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Miscellaneous - 60 BRADSTREET ROAD 4/30/2018 (2)
60BRADSTREET ROAD 210/057.0-0019-0000.0 - .-- --- - ---- ----� V) Location No. �2 491P Date MORT1y TOWN OF NORTH ANDOVER t • ; : Certificate of Occupancy $ U E<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ` Check # 18718 ` ilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 114 f BUILDING PERMIT NUMBER DATE ISSUED. rn CQ 9� ( SIGNATURE: Building Commissioner for of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0 057) 001a Map Number Parcel Number Qj 1.3 Zoning Information: 1.4 Property Dimensions: r--- Zoning Distrid Proposed Use LA Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RcqWred Provided ReqWmd Provided b 1.7 Water Supply M.G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 0 Zone Outside Flood Zone Municipal � On Site Disposal System 0 P.MI SECTION 2-PROP`ERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record { —02 A!ie _Name(Print) Address for Service Y, L Sijnature ,_,, Telephone (� 2.2 Owner of Record: N—Ume Print Address for Service: � i Si - ature Telephone 9 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supery or. O a 3 U 15 0 1 1�� 'R ID License Number Al Address > lyn ra j�, -13 3 S�7 Expiration Date ,MEND nature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r _ sem r Address �^ Expiration Date Si nature Tele hone I 1 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 unit. Signed affidavit Attached Yes....., No.......0 SECTION 5 Description of Pru sed Work check aH appUcable New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition Accessory Bldg. - ❑ `. Demolition 0 Other 0 Specify i Brief Description of Proposed Work: - i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to.be OMCL,L USE ONLY x Completed by permit applicant 1. Building e U (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of ` Construction 3 Plumbing --------- 4 Mechanical HVAC Building Permit fee t,l x tbl - 5 Fire Protection ----�.� 6 Total 1+2+3+4+5 A Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN �! OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 7 Z ` I, JVDAJt g,p as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative t work authonzeffy this building permit application. -Si`nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property V 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 Ak-TAO Si �ature of Owner/.4 Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR lUvIBERS 1 1' [ 2' SPAN DIMENSIONS OF SILLS D11vIENSIONS OF POSTS + •- �4 DUVIENSIONS OF GMDERS _ ------�; HEIGHT OF FOUNDATION THICKNESS 0" SIZE OF FOOTING kk. X i MATERIAL OF CHIMNEY �y IS BUILDING ON SOLID OR FILLED LAND y„y IS BUILDING CONNECTED TO NATURAL GAS LINE tu7� 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 ��c�.,.J ��- PHONE —5-33 LOCATION: Assessor's Map Number (ate PARCEL ` SUBDIVISION LOT(S) STREET �� � L - ST. NUMBER�� OFFICIAL USE ONL MCLZr OFT W AGENTS: NSERVATION MINISTRATOR 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 01 PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT VAig ?i ;RECEIVED BY BUILDING INSPECTO DATE Revised 9417Im The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ;;;,;; 600 Washington Street .. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name([3usiness/Organization/Individual): V Cr Address: City/State/Zip: ,� ,,� � ,,,�„ „ G it4lPhone ei 5-3 3 57 Are you an employer?Check the appropriate box: Type of project(required): am a employer with 3 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole ro rietor or partner- listed on the attached sheet. 'T7• EJ Remodeling P P ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9.'tg_j3uilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.[] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. /am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. fl Insurance Company Name: Policy#or Self-ins. Lic. #: �A V'wC_ Expiration Date: q A L l d Job Site Address: 1� „ City/State/Zip: ay E �,/�,�� # Na.- wvI5— Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /do her4y cer iyy under the4Vw'nseand penalties of perjury that the information provided above isl true and correct. Si natu e: _iz Date: k,h t 1-7 Phone#: (�11, fi U33 Q.ficial use only. Do not write in this area,to be completed by city or town q ficial. City or Town: Permit/License# Issuing Authoritycircle one): :) 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia i NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL ,; 11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facilit ) Signature of P q k4A plicant Fire Department Sign off: Dumpster Permit Date j j o169 Boxford Street �lm, � • North Andover,MA 01846 '"" • PH:9788888335 Building Contractor I • FAX:978688-7207 Proposal To: Derek Wessel 6D Bradstreet Road nu Hans irrtprouemerd Con4aaas and su>xbrraa�ors engaged to home imrxouerna t oonaadM,tam North Andover, Ma. 01845 > r e Itorn MgWhkon by Provigons of ChapW 14M of the general rears,must be regWeMd wfth the Commas of Mas wm elts.hx0ft abw reoWsbon and St"should be made tothe Drector.Horne MbdonPWw Fir n� Kevin Murphy MA 02109. 7�rnssse cc: Data 10/8/2005 JOIX Two story addition!porch renovation Date of p1mm 10/05 Architect Steve Foster same Section i—Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement,unless specified here in writing contractor will begin work on or about 11115M5. Blaming Delay caused by circumstances beyond Contactors control,the work will be completed by 5/15/06.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants Neat the work furnished hereunder shall be free from defects in mateftis and wodtmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the Contractor, his subcontractors,employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair correct,replace,or cause to be remedied,repaired,or rte, such damage or such defect in materials or worlunariship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section 111-Scope of Work i Page 2 of 5 Kevin rah ", l Bn� � cto: ry,Apver,MAM8a5 PR 978 68BZM FAX 97&688-)O= General ctor. No allowance has been made for variance if required by town. Building permit will be provided by contra owner to provide plans and certified plot plan. Excavating from site. Excavation required to install full basement area will be 1p vances haded. All ve additional fila Ilii � removalremoved of Vie, Backfilling and rough grading will be provided. No a landscaping,lawn installation, sprinkler repairs,or paving. Foundation rovided as shown on plans. Four inch thick poured concrete floor will be Poured concrete foundation wilt.be p _ stars to new provided over crushed stone base. Bulkhead and precast tion(totbe elxposed in new 9baseme�nt area')will basement area from exterior. Section of existing stone be repointed. Building code/as shown on plans. All frame, roof, and siding materials will be Pro a tt2 10 asnxis r+equ red).building All sheathing will be pplywood(3/4 Exterior walls will be 2x4,floor joists, rafters tom will rovided entire rear roof, and at all roof edges roof . ice&water sheild P r T ek or onover on floors, 112 on wails, 5/8 } valleys. Roof shingles to match existing. Siding will be cedar shingles t� exteriorexisting,� unit will be equivalent Anderson window units will be provided as shown on Plans- Thermatru or equivalent Plumbing ll be provided. Plumbing required to add 1/2 bath on first floor, an of$1700 has been included for other bath ur fixture master bath on second floor�fixtures($1 000 Copper pan for file shower provided. An allowance for jacuzzi tub,$100 per faucet,$150 per toilet,$100 for shower valve,$10o for tub fill). Electrical service vAll be Electrical work required to wire addition to meet li de wiH be provided.iced. Eight recessed lights) haceve been included relocated as required. Two bath fan/light units an P r lies will be roughed m Additional recessed tights can be at a cost of$75 per light Phone,cable, and compute by electrician,to be connected by their service provider at owner's expense. General layout to be approved by owner prior to rough. HeatinglAir Conditioning Two zones of forced hot water heating will be provided off of existing boiler. No allowance has been made for any air conditioning. insuiadon Pct aaded areas wilt be insulated to meet code..(R-13 In exterior walls,R-30 in second floor ceiling,R-19 in cellar ceiling) i Hem rq wvphy Page 3 of 5 Bandfus Coaaesauet®s 169 SMdad Street N0MAndDW MA01U5 PR 9786MM FAX 87$885 OM Plaster All added areas will be blueboarded and sldmcoat plastered. Ceilings to match existing, walls will be smooth, closets will be textured. Interior TrirniDoors All preprimed interior trim and doors will be supplied and installed to match existing. Painting No allowance has been made to provide any interior or exterior painting. Mooring Tile floors will be provided in both new bathrooms, at entry area, and in new shower. An allowance of $1500 has been included for file materials. flooring will be installed and finished in new master bedroom and fest floor fami room. Hardwood oon g family Other Allowances An allowance of$1400 has been included for bath vanities and countertops. Waste Removal All demolition and construction debris will be disposed of by contractor. Nevin Mwqphy j Page 5 of 5 RaUdI ag Contractor 189 BMdord Street North Andover,MA 01845 wf 9786e8-rM5 FAX 9788884W Section IV—Price Schedule --- We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of.....................................$ 128,500 Payment to be made as follows: Percents tem Descri 'on Amount Payments as shown on bank agreement Total 5 $1281500.00 NoVuratfortbwkrpraamd caftothigwoncOW adownpeyrrrentor Wvmft Myth the rtes!nalminadvirmtomferw4tronwwised"defWryofspecW order materialsendegrWnerB,wtnde isgeeter Contactor. Kevin Murphy 169 Boxford Street No.Andover,MA 01845 Registration No: 101874 Suction V— --- Accepto Acceptance of Proposal—I have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction atanytime prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature(, Date l Signature Date XAORTH Tovm of Andover slow / ?8� town = A E dover, Mass., /0Ao?40/off 00 S- CE DOCMICMEWICK -/ ADRAT '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT......... BUILDING INSPECTOR�.1.��..�..........��...�.'S..C..I....................... ................ .......... .............. Foundation has permission to erect...... � ay.�... buildings on d 8ra�8M±�'' 1d Rough ...... ........ ........... to be occupied as... near .,# * ✓ « 0 / rC Chimney ......... ......... ......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-Laws relating to the Inspectio Alteration and Construction of Buildings in the Town of North Andover. r/� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �7 Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI N STARTS ELECTRICAL INSPECTOR Rough of 0f ....... ... .................! ...... Service .. .. .... ......................... ......... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumex Street No. SEE REVERSE SIDE Smoke Det. r3UL KNrA2 C3A5FMr-_Nil- I I 13AM CO/�r p GS C N1"1?Y I I BEAM AC30VF� C'0' I,ANP5CAPIN< Q5 I FAMILY DOOM II �- i 51F-�p DOWN I IP, A-IGN I PPIVI�WAY - CX1"G, WINDOW CL VC&N I 21-011 P01?CN 0 F1P5f FL00P PLAN LIVING room Lujill CL, D PINING DOOM 60 pOAP NOFTH ANPOVFp, MA 23' -6" 3' X 4' SNWf?. :2' -0'' ( l)-?) O" 13' --72' ����' `IF�CUZZI" ST1'U� 11JI3 ® OWNF-f? CONrIFM 5P CINCAnON5 Poor [��UOW01, AWNING 51YLF- WINDOW + CL N'f1 f? 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EXISTING i?OOF G / CEILIN 1 5 r1?UC rUl?E TO r?E MAIN ���• NEW 3' WIPE V,I,F, LOCATION NEW EX1"Ef?IOI'. WALL, + SIPING TO MArCI-i EXI5IING r3UIL21NG WP�AP I I TNEr?MAL 1/ 2" CPX PLYWOOP 5HEA1 5ECt10N A-A "NINC C31?EAK 2X -48" 16" O.C, I I p-I2!5 FIr3E126LA5 INSULATION POLY VAPOP r3A PIE12 NEW 4" 1/ 2" 6" I CONCt?ETE 5LAI3 EXI5vN6 FIELP5TONE FOUNPA r ION NEW POU'EP CONCf?ETE FOUNPA110N, NEW COMPACATE P CPAVEL 13A5E pEPLACE EXISTING PE1> C?IOf?A1 EP F OUNPA1lON � - ':M• 2" P'IGIP FOAM NEW POUI2EP CONCRETE FOOTING & FOUNPATION 5�CfION A - A 5/ 8" CPX PL YWOOP ! I?OOr 51-11�ATNING Kn 2X8AT16" O.C. ASPHALT 5HINGLr5 V I?Ar TL I? TO TOP PLATS rP�AMING CONNI�C'I"Op. _I I^ _IC! U• .� I\�. _D55 5�CfION 2 X 8 AT" 16" O,C, TYPICAL rAVr5 PF-TAIL.: FASCIA & 50FF11 1-0 MArcH E,�XI5TIN6 CON'flNuou5 SOrrIT Vr-N-r, I/ 2" GWl3 ON POul3Lr TOp PLA� i MF-'F/N- PpIP rPGr� I X 5'rP.ApPING x'-30 INSULATION ICE-/ WAQ�P, 51-11FLP IN5Ul,AT A' PFWIMr,TP, JOIST HANGF p5 I?IC3I30N J015T TYPICAL AT "IN-LINA" r rI:AMING NrAPrI?. 2 2 X 8 �5/ -1" 1-&6 PLYWOOP, p--30 INSULATION TYPICAL- UNL-r55 NO'TP) NAIL & GLUE TO FRAMING . rIN15H 2NP FL-OOP, pCI21 ME�lTr-I? + nVICALWn L; ''I.IC3[30N J0151 " -,-?nNC ,ro MAT-cid rxI=)-rING ILJILL?ING W>;;� 2 - 2 X 8 AT 12" O,C. I/2'' Cex P WVOOV 5HFA'rhIING N�APrI?, 2 - 2 X 8 2 x 4 A1"I6'' O,C. < TYPICAL UNL�55 N01"l;P> CAL--r,: 2 X 12 Ar16 OC 2 1 41, X 16 r2-13 r-Ici�f'c',LAS INSULAI1ON CL-6, NT, I?rPUCCP> MICPOL-AM LVL P01-Y VAPOP r3APPAF: 1/ 2" G WC3 P I?IMrT�I? "pIr3C30N .JOIST" 12-19 IN5ULA-ION r:;5pIP6IN6 AT" CrNTLI; SPAN rIN15H IST rLOOp (APP11"10N) 2 - * 5 I?rr3F:I? TOP & C30-I"rOM 2 x 10 Ar 16" O.C. 10 , rYPICAL- 51LL- r%f�'rAIL: , WArrf?PP,00FING ANCHOP 13OLT5 A1"4'O.C. - 2 x I O ,�, 511.1. 5f A- r-OAM IN5UL.!-VrION , POu13l_r 2 x F� 17 Al r f� 511._I- , 4" PIA, PVC PIPs POUpLP CONCf?rT rOUNPATION - �, CONTINUOUS I?IC%GhG'N .J01�1 AT 8' O,C, 1/ 2" PIA, LALL Y COLUMN. LOCAl-r AT SPAN rOUNPATION PrI?IMrTI;p PLAIN: 4" PIAMF-TrI? prprOP.AIEP PIPr OWNrp/ r3UILPCI CONrIPM I ' -8" : 'ri y r • +., 3/ �}" Ct?USNCP STONE APrQUATL SOIL PF-AMNG CAPACITY - ':: rILTT I2 rAI3PIC PI5CN1PGr 10 APPPOVrl2 "LOW POINT" \-,-3011 50. X 12" PP. CONCPF-TF- TOOTING L DATE: SCOTT L. GILES FRANK S. GII" JULY 16, 2005 SUBJECT PROPERTY FRANK S. GILES - o�� G MAP 59,PARCEL 11 REVISIONS: OCTOBER 13, 2005 SURVEYING � �� � WESSEL,DEREK S' ti 60 BRADSTREET ROAD . 50 DEERMEADOW ROAD , 'a NO.ANDOVER,MA. SCALE: 1 INCH=20 FEET NO. ANDOVER, MA 01845 $s1o�'� aW 40' TEL: (978) 683-2645 ao suave°� AREA0.19 5848,PAGE 155 Frank(hlesSurvey@comcast.net�@ Y 16 2005 DOS=1938 PLAN#409 PLOT PLAN OF LAND ZONING DISTRICT R4 LOCATION MIN AREA= 12,500 S.F. FRONTAGE= 100 FT. 60 BRADSTREET ROAD FRONT SETBACK=30 FT. SIDE SETBACK= 15 FT. NORTH ANDOVER, MA. REAR SETBACK=30 FT DRAWN FOR DEREK WESSEL MAP 59 oL PARCEL 11 1" LOT 11 8,110 S.F. O Flo •�� i� � ��^ lL � i i i I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY LAWS OF NORTH ANDOVER, MA. AT THE TIME OF CONSTRUCTION. THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: �' Ltl� l N ESS LT-tX P. PROJECT LOCATION: �- L D SD ��. 'T6d,�I' 3A , NAME OF BUILDING: NATURE OF PROJECT: TP-NAND' F IT,,v P f=b p, 'D rzFA m DI IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDINGCODE, I,_ C��I✓Gotz�-( }�, SM �-� REGISTRATION NO. P 6 6 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT D ARCHITECTURAL STRUCTURAL[] MECHANICAL a FIRE PROTECTION 0 ELECTRICAL 0 OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE.AND OCCUPANCY. IFURTHER CERTIFY THAT I SHALL PERFORM ERFORM THE . _ NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEED ING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the constriction documents. 2. Review and approval of the quality control procedures for all code_requir+ed controlled materials. 3. Be present at intervals appropriate to the stage of constriction to become with6the progress and quality of the work and to def ermine in familiar general, if the work is being performed in a.manner consistent with the construction document& PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT R OCCUP ' I SI NATURE SUBSCRIBED AND SWORM TO BEFORE ME THIS O DAY OF ,7 e: 20 NOTARY PUBLIC? IP COMMISSION EXPIRES * Notary Publiclic , Commonwealth of Massachusetts My Commission Expires June 7,2007 Location No. ,� Date oF f N'90 TOWN OF NORTH ANDOVER 9 + � • . Certificate of Occupancy $ ;&: �s'•^°';<� Building/Frame Permit Fee $ �cMus Foundation Permit Fee $ ' - Other Permit Fee $ TOTAL $ �= Check # 187 " 7 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: Z,2G,� 70 SIGNATURE: _ Buildin Commissioner/I__ for of 'n Date z SECTION 1-SITE INFORMATION ,1'.1 Property Address: / `� 1.2 Assessors Map and Parcel Number: 0 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided I 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 OwneA Record sS �c/-� Name nt) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: qz 1„ Signature Telephone SECTl'bN 3-CONSTRUCTION SERVICES 90 3.1 tcensed Cons Supervisor: Not Applicable ❑ Licensed Construct of Supervisor: . i License Number IV T Mn Address q —�o Expiration Date ic nature Telephone �. 3.2 Registered Home Imp ovement Contractor Not Applicable ❑ JA�� ompany Name M '30(O I� 1 �X ] `A a Registration Number rm. Address —2 -7—S -06 Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(NLG.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 D Repair(s) 0 Alterations(s) D 1 Addition ❑ Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: Aw ew 040 C . G . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be p7lOIALS Completed b permit a licant F..x 1. Building lJ V (a) Building Permit Fee V v Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC �- 5 Fire Protection v 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 � �� /X as Owner/Authorized Agent of subject property Hereby authorize A to act on My behalf�-in'al- ers aa f wor au orize ,this building permit application. Si true 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 ature of Owner/A ent Date m 1111111111151 B7 11,111�1111 NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TTURERS 1` 2 3 SPAN ' DIMENSIONS OF SILLS DIMENSIONS OF POSTS DJUNIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MfATERLAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • .Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (9.78) 688-9545 688-9542 Fax HOMEOWNER UCENSE EXEMPTION Please print DATE JOB LOCATION Number r/ r�Street Address Map lot .HOMEOWNER At "HOMEOWNER � ,^ Name Home Phone Work Phone PRESENT MAILING ADDRESS G S' City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual 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 HOMEWOWNER: Person(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is, or is irrtended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who construes more than one tune in a two-year period shall not be considered a homeowner The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-{aws, rules and regulations, The undersigned "homeowner"certifies that helshe 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 The Commonwealth of Massachusetts J Department of Industrial Accidents } Office or"Investicgations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit - Please Print Name: G' Location: c1 /Y (/ire/C Phone D/ G , G am a homeowner performi;g all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. company name,• iW V Address Phone* Inautange PORML# rrQrnp�xtame: - . . I Address City: Phone#- Insura + Co. Po►�c�t# Failure,to secure coverage as required under section 25A or MGL 1,52 can lead to the ikon of akr*al penalties.of a fine u to$T,50lw N and/or one years'imprisonment ass'welt as cM penalties In the.form of a STOP WORK OPMER and a Me of($100 00)a day against rn understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri ion. e 1 I do herby certify under the pains and penaes U►at JMormatiat provided above is true anis correct SignatureL." Datee'o� F"20Cj �xPrint nameG(� 0 6 Phone# = �.c Official use only do not write in this area to be completed by city or town official' Building pepf OCheck Yimmediate response is requked Building Dept © L10E?RSigg Board. Setectnt Contact person: Phone# p an Office' Q Health Department CJ Other ?A4 WORKMAN'S CoMpENSATIOM FORM U .- LOT RELEASE FORM 6 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*********************** q APPLICANTA r, �. g `IV Q "n, P�0Cc Inc PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET ✓h s �, ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** �ROJNI EN ATIO OF TOWN_ AGENTS: VX CONSEXVhTION ADMINISTRATOR DATE APPROVED DATE REJECTED_ � r I COMMENTS TOWN PLANNER DATE APPROVED L� U DATE REJECTED— COMMENTS EJECTED COMMENTS I FOOD INSPECTOR-HEALTH DATE APPROVED Ll DATE REJECTED '��w -T!7>� SEPTIC INSPECTOR-HEALTHP"_ DATE APPROVED a DATE REJECTED_ COMMENTS �,tN-L)QkOJ -Ey- ov P A / G ev rcr PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ w-- Revised 9197 jm i P 1 septic tank � ' 16' x 16' Deck LIT 5 24' x 24' 28' x 44' Two Car Two Story Garage Wood Colonial M YN 0Q0 109M � 1 1 is O ti RAIL PLAN Scale 1/4" - V Date:10-18-05 Revised: I Drawn By: AJ 1-800-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, ------------------------------------------------------------------------ ------------------------- ----------------- x1c. Ledger at I Ha are 3/ "Lag B01t 136 3 " Vi b �'-O„ LU F bi O R JOTS mpDalts ec Ing, N X O N ------------ N X 16'-O" 2 JOIST PLAN scale Iva" m r Date:10-18-05 Revleed: I Drawn By: AJ 1-500-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, cry b is b 8"x48" Below Grade Concrete Footing = Metal Poet Anchors 3 FOOTING PLAN Scale 1/4"a V Date:10-18-05 I Revised: Drawn By: AJ 1-800-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, j07 L-6 1� Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration ReaMation: 131469 Type: DBA Expiration: 7/2512006 MIDDLESEX CUSTOM CARPENTRY-:.-- ANTHONY JOHNSTON 301 MIDDLE AVE. WILMINGTON, MA 01887 Update Address and return card.Mark reason for chang rl Address [-] Renewal rl Employment E] Lost Card ;-CAI rs 50M-04/04-G101216 - 0/ Board of Building Regulations '�Vi- One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 09/30/1960 Number: CS 057056 Expires:09/30/2007 Restricted To: 00 ANTHONY C JOHNSTON 301 MIDDLESEX AVE WILMINGTON, MA 01887 Tr.no: 3533.0' Keep top for receipt and change of address notification. -Al ei 5OM-04,'05-PC8698 ✓�ie-[�amr�xnnu�ea� a�f2�tltate�s BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 057056 Birthdate: 09/30/1960 Expires:09/30/2007 Tr.no: 3533.0 Restricted: 00 ANTHONY C JOHNSTON 301 MIDDLESEX AVE ' WILMINGTON, MA 01867 Commissioner s y t OPID, :.r t m ACARD_ CERTIFICATE OF LIABILITY INSURANCE H=-17 n92 05 PRODU�t THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HUB International AIe� England HOLDER.THIS CERTIRCATE DOES NOT AMEND.EXTEND OR 299 International BallardwaleSt ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington MA 01887 �# Phone:978-657-5100 Fax:978-658-9185 INSURERS AFFORDOIGCOVERAGE INSURED MSUZERAI• Nano""Gran"awbaL ms. to INSUMERS: =77 .to. Middlesex Custom Carpentry 0lS—u c: 301 Middlesex Ave. INsIMD: Wilmington MA 01887 MrE COVERAGES THE POLKOES OF MIS MANCE LOW BELOW HAVE BEEN ISSUED TO THE 90JW WMEDABOVE FOR THE POLICY PERN)0 RD YM.NDFWRHSTJN DM ANY REOUFO M T MOR CONDITION OFANY CONTRACT OR OMM OOCUMENf WITH RESPECT TO MCH THIS MITIH:ATE MAY BE ISSLIEDOR MAYPERTAIN.THE I AFFORWBYTHEPOLKXSDESCRMDHEREMIISSUBJECTTOAU.THETEM.E)Oq.iISIONSANDCONDITIONSOFSUCH POLICE&AGOAEOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GAW& LTR TYPEOFQBURANCE POLICY NUMBER DATE �►� Lm EAMOCaNUMOCE 61,000,000 A X L gym MPF3S020 02/14/05 02/14/06 pRgwEs E•om.eree 6500,000 Iuj aAm MADE n hME P(aareP=W) $10,000 LJ irPEIVOML&ADVROMY 61,000,000 GENIMAL AGGREGATE $2,000,000 GEM AGGREGATELDC APPLIES PER: PRODUCiS-COMPA7PAGG $2,000,000 POLICY n� Loc AUTOMOBILE LIABILITY COM E ED SINGLE LI Mf(Ea 90CMUM S ANY AUTO ALL OWNED AUFOS l ILY KM $ SCHEDLILED MOS MREDAUfOS ( sem) $ NON OVVN�AUM tPRo1TE S GARA6ELIABILM AUTOONLY-EAACCIDEM S . ANY AUTO EAACC S AGG $ En 11 EACH OCCUMOCE S OOCUR r CIAlh S MADE AGGREGATE $ i S DEDUCTIBLE 6 MENTION 6 WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYMLMBnM WCC5003409012003 08/31/05 08/31/06 E.L.EACH ACCIDENT 6100 B �OWP TP/E EJOISEASE-EA $3.00 B Y� E L OLSEASE-POLICY Llbilf $500 SPECVV.PROVE belaN OTHER DESCRIPTION OP9IATK)NS I LOCATIONS I !EXCLUSIOIiS ADDED BY gNpOftSBAEtITI SPEdAI FRRiM CERTIRCATE HOLDER CANCELLATION EVID EN SiWULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXIMAWN DATE THEIREOF,TMwuMIGe WILLENDEAVORTOMAIL 10 DAYSWRTTM NOTICE TOTHE CERTIFICATE HOLDER NAMW TO7W LEFT.BUT FMAW TO 00 SO SHALL EVIDENCE OF COVERAGE IMPOSE NOOK=TWNORLI))BLIVOFANY KIND UPON 71E MWOR ITS AGENTS OR REMEM TATNES. G9 arewn PADOnvalu 4002 dI'f{Dfl 7S/9R/M lf1Yi \ FRANK S.GILES IIS DATE:JULY 25,2005 SCOTT L.,GILES PLAN OF LAND REVIs1005 FRANK S. GILES LOCATION JULY 25,2005 SURVEYING 491 SALEM STREET MAP 38 SCALE: V=20' 50 DEERMEADOW ROAD NORTH ANDOVER, MA PARCEL 9 20' NO.ANDOVER,MA 01845 978-683-2645 FrankGilesSurvey@comcast.net PREPARED FOR JULY 25 2005 PAUL PROULX ZONING DISTRICT RI *N0 GRADING TO BE DONE. 55AOQ SUBJECT PROPERTY THE GRADING SHALL NOT BE AL TERED. �V PAUL MAP ELAINE PARCEL 0 PR 491 SALEM STREET NORTH ANDOVER,MA.01845 % TEL.978-685-2240 BK. 1685,PG. 143 t� AREA=0.76 D.O.S=6/15/83 SEE PLAN#8650 aj D) RECEIVED MAP 38 PARCEL 10 00 r e� 33,017 S.F. S.F. tj'� JUL 2 9 2005 4 �r NORTH ANDOVER \ CONSERVATION COMMISSION iVl?"1'I.,.4NI7 t; \3 7/27'05 � Vr/ MAP 38 ROPOSED DECK PARCEL 300 O NO FOUNDATION r ��\ 9 AREA=281 S.F. O '3 ' 0 ' SQ.TA"ON FTWO 1"X1"X3FENCE ' Mpp 38 a CONTROL STAKES A EACH BALE PARCEL 107 VARIES c7 oMC ® �, o� CON . No CONTROL 299 OFF B v. i i TOGI HER e $CiS�C' PIAN END VIEW NOT TO SCALE NOT TO SCALE r SILTATION CONTROL FENCE 1"XI"OAK STAKES".1BACKED BY STAKED HAY BALES I WIRE TIE(TYP.) 6" 1 SIRS ND GROUND I' 4 EROSION CONTROL DETAIL PROFR.E C:\CLIENTS\PROULX\PLAN.DRG NOT TO SCALE J NORTH ovm Of 0 No. 301 � ...� LAKE = dover, Mass., I� COCKICHEWICK 7,p A�RATEo PPp` �Cy S BOARD OF HEALTH Food/Kitchen PER T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ..... . ...... ..... Q... . .... ..... ....................... ......... Foundation has permission to erect.... .......................... . buildings on ............. Rough 1� ... �F . ... h • ,S' to be occupied as............... .. r�j/ .. �..'.... .. ... .. Chimney ... provided that the person pti g this perm shall every respe co or to the�rms�f the p lic�on�6n�ile in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMITT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIOARTS ELECTRICAL INSPECTOR Rough .............. .......... ......... .. .... .. Service .... ..... . ... . ..... ... ......... B L ING INSPE Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rou h No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDEji Smoke let. r 4 1 NOR71{ TOWN OF_-NORTH ANDOVER • `e PERMIT FOR WIRING :r CHA This certifies that .........R... .k................ ...1..................................... ` v has permission to perform ...... ............. ......................................................... wiring in the building of.l .............. ....:...........L............................................ ....................... .North Andover,Mass. 6 4' ...Fee.1 " Lic.No. .390. � '� .. .�'r . ...... ....... ELECTRICAL INSPECTOR / Check # qM9 6467 Commonwealth of Massachusetts t)flici;tl i :;c unl> - V • , " a Permit N� - ' Department of Fire Services x BOARD OF E PREVENTION REGULATIONS '[Rev.Occupancy and Fee Checked FIR9,0�] t leave blank) f APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All %\ork to he performed in accordance%%ith the Nussachusetts[aectrical lode(\IF.(' . 52 7(AIR 12.00 (PLE.ISE PRINT IN INK OR TYPE ALL LVFOR.1 MTIO ) Date: a o G City or Town of: &/4A 4h6&1— To die hmpec, o By this application the undersigned gives notice of his or herintention to perform the electrical work described below. Location (Street Sc Number) 60 6(41 S� Owner or Tenant De/' e . W C SS-e Telephone:No. Owner's Address S IW_ Is this permit in conjunction with a building permit? Yes © No ❑ (Check Appropriate Box) Purpose of Building Sir>c�l�. Utility Authorization No���(�ckG Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps 1? / X'A)Volts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: R.0 V\ n.S\n ?Se() 61^ rn , RCtl, fbofn gym: ly t � vl'G��de Smoule t �1 ('om lelion o/the rX(m inf;!able cnav he u-aired by the hr})CCC`>r No.of Recessed Luminaires 1 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA. %bove In- N o. o mergency Lighting No.of Luminaires Swimming Pool rnd Elrnd. 11Battery Units _ _ No.of Receptacle Outlets ods No.of Oil Burners FIRE ALARMS No.of Zones tNo.of Detection and No.of Switches I-p No.of Cas Burners ( Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pum Number Tons KW No.of Self-Contained ns No.of Waste Disposers Totals _ .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* LL No.of Devices or Equivalent No. of Water No.of No.of Heaters KW SData Wiring: Signs Ballasts No.of Devices or Equivalent _ No. Hydromassage Bathtubs No.of Motors Total HP relecommunications Wiring: No.of Devices or Equivalent OTHER: I!lueh rddilinrrui derail r/(I('J'U'('(L or as required by(Ire hspecn>r uj 117re.;. ,r Estimated Value of Electrical Work. OG `�C�'�o — (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NIEC 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"coveraLie or its substantial equivalent. I'hc• undcrsi ned certifies that such coverage is in Force, ;.md has exhibited proof of same to the permit issuimr,ol'tice. C I IECK ONE: INS['RANCE ❑ BOND ❑ O Fi II:iR ❑ (Specily:) I cerlifj,,finder the pains and peau ies gl'per%erry, dint the infimmalion un this application A true and c•omlVete. FIRM NAME: _ LIC. NO.: Licensee: i C,/ CC e'C)\ ,�ignatui e LIC. NO.: r/J"r""Idic"INe.,_wer .r.entpt"in Ilhe litursr nunrbw•lute./ 01l/- Bus.Tel. No.: 3 6dress: 1 `. C-,C,e l S-�o L q _ �� ;Alt.Tel. No.: gy�Lt/ *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE NNAIVER: I am aware that the Licensee does not have the liability insurance covcraLe normally required by law. By my signature below, I hereby waive:this requlrclncnt. I sun the(check onc)❑ owner ❑ owner's ;igent. Owner/Agent 2 Signature Telciiliane 'lo. PF-RMI F-FF- S �J� Commonwealth of Massachusetts t"''"'' l;;et'"'> - �w Permit No. Department of Fire Services I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONSR9,0� �� ev. j t leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .SII%cork to he performed in accordance%%ith the NIassachiisetts Iaectrical Code(%I[,c . >>'COIR 12.00 (PLEASE PRINT IN I,VK OR TYPE ALL LVFORR ITIO,�) Date: Citv or Town of: 1)C)rf A 4h(Jj1C1- To 117e Inyec lar (1 GVire.ti•: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street Si: Number) W 1,44f (honer or Tenant are< Wessel Telephone No. Owner's Address S�InQ_ Is this permit in conjunction with a building permit? Yes © No ❑ (Check Appropriate Box) Purpose of Building s+��;l.{ .M� \ `� Utility Authorization.NoG(�,(>�:�p Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service %"LOQ Amps 1�0 / a9l)Volts Overhead [ Undgrd ❑ No. of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: RUuS\n �. L'L+Lh fbo trn Vim; ly t'cov\ v PGcr-dCSmote- ( c�1 % Com leliwt(#'tlte bIlon ink>table inav be uvaived by the los)eL'tvr•0/ 11'irts. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans r o Total 7 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA. No.of Luminaires Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets aS No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners No.of Detection and �� . Initiating Devices ! Total No.of Ranges No.of Air Cond. Tons No. of Alerting Devices { n Heat Pump Ngmher Tos KW j No.of Waste Disposers -... �No.of Self-Contained f Totals: Detection/A lerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No. of WaterNo.of No.of KW Data Wiring: 1 Heaters Signs Ballasts No.of Devices or Equivalent _ No. Hydromassage Bathtub's No.of Motors Total HP iclecommunications Wiring: No.of Devices or Equivalent OTHER: i UJuch aeleliliut�ui,Irtail iJ•drsilvd. or as required by the hi.ep'L/0P c, II•ia>. Estimated Value of Electrical Work`�(�(�'�Q� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with ;VIEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner. no permit for the performance of electrical work may issue unlcS: the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. "1'he undersi"ned certifies that Such coverage is in force,;.md has exhibited proof of same to the permit issuiii'r,office. CIIECKONE: INSI'RANC'E ❑ 13OND ❑ oriiI:,R ❑ (Spccily:) I cerigjc,.writer the pains nnrl penulNes q1 perjuty, I tit the in rinulion on tlris apIllicr dolt is brae aiid co,wl)lete. FIRM NAR•IE: LIC. N0.: Licensee: 2;C`C Cc co :signature _ �.. V dC. :VCCrO.. �j Q �9 It rroplicat.'lr',._liter• •c:renq t in Nir liM11111,10,uis,IM11111,10,iine.i B us.Tel. Address: j S.-ka CQ__ Aft.Tel. No. *Security System Contractor License required for this work, if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee cktds trot/have the liability insurance covcra<e ncrmally� required by law. By my signature below, I hereby waive this requiremetlt. I :int the(check one)❑ owner ❑ owner's ;t-ent. Owner/Agent 3iknature Telcphone No. FF-RMIT,FF,F,: .Q Ov-i LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell 978-502-5921 February 17, 2006 Mr. Kevin Murphy 169 Boxford St. North Andover,MA. 01845 RE: 60 Bradstreet Rd.,North Andover,MA. 01845 Dear Mr. Murphy As you requested I visited the above property 2/13/06 to review the Engineered lumber LVLS you used in the addition to the above the structure. These consist of a 3-14" LVL beam supporting the first floor. Second floor joist consisting of 7 %4"LVLs at 12 " oc. Second floor beam supporting the exterior wall and roof above consisting of 2-18" LVLs. Roof ridge beam consisting of 2-14"-LVLs. I reviewed the design of these members and can certify that they are adequate to support the imposed loads. Should you require any additional information please do not hesitate to call. Yours truly, �,ZN gas Z�La e ti / 7 v � Lawrence H. Ogden P.E. HA LD m v OGDEN D 27765 C �SS�aNAI�NG�O LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell 978-502-5921 February 17, 2006 Mr. Kevin Murphy 169 Boxford St. North Andover,MA. 01845 RE: 60 Bradstreet Rd.,North Andover,MA. 01845 Dear Mr. Murphy As you requested I visited the above property 2/13/06 to review the Engineered lumber LVLS you used in the addition to the above the structure. These consist of a 3-14" LVL beam supporting the first floor. Second floor joist consisting of 7 %4 "LVLs at 12 " oc. Second floor beam supporting the exterior wall and roof above consisting of 2-18" LVLs. Roof ridge beam consisting of 2-14"LVLs. I reviewed the design of these members and can certify that they are adequate to support the imposed loads. Should you require any additional information please do not hesitate to call. Yours truly, PSTN A.j�� s Z / 7 // toe s 0 � Lawrence H. Ogden P.E. Ii LD m v OGDEN - ti �F 27765 C o� c/ST0k �SS��NAL IE 4 V.` l G Date A e. „oR'►, TOWN OF NORTH ANDOVER T 3?O•,�`•D I"•h��t PERMIT FOR PLUMBING s o• a ,SSACMUS c� This certifies that . . . �. .,��'7r�. .. . . . . . . . . . . . . . . . has permission to perform . . . .AeA' .tt . . . . . . . . . . . . . plumbing in the buildings of . . .VA-( s F. . . . . . . . . . . . . . . . . . . . . at. . : . . . . .. North Andover, Mass. Fee. 3 Lie. No.. . . . . . . . ?�?-� _. . . . . . . PLUMBING INSPECTOR Check # -- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Location 1f/ $)lP 1 Date Building g !/��C/ �1� Owners Name � Permit# Type of Occupancy Amount New Renovation ❑ Replacement Plans Submitted Yes N FIXTURES z Hz z > w V b O ►* W W x C z x Z U w o �' a a a 3 � o a a (� U > x x z a x H A ">r a v� row O U 3 a A a 3 N A a SLSBM HAS EVE14r M H-OCR V ZnKjoak V ✓ 3M HIM 4MHJ00R 6M11aR MHiaR fflH (Print or type) Check one: Certificate Installing Company Name _ F1 Corp. Address ❑ Partner. r � w Business Telephone p EF'irm/Co. Name of Licensed Plumber: �'G /�,•� ��l hii r Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy12 Other type of indemnity11 Bond Insurance Waiver: I,the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ 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 nder Pe t Issued for this application will be in compliance with all pertinent provisions of the Massachutt State lumb• de apter 142 of the General Laws. �'1 By: igna u e Ut Ocenseaum er Title TYPePlumbin License Or City/Town tcense um er Master ❑ Journeyman APPROVED(OFFICE USE ONLY 0--/ i I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING a� was �.,� �. z�; t � z f t °� s�� "� �.-• -" ,^ 4� s v` r -� 'r �q���u -: axe rv-rr§�a .}, �.� ,"�.�.''.,,, x.�r,,�w�.�-�.r: ..r.,,�e�s,,•��` .,e� '.. a 3.'sYs�i.A°.'...--. ,. ;-J. ,'' ,.u�; �: ...�'� 2�,,,r��—� -x:�4`€..e a.�'' �.., •.� ,r. �, cac ;�;�z.' ..may t a .,f`.• .„,ex.. BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date 4 z SECTION 1-SITE INFORMATION 1.1 Pr et ddress _ 1.2 Assessors M and Parcel Number: 57 Map Number Parcel Number 2 L0 A �►P Pf�ou A t 1.3 Zoning Information: 1.4 Property Dimensions: 's Zoning Di;—Ui,--t Proposed Use Lot Areas Fr ffig1 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide ReqWred Provided Required 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 ❑ aaaal SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Cecord -ber Name(Print) Address for Service Signature Telephone 2.2 Owner 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 Address icExpiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number M Address Expiration Date Signature Telephone V 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) ❑ Aherations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify i Brief Descripti ,n of Proposed Work: �avStr,�C.t =t x L4 c i SECTION 6-ESTINIATEB CONSTRUCTION COSTS Item { Estimated Cost(Dollar)to be {3FFTCIL l7SJE;ONLY i Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of y Construction 3 PlumbinE 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 as Owner/Authorized Agent of subject property Hereby authorize to act on 1 My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief i I Print Name i Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3 SPAN DIMENSIONS OF SILLS DMIENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE -12 �� I CJI QQ Ajj - I ]Fr ! ► I . Ie uvvjj vi rvurEti mnuaver ��,•«•� ,� Building Department A 27 Charles Street . .,. .. r . North Andover, MA. 01.845 ms's.`•..e.''•�{, D. Robert Nicetta rACNUSEt Building Commissioner (978) 688-9545 ....:(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATIO Number Street Address S7Map/lot l`� 'tet r "HOMEOWNE '^'� 'J� C 7 ( Name Home Phone Work Phone PRESENT MAILING ADDRESS . r City Town State Zip Code The current exemption for"homeowners"was extended to include owner-0ccupied dwellings of two units or less and to allow such homeQwners 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 j DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the T of N Andover Building Department minimum inspect' P me res and requir emen and th he/she will comply with said procedures and r uirnts. . r HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL YM . ...... ........... R u TiM V-1-4T—F,E 77,`1,TM N���Z;'Om NIP q- V 'y y, Am e........... V44 IL 4. Mp r I LA4 i4 IFr Ft ,- • _ Uy61glAe a 6aoa Zoning Bylaw Denial cow e, Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 m gv4Anv�f1'J.�t] . Phone 978=688-9545 Fax 978-688-9542 Street, 60 Map/Lot: _ Applicant: Request: _. _. q 1 ` X i�t` +I' ®p l"fv De C ILd rte• O E^ S l n v C (3-T 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 A Lot Area Notes 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 `-1 eS 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed e S G Contiguous BuildingArea 2 Not Allowed N 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required e 5 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply p y 1 Height Exceeds Maximum 2 Front Insufficient e S 2 Complies _ 3 Left Side Insufficient tj e-S 3 Preexisting Height Ll e-S 4 tRear Side Insufficient 'I eS CGa&aty 4 Insufficient Information 5 nsufficient `�eSC ar)ade I Building Coverage 6 stin setbacks e S A g ) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed e s 4 Insufficient Information 2 In Watershed Sign 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 1 In District review required q 1 More Parking Required 2 Not in district �t�S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review S ecial Permit Setback Variance Access other than Fronta e S ecial Permit Parking Variance Fronta a Exception Lot S ecial Permit Lot Area Variance Common Driveway Special Permit Hei ht Variance ConareClate Housin S ecial Permit Variance for Sin Continuing Care Retirement Special Permit Inde endent Elderl Housin S ecial Permit Special Permits Zoning Board Sped Permit Non-Conformin Use ZBA Lar a Estate Condo S ecial Permit Earth Removal S ecial Permit ZBA Planned Development District S ecial Permit _ S ecial Permit Use not Listed but Similar Planned Residential Special Permit S ecial Permit for Sign R-6 DensitySpecial Permit S ecial Permit re The nonconforming Watershed S ecial Permit r U r`E o!� "i— 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 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 b thea lican Y pp t shall be rounds Building Department.The alta 9 for this review to be voided at the discretion of the shed document titled"Plan Plan Review Narrative shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application form and begin the permitting process. BLiilding Department Official Signature g Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative isprovided to further explain the rea.sons for denial for the applicationi permit for the property indicated on the reverse side: Oec (a Pe N M 0 /00JU CC)A.) -pep W(,Ucf tiq IA'0 Referred To: Fire Health Police Zoning Board Conservation Npprtment of Public Works Planning Historical Commission Other Oil — ILDING DEPT N° 3483 er J 4 8 Date.........:. ......... ..... 'r ,A RT a,ti ? �a� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ,CwuS ,� This certifies that )} < ...... C............. has permission to perform ....... ../ 1. ..!? ............................................. �t.wiring in the building of........... '.A.`f S .!.............................................. at....... f. � �'. ..:.... ... ,North Andover,Mass: Fee —` C�).. Lic. rr... ..... /.��...��....... ELECTRICAL INSPECTOR Check # ! WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts ommal Use only 6 - Department of Fire Services Permit No. /37 ®' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.11/99] ocive blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wore:to be performed in accordance with the M=whuseas Ele=cal Cc&(l CI -1 1200 (PLEASE PRIM'IN M OR TYPE 0 p11� Date: - City or Town of: To the Inspector of Wires.- BY application the undersgaed giv ce of or her intcati to rm the deczriml worst described below. Location(Street& umber) Owner or?chant Telephone No. W4141 Owner's Address Is this permit in conjunction with a building permit.' Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization Na Existing Service ?,taps / Volts O%whcad❑ Ilndgrd❑ Na of Meters .J rr Netiv Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters Nuinber sof Feeders and Ampacity Locat on"and Nature of Proposed Electrical Work. Completion of the followinz tabic Mo.,be waived by the Irmec:or of;Vires. No:of Recessed Fixtures INo.of Cal-Susp.(Paddle)Fans INa of Total Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA I No. of L'igtiting Fixtures I$wimmingPool Above ❑ In ❑ I o.of t.mcrgcncy t;nung d. .ornd. (Battery Units No.of Receptacle Outlets INa of Ott Burners FIRE ALARMS INo:of Zones''-t__. I rti Na of Switches INo.of Gas Burners Na of Detection and Initiatin-,Devices i No.of Ranges Total Ranges INa of Air Cond. Tons Na of Alerting Devices t No.of Waste DisposersIHeaTota�I Number Tons KW No.of clf ontatned I Detection/Alertin�Devices Na of Dishwashers ISpace/AreaRm ing b-W Local ❑ Municipal C1 Other Na of Dryers Heating Appliances I-W ISccurity ysmms: No. Devices or Eauivalent No.o Heaters I Water a° No.o of(Data Winn; Sims Ballasts Na of Devices or Eouivalent Na Hydromassage BathtubsNa of Motors Total HP Telecommunications Wiring: Na of Devices or Eouivalent OTHER -. Anaadditional de=il INSURANCE COVERAGE: Unless waived by the owner,nom permit for the jd�or es'�� the mayInspi r of mess Pc perfoimana of electrical work may issue unless the Been=provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers is in force,rce,andhaserhtbited proof of same to the permit issuing office. CHECK ONE: INSURANCE.❑ BOND ❑ OTM ❑ (Spur) Estimated Value ofElectri Woric $ _._ . Rh required by �, . . municipal policy.) Work to Start '. Inspections to be requested m accordance wiii IvIEC Rule 10;and upon completion: l cer*,'under the paitu and penalties ofMu>3',A tithe m jotmadon on this 9FAcnnon emcee and complete: FIRM NAME: ADT Security Services ..Dr,...k!o l I is. NH 03049 " LIC NO.: 15330 Licensee: John S.Bassett Sgaatu C.NO.: 1533C Ajdappl�le,enter"esanpt"inthe Gcetuenumberline) Bus Tel Na:-603 594-5900 OWNER'S INSURANCAlt TeL No.:_603 594-5928 E WAIVER 1 am aware that the Limasee does not have the liability insurance coverage normally required by law. By my signature below,I herby waive this requirement. I am the(check one)❑owner ❑ owner's ae_e nt. Owncr/Agent SignatureTelephone No. PERIYfIT FF_ _- S-1�1. --- '�-'^'�+�,,,�.�,;rG..�_---•...�.,r..—r,.,.�,,.�ai._tG.U+y::.1.:-.�'jL �:`�a p'•�'�:c;:�'-".iKR 2, Location M 4' No. Date AO ,69 r t 400T4 , TOWN OF NORTH ANDOVER s' o ",a! "., 0, Certificate of Occupancy $ } ° Building/Frame Permit Fee $ FouPdati n Permit Fee $ ` Aw P'emit Fee $ Sewer Connection Fee $ �---� 4 ` Water Connection Fee $ t TOTAL $ -957 Building Inspector /07/J4 13:57 26.00 PAID Div. Public.Works PEWMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE Y ZONE SUB DIV. LOT NO. 14I LOCATION fS /aAa All (4f PURPOSE OF BUILDING A OWNER'S NAME v [� NO. OF STORIES SIZE OWNER'S ADDRESS o/ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN -- DISTANCE TO NEAREST BUILDING ' G••Cl�� DIMENSIONS OF SILLS DISTANCE FROM STREET "" POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE - HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BbTH SIDES EST. BLDG. COST -20 L PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED _ " BUILDING INSPECTOR __SLQb,4kTURE OF OWNE R AUT ORIZED AGENT QQ F E E � J� OWNER TEL.# PERMIT GRANTED - CONTR.TEL.# v �� 6 CONTR.LIC4 H.I.C.# le-) �/ BUILDING RECORD +` 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I AGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. ---III PINEHAR BRICK OR STONE DRY D W —_ —— PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T AREA _ '/. 1/1 '/, FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME I F BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) — FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M-T 2nd _ ELECTRIC 1st 13rd I NO HEATING t To 0f ort Andover No. 441 } 11 ��; -KNorth :Andover, Mass., 1sfi BOARD OF HEALTH PERMIT T.0 BUILD Food/Kitchen Septic System yyy�� BUILDING INSPECTOR THIS CERTIFIES THAT........4c:0 0 -...'.�.l..�....... ..... . ................................................................. """"' Foundation has permission toxon*... Rough �.................. buildings on ..��. ...... Rou to be occupied as.............. .. •... ... , ...:. . . ........... .................:.................................................................. Chimney l e provided that the person accep ing this permit shall l every resp ct conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ! i IJ! Final ELECTRICAL INSPECTOR Rough j ........... .. .. . ... . Service BUILDING INSPECTOR Final I 1 i oCCuj1Cl)1C"� F�s111"LIQ (h 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. FIRE DEPARTMENT Burner Street N°. PLANNING FINAL CONSERVATION FINAL I Smoke Det. SFWFR/WATER _ FINAL DRIVEWAY ENTRY PERMIT 7