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Miscellaneous - 58 ROCK ROAD 4/30/2018
58 ROCK ROAD 210/047.0-0096-0000.0 I I i I k t Location -�-�1�- s,�rtli No. At, Date NORTH TOWN OF NORTH ANDOVER R ; , Certificate of Occupancy $ �'�s •E<� Building/Frame Permit Fee $ 5 s�cNus Foundation Permit Fee $ +� Other Permit Fee $ TOTAL $ 26 ,I.. Check # r: 18493 h Bu Laing Insp4e'for TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ��� � '`s.,�.,. "fit".;- �� �'sy�8.Y# l,, ...,.•: -,;:. .. ,..y: �'`-Y. a � e ��'Sv��'.' §?',� � BUILDING PERMIT NUMBER. DATE ISSUED: C � SIGNATURE: Building Commission2jjaEpector of Buildings Date r, , SECTION 1-SITE INFORMATION I I ' > > o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a�7• U Ga Map Number Parcel Number O 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 ReciWred Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTWN 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT is oric +s rlc : Yes No M 2.1 Owner of Record Name(Print) Address for Service Signature Telephone e7q I 0 2.2 Owne of Record: r Name Print Address for Service: yA Signature Telephone ECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable r Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address rM Expiration Date /1 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 affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: if r j 04-_� cwl_� Foy) 6e)( Rt SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ;OFFICIAL;USE ONLY . Completed bV permit applicant UZ .r .. .. .. : .u�_ . 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 Check Number SECTION 7a OWNER 4 TION TO BE COMPLETED WHEN j OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT � e W C-fitas Owner/Authorized Agent of subject property Hereby aithorize to act on My beha ,in all matt re tive trk authorized by this building permit application. G Si atur of wner Da e SECTIO 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject ,w property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief t Print Name Si ature of Owner/A ent Date F NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3RD 71 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE F ORT NH Town of t _ � over 0 14 2 �,o dover, Mass., COCMICMEWIC �� K 9�ADRATED `r BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �, sv rs i ZTi /� V ^ tj L BUILDING INSPECTOR THIS CERTIFIES THAT.............. ....................................................................................................... .. Foundation ....... rr ............................. has permission to erect..y�� . ..�.... buildings on .....+.7 A.......R0C*k...........O.a�.............. Rough to be occupied as , r � .ti 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. Y ? f y ` PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough - Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS t� 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. Bumer Street No. SEE REVERSE SIDE Smoke Det. ' FORM U - LOT RELEASE FORM II / INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT T IS SECTION*********************** (� "67?0�-1VG APPLICANT `(� v ('PHONE -\� LOCATION: Assessor's Map Number PARCEL SUBDIVISION LO S�— STREET 1 \ -C— ST. NUMBER ************** OFFICIAL USE ONLY************* fCO E OM ND N WN AG S: 44 - 4nf SERVATION ADMINIS BATOR DATE APPROVED DATE REJECTED NOr 106 ,COMMENTS v' TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE vi 1 7'm Re sed 9 9 � ,40RTN TOWN OF NORTH ANDOVER o=o.�.,`.o OFFICE OF A BUILDING DEPARTMENT 400 Osgood Street North Andover Massachusetts 01845 1ss�c►+u5e� D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: ct� G 1 - O O`f l r� Number f 1 Street Address I f Map of HOMEOWNER Nam6 Home Wont J Work Phone PRESENT MAILING ADDRESS �� 0 C (� 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 acts 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 f orth Andover Building Department minimum inspection procedures and req irements and th /sh will co p y with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIA BOARD OF APTE,AI S 698-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 PLAN ,2EF'E,eE,e/G� Yk i tAO,' #s y 23�a n�• w Lir-`36 - �Z� IN �=6 /20AD r //EREBY CE'.CT/FY 70 TyE T/TGE/,t/SU.PD.P A.VO �G Q T 717 Tf /3' COG'ATEp OA/ T!/E LoT AS 3/,f�II'.V ANO 7//,4T/T p49.5 CO,t/Fp.PAf /N If'/T// TL/ETaw�/ OF .1M.gN�v��zQN/N!e PE6ULATid,(/S SETBAfXS cXMIM STPEET.S c LOQ U.✓ES. NO• �NI>O✓E� /�'Jq$s' 1'FU,�TJYC.P CE.PT/FY T//.4T T.Y/.S OIYELL/NB /S it/OT LOG4TEO /A/ T.f'E FEOE.PAG fiCOOp H.92AP0 APE.4, O,PA�YiV jO,E' tS�JQN/A!O/S/L-,e w q- EOMM N/Ty P•4itlEL � 2SOogg G�7/O�Q c�Air7+ J �C �J/G.L �,E'EU7--c� w,��� /.oY/ /99„3 C 2$ Fka 20876 4 �a Bovvo � iot/ .BOUNOA.E'Y �1E.P,P/�1,9G�E-,vG/,vEE.c'/.f/G SE•PY/CES .4r�av r.4 ivFO,Q.y/ Exrsriuc ,eEco.PoS. 66 Pq.P.E�.s'T.PEET A.NODI�E.P, /1�l.4SS,4C.////SETTS O/8/O i .............. COW .......................................... ...................................................... ................... ............................................................. ................................. ...... 00 q`. 6n fT I y , ! I 1 I � i k t 99 um Ad W4 ME 4 { Cc26 r) ` -- v Y it t 01 f ai-6 ;�14 9 f • ` , tr �' � • - ----_._____:.�..�.,._..-fir °'• '"�o Zoning BylaW Denial Town Of North Andover Building Department 400 Osgood St North Andover MA. 01845 Phone 9711114110111405 Fax 9764884M42 Street: OCA /20 A t -/ '7 y 6 Applicant .73 en e S g'-', v ;� Z ROQUest .J E c /C Date: - G - 4:;- s Kation is Please be advised that after review of your Application and Plans that your APP! DENIED for the Mowing Zoning Bylaw reasons: Zoning /,C--/ Notes fbun Notes Ian A I Lot Area F Frontage 1 Lot area Insufficient Frontage Insufficient 2 Lot Area Pree)dsti 2 Fro a complies 3 Lot Area Complies Lf-e S 3 Preexisting ftnUM 4 Insuffident Information 4 insufficient Infornatson B Use 5 No access over Frontage 1 Allowed e S G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 1 Com res y 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insuffident 2 1 Complies 3 Left Side Insufficient 3 1 Preexisting Height 4 Right Side Insufficient 4 Insuffident Information 5 Rear Insufficient ye°5 Building Coverage 6 Preexists setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies Ve5 D MiKshed 3 Coverage Preexisting 1 Not in Watershed yes 4 Insufficient Information 2 In Watershed j Sign 4 3 Lot prior to 10124/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insuffident infbnTwMon E Historic Dletr d K Parading 0, K\ 1 In District review required 1 More Parking Required 2 Not in district 2 Parking Complies 3 Insufficient Information 13 InsuHicsent Information 4 1 Pro-exisfing Parking Rom dy for the above is checked below. Rams 13 sal Permits Planning Board Items Varian Site Plan Review Special Permit - Setback Variance Access other than Frontage Special Permit Pariting Variance Fmntmae Eneption Lot Special Permit Lot Area Variance Common DrkvmW Special Permit Heightt Variance Congragde Homing Special Permit Variance for Sign Confinuinp Care Retirement Special Permit Special Permits Zoning Board Independent Housing Permit Special Permit Non-Conforming Use ZBA Large Estdo Condo Special Permit Earth Removal Special Permit ZBA Planned Devalqmwint District Speciat Permit Speciod Permit Use not Listed but Similar Planned Residential SPMW Permit Special Permit for Sign R-6 Demity Special Permit specad Permit preadsting nonconformin Wederahed Speciel Permit The above review and s<rb road. No derirMve rsvisw and or advice OW be bawd an verbal sxpisna0orrs by thsappicsr>t nor shat such vsrbd anplarraI by ahs applicant server to pmvids MMM snswrs b to abort reasons for DENIAL. Any iscasadss,n I I riir g*dm mmoon,or otter subsequent changes to the YManadion srr1, 11 'by the aI ken-shay bt panus for this rwAm b be voided d tts discretion d the BrtrWV Deprbnw t.The a MAW*nmwit ftd'Plrr itaview tdatradva shay be at wW'- -n and- r n poral I herein by MOO!oe. The b fi ft depsrbrrarrt vera retain r plans and.docnnwd elim for Vw about Abs.You must Ale a naw bukbV Permit applicdion form and bean®s psrmillirg pmma. (L — -Z -S— S -B(uikiin9 Department Official Signature Apphixition Aweived Application Denied Plan Review Narrative P' The following naffv&e Is Provided to further explain the recons for denial for the appiicationl _ permit for the property indicated on the reverse side: NNw Ilfi�l�`!�' 1 -14 b,.ARovcam._ . `1 Y-4 60.0 W m 1.e. Jv 6s rW `f'G`� ? S 'To SPc7�ldN TAIV l�J Referred To: Fire HGEM Police Zoning Board - ConservaRion Depwbrmt of Public Works Planning Hhdorkeml Commission Other BUILDING DEPT FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT jC,t,�'I�S �Y ey�2— PHONE c1V-7 C'L4 t 4 G l 0/1 LOCATION: Assessor's Map Number PARCEL /X/ SUBDIVISION LOT (S) STREET D`a CMZ �2a��_ ST. NUMBER ***** ***********************************OFFICIAL USE ONLY************'r********************** I RE MM DTI N OWN AGE S• CONS RVATION ADMINISTRATOR 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 -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 4 � 1 *7778 �a� '� 1 HCl ►� `r. EASEm�.vT IZ s rY Q I 2 r e30p.00 ����S 2 ,L=los• � ,57 - b, eoA0 9•g i "s /1EREBY c�-,eT�.�r ro TyE r�T�E i,,isaeoe,ovo F'L O T ooI 4i(/ Tb T/!E BAN. T.l�gT TyEOA'ELL/.uG/S LOCATED O.t/ T/j�E taT qS SIAVAw-/ANO ;1-1,047'17-O9I C0.1ocr4e11 /,4/ !117/1 7WIE"I OF .Peir,614AZAVA/S AW-44"I,W 4E7'0401 4ZOM ST.PEETS :-I LOT U.vES."' /c/o. VE� g9A 5 S I Fri.Frye-.e CE.PT/FY T/YiOT T-WX:r O�I✓ELL/N6 /S NGT ZAC4TEO oW ;rWe FEOE.PAL FiCAOO fi'tl2AP0 .4.PE.4. S�JON/K O/V FEMA"Cp,.-fM - M� - zSOb9S Gera B ✓Am�S ��� /LL �,eE'UT y 1993 � Pk►�09T� 27W. GE"P//.ePO.SES-/1/OT FO.P Bovvo � /ov_ BouvpARY �1E.P,P/�1,91..��',vG1ivEE.�/.!/c� ,SE.PY/CEs AT10�f/ TA Exrsrivc -eEco,Pos. 6� f'A•P,(�.ST.PEET m-45'.d 9 A.t/OD//E.P �Yl.4S.S.4G,f/!/SETT.S O/8/O TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, �O.�R.:.DEMOLISH A ONE OR TWO FAMILY DWELLING 4 u BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: ••� Building Commissioner/Inspector of Buildings Date Z SECTION i-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: J<I I 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 RegWred Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT MiStul t District, rn 2.1 Owner of Record 0?,S Cr SJ' Ro,rL V. ,�. .tvilov ,14(Ao�y� Name(Print) Address for Service: � `7th'--2 5 7 /`4 Signature Telephone 2.2 Owner of Record: OI Name Print . Address for Service: rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ QC1.j (YaNt, '21l Licensed Construction Supervisor: y /0 9 C. 0 / IGwd e/'$ (?c, UJP 54-6d(11 A k- G I SK/ License Number Address 436-.3 l ( Expiration Date tgnature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable D v U S P 0-eC 1 z _"./G Company Name �p7/47 0 rn /A,rj �'/ (/'� �Zt/� �j� d /�/f G I S p 1 Registration Number r Address ��y? J�j6/g0 r D a 7�P r 3 Expiration Date _anture Telephone v' r r SECTION 4-WORKERS COMPENSATION(XG.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.......0 SECTION 5 Descrition of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other (YSpecify 2. Brief Description of Proposed Work: 01- ��ec r-z ('�e dig/ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building 57 s3' rrJ-•v-- (a) JBuilding 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 Jr S3• Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDINGMI PERT I,_ JA—Mes C(t Z as Owner/Authorized Agent of subject property Hereby authorize o S V e� �2 �/t/C 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, D" m-k as Owner/ A�zednt 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 Signature of Owner/ ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHTIvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE k 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`. OU AV (Location of Facility) 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 ALL HOUSEPLATES ARE TO BE SUPPORTED BY 4"x6"OR 6"x6" TRIPLE LAMINATED POSTS AT THE HOUSE OR BY A DOUBLE 2"x10"CANTELEVER SYSTEM OFFSET FgROM HOUSE,DEPENDING UPON FIELD CONDITIONS. (SEE DETAIL WI 3/8x4"DOUBLE HOT DIPPED GALVANIZED EXISTING TOP PLATE 2"x10"HOUSE PLATE LAG&WASHER @ 16"oc 1/2"EXISTING SHEETING EXISTING 2 2"x4"LEDGER GIRDER BEAM 3/8"EXISTING SIDING---_ HOUSE BAND 01N BEARING WALL 3/8"x4"DOUBLE HOT DIPPED EXISTING 2"x4" GALVANIZED LAG PLATE 3/8"DOUBLE HOT DIPPED 16' 16' 16' 16' GALVANIZED WASHERS EXISTING SILL PLATE 3/8"x6"DOUBLE HOT DIPPED RAILING TO BE CONNECTED TO GALVANIZED LAG 3/8x6"DOUBLE DIPPED HOT 3/8"x4"DOUBLE HOT DIPPED HOUSE BAND IS NOT TO SUPPORT SIDE BAND GALVANIZED LAG&WASHER(A 16"oc HOUSE USING A 3/8"x4"LAG GALVANIZED LAG ANY OTHER LOAD OTHER THAN ITS' 2"x4"LEDGER OWN WEIGHT. THE LAG PENETRATION THE LAG SPACING IS ONE 4"LAG AND INTO EXISTING HOUSE BAND WILL BE RAILING AROUND A MINIMUM Of 1-3/4"AND A MAXIMUM ONE 6"LAG ON EACH END OF THE 2"x10"HOUSE PLATE OF 3". ALL LAG BOLTS TO BE HOUSE PLATE AND THEN ONE 4"LAG COMPLETE DECK INSTALLED USING AN ELECTRICAL AND ONE 6"LAG EVERY 16"oc EXISTING CONCRETE IMPACT WRENCH WITH A MIN.TORQUE FOUNDATION OF 110FT.-LBS CAULK OR VINYL FLASHING ON TOP OF HOUSE PLATE o 5 A �E T--�H FMP 1 A�l�SE ATT SOS T SP�A�C bole.uvE�oao NOT TO \!/.. T TOPLSCA LAG SEE T. Q HOUSEPLATE SEE DETAIL 4'x4'DECKING MODULE RECESSED U ATTACHMENT INTO UNDERSTRUCTURE AND p RAILING TRUSS PLATES SPACED SUPPORTED BY WOOD ON WOOD r DETAILS APPROX.EVERY 8'oc CONNECTION WITH GIRDER BEAM LEDGERS AND FASTENED WITH (2)3"NAILS EVERY 10"oc, TYPICAL FRAMING MEMBER 2"x8"TRIPLE HOT DIPPED GALVANIZED 20 GAUGE TRUSS PLATES ON BOTH SIDES OF NOTCH 20 GAUGE GALVANIZED SEE DETAILS 2"x10"NOTCHED TRUSS PLATE INSTALLED UNDERSTRUCTURE 2"x4"LEDGER ON BOTH ENDS WITH 10 TON PRESS HOUSE PLATE C & E DETAILS TWO 3"GALVANIZED 2"x4"LEDGER SEE DETAILS SCREW SHANK NAILS I & I CANTELEVER AND SEE J POST DETAILS SEE 2"x4"LEDGER SEE DETAIL (� STAIRWAY DITCHED BEAMS FORM A WOOD ON WOOD ( MODULE ll DETAILS CONNECTION WITH THE 2"x4"LEDGERS OF JDETAILS CONNECTING BEAMS. (8)3"GALVANIZED SCREW SEE DETAIL SHANK NAILS TO BE TOE-NAILED INTO EACH & POST HOUSEPLATE OR CONNECTING BEAM. DETAILS FRONT BAND 2"00"CROSS JOIST WITH 2"x4"LEDGER 2"x4"LEDGERNOTE--SEE DETAIL®FOR: 2"x10"GIRDER BEAM 2"x10"SIDE BAND WITH 2"x4"LEDGER WITH 2"x4"LEDGER (1)POST AND FOOTER LAYOUT C (MAX JOIST SPAN 16'-0"1 CONTAINS TRUSS PLATES FRAMING/UNDERSTRUCTURE CONNECTION DETAIL ON ONE SIDE ONLY (2)FRAMING AND UNDERSTRUCTURE LAYOUT WITH 1 NOT TO SCALE DESIGN EXCEEDS 601b.LIVE LOAD 2"x10"FRONT BAND 2"x4"LEDGER 45-3/4~ 131 RAILING LAYOUT CONTAINS TRUSS PLATES 14)STAIR LAYOUT ON ONE SIDE ONLY ISOMETRIC DRAWING LATERALLY BETWEEN POST pp I„gg DESIGN EXCEEDS 60th.LIVE LOAD PLATE FOR REINFORCING TRUSS BAND,OR CCROSSEAM JOItTIDE LE"bt /�60ARD 1/8"WATER 5/4x4" GIRDER BEAM NOTCH. INSTALLED DRAINAGE GAP NAILER BOARD WITH A 10 TON PRESS. 8" 8" 5/4"x4"DECKING/ DECKING 77 0-/e" DESIGNER DECK- : 2"x4-3/16" NOTE: FRAMING LUMBER 70 BE SOUTHERN LEDGER BOARD E411-314"NAILS IN PINE NO.1 EXCEPT FOR 2"x10"GIRDER BEAMS 16'MAXIMUM LENGTH ACH DIRECTION(TYP.) THAT FREE SPAN 8'OR MORE. THESE MEMBERS 2"x4"LEDGER TWO 3"GALVANIZED SCREW USA DECK DECKS,ENCLOSURES,AND GAZEBOS ARE NOT INTENDED TO SUPPORT HOT TUBS AND ARE TO BE SOUTHERN PINE SELECT STRUCTURAL SHANK NAILS 8"c-c SWIMMING/BABY WADING POOLS. A SPECIAL SUPPORT PACKAGE IS REO.UIRED FOR ADDITIONAL WITH Fb=2050 PSI. DECK BOARDS TO BE 5/4"x4' SUPPORT BEFORE ADDING THESE TYPES OF PRODUCTS OR ANY OTHER HEAVY UNITS NO,2 STANDARD GRADE SOUTHERN PINE. E UNDERSTRUCTURE ASSEMBLY LUMBER IS TREATED WITH ACO NON-ARSENIC 0 TO SC DESIGN EXCEED5601b.LIVE LOAD �G1 MODULE INSTALLATION WITH FRAMING OVERVIEW BASED PRESERVATIVE TO CONFORM TO THE �NOI I U 5LALt IDESIGN EXCEEDS 60.LIVE LOAD REQUIREMENTS OF AWPA C2-92. NOTE:1500 lb.SOIL BEARING COMPACITY 2"x10"HOUSE X-BRACING TO BE USED IN DECKS OVER 14'-0" SEE DETAIL AND(9)FOR POST 2"x10"SIDEBANO PLATE TREATED LUMBER BELOW GRADE WILL BE CONNECTION 0UNDERSTRUCTURE. 2"x10" A .40 OR GREATER RETENTION LEVEL FRONT BAND � 2"X10"FRONT BAND (4)3"NAILS,TOE- pp NNGC - -a� -- NAILED INTO SEIEIDETAIL®1 q "f CANTELEVER BEAM. 3/8"x4"DOUBLE HOT DIPPED GALVANIZED LAG WITH WASHER ' 2"x6"BACK JACK AN012)3"NAILS 2"x4"LEDGER THE NAIL PATTERN CONNECTING 6"x6" THE POST FORMS IS TO BE 3 NAILS 8"oc DECK POST TO DECK 3/8"x4"DOUBLE HOT A WOOD ON WOOD INTO THE INNER JACK 3/8"x8"DOUBLE UNDERSTRUCTURE DIPPED GALVANIZED CONNECTION WITH $ �c"w 'g'O HOT DIPPED FOUR Cif. GALVANIZED FOUR 3"GALVANIZED LAG WITH WASHER THE UNDERSTRUCTURE. .1 2"x6"FACE JACK PLATED LAGS SCREW SHANK NAILS AND 121 3"NAILS g. PHOTO OF HOUSE c s AND WASHERS SPACED EVERY 10"oc. CONNECTING 6"x6" 6"x" Tq�p�EZ�6") - DOUBLE 2"x6" DECK POST TO DECK LA IN T �, ,t 'A EO POST CANTELEVER SUPPORT TWO 2"x10'5 UNDERSTRUCTURE 8'o.c MAXIMUM LATERAL E " /y JOB NAME JOB NUMBER O A N CANTELEVER BEAM OST MAXIMUM COMING OUT NAILED WITH 2 NAILS ` l C R E U T Z 980551 EVERY 6"oc(TOTAL OF 10 �`' h PERMIT NUMBER DATE 4273T NAILS PER SUPPORT)INTO I 48"MIN. 2"x6"INNER JACK POST. g49EI"�pMyI�N. 48"MIS..,--''�� - 5-19-05 A0 IkN THE NAIL PATTERN GRADE STREET CITY 8 c BE 3 NAILS 55 gg�� jE p 8"x15"CONCRETE 8"x TI CONCRETE 58 ROCK RD NORTH ANDOVER F 6 8"oc INTO FACE JACK LAMIN�TTE0 POS'6") FOOTING(FACTORY FOOTING(FACTORY TY s'$�ONAL PRECAST C 03 OL P.S.I. PRECAST(�3 OL P.S.I. �/ ? ^ 8'ox MAXIMUM UNDER CONTROLLED UNDER CONTROLLED - HAV 0 U E S T(0 N S. ESSEX MA 01845 l' POST SPACING CONDITIONS) CONDITIONS) PLEASE CALL US AT: DESIGN DRAWN BY ICC LEGACY REPORT 0 � OETAI OF A T EVE ,6" T I OF - AN E R 6"xb" TOLL FREE( 1—(866)-884-5227 VAN BOON 93-52.01 / t 16"X6"(TRIPLE 2"x6") POST CONSTRUCTION 1 OS 0 K PLOT'PLAN-NOT 70 SCALE T E DE CK DIVISION FOR H❑MP❑ 1 NOT TO SCALE EXCEWe EDS6 .LIVELOAD 1 NOT TO SCALE EXCEEDS 601L LIVE LOAD 1 NOT TO SCALE EXCEEDS 6We.LIVE LOAD (PUEASE SEE ATTACHED) DECK CANNONS COURT WOODBHOM VA PO PAGE: 1 OF 2 COPYRIGHT 2000 USA DECK INC. i HORIZONTAL STARTING POINT VERTICAL STARTING POINT TIGHT UNDER DOOR 0'-6" FROM RIGHT CORNER OF HOUSE i THE RAIL POST ASSEMBLIES ARE TO BE SPACED AT 70"oc MAXIMUM 2"x4"RAIL CAP ON DECK PERIMETER BAND. NAILED WITH 2 NAI IN EACH POST 2"x4"RAIL CAP 2"x2"PICKETS— 2"x4"RAIL POST MEWANO f NAIL EVERY 12"oc INTO TOP RAILING PLATE. 2"x4"RAIL PLATE -- — NAILED WITH 3 NAILS IN A TRIANGULAR FORM INTO INTO EACH RAILING POST. 2"x4"RAIL PLATE 2"x4"POST JACK NAILED WITH 2 NAILS EVERY 10"oc(TOTAL OF 6 NAILS PER POST 2•x4"RAIL POST JACK)INTO EACH RAILING POST. NAILED WITH 2 NAILS EVERY 2"" (TOTAL OF 8 NAILS PER POST) INTO THE PERIMETER 2"x10"DECK 2"x10"DECK BAND C[] UNDERSTRUCTURE. I I L APPROX.48" L APPROX.48" SUPPORT 2'x4"POST SUPPORT 8' RAILING NAILED WITH 2 NAILS EVERY3/8"x4"AND 3/8"x6" 2"x2"PICKETS SPACED LESS THAN (SEE DETAIL P1 ) 6"oc(TOTAL OF 6 NAILS PER DOUBLE HOT DIPPED 4"APART,AND NAILED WITH 1212-1/2 8'RAILING POST SUPPORTI INTO RAIL POST. GALVANIZED PLATED LAGS GALVANIZED RING SHANKED NAILS WASHER CONNECTING 2"x4" PER 2"x4"RAIL PLATE. (SEE DETAIL P1 } RAIL POST TO FRONT BAND 2"x10"DECK BAND r P1 TRADITIONAL RAILING DETAILS \,,V NOT TO SCALE DESM EXCEEDS 200 e,.LIVE LOAD 4' RAILING (SEE DETAIL P1 ) A MINIMUM OF (2)- 1"x4" WIND 4' RAILING BRACES ARE TO RUN DIAGONALLY 40" WIDE STAIRWAY (SEE DETAIL P1 ) FROM THE CANTILEVER TO THE TO GRADE (SEE DETAIL®1 FRONT BAND. THE WIND BRACES ARE TO BE NAILED INTO THE BOTTOM EDGE OF EACH OVERLAPPING MEMBER WITH THREE 3" GALVANIZED 12 SCREW SHANK NAILS. GRASPABLE HANDRAIL TO CONSIST OF A 2"x2"PICKET MOUNTELEVON THE APPROXIMATE ELEVATION 2'-3" HANDRAIL BERACKETS TWEEN EVERY 6'. TOP AND B30"-38"FROM THEIOTTOM NGER OF GROUND AND NAILEDWIT4\ STAIR PAD IS TO BESET INTO EACH STRINGER HANDRAIL IS TO TURN BACK INTO RAIL PLATE. WITH 6 NAILS 3/8"x6"LAG BOLT TO ATTACH EACH STRINGER TO DECK 5/4"x4"DECKING p 2"x4"RAILING CAP IS TO BE O Y POST/ FOOTER FRAMING/ UNDERSTRUCTURE RAILING AND STAIR LOCATION NAILEDS ANDTO NAILEACH D IN WITH 2"x4"BAND 4" 3"NAILS AND NAILED INTO THE TOP RAILING PLATE WITH2"x4"TOP 1 NOT TO SCALE DECK DESIGN EXCEEDS 601b. LIVE LOAD ONE NAIL EVERY IO"oc RAIL PLATE 2"x4"KICKPLATE 2"x4"BOTTOM i 2"x10"TREAD RAIL PLATE 5/4"x4"NAILER STAIRS HAVE 9"TREADS WITH 8" BOARD RISERS EACH TREAD IS FASTENED 2"z4"RAILING POST TO THE STRINGERS WITH 3"NAILS IN EACH END. NOTE:STEP PAD TO BE THE STAIR RAILING POSTS ARE WITH RIPPED 2"X10"AS WRAPPED NAILED INTO THE STRINGER WITH NECESSARY PER FIELD CONDITIONS 6 NAILS,AND INTO BOTH THE RAIL 2"x4"TREAD CLEATS PLATES WITH 3 NAILS EACH. TREADS ARE SUPPORTED BY Q STAIR PAD 5LADL,ETTAIL 2"x4"CLEATS WHICH ARE TO 2"x10'STRINGER 4 BE ATTACHED TO THE STRINGERS WITH 3"NAILS AND 121 3/8" THE STAIRCASE IS TO HAVE(21 2"x10" x 2-1/2"LAGS PER CLEAT. STRINGERS,ONE ON EACH SIDE. EACH STRINGER IS TO BE TOE-NAILED INTO THE DECK WITH 3"NAILS AND INTO THE NOTE: (STAIRWAY ILLUMINATION STAIRPAO WITH 3"NAILS. 2"x10"STRINGER 2"x10"TREAD PER CURRENT CODE) pp THIS SPACE THIS SPACE 2"x2"RAILING PICKETS KIC'NLATE 3/8"x4 DOUBLE HOT SPACED LESS THAN 4"APART AND DIPPED GALVANIZED NAILED WITH(2)2-1/2"NAILS PER PLATED LAG BOLT 2•x4"CLEAT STAIR PAD (SEE DETAIL 2"x4"RAIL PLATE ®I LEFT BLANK BACKER PLATE 4"x6"POST(3 LAM HATED THE B z L_E E T B L-A N K THE BACKER PLATE IS NAILED N0.1 GRADE 2"x4"i �tN OF Af4ss4cy TO THE RAILING POST WITH 3"NAILS, '_i:s. =+ INTO THE RAIL PLATES WITH 3"NAILS, 8x12"CONCRETE FOOTING (FACTORY PRECASTED O AND INTO THE STRINGER WITH 3"NAILS P.S.I.UNDER CONTROLLED UP CONDITIONS) � N 4"z6"TRIPLE IL�t tt,l STAI8 P�R AND FOOTER DETAIL 48" LAMINATED P ST 0 INTENTIONALLY INTENTIONALLY (SEEDETAIL� 8"z12"CONCRETE FOOTER(SEE DETAIL 1 �QISTAIR DETAILS UP TO 6'-8"ELEVATION&48"WIDE, WITH EXTENDED PAD 5 NOT TO SCALE DESIGN EXCEEDS 60W.LIVE LOAD CONAL JOB NAME JIM NUMBER CREUTZ 980551 ECK DIVISQ FOR HPME DEPD PLEASE CALL US AT. 1041 ANNONS COIR P A G E( Z OF 2 TOLL FREE- 1- WOO BRIDGE VA 22191 I ©COPYRIGHT 2000 USA DECK INC. HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 Jun 28 2005 12:48pm Last Transaction Date Time Type Identification Duration Pages Result Jun 28 12:48pm Fax Sent 815088363690 0:23 1 OK J2 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING y, " fi "k "" s�" '+r3„A ••y7 "°. BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building CommissioneEqpEpector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: n 1.2 Assessors Map and Parcel Number: o '�1, � 0© Map Number Par 1.3 Zoning Information: 1.4 Property Dimensions: �aG onin District Proposed Use Lot Area Frontage ti :.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided RegWred Provided .7 Water Supply M.GI_C.40. 54) 1.5. Rood Zone Information: 1.8 Sewerage Disposal System: lop ublic ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ ECTION 2-'PROPERTY OWNERSHIP/AUTHORIZED AGENT M -I Owner ofRecord t^'P---7 Cy lame(Prin UAddress for Service: I : X�-77ijq q6j ignature Telephone 2 Owner of ecord: Name Print Address for Service: M nature Telephone i WTION 3-CONSTRUCTION SERVICES I Licensed Construction Supervisor: Not Applicable ❑ i tensed Construction Supervisor: i± License Number p I dress 31 Expiration Date nature Telephone i ; I Registered Home Improvement Contractor Not Applicable ❑ i ' I Inpany Name I Registration Number dress Expiration Date !aturc Telephone P SECTION 4-WORIMRS COMPENSATION(1lLG.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.......0 SECTION 5 Description of Proposed Work check all a licable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Descn'pti n of Proposed Work: 1, t, j SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be u N. Completed by permit applicant ��x�;�'' 1. Building 1r d (a) Building Permit Fee l Q, Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee x (b) 4 Mechanical HVAC 5 .Fire Protection 6 Total 1+2+3+4+5 CS Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ! 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 iature of Owner/Agent Date . OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS l� 2 RD 3 SPAN DIMENSIONS OF SILLS D IMENSIONS OF POSTS S OF GIRDERS FOUNDATION THICKNESS OTINGX OF CI�EYG ON SOLID OR FILLED LAND G CONNECTED TO NATURAL GAS LINE t ::;�i• X7778 E.w.D.�C'.G. II I ACD \ EA,iEMC.v7-- Dwelt 3'S Iri 23S GtevC- Ldl��•3li �� /Z, 1 pla 6r OFA D q,8 �.Z- NEPEQY L'E.tT/fy Tb TyE )'7TGE/NSfie�R.4N0 /�� Q T � Tiy6 GAN,t'T.fGgT T,yE 0�-�I.t9t/S CGiCAT�O O.V T,y�cor,�s.r�arv.4.vo r, -/rocWS /►'/Ti4� ?�E TOwN p/ .N� A�vq�►, _2GW/.vim ,4rtwv ,eire�I.mi.�0 .re�reNnrs Ftc�.ti sr�E rs,�cor uvc-.s /c/O. �4.v1ao✓Ee /meq LOGITEO /r{r Ty�c FEG1S.rtAL .4�a»O �yd92A.10 A.PE-.a, O,t'.9�✓/(/ fO,P �Sye k oiV FEiN.t c'o� .V/Ty P.INo,4 nno ZS s E .cam, lee. Tris Bo/%vv � 66 oa.�or�SES-�t�'OT FO? /o.�: Bo�.a-o•9.es�/.v�.�.rs- �E.P.�/raf.4G�'E.f/B.WEE,P�.�/6 .SE•Pr/lES .'�'iov T.4 Exrsri-vc ,Pez'o.�os. G6 P�4•P,.�',ST.rEET' .1 /»-4 S.sC 9 A.f/ODYE.P, �IA.S.S.4C,f/l/SETTS p/Bjp NOi+7k Zoning Bylaw Denial w^ a Town 4f North Andover Building Department 27 Charles St. North Andover, MA. 01845 sgCNUS�' Phone 978=688-9545 Fax 978-688-9542 Street: Map/Lot: yT7 01 (a Applicant: _7 a YY)'e Ln.� . -t-Z G . .._.. .. Request: �e q PIAS-E- 'D e e tc- Date: ; Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting e S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage Lie S 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage — 1 Allowed i 5 G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required e S 3 Preexisting CBA c� S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient S i Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum --- 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting LpS 1 Not in Watershed S 4 Insufficient Information 2 In Watershed j Sign A 3 Lot prior to 10/24/94 1 Sign not allowed — 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking A) .A 1 In District review required 1 More Parking Required 2 Not in district ul, S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedyfor the above is checked below. Item # I Special Permits Planning Board Item # Variance Site Plan Review Special Permit C- Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Si n Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conformin Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Si on R-6 Density Special Permit Watershed Special Permit ecial Permit preexistin nonconformin The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations p by the applicant serve to. provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein b reference. The rP n y building department will retain all tans and.documentation cumentation for the above file.You must file a new building permit application form and begin the permitting process. Building Department Official Signature Applic tion Received App kation enied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the applicationf v permit for the propertyindicated on the reverse side: U W (V q 1r � c1.R AS r4 :n,Y flta .iso,: �taz ..l�r�;� r `.,a• q-. Jn It', rc y��4{,� #�5 ig f•�,�^9fr'` �e�k'7'9i�if1 t 'y �t�'y�� �`� �i�� � ,�r 7� t} , tz� t � s �� va +.,�ps,tr ��' i�..y,t�t�4 r'��,SF�fY}��t�i� r r:.�" '�'k`y(*r�i 2" �:R+>�o1 Yt4nyn`'f�"�'��`+t�^"�'� e'�'+RFs '�%t�t 4t 3 �t r�3.ry� P� �� .:x ,r's i•ti:, 2 r t s „��' Y� � �ss►�Sg's�:. '%u�U.�+y'�Y��I Ja Y��(..:.�5r.�5 4"���i�t�„+'�,r�f-�`�•,.�s't:It��ca`,,nt`7�lhU l- ��r'�9 ���t:�.syh t�}(�� x*,.Yks�y' jy�7s a�4 '� a��a ya,� ��� r i-y .. ////�J���- r r.;:; 'Yx.y �Cr�`.e�r�,S'�iY.0�r3 k f���;:.x ku[ �3�,� >r�a'ftx� �srr tfti'•tk m frA S -} D / ✓UCJ N CU n� lyVj�N 7/' G�cl s re— i'P_. C�l.`2. J U f 0t,) cj4 �qse1a c X .4` Pc� c�� 1�4R1A C i Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Ing Historical Commission Other BUILDING DEPT r Location leoc , No. Date �© r r r 140 TOWN OF NORTH ANDOVER ? • o41 . Certificate of Occupancy $ ��cMusEtt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ ,S Check # Building Inspector w \ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �5r �,p,> .���. �v:�su•,�� � .l.: .,-, � 1� � e _xr�rc .. ,�kc _s -��. �c.._t BUILDING PERMIT NUMBER" DATE ISSUED: 171 a �m� SIGNATURE: Aw - Building Commissioner/I for of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Ll 1.0 X10 h Map Number Parcel Number- 1.3 um er1.3 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 R red Provided Required___ Provided 1.7 Water Supply M.GLC.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ 1 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 �p SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1,Owner of Record (? C n0 0 Nam rint) Address for Service Li_ fy� - Signa a V Telephone Qj� 2.2 WJner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Y Address E T Expiration Date Signature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address rw z Expiration Date Signature Telephone E SECTION 4-WORKERS COMPENSATION(N.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.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. \ Demolition ❑ Other ❑ Specify -- Brief Description of Proposed Work: f SECTION 6-ESTIMATED CONSTRUCTION COSTS i ItemEstimated Cost(Dollar)to be Completed by permit a licantqgffl 1. Building (a) Building Permit Fee ry Q Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee($)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO ITE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, COwner/,A `orized Agent of subject property Hereby au orize to act on My behalf,ii 11 m s relativ rtrk a riz y this building permit application. Signature of O er Date SECTION 7V O ER/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 ature of Owner/A ent Date NO. OF STORIES SIZE =MUM BASEMENT OR SLAB SIZE OF FLOOR TDABERS I ST 2ND 3 PD SPAN DEVIENSIONS OF SILLS DM ENSIONS OF POSTS DIWNSIONS 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 ' CC UVA P r •cp zoo'A&WAI �ASL�altaT bscK 1 cK AD. Lam. r Ida e- i a-65 r OAD 9 6 pG 1c. �S .yE.PEBy C'E.�T/fY TO T.y�' T/TGE/NSUR4,PgNG ®� ®T r�L.4�t/ Ti4�E e'1gN.!'T.f�.QT T,VEOAr►E�G/.r/6/S COCATA-O O.1 l�rTiY rvE rocvN orr .w.,oNao►.,rrz 2ovs tE6vG.vraas .PI�LI.tO/.K4 JEr."e' x FW.OIW.STREETS u/NB 1 L4T uvGS"° NO, �S FlG�TiYC.r CE.�T/FY T.f�ivT TiY/.s dLlrE /S�vBT L®eCgTEO /N T.YE FEDEE.PipG .SCO►�O .5'.42A.�0 .4.PE.4, �.P/4ii�i4/ /=G�.E� tShr'QIVK A/V 6EM,�• G'p,e,� .V/Ty P..I�t/GG '�' . A.orE1� alisxk? Z� rE BO!/.v© . CE.mu.P�SES-i►i'OT fi9.P � j �' /O�i;' �901�.arOA+PY/�[/FO�E'/b� ��.•�''•P//A�fJ/i�Ei�/6'!.t✓�sG�.P/.�t� ..�'°G�.�"�/G'E.i° AT/O.f! TA ' E�/STit/C �ECo.�dS. 646 ars-�5�9 .4.8/OCSY�,E; .•�?AS.S.�C.f/!'.SEJ°'7.S v/8/Q WORTH LED own of over 0 0� dover, Mass., RATED P? C7 S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....�aYk 't . ... .....................C.V Z... ............................................ Foundation has Permission to erect.....160.� �.. r`...... Buildings on ....�. ........... ...m � .....kof................... Rough 4to be occupied as.........�..... �.p c r� .r....... P1O . . Chimney ................................... . provided that the ersmfacce in this permit shall in eve res ect,conform to the terms of the application on file in P P P 9 P N P PP Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 4 � As_ PLUMBING INSPECTOR VIOLATION of the Zoning or BuildRe ulations Voids this Pefml� 9 9� ,�9Rough .. D7 MAO A�p is I N PER I EXPIRES IN 6 MONTHS Final V , 9"*A UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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.