADS UTILIZED ON THIS DESIGN MEET OR EXCEED THE ACTUAL DEAD LOADS IMPOSED BY TH1 R50 TPI 85 24.00' C• 11/23/92 STRUCTUREALAND THE LIVE LOADS IMPOSED BY THE LOCAL BUILDING CODE OR HISTORICAL CLIMATIC RECORDS.NO RESPONSIBILITY IS ASSUMED FOA '` '` DIMENSIONACCURACY.VERIFY ALL DIMENSIONS PRIOR TO FABRICATION CONNECTOR PLATES SHOWN ARE TRUSWAL 1B.11.01 20 GAGE AS SPECIFIED.,. FABRICATION SHALL COMPLY WITH THE"QUALITY CONTROL MANUAL"OF THE TRUSS PLATE INSTITUTE(TPI)AND THE TAUSWAL TAUSCOM MANUAL ALL T PANELS NOT SPECIFICALLY DESIGNATED ARE TO BE EQUALLY DIVIDED Ak..DENOTES SPECIAL CUTTING ONLY LATERAL BRACING REQUIRED OF INDIVIDUAL TRUSS MEMBERS IS NOTED ON THIS DRAWING.THIS DESIGN ASSUMES THE TOP CHORD TO BE CONTINUOUSLY BRACED BY SHEATHING UNLESS OTHERWISE„ ' STATED.WHERE NO 11010 CEL1N0 IS APPLIED DIRECTLY TO THE BOTTOM CHORD.11 SHALL BE BRACED AT INTERVALS NOT EXCEEDING 10'-0 PERSONS A T r u s P 1 u s Design `c ERECTING TRU33ES ARE CAUTIONED TO SEEN PROFESSIONAL ADVICE REGARDING TEMPORARY ERECTION BRACING WHICH IS ALWAYS REQUIRED TO PREVENT �ll�NcMc TOPPLING AND-DOMINOING".REFER 10 'BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATIONS"'ITPII WHERE CONFUSION MAY(1131 ,_____, �S jj��EMS CONCERNING PROPER FIELD ERECTION.CLEARLY MARK INTERIOR BEARING LOCATIONS,CANTILEVERS. AND THE CHORDS Of THE TRUSS TO PREVENT Truswal Systems Corporation IMPROPER INSTALLATION.TRUSSES SMALL NOT BE PLACED IN ANY ENVIRONMENT THAT WILL CAUSE THE MOISTURE CONTENT OF THE WOOD TO EXCEED 19% Y P AMD/OR CAUSE CONNECTOR PLATE CORROSION.CAMBER.WHEN NECESSARY.IS BEST DETERMINED BY JUDICIOUS APPLICATION OF EXPERIENCE AND DWG# F s 2 S K n IS ^ L THEREFORE 13 OUTSIDE THE SCOPE OF RESPONSIBILITY OF TRUSWAL #24246 T.I.S. / Version 3.75d LUMBER SPECIFICATIONS lop Chd Bottom Chd Webe SPECIAL PLATE POSITIONING) HAAT---- lop Chord 2x 6 x 02 S. PINE T 1- -1403 B f- O W 1 - -1718 H 2 - f1H 4 - 122 33 JOINT- ----n) Y_1fnANGLE Bot Chord 2x 4 x 02 S. PINE T 2- -1084 B 2- 990 W 3 - 123 4 4 0.00 -7.16 00.0 BC Pfece 2 T 3- -232 B 3- O H 5 - 119 N 6 - -1718 2x10 x f2 S. PINE T 4- -232 H 7e- -946 H 7b- -946 Web Piece 2x 4 IN 03 S. PINE T 5- -1084 W 8 - 72 NEB Pfece ! 6 T 6- -1493 Standard Uniform Loading (PSF) 2x 6 w #2 S. PINE TCLL - 30.0: TCOL - 10.0: BCDL - lO.O; NEB Piece 3 4 2x 4 IN *2 S. PINE Uniform Loads PLF Load Csae Ind initial Final Start Dir. TCOL 20.0 20.0 9.46 7.00 V 6EARIHO REQUIREMENTS TCOL 20.0 20.0 13.01 10.94 V BEARING ACT. SIZE REO. SIZE LBS BCLL 00.0 80.0 9.48 10.94 V B1 3.50 In. 2.08 In. 2760 SCOL 10.0 10.0 5.46 19.54 V "ab Member Loading BL 3.50 In. 2.08 in. 1760 Live Dead Web 0.0 20.0 7 THIS TRUSS IS DESIGNED USING THE ANSI 0.0 20.0 B A5 .! CODE. BASIC WIND SPEED -70 MPH. THIS ATTIC IS DESIGNED FOR OCCUPANCY. Concentrated Loads T I (( ( _ 3-4-15 5-3-12 Live Deed Located I9ERROVIREDCA�SCENTERL IJE OFxROOMC2N0') -g- BC 0.0 80.0 J2 V 9 p t p I (� 144052 B_C 0.0 90.0 J3 v TFIIgg SiiGBYlTHERCOMCo1ENtEMARUUFFACTURER. LIVE DLOAD DEFLECTION BASED ON L/240 OEVELO ED IV 3260 3260 to F/7 3260 to 143260 OF MASS R3260 1424 5 MARY1 A. � ( STRZYZ E C ca 12-0-2 R5675 R5675 3-9-2 3-9-2 7280 R4052 R4052 7290 i O-9 1-0-8 5-5-8 5-5-8 1 21-0-0 OVERALL SPAN II - �-"1 PLATE CODE SPACING DATE it it Int IItSONilllttt101VMS IOAICIRIAINFRAY INTLOCOSO11L11t00NIRIS OtIIOMells00petteTNIACIu1COICILOAOIIIIPOSE111IM( "5000TPI-B. 24.00- O.C. 2/28/92 IIAUCIURI AND 1111 lint 10401 Ie1,0111 01 11,11 LOCAL SU ICINI COOL 01 NltlOtK4l CIIMAtIC RKAXIS.MO RtSPOM11111111 IS RISOIIEI IOP IIIIENSIONAt ACCURACI T[Rlt1 Ott OISIPPON1 SAM t0 ralattApop CONNECTOR KA11S INONN ARE IAY11A(1f.It 00"Olt AS Int"I110 f AIPICAIIOR SMALL COef1/1111"tNl"OUtllil CONTROL SIAMUAI"Of 1141?Outs KAT[111f11IOlI[1111 RNO IH(SRU1'NAI IRUICOe eINUAI All TAN(lt NOl Sf1C"ICALtt 0U1CMA110 ARE 10 It EQUALLY OIVIOfl �►0(N0111 SKCIAI CUrl MO Opt'loll PAt S4ACIM1 P10VIR(0 Of IM01117UAt TRUSMM MUSS 9(IA11RS IS"Olio ON 11,13 ORA4'IMO THIS VISION RSIUM(l 1141 IO►CHDRO 101E tONIIN000IL1 IO ACID IT SPIA111140 Wit[11 O1NtPIl It A T r u s P 1 u s D e s i g r� 1SSII0•Ir11111 OO 100'0!11114017 0 111(0 01PItIlT 10 111!IO 1109 CNOAa 11(NAIL it 4141[0 SS rCIM11 tt ROI[LCt(TNO It •1 P(4S7N1 �(�' �Q IPU-IMO IRVSS(S ARE C4VIION(0 10 f[4P►POf 1SS10NAl 401IL[p0AA 01110 I1 NfORARr(AIC-ION IAS CINa vr14gN 11 gW11(t(O UTA[0 10/Pt r•I rl _��Tj�r�j as Ea�W IO/tIIMI ANO ,IOVIX0140'.A[[lR 10 IPACIN4 WOOD IAUSICS COYYINILRr Ara R(COMYINO[IIOrt-Ilrll w-IPI !0"101171 941 11'11 Court'NJ NO 1001,11 11110 IPUtfox.Ct(APl1 x4419 1111(14104 ItAMNO tOCAIIONl.C1111111"(PS•AMC IHt CHOPOS 01 fill 11011 10 TPl''(41 lruswal S S)9n15 COS Ora��OnINMOPIRIMSIPIt/1110M.ItU11131HA11MCI 0tflAC(aINAMr(NSIRO4v(N1111%1WRAC10tWE901ilURfCOR11M1of 1H(watiolOtLC1101IN (j�( y p ANOIOA CI YIt tONMICIOA Ata It CORROSION 11111(1 WHEN M[C[s SAP-.If ItSI OI-(19111[0 11 IUQIt1OUt APPt ICAt10N 01 11P[111Nt[ Ir0 Dwo/ 8 K 0 1�/ ^ - INEQ/GPI 11 IU1IIDt IRI 1C0►t 0►P(1roRSlhtlSt Of IAUSII•Al Fll ons `TLE 024249 / T.I.S. / version 3.25 �1 ONINo LUMBER 9PECirICATIONS 70D Chd Bottom Chd Webs SPECIAL PLATE P09ITIY: 0IT CHARANGLE T Ica Chord 2x 4 w 02 S. PINE T 1- -1202 B 1- 982 W 1 - 108 W 2 - -442 JOI1411► X_(!n) Y_(1 n) ------ Bot Chord 2x 4 x I2 9. PINE 7 2- -756 8 2- 902 W 3 - 496 W 4 - -24 Web P1etG! 2%1. 4 ■ ♦3 9. PINE T 3- -756 B 3- 544 W 5 - -979 W 5 - 660 1 4.40 5.41 16.9 T 4- O 3 0.00 -4.21 90.0 5 -4.90 -0.94 -33.7 Left Side Wedge 2x 8 02 or Betterll LOADS MUST BE VERIFIED. 5 —3.50 —10.82 0.0 BEARING REQUIREMENTS BEARING ACT. SIZE REG. SIZE LBS Standard Uniform Loedln0 (PSF) of 3.50 In. 1.50 In. 967 TCLL - 30.0: TCDL - 10.0: BCDL - 10.0: TTL gqUU��gg9.600 pping. ggpp1.115�g0ii In. 1031 Ad99 TCOOE. RAITC 9PEE0 THE ANSMPHI Unffdni Loads PLF Load tartCase ! In1tlel Final Start End Dir. BCLL 40.0 40.0 14.83 te.48 V THIS DESIGN I9 FROM COMPUTER ANPUT increase - 1.150 DEVELOPED BY THE COMPONENT MA UFACTURER. LIVE LOAD DEFLECTION BASED ON L/240 5-9-1 4-1-9 5-4-8 4-8-13 R3252 is ZN OF Mass a Sy`` in per' 11 i A. ,G eSKi 2445 n l � . 0 2445r1S? Q �FV`P�OFdAI EtLG. 6475 3252 1-0-7 1-2-0 0-7-0I t L 5675 n R2445 2475 2445 5-7-5 B-4-15 19-10-0 OVERALL SPAN PLATE COOS SPACING DATE 1115INtIISfOM1111L1t(Or01Ntott0ASCINIAININ4tIMF t000Spnl(fteOMTHIS ItSt1NMEETONfl(ltllilt ACIp11US@LOAIIIMPOSf1IVIN[ R5000 TPI-85 24.DO" D.C. 2/2D/92 pIVEMS#NAI ACLU Ci YERIFI Ott D M[S ONS"loll to Is1AIC4t OM CONN(CION IC 11 lilt to1PLA t11 fNOVP Alla IRUSWAI it.it.go /MSE III Spit rtt M '„` FOINIVIII011 SMALL COMfLT INv"IMI'"Dustily CONIROI MANVAI"Or TMf tNUST►L41E INSIIt Ulf 11f11 4140 THE IIUINIAI TRVSCOM e4RUAL Alt ►4Ntlt No Spy IIACAI IT 011101114119 ARE 101t tODALty 01IIND A DIP011I IP(CIAI Cill"Pt ON"10"Olt INACINI 111011IIE#Or INOIYMyO At T TRUSS wtwI1N1 d NO110 ON 1x12 ONAIIIND THIS O(110N AllUMIS 1141 lop CNOID 1011 CONIINU011ILT#PACT#IT SP(AIPINI UMlftf OIHFPITIIt (� 7 C little.INII(AT MO P1010 CMN#U 4P►LtCo pIR1f IIT it IMI follow CHORD It IMAU If 144CIO 11 IMIEFIALS MOI f%El101N0 11 •I PERfOMI A T rust- j v D e s i g n 11 111.0 11MI t4US1(S ANI!CAU 11ONt0 10 f(fF M01(SSIONAt A0r10E RIfCOMWI tINPo44Rr lP[CIION CIN#WHICH ALYA'S stoulAo-Full[0 10►P(•7N1 �_�_-�, � 1011LINI AMO"OOw1N01N0".RIrER It [FACING WOOD IRUSI(S COWMEN IAIt AND[[CON Y1P 04I10N3 IIr11 WOIA! CO"fV 110�Y4T[1'31 SMF w7�acA a•a�wi CONC(RNINO MOrtN IIRD IFII1tON,Ct(Altty MRR4 INI(R104 It A41NG tOCAtIONS.CAlltlt1•tP3,ANO 1141 CMOSOS 01 IM( TRUT1 10 rP(Vryl Systems Cor oreilon 1NM0 [F M4INSIALU110N.INUSIIS SPAR N011r rlACt0IN ANY INVIRONM(NT IP41 VVIU t%VS(IPI Y0111UR(COMI(NI O/'ME*000 IO t1al0 11t Truswal S I y P AMD/0R USE COMMICION"it CORAOSION CAMREA W"fu PUISSANT.IS[ESI Ot1tAYINEe IT JUDICIOUS APFUCAlloll Or 11►f All NC1 ANO DWQ/ � ILE/ INOI(FOA(12 OU11101 THE St Orf OF AllpowsIvIIItT Or IAUSWAL r 0 3� 024250 % T.I.9. / Version 3.25 I •. C+ 1414 K.o ( 6 LUMBERSPECIFICATIONS ALTERNATE LOAD CASE (2) Togs Chord 2x 4 w #2 S. PINE 35 PSF TCLL (SNOW) 2445 Bot Chord 2x 4 w 02 S. PINE GABLE PLATE IS web Piece 2x 4 w •3 3. PINE 6.5 PSF TCDL Stanoartl Uniform Loading (PSF) TCLL - 30.0: TCDL - 10.0: SCOL - 10.0: 10 PSF BCDL Increase - 1.150 LIVE LOAD DEFLECTION BASED ON L/240 0 1.15 DURATION REVISED 7/6/92 MAS "FOR GABLE BRACING REFERENCE DRAWINGS OF303,1025-1•IFF303,1025.27 6-0-4 4-6-13 ASH OF MA R3252 sP ssyt, MA VIN A. ZG !8 STRZYZEWSKI m CIVIL i2 ° o L:-, No.36 w IV� tiN 7-7-13 t,-2-0 B-3 2445 0-2-12= 2445 CONTINUOUS BEARING S-3-i PS-SO-f3 EI-4-i'S 19-10-0 OVERALL SPAN 9 I 9 PULTE CODE SPACING DATE IF IS THE It SPONSII111tT OF OtMERS SO ASCfI1AINSMAS INF 10.05 UIILTLEO DM tNlf DESIGN M[EI OM ESCE[0 TNI ACSUAL DEAD LOOS IMPOSIV IT INE R3000 TPI-BPS 24.00' D.C. '.3/28/92 SIRUCTURE AND INE llvl LOADS IMPOSED IT INE LOCAL ItIfLaIN0 CODE 05 NISIOPICAL CIINAIIC RECORDS NO RESPONSIIIIITI 15 ASSVSIEO FOA '„� DIMENSIONAL ACCURACY VERIFY All DIMENSIONS PRIOR IO FAIRICAIION CONNECTOR PLATES SHOWN ARE IRUSWAI 19 11.OR SO CASE AS SPECIFIED FAIRICATCOM SMALL COl IV WIIN THE"OUAtfIT CONTROL MANVAE"OF INE TRUSS PLAIE INSTITUTE IIPII ANO THE PRUIWAl TRUSCOM MANUAL All T1,1111IIIII, PANELS MOT tits i 111011 O N WONTED AAE D I[3 V ILIO OMITTED ADENOTESSPECIALO TINU ONLY NACIT f SPIAI INGUTAE IDICfHFP0USl TRUES M(MIEAS IS MOI[O ON tNl7 ORAWIND INIS DESIGN ASSUN(S TNF IOP CHORD IO T[COMIINUOIISIY IRACID IP SN[AINING UNlIS3 OTXFPWISE A TrusP1us DesignSPACED. TRUSSES NO ARSIO UT CHORD D APPLIED OIRCnI TO THE IDI IOM CHORD II FNRLI It 1M[ED AT INTER TRIC NOT(LCEEO N6 E 0 PF1TONf FA(CtIMO IAVS SES M[CAUTIONED TO SEES PAOIFSSTpNST,ADVICE AEGAROtNO T(NPORAAr(RECTION TAIPNG WHICH If AIWA*S AEOUIRO'O PPl vtwi ,_��`-,SM MS IOPPLINO AND"COMING140'.AFTER TO IAACENG W700 IAUS3ES COMMENTARY ANO AtCONMIN0li1043 ItPII WIIVI COwfUSIOw MAY tTIST a j.�j�aiVi✓ CONCEANING PROPER IIf IO(FICTION,CLEARLY NARK INIFRIOR TEARING IOCAIIONS CANiIUvUS. ANO IMF CHOP0$Of IMI TRUST TO PAI II SlQttt$ Corporation IMMOPPRIN31ALLATION.IRUSSESSNAIINOT ItPLACED IRANIENVIRONMENT THAI Witt CAUSE iNFMDISIUAECONTENT of THE w00010ESCtE019% TFuswal Systems P AMDIDA CAUSE CONNECTOR PLATE CORAOSION CANTtA WHEN NECESSARY IS 1EST DETERMINED IT JUDICIOUS APP11CA110"OF ES►(RII I AND owo O I o 16- IT ILE I INEAEFORE IS OUTSIDE THE SCOPE OF RESPONSIIILITY OF TAUSWAL 124255 �?T.I.S. / Version 3.25 ` F33o K0244 f LUMBER SPECIFICATIONS Top Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART Top Chord 2x 4 BE #2 DENSE S. PINE T 1- -2991 B 1- 2657 W i - -354 W 2 - 2087 JOINT/ X: (i n) Y: (i n) ANGLE Bot Chord 2x 4 * 112 S. PINE T 2- -2480 B 2- 926 W 3 - -382 W 4 - -336 ------ ------ ------ ------ Web Piece 2x 4 * #3 S. PINE T 3- -759 B 3- 0 W 5 - 738 W 6 - 34 1 1.14 4.37 29.2 T 4- -759 1 5.92 9.07 33.7 Left side Slider 2x 4 same grade as TCiII 1 26.87 23.04 33.7 3 0.00 -4.60 90.0 5 -4.90 -0.94 -33.7 BEARING REQUIREMENTS 5 -3.50 -10.82 0.0 BEARING ACT. SIZE REG. SIZE LBS 5 0.00 3.20 0.0 BI 3.50 In. 1.50 In. 952 7 0.00 3.63 -12.3 TL 3.50 In. 1.50 In. 973 BRACING MEMBERS SHOWN BY If WHERE REQUIRED. Standard Uniform Loading (PSF) TCLL - 30.0: TCDL - 10.0; SCOL - 10.0; IX4 CONTINUOUS LATERAL BRACING ATTACHED 5-6-12 5-2-3Increase - 1.150 WITH TWO (2) Bd NAILS. 5-6-12 _ _ O ON L/240 THIS TRUSS IS DESIGNED USING THE ANSI I A58.1 CODE. BASIC WIND SPEED -90 MPH. 84860 1212 Qp�SN SoG' B y o v I � 66610 R2445 N (n 8-0-1 2445 6475 A1'oFRFGist E�� Sr0Nq� 6475 3252 3-7-11 3252 1-0-7 3252 5.50 5.50 1-2-0 0-7-01 4890 R2445 5675 7-11-4 8-2-12 3-4-8 19-10-0 OVERALL SPAN PLATECODE SPACING DATE IT 13 INE RESPONSIBILITY OF OTHERS 10 ASCERTAIN THAT THE LOADS UTILIZED ON THIS DESIGN MEET OR EXCEED THE ACTUAL 0EAD LOADS IMPOSED IT"I 85000 TPI-85 24.00" O.C. 11/25/92 STRUCTURE AND THE LIVE LOADS IMPOSED BY INE LOCAL IUFLOIHG CODE OR HISTORICAL CLIMAIIC RECORDS NO RESPONSIIILITT IS ASSUMED FOR DIMENSIONAL ACCURACY.VERIFY ALL DIMENSIONS PRIOR TO FABRICATION CONNECTOR PLATES SHOWN ARE TRUSWAL 16.11.00,20 CAGE AS SPECIFIEQ fAII ICA TION SHALL COMPLY WITH THE'OUALIIT CONTROL MANUAL`OF THE TRUSS PLATE INS IIIUTE IIF 1 AND THE TRUSWAL IAUSCOM MANUAL Ail ►AN ELS NOT SPECIFICALLY DE31ONATED ARE TO IF(DUALLY DIVIDED ..w DENOIES SPECIAL CUTTING ONLY LATERAL$RACING REQUIRED OF INDIVIDUAL TRUSS MEMBERS IS NOTED ON THIS GNAWING ]NIS DESIGN ASSUMES THE TOP CHORD 10 If CONTINUOUSLY BRACED BY SHEATHING UNLESS OTHFRW14f STA1F0.WHERE ND RIGIO CFLINO 13 APPLIED OIRECTLV 10 THF 10110M CHORD It SHALL BE BRACED AT INTERVALS NOT EXCEEODIG 10 -0 PERSONS A T r u s P 1 u s Design EIECIING IRUSSES ARE CAUTIONED TO SEER PROFESSIONAL ADVICE REGARDING TEMPORARY ERECTION$RACING WHICH IS ALWAYS REQUIRED TO PNEVENI Li`W TOPPLING AND'GOMINOINO REFER IO 'BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATIONS ITPII WHEAT CONFUSION MAY EXIST �7a�7�EMS CONCfAM, No nOPEA FIELD[RECTION,CLURLY MARK INIERION IEARING IOCAITONS. CANIILEVERS. AND IMF CHORDS 01 THE IRUS3 TO PREVENT Truswal S stems Cor oration IMPROPER INSTALLATION.TRUSSES SNAIL N 0 1 IE PLACED IN ANY ENVIRONMENT THAI WILL CAUSE THE MOISTURE CONTENT OF INE WOOD TO EXCEED 19% Y P ANO/OA CAUSE CONNECTOR PLATE CORROSION CAMBER WHEN NECESSARY,IS BEST DET ENMI N ED BY JUDICIOUS APPLICATION Of EXPERIENCE AND DWG M C ��O O �' THEREFORE IS OUTSIDE IME SCOPE OF RESPONSIBILITY OF TRUSWAL '1 ADMINISTRATION AND ENFORCEMENT 1 case of any false statement or misrepresentation of fact in the application or the plans on which the permit or approval was based. 114.8 Approval in part: When application for a permit to erect or add to a building or structure has been filed, as required in Section 113.5, and pending issuance of such permit, the building commissioner or inspector of buildings may, at his discretion, issue a special permit for the foundations or any other part of a building or structure, before the entire plans and specifications for the whole building have been submitted, provided adequate information and detailed statements have been filed complying with all the requirements of this code and pertinent law. The holder of such a special permit may proceed at his own risk without assurance that a permit for the entire structure will be granted. 114.9 Posting of permit: A copy of the building permit provided by the building department shall be kept in view and protected from the weather on the site of operation during the entire time the work is under execution and until the certificate of use and occupancy shall have been issued. The building permit shall serve as an inspection record card to allow the building official conveniently to make entries thereon regarding inspection of the work. 114.10 Notice of start: At least twenty-four (24) hours' notice of start of work under a building permit shall be given to the building official. SECTION 115.0 CONDITIONS OF PERMIT 115.1 Compliance with code: The permit shall be a license to proceed with the work and shall not be construed as authority to violate, cancel or set aside any of the provisions of this code, except as specifically stipulated by modification or legally granted variation in accordance with Section 126.0. 115.2 Compliance with permit: All work shall conform to the stamped or endorsed application and plans for which the permit has been issued and any approved amendments thereto. 115.3 Change in site .plan: A lot or site shall not be changed, increased or diminished in area from that shown on the official site plan, as specified in Section 113.6, unless a revised plan showing such changes accompanied by the necessary affidavit of owner or applicant shall have been filed and approved. Exception: A revised site plan will not be required if the change is caused by reason of an official street opening, street widening or other public improvement. 780 CMR - Fifth Edition 1-19 p R T .,\ 0VM Of �� o over 4 TA A1ort dower, Mass., C OC,+IC I,EwIC r, 'Ay I AD�'ATED BOARD OF HEALTH P,ERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... .&.............................. ........... ..��..�..�........�.............. ..... ......... " ' Foundation has permission to erectOUMNAA !..9 buildings on , .. ..411AWAN Rough t0 be OCCU ledaS . Chimney provided that the pers n accepting this permit shall in evely respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough PERMIT EXPIRES IN 6 MOW€,�.��FEE�1 41' 0 d Final UNLESS CONSTRUCTION STARTS °, c, U ELECTRICAL INSPECTOR PLRMIT FOR FRAME/BUILDING &1 Rough ............... Service ,DATE: FEE PAID:..._..,_�.�. BUILDING INSPECTOR 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL , j DRIVEWAY ENTRY PERMIT MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ,l NORTH ANDOVER Mass. Date '9k building Locationt,;e i 7�o - S,./. Permit # I 3 w I Owners Name_U-e j f(9th ry is • New ^ Renovation Replacement T] Plans Submitted FIXTUP,-S N 0 V Z tr crf Q N M .O Cr to to W O A. CC W 4 to cc N C tj us z df 4 Q Q c > m W ul (n w z a x a m r H x o r z , H z W w ,d a > tt-- v i H w z a w < cc .� �- N m o z W o N x d ,ct > W z R x O L7 Y u. Q c7 r U s > Q nQ tw- O SUE(—BSLIT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTK FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name D ; (_ / L'e'C) fly V Z4 r__j Corp. Address le,101 v - t Partner. J Firm/Co. Business Telephone: -i9 XZ, Name of Licensed Plumber or Gas Fitter e,� ��,fi�� ; ' f!-Ccfld Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F__j Other type of indemnity F__j Bond E] Insurance Waiver: 1 , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner U Agent F7 I hereby certify that all of the detail:and information I have submitted (or entered)in above application are true and accurate to the bcst of my knowledge and that all plumbing work and InstAllations performed under Permit issued fo: this application will-be in compliance with all pertinent Provisions of the Massachusetts State Gas Code and Chapter 14I of the General LAWS. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: Master Plumber or Gasfitter Journeyman /0 S0 ?_ . APPROVED (OFFICE USE ONLY) License Number MASSACHUSETTS UNIFORM APPLICATION FOR. PERMIT TO DO GASFITTING t (Print or Type) NORTH ANDOVER , Mass. Date kuilding Location Permit # Owners Name ? New Renovation Replacement Plans Submitted D FIXTUP,=1z N xW N Z N a as .¢ o W v m t x N a N x aoF w O yQQWi- G &U t- t= Zoda r,uxd ?O O >G W W W ca tCIS-' ° LL WI 0 > C O O W o o SIIFi-SS..1T. BASEMEUT l IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) �)R'i-c Check one: Certificate Installing Company Name 15LuA �� Q Corp. Address D ' 80,x114 6) Partner. c� 1 G- t51 ��irm/Co. Business Telephone: p - 3,76 t Name of Licensed Plumber or Gas Fitter K 4\ b Insurance Coverage: Indicate the type of i-isurance coverage by checking the appropriate box: Liability insurance policy ©Other type of indemnity Bond �( Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent El 1 hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the best of MY knowledge and tlut all plumbing work and installations performed undo: Petmit irseed for this application will-be in compliance with all pertinent provisions of tho Massachusetts State Cas Code and Chapter 142 of tho General Laws. IPE LICENSE: By Plumber Title Gasfitter' S' a re of Licensed 15.raster ber or Gasfitter City/Town: Journeyman 1155 APPROVED (OFFICE USE ONLY) License Number Location No. ` Date �ORTM TOWN OF NORTH ANDOVER O F R A �e Certificate of Occupancy $ s'Ar.D <� Building/Frame Permit Fee $CH - Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # � 66 ` J ` �• . . r-� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO(X)ItiSTR[K..r REPAIR,RENOYATFOR DEMOLISH A ONE,OR TWO FAMILY DWF.I.F.tNG .... ... ... .... BUILDING PERMIT NUMBER: DATE ISSUED: a M SIGNATURE; � Building Commissioner/ or of Buildings Date SECTION I-SITE INFORMATION I Z 1.1 Prop&ty Address' 1.2 ,assessors Map and Pard Number: 0 - B 91B (o3 �-hmwa—j ff '' ,,,� ��rrQQ :dumber Panel Nurn -� IlZ ,j-Or- 1,7 Zc#it tg Tof'tmmiatimt: 1.4 Propcny Dimensions: .rntin llisuid PropoJ�1Nt T nt ares sfT Fimta c'fI I/A 1 1.6 BUILDING SEBACKS ft Front Yard' Side Yard Rear Ward Re uired I Provide Required Provid R hired Provided I 1%f f a; 1.7 Watct S Iy M.aL.C.40. M) t.S• Rood Zmc Infamuiom; y I.a sn,W Dkp—at syx�_ Y„btu t1mate ❑ �O- ChuslaeFkod Zm- r'i bfuai ipel C)n Sitc t)icptxal CycMn ri SEC TIGN1-PROPERT-V 0W9—hR9 s1PJAU1—A0kdZED AGENT 2.1 Owncr of Record Nsmc("Ynnt} Address ror Service: Signature Telephone 2.2 Owner o1'Rewrd: O Nsmc Yrint — --- AdC1rCSC fnr SCrSiCc: z Sikduture Telephone SECTION 3-CONSTRUCTION SERVICES JU.cunsed Construction SSuupervisnr. Not Applicable ❑ ^ • Licensed Cans tion Su 'wr: -.- Lirtge Numt�er � 3 / - - - - ; - , ...:.. �._.-. . .. .....- -.._. -_...:•... -- � i caCun uuJn- unit _: . �:.- .. ... � Signal re Telephone e� 3.2 Registcrcd Nod Jm(e�Impproveeme`n't`Contrnctor c Not Applicable D `�IL`.i/.�JiJ/Jl��.a.crl J 2 Company Name ✓ M (� ,, ff Registration Number - ---- a?7 65 - -- z L_.. 6_.. �� —.._. .. F,fpiratiofi Date Si nature Tcle phone • �cp:-v�-6J� v� .t Jh • r.�c SECTION 4-WORKERS COMPENSATION(M.G.L C:152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitied with this application, Failure to provide this(tflidavit will result in the denial of the issuance of the building per-mit. Si fled affidavit Attached Ycs No.......0 SECTION 5 Descri tion of Proposed Work cdkmci< a lieahle New Construction ❑ Existing Building ❑ Repair(s) fl Alterations(s) I I Addition Ac,cesoory Dtdg. ❑ D=olition n Other n Specify Bri Duscription of Proposed Work: SECTION G-ESTIMATED CONST UC TION COSTS Item . Estimated Cost(Millar)to Ue OFFTC.IAL USE ONLY Complated by tx-rmit applicant 1. Building (a) i:3uilding Permit Fcc �oN: Multiplier 2 f;lectrical (b) Estirnatod Total Cost of �2 3 0 0 6) Construction 3 Plumbing building Permit fee(.)>: tnl 4 W%,hanical(II IAC') a Q Fire Protection v G Total I+2+3+4+ Check Nuanb:r SECTION 7a OWNER AUTHORIZATION TO COIVII'I.FTED WHEN OWNERS AGENT OR CONTRACTORAPIP IES 1!0k BUILDING Fel°€ NIf'r I' ... -------- as Ownet'/A13i11Drl7ed!:pent of r:ubject proportv lkrcbY tniihorrcc. to ata or My lx�lttllf,Irl rtll trhJttetS rel.ctive tea work autharized by this btiilding p---rutit upplic:.tttion. •f Signature of()uncr Tate SECTION 7h OWNER/AUCHORIZED AGENT DECLARATION I, s a:;Owner/Au .f subject property I leiClby Licelare that the;ttJtemcttis Fain infi)nnation on the fbru-guing application are true tLnd accuratc,to 1110 tx.F,t ol'un'knowIv.dgcr d belief I J irit ran Si It ure o Ownt e t Date 7 1.Il1 rli`cmnnrr•n..�...- a„F�W..�. _-_.,....._.. __-- _ ..,. ....__ .._ Ui1Ol..1vL.11YJ ilr(,ll.%11.) SIXF OF 1't.(K)R'I-JMI ERS l"` 2 3r.0 S I'A N, DIMENSIONS OF SILLS I)11v ENSIONS 01:1>()15-l:S DiNILNSIONS O (ifkl)ER5 t[I:I t.I f t'C)J FOIJNDAT1pN TIRCKNESS SL7,l-'(31'FOOTING } MA T.RJAI,01;CI Jlh4Nt:Y IS MAILING ON SOLID OR FILLED LAND I' 13iJII-•DIING CONNIi('fl{1)-['O NATURAL GAS L[Nli, t z,NZS c� Il9 �o p W` FORM U - LOT RELEASE FORM ?— c R. INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fron 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_ Z I M M p r V4 A/O PHONE LOCATION: Assessor's Map Number PARCEL 63 SUBDIVISION LOT(S) STREET J�v 9e M C�o+ Q ST. NUMBER �S *** *******************'"OFFICIAL USE REC MENDATION. OF WN AGENTS: CONSERVATION ADMINISTR OR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE-REJECTED COMMENTS PUBLIC WORKS-SEWERAVATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDING PERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS /DECKS 1) BUILDING PERMIT APPLICATION 2) FORM U 3) MORTGAGE PLOT PLAN (MINIMUM) 4) DEBRI REMOVAL FORM 5) WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1) BUILDING PERMIT APPLICATION 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6)WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with application. •:.3��Fd.:-1H101 OPE�1 S P,�CE P,REp� .Q F-79 9.06' p 1. 0 .J o� 31sor� LoT 4 i N S L)Qm (k�A syb L-0740 N 23,0 V] LOT�'g-LP-7"so[CT (Dok �� m � 15 R t.1o.55 %�� co ti0 433ti�4 �� Of LA JOM a ,Q S. LAU I Scale: PROFESSIONAL LAND SURVEYOR, D HEREBY CERTIFY THAT THE AMERICAN SURVEYING COMPANY 3OVE MORTGAGE INSPECTION 1264 Mein Street, Waltham, MA 02451 (781) 893-6477 4qV.$PI�kPAReg FAR I....- Oacn.me- o-i - -- Jul 1,1i Uj 1 1 : 5'/a Better l i v e ng SU88'/U5'/56 P. 2 } -- PROP05EP 5 5yA50N PORCH \ 12'X 12'(AP ROX) 1 snrolo 5ME ENaom 5"EPS+ H ROOF 5Y5sm OT TAN) f" !Ir -r�`- Afl, l r_I=i�=1Ti-1Ti_: "ii'_ - I._Ill- ISI T ill�Ii:J1-ii—! ISI-ff(:jlii� Ili=IIS—i 1-11 II_III= 4 Ji� „ili_.!i m-iq-1!-111;_I� -i� I_111-UE 1 L A J PPOF'05EP 3 SEASON PORCH 12'X 12'(APPROX) 5111PIO 5•fU ENCLOSURE 5"EP5+ H ROOF 5Y5TM j --NEW 6'1700P FROM PORCH (NOr 5HM. tHl5 V1EW) - _ 1LM L�=!�FI11==f1:I L—Ifs'=111= I-11f—III=11I-11j (- F111-11j.:. IIFII1=11=11, L—jj(-'.I-i ! 1 {i1�—LrI LI I_II; :(HIILl11-!i17--1 jIT=1!!�! I (11-ul=Il-(ly '-u!=11 1 I!I_!!CjJ 11 .I� tiTjii:.'�J_ F� �l:_�IfIIlllll 'IEii".c111=1j}� tt - = =j {1-!I(=iIL-II ��(Ie�l1_ = _:n _ - _,IT u- -�i- I.. -illi IIF- I(I-1i-1�I I�I_1=11 CII IIS LJ LJ LJ I LJ "'=11!-LJ "rill="L _0 !t:- . srn��RAIL. 36"NIGH F'fVL II"TK'EAI7 9-3/4"05E 4"6UL15rER SPACE Befterliving Project: M 1/E"-I-0" 7rawUq; Z(MM SUNROOMS F2S 1?051 mm INK A_� RTU_ Read Westboro,MA Oi581 NORM ATU70VER,Iv1A 01845 / Phone(508)870 1900 Fax(508)670 5756 t7ate:9/14/05 Sheet 2 of 2 Jul 14 UJ 1 1 : 5'/a Better l l v l ng SU887U5'/5Ei p. 1 EXI5fl%3'DOOR YOM HOME (A}1 I? i _...._. ---- .._..__r29' Zn.__.........._... ................ ....... ... ._i. PROP09W NEW DECK 12'x29,(ApPROX) I.2X8 Pf FRAME @ 16"O,C. Z.LEDGER OOI.tED I/Z"X5"LAGS 32"O.C. 5.J015f HANGER5 GOTH END5 4.TME 2X8 Pf END REAM(HIDDEN) 5.ML 517E JOISTS 6.(6)12"0 X 48"PEEP N65 W/ANCHOPS 7.3/4"%,PLY OVERLAY 8.2"X6"VBd1'L MCKING 9.5fAR5 10.6x6 P055 11.DOL J015f @"C"WALL rotect: 5cafe:l/8"=I'-0" 7rawtrq: Befterliving Z1MM�1?MAN p�51P�NC� SUN ROOMS 55 R09NOW PRIVY. �_ 78 Turnpike Road Westboro,MA 01581 NORTH A POM.MA 01845 Phare(508)870 1900 Fax(508)870 5756 late:7/14/03 5}eet 1 of 2 LAYOU-i I'I:..AN15 1�/AL.L_. 5LCTION L:xl,nrlc:I�un.vlrl� ;I;; r.r 1 i lq aNa I L IMAX .t 111 I -- Qo __._._—__ rte:.:-.:.... Y' 5 I Ll)10 f3lU)I:V,//\I..iA C'TUDIo EIDE_WP,LI.(C) - -- -------------_- ---- - -1 l� �` :`j` )L-ISI ALLIM.I'AHN I[At IGIcf: _5T1VA I g1UDg II)10 FLOOR PI AN RAI'I Erg i ; I -) ,,•4 ) (IVIA;C) :9iEF ALLOWAI.M_E LOAC '0f,'PANI_.1,517,179 3 1 .,`:'�•. Ml 1,111,11-11,A51-0111 1.12 `,�., 8 t:: vlJfll°I:I`A9C,IA----" 5;;, rss •a'"t y r ; : .:,•.., UDIO 1-I:OISff WALL �ul'I'vl:r 13r..A h 51 _ rl . ---*(1'AMCQM<(OI'TIOIAQLL�gW/ > L IVF L1) f A , L _ , __ ._ .' I _( I_ = v ; I \ )oo:o;vm.luvv 15f �'a 101 '\O 17f JJ I —�'I.I'-S....1.-11 --✓--L:-I'f-i t-l_l-..__sis:l.`._(.I_e'>Ute-a •t.:6'1I.0`1=•:.g,`•�is�,lI..`__'_U�,:....I.'.-;-)i-'I -I(--I-I--I._l_-.._.I.---'i--I--I-I•I----.-_- -� )I-IC; ---4-.-"1 I-;---_---✓-'�'�''�-—I —-,_m6_. O"<I-t—•�`-'-i ------�-_' c•\Uyl ll:r r'lr4',rc ' I ...-........ .-_.. I n3 F;ir- --_�- I I `lDIs 01: lrillE) cP9 1-1 1rfa 45'''43I'I f l1 s:�.`�"ai^:�i'V" I( ORiUI)IU CUhia" 'UGII(hl DO[:GllOhM.I %> +� FLOOR CHANNEL 5I1,UGIUYAL hll:hllN i )I;IALI_COMNia�f? P^ 4.VJIFIU LOAUg:_9U I'6f 10.A13131ZEVIAI�(?I:15iI" ,>R:" nrc, ''•' •t+;) 600.5 1 ALUMII•ILJAt I XI'hll:i]v1,16 I'hUVIDI:iD 1`01'130.MVI I EXI'0131JI:L"f,,13,C D=VOOR {I;''':.5.. `:) c yr,:.. ar,,lrl ;rn DL"CY./(3LPlS---.._..-.----...__..._... ---- - -'--F?': �`_.._..._-.1 13Y if 11311 l I.Jf\I•IUI'-ACI URII•IG CObll'AIV(. 5.UIiAD LOADg=:)1'!31: UFd,..=:.D00� I I�(:LIOhI Joss _..-----s ° _,I-----•--.--r1 l ;� 6.POORAFII)YAMUo1VLOC/1.1.11AIC V/,?`';VILLIV(711�;, o; n,.nssl ,.r IYI'IC/)L;-IUI110.SrGIlOhl 'L ALLUFV%�L.II LOI�U,�AI;I"1SA51°U IJI'01.1 Wlvl. .V�11117pVJ IVIULLIUPI '^• '•(; �;,,;',' ,r 1 = 11 IL 11 U i01 01"I'I1E I/I.1IMAI'I LOAD/2.G ''VRI=INIERGI IAVIGEA13LE'. !: QF."•C1=I1;o• a t�Q�IU Jt'ALE II ll',.,Fy\I.1hli=l_ ry,!\-•...... 01 11 II' S1'nFl/19.0, %.(.iLA!i�i Y.FII51:'/JAI_l.i;11:1' s, > :, '(: :„ .. I IC=i'UfdF:Y'CUIVI['•I'ALIIL;S "--`Y.•; %_V':t" - -- --------- - -- ---'-.._.__._...-- ------ I IC./[.I 9 F i_I 1_I r IU U:nl I-1311,1 S11:I1G11JI:AI. IFITERGI IAbIGEAl31..1 1811- VA /111-1 FAVIE1.S. FI'v=ITLY81YR1 1,11=I'nMLL�i 'tli L'/4,!jlj)Ill,l NI:OJI'G"L• C OITIRAGI'01',: t" I'nIJLi.g VVllld ALU hlibl()?,15 MFlS 1301dDE1)"I'0 6.R9U111 OF Ii-WALL MAY VARY PER FI=1"I II.:RIVIAI.I_Y-I:SROKEFI ) - I'>U01:;/ti/ll'•ID04'•!I_AYOl1T 1JI''f0 2 11'1'. I'll: ulvr.J. 12'-0" X 17'-2" 11011LYCOMO/1'011(JIYRIIF•Ilc CURI v p.,<k%a' 6.1 -' ' \`' v ALIIIVI hl,VIII F.L. :h l' _` JgSB At 6"11 D- Il:g:ilzg.. "'j;. 9.AIPM101:1L.I.D 1'UI:FSI'I'I"IiI:L.Rrll i(> U/I I=OVI:I:I1Ah1G + " - _ .1 •e-S fitUCillllsll. i j' ' := .• ,: ,.,:;:.: --.__..------ -- ------ STUDIO L-NGLOG'. J l- AUJAGF.FIT I'AFII=1.i AKIc GOFIFIIiCI 11)ll:�lllr UCAL.ER LI,,L-UPJI_Y, I vl =I'OUI,IDa 1✓Q.I'OUI' F 4032'1 DI'd(i PIU.: s%' vndY1.cl_rnra of:M, +;:,'; Y=I'APILI. "; �- r 1)RAV/PI 15Y-GJJ I..I'=FF°I'1' `tir'Ai. 1^fl'Fv.k.;j.. ru150-12>:IZ.clwcl GI_IJI_R^(nly'/-.&Mb I' — >' ALUM. -..- -------- ------ . .tt.' > c'} (-_V;-q4 ':-'s 5CAIf 1" 50" DA-IF!11/27/2000 rio i+i''''-} Property Owner Must Complete and Sign This Section If Using A Builder (116-h OLe,( A , �E (04 PKP (04(4o1 , as Owner of the subject property hereby authorize Betterliving Patio Rooms (d.b.a. —Patio Rooms of America) to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 5 "0-0 Lo UE �1S 6 4Siga e Date Owner or Builder(as Agent of Owner) Must Complete and Sign This Section L '!eUW3 , as Owner/ thoriz Agent hereby declare that the ments and information on the foregoing application� g � pp on fir (address of j ob) by I[)F are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 96r 9-1 Print Name b3 Signature of Owner/ g nt Date CONSUMER INFORMATION FORM- "SUNROOMS11 U;• Massuchusetts State Building Code(780 CMR,Appendix J, Section J1.1.2.3.1) The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for sunroom additions to an existing house (780 CMR, Appendix J, Section,J1.1.2.3.1). This FORM is not intended to prevent,a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings a create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • InsuIating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section JI.I.2.3.1, requires that the actual nronerty owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the in o tion in this document concerning sunroom comfort and energy conservation. Signature o Actual uilding Owner Date -56- Print Name Address of Permitted Project i C I Owner Address(if different than project �� ^ J ' p location) Owner's telephone number i I 1 Emergency Arfinno+oY A � A as ccs. _u t, T. L Jtr -. rauu a:daVcYtloii" to Jl.i.2.3.i to legally address "sunrooms" Exception:Sunroom Additions/Consumer Notification:Sunrooms,as defined in 780 CMR Appendix J2.0 DEFINITIONS,shall be exempt from the compliance requirements set forth in 780 CMR J1.1.2.3.1 and J1.1.3 provided that the actual property owner(not the owner's agent or representative)of the structure onto which the sunroom addition is being made,provides a signed copy of the Sunroom"CONSUMER INFORMATION FORM" (found in 780'CMR,Appendix B)to the Building Department. This signed"CONSUMER INFORMATION FORM" shall be submitted to the building official as a requirement of building permit issuance,and shall remain as part of the construction documents.If such sunroom additions are separated from the main house by a wall and are conditioned spaces, then a readily accessible manual or automatic means shall be provided to partially restrict or shut off the heating and/or cooling input to the sunroom addition space. That portion of a wall that separates the sunroom addition from the existing building/dwelling unit,if an existing exterior wall,shall be allowed to remain and neither that portion of said wall or any fenestration within said portion and common to the sunroom addition,need comply with the thermal envelope requirements of Appendix J. Emergency Action,Step 5-Amend J2.0 DEFINITIONS,to provide a definition of a "sunroom" 780 CMR J2.0 DEFINITIONS SUNROOM: An addition to an existing building/dwelling unit where the total area(rough opening or unit dimensions)of glazed fenestration products of said addition exceeds 40%of the combined gross wall and ceiling area of the addition. i EEmergenic:yA:c1fiion,Step 6-Add a "CONSUMER INFORMATION FORM" (see ppendix B of the Code and to be located immediately in front of the PRETATIONS",also found in Appendix B. I i i I Jan ;�i� UJ U5: UUp Better-Living 5UbJb12Jb4 p, • •01/22/05 WED 18:11 FAX 704 487 8822 Personal & Confidential. OATS IMMtODlYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 01122/2003 PRonucER THfS GERTIFICIATE IS ISSUED AS A MATTER OF.INFORMATION ONLY AND CONFERS NO RIGHTS UPON. THE CERTIFICATE Joseph McKeone HOLDER, THISI CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. JP McKeone Insurance Agency, Inc. P.O. Box 333 INSURERS AFFORDING COVERAGE Ann Arbor,MI 48105-0333 -- .-- INSURER A' HSrtford .... INSURED Patio Roams of New Hampshire tNSURI~RD: I •--- Betterrliving Sun Rooms of New ,pL4 1 Action Blvd Units 586 INSURER C.- 43 Londonberry,NH 03053 INSURER E: i I COVERAGES ANY REOU REMENTSTERM ORICONDIBT ON OF ANY COELOW HAVE BEEN IS$UEDTO THE INSURED NAMED ABOVE IFOR PO NTRACT OR OTHER DOCUMENT WITH RESECT TO WH CH THIS CERTIF CATE MAY BE'ISSUEDIOR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO 7�LL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- LTR -_-POLICY NUMBER -_- �j EVMMFECTillyv a0' M ^T^' LIMITS TYPEOFINSURANCE I rt�I,",1, n EACkQCCURRENOF S 2,000,000 A 0ENlRAL LW81Lt'fY 35 Sf3W KZ70B7 :02101!2003 �2lU112004 FIRE DAMAGE(Any ane lllBl S 5.000 X COMMERCIAL GENERAL LIABILITY -' 10,000 ..._.. I MED!XP(An aIle pdtatlA) S _. -�CLAIMS MAOE n OCCUR I L IL .-._----.... .. .i..... "' 1 � � I PERSONAL Q ADV INJURY S 2,000iOOO —i - II I GENERAL AGGREGATE --a-00—000 2000.000 J PRODUCTS•COMP�O_P_AGG S „Z,OQO,000 GEN'LAGOREOATELIMtl APPLIES PER: POLICY I PAD•CT F-1 LOC t M A AUTOMOBILE LIABILITY 35 UEG UH3916 02/01/2003 021p112004 COM91NEC SINC•LE LIMIT s - 1,000,000 !Ed Dalpelstl ANY AUTO i BODILY INJURY S ALL OV,/NCD AUTOS - I (PBI Dotson) X SCHEDULEO AUTOS X +IRED AUI-O$ I ( I BODILY INJURY $ f{Pet aeadem) NON-OWNEOAUTOS .- I PBOIPERT (DAMAGE S GARAGE UARIUTY AUTO ONLY•ul ACCIDENT S __ ANY AUTO - ,i I OUTO ONLY N EA ACC S . AGG;3 I , (EACH OCCURRENCE I$ EXCESS LUk%IUTY OCCUR CIAIMSMADE I I AGGREGATE .. DEDUC710LC _ RETENTION 4 ' WC STAN• IOTH- WORREASCOMPENSATIONAND TORY LIMITS ER A EMPLOYERS•LIABILITY -`35 WEG GJ7597 02!0112003 `02/P 112004 EL EACH ACCIOENT I�3 _ -••-- 100 000 1 E.L.DISEASE-EA EMPLOTEEI S ,_•__ 100 000 j C L.OISC•ASE•POLICY LIMIT ;$ SOO.OD OTHER � I � _ I DE3CRIPTIDN OF OPERATION3ILOCATIDNSAIENICLESIEXCLUSIONS A00E0 BY ENDORSEMENTISPECIAL PROVISIONS_ i i tt CERTIFICATE HOLDER i' 'ADDITIONAL{HSURED;INSURER LETTER: _ CANCELLATION SHOULD ANY OF THE II90V6 OC6CRIOU POLICIES OF CANCELLED BEFORE THE EXPIRATION DATE TMEREOF.THEILSSUING INSURER WL.L ONOEAVOR TWN O MAIL 30 OAYV RITTE Insu red Copy NOTICE TO TME CERTIFICATE HOLOER NAMED YO THE LEFT,BUT FAILURE TO 00 SO SMALL IMPOSE NO OOLIGATION OR LIABILITY OF ANY RIND UPON YH!INSURER,ITS AGENTS OR EEXE-IVNTATIVES. I L AUTHORI E EMIT TtVA AC ORD 25.5(7197) O ACORD CORPORATION 1 988 I 'r I BOARD OF BUILDING:,REGULATIONS +'License. CONSTRUCT,IOt*pUPERVISOR {, 1 .. f Number YGS, 081580 Birthdate 02/19/1950 E pires`"0 M120% Tr.no: 81605 Restricted PATRICK A STEVEMS�4 .;' PO BOX 1068 STERLING, MA 01564--- Administrator x: GT � �� '....�T�oczcf ccozl`C4 ; : : •,1 ✓�ie 'l000a�v2oar.rcea z o; :. •: " `� Board of Building Reguladous,aaul Standards License on registration v;illd foil intltvttt}tl_use Duly - (J HOME IMPROVEMC:lj..'COi ITCiACT'OR helot e the-.expiration elate. lf.fout�[t t c tarn to: Board of,I3itildiug Regulations and St-tular[ls }, Rej)i$tia1i0rt� 1 34126 One Asliburtou Place Rnt 1301 [kpirafi0n d9%2,i%2003 13o§ton`Nla.02108 r ;^•ik�YI�' Individual ' A�RICK A S rrvNAV-- e. Ph .. _ TRIGK STPV_NS = �T/ 1 f Affi L E ih. DY rOj UD r [ t fa Not valid.rvillutut signatut e ST1�I'IIG Ma�15G4 Adnunt�tiito[' (•1 AM S U N R 0 0 M S 1 Action Blvd. Unit 1 Londonderry,NH 03053 phone: 603-537-9256 fax: 603-537-9258 AFFIDAVIT In accordance with Article 1 Section 114..1.3 of the Massachusetts (Mate Building Code, I certify that all debris resulting from work associated with Permit # will be properly disposed of at Betterliving Sunrooms 1 Action Blvd. Londonderry, NH 03053 licensed solid waste disposal facility as defined by MGL C11,S150A. Name&Address of Project: WYA- 14 17t uu,ttlj Street Address 66- Da LVG City/State/zip_�_ , 01 t� Name of Permit Applicant (please print name) Signature of Permit Applicant `U �� g PP *�' (please sign name) Date: 63 Betterliving Sunrooms 1 Action Blvd.Unit 1 Londonderry,NII 03053 :72 F2& . Aluminum Patio Room Home Improvement Contractor Reg. Home Improvement Contract No.125168 Expires 10/21/03 SUNROOMS Eastern Massachusetts Office: 78 Turnpike Rd•Westboro,MA 01581•Phone:(508)870-1900•Fax:(508)870-5757 Western Massachusetts Office: 317 Meadow Street•Chicopee,MA 01013•Phone:(413)420-0140•Fax:(413)420-0147 New Hampshire Office: 1 Action Blvd.•Londonderry,NH 03053•Phone:(603)537-9256•Fax:(603)537-9258 Upstate NY Office: 70 Cohoes Avenue-Island Park•Green Island,NY 12183•Phone:(518)687-2337•Fax:(518)687-2338 Contract Date: 0440-5-k 3 Product Mgr:d E 1,0 P. Homeowner("Owner")Information Owner's Name(s): t = , Street Address: City/Town:l\), 1 State: Zip: _ email:' �' rw " ®Home Phone: ?-t�o Daytime Phone: Job Site Address(if different) Materials to be provided and work to be performed by Betterliving Sun Rooms("Contractor"): One unheated Betterlivine®Sun Room: Color: [K White El Sand El Brown Style- I�4] Studio ❑"A"Frame El Fill-In Size to be approximately:__LL x x__dj& R SINGLE PANE ❑ Double Pane Insulated A-Wall: ❑ Tempered Door(s)&Screen(s) 10 Tempered Window(s)&Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall: ® 18" ❑ Other ER Solid ❑ Glass B-Wall: ❑ Tempered Door(s)&Screen(s) ® Tempered Window(s)&Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall: ©,18" ❑ Other ❑Solid IgGlass Gable: ❑ Glass w/transoms on A&C ❑ Glass w/6" fill block C-Wall:2 Tempered Door(s) &Screen(s) ❑ Tempered Window(s) &Screen(s) Transom: ❑ Rapid ❑ Betterview Kneewall: 1118 Other ❑ Solid ❑ Glass Roof: I'Foam d Built-in Gutter System IR Thermal "H" Color: White/White ❑ Sand/Sand 'Room to be built on: ❑ Owner's existing deck if properly footed and up to code - Contractor to add sub-floor and upgrades needed to meet code. NOTE:By doing upgrades necessary, contractor will warranty owner's existing deck for 1-year Room to be built on: x"51 Deck built by Contractor(includes sub-floor) ❑ Steps to grade off C• wall(s) Additional Deck/Additional Work(dormers,open deck description,etc.): r � (i-12c5y �YiZL``!1 i)C-66e ��'.� �t� IOY� rAraiiTW.lj Pre- AQ-6 Aria— c— ria--A F<s fey -r d67 Work not to be done Required Permits: A plot plan is required by all cities and towns to Warranty: Contractor guarantees the installation of the work for a period of issue a building permit. If Owner cannot provide Contractor with a one (1) year from the date of installation. Contractor will provide, free of valid plot plan within five (5) days of the Contract Date, Contractor charge, all service labor necessary to repair the installation during the will order a plot plan at Owner's expense totaling$500.00.Contractor guarantee period. This guarantee is in addition to the manufacturer's limited agrees to obtain all building permits required, but if the permit fee warranty of materials and workmanship. This guarantee does not include exceeds $200.00, any additional costs will be the responsibility of damage to the work resulting from accident, misuse, improper operation or - - t• "'-•-- - '="=L'+s �.rti ,a t. it nIt—r;nn nr arts of Ond Thrre are no other warranties. tAORTH Town of . 4 . over 0 No. *S3 o� =Coc.lc 01 dower, Mass., 7' &Y ADRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .�. ... '..��. .�...... .................... .. Foundation has permission to erect...I..Oz... ........... buildings on ......S.C-7BP S.*..ov.4 .4AW......�.�.. Rough to be occupied as...3...•��:*.� 0#ok s 4#N^00 •N ��r* dPso 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-La 3 s relating to the Insp ction, Alteration and Construction of d Buildings in the Town of North Andover. z e7 e O =ftPLUMBING INSPECTOR 7 .2 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONLSARTSELECTRICAL INSPECTOR C �s 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. Date.. . . . . �. :. . .'.... .. t. k HORTM TOWN OF ,NORTN.ANDOVER i r pF ..14'p PERMIT FOR GA5'INSTALLATION �9SSACHU`'�SAy `a 8 jThis certifies that . . . ...y. . . .'.: . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . { has permission for gas installation ... . . . . . .. . . . . . . . . . . . . . in the buildings of . !. . . r..: . .. _•. . . . . . . . . . . . . . . . s at . . . . . . ., North Andover, Mass. 's Fee w:_;. . . :J Lic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR + t WHITE:Applicant --e•AMRY: Building Ddpt. PINK:Treasurer GOLD:File f Date... ...... ... ......... NpR'M ,tiTOWN OF NORTH ANDOVER pEs�.ao ,a0 �? b• a 0 PERMIT FOR GAS INSTALLATION i p # �,SSACMUSEt�h This certifies that . . .. . ... . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . at . . :. . . . . . . . . . . . . . . . . . . . . . . .: . . .'. . . .,`North Andover, Mass. Fee. . ..1. Lic. No.:. . .K :"r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . r GASINSPECTOR WHITE:Applicant -CANARY: Building Dept. PINK:Treasurer GOLD: File