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Miscellaneous - 575 SALEM STREET 4/30/2018
575 SALEM STREET ` 210/038./038.=0000.0 J i Date. ....?-.0k.......... ..... v+ NOR7ry TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING CHU This certifies that .... ..... ........... .......................... has permission to perform .............................................................. wiring in the building o ...X........ ..................................................................... at..... ............. ..............North Andover,Mass. Fee 1/1/<_zw .......... 7 1............. Lic.NA.WS.. ...................... ELECTRICAL INSPECTOR Check # 2,0 70 67 66 *17 Commonwealth of Massachusetts Official Use Only 3 Department of Fire Services Permit No. .. aOle Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC ,52 MR 12.00 (PLEASE PRINT IN INK OR T71-.1141VIW4 AL NFORMATION) Date: City or Town of: To the InsXco6r of Wires: By this application the undersig d gives notice of his or h intention to perform the electrical work described below. Location(Street& Number) Owner or Tenant -7114r�h 4" of Telephone No. Owner's Address c a;�,-W- Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / 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: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No. of Oil Burners IFIREALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices r Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unicrpal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.o 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 Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the s and penalties o /�rjury,that the information on this application is true and complete. FIRM NA! Q/7'Phi/e FleCa/C LIC. NO.::YY�J� Licensee: 1It Ile Signature LIC. NO.: (If applicable, enter " xem�t 11 in the license number li Bus.Tel. No. Address: o9a y" �i�d Alt.Tel. No. *Security stem Contractor Licens require or this work; i applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the 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 �d a ER MIT FEE: $ Signature Telephone No. FP f , 1 �-� s�v� } Commonwealth of Massachusetts Official Use Only - -- - Permit No. 66/ 7 - Department of Fire Services „ Occupancy and Fee Checked -- r` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEQ,,S MR 12.00 (PLEASE PRINT IN INK OR TYP AL NFORMATION) Date: J_� City or Town of: ®K04 To the Ins e r of'Wires: By this application the undersig d gives notice of his-or hex intention to perform the electrical work described below. Location(Street& Number) t � �/— Owner o r T e n a n t . /� '�bS e? Telephone No. Owner's Address Ex_ Is this permit in conjunction with a building permit? Yes,V No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / 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: X1.2 ` `3 ��.ofrpy Completion of the following table ma y be waived by the his eetor of(Vires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- o.o mergeney ig rng rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners No.of Detection an Initiating Devices No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices Heat Pump Number Tons W o.of Sel - ontame No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'cipal ❑ Other ; Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW, o.of No.of— Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector ql'111ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the s and penalties o rjury,that the information on this application is true and complete. FIRM NA deir/'s /� /F'C' C t LIC. NO.: Licensee:. _ ,m Ile Signature �WLIC. NO.: (lf applicable, enter •• .rem "in the license number lig Bus.Tel. No.: Address: -�°'X� Alt.Tel. No.;3�1—W-07 *Security stem Contractor Licens require or this work; i applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the 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: $ j -" uljl 4 Date. . ... . .. . NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION - 9SSACMUSEt This certifies that A/. r. . . . . . . . has permission for gas installation . . , • , . . . . , . , , , in the buildings of . .f�a�'F?�!cls . . . . . . . . . . . . . . . .. . . . . . . . . . . . f at . . . �/9 4r North Andover, Mass. Fee.?P?. . . . Lic. No.. . . .'. . . . . . . . yis INSPECTOR Check# 5,551 NIASSACHCSEM UNI FORM AM ICATON FOR MUM TO DO GAS MTING or (Tw,P e print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations Permit AMOUnt �p Owner's Name Ne LJ Renovation Replacement 4 Plans Submitted Q 0 SUB •BASEM ENT BASEM ENT Ov �� 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR t 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or t�yp�ed�, �� one: Cert,f* a Installing Company Name = C. o�,GaS Corp Address Partner. N.v�c s C`� o\bra-3 Business" e ep one Pt-j%)-I")`at —'� FirmlCo. Name of Licensed Plumber or Gas Fitter �Izs`� Lv SURANCE COV ERAGE- Che one: I have a current liability Insurance policy or it's substantial equivalent. Yes NoD If you have checked Yes'prNse indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 1:3 Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Wass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent 13 i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the hest of my knowledge and that,ill plumbing .work and installatio s perfo ed un er Permit Issued for this application will be in .:rrnpliance withall pertinent provisions of the , assac etts Stat as a and apter 142 of the General Laws. Signature of Ltcc nsed P Whet Or Gas Fitter By: Plumber ��s CitviTewn Gas Fitter License :Qum er Master Journeyman , -PPROVED,( IC.Ef:SEC;A-Y; r. Date.... .............................. kORTH A 0 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,SSACNUS T .certifies that .........110..Im. .1:....� ............................................ his ce has permission to perform ........ ..................................................................... tic i 9f.. of . ....... Oiring in the building ........I.... ................................................................ Ole ................ ........................................................... .North Andover,Mass. Fee.Alp.............. Lic.No.............. .............. CICAL INSPECTOR # 5214 �orrtmarcwral!/e o� aa�ac�rustlle , f Official Use Only Permit No. �Vrpartmsnl o��irr Jerrnires .�' Occupancy and Fee Checked `r v BOARD OF FIRE PREV N7ION.RE -LATIONS Rev. 11/991 leave blank) .APPLICATION FOR PE 1 IT PERFORM ELECTRICAL WORK All work to.bc perfornsed in accordar cc wit a Massachusetts Glcclrical Codc(IvIEQ.527 CNIR 12.00 (PLEASE PRINT IN INK OR 7Y1-1R.41 L IrYI C RA +770N) Dntc: ,5 City or Town of: N. AM CATo,__ To,the Inspector of hires: By this application the undersigned gives notice of his or her intention to perform the electrical work described belo%v. Location(Street&Number) 576" 6AL.E.'r1 tune or Tenant TyL<S� ?,gRg=Pj Telephone No.477F-25&PVfOO86 Owner's Address SIAM E_ Is this permit in conjunctivni ivith a building perrnil? Yes 1`0, No ❑ (Check Appropriate 13os) Purpose of BuildingF"[) Utility Autlhorization No. Existing Service Amps / 'alts Overhead❑ Undgrd ❑ No.of Meters New Service Amps / Volls Overhead❑ 10ndbrd b ❑ No:of Meters-. Number of Feeders and AmpacitV Location and Nature of Proposed Electrical Work: C•vn etiart offhemlowin table may be isvrivicel b•the Gro clot of I t Tres. No..of Recessed Fissures No.orceii-Susp.(Paddle)Fans ! VA Transformers ICVA No.of Lighting Outlets No.of Ho(Tubs Generators K-VA iu- No.of Lighting FiXlures S►rimAbove o.o rnergencyig n nngmiug Pool rnd. grnd. Battery Units No.ofReceptacle Outlets " No.o No.of Oil 131urners FIRE ALARf LS \o.of Zones Detection an No.of Switches 1,0 No.or Gas Burners InitiatingDevices No.of Ranges No.of Air Coud. Tons No.of Alerting Devices V No.of Waste Disposers eat ump n umber 'Pons_._ ' oi o e f- on(shied tal Tos: DetectioulAlertina Devices No.of Dishwashers Spacc/Area Heating KAY Local ❑ Conne P on 0 Other No.of Dryers Heating Appliances K111, Security Systems: No.of Devices or Equivalent No.of Water or No.Of D2(a Wiringg: No. Healers K%V Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of illotors Total 6P TelecommunicationsWiring: No.of Devices or E uivalent OTHER: Attach addiiianal detail ifdesired,or as required by the Inspector of.Ivires. INSURANCE COVERAGE: Unless waived bythe oumer,no permit for the performance of electrical work may issue unless r the licensee provides proof of liability insuraiue including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. 3 CHECK ONE: INSURANCE t BOND ❑ OTHER ❑ (Specify-) (Expiration ate) Gstiniated Value of Electrical Work: Too — (When required by municipal policy.) Work to Slart: / q Inspections to be requested ut accordance with MEC Rule 10,and upon completion. I crrtif}r widerthe pains Burl pittaltirs ofrerjrrr,r,that the inforitratieti ort.this appficariotr is trite and compfete. FIti111>A119E: OSSrN TTE�JCO 7 LIC_NO.: Licensee -Joseph ettencourt E 37942 . Signaler LIC.NO.: (Ifapplicab rer" r n t' !rr icrt se �a b r lin Bus.Tel.i\o.97 Z5 Address: � tachefd4r§f. LoweW, fVfA. 1854 Alt.Tel.i�o:: 9Zi-Se�ac�3/ 011'NER'S INSURANCE ltiA1V Eli: 1 am-aware that the Licensee does not have the liability insurance coverage normally required.by law•. By my signattire below,1 hereby waive this requiremeut. l ate the(chct:k onc)❑ow•ncr ❑ow set's agcut. Ois'ner/rlecul Signature Telephone No. Pi:R13tIT F TE: S o/Ni!_rr VTNAI Location ` No. Date 't�'�h� ��a"Th ,ti° TOWN OF NORTH ANDOVER L 0 Certificate of Occupancy $ Building/Frame Permit Fee $ s+cnusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1!y 17172 Building Inspe�r! TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING D BUILDING PERMIT NUMBER 06 DATE ISS 3-3/3/ SIGNATURE: G Building Commissioner/Inspector of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel NumberDIN (� 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dist-rict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft ' . Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 lone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHM/AUTIIORIZED AGENT M 2.1 Owner o Record r Name(Pri t) Address for Service: t/ Signa a Telephone 2.2 Owner of Record: Name Paint Address for Service: O Z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number mn Address Expiration Date � o Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m Registration Number r Address r Expiration Date Signature Tele hone Y/ SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check allapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 6 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL.USE ONLY ' Completed by permit applicant 1. Building / Q L9 to (a) Building Permit Fee (p Multiplier 2 Electrical (b) Estimated Total Cost of 000 1 (D Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC l 5 Fire Protection 6 Total 1+2+3+4+5 O p 6 © T Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature ofOwner ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUU-DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE C �� cN m FCJRM _ U - LOT RELEASE FbRM ov { elei v &4 c% QkLrS 3 IS ©c( INSTRUCTIONS: This form is used.to verifythat all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. �...•........ss.r r.ms....•.s■ •.......was moms Soon ss..onus Ono ONO now p..s...aa APPLICANT P PHONE 9)(J "26F-'�'�t ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION - LOT NUMBER STREET I PM STREET NUMBER • 7J ......r..'s. ..rr.............:.........................s........................ OFFICIAL USE ONLY ISO.1snone s■■-..■...%s..s.■■■-...■s■■....OEM No anon'man Ws.Wass s.ss..■n as......'.....■-........E■ RECOMMENDATIONS OF TOWN AGENTS 71 .. ...........s..........■..r...................... DATE APPROVED CONSERVATION AD DATE REJECTED COMMENTS s DATE APPROVED TOWN PLANNER DATE REJECTED CONMEN TS DATE APPROVED F INSPECTOR-HEALTH DATE REJECTED _ DATE APPROVED SEPTIC INSPEC R-HEALTH DATE REJECTED I III COIvIIvIENTS PUBLIC WORKS-SEWER{WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE f North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be a disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: 1,3 )- f� (Location of Fa ty) j Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector S � ; WOO `� U! Nn -4)j J3 � l IMjO� 4� a .}y,s rsr1 Lao y v V r ShwG� 0���� ne Closet` ea c Syracc P./ f" o �•�`' / fay t NORTH ® of .tiAndover - No. �- _3 ,—appy A K O , dover, Mass., � COC MIC EWICK DRATED P'? Cl U ! BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT........., 1v ! r O V . ................ BUILDING INSPECTOR . . . . . . Foundation has permission to erect... !'v �' s7S 5A« M1 S� • buildings on .................... ...... Rough ... ......... ................................................. .......... to be occupied as G A�A '� N �� I /IIS r►IO/► R�►w� K,�,f Chimney p x.. ' .... ..............�......................................... 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-Ljws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 8 AS3 $ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT' EXPIRES IN 6 MONT iS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough a/ .. ........... ................ .C.... ....... 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. 575 SALEM , . ,STREET y R NORTH "ANDOVER, . ,w x t �MA :01..845 • 4: - • � SII , NM N ry N/�NO'R'M A s LAND CW ' Kit N 0 0 o 7p.7a, ,.,.,. 575 SALEM. STREET ASSESSORS MAP •38 PARCELS 5l & 86 42,119 f SQ F'T 45 MIL EPDM RUBBER MEMBRANE -v �"I r= O 4 TP I a. .. i •- ', x _ .-'•w -ar t�',".+s='„ ::.y} —�7:<.� 0 • O • ',�, 2" PVC FORCE MAIN OMBINATION 1500 ' ILON SEPTIC TANK, -.� _ DfSTRII3UT[0N PUMP CHAMBER BOX i 0 �`.� 45ELBOWS Ae 4 • V o DE t"!*,0, ' BED EXISTING FOUR EL[ ROOM HOUSE., _--- `� Z -' - SILL ELEV 100.12 . W . ' P-RESS'URE WATER ;SERVICE k W , RICRARO JANGA M, SALE TREET r a Location � f No. � ' Date 3 NORTH TOWN OF NORTH ANDOVER O 0 _ w a y Certificate of Occupancy $ y�s'•• Eta Building/Frame Permit Fee $ j s�CHus _ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check #17104 f� Bwlding InspectQ� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAfi OR DEMOLISH A ONE OR TWO FAMILY DWELLING `ti is h s Q s �'_�, .. Iia» BUILDING PERMIT NUMBER: Q DATE ISSUED: SIGNATURE: Buildin Comtnissioner for of Buldin Date Z SECTION 1-SITE INFORMATION z 1.1 Pragetty Ad 1.2 Assessors Map and Parcel Number. S3 Map Number Parcel i3umbcr 1.3 ZmingWonnation: 1.4 "cityDimensians: l2-3 Zoning District Proposod Use Lot Area Frena ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Repired Provided Required Provided Q 1.7 water SupplyN.G-C.40. 54) I.S. Flood Zone laformation: ].$ Sewengc'DiVWl System: A Public 0 PrWo 0 Zai Out&W Flood Zone 0 Municiptl 0 OnSitoDispossl System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTITORIUD AGENT rn 2.1 Owner of rd 5 Name('Print) Address for S � Signatud Telephone O 2.2 Owner of Record: Name print Address for Service: Z M Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 i Licensed Construction Supervisor: 0 License Number on ',► Address a Expiration Date Signature Telephone r 3.2 Registered Homo Improvement Contractor Not Applicable 0 ©S' it Company Name m Registration Number Address r Z _ 1xpir4on Date /1 Signature Telephone �1� SECTION 4-WORKERS COMPENSATION(KG-L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted%ith this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Flitposed Work check all livable New Construction 0 Existing Building ❑ 1 Repair(s) ❑ Alteradons(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: r cIn Exi, �h "Z:�—kcAVillN 4. C SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be tom; OF)IGILYI�jY,y 14;x' Completed bto licatttK .r' tir� rs �ax �,� s 1. Building f (a) Building Pennit Fee 1 � Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(,)x,(b) �1 4 Mecltanical HVAC t/ 5 fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGXXf OR CON PPLIES FOR BUILDING PERM1117 as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 Si attire of Owner/Agent Date I`O.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS 1 2ND3` SPAN DfMENSIONS OF-SII.LS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION TFIICKNESS SIZE OF FOOTING X MATERIAL OF CHRv1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I - FORM U - LOT RELEASE FORM a-15 -n INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ** ***** LIC4T FILJLS OUT THIS SECTION************************ APPLICANT -9 _ __. _— PHONE 2, e�� lU rM � LOCATION: Assessor's Map Number-- 6_ PARCEL 5_3 SUBDIVISION —-----____—__--- LOT(S) �O STREET, _ Pin ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** RE49MMEND TIO Sr T WN AGENTS: C NSERVATION ADMINI RATOR DATE APPROVED — -- - --------- DATE REJECTED_ / i - I I COMMENTS! �L_pl&44— -_ 'L—Xi�-�; GQ�u2�e_ ab�� foL+nd_O�,g ba�+ce_ T ©6 a$ C�' p5Q„d --- ----- --------------------------- TOWN PLANNER DATE APPROVED DATE REJECTED REJECTED--________—_ —_—_ COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED_—__-- _ SE IC INSPECTOR-HEALTH DATE APPROVED -- -------- DATE REJECTED -------------------- COMMENTS__l 1 ,�` __ PUBLIC WORKS- SEWERMATER CONNECTIONS DRIVEWAY PERMIT_—__—____ FIRE DEPARTMENT___—____ 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 Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of PgIiNitApWcant z -/� 0- ,, Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Page 1 of 1 McGuire, Mike From: Nicetta,Robert Sent: Wednesday, February 25, 2004 8:35 AM To: Griffin, Heidi Cc: McGuire,Mike; Rees,Mark Subject: RE: complaint re: Martin Allen,sharpeners pond road/Route 114 Heidi, Generally, if a person is unwilling to sign a complaint or in phone conversation give their name and phone number we do not investigate. We have found that many persons have sent the zoning officer on a personal "gripe" against some person they dislike. We also have been ordered•off property,when we can not give the name of the complainant. However, we will investigate this complaint as the cars for sale are visible. Bob From: Griffin, Heidi Sent: Tuesday, February 24, 2004 1:28 PM To: Nicetta, Robert Cc: McGuire, Mike; Rees, Mark Subject: complaint re: Martin Allen, sharpness pond road/Route 114 Hi Bob: The Town Manager forwarded you a copy of an anonymous complaint relative to auto sales at the corner of sharpners pond road/Route 114. The complaint indicated the owner was Martin Allen of Boston Street and he has had in excess of 12 cars for sale. Can you let me know what you do when you receive anonymous complaints? And,the policy and/or response from your department on these types of issues? Thanks, 9ead 11(�r�i�i vt. Community Development&Services Director 27 Charles Street North Andover,MA 01845 (978)688-9531 (978)688-9542 fax 2/25/04 1 'North Andover Conservation Commission Site Inspection Sheet Dep File.#242- V/does-not have permit with Conservation Commission S y s fef-'k- Date: off-- /,uo L i 4-. Pa CLj Address: �Ja U2 � � �� .6 Agent/Representative/Owner present:. C. j Findings: !fS f. 0rl- Q. S tM^5 a� 5lif w l i MORTGAGE INSPECTION PLAN BOSTON SURVEY, INC. 03-03785 P.O.Box 290220 Charlestown,MA 02129 (617) 242-1313 MAIN (617) 242-1616 FAX APPLICANT- REARDON LOCATION: 575 SALEM STREET DEED/CERT- 3119-42 CITY, STATE: NORTH ANDOVER, MA PLAN REF: 2297 /Z 65 56 o 0 � DO PARCEL 2 29,000+/-SF ...._ - --- - --- - --- - 102.79 TnTAI ARFn =en NORTH " Town .. of o . Y , - LAKE -`7 dover, Mass., � dPS COCMICMEWICK RATED 7 V BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... /0 ..Ir b pt..� � �I ............................ .. ............. .................. ............................... Foundation has permission to erect.... ..... ... Y...I.... buildings on , S'......... Rough ....... ....................................................................... Chimne to be occupied as S10. r' �'r ��+ ���Il�t.C�!/f1.... �A.M.�....1 N� y 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. ,s � rrS PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS-TARTSRough .................................�..t...................... Service a.. 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 Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. n r • y .e ':m+. .a-2'n'�T�•C1119 ,^"1.".7"'1'S` ��`• —. .. k'�4. rh f� , k�+ 7#�.4 ^ 75 SALEM ` TRE �Y"e`:�.{, Ts"'."•re�+���' .. • �.., ' R - -ANDOVER',., .ti .1t + A I/F NORTH ANDO �.+ � .,AND CORP cm ikND- z.51..� o '35»E LANA - ,� � 7(� I 575 SALEM STREET 1 ASSESSORS MAP 38 PARCELS 534 86 .. i 42,115 tSo fT t r 1 , b I + t MM EPO r R ] . UMBER MEMBRANE. � Y � ti 4. P. 7 yuy 1 1- ��:.. • '� f a , E� II g I71 2 PVC .FORCE MAIN 4 COMBINATION 1500 ,I ,, L PUMP CIC TANK. -� - �HAMBER - p- � � w� �a \DISTRIBUTION X BOK ' i I 45' ELBOWSJ: I ° E3 . 0. ,-.EXISTING FOUR SLE N BEDROOM ' OUSE oar SQL LE1i 100,12 PRE'SS1RE. WATER SERVICE:.. ALE :s " 1 REE -A` i fl � I s, , Location No. �c Date 0 - NORTITOWN OF NORTH ANDOVER O't �ao ,•1ti w w Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ l U s,KMU 9 Foundation Permit Fee $ a Other Permit Fee $ TOTAL Check # ! 3 /( / Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING B �� z ,:�.0 .�, :.'", .. .m� .111 "aeb€x•�ai - p :.� -�'s UU,DING PERMIT NUMBER. DATE ISSUED. m Cori G - lo� _0-3 X SIGNATURE: Building Commissioner/IEEeEtor of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a✓e`„ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide keguired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public V Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal'System B. J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record Name(Print) Address for Service: N7 P Signature Telephone W 2.2 Owner of Recor . Name Print Address for Service: M Signature: Telephone M SECTION 3-CONSTRUCTION SERVICES i0 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m Registration Number r Address r Expiration Date ^� j Signature Telephone Y' SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work checkapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFkTC USJ ONLY Completed by permit applicant 1. Building / D© (a) Building Permit Fee l/ Multiplier 2 Electrical (b) Estimated Total Cost of �o 0 Construction 3 Plumbing O Building Permit fee(a)X(b) 4 Mechanical HVAC �- 5 Fire Protection / 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS r' DJ-MENS1ONS OF GIRDERS IiEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE l • f NOR7I{ O.tt�eo ib'4•bA 32 a..+ � •° OL O Town of North Andover + : - � a Building Department 27 Charles Street �4SSRCHUSE��y North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE /- JOB LOCATION .7 "7,� J Number Street Address � Section of Town "HOMEOWNER �,�� �P �►PaIAdI1917 I /� Number Home Phone Work'Phone PRESENT MAILING ADDRESS / 7 /'77,e .St S f ohs Aco 0;?12� 0 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one to six family dwelling,attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes,by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control. North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that.the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S.1 50 A._ The debris will be disposed of in: Location of Facility—V4— SigrAture of Permit Applicant D e NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector I e-jAORTH Town of Andover No. L A '090 over, Mass.,— 11� COCHIC ORATED C7 H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ....................................................................................................................................................... Foundation has permission to erect....... 410A.......... buildings on ...... 07. S 10 A P ft SOW Rough ..... .... ... RV010006 f j Ath 'Chimney to be occupied as............................................... ...... provided that the person accepting this permit shall.in everyrespect*conform"to'the'term's,*of*the application'on file in Final this office, and to the provisions of the Codes and By-LAaws relating to the Insaction, Alteration and Construction of Buildings in the Town of North Andover. /Owtv 0000W PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service 0 . ........................................ . ...#.................................................................................... .........0000 #AOO 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.... `�.:..�.3...... t ,4ORTN 1 TOWN OF NORTH ANDOVER M O F PERMIT FOR WIRING ,SSACNUSE� / SOC. / This certifies that ...�E'..... �'............!:...................................................... has permission to perform ... o ............................................................... wiring in the building of......� � r of o /j ..................................................................... at.........1'6.! .,-�.....,. i4. ` ..`''........5................. . (North Andover,Mass. Fee....l.��(�..... Lic.No.�..:3��....... :. CU..... A 1 .� . ELECTRICAL W SPECTOR Check # N� 455 ' /� ��ff ff ' t�om»wItrareal(/e ofaa4aeltttstlb Official Use Only c� c7 Permit No. -UsParl»uat o�..�ire�ervices + BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fx Chcci ed Rev.11194) Icave:blankl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pcilomred in accordance with the Massacl+uscits Electrical Cak(MGC).527 CAIR 12.00 (PLEASE PRINT IN INK 01?TYPEALL 11WORA1.4770N) U;ttc: (p Wo City or l'own of: t/. A%ggoypz To the Iltspector of Wires: By this application ilre undersigned gives»slice of his or her intention to perform the electrical work described below. Location(Street ZC Nuutber) ►vne or Tenant ��?M jazj�>Orj Telephone No. qF6- 9070 Owner's Address Is this permit in conjunctivo with n building peruril? Yes ❑ No LK (Check Appropriate Box) Purpose of Building 1j Uti ivy uthorization No. /S3 Existing Scrviec 1l�_ Amps Ol p?yQ�+olts Overhead Uudgrd ❑ No.of lictcrs New Service qO Anips 0 /e?W rolls Overhead❑ Undard No.of i4leters- i Number of Feeders and Amp2ti1v FLEX Location and Nature of Proposed Electrical Work: Z' 7N 5 � T © CE S P 65twe 44S _ co ionefshemla table ma be haired b•!he hr., ector of l trires. No.of Recessed Fixtures No.orceii:Susp.(Paddie)Faro i °-of Total Transformers KVA No.of Lighting Outlets No.or.hlot Tubs Generators KNA No.of Lighting Fixtures Su-iinniing Pool Above ❑ lir- ❑ 0.0 nrergency rg r nng rud. rnd. Battery Units No.or Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.orswitches � No.of Gas Burners No.o Detection and d Iviltiatinr Devices No.of Ranges Total g No.of Air Cond. Tons Na.of Alerting Devices No.of Waste I)is osers feat limp a umber _,oro_. K _ No.o c f onlahrc P — Totals. "^ Detcctiot a dAlerLn Devices No.of Disbivasbers Spate/Area Heating K1V Local E) Iunictpa ❑ Other Connection No.of Dryers Heating Appliances KNV Security.Systen►s: No.of Devices or Equivalent No.or Water K%V No.of Vo.o Gata iviritrg: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of illotors Total UP ecomnlunications a tng: i No.of Devices or E uivalent OTHER: t Attach addidaaal detail ifdesired•or as required by the Inspector of Wires, INSURANCE COVERAGE: Unless waived.by the owner,no permit for the performance of electrical wort:may issue unless the licensee provides proof of liability irtsuraixx including"completed operation"coverage of its substantial equivalent. The undersigned certifies that such coverage is in force,and has e�ltibited prooCof sante to the permit issuing office. CHECK ONE: INSURANCE V BOND ❑ O"f'lila-R ❑ (Specify:) (Expiration Datc} Estimated Value of Electrical Wort::' 1SPO (When required by municipal policy.) Work to Start: �3 Inspections to be requested in.aceor. lic*Vvit[AMAF�Cle nd upon completion. I certify-ander file pants acrdpenalties of perjury,that the inforardiio ori and compfur�FILIAL i\AI11l: l�SEPt� F� !�L 7 LIC.i1'O.: Licensee: Joseph Bettencourt Sigtiatu`reLIC.NO...E 37942 (1fopplicob�5 (cr" c t+ t' he ice+se +++6 rlin Bus.TO.\o 978-622-8992 __978-459- 253 Add ess: r flache'0 r§f. tLowef`, A'l A 854 All.Tel.No*: t 6c OWNER'S INSURANCE WAIVER: 1 ani-aware that the Licensee does not have Clic liability insurance coverage normally required by laa•. E3_► uiy siguatnre belo►v,t hereby��aivc this requir:mcnL I atu(lie(check onc)❑owner ❑owner's acral. Owner/A cut Siollature Telephone No. PL-TA IT FL•L•-: S raArrt'_A FTNAT � Date...�.r,..�..��........ NORTH °!'"'° '•'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING o Arlo s$ACNUSE� This certifies that has permission to perform ..:::-'' , . ... ... -t'�%.- ............ wiring in the building of . :,.,.........� .......... U at...:,f .................... .North Andover,Mass. Fee.. ?.... Lic.No.�Jl.z \`:` i ..... ... ....... ELECTRICALINSPECPOR Check # 4478 THECOMMOAWEALTHOFMASSACHUSETIS Office Use only DEPARTA1EM'0FPUX1CS4FEI'Y Permit No. uy7� DOARDOFFMPREVEMONREGUTAHONSM7CMR12M G� . Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date = r" Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) — " "I �CdiCe2a,p � Owner or Tenant o Owner's Address Is this permit in conjunction with a building permit: Yes 1:3 No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service .���� Amps23;7�n7/ //t-)Volts Overhead Underground M No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Bel9A1 Generators KVA round ..-And No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Atal FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat T al Total No.of Detection and Pumps ons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained s Detection/Sounding Devices No. of Dryers Heating Devic KW Local Municipal Other Connections No:of Water Heater KW No.of No.of _ Signs Bailasis No.iHydro Massage Tubs No.of Motors Total HP!I Tj OTHER- hmuanceCDWrdgt~RouanttotheteWmTE tts"msada>settsGalaalLaws Iba,&aomaiLiabkkm"=Pohcy=hAagCmipleo-- Cosaagzor&,absuMegrmlart YES NO IbavewbmbodvabdploofofsametDdrOlfioe YES IfyouhawdrekodYES plmirtd'icatethetypeofcovaagpby drecl�tg INS,`URANCE� BOND F1 MIER (P1emSpx y) Expkafm Date Estim*dVahreofEbcbcalWotk$ WC&40Start hqe mDaeRquested Rough elJ1,".66 `ge Fmal Sgnedunder'&Rna%esofpetjtrry: FIRMNANIE LicarseNo. 94? licertw �r��� /C�'�f �� Sig�'tt<.ne UwreNo �� BusQmTel.No. q X EC i 1 &7W e-2117& Alt Tel No. OWNER'S INSURANCEWAIVER,Iamawatethat the lciwdoesnothavetheins rxrecova%eoritssubst ntWeWiva- aswgpi dbyMassac nrmGafaalLam and thatmysignatuteon ftpenrutapphcation waivesftregtrumn t (Please check one) Owner F-1 Agent F-1 Telephone No. PERMIT FEE$ �5 Signature ot Uwner or Agent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # 0 I am a homeowner performing all work myself. F] 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for rry employees working on this job. Company name: Address City Phone# Insurance.Co. Policv# Company name: Address City: Phone* Insurance Co. Policv# x. Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of c rirninat penalties of•a fine:;to$1,500.00 andfor one years'imprisonments weU_as_civil.penal iesinlhelnanrf-a-STOPYAKM ORDER-and_a.fine_d_(,$1DA.W).aiday.against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. y l do hereby certify under Me pains and penalties of pefjury that the information provided above is true and correct Signature Date Print name Phone* Official use only do not write in this area to be completed by city or town dficiar City or Town Permi7llicensinQ. Building Dept (]Check ff immediate response is required I] Lieensinq Board E] Selectman's Office Contact person: Phone# E] Health Department I] Other Date. NaRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • o�4YY' "' � 4 SyY1CNus This cdrtifies that . . . . . . . . . . . . . . / . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .z'� /. . .Q�� `� �'.b.`��.I. . . . . . . . . . plumbing in the buildings of . . . e. . . ... ..... . . . . . . . . . . . . . . . . at . . . . 5.9.5. . S �� . . . . . . . . . . . . . . . . No h Andover, Mass. Fee.�y5to211 Lic. NoA� ' 3.� . . . . . . V ` PLUMBIN INSPECTOR Check # tQL� 5606 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date -S �%3 Building Location 573 341e i f Owners Name//Y--PX /dC4f4to/I) Permit# Type of Occupancy New 0 Renovation Replacement Plans Submit'!0.4es No El FIXTURES H >+ � W P, �I SII(;BgVIC S�4NINI' IR RUR 1 1 2M FLa R �» 4M FUM 5Mmoat sII3)FIfM 7M HDM M FLOCK (Print'or type) / Check one: Certificate Installing Company Name �R/(' f`I/1�n/ Corp. Address r` '1 Cl'I�I�n')�4C IYV- LA) Partner. Business Telephone q-7,5; 5 Q Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance 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* surance lgn _ Owner Agent it I hereby&-rtify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PI b' Code and Chapter 142 of the General Laws. By: Sir a oi LicenseapurriDer Type of Plumbing License Title o�6 8OI City/Town License NumDer Master ® Journeyman APPROVED(OFFICE USE ONLY Date.. .J� .. 2 0 _ D-3 ,aORTH 3? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHUSEt - T • 1! This certifies that . . �.P. 1. . . . . . . . . . o v s v has permission for gas installation . . . . . . . . . . . . . . in the buildings of . . . .2 a.�. . .. .U. . . . . . . . . . . . . . . . . . . . . . . . at . . .5 . . !4 r. . .(. . . . . . . . . . ., Northndover, Mass. Fee. .y :S/. . Lic. No. X39 S;ihoZ�.�. !.A 4�tr.`..-.;;. GAS INSPECYOR Check# 436u f MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS:FITTING 1 (Type or print) D �— Q NORTH ANDOVER,MASSACHUSETTS Building Locations 5 7 5 S/111" Sf' Permit# Amount$ I—Afl`y RO-Ar1�07\ Owner's Name New❑ Renovation Replacement ❑ Plans Submitted ❑ � w � c o O W d O O O H • � H fZ O A C�7 a a EW-� O [6TH . UB-BASEM ENT ASEMENT ST. FLOOR ND. FLOOR RD.. FLOOR TH . FLOOR TH. FLOOR FLOOR TH . FLOOR STH . FLOOR ELL (Print or type) Cl�ec c one: Certificate Installing Company Name �R,z reoho" Li Corp. Address - `c�4 MP t`t�ti nn An_ �•�(P..Or�.2L✓ /a,,J f_ ❑ Partner. Business Telephone QI c-v,-, ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ Ifyou have checked M,please indicate the type coverage by checking the appropriate box Liability insurance policy 13Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mai General s, d that my signature on this permit application waives this requirement. Check one: igna of Owner or Owner's Agent Owner ElAgent ED i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the beat of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber 6 3l� City/Town ❑ Gas Fitter 11cense Number ❑ Master APPROVED(oFFiCE USE ONLY) ❑ Journeyman ir gigAg D�GD $UID I SES& Gas 0 pectot a aY n Umbing _P 1845 1 0 Y 0114-al Mtts a.m• hus e office goats o�11 Andover• ass .&s Street .y c } _ C_ OMMONWEAL'T,„O MASSACHUSETTS" l-t 0t:UM- ERS, AND ".C:ASFITTERS -LICENSED A'8' 4. JOURNEYMAN:, P��UM°B,E V ISSUESTHIS:UCEN8E TO f ERIC M JOHNSON i 29 ME RRIM`ACK MEADOW AVE - TE'WKSBllRY. MA} 0: °87`6:-i0.7=3, i 22639 05/0104 546635 1 t Date.. .f ". �. . . .. . . A3 pORTIy 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSAC14U5ES This certifies that . . .� -' . . .. . . . . . . . . . . . . . . . 6-1 has permission for gainstallation . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at � .7, .. . . . . . . . . . .-- . . . . . . . . .. North Andover, Mass. Fee---k . Lic. L �,AAS I I SPI 6 R Check# 4917 J ,- <x-sa�rta.. � .:w5 # :•,') 4. s Y"' ,, hE'yy'y 1'I ,:'+ _ y 44! x.A... ,.r.�.:.;+ i '-1 aT ,•,�1 :^ ,y� k ':-.y .r:....io r aa'Nr�,x' '�::•,. ' ,+ � x _ `//AJC/_{S'y/.. n. • F:r MAS�AC L7SETTS UNIFORM APPI. ATOM R PERMIT I O I�GAS FfTTdNG (Type or print),� � � w" ,_ � • Date NORTH ANDONER,1VI4.SSAGHUSETTS Building:Locations • � ¢ *� ' Permit# Amount$ {. Owner's e New R�novatiun Rc placement ,Plans Suliniitted s: t F t x a ir o Zi Ilk Z Cd. Z, Z. W F� W > W �' W W 7_ p. F O F W F Z' v.• Z Q >� O a m W_ o m ' z x d Q O o_ W z a o fl v u a > c e0. o . . S11B-B itSEn1 ENTf 5 B:.a . Ent ENT IST. FLOQR 2N D. .F,L0OR 3'RD. `FL00R ;TH. FL0OR 5T11 . FLOOR 6T'11 . FLOOR 7TH'. .FL00.R i 8 1.1.1. .F'L O O R (Print or type ` `- � 'heck one Certificate installing Company Name ,,�1: 1..��� (J�-� v`` Corp. Address. . levJ6� Partner. .: Business Telephone .. - _ •- Q Firm/Co. • ' Naini,cif Licensed Pluraber.[)i Gas Fitter.� INSURANCE COV1-RAGi? Check one: l have a current liability Insurance policy or it's substantial equivalent. Yes 0 No Ifyou-have checked ties:please indicate the type.coverage by checking the appropriate box. Liability insurance policy"• Other type of indemnity �' Bond Q Owner's Insurance Wain er: !am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. general L •vs and that nay si(r ure on this rmit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner; Agent13 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu etts,4tate Gas�Code and Chapt-r 142 of the General Daws. By: Signature of Licensed Plumb r r Gas itter Title lPlumber City/Town ® Gas Fitter License Number M Master APPROVED(OFFICE usr-.ONLY) b_J�meyman Location �� No. 6�5_ Date A ,.ORTIy TOWN OF NORTH ANDOVER Certificate of Occupancy $ sCMUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ `5 Check # 1,9s-? 19021 �' Building Ins pecTor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLiCAT10NT000NSTRUCi RF8 RENOVA OR DMOLISB A0NEORTWOFAM1LYDWMMG WELDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: ' +� Buil ' m� offluildings Date Z _ SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and'Parod Number 3Y Map Numbs Pamd Number t ,1.3 Zeninglnt'ormalion: 1.4 PrapertyDimensions: Zonin Mand PhymodUse Let Area F lt 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Provided Required Provided t.7 Waur sw 1yM.cxt c l0 !n 1.1 Flood Zone to mur". 13, Sew-V Diap-1 Symm: � s, POW 0 PrMte 0 1 Zane OaWde Rood Zone 0 Mokipal 0 on sine mpos.l Syaem 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Oy.of Record _ te Name(Print) r--7 Address for Service LO Signature Telephone Q 2.2 Owner of Rceord: Name Print Address for Scrvioc: 0 M S' tare SECTION 3-CONSTRUCTION SERVICES 3.1 • sod Constrac6on pervisor. Not Applicable 0 Luxnsed Construction Sn a / �S� o I / License Number on Expiration i5ate ?" w re Telephone r a 3.2 egisterodHolmlmprovem tContr�ctor Not Applicable 0 p tGeiF3l�D"'1 ODI �BK.St/ilyJ`'��t�•t �y Company Name M Registration Number�— 9 / r / z i'Gs• — (>ro2-/� 1 Expiration stare Te a u, v SECTION 4-WORKERS COMPENSATION(M.G.L C 152 §25e(6) Workers Compensation insurance affidavit must be completed and submitted with this application. Fagure to provide this affidavit will result in the denial of the issuance of the buildiit. Signed affidavit Attached Yes...... No.......0 -SECTION S DiscriptiWanotProposed Work dieek.>a ble New Construction'ir Existing Building D Repau(s) 0 Alterotions(s) 11 Addition 'E.I. Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description Of Proposed Work; � � t`d✓ �w S ti SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be "' OFFitl(ifUSEtOiI.Y COMPICtOd applicant ��� ., x tt• i 1. tg Build'u (a) Building Permit Fee 60W MuftGer 2 Electrical (b) Estimated Total Cost of p©a Construction 3 _Plebig Building Permit fee(.)x.(b) 4 Mechanical HVAC ' 5 Fire Pmtection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT. I, as Owner/Authorind Agent of subject property Hereby authorize to act on 41 My behalf,in all matters relative to work authorized by this building permit application Si tore of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ), as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name r of Owner/ t Date TORIES SIZE NT OR SLAB FLOOR TIMBERS 1 2 3 DUENSIONS OF•SIU S DUVIENNSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMMY IS BUII.DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I i • I i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards,and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ********************7"****APPLICAX FILLS OUT THIS SECTION***************;;****** APPLICANT APPLICANT r PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET,5-7 351,06 ST. NUMBER 515 ****************************** ****OFFICIAL USE ONLY*********** ******** * ***** 10. TOW G NTS: CO` ERVATION ADMIN STRATOR DATE APPROVED DATE REJECTED e�u AP COMMENTS IVA (GO TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FO SPECTOR-H THDATE APPROVED DATEECTED C-IT Y�� v S IC INSPECT -HEALT DATE APPROVED f DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm PRECISION POOL CONSTRUCTION inc. ?Ualiv huilt ®n gime 800-507-4008 25 Baker Road - Salisbury, MA 01952 978-462-1177 Kathy and Larry Reardon T - 575 Salem Street North Andover, MA 978-2584486 Installation of an 18'x 36' in ground free form swimming pool: • Galvanized steel panels poured in concrete • Sta-rite System 3 modular media filter system • Sta-rite 1.5 hp pool pump • New Water automatic chlorine feeder • Hayward anti-vortex main drain and skimmer • Cantilever coping • 20 mil vinyl liner-customer choice of pattern • Full concrete bottom with foam lined shallow end • Jandy never lube 3 way valve • Start-up chemicals and test strips • 8' Saratoga step'n'rest stairs • Start-up chemicals and water testing supplies Total price $ 19,500.00 Payment schedule: $1000.00 deposit required to book job/$12,000.00 due on day 1 /$6,000.00 due when concrete is poured/balance due on completion • Electrical, gas and water costs are the responsibility of the homeowner • Ledge and ground water costs will be an add to the contract price • Any machine work required past the first day will be an add to the contract price(we anticipate 1 extra day of excavation to move septic field to pool site approx. $1000.00) • Any material needed for fill will be billed on a per load basis-approx. $330.00/load processed gravel delivered and spread Acceptance of proposal North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility)4(S� _7 at7 of rmit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i I w ✓/ce`�iovs�maauaeald o�J�aaaac�uaetY Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Reglstratiori_1.36940 One Ashburton Place Rm 1301 Expiration 9/16/2006 Boston,Ma.02108 Type DBA PRECISION POOL CONSTRUCTI SAN CANNIN 25 BAKER RDS SALISBURY,MA 01952 Administrator Not valid without signature Bf Rn :Fr License: CONSTRUCTION SUPEOVISOR Number: CS 084006 Birthdate: 11/27/1968 Ekpins:'11/27/2006 Tr.no: 84006 _ Restricted: 00 SEAN A CANNING. 21 WOODLAND ST NEWBURYPORT, MA 01950 Administrator - The Commonwealth of Massachusetts Department ofln&strfa1 Accidents . - _ — — - f�ficeof/naesbg�tions i 600 Washington Sheet, 7O Floor Boston,Mases OZIIl r �z Workers'Compensation insurance Affidavit g/Plumbingfflectrical Contractors III P" 1111'11111111ill R I: 0can'IIIIlnt �a iz_ar,-Fc-.,. Y, /tame' address: city state: zip: phone# work site location(full addressY ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel ❑ I sole 5rietor and have no one working in any ca 3aaci y. ❑Building Addition � ,�e,em-ri4r.:>,�.�+ ii-�- I am an employer mviding workers'competion for my em loyees orking on this job. :comDany tmmDe:..._._:.. (:•�`•5/.C� `)'..:...._.. ,.:o p. :_.:,,..: 4...=cry .... .... addres ,..... ........__ _.... ... .... city1 b�Ji{l tJ� :. _ olione# `J �-''710�-� _ _. ............ ._.. ...__..._...... - :insin;iticeco: ri�vi�.�G4: �?.. ::_. -..., 'policy# _ t�(/�.. ®. r:l`co 7 motiveu�i� :aY:ti�f� t`'�i+rii:,tiw"w'^-'..+'a`�e.�rxm`.z»r5 ts�v.isa......:'-�:�.e oeiiecvi5r.:�,i•L=i:r:. ❑ I am a sole prgprietor,general contractor;or homeowner(circle one)and have hired the contractors listed below who have the following workersT compensation polices: �comDanvnames.. - -• - - - -..:... � �- -- address: -..._ . . .... . -':.:. :::.. lust ance co :- `w�. .K�'a•+�' � 'i` +ii.:�fi�''= 'cid-:`t`,_`'�::-•r.�.. �.�.--'s�-'r`�.��„a"`�..'�.��-�u�t���s'lt.- ..fir`--.e--•r:., ...•. ...,. ::._ � . .. :- .,._ . - ._.. . fir.-•s.�. �� - company name*.,.- . address: :citve ' - - shone#� " t i msurancL.coy.:. -- 11n11CV ;�AMnrlislddltfonat+Leet-�ucee.+aasr�•:..,�-.��t:�:.�• 4,�,�ru,�,yx�;,-.� - ...: - - ��. .�-•-=,.z.:.•.s ::�i-•�'-,.-�-w.,.,-•c '-"•�=y.F••ce__�+iw_- -ZS'-,,._...�.c3•}"-'�•' .� ,.5:`•- �'..'�. �.".'F� 'i.'..: :Ls'--w-:.�".ASerni.-3,v Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminitpenalties of a fine up to 51,500.00 and/or one years'imprisonment as weU as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me.I,understand that a copy of this statement ay be forwarded to the Office of Investigations of the DIA for coverage verification - I do hereby certify er the parrs art allies of perjury that the information provided above is true and av �- Signature �S• ate D�J �[ Print &260 n rt: Phone# Y 7 �11a J official use only do not write in this area to be.gnipleted by city or to. official etty or town-P--ft/U--# QBufldlag Depamtiment OLkensingBogrd Q check if immediatesponte is required OSelectmeu' Office �Healtb Department contact person: phone#; 0Othe ( . m r ti r 00 N m m Cr r J 36'-S�•------- NOTEl A MEANS CIF EGRESS FDR BOTH THE DEEP N END AND THE SHALLOW END OF THE POOL MUST BE PROVIDED AS REQUIRED BY ANSI/NSPI-5 SECTION-6. •+ RIO, to'-4 Rio' N SECTION A TO A m A--FRAME bETAi_L DECK SUPPORT DETAIL R . --�- WAY mu N A A�}AME PAM 1 1RpCC R9' R9' LWCE 14-4&' 4' srNtc A NDRLtIlRAI. � Nucs X14' MANDATORY ROPE AND RIO NOTES+ v FLOAT 12 INCHES FROM 1) THIS IS A TYPE IS POOL. DEPTH AND SHAPE OF POOL g SLOPE CHANGE MEETS MINIMUM STANDARDS OF THE INTERNATIONAL SECTION 8 TO B RESIDENTIAL CODE 2000 AGION (ANSI/NSPI-5 1995) AND SOCA 1996 FOR RESIDENTIAL USE WITH DIVING BOARD. PANEL 316' �,_4. FINISH g) ALL A-FRAME BRACES WILL BE MOUNDED WITH HEIGHT DEPTH 8, FINISHED A MINIMUM OF (1) CUBIC FOOT OF CONCRETE, OR A DEPTH 6' POURED CONTINUOUS CONCRETE PERIMETER COLLAR. 3) MAX114UM DIVING BOARD LENGTH IS 8 FEET. 2' SAND OR 4) 'NO DIVING' LABELS MUST BE INSTALLED AROUND _ VERMICULITE SHALLOW END OF POOL, 6' 4' WARNING! I N T E R P O O L SWIMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY. CONSULT YOUR DEALER FOR SAFETY INFORMATION ON THE 18' X 36' FA � STEP SAFE USE OF SWIMMING POOLS. IT IS THE RESPONSIBILITY WITH 9' RAD, STEE f :] OF TOWN OFFICIALS, BUILDERS AND HOMEOWNERS TO FOLLOW m ALL SAFETY RECOMMENDATIONS OF N.S,P.I, ALL LOCAL CR DATE,01/18/06 CALE+NONE N ORDINANCES AND EQUIPMENT MANUFACTURERS, DRAWN BY, P.T. ACADAEF,SCW1036 ss• m r • m N r W N v W hl I BENCH RADIUS BENCH RADIUS PANEL LEFT PANEL RIGHTCD r W R8' 'F FINISHED-4;t" �•- • a•-a•PANEL. J DEPTH ._}},,�_ HEMHT J L/H R/H BENCH BENCH 0 0 r z 4 BENCH SUPPORT BILL OF MATERIALS QTY DESCRIPTIM4 .__ I N T E R P D D L I L/H BENCH �0 R/H RADIUS PAN 8� RADIUS BENCH m 1 BENCH RADIUS PANEL RIGHT DATE,03/19/01 SCALEINONE lrftH—s-u7 DRAWN BYsT-f. ACADREFseRADHwcCD r r v W N .+ 8' RADIUS BILL OF MATERIALS W STEEL BENCH ^' R=9' TY DESCRIPTION cr L=T-6 7/9' 1 L=2'-5 5/8' RAD=9' PANEL T L=6'-3' R—g 2 L=61-3' RAD=9' PANEL m R=9' =9'1 L=7'-6 7/8' RAD PANEL + REV,RAD='10' REV,RAD=10' 3 L=8' RAD=9' PANELS Lag` 2 L=5'-0 3/4' REV,RAD=10' PANELS + L=5'-0 3/4' * —9 2 L=5'-11' REV,RAD=10' PANELS 9' RADIUS REV.RAD=10' l 8' RADIUS STEEL BENCH SYSTEM STEEL STEP 1 9' RADIUS STEEL STEP SYSTEM L=8' UNSTALLER TO VERIFY STEP RISER L=6'-3' L•8' R=9' HEIGHTS WITH LINER MANUfACTURER> � R=9' R09' v 0 + STEEL STEPS LINER SIDE VIEW PRWLE t•-e�' s-a�• r-P�• l2'-2&' 8'—lt�' MUM OCPTH — • R9` CD INTERPOOL IB' X 36' FR EFORM WITH 9' RAD. STEEL STEP DATE]01/18/06 SCALE,NUNE w DRAWN BYi P.T. ACA DREF1 SCHKfs:36 co 1� , NH ORT T0VM of _� 19Andover No. � _ y. - LAKE dover, Mass., 1 3 — D COCMIC ME WICK �� �d A0RA7ED C) `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR id THIS CERTIFIES THAT... .. .... ..�e ... .. a.✓/.. .... 'egrQ. . :...........:........................ Foundation • has permission to erect..o1311WIfN,...P.OD./. buildings on .M'1.... IrO. Rough to be occupied as...,$',. :... !l . ....................................................................................... Chimney provided that the person cepting this per�ft shall in every r ect conform to the terms of the application on file in Final this office, and to the provisions of the Codes anS By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3$ �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough ...... c.. . .. ..................................... .... Service WING INSPECT Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a ConspicuousPlace on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.