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Home My WebLink AboutMiscellaneous - 60 OLD FARM ROAD 4/30/2018 (2) 60 OLD FARM ROAD 210/035-0-0063-0000.0 I I 965; Date.........::.1.............. ..... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACHUSE� This certifies that ........... � �?!/, '4..... !?f� ...............'........... has permission to perform '� �r!Y.yC�C-�.7,,.......... .. .....�r...................... ,wiring/in the building of.............. E....................................�............. �G1 ©G Q ,North Andover,Mass. iee... .`- ... Lic.No.I..31Y.9.,7.10......... .................. . ..J.!.�......... ELECTRICALINSPECCOR Check # -;—/Z/-- ;S 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.,p.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corp'bradon stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3E Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed.by the inspector-of_Wires abandoned-and-invalidifhe—_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.Wit limited exceptions,the Act automatically extenh ds,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending-through August 15,2012. Rule 8—Permit/Date Closed: /Z ***Note:Reapply for new per 0 Permit Extension Act—Permit/Date Closed: t,wninwrwcarau w -ra��a��ru�ci�� --- Permit No. /p--- - Department of Fire Services � �Gi _ m Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: G —/ /d City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice 1of is or her intention to Deerform the electrical work described below. Location(Street&Number)//t Owner or Tenant r k` L t(/r1-C� � n Telephone No. (�g�V?� Owner's Address ��m Is this permit in conjunction with building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building f 1°Sl ,�,� G.p Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W/ff U4 V4,a —6Ol 4 ,5U4 4 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus Fans No.of Total p•(Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Ge erators KVA No.of Luminaires Swimming Pool Above ❑ In- o.o Emergency Lighting J rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection andInitiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained p Totals: .......•..•............ Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal El Other P g Connection No.of Dryers Heating Appliances KW Security Systems:" Y No.of Devices or Equivalent No.of Water No.of ..No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the ins a d penal • sof e�Jury,that the information oiZ this application is true and complete. q FIRM NAME: �P /^ rt n LIC.NO.: 3 / Licensee: 6i /— �,�y1 YoG Signature LIC.NO. (If applicable, enter"exempt"in the license number line.) /? Bus.Tel.No.: �� Address: l�� /- .p� ,vv.�s� /�A 190 Alt.Tel.No.. *Per M.G.L c. 147,s.SI-6 1,security work requires D partment of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's Owner/Agent PERMIT FEE: $ 1p Signature Telephone No. 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(Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its • required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]i employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box 41 must also fill 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Location �- -171,1- Date Date� No. �oRT►, TOWN OF NORTH ANDOVER O ` Certificate of Occupancy $ Building/Frame Permit Fee $ ,/� ') s�cNust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /�'��`�• �`� Check # 17982 6;—Building Inspevtd`r a, t 5 41 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Seetiei!ts Qre . ' m BUILDING PERMIT NUMBER: DATE ISSUED: -0?/ a 6)0 c X SIGNATURE: Aw Building Comm= r/Inspector of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number FG."n goy 3S 63 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1z2 yY3L(2 32s F+ . Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided !s yv 7 Water S ty M.G.L.C.40. s4) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: 6e Private ❑ Zoae Outside Flood Zone ❑ Municipal 9— On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT liSti ict: `r^3 x,17 ITI 2.1 Owner of Record Name(Print) Address for Service: ^" D. 5-7979e, Sighature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 t z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ MOAC Vj 9 U 1•�c_ Licensed Construction Supervisor: C C J V "' 1 In License Number �( S�-�n�•�\ (Z J �{�a. ►'TrL�dyt!J . ��• 6r8`YS Address / 11 129105- V,pe, � . Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Karr 9"114,x.._ Company Name M 90 Be>< ©387f Registration Number r LU r Address .60; - 5-/( Z / �c r lea; Expiration Date E SIgnature Telephone / Y) r , g 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 buildigg permit. Sipped affidavit Attached Yes...... No.......❑ SECTION 5 Description of Proposed Work check a0 a Reabit New Construction ❑ Existing Building JK Repair(s) ❑ Alterations(s) ❑ Addition X � r Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: 11 X Z Z Ja 7t7 OX,S 4-; ry Q �a� 8 rfdy ' Qq. +•aa+ lC'w abs �x:s�;VXq Qv&� Ntt.J Ct0-McLe CWk,3 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by pelptitt applicant I. Building (a) Building Permit Fee l Sd U Multiplier , 2 Electrical / (b) Estimated Total Cost of C� Construction 3 Plumbing 0e Building Permit fee(a)x(b) 4 Mechanical HVAC 30 o I�% 5 Fire Protection 6 Total 1+2+3+4+5 111- Sd eJ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUR DING PERNUT I, Fin Lan a as Owner/Authorized Agent of subject property Hereby authorize Ma-( IJ,, ku- (G re e IN(ctu&-d COQ+ -l_C-r_ -) to act on My be lf,in all m tters relative to work authorized by this builduig permit application..'' SignAire of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, Pf 1S�'� 1(lYlt° as Owner/Authorized Agent of subject r property Hereby declare that the statements and information on the foregoing application are Lrue and accurate,to the best of my knowledge and belief __ i5iin I ane Print Name 05 Si ah a of Owner/Agent Date NO. OF STORIES SIZE ( L X 012- BASEMENT 2BASEMENT OR SLAB SIZE OF FLOOR TIMBERS )4 1Y TG-Z 1 2' .2y i, r',1 3RD 2x i b . 4(t3 SPAN �4 yF�- DIMENSIONS OF SILLS 2 x � DINIENSIONS OF POSTS >< DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION S THICKNESS 16 = SIZE OF FOOTING 10 4 10' X MATERIAL OF CH vINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I t s IA.) PT- 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_ I O0 \ vf-Y'- e- / K-)r')}-� \ LVI PHONE 60 3-.231 -7os- LOCATION: Assessor's Map Number S PARCEL C9- SUBDIVISION LOT (S) STREET C7 C� ST. NUMBER�Q O OFFICIAL USE ONL OMM D I S O TO A S: CO ERVATION AD INISTRA 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 Y 1 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: 6� Cce S.C k, 0 (Location of Facility) Signature of Permit Applicant / i2 oy Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nvesdgedons Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: �'c`e e�'Rv.c� �c�r ��-,'o�. UC, Location: 'Po 9 7 3-7- Y o 1 d 9, L /,�J clyR �� +� 03�31 Phone 03 - ;23 r i I am a homeowner perforrning all work myself. L®—J I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers'compensation for n y employees working on this job. Company name: Address City: Phone / ' ANN". I+ae+4r� Tv\s,,�-ate c e P U ,3 3 y 16 E ,3 40 Company name: Address City: Phone Insurance Co. Policv 0 Failure to aeaae coverage as required under Sectlon 25A or MOL 152 can lead to tM i mpositlon of criminal penalties ofA fine up to$1,500.00 andlor one years'impriaonmeat.as.vaeU_as.civil_penakimjn e m xtA.SIOP VVDW ORDER.aWd a the of.($100.00)-aAaV agoinat.me, I understand that a copy of this statement may be forwarded to the office of Investigafions of the DIA for coverage verification. I db hereby cw*under the pains and penafts of perjury that the irrfbrmation provided above is true and consist Signature Date /Z �� Print name—M 014c,.-J S Phone �- official use only do not write in this area to be completed by city or town official' City or Town PermWLIcansina ❑ []Check if immediate response is raquied Building Dept❑ L kerWng Board C] Selectman's Ofice Contact person: Phone M..- ❑ Health Department ❑ Other 1 f Town of North Andover 000 Office of the Zoning Board of Appeals roti ��•`t , � a Community Development and Services Divisi ort 400 Osgood street T!i W 1\1 , ,• D.Robert Noetta North Andover,Massachusetts 01845 ;—I'T H A.i _.:Building Commissioner' Z"i' a � G/_ (9 8) -1 2 ""his Is to certify that tweny(20)days havgelap ed froth date of dedsioa,tiled Of Any appeal shall be filed Notice of Decision without WIN Date Date Weal- within p�i within(20)days alter like Year 2004 Joy A,Bradstta� date of filing of this notice Tom t in the office of the Town Clerk. at: 60 Old Farm Road NAME: Micbael&Kristtd Lane HEARING(S): December 14,2004. ADDRESS: 60 Old Farm Road PETITION: 2004.033 North Andover,MA 01845 TYPING DATE: December 16,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, _ 12OR Main Sftet,North Andover,MA an Tuesday,DMeember 14,2004 at 7:30 FM upon the appiicali of Michad&Kristin Lane,60 Old Farm Road,North Andover requesting a Special Permit fiom SeWou 4,Paragraph 4.121.17 of the Zoning Bylaw for a Family Suite. Said premise affected is property will.; fronts fie on the Noah side of Old Farm Road within the R-2 zoning district The legal notices were o all abutters and published in the Eagle Tribune on November 29 8t December 6,2004. =- 'rhe following members were Pr's John Ni Pallooe,Ellen P.Mcimyre,Joseph D.IaGrasse,Rkrw d?J. > Byers,and AMW P.Maori.UL The hollowing non-voting members were present: Thomas D.WoQ;c i Richard M Vaillancourt,and David R.Webster. rn CD N co 1 upon a motion by John M Pallone and a by Albert P.Manzi,R the Board voted to GRANT a Special Permit from Section 4.121.17 of the Zoning Bylaw for a Family Suite per Proposed Site Plan of Land At 60 Old Farm Road,North Andover,Massachusetts,November 18,2004 Owaer/Applicaat Michael dt Krish Lane,60 OldFarm Road,Noah Andover,MA by Robert P.Monera,Registered Professional Land Surveyor#22159,R A M Engineering 160 Maio Street,Havotbip,Massadlusetts 01830;amt Proposed cm Additions dt Renovations,Lane Residence,60 Old Farm Road,North Andover,MA.by Lawrence Harold o Ogden,Registered Professional.Engineer#27755,198 Fast Main Streg,Georgetown,M&01833,pp. 1-9. With the following conditions:. 1. The Family Suite shall be occupied by William and Frances Lane,only,parents of Michad _I Lane,one of the residing ow wen of the dwelling unit; ..-r 2. The SpWW Permit shall expire at the time that W16aw and Frances Lane cease to OCCUPY tint;fatuity pt 3. The Special Permit shall expire at the time the premises are conveyed to any person, partuenhip,trust,corporation or other entity, 4. The applicant by acceptance of the Certificate of Occupancy issued puma d to the Special Permit grwb the Building 121pecterr,or his lawfit designee,the right to lagwd the prendses MMORR Voting in firvw III John M Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard L Byers,and Albert P. Manz4The Board finds that the applicant has satisfied the provisions of Section 4,Paragraph 4.121.17 of the zoning bylaw,that the shared living area of the proposed Family Shite brings the gross floor area of the addition below the mox imam 25%of the gross living arra of the principal.unit,and that such drang e extension or alteration shall not be stb9antially more detrimental than the earist"under comertion single family home to the neighborhood. Page 1 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 97"88-9530 Heam 97"88-9540 Planning 978.688-9535 � Town of North Andover Office of the Zoning Board of Appeal*, �u o Community Development and Services I Of L, c 1 400(JSg00d Street . I rl, f I i NE'O V E... 'fid North Andover,Massachusetts 01845 D. Building Coim ioner ZI;L4 GLC Tjep e�Z97j"-954l Fax (978)688-9542 Fa'therm m,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only ager notice,and a new hearing. Furtheimom if a Special Permit granted under the provisions contained ham shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has eommenood,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board.of Appeals, Ellen P.McIntyre,Chair 71( Decision 2004-033. WWI Page 2 of 2 ATTEST: A True Copy Town Clerk Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 97888-9540 Planning 978-688-9535 1 1 .... .: ...: ... : :. : : . _ t 89SEX NORTH REalP17Y OF £Us LAWfWNCE, MASS. �z �, e A'"W Co". 77 ,x ewes I i Town of Andover 0 oft BOARD OF HEALTH PERMIT D Septic System of CT40 BUILDING INSPECTOR THIS CERTIFIES THAT...A I..Alf.... 0'0'1....ts.....Y........ .. ... ........ ........................................................... to be occupied as.A ...6 ....$.A�rA. sj,& i;b CE IF provided that the person accepting this permit all In every respect conform to the terms of the application an file in Final this office, and to the provisions of the Codes and lly-Lawt�lating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. Z.ii� W- 4 f R&WWA jr6Wely S1w# PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 1* 13Ar h laliql6q Rough UNLESS CONSTRUC1j2:NJT is r jr Rough 00 . ................ .......A........................................... Service BUILDING INSPECTOR Final Occupan,�7y Permit Required to Ocmpy Building GAS INSPECTOR Rough ~~~~nr~~y in ~~ ~~~'^^~~nr^~~~~`~~~~~ Place on the Premises °~~° Not Re"""~°v°° Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT ~~^^~^^ ^~^~~n~`~~~°~°~~ °~^^~~ ^^R°R°"~~v~~d by the =~=""="""g Inspector. ✓lee �anvncaiuuea/,U o�✓�aaaac/auaeka a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR f Number: CS 077696 Birthdate: 11/28/1970 Expires: 11/28/2005 Tr.no: 7668.0 Restricted: 00 MATTHEW J BURKE i 71 SUTTON HILL RD- NO D NO ANDOVER, MA 01845 Administrator BA_oAm,ng feg,A' s`a&%n HOME IMPROVEMENT CONTRACTOR Registration: 142647 Expiration:, 5/12/2006 Type: Individual MATHEW BURKE MATTHEW BURKE 71 SUTTONHILL RD. NO.ANDOVER,MA 01845 "" Administrator i r � January, 2005 Agreement between Matt Burke (Greenland Construction LLC.) and Kristy Lane At 60 Old Farm Road, North Andover, MA Matt Burke et al will demolish and replace all structural materials noted on building plan. Building an inlaw apartment on second floor of garage, and expanding garage to a third bay, as per plan submitted to town of North Andover for building permit. 0-7/461� 41";hh 1).��hti C�11 Matt Burke sty Lane Greenland Construction LLC 1 , y ?39 , gol L6 S F AREA CC- rry DECK' T. 22' I i 2'8/6'8 UTILITIES 1-4 11 Zd . . .7eN BUILD ENTRY FLOOR UP TO BE Ib" HIGHER THAN 6ARA6E FLOOR DOO"HALL BE 16' I HR. FIRE RATED C ARRC E o NOTE- NEN AND EXI5TIN6 6ARA&E SHALL BE FINI5HED WITH 5/6" "TYPE X" 21-6" IT, GYPSUM HALLBOARD p v �o N N F.. N � U i EXISTING 6ARA6E F I RST FLOOR PLAN PROP05ED ADDITIONS RENOVATIONS LANE RES I DENGt= 60 OLD FARM ROAD NORTH ANDOVER, MA. 22' 5'-6" 5'- If 6 2846 2846 2'-4" 4'-4" N � 2'6/6'8 ry Cl 1-611 OPEN RAILINe 8, 16' N 00 00 I II LIVING AREA II ENLARGE EXISTIN6 MASTER CLI SET POC1 1 2'8/6'8 DOOR II 6'-2" WALK I N 2'4/6'81 I I' OL05ET � DROOM HINGOW 2846 HAS 1 14'-411 X 4'-Q 1/4" u 4' VANITY (�:) cY 8' 5'X4' SHOWER 2'6/6'8 2646 2846 SECOND FLOOR PLAN PRcpo5f=D ADD I TI ONS I$ RENOVATI ON5 LANA RES I DENOE 60 OLD FARM ROAD NORTH ANDOVER, MA. I � O � 00 00 00 0� 00 00 I I I DD D I I I. I I I IE I :13 rn / OD i z O I � o / DO j / DD EXI5TIN6 STRUCTURE NEW SECOND FLOOR PROPOSED ADDITIONS s RENOVATIONS LANE RES I DENGE 60 OLD FARM ROAD NORTH ANDOVER MA. N rz - - - i i I I I I I I s I � I o x rn ' x N Z N O z i i E[l i PROPOSED ADDITIONS RENOVATIONS LANE RESIDENCE 60 OLD FARM ROAD � NORTH ANDOVER MA. , i t IL IL Z H p EXI5TIN6 ROOF p s w N i IL- V O NEW TRANSOMS AWVE EXI5TIN6 N j6ARA6E DOOR5 O - - - - - - - - - _ - - - -- - - - - - - - - - - - - - O TTTIJ 11 1 1 1 1 r I I f� EXI5TIN6 57RUCTURE NEW CONSTRUCTION RIOT SIDE ELEVATION - - - - -- - - - -- -- - - - - - - - -� PROPOSED ADD 1 TI ONS RENOVATIONS LANE RESIDENCE 60 OLD FARM ROAD NORTH ANDOVER, MA. • CONT. R106E VENT - SHIN&LE5 TO MATCH EXI5TIN6 5/8" EXT. PLYWD. SHEATHING NEW SLOPE OF ROOF SHALL 2X1O RAFTERS MATCH EX15ITNG - APPROX. 6 FT2 - VERIFY IN FIELD 2X10 GEILIN6 ,JOISTS R=50 FIBERGLASS BATT INSUL. METAL DRIP EDGE CONT. SOFFIT VENT SIDING TO MATCH EXISTING HOU5EWRAP EQUAL TO "TYVEK" 1/2" EXT. PLYM. 5HEATHIN6 ENGINEERED FLOOR JOIST SYSTEM - 2X6 STUD WALL TO BE DESIGNED BY MANUFACTURER R=19 FIBERGLASS BATT INSUL R=30 FIBER6LA66 BATT INSUL NEW SECOND FLOOR SHALL BE FLUSH WITH EXISTING ADJACENT SECOND FLOOR �-J . rJ - rJ r-� r� rJ 15 R15ER5 08" EA. 14 TREADS ® loll EA. r rJ r NEW 6ARA6E SHALL r BE FINISHED WITH 5/8" r- "TYPE X" GYP. WALLED. r- __J 4" GONG. SLAB 10" CONC. FOUNDATION LCRUSHED STONE W/ 10"X20" CONG.FOOTING POLY VAPOR BARRIER. 41 PROPOSED ,ADDITIONS $ RENOVATIONS a LANE RES 1 DENGE 60 OLD FARM ROAD NORTH ANDOVER, MA. i I a i I 22' , gc (�t� I�ewov� Pos IF 8 oa R D �.-�� B Eto.r ENGINEERED FLOOR JOIST SYSTEM — TO BE DESI3SNED BY MANUFACTURER t4" 6c1 foo 1 I ENGINEERED FLOOR J015T SY51' M — TO BE DESIGNED BY M NUFAGTURER +� act 600 e t l , 24' FLOOR FRAMING i i $�r•�sa,d 141 221 �tRw4�.e G�.p Or I 2X10 RFE5 2 Ib" O ENGINEERED BEAM BELOW TO CARRY RAFTERS A5 I(� SHOWN - BEAM TO BE DESIGNED BY MANUFACTURER 3� 2 W?Sw 10" ,v 2X1 L RIDGE 3-2A 3-2x6 1 11�4�It sl +Pca4v Lu L� Air R101-E / A-tp CoAlrve a fa& 2X12 RIDGE 24' 2X10 RAFTERS • I6" 0 ROOF PRAMINO I/8 4P 6'-6" LAWRENCE OyG\ z HA OLD w tt� 171-Pd jo�p �R�a � SEE a&4VtlAL IW to t �SS�DNAL EN�'�C* S l�,le a t' g L_ PROPOSED ADDITIONS I$ RENOVATIONS W LANE RESIDENCE 60 OLD FARM ROAD NORTH ANDOVr=R, MA. r i { GENERAL NOTES: FOR LANE RESIDENCE,60 OLD FARM ROAD,NORTH ANDOVER,MA. i 1. ALL LVL BEAMS SHALL BE BOISE CASCADE,VERSA LAM OR EQUAL ALL JNSTALLATION TO BE PER MANUFACTURES RECOMMENDATIONS AND SPECIFICATIONS.PROPERTIIES: E=2,000,000 PSI, Fb,= 2,900 PSI ALL COLUMS DESIGNATED ON DRAWINGS TO BE BOISE CASCADE VERSA-LAM 2200 i 2. ALL LVL INDIVIDUAL MEMBERS IN BUILT UP BEAMS OF THREE MEMBERS OR LESS TO BE NAILED TOGETHER WITH 3 ROWS 16 d @ 12"oc. STAGGER OR OFFSET i EACH ROW BY 12" ! 3. ALL LVL INDIVIDUAL MEMBERS IN BUILT UP BEAMS OF MORE THAN.THREE ' MEMBERS TO BE BOLTED TOGETHER WITH 2 ROWS OF 1/s" dia.BOLTS, • ANSIIASME STANDARD B18.21-1981 @ 24"oc. STAGGER OR OFF SET EACH ROW 1 BOLTS SHALL BE PLACE)?IN SNUG HOLES,WITH A MINIMUM EDGE DISTANCE OF 2" AND WITH STANDARD WASHERS AT BOLT HEAD AND NUT. 4. ALL LVL BEAMS TO BEAR ON BUILT UP POST OF A MINIMUM AS LISTED BELOW 2 I TO 3. LVLS USE 3"X 3.5", 4 LVLS USE 4.5"X 3.5",5 LVLS USE 6"X 3.5"OR AS DESIGNATED ON DRAWINGS OR ON STEEL. 5. BEARING ENDS OF ALL BEAMS TO BE BLOCKED 14.5"SOLID EACH SIDE 6. ALL OTHER FRAMING TO BE PER CURRENT EDITION OF MASS STATE BUILDING CODE.FRAMING LUMBER fb=10 0 psi, E= 1,300.000 psi 7. ALL JOIST AND BEAM HANGERS TO BE BY/SIMPSON STRONG TIE,INSTALLATION 1 AND NAILING TO BE PER MANUFACTURERS RECOMMENDATIONS.USE SIMPSON H-1 HURRICANE TIE AT THE EAVE.END OF EACH ROOF RAFTER a 8. ALL PRE-ENGINEERED JOIST TO BE BY BOISE CASCADE, AND INSTALLED PER MANUFACTURERS INSTRUCTION AND SPECIFICATIONS,INCLUDING BUT NOT LIMITED TO ALL ACCESSORIES SUCH AS RIM BOARDS,WEB,STIIFINERS,BRIDGING BRACING,NAILING AND CONNECTION REQUMEMENTS, ETC. ' 9. ALL STEEL TO BE A36, STEEL COLUMN BASE AND BEARING PLATES TO BE BEAM WIDTH* 8" * ''/s" PLATES WITH 4-%"HOLES,BOLTED OR WELDED TO BEAM, i BEAM TO BEAM CONNECTIONS TO BE DESIGNED BY ENGINEER. 10. ALL SUPPORTS UNDER BEAMS TO HAVE SUFFICIENT UNINTERUPTED SUPPORT ALL THE WAY DOWN TO THE FOUNDATION OR ONTO LVL BEAM. 11. BRING ALL DECREPANCIES TO THE ATTENTION OF THE ENGINNER,IF ACTUAL 1 FIELD CONDITIONS ARE DIFFERENT THAN DEPICTED OR EXPECTED NOTIFY THE I ENGINNEF_ 12.COORDINATE ALL WORK WITH DRAWINGS PROVIDED BY MARTHA MACINNIS 13. LOADS FIRST FLOOR LL 40 PSF, SECOND FLOOR LL 30 PSF,DL 15 PSF,ROOF SNOW LOAD 30 PSF,DECK LL 60 PSF 14.FOUNDATION BE CARRIED DOWN TO UNDESTURBED SOIL HAVING A MINIMUM BEARING CAPACITY OF 2 TONS PER SQUARE FOOT. ENGINEER: LAWRENCE H. OGDEN P.E. 198 EAST MAIN STREET GEORGETOWN, MA. 01833 978-3524318, cell 978-502-5921 H OF LAWRENCR OG R N Ili��l,a 2 5/ y PROPOSED ADDITIONS RENOVATIONS LoME: RE51 DENGE 60 OLD t=ARM ROAD NORTH ANDO\/ER, MA. 7 J 1 6 Date. .�,��... ... Of NO oTM 1ti o? �` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACMUSEI K This certifies that . . . . .� .�I!t�i. . . 1'1 �.�9. . . . . . . . . . has permission for gas installation . I&Al. .4�. . . . . . . . . . . . in the buildings of . . .'� . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .4�D. . . .h I r(. . �1�«?. .L �-: ., North Andover, Mass. Fee. JO. Lic. No.. / Z. . . GAS INSPECTO� V Check# (� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER SEPT. 17, 10 ,Mass. Date 20 Permit# Building Location 60 OLD FARM LANE Owner's Name KRISTEN LANE Owner Tel# c1`1 �- �� ` o ( Type of Occupancy RESIDENTIAL New W1 Renovation❑ Replacement Plan Submitted: Ye[:]No[—] FIXTURES Ln a o (n13. j W W Oa Q. o w F ¢ a z z o w CO Cn F W a o 0 o w F w S W ¢ x w H a W W ¢ z w o cDW z w z x W W o > F U a F W a Z Q W J Q % � F >" � GO Z O Z 2 0 C 2 w a 3 A C¢7 .¢i OU a > A a H O w SUB-BSMT BASEMENT 1sT FLOOR 2ND FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 Firm/Co. Name of Licensed Plumber or Gas Fitter ROBERT TALBOT INSURANCE COVERAGE: I have a cures liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yesl ✓ I No ❑ If you have c ecked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy ✓❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in abo appli tion are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit is ed for is cation will be in com 'ante with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the ene a By Ty_Vbf License: lumber igna ur f Licensed Plumber or s Fitter Title •-Gas fitter • -Master License Number City/Town •-Journeyman APPROVED(OFFICE USE ONLY) set 2nd t2l; exiating dlc-,ck drive 11001 17tr faint r , E r� Date. NORTh 02 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION . 9 SACMU5Ett This certifies that . . . :. . . . . . . .,...!r has permission for gas installation . . L!. . ./�f�-. . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . %: . . !. !',4rt.In . . . . . . . . . . North Andover, Mass. Fee.3 Py. . . . . Lic. No.. .7. . .�. . . . . . . . . . . . . �� . . . . . . . . . . . . . GASINSPECTOR Check# 1 3) 6'133 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER ,Mass. Date 9/18 2007 Permit# Building Location 60 OLD FARM RD Owner's Name CHRISTIN LANE Owner Tel# 978 685 7879 Type of Occupancy RESIDENTIAL New V RenovationF] Replacement Plan Submitted: Yet No[:] FIXTURES � w x � W F z U) U a J 30. 0 w w o °° x x z uauaa F H¢ z z o H w a of to w Q W Q W OH a Oa' W Q w x A > U) W rn w z ¢ x rWx a w w H T a s U' H Z H F C7 p > w Eu,� a H w a w > it ug , � ¢ ga' ¢ ¢ o o w �5 o w W � of = O 0 > SUB-BSMT BASEMENT 1ST FLOOR 2"D FLOOR 3RD FLOOR 4T"FLOOR J 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR 1771 1 1 1 1 1-H± Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 t Firm/Co. Name of Licensed Plumber or Gas Fitter �°-"�V,_ V, -,NCA INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ✓ No ElIf you have c ecked y s,please indicate the type coverage by checking the appropriate box. A liability insurance policy _ Other type of indemnity ❑, Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's 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 under the permit issu r this a li ation be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge eral aws. By Type of License: Plumber Signatue o License tuber or Gas Fitter Title 4-Gas fitter ej 2 •-Master License umber City/Town •-Journeyman APPROVED(OFFICE USE ONLY) Date. . .T. �•7. NORTH pf �.io ,°,•�O .. 3= TOWN OF NORIA ANDOVER p PERMIT FOR"GAS INSTALLATION ,SSACNUSEt 1 This certifies that . . . . . . . �``. .!". . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . �.��- '` in the buildings of . �j. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . �� f N�oor�th�Andover, Mass. Fee. `. . . . Lic. No 1<'c... . . )� ,.��`'�` . . ... . . . . . . / GAS INSP Tod Check#6,152 MASSACHUSETTS UNEFORM APPUCATON FOR PERM TO DO GAS FITTING (Type or print) Date QrJ -2 S Q NORTH ANDOVER,MASSACHUSETTS Building Locations _�� n)�I F&-/vt J2d Permit# �N—D— Amount Amount Owner's Name -AHe owe New Renovation Replacement1-3 Plans Submitted w vl w c � a � z zF. a O o > w F. zOC W F F ZF. W > 6dc1 Z CC d d O O W �' O Cn O x 3 c 0 a v x > A a F o SU B-BASEM ENT B A S E M ENT IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7 T H . F L O O R 8TH . FLOOR (Print or type) n Check one: Certificate Installing Company Name CU Y, c� El Corp. Address ___2 P; r;nn R� � .w f-coof MA, Pin El Part usiness a ep one _ o 3 Firm/Co. Name of Licensed Plumber or Gas Fitter I�Qxm (� INSURANCE COVERAGE Check one: I have a current liability Insurance,poli r it's substantial equivalent. YesNo� If you have checked Les ',please in ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one:Owner 13 Agent 13 1 hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts-!!a5r,Massachusetts-!!a5Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or GasFier Title Plumber _3 Cf, ' . City/Town Gas Fitter License Number er APPROVED(OFFICE USE ONLY) D OUrrleyman Commonwealth of Massachusetts .. Division of Registration": r., Fi a�i1 of PIL Imbing EX54,iifibrs KEVIN PHILLI4 MOND 152 BERP,L S=T LAWRENCE',,MA-01641_ Jounneyman:I?lumber—= PL30234-J 05/01/2006 001316 License No. Expiration Date. Serial No6 I Date................................... NOR7M °fs"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING s � •'s ;,SSACH i This certifies that has permission to perform ,rf'-r-fJ-r"�w— --�'- ........ ................................................... wiring in the building of..-�<A4..... ............................................. 601, fat..�rf ... — * r.. rf!�..-.ir(,-(f� � ,North Andover,Mass. ee.,!..�,..u—.�.. Lic.No . .. I. ...- ................ ELECTRICAL iNSPXOR Check # v 5550 �'� (.amrxonwaa�t a`//� ttNa�i For Office Use Only (Rev. (,�i Permitt Number v �J 9 . 1Jspart�a� arrdca., . BOARD OF FIRE PREY ION REGULATIONS Occupancy&Fee APPLIC ON FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL ORK TO BE PERFORMED WrM THE MASSACHUSErrB FS.ECIRICAI CODE 527 CNR 1200) PLEASE PRINT IN INK OR PE ALL I ORMATIONDate: 3 — 2 3 — Gs City or Townof: To the Inspector of Wires: By this application the unde ign d gives notice of his or her intention to perform the electrical work described below. Location:(Street&Number) G14r-a Owner or Tenant: 14711,C-17 a e- C._- Owners Address: f'ffo� Is this permit in conjunction with a Building Permit? Yes i--No o (Check Appropriate Box) Purpose of Building: /��' .-. . Utility Authorization M Existing Service: 2 Amps Z/—Volts Overhead Q Underground`B-- #of Meters New Servicer Amps / Volts. Overhead O Underground.13 #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: l.�• �,� d . No,of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fens No. of Transformers Total KVA No.Of Lighting Outlets 5/ No. of Hot Tubs Generators KVA j No. of Lighting Fixtures Swimming Pool: Above ground o In Ground a #of Emergency Lighting Battery Units No,of Receptacle Outlets No. of 011 Bumers Fire Alarms #of Zones #of Detection&Infttating Devices No.of Switches v No.of Gas Burners #of Sounding Devices: #of Self Contained .3 No.of Ranges No. of Air Conditioners i TOTAL TONS: -:L. Detection/Sounding Devices Local a Municipal Connection a Other o No. of Waste Disposals Heat Pump Totals; Security Systems: 1 Number. TONS: KW: No.of Devices or Equivalent No.of Dishwashers I Space/Area Heating: KW Data Wiring,No..of Devices or Equivalent: No.of Dryers Heafing Appliances KW Telecommunications Wiring:No of Devices or Equivalent; No. of Water Heaters KW No, of Signs: #of Ballasts: OTHER; • #of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including`completed operation'coverage or Its substantial equivaall . The undersigned certifies that such coverage is In force,and has exhibited proof of same to the permit Issuing office. CHECK ONE: INSURANCE t� BOND ❑ OTHER ❑ Please specify: Estimated Value of Electrical Work$ (When required by municipal policy) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete.complete.Firm Name: Licensee: Signatu1-1z LIC.#_1T � LIC. 3 3 (!f applicable,enter"ex ppt"in the lic s umber line) 01 Address: y Vrc s �.C�. � us.t z'r-7-Z/G y Alt.Tel.# OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) Owner a OR Agent a Signature of Owner/Agent: Telephone# �G+ PMU UT FEE:5 " .� r s V t Location No. /1 Date �-�`3 ov NORTIy TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ • i � • o� s cNH E<n Building/Frame Permit Fee $ s� us ra Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #Cl�z 17631 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: f DATE ISSUED: M SIGNATURE: Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O (a b old I'm Rc1 d -5 _—b; — Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (\ y!{ MA �m Zoning District Proposed Use .Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RecWired Provide RegWred Provided Reqwred Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site.Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 6« _s 110 rn 2.1 Owner of Record t Michad and [6ishn Lail e, bo Old F rng Toad � Name(Print) Address for Service "fli h 11 ivy US Sign re Telephone Q 2.2 Owner of Record: Name Print Address for Service: O z Signature Tel hone m SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ �? Licensed Construction Supervisor: _ O License umber v` Address N Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address _r Expiration Date ^ Signature Telephone Y/ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building it. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check aU a cable New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHD-1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ` FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT MiA ,P l .nCl- Kri',SHn ).Q n e PHONE 178- $S- 7$19 LOCATION: Assessor's Map Number 46- PARCELS SUBDIVISION U4a l_M LOT (S)� STREET L11c, IaA J4 ed- ST. NUMBER_ ***********************************OFFICIAL USE ONLY ***** REC F MENDAT ONOFT WN AGENTS: C6NNSERVATION ADMINIST OR DATE APPROVED ` DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Am: ( 5 I 3 I LAS' �- rnrn m LL h `{ I J f /3 1 CERTIFY THAT THIS LOT IS NOT IN THE F.I.A. FLOODZONE. THIS CERTIFICATION IS BASED ON THE SURVEY MARKERS OF CERTIFIED PLOT PLAN OTHERS AND IS NOT A PROPERTY SURVEY, FOR MORTGAGE OF LAND AT PURPOSES ONLY. I CERTIFY THAT THE BUILDINGS ARE LOCATED AS SHOWN AND, THAT THEY CONFORMED.TO THE ZONING BY-LAWS OF THE q O CITY/TOWN OF1Un, An�raiFr MAWHEN CONSTRUCTED. r1�C��VfTAl1q, SCALE: t" = Li o1 IN OF AS DRAWN FOR: DEED BOOK !1 C>Ej PAGE FKNMT s�� n+.f� N M 1 o P. AREA MOM N (_r)r 22159 r , PLAN ('1 ASSESSOR MAP SV' LJ 1 BLOCK ®R.A.M.ENGINEERING 160 Mvd= f3arect LOT 7 HavechilL Mawaohusetts 01830 l T=_(9M 372-0449 PAX(978)372-7193 . IAORTH 0 0 _ .�w _ over No. o A dover Mass. COCMICHEWICK y ' ' S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT...Af4..... / h/..�. ./.!V....... �✓ .. Foundation has permission to erect....1�X y ....... buildin s on � 0�� '"� R � ugh............ ......� ............ Rough to be occupied as....4�?.1 . . ► .....�.5......�...........�.N....r.ear.64 .....�..�.�......................................... 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. JS I& 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Ih 04140*61 N Final 3 o• R I's WN PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR v.94 L I N W S UNLESS CONSTRUCTION STARTS Rough Service ..... ......o..... ................/�..... ............... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE J1 Smoke Det. VINYL SHEDS Superior_Quality at Reasonable Prices CHATEAU Available in Chateau, Gambrel and Delmar models Family Owned Since 1969 Available in Pine, Cedar and Vinyl Sierra Chateau Gambrel Delmar i Sizepine pine cedar vinyl , pine cedar vinyl pine cedar vinyl ' DxL €, �' k* N 6'x 8' $888 $1011 $1246 $1342 --- --- --- -- --- --- s ash" t y s .w 6'x 10' $1068 $1206 $1479 $1593 --- --- --- --- --- --- 6'x 1293 $1446 $1754 $187] --- --- 'x14' $1542 $1702 $2083 $2183 --- - -� yy X � 6'x 16' $1763 $1946 $2380 $2494 --- --- --- --- --- --- 8' -8'x 8' $1175 $1302 $1587 $1675 $1386 $1683 $1770 -- --- --- y3 � � ' :•r 8'x 10' $1389 $1519 $1853 $1931 $1626 $1961 $2037 8'x 12' $1642 $1786 $2157 $2235 $1906 $2277 $2354 • 8'x 14' $1878 $2036 $2444 $2496 $2167 $2576 $2627 --- --- ___ (Shown with optional louver vents) • • 8'x 16' $2114 $2285 $2731 $2823 $2429 $2876 $2966 --- • SPECIFICATIONS • 8'x 18' --- $2596 $3110 $3143 $2806 $3298 $3329 --- --- --- Chateau, Gambrel and Delmar models • SPECIFICATIONS • 8'x 20' -- $2869 $3425 $3426 $3071 $3626 $3625 --- --- --- • WALL HEIGHT: 6' 3" on Chateau and Gambrel • WALL HEIGHT: 6' 3" on Chateau and Gambrel (7' 3" 10'x lo' (7'3" optional). 7' 3" on Delmar model standard. -- $1827 $2223 $2276 $1971 $2367 $2418 $2442 $2898 $2951 . DOORS: 41" Crossbuck wood doors & heavy duty optional). TY on Delmar model standard. 10'x 12' -- $2167 $2603 $2620 $2325 $2761 $2777 $2796 $3298 $3315 hardware (standard on wood sheds, larger doors • DOORS: 60" 4 panel steel double doors, 6" black o'x 14' -- $2486 2962 $2967 $2659 $3135 $3138 $3129 $3677 $3682 available). 60" 4 panel steel doors(standard on vinyl shed, decorative heavy "T" hinges, keyed "T" lock handle. lo'x 16' - 809 $3325 $3317 $2996 $3513 $3499 $3466 $4060 $4052 optional on wood sheds) '10'x 18' --- $3180 $3770 $3745 $3381 $3973 $3945 $3851 $4525 $4500 ' WINDOWS: 4 pane wood windows (standard on wood • WINDOWS: Aluminum single hung window with sheds).Aluminum single hung window with screen screen. 10 x 20 -- $3551 $4184 $4143 $3766 $4400 $4357 $4236 $4959 $4918 (standard on vinyl shed, optional on wood sheds). • WALLS: 2"x4" kiln dried framing 16" on center. 12'x 12' - $2528 $3032 $3014 $2699 $3206 $3185 $3171 $3747 $3729 • WALLS: 2"x4" kiln dried framing 16" on center. 12'x 14' --- $2910 $3458 $3395 $3097 $3646 $3581 $3567 $4193 $4130 • SIDING: Wood Sheds - 1" horizontal tongue & groove • SIDING: Walls sheathed with exterior plywood with low 12'x 16' --- $3268 $3859 $3777 $3470 $4062 $3977 $3939 $4614 $4532 pine or cedar kiln dried boards maintenance, durable vinyl siding. Vinyl Sheds - Exterior plywood and low 12'x 18' --- $3687 $4357 $4311 $3903 $4574 $4525 $4372 $5132 $5086 maintenance, durable vinyl siding. • ROOF: 2"x4" Roof Trusses 16" on center, 1/2" exterior 12'x 20' -- $4106 $4821 $4758 $4336 $5052 $4986 $4805 $5616 $5553 „ grade plywood. 25 year self sealing shingles, (grey, black • ROOF: 2 x4 Roof Trusses 16 on center, 1/2 exterior or brown) 14'x 14' -- $3409 $4033 $3999 --- --- --- $4080 $4788 $4754 plywood. 25 year self sealing shingles, (grey, black or 14'x 16' --- $3827 $4498 $4446 --- --- --- $4512 $5273 $5221 brown) • FLOOR: 5/8" exterior plywood, 2"x4" Pressure Treated • FLOOR: 5/8" exterior plywood,2"x4"Pressure Treated Floor Joists 16" on center(6' & 8' deep sheds). 2"x6" 14'x 18' --- $4330 $5047 $4975 --- --- --- $5029 $5842 $5770 Floor Joists 16" on center(6' & 8' deep sheds). 2"x6" Pressure Treated Floor Joists on center (10', 12' & 14' deep 14'x 20' --- $4832 $5595 $5504 --- --- --- $5545 $6410 $6299 Pressure Treated Floor Joists on center(10', 12' & 14' sheds). Pricing and promotional financing subject to change without notice. deep sheds). NORrk v` °` •'° "" Zoning Bylaw Denial 0 Town Of North Andover Building Department 400 Osgood St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: ce a:> V/a /�A e M /7v A Ma /Lot: 3 5/4 3 Applicant: / ' e-Inaa1 /<ri5f��✓ /, /aN e Request: 1'4 0-I/ Date: //// -7 o 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 S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage e s 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies �- S 4 Special Permit Required `t e S 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply c S 1 I Height Exceeds Maximum 2 Front Insufficient 2 1 Complies 3 Left Side Insufficient 3 Preexisting Height 5 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient ( Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting y e s 1 Not in Watershed e s 4 Insufficient Information 2 In Watershed j 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 N 1 In District review required 1 More Parking Required 2 Not in district C-( e S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Conr ate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming 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 13— Special Permit for 1=R�t I Sc,, c.- R-6 Density Special Permit S ecial Permit preexisting nonconforming Watershed Special Permit 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 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 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.& Building Department Official Signature Application Received App ratio Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: Item Reasons.for Menial Referees/nce C,C, TV e ti a-PAo� o� P��S iS �� v /•^e �( Fes/ 4- PA-C41 -wr Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING C J BUILDING PERMIT NUMBER: DATE ISSUED: M SIGNATURE: Building Commissioner/IEEQEtor of Buildings Date z SECTION I-SITE INFORMATION I LI Property Address: 1.2 Assessors Map and Parcel Number: 0 lOD Old F6f M 900ri Nodh A IM5 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R qq,-,H 2 Zoning District Proposed Use Lot Areas f) Frontage(ft) 1.6 WELDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided iq 14,1- LI " .V— 1 1.7 Water 54) 1.5. Flood Zone Infonnation: 1.8 Sewerage Disposal System: > Public Supply M.G.L C.40 Private 0 Zone Outside Flood Zone 51 Municipal kf On Site Disposal System D SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record Mfr,hae-j aOd �gSb'jj L-Q.,Q,e Lop Did bcra W Name(Print) Address for Service: -1), -6� 932-1,25-13-7 9 Signatuk Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z 97Q-cess - 7?)72 M Si nate Tele phone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 'TC ,J1 'T nqktcLy,-\ Licensed Construction Supervisor: '1 0 0)d J-0k,01500 Ad. ke�; ��0,r"t License Number Address & > /"S . o 7,f,,C;'Ur Expiration Date ignature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name 133ZIl M Registration Number r -2X M-IJ-011"JO-1 rM Address 0 Y--Z-& S 23 z e3,J 2 9' 0511r— Expiration Date G) nature 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 R Existing Building D- Repair(s) ❑ Alterations(s) 91 Addition [3" Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Po f' A.P(ALL _ All rA C4av r) A&100�tiG SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be UFFICIAti`USE ONLY, Completed by pennit applicant ` 1. Building � (a) Building Permit Fee Multiplier 2 Electrical /000,<.ro (b) Estimated Total Cost of p D 0 Construction 3 Plumbing 5 5t .r0 Building Permit fee(a)x (b) 4 Mechanical HVAC 7 000.11) 5 Fire Protection 6 Total 1+2+3+4+5 101;4 50a I Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUR DING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO.OF STORIES SIZE a,%.J T_ BASEMENT OR SLAB :L p SIZE OF FLOOR TIMBERS 1 ' C, yf' S j' 3RD SPAN 2 y DIMENSIONS OF SILLS Z DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION r THICKNESS SIZE OF FOOTING I V"X ;40/r MATERIAL OF CHR%4NEY 140111 c IS BUILDING ON SOLID OR FILLED LAND ��JLVD IS BUILDING CONNECTED TO NATURAL GAS LINE ATTY rna i `s 1 FL L - . m H n L1 I J ' E � O 1 CERTIFY THAT THIS LOT IS NOT IN THE F.I.A. FLOOD"ZONE. THIS-CERTIFICATION IS BASED ON THE SURVEY MARKERS OF CERTIFIED PLOT PLAN OTHERS AND IS NOT A PROPERTY SURVEY, FOR MORTGAGE OF LAND AT PURPOSES ONLY. I CERTIFY THAT THE BUILDINGS ARE LOCATED AS SHOWN AND, THAT f THEY CONFORMED TrO THE ZONING BY-LAWS OF THE A moa CITY/TOWN OF A - An A WHEN CONSTRUCTED. �GI, AnCIOVe( SCALE: 1" _ Li 0' N Of� AS DRAWN FOR: DEED BOOK !Ja"Ob PAGE ppg� 9G AREA 1IU i.y^. � pMOI�it18 f�C(f" !Ul'"L1 PLAN ��^5.,.� 22159V 00 R ASSESSOR MAP _ t BLOCK jL�,jyj,�TGINEEF.i1VG LOT 160 M:•+++ S4zeeit H avcddI,Mnssachuaetta 01830 To-(978)3720419 PAX:(978)3?Y7183 22 2'8/6'8 UTILITIES uP s BUILD ItNTRY FLOOR UP TO BE Ib" HIGHER THAN GARAGE FLOOR DOOR SHALL BE 16 1 I HR. FIRE RATED C ARAC E NOTE: NEW AND EXISTING GARAGE SHALL BE FINISHED WITH 5/8" "TYPE X" GYPSUM WALLBOARD dJ rj N i EXISTING GARAGE FIRST FLOOR PLAN 1/4" = 1 '-O FROPOSED Ar� DITIONS RENOVATIONS LANr RAS I D NGS 60 OLD FARM ROAD NORTH ANDOVER, MA. 22' 2846 2846 2'-41 1 4'-411 MN LOPEN RAILING 8' I 16' ^ I I 00 00 3' II LIVING AREA ENLAik6E(EXISTING MA5TER CLOSET x'8/6'8 POCKET $ Door " II I 2'4/6'8 � 111 I WALK IN OL05ET ��DROOM WINDOW 2846 HA5 141-411 „ E(D K.0.=2'-10 1/5" X 4'-41 1/4" 4' VANITY 8' VX4' 5HOWER 2'6/6'8 25462846 rr- a-611 11'. .151-6" . SEG(:�)NP FLOOR PLAN 5ROPOSED ADDITIONS I$ RENOVATIONS LANE RES I ENC r 60 OLD FARM ROAD NORTH ANDOVER, MA. DD N 0 Z -+ as rn r DD DD rn 0 00 00 o0 00 � as oo EED) � o zL111 E � o0 00 � oo as Pi?OPOSED ADDITIONS & RENOVATIONS LANA FZF=SIDENGE 60 OLD FARM ROAD NORTH ANDOVER MA. i I I I i r o N I z x N n II r I z F'ROF'OSED ADDITIONS RENOVATIONS LANE Rr-S I DENGE 60 OLD FARM ROAD NORTH ANDOVER MA. NEW TRAN50M5 ABOVE EXISTING GARAGE DOORS 0 EXI5TIN6 STRUCTURE NEW CONSTRUCTION RIGHT SIDE ELEVATION j 1/4"= 1 '-0 PROPOSED ADDITIONS $ RENOVATIONS LANE RES I DEN CE 60 OLD FARM ROAD NORTH ANDOVER, -MA. CONT.-RIDGE VENT SHINGLES TO MATCH-EXISTING 5/5" EXT. PLYWD. SHEATHING NEW SLOPE-OF ROOF SHALL 2X10 RAFTERS MATCH EXI5ITNG - APPROX. 6 FT2- VERIFY IN FIELD 2XIO CEILING JOISTS R=50 FIBERGLASS BATT IN5UL. METAL DRIP EDGE CONT...SOFFIT VENT SIDING-TO-MATCH EXI5TING HOUSEWRAP EQUAL TO "TYVEK" 1/2" EXT. PLYWD. 5HEATHING ENGINEERED FLOOR-J015T SYSTEM - 2X6 STUD WALL TO BE DESIGNED BY-MANUFACTURER R=19 FIBERGLASS BATT IN5UL R=30 FIBERGLASS BATT IN5UL NEW SECOND FLOOR SHALL BE FLUSH WITH EXISTING ADJACENT SECOND FLOOR r J rJ r-� rJ ' rJ r-� IS RISERS ® 8"- EA. -Tr- 14 READS ® 10'' EA. r rJ i F_- NEW GARAGE SHALL r BE FINISHED-WITH 5/8 i "TYPE X" GYP. WALLBD. r- r- --J 1_411 4" GONG. SLAB 10" GONG.-FOUNDATION CRUSHED STONE W/ 10"X20" GONC.FOOTING POLY VAPOR BARRIER 41 PROPOSED ADDITIONS RENOVATIONS LANE RES I DENGE 60 OLD FARM ROAD NORTH ANDO\tER, MA. N N F - - - - - - - - = - - - -T - - - - - - - - - - - - - I r - - :10" - - - - - - -- = - - - - - - -CONCRETE r-OUNDAITON 10"X20"CONCRETE POOTIN6 I I I I N I I I 1�1-4" CONCRETE 5LA5i f I6 N � N l� z i N x w i i i j PROPOSED ADD I TI ONS ' $ RENOVATIONS LANE RESIDENCE 60 OLD FARM kOAD NOitTH ANDO\(ER, MA. 22' I ENGINEERED FLOOR JOIST SYSTEM - TO BE DESIGNED BY MANUFACTURER BEARING WALL BELOW ENGINEERED FLOOR JOIST SYSTEM - TO BE DESIGNED BY MANUFACTURER 24' FLOOR FRAM I NO ' I 22' 2X10 RAFTERS 2 Ib" OC ENGINEERED BEAM 6ELOW 16 TO CARRY .RAFTERS AS SHOWN- BEAM TO BE DESIGNED BY MANUFACTURER 2X12 RIDGE I 3X12 "ALT' RIDGE 24' 2X10 RAFTERS a Ib" 0 ROOF FRAMINO Ile) 1 '-0 PROPOSED ADDITIONS RENOVATIONS LANE RF-51 DF-NGF- 60 OLD FARM ROAD NORTH ANDOVER, MA. Date.�� °./. . . NORTH +0 TOWN OF NORTH ANDOVER p� ,,.o ,•1 0 PERMIT FOR PLUMBING « � ; . SS US This certifies that .. . .//i."" . . . 1. has permission to perform . .`r .... ' r`x �. . . . . . . . plumbing in the buildings of . .f'?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at.!. ' . . . ..-� ' .-. ..... . . . ... . . . . . , North Andover, Mass. M � .). �. •� rte. F& . . . . .Lic. No. r'T�� . . . . . . . . . . . . PLUM G%1NSPECTOR Check # 6314 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / Date Building Locatio .l' n� t/��ir2 /'L XWners Z�ame "�'q� Permit# / Amount � Type of cc!pancy New Renovation Replacemelt E:r Plans Submitted Yes No FIXTURES Cn cn SLR1M iASEMEvr IST H CR Za Kfm AM Fl" 4IH FIDCR 5M HDOR GIH FLO(R 7M R" 1 SIH Imm (Print or type) n Check one: Certificate Installing Company Name �� CU �� Corp. Address 2 a,, El Partner. B iness Te ep one f�`t 1-9;Z_ ,3 13"Firm/C0. Name of Licensed Plumber: �— Insurance Coverage: Indicatethetpe of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the MasrEuset tat ode and Chapter 142 of the General Laws. By SignaLure or 1-icensed FlumDer Type of Plumbing License Title �a Jy�/ City/Town icense umDer Master El APPROVED(OFFICE USE ONLY BOISE �BC`L _,.--_•us Tuesday,January 11,2005 07:5.. � � ^--�_ Double 1 3/4" 'i 117/8" VERSA=IMAM®3100 SP lame: BC CALL Project: F1302Job Name: LANE f ` ;ription: Address: 60 OLD FARM ROAD �14 acifier: City,State,Zip:NORTH ANDOVER,MA + p - ,� asigner: Customer: �lmpany: Code reports: ICBO 5512,NER 629 �. 2 1 BO B1 LL 4845 lbs LL 4845 lbs DL 1481 lbs DL 1481 lbs Total of Horizontal Design Spans=09-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. 1 St@ndard Load Unf.Area Left 00-00-00 09-06-00 Live 40 psf 12-00-00 100% Member Type: Floor Beam \ Dead 10 psf 12-00-00 90% Number of Spans: 1 2 Unf.Area Left 00-00-00 09-06-00 Live 45 psf 12-00-00 100% Left Cantilever: No Dead 15 psf 12-00-00 90% Right Cantilever: No Controls Summary Slope: 1 `` Control Type Value %Allowable Duration Load Case Span Location Pos.Moment 15023 ft-lbs 70.6% 100% 1 1 -Internal Neg. Moment -0 ft-lbs n/a 90% 1 -Right End Shear 4911 lbs 61.1% 100% 1 1-Left Disclosure Total Load Defl. U456(0.25') 52.6% 1 1 The completenes +racy of Live Load Defl. L/596(0.191") 60.4% 1 1 the input must beL anyone Max Defl. 0.25' 25.0% 1 1 who would rely on ti, t as Span/Depth 9.6 n/a 1 evidence of suitability i, particular application. Thi, ,),`W Notes above is based upon building Design meets Code minimum(Li240)Total load deflection criteria. �} code-accepted design properties Design meets Code minimum(L/360)Live load deflection criteria. 1� and analysis methods. Installation Design meets arbitrary(1")Maximum load deflection criteria. of BOISE engineered wood Minimum bearing length for BO is 2-1/8". • products must be in accordance Minimum bearing length for B1 is 2-1/8". with the current Installation Guide Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and the applicable building codes. To obtain an Installation Guide or if Connection Diagram you have any questions,please call Consult project design professional of record or BOISE technical representative for connection design (800)232-0788 before beginning product installation. Member has no side loads. BC CALCO,BC FRAMER®, BCI®, Connectors are: 1/2 in.Staggered Through Bolt BC RIM BOARD- BC OSB RIM a minimum=2" BOARDTm BOISE GLULAMTm, b minimum=2-1/2" b d VERSA-LAW,VERSA-RIM®, c=7-7/8" VERSA-RIM PLUS®, d=24" a VERSA-STRAND-r • • • Imp VERSA-STUD®,ALLJOIST@ and AJSTm are trademarks of Boise Cascade Corporation. ' Page 1 of 1 BC CALC®9 DESIG 4 _..1`=us I Tuesday,January 11,2005 07:51, BOISE ��y//`\\\� l t Double 1 314" k 11 7/8" VERSA=L_AM®3100 SP lame: BC CALC Project: FB02 Job Name: LANE -- y ra+ fxiption: Address: 60 OLD FARM ROAD i.s ac]fier: -• City,State,Zip:NORTH ANDOVER,MA 6 �,� asigner: Customer: V ;� �mpany: Code reports: ICBO 5512, NER 629 iw,�rti 2 1 Ak BO B1 LL 4845 lbs LL 4845 lbs DL 1481 lbs DL 1481 lbs Total of Horizontal Design Spans=09-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. 1 Standard Load Unf.Area Left 00-00-00 09-06-00 Live 40 psf 12-00-00 100% Member Type: Floor Beam Z Dead 10 psf 12-00-00 90% Number of Spans: 1 2 Unf.Area Left 00-00-00 09-06-00 Live 45 psf 12-00-00 100% Left Cantilever: No Dead 15 psf 12-00-00 90% Right Cantilever: No Controls Summary Slope: �� Control Type Value %Allowable Duration Load Case Span Location Pos.Moment 15023 ft-lbs 70.6% 100% 1 1 -Internal Neg.Moment -0 ft-lbs n/a 90% 1 -Right End Shear 4911 lbs 61.1% 100% 1 1 -Left Disclosure Total Load Defl. U456(0.25") 52.6% 1 1 The completenes,. ]racy of Live Load Defl. L/596(0.191") 60.4% 1 1 the input must be anyone Max Defl. 0.25" 25.0% 1 1 who would rely on tr,, I as Span/Depth 9.6 n/a 1 evidence of suitability t, particular application. Th_.,out Notes above is based upon building Design meets Code minimum(Lr240)Total load deflection criteria. code-accepted design properties Design meets Code minimum(U360)Live load deflection criteria. and analysis methods. Installation Design meets arbitrary(1")Maximum load deflection criteria. of BOISE engineered wood Minimum bearing length for BO is 2-1/8". products must be in accordance Minimum bearing length for B1 is 2-1/8". with the current Installation Guide Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and the applicable building codes. To obtain an Installation Guide or if Connection Diagram you have any questions, please call Consult project design professional of record or BOISE technical representative for connection design product installation.(800)232 before beginning Member has no side loads. BC CALCO, BC FRAMER@,BCI@, Connectors are: 1/2 in.Staggered Through Bolt BC RIM BOARD TM BC OSB RIM a minimum=2" -� BOARD TM BOISE GLULAM-, c= um=2-1/2" �I b d b minim VERSA-LAM@,VERSA-RIM@, 7 VERSA-RIM PLUS@, d=7-7/u a VERSA-STRANDTM^ • • • VERSA-STUD@,ALLJOIST@ and AJS'm are trademarks of Boise Cascade Corporation. C Page 1 of 1 Location leo ©�� a� fiPw b No. Date A.2 /y I, NORTIy TOWN OF NORTH ANDOVER f � • ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ --3� C"^ "'^ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 6C) Check # ,;2,3 17 8 .98 r --- Building Inspector ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING DAABUILDING PERMIT NUMBER: ISSUED: ic SIGNATURE: C Building CommissiontAnspector of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: b Old Faan Road Map Number Parcel Number hlorkhndover,A bISyS ti 1.3 Zoning Information: 1.4 Property Dimensions: R2- r-egsick Ajal .3q2 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ �! SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT lijbwmc istriCt: Yes HiQ rn 2.1 Owner of Record ,,,-- Mii,hoel and Kristin Lo-ne f(QQ (old Farm Rd North AnCit)Ver, M A Name(Print) Address for Service -787 Signature Telephone 2.2 Owner of Record: 4 Nan.. nt Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ rl r v � I ra rr�rru k Licensed Co struction Supervisor: CS n qH I0'-1 0 License Number ,s'n I�f �czk i dq< Kd. No ri n q h arri ,N ri 632!9c) Address (n1 q" 8559 Expiration Date r� Signature Telephone 3.2 Regis er-ed Home Improvement Contractor Not Applicable ❑ ��erlr� rarr,rr,i� � Compan}#NameJI17 S I R M Registration Number r ill Oakri dr,P`�4_ lVr71� irlra>lllrrl iV�i 0�'Ly0 rM Address 11)281?bb tg z Expiration Date Si nature Telephone r 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) ❑ FAlterations(s) g T7571-tion 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: s6dflLol ©P IAanll ir13Plim-,ey) ei, nr��11 „yrnd ki'�f�1P� I� OYCaPi^ ID Pl'll(�I'0►e �Cifith I�'lc�'�Q1I l�lf-Ylet� Jde cahije4n 4an&P Counierf- C\e > wir'i(' alij Over :SinL1xnd r 9 ' nbbrr • re❑o6dloni►1� aad— inStal.j netorRo Fi SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL SE ONL Completed by permit applicant 1. Building (a) Building Permit Fee 31 Multiplier 2 Electrical (b) Estimated Total Cost of v2,n o o Construction 3 Plumbing Building Permit fee(a)X (b) ` 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 / 5, (p 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT h M i r hc.e l i a r), as Owner/Authorized Agent of subject property Hereby authorize_ K P n r„ Ta Wm i k to act on My behalf,in all knatters relative to work authorized by this building permit application. - A.o n S rn Q v 12-11 o�i Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION t 1> ,as Owner/Authorized Agent of subject property Hereby declare that the statements and infannation on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLA13 SIZE OF FLOOR T ABERS 12Nn 3KD SPAN DEVIENSIONS OF SILLS r DIMENSIONS OF POSTS DIIv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS t SIZE OF FOOTING X MATERIAL OF CHININEY 1S BUILDING ON SOLID OR FILLED LAND _ IS BUILDING CONNECTED TO NATURAL GAS LINE !' Board of t3.tMding Regulations and�t !s ' HOME IFAIZOVEMENT CONT4& I' Reg tra rr: 70' } E1 /2GJ0 Ik idu` HENRY J TAM�VI 112Y TAMMI�£` I j ©i�tCR!DGE �I�f�.�'1Nt�ti�llvl 1`It�03� �+•-�...� } >�IAR{t# 61JIJ-DING REGULATIONS °y License: CONSTRUCTION.SUPERVISQR N�mtretG 044647 i ( Birt, 952 ED.y327 �06 TF.no: 23555 pp. R" 4t HENRY.! T mmIf, {; 1 tI Cad RD , `i T NH �� A �ng C ones �. NORTiy T0VM Of 0 r.r��.N'• Y'M••r...f. No. a 11 _ A E dover, Mass., D coC MICME WICK A�RATEO S BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System C�,+ �^ �� , BUILDING INSPECTOR Z THIS CERTIFIES THAT... .... . .............................................................................................................................................. . Foundation has permission to erect-RA09"+.f..... buildings on...�� ...... ..., � ...... ....................... Rougl, t0 be Occupied as.,........�i .-1......�... M�........�11�.... � ��►......RMs Chimney �i.. . .. . ........................................ provided that the person accepting this permit shall in 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 rel 'ng to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3S' G 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough C.................................. Service . ..................................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. SEE REVERSE SIDE Smoke Det. 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 off in: `I _ (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 f HoRTM TOWN OF NORTH ANDOVER �?; " oma OFFICE OF p BUILDING DEPARTMENT 400 Osgood Street ,„o•�'` North Andover, Massachusetts 01845 sS CHUSE� D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: lZIl yl Dj JOB LOCATION: &0 Ob rarrn P. 35 (a Number Street Address Map/Lot Kristin L-ar _ HOMEOWNER MiC had Lane 919 -635-7979 `)73-q 7S-OSI I Name Home Phone Work Phone PRESENT MAILING ADDRESS leo old Farre Qj . Lly-th Anriovec NA olsq 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 of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE ` kn Q,� APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 DECK IF D E?CI5TIh SLIDER b it no'- Ije.ing } added a+ +hls rnQ II I I n aeFrigercafi5� 24' 12' NEN E, M I LY ROOM Va Ilk ref �K ° to "h FIRST FLOOR FLAN t 28�46 2846 2846 18' FROFOSED ADD I TI ONS 4 RENOVATIONS t LANE RESIDENCE 60 OLD FARM ROAD NORTH ANDOVER, Mrd. ~� �,onsmonsvaa�s of��a�arJrtrdel/`! For Office Use Only (Rev,11/99)Number 0,0j�9 ryry�� Permit mber. �•' . 1.JsPar�arsnE a� �srvicad • • ��,e� BOARD OF FIRE PREV ION REGULATIONS Occupancy&Fee APPLIC ON FOR PERMIT TO PERFORM' ELECTRICAL WORK =ORMATION ORK TO BE PERFORMED Wrtti TIM MASSACRUMT3 ELECMCAL CODE 527 CMR 12.00) PLEASE PRINT IN INK OR PE ALL Date: — Z 3 — G51 City or Town of: To the Inspector of Wires: By this application the uncle ign d gives notice of his or her intention to perform the electrical work described below. Location:(Street&Number) C/ Q es Owner or Tenant: e-, i Owner's Address:— Is ddress:_Is this permit in conjunction with a Building Permit? Yes i---N—o a (Check Appropriate Box) Purpose of Building:.,57,H /< .-. . Utility Authorization#- Existing Service: ?�v Amps Volts Overhead p Underground.`-- #of Meters New Servicer Amps I Volts Overhead O Underground.0 #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: No,of Recessed Fixtures No.of Cell:Susp.(Paddle)Fens No. of Transformers Total KVA l 1 No.Of Lighting Outlets 7 No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground c In Ground a #of Emergency Lighting Battery Units No.of Receptacle Outlets No. of 011 Bumers Fire Alarms #of Zones #of Detection&Initiating Devices No,of Switches rr No.of Gas Burners #of Sounding Devices: #of Self Contained 3 No.of Ranges Detection/Sounding Devices 9 � No. of Air Conditioners j TOTAL TONS: -Z Local o Municipal Connection o Other o No, of Waste Disposals Heat Pump Totals: Security Systems: Number. TONS: KW: No.of Devices or Equivalent No.of Dishwashers j Space/Area Heating: KW Data Wiring,No..of Devices or Equivalent: No.of Dryers _ _ Heating Appliances KW Telecommunications Wring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: #of Ballasts: OTHER; #of Hydro Massage Tubs No. of MotorsTotal HP INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may Issue unless the licensee provides proof of liability insurance including'completed operation'coverage or Its substantial equly/alThe undersigned certifies that such coverage is In force,and has exhibited proof of same to the permit issuing office. CHECK ONE INSURANCE Cl-- BOND o OTHER O Please specify: Estimated Value of Electrical Work 5 (When required by municipal policy) Work to start: Z 3 — O S Inspections to be requested In accordance with MEC Rule 10,and upon completion. 'I certify,under the pains and penalties of perjury,that the Information on this application is true and comp/ate. Firm Name: v Si h t r LIC.# /'99 3 - CD � Licensee: f s-+• /� Signature' v C (if applicable,enter" pt"in the lice s' umberline) LIC.#. /�/�9 3 3 D Address: Y yr s /- �- /'! ��7'2/G ,T Alt.Tel.# OWNER'S INSURANCE WAIVER:i am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) Owner o OR Agent o Signature of Owner/Agent: Telephone# P S 04t Tommonwfulo of Massar4�useffif Permit Noffice Use774 19partment of public #safetg Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be d P n accordance with the Massachusetts Electrical Code, 527 CMR 12:00 _ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _ I - �J City or Town of _� j�-Gt� fly 19 S S To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) C/ l( ,�,� ,, CI -n Owner p-- or Tenant fYl i� (� �,� �/� 1., Owner's Address �- Is this permit in conjunction with a building permit: Yes Q // No El (Check Appropriate Box) Purpose of Building //,C. s C_ Utility Authorization No. Existing Service 0 U� Amps �q& Volts Overhead (� Undgrnd © No. of Meters New Service Amps _/ Volts Overhead ❑ Undgrnd ❑ No. of Meters } Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work Md .C_ ILL— G S �`� No. of Lighting Outlets No. of Hot Tubs Total No. of Transformers KVA No. of Lighting Fixtures /') Swimming Pool Above In- l/ grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Emergency Lighting I No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals I No.of Heat Total Total Pumps Tons KW No. of Sounding Devices :__ . of Dishwashers / No. of Self Contained Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Municipal Local ❑Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring I No. Hydro Massage Tubs No. of Motors Total OTHER: 0� T h ! f INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO a I have submitted valid proof of same to the Office. YES ❑ NO a If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Elect Work$ 3 CJ p Ljy (Expiration Date) Work to Start_/ - /.S -� Inspection Date Requested: Rough-a;7, o i Final Signed under the Pena ties of p ury: FIRM NAME G dok c/C_- Licensee LIC. NO. t Signature ---�- �- ll q LIC. NO. ��,dress v?v�,// O / U�� 4v Bus. Tel. No. __ / ) -, 7 3 j Alt. Tel. No. OWNER'S iNSURANC WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No.97R L85-7879 (Signature of Owner or Agent) PERMIT FEE $ x-6565 Date.......`:22..."0 5. � f gORTM 1 3?;•�;�`` "�o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��sS�cMUSE� r _ This certifies that ...........! /?�-�C........G. !s?.:5.. ��:�........................... _ v has permission to perform .......................................... ................................... wiring in the building of..... �� L"� �............................... ....................................... I at............69 ......�Gl ... ! M.... ....--,North Andover,Mass. Fee... -��'�0... Lic.No.�.9 s3.? ...... ?.f:�r... � !`�-fG,�;...... y ELE-criicAL INSPECr6R Check # 5571:. Office Use OnIJr 0he Tommunwrat h of MassarhusE Permit No. � , l '� i9ep rtment of Ilubfir Opafrtg Occupancy& Fee Checked a BOARD OF FIRE PREVENTION REGULATIONS 527 C R 12:00 3/90 (leave blank) APPLICATION pFORdIPERMITwITO PEchFORM ELECTRICAL WORK All work to be is Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE LL INFORMATIAl� Date 0 a` - I - 0__ City or Town of �� To the Inspector of Wires: The udersigned applies for a permit to perform the electri work described below. Location (Street & Number) �a //U ,�,g , Owner or Tenant C/'7 / l�f X A/,-I(- Owner's Address Is this permit in conjunction with a building permit: Yes Q No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service O'UG Amps a'gCj Volts Overhead Undgrnd © No. of Meters New Service Amps _/ Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _MkI > el S r, * No. of Lighting Outlets ✓ No. of Hot Tubs No. of Transformers Total KVA v No. of Lighting Fixtures Swimming Pool Above In- _• V grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals J No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑ ❑Other Connection i No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP t OTHER: etrc •< T ( Li INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO Q• 1 have submitted valid proof of same to the Office. YES ❑ NO NIP If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) Estimated Value of EleE!Ir�cal Work$ 3 00 6) —6' (Expiration Date) Work to Start / — /_. — C),S Inspection Date Requested: Rough J s Final Signed under the Pena ties of per ury: FIRM NAME C 01, c/ LIC. NO. Licensee ✓ Lcc, // Signature r LIC. NO. �J~3 k: Address A I/e,i`„Y �� '1./j-�VBus. Tel. No. / �`J 7 �S �� Y Alt. Tel. No. OWNER'S INSURANC WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) —C,/)- Telephone No.97R-(.S5-7879 PERMIT FEE $ 4 (Signature of Owner or Agent) x-6565 Date.?.? `G? 40P74,o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 ,SSACHUS This certifies that . . . . . . . . :. . . . .. . . . . . . . . . . . . has permission to perform . .P.r� a.� . . {, . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .`. ,<4 �'1 -� . . . . . . . . . . . . . . . . . . . . . at. . . ., North Andover, Mass. Fee. .14.2. ... . .Lic. No.. .�3-fr -. ` PLUMBING INSP CE TOR Check # 2 - G37J � � ' MASSACHUSETTS UNIFORM A7LITION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date 35— Building Location GO O L d F1ft/i/ /Owners Name Z-141114— Permit# 4'7 ,,,. Amount T e f Occu aZ 54 /z y New Renovation 0--- Replac ment Plans Submitted Yes 0 No 0 TURES w Ste» &ASEM[Nr BE HEM ave Him �M FLOM 4MHl= 5M IL" sMHDM 7MIWM 91HF>DM (Print or type) _ Check one: Certificate Installing Company Name /,//��!1/'TT� �L G T /�T� Corp. Address ry kr,00l-�7 /11,2 Partner. T L`I"L A Si Business Te ep one T 7$_ 8 5-1 52� Firm/Co. Name of Licensed Plumber: a c"�B3G I' ^Q G1/,:— Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing de and pter 142 of the General Laws. BY 1gnuro1cen u=-4-r Type of Plumbing License Title l f�•-V0/-2- City/Town rcense um er Master Journeyman APPROVED(OFFICE USE ONLY i ' Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division; 400 Osgood Street I'!i / -. 4 ',.r North Andover,Massachusetts 01845 '`'.T. D.Robert Nicetta `! Building Commissioner lf-iUru 76%9$%I2 Any appeal shall be filed Notice of Decision within(20)days after the Year 2004 date of filing of this notice in the office of the Town Clerk. Pro at: 60 Old Farm Road NAME: Michael&Kristin Lane HEARING(S): December 14,2004 ADDRESS: 60 Old Farm Road PETITION: 2004-033 - NorQl Andover,MA 01845TYPING DATE: December 16,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 12OR Main Street,North Andover,MA on Tuesday,December 14,2004 at 7:30 PM upon the application of Michael&Kristin Lane,60 Old Farm Road,North Andover requesting a Special Permit from Section 4,Paragraph 4.121.17 of the Zoning Bylaw for a Family Suite. Said premise affected is property with frontage on the North side of Old Farm Road within the R-2 zoning district. The legal notices were sent to all abutters and published in the Eagle Tn`bune on November 29&December 6,2004. The following members were present John M Pallone,Epen P.McIntyre,Joseph D.LaGrasse,Richard J. Byers,and Albert P.Manzi,III. The following non-voting members were present: Thomas D.Ippolito, Richard M.Vaillancourt,and David R_Webster. Upon a motion by John M.Pallone and 2nd by Albert P.Manzi,III,the Board voted to GRANT a Special Permit from Section 4.121.17 of the Zoning Bylaw for a Family Suite per Proposed Site Plan of Land At 60 Old Farm Road,North Andover,Massachusetts,November 18,2004 Owwner/Applicant•Michael& Krish Lane,60 Old Farm Road,North Andover,MA by Robert P.Morris,Registered Professional Land Surveyor#22159,R.A M.Engineering 160 Main SUCM Haverhill,Masuchusetts o1830;and Proposed Additions&Renovations,Lane Residence,60 Old Farm Road,North Andover,MA.by Lawrence Harold Ogden,Registered Professional Engineer#27755, 198 East Main Street,Georgetown,Ma.01833,pp. 1-9. With the following conditions: 1. The Family Suite shall be occupied by William and Frances Lane,only,parents of Michael Lane,one of the residing owners of the dwelling 2. The Special Perind shall eVire at the time that Wohm and Frances Lane cease to occupy the fannily suite' 3. The Special Permit shall expire at the time the premises are conveyed to any person, Partnership,trust,corporation or other entity; 4. The applicant by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit grants the Building Inspector,or his lawful designee,the right to inspect the premises ==any. Voting in favor. John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P. Manzi,III. The Board finds that the applicant has satisfied the provisions of Section 4,Paragraph 4.121.17 of the zoning bylaw,that the shared living area of the proposed Family Suite brings the gross floor area of the addition below the maximum 25%of the gross living arra of the principal unk and that such change, extension or alteration shall not be substantially more detrimental than the existing under-oonstruction single family home to the neighborhood. Page 1 of 2 Board of Appeals 978-688-9541 Building 978.688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Of�«oo •�O Office of the Zoning Board of Appeals �GL; r L! Community Development and Services, r �" 400 05g00d Street 1-5 IN 'i_. S'7�►�� North Andover,Massachusetts 01845 D.Robert Nicetta 1604 DIC Ttep6hebIA88-9541 Building Commissioner Fax (978)688-9542 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, iuj,4- n 4t)f Ellen P.McIntyre,Chair Decision 2004-033. M35P63. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535