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HomeMy WebLinkAboutMiscellaneous - 60 ROSEMONT DRIVE 4/30/2018 60 ROSEMONT DRIVE 210/098_g-0090-0000.0 -� Date l v/ 22 NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��s,�c►�us� This certifies that " ' .................................................................................................................................. has permission to perform�/���' '� '60 SG vrco , I ! ......... ........................................ wiring in the building of...,..... ,,�J� /� /.........tet\................./...................................................... at ..................d 4 G Sal ! n�"� -�-+'�,,,,....J.....,North Andover,Mass. ..... ...................... .................... Fil Fee... . .. .......Lic.No!. ..IQ..,�•• ./.y.�......... EL C CAL�&S�P�E-CCAP�11�� Check 4t p_ commonwealth of Massachusetts Official Use Only Permit No. ! D - Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank �M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT INMK OR TYPE ALL INFORMATION) Date: Z b l City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his orr'her intenti n to perform the electrical work described below. Location(Street&Number) (no 44ilt Owner or Tenant lffl Telephone No. Owner's Address �Cy� - Is this permit in conjunction with a buildin permit? Yes No ❑ (Check Appropriate Box) Purpose of Building a� Utility Authorization No. - Existing Service DD Amps /Z Volts Overhead ❑ Undgrd[J No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �,� �it l VA Fr Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.No.of Hot Tubs Generators KVA Al Ao.of Emergency ig ting No.of Luminaires Swimming Pool rnd. rnd. Batteiy Units No.of Receptacle Outlets 120 No.of Oil Burners FIRE ALARMS JNo, of Zones No.of Gas Bur,-�ers No.of Detection and No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices J No. of Waste Disposers Heat ea Pua p Number••.Tons KW No.ofSelf-Contained Detection/Alerting Devices Municipal El Other No.of Dishwashers Space/Area Heating KW Local❑ Connection Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or E uivalent No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 p ins and penalties o pe ' ,that the -iforination on this application is true and complete. FIRM NAME: I LIC.NO.: 2 Licensee: Signatur LIC.NO.: (If applicable,e ter "ex pt"to th hce se a ber line.) Bus.Tel.No.: 20 Address: O I Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security wor requires epartment of Public Safety"S"Liccnse: Lic.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 agent. Owner/Agent -7 FEE: $ 7 Signature Telephone No. 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 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 corporation 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,§K. Permits shall be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he 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 entity stated on the permit application. El The Permit Extension Act was created by Section 173 of Chanter 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 purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,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: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass[E Failed Re-Inspection Required($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass]' Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INP TION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Com ents: Inspectors Signature: Date: FINAL INSPECTION: Pass Q Failed Re-Inspection Required($.) ❑ Inspectors Comme s. Inspectors Signatu e: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of IndustrialAccidihts Office of Investigations VV 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): Address: o Bo ("f City/State/Zip: C�tti1 `NW 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. I 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. E]Building addition [No workers'comp.insurance 5. F-1Weare 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 11.❑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' comp.insurance required.] 13.[i Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they hire 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: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 cerito,under th pains an F nald rjury that the information provided above is true and correct. - 6 Sinature: Date: ' 2 Phone#: b Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: Information and Instructions 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 employeiis 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 ofpublic 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 fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture - (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, ` please do not hesitate to give us a call. The Department's address,telephone and fax number: The CoxnmonwealthofMassachv.,setts Department of Industrial Accidents Office ofInvestigations 600 Washington Street Boston.,MA,02111 Tel,#61.7-727-4900 ext 406 or 1-877,7MASSAFB Revised 5-26-05 Fay,#617-727-7749 www.�ass,go�/dia r � '<COMMONWEALTH OF MASSACHUSETTS; :.X. e e o • o o E-.E.GTRl Cl ARS ISSUES THE FOLLOWIN: CENSE,.:;;;::;..; << AS >:A€'8`)rG.``'JOURNEYMA.N.;:ELECTRI CLAN .; MAT;TIEW J STROB.E'L �U P 0-:B.0 k,> 514 .AIIPST AD >::>:::;N..H 03841-051: 24 9 84'.``E`>`:: " :>>0 /3<.1.:1::1<b. r=::<` 31296 1 6. �p1 �l I � . e Date 1�/�'�° . ".�oTM A�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACHUS � _ This certifies that . . . ,. . . .��.�.�.o.� . G ?. . . . . . . . . . has permission to perform . . . . . Let .�- . . . . .� . . . plumbing in the buildings of . . . r, t'. 0. . . /. . . . . . . . . . . . . . L� at . . . d. . P.4 I.'.o-o f .7�7 . . . . . . . . . ., North Andover, Mass. Fee.2.6.'�r. .Lic. No.a? �� 3.� . . . . . . ;p_ . . . . . . . . . . . . PLUMBING INSPECTOR Check # 7� 3 7868 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location�p© l osk/V4.11/W-Owners Name fl-A/Gid'I7 /r,00elf 9f/yPernit Amount UZ� Type of Occupancy ,pts,/-e f/"A/y New. Renovation Replacement Plans Submitted Yes No FIXTURES rA ri F W Si�BgV1C �, Br�4�1VIIVT ISS ELOCR PDF OCR " 3[m FIOQt 4IB FI M SIB HDD 6111Ei FLOOR 7M ROCR M FI M (Print or type) Check one: Certificate Installing Company Name Corp. Address Sl"' Partner. Business Telephone 4 IV_I---5-;1 Firm/Co. Name of Licensed Plumber. 7a'm Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance signature OwnerEl 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 un°dee►rPermit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumb' um� d Chapter 142 of the General Laws. r By: 'Signamm oi.Licensea riumoer Type of Plumbing License Title a V3, Z 3 City/Town icense INUMBer Master Journeyman APPROVED(OFFICE USE ONLY Date.�l! .7L'.Of. . . ... . NppTry f TOWN OF NORTH ANDOVER O 9 • PERMIT FOR GAS INSTALLATION r 'fr,�SSAC HUSEt This certifies that . . !?C C bjt . . . . . . . . . . . . . . . . . has permission for gas installation . . . u H . . . . . . . . . . . . . . . . . . . in the buildings of . . .�. P P.13.�91?1 x. . . . . . . . . . . . . . . . . . . . . at . . . A f� k".°::.7t. . . . . . . . ., North Andover, Mass. Fee.?'.�.�"`. Lic. No...-)-. Yf:�:� . . . . . �. :. . . . G INSPECTOR Check# 3 655 ;' MASSACHUSETTS UNIFORM APPLICATON FOR PERMrr TO DO GAS FITTING (Type or print) Date �-Z NORTH ANDOVER,MASSACHUSETTS Building Locations ��/�� �J2 Permit# J Amount$ �L_&7Y Owner's Name New❑ Renovation ❑ Replacement © Plans Submitted ❑ � U d z c a Z d O O 3 0 a A a SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR j (Print or type) Cmc one: Certificate Installing Company Name_ T L L O If, r✓ icy U Corp. Address /0 0- Q o X 5'7,R, ❑ Partner. e,4w4efvcP 144 nles/L Business Telephone 77 G,bis- 9 So y ❑ Firm/Co. Name ofLicensed Plumber or Gas Fitter 7Vc),oj #,s W,g//d f q r✓ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ Ifyou have checked ves,please indicate the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts -S-ttate GGas/Code anL Chapter 142 ofthe General aws. J- f-t - By: Signature ofLicensed Plumber Or Gas Fitter Title ® Plumber ,t V � 33 City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ® Journeyman •" �— OMp We Only .� I u4!` C9ummunwall h of dettPermit NO. 19partmtut of Public $afell OcCUpfllM d Fee checked BOARD OF FIRE PREVENTION REGULATIONS 571 CMR 12:00 Mo Pea"blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL 1. 1,0111< All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date qej}� or Town of NORTH ANDOVFR To the Inspector of Wins: The udersigned applies for a permit to perform the electrical work described below. , Location (Street & Number) 60 P05 6; ti(_> Owner or Tenant hA I P►-I JLYC r✓ ?.p`' Owner's Address �>S� 17,6W ST /dv d9/✓o r Is this permit in conjunction with a building permit: Yes TL No C (Check Appropriate Box) Purpose of Building Utility Authorization No. r kvL Existing Servioe Amps _! Volts Overhead `! Undgrnd 0 No. of Meters . 4 New Service 00 Amps _J Volts Overnead Und rho w g sA No. of Meters Number of Feeders and Ampacity i: Location and Nature of Proposed Electrical Work - AZf r.� No. of Lighting Outlets ) I No. of Hct _cs ; I No. of Transformers Total Above— In- No. of Lighting Fixtures Swimming Poi ro Brno. r I Generators kVA `: No. of Emergency Lighting, No. of Receotacie Outlets No. of Oil Eurners I Battery Units 1`• No. of Switch Outlets I No. at Gas 2umers FIRE ALARMS No. of Zones ; No. of Ranges / I No. ct Air Ccrc. Ola' No. of Detection and [ :cns Initialing Devices �. Heat Total .ofai No. of Disoosats f I N°•°f Pur-.--s :ons Kw No. of Sounding Devices 1 No. of Sart Contained No. of Dishwashers ' I SoacerArea Heatino KVJ Detection/Sounding Devices No. of Dryers i I Healing Devices KW Local ii Municioal f__Other x 1 _ Connection No. of + No. w Low Voltage i No. of Water Heaters KW I Signs Bail'asa Wiring No. Hydro Massage Tubs I No. of Motcrs Total HP V OTHER: F. INSURANCE COVERAGE. Pursuant to the recu,rements of Massac%sers ;eneral Laws I have a current Llaoility Insurance Policy incluoing Ccmc:etec Ocerations Coverage or its substantial equivalent. YES = NO = 1 have suomtttea valid proof of same to the Office. YES = NO = If you nave checked YES. please indicate the type of coverage ay checking the abprooriate box. -30 U ;_ INSURANCE BOND = OTHER = (Please Scec:hw) (Exoiration Oatel .1 Estimated Value of E!ectncal Work 5 5 �r✓V Work to Start 1� - �7 Insoecaon Date Aacues:ec: Rough CJQ-Ir' Final 61,711 Signed under the Penalties of penury: FIRM NAME LiZ R,liN �D Gt UC. NO. 3 vA6 Licensee '�,�7Z12 CSG�� y G, C� 1 Q_.�__ Sigra: re UC. NO. f; Address 5 Jir/��ff�✓ rJ / /� Bus. Tel. No. T-Ca 76 Alt. Til. No, (' ' OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee Coes not nave the insurance coverage or its substantial equfvtl(lent as re- Cu,rea by Massacnusetts General laws. and that my signature on :r,s -ermit aopfication waives this requirement. Owner Agent (Please check onel• Teieonone No. PERMIT FEES (Signature at Owner or Agentl s' 1, Date ...... 1292 NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS^CHUS ES This certifies tha;:?... ....... .... ... ..... .......................................... has permission to perfo ...... ... . ................... .... .............. wiring in the building of ... ..... .. ... ..... ...... ................ at....1�'.o......... . ... .................... ................................ .North Andover,Mass. �oo Fed:;%3......... Lic.No............. ............................................................... ELECTRICAL INSPECTOR j/17/97 14:50 273.00 PAID WHITE:Applicant IJANARY: Building Dept. PINK:Treasurer do 46 tl ! OHIO ul�l: (fommoumato of 11madpwM Perme No. lepartintttt of Pttblir $aftiq Occupancy A Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:000 P'a1e blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Waif or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a per ,it to perform the electrical work described below. Location (Street & Number) 0050: r10,V7— OK Owner or Tenant _,TbC j Owner's Address 9 Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Puroose of Building Utility Authorization No. )0.- 43 O S , Existing Servide Amps _J Volts Overhead 'I Undgrnd C] No. of Meters New Service ;�0,�0= Amps 00 1:9,2 y Volts Overhead Unogrno ;fm No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical WorK i20"... LEGfl�;v� �C�U Cedi 52c0C? 5-� No. of Lighting Outlets ( No. of Hot ':cs ( I No. of Transformers Total KVA 1 4 No. of Lighting FixturesI Swimming P-oi Above - In- S gmb. _ grno. _ Generators KVA No. of Emergency Lighting, No. of Receotacie Outlets 63 I No. of Oil turners I Battery Units No. of Switch Outlets - I No. of Gas Surr.ers FIRE ALARMS No. of Zones otai No. of Detection and , No. of Ranges I No. of Air C rc. `' , s, xns ®" Initiating Devices No. of Di600sal3 I No.of Heat Total -otai Pur..cs :ons KW No. of Sounding Devices No. of Sell!Contained No. of Dishwashers I SoaceiArea Heatlrg KW DetectionfSounaing Oevieea ere Hearin — Municibal No. of D ry I g Cevices KW Local Connection Other s7 ,; No. of - vo. of Low Voltage / No. of Water Heaters KW I Signs 9a lasts Wiring No. Hydro Massage Tubs N No. of Motors Total HP r OTHER: � �•Ali• . INSURANCE COVERAGE. Pursuant to the requirements of r.tassacr.users ;eneral Laws I have a current Liability Insurance Policy including Ccmc:etec Ocerations Coverage or its substantial equivalent. YES NO = I have suomittea valid proof of same to the Office. YES `'¢ u0 = If you nave checked YES. please indicate the type at coverage oy checking the ap roonats box. (6N r•�F\ J INSURANCE SONO = OTHER = (Please Scec:�.�) (Exoiraton Oatel Estimated Value of E!sctncal Work S ` Work to Start Insoeccton Date Aacues.ec: Rougn CJq l/ Final CA/ .; Signeo under the Penalties of perjury: FIRM NAME b CLnow­-- LIC. NO. Licensee r E"LAri—;7 jfxl CC Sigra;ure ia -- UC. NO. !�'�a6 Address S151, 1;web/� ^� eAus.tT. Ti1. No. 64a —?6 3 3 f ` O. u', OWNER'S INSURANCE WAIVER: I am aware that the L:censee ^_oes not nave the insurance coverage or its substantial equivalent as re- quires by Massacnussits General Laws. and that my signature on ^,;s hermit application waives this reouirement. Owner Agent (Please check oner Teieonone No. PERMIT FEE S }' (Signature of Owner or Agentl Y i a•bSi6 � • A% Date :�? .................... 1174 to + TOWN OF NORTH ANDOVER 0 EE PERMIT FOR WIRING SACMU I'f This certifies that ..... . ........ .......................................................... has permission to perform .,.e............e...... ..... ..... ................ wiringin the building of...................................................................................Cc; cc at........ ........................g............ .................. .North Andover,Mass. Fee./..7/"`......... Lic.No A.� ....3.!�04............................................................ ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I - a . 'M\ ul�e UUIIll11U11lURillil� Ut 111NtI8iiilCl ltURtt M+F' Office Use Only nepactnlent (if Public. Scrfet) BOARD OF FIRE PREVENT ION REGULA11ONS 527 CMR 12:00 Iennit No. �b Occupancy 6 Fee Checked 3 APPLICATION FO(Z PERMIT -1-0 PERFORM E 3 /91? (leave blank► All wink to be pei(ormed in acturrlanr e with the Massachuselts Electrical Corte 527 ECITR I CA L WOR K (PLEASE PRINT IN Irl( OR TYPE AL INFORMATION) V City or Town o1 Date_Z/, /.? / YY lea A '0206ez- The undersigned,applies for a permit to perform the eler trical w k described below. --— ---______—To the Inspector of Wires, I ocation (Street & Number) A Owner or Tenant Owner's Address ----------- ---- ---�------- --- ---- ------------- IS this permit in conjunction with a building permit: ff `----- Yes l� No L8j — (Check Appropriate Box) Purpose of Building 6q9c � VL_tre----- ---------.Utility Existing Service --_ AmAuthorization No. ps --------/----- --- New Service Volts Overhead Undgrc ❑ No. of Meters Amps------�--__---- ❑ llndgrd ❑ No. of Meters Number of feeders and Ampa(:ity Volts Overhead___----.-.—_-- location and Nature of Proposed Electrical Work � D M No. of Lighting OutletsNn. of I lf 4 TOTAL ot 1bs oNo. of 1 ransformers No, of Lighting Fixtures A ove In_ KVA Swintmin Poul rnd• ❑ rnd. ❑ Generators No. of Receptacle OutletsKVA Nu. of Oil Burners No. o Emergency Lighting Batter Units No. of Switch Outlets No. of Gas Burners No, of Ranges TOIaT— FIRE ALARMS No. of Zones__ No. of Air ConditionersTNo. of Delection and No. of Dis posals I eat ota otas Initiating Devices No. of Pum rs Tons _ KW No. of Sounding Devices No. of Dishwashers No. of Self Contained Space/Area Healing KW Delection/Sounding Devices No. of Dr ers Municipal Ilcalinn�Devices KW Local❑ Connection []Other No. of Water Heaters Nr� "' No ts Low Vo loge KW Si ins Ballasts Wirin I No. Hydro Massage Tubs I No of Motors Total Lip 011IER: INSURANCE COVERAGE: Pursuant to therequirements of MassachuSttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 171NO Cl I have subrnilted valid proof of same Io This office. YES l) NO I.I If you have checked YES, please indicate the type of(overage by checking the appropriate box. INSURANCE [I BOND ❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work $ _ — (Expiration Date) Work to Start Inspection Dale Requested: Rough Signed under the penalties of perju Final FIRM NAME Licensee —LG4l 0 LIC. NO. . Signature Address � i �//7 �� — LIC. NO. Tel. No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equ lt.(valent as required by Masetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) 3,-Z (Signature of Owner or Agent) Telephone No.- — _ ___— PERMIT FEE f Date.... 2824 NORTN TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACHU fah This certifies that .......... ................. has permission to perform ....... .......... ................. wiring in the building of.... ....... ...................................... ......... ......1/ ......... ......O�.":... ,North Andover,Mass. -7 Fee..i..�....OA... Lic.No. A .... ............................................................... ELECTRICAL INSPECTOR �1)29/96 13:51 35-00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File LocMion f � T } 1 No. Date NpRT1y 1 TOWN OF NORTH ANDOVER jaimWk S Certificate of Occupancy '$ _ Building/Frame Permit Fee $ cauFoundation Permit Fee $ � s� s� Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 03197 15:53 150.0!3 PAID e Div. Public Works 3 PERatiT NO. ( ! APPLICATIO FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP K40. OT NO. ' ��� ' 2 RECORD OF OWNERSHIP PATE BOOK6OIPn. ZONE SUB DIV. LOT NO. -T?4 � -7 LOCATION }� Y' /�C� ✓lD�T PURPOSE OF BUILDING - V 1 0 / C ;/U L E rcJT'rj OWNER'S NAME �J�}1'�T JF/J NO. OF STORIES SIZE OWNER'S ADDRESS // 0 /1-p# �v\/6F 9r `�o 57'- BASEMENT Of5- 1410 y7- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST P,y-� 2ND /� '' 3RD BUILDER'S NAME Te X12!_=,�1� ^I'Q�P SPAN DISTANCE TO NEAREST BUILDING 'T DIMENSIONS OF SILLS ✓'Z' J �'/ DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES- SIDES.:30-- REAR �� 1 GIRDERS /j AREA OF LOT J 'T�. �, V FRONTAGE / `�T< HEIGHT OF FOUNDATION THICKNESS J' IS BUILDING NEW [ ,7L �//-+C' aJ SIZE OF FOOTING }( z X IS BUILDING ADDITION /�I yC�•J MATERIAL OF CHIMNEY IS BUILDING ALTERATION /// }V IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y !' IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY A )J�� 1,1=: f •_✓ IS BUILDING CONNECTED TO TOWN SEWER >jcC+✓""- IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDES ^��./,` - r /�,/!%y[ EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 (/ EST. BLDG. COST PER SC. FT. �- COST PER ROOM BLDG. i PAGE 2 FILL OUT SECTIONS 1 - 12 EST. r SEPTIC PERMIT NO. 7 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY !/(/ 4 I ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AN APPR VED BY BUILDING INSPECTOR 1 DATE IL /� SUILDING INSPECTOR SI TORE OF OWNER O THORIZE AGENTyi►��l F E Eoe OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# CSO H.I.C.# I FRAME PERMIT $ .o. BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 13 CONCRETE BL'K. PINE , BRICK OR STONE HARDW'D PIERS PLASTER _ DRY V✓ALL _ UNFIN. BASEMENT FIN. 8' 'T' AREA _ AREA FULLMp�T y, 1/2 3/. FIN. ATTIC AREA BMT FIRE PLACES , HE 1 I ,g5- -14 C HEAD ROOM MODERN KITCHEN I//L-v- 4 WALLS L 9 FLOORS CLAPBOARDS 8 ,1 2 3 DROP SIDING CONCRETE �_ 7WOOD SHINGLES EARTH _ ASPHALT SIDING HARDY✓'D _ ASBESTOS SIDING COM/+_AC N VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ADEQUATE I NONE g ROOF 10 PLUMS ING GABLE HIP BATH 13 FIX. GAMBREL MANSARD TOILET RM. 12 FIX.) +' FLAT SHED &ATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROgMS GOAL .�... _.__ � �-' �'"L f B'M'T 2nd _ ELECTRIC 1st 13rd --I NO HEATING ` MASSACHUSETTS UNIFORM APPLICATION:FOR PERM : O:oO°PLuMBtH� ';''' .'" (Type or Print) NORTH A�",',DOVER ,Mass. '' Date: 3 7 J Building iocation Bsv' _46r l j mit ' ' - Owners Name New 7M, Renovation j] ' Replacement [] Plans SMbmitted II ' FIXTURES z Y i ° z a Hto A W Y .J P. ?• u Q (A A d = I to Z 0 Q a: OQC = h t» Z O Z Z 2 a' ' Go � � p- { V fr p A W �- Q !- VI A Q I►f Z lL 0. 1C• Q. Ib w X ° a W O A Q J O oC CC J Q W 1L U. W r r. x. J a ° f- q le Q < X X a x x o u z < 1* '< a x N In a Q ° a a a a QC ac < 'IC o Q I- • � �L J m o1 A A J � X f ifl Y. O A (� < � � O . SUB-+BsMT. BASEMENT ` IST FLOOR 2NO FLOOR (6 3R0 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) 6!� Check one: Certificate Pan installingCom NameD_NpVdA'_'� 0Corp. . Y Address_ 1) Partner. �j 03U-7of C1 Firmi'Co. Business'Telephone Name of Licensed Plumber: �� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond L Insurance Waiver: 1, the undersigned, have been made aware- that the licensee of i this application does not have any one of the above three insurance coverages. - Signature of owner/agent of property Owner Agente*% , Il beaby eeltify goal all of toe details and infosmslion 1 have submi(lcd lot enlucd)in Oxwe application ise Isale aa14�•dale to Ila bast of all iulowil:dga and that all plumbing work and installations pafnrnicd undo rcentil icsucd for this applicalion will be iw tpNyiWllpt-ilk W r"41'W'm/W O i ( t►igkw of dw Massaebusetls State Plumbing Code and Coaptel 142 of I c I Laws. i 8y • Title S gnature o Licensed Plumber. T� Type of Plumbing License City/Town: IA QORnVFr1 7AFFirF usE ONLY1 License Number I� Master 0 Journeymap t Date./.�.1 �1,.�. i T- 353 f NORTH 3?�,.��•°;•'�ao� TOWN OF NORTH ANDOVER i PERMIT FOR PLUMBING SSACHU + 1 This certifies that . . . . . . . . . . . . . . . . . has permission to perform ... . . . . . . . . . . . i plumbing in the buildings of . -�.{��c < . . . ... . . . . . . . . . . . . . . . . at. �?. . (7•� F'(?. Gam. . .. .. . . . . . . . . . . .. North Andover, Mass. I Fee a.70,.-.Lic. No.//.).-. . PLUMBING INSPECTOR I { CC_ 313 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer i CERTIFICATE OF USE & OCCUPANCY Town of North Andover F'�F Building Permit Number 119 Date June 3, 1998 THIS CERTIFIES THAT THE BUILDING LOCATED ON 60 Rosemont Drive MAY BE OCCUPIED AS ci nai p Famil.,;nsgelli no IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pq �ti CERTIFICATE ISSUED TO Terrance Joyce 55 Lincoln St ADDRESS JACMU uilding nsp r rq e NORT o over own No. //9 �-- ? 19 `?7 * _ dover, Mass., O LAKE i '9 COCHIC"E WICK LY�• V '9S SAA r E o BOARD OF HEALTH Food/Kitchen PERMIT T., Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..................................... .. ....... Foundation has permission to erdt':::. gs on ........... . .D............ . ..C�.S. . �. . ......... buildin r- !f. IS.G. ....... �u jChimney to be occupied as............... --.......... /l G lam- "..........- .......... ..� provided that the person acrAptifig this pe(mit shall in every respect conform to the terms of tltb application on file In a Final this office, and to the-provisions of the Codes and By-Laws relating.to the Inspection, Alteration and Copstr� uction of Buildings in the Town of North Andover. �. QPLUMB SP VIOLATION of the Zoning or Building Regulatif3 ns Voids this Permit. 7 Final PERMIT EXPIRES IN 6 MONTHS E: CTRRICAL UNLESS CONSTRUCTION STARS BUILDING INSPECTOR Fi �� na Occupancy Permit Required to Occupy Building GAs uvsP Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Cr.�r Nn P/ n LAW OFFICES OF RALPH R. JOYCE q� ELLIS BUILDING ��t 95 MAIN STREET LG NORTH ANDOVER, MA 01845 RALPH R. JOYCE (508) 685 4555 FAX 685 - 3148 July 21 , 1997 Town of North Andover ROBERT NICETTA, BUILDING INSPECTOR 120 Main Street North Andover , MA 01845 RE: LOTS 3 , 4 , 5 & 6 ROSEMONT & WILDROSE DRIVES Dear Mr . Nicetta: I enclosed herewith as built plans for lots 4 , 5 and 6 . Please note that all lots comply with the 30 ' set back requirements surrounding the sides and front of the buildings . The enclosures are actually a portion of a Form A plan presently filed with the Community Development Department to redraw the lot lines . I request as previously that we be allowed to proceed with the framing on Lot 5 and presume that ' the Form A plan will be processed by the end of the week. As before , I assume all responsibility regarding compliance with the zoning ordinances . Thank you for your cooperation. _ Very tru� csurs Jo ce RRJ :mjj enc . rt • w E NOW OR FORMERLY hk MA, LIMTED PARTNERSHIP �5 91 Y1 .000 t x NOW OR ROBERT ` i, 000 000 LOT 4A LOT 5A LOT 6A 45,263± S.F. 46,353± S.F. 54,801± S,F. •p 1.04 Ac.± �, 1.06 Ac.t �. 1 1.26 Ac-t WETLAND AREA tiD WETLAND AREA WETLAND AREA N 0.0 Ac.± •o 0.0 Ac,± N �, 0.0 Ac.± NOW OR FO � �' M.A. LIMTED PI 31.1 3q.2� FND, 0,H. EXISTING EXISTING FOUNDATION .3 FOUNDATION 7/1/97 c: 31.0'± EXISTING 31'9 t 4/24/97 8 p �v FOOTING w 31.0 t �!• 7/1/97 u) 69 S' ry O � , .� (TOTAL FRONTAGE _) '� -H a ( 151,21') � '� d3 ��1�51�2�t' �.r J� `i N 1 ,�h Q1\ E.276.21' R=382,4 (T�r4C FRO dr 2' �1 Ntq ' L-38.22' �. 4 1?5 0' X52 5? R=30.00' F ) O 6Cad0 j Q?, S60— S3 9" � 'F d 4 • WALL D.H. r ' 1 ► �24g1 ; Rte' / bh 9 / / 1 G / 4 LOT 4A LOT 5A LOT F 45, 46,353± S.F.± 54,801± 5 � 1.04 Ac.± T."O6 Ac.t °; 1.26 Ac WETLAND AREAi0 VIETLAND AREA rn N WETLAND �. 0:0 Ac.t o °1 0,0 Ac.± N iO 0.0 Ac:. 3 FA !. 3A i t S.F. t i /WETLANDS AREA EXISTING EX' ± S.F. FOUNDATION 3 F0i F Ac.± 7/1/97 N/ 31.0'± EXISTING 31.9 f / o FOOTING W 31.0 4' t 7/1/97 RIn- oN S �RONIAGE s 150 -" v (TOTAL FRONTAGE 151;21') =151.21' - `,, a Ems' 30 L=276.21' R:=382,42- r ,3(IUN - r�nNrAC •- s L=3$ 00000 R=3( 50 (� W10E .._` �S9F ' f LEGEND: ` STONE WALL w i DRILL- HOLE IN STONE WALL D.H. LAW OFFICES OF RALPH R. JOYCE a ELLIS BUILDING 95 MAIN STREET l NORTH ANDOVER, MA 01845 RALPH R. JOYCE (508) 685 - 455 FAX 685 3148 May 1 , 1997 Town of North Andover ROBERT NICETTA, BUILDING INSPECTOR 120 Main Street North Andover , MA 01845 op IkE: LOTS 3 , 4 , 5 & 6 ROSEMONT & WILDROSE DRIVES Dear Mr . Nicetta: Please accept this letter to evidence our discussion of April 30 , 1997 wherein I explained my need to move the lot line between Lots 3 and 4 to expand the building window on Lot 3 , which is presently only 50 ' wide . I plan on placing foundations beginning on Lot 6 and keeping them 60 to 65 feet apart . When the Lot 4 foundation is in place , I will swing the lot line between Lots 3 and 4 to expand Lot 3 ' s building window as much as possible . I additionally disclosed the westerly side set on Lot 6 from the as-built foundation plan shows only a 29 ' setback thus requiring a lot line change between Lots 5 and 6 . Rather than bring in a multitude of plans for lot line changes , I will proceed as above-described keeping 60 to 65 feet between foundations at which time I will bring in a single ANR plan showing all four lots with new lot lines in full compliance with zoning setback requirements . I acknowledge that you allowed me to continue with framing Lot 6 , the side line notwithstanding. I assume all -risk in proceeding and will hold the Building Inspector ' s office harmless from any responsibility therefore . Thank you for your cooperation in this effort . Very`' truly y..ours , �Ral;ph'R.. �/oyce'1 , .. . RRJ :mjj 1 MAY I - 1997 �J j _ a ' r i I 4 ;j ..' Y.�1 A " J 1,..j/ � ♦. � '�. IIIIIiII �� E77 EMT YO Q C=3 ©n Mt ' / ' 1. ( ■. 11111111 k As 41 b } 1 Y { t ' mm C leao6 eae: im m�bn un nme�en i ..- .. ,: . T -- - .�, sem. - _ an'.S.x - �n.r+• - •""r"e-+f'k "�.'A'&_�-• . - T , 41 r�3 I LEFT El EVATiO REAR ELEVATION _ Genera! Notes; 1. All dimensions are to be field verified by the Contractor and any. adjustments made accordingly. o � 2. All work shall be completed incompliancewith all applicable Build* Plumbing, Electrical Codes. Any other local, State and/or Federal Codes that may apply to this project shall be considered as part of the construction documents. 3. All waste materials and debris shall be removed and disposed of properly 4. All structural materials shall be void of any defects that may diminish there capacity to function in an adequate manner. Structural Engineering 1 or any other professional services that may be required shall be provided by others under separate contract and terms. 5. All penetrations (Plumbing, Electrical,Heating, etc.) thru floors shah be completely Fire Caulked 6. All walls adjacent to stairs shalt have-Fre Blocking nstalled adjacent to the stringers. , 7. Any liabRy by Carroll Designs either assumed or implied shall be limited to the cost of the Design/Drafting Fes for this project only. If these drawings are copied and used for any project other than that D listed in th I O O RIGHT T ELEV A TIO 1�l e title block, this will remove Carroll Designs of al] liability. 4/8' _ fro* Ski 2 O E 9_. / n - _ 5'0" 4=73i4" 4'2" 11T/4" 5'3'/4" . ST 2T ' 6'103/41 r Ji �f 1 np'-r . _ ' .- ...-.> .. . ._. ... - '. .-, .. _mss. .. - -.r ,.--, ', r- - .•:.n:.J.,.--«x`S:P` [7, W 6'0" SUING - c -- - z _ FAMILY ROOMKITCHEN BREAKFASTS O � LAS � STY_ Q Y- c 2'4 ; o {f Ln �- I 4'2" 44/4" 81 '4" 3'0. Y f t'f7 CV • fff{ � • 1 � Q CV r- I 00 I _ DINING ROOM- FOYER . , Lf' lG • ROOM 'w" Ali CD J i0 2,0, 3.0" 2,o-. c _ N 410" 6'0„ 4#0= 410, 6.6» 3'0" ( ` 3'0" 3'0" I 3'�" 6'6" 4'00 1 . 3'6" 6,0m 3160 13,6„ .4'Q" 13 0 - FIRST FLOOR PLAN _ 1/4, _ 110. 10056 3-9 I 6 4'8"•- 2'4" 5r6" -- 6�ga. Cr fr c It . _. en i n n - • v - 41 .-- ` - - . Y AL N y BEDROOM #4 cc Q f�� N Lr' N `4 6'0" SLIDING 28 24 4'4t�4" 2'0" 6r6rf t 6 C L O S E T M BATH o " -1- 291 N� 2r6� CLOSET 00 - _ r` z 4 6b' SLIDING r w C ` 2.4 •t € i N 26 t 2,4' z 8'2� " 416° M BEDROOM 1 BEDROOM 3 Ln M #2 --------------- 3f^If 70' 3'6m 4#0" 6#6' 0080 I �)�!► �,�q 38ON T 6i6A 4f^7. lc� YV� J U 14V I 13'6" 13'0" 13'6" SECOND FLOOR - PLAN illir l'on, _ 10056 -9 I 1 , is 21'2" it 8'4" , 24'6" ? i ' ------------------------------------------------------------------------------------ ---------------------------------------------------------------------- J------------------^--_---.--F----_--------------------- --__—_—_—_-------------------___-----------------_—__------__---- --_--_-----_----------; - G„-AGE RNISI FOUNDA!i0N I . AA wood constructed wails and 10' Concrete Wall / 8'0' Poor ceiingi to have 5/8' type 'X' fie 10" Dp x 1'8" W Cont.Footha CD i ; $ rated Wallboard iistalled E 72 70 70 66 66 60 66 60 ; a I I ICD 3+101 cv I L _ _ J L O 00 ' I o I o a rl)- 1T T 7 t1 ►� t i ; I ' 0 2 — 3 1/2' Dia.Lally Columns J L _i— J I Ll J J I L — I L _i— _I ' ; o I ' With 4'6' x 2'6" Sq. x 1'0' Dp. I I I t I I — , ,, --- N o I t Footr�q (1 reg'd) �' I i ► 1 I Ir 1,111, 3 1/2' Dia Lally Columrs -� Wit'ti��2y''6' So. x '10° Deep o r 7 I e d I ' 4 Concrete Slab I oo � _� ' 1 Slope 1/8' per foot L 2 x 12 Center 6e Ln (iso; ' •� o ! 4' Step Down into Sarage 6' W x 6' Dp x 9' H (1 reg'C)Ll �. } lE1 7-1 Shin beams with Steel Shins ; f-- { r —t ,• --------------------------------------� or Hard Brie. L------------------------ ------ ►' ' i i l _ 1 ' ------------- -------------------- ---------------------- ----------------- -------------------- t --------------- ------ ------ 1 ' i ------------------------------------- C"14 --------------------`— a . # A. t t AL 1 130 36 60#13#60 136 ji _. - t - �t� j►. �I� _ 14'0" :z -. 40'0" 2100 I "UNDATION PLAN a - Ccntnuc�s 8af :ed ice Vent ' 2 x 12 Ridge Eoord 12 ROOFING Asph It r oerglass Roof ng ' s Buidng Paper �N 1/2" Plywood FLOOR 2x10016' 0-C 3/4' Shecthha 2X105Vdf. s o R30 insuictan ittr ' �iit t I1, 1`iSi��51 X515 Z i 5 ? 1 Fascia Board 10' Overhangng Soff-M w/vents o_G A � 3 � -�° CO %D - WALL FLOOR r- o Sang Ar Barrier 3/4' Sheathilg Sheathing, 2 x 4 ® 16' OG. a 2 X 10 ® 16' O.C. Insuldiion, Vapor Barrier O ," o 1/2' wallboard 1 00 r— FLOOR S('L 3/4' Sheathng ! 2X10 � 16' 0C, 1 - 2x6F.I,1 - 2x6KD. , Contnuous St Gasket 1/2' Dia. x 1'Y LAnchor Holts - @ 8'0' O.C.Imax 2 x 12 Center Beam FQUNDATlON �� 31/2' Dia.!ally COklmns h (SEE FM KM FM LOCATM) a - 10" Concrete Wail / 8'0' Pour U-BQU51 1p" op x 3'8" W Cont Footng r TH i0 } _ 10056 6- 1,., ,crE.E _ .� - I 4 _ r` r. 12 12 CEILING 2x8016' 0.C. R30 Fberglass Insulation Vapor Barrier cc 1/2' Wdboa,d ROOFING h Asphait/Fber4ass Roofr,n nuking Paper 1/2" Plywood 2x10 ® 16'. Of. R30 Fiberglass Insulation i 0 Fascia Board ' ` 10' Overhanging Soffit w/vents j =N WALLcc j r` Sid'ng, Air Barrier FLOOR Sheathing,2 x 6 ® 16" Of.. I 3/4* Sheathhq Insulation, Vapor Barrier 2 X 10 ® 16' OC. 1/2' Wdlboard _ R19 Insulation '`- SILL 3 - 2x12 Center8eam - 1 — 2 x 6 P.T,1 — 2 x 6 KD. � �,ARAGE rrCy"C' ' e Continuous Sill Ccsket� �r-� I i All Wood constructed Weds cnd Ceiing � With 2� 3 1/2; n;Lally Columns _- 1/2� Of. x 12' ? An:inch Eo:'-,'s _ to have 5/8' type 'X` Fre Rated 6 Sq x 10 Dp Footina - 0 8'0' ff'. {max l Wallboard hstoilec (see foundation plan for locations) ca ' - - ��FOUNDATION - 10" Concrete Wall / 8'0' Pour 4' Concrete Slab — 10' Dp x 2' W Cant Footing » tSECTiON t tom. FAMILY ARAGE W t 10 0 5 0' 7_g � P ^ , s � � St� ., ►. � i I � � � � j > � � i } I } I � I � � � � � � � i � � I � I 1 � I I I � Flush Frvned Beam I I • 1 AQ members are 2 x 10 ® 16' O.C.WWW.) AD members are 2 x 10 0 16. Of.(UN.O.) FIRST FLOOR FRAMING SECOND FLOOR FRAMING ' fill fill lift lilt 1111 1 ! ! f 2 x ;2 Ridge Board } j i111vned I t ] I Filch FrBeam ( � � 2 x 12 Ridce Boyd f J i� i � i -. i h 9 \ LT Bush Framed eC, I ]]i r :� Atl'memben ere 2 x '.6�6`i ' �M( NJO. _ _. AU me.Tbc:ert 2 10 11 46"O.C.(tlNA.) -1IING /8 _ 1 ,0, 1/8' 00.56 -8- 'An • , �/2 i f woca r cnt�ruous ocrled s dcntc:n 2" ,m n) Air spcce Ride �ocrd R gj! Vent 1 - 2x6K. D. 1x8"Fascia 1 - 2x6P. T. w ith trim Conthious Sill Gasket 1/2" Dia x 12" L Anchor Botts x 3 Nater 0 8'0° O.C. (max Soffit w/vents Roof Rafters 10�, - A SOFFIT 1/2,. i 1.0" B RIDGE VENT 1/2„ _: ,o■ ! _ 1 0 o Sit Gosket 1 — 2 x 4 Bottom Plate i or Caulk with Si( Gasket or Caulk 1 — 2 x 4 Bottom Plate /4" plywood 3/4" plywood o o � 2 PO Rim Joist 2 - 2x4TopPiate 2x10@16" O.C. a e L2 x 10 @ 16" O.C. AnI Floor Joists 2 - 2x10 Rim Joist e 2 — 2 x 4 Top Plate e i f ` LD �NER00RERFLOOR Concrete Slab 110° 4 1 i - - _ _- - _Gasket or Calker 3/4"_Plywood _ 3/4" Plywood 2 x 10 0 16" D.C. - FOUNDATION 2 x 10 ® 18■ O.C. 10" Concrete Wd! / 8'0a Pou- ,Y. ' -10' Op x 1'8" W Cont.Footng _ lie j - z i — 2,-x 6J17_17 1 2x 61KD. w =C nt uo Ga te. 2X`FmBtock' w y. v, _r. 1 Dia x 12 t. Anchor t3otts - . _ 12 8 0 O.C. (max 3 2 ted Betgn - x Center e. 10" Conc. r do r� f 0 j ,1 4� i j FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary =i approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Apppl 'cant fills out this section*****************- 01 APPLICANT: �4LI 1- ���� l� Phone4181S, 4/6y� LOCATION: Assessor's Map Number Parcel Subdivision 7- ( Lot(s) Street �SM St. Number ********************* **Official Use Only************************ RECO A ONAGENTS: q/ Date Approve7 d ConservationApdministrato�r,,,. Date ,pRejected Comments +V1 Date Approved �- Town Planner Date Rejected Comments Date Approved Food Inspe r-Health Date Rejected Date Approved ep is Inspector-Health Date Rejected Comments Z�— Public Works - sewer/water connections 3 (17117 - driveway permit � 1 w 3 /7�'9 7 Fire Department Received by Building Inspector Date Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Per it(below) Address of Property for Permit(below) — �,�v�t �``/c>F fib' .Map and Parcel : Purp se of lication (check below) P N er oof p Acant: Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existen a as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which c ly,whether done to my knowle e or not, is group or refusal by t e Building Depart nt iss uilding Permit. g Sig ature of Owner or Authorized Agent o_signed the Attac er Date This form must be attached to the Bu'ding Permit upon a ication for permit. $EEtatIT NO. I APPLICATIO FOR PERMIT TO BUILD— NORTH ANDOVER, MASS. PAGE 1 ' X53. Ak MAP KVO. OT NO. �3�- �? 2 RECORD OF OWNERSHIP IDATE BOOK iPAGE7.� y ZONESUB DIV. LOT NO. EKr' LOCATION O"� PURPOSE OF BUILDING ,/ f-� _'�g� ;y" .., ` .F, �2 �•'Q' o OWNER'S NAME /�/ L ! J=�1TjL G NO. OF STORIES SIZ/E ra Lgr... {ADDREBASEMENT OR SLAB 0/5 Aa� ' ' S ARCHITECT'S NAME yO��.s SIZE OF FLOOR TIMBERS IST ,�-y i 2ND 3RD �.^«'���� "'�- BUILDER'S NAME SPA /� DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLSR. �C / ` T"'� Iw "•` '0' 'i ~a. DISTANCE FROM STREET / POSTS DISTANCE FROM LOT LINES — SIDES qV J a R s, � lti r� REAR ��/�/� GIRDERS AREA OF LOT / T�,2F NG 7I FRONTAGE / ` HEIGHT OF FOUNDATION THICKNESS �- � �' ', IS BUILDING NEW [ �,�_77�L \/i^c' `J SIZE OF FOOTI1. z i '" 'fZ �*-yd-`•,,� " IS BUILDING ADDITION jiI I•L�'.7 MATERIAL OF CHIMNEY IS BUILDING ALTERATION /j� }V p IS BUILDING ON SOLID OR FILLED ILAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/� C IS BUILDING CONNECTED TO TOWN WATER �L.__ 9,j.�f•zj�" ' `",'x �' G. \ , BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER /�/ `,7�� '4 -�+� `�'Rei�•"x "- n�., IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST44, L SEE BOTH 61DE5 — �'�' ec l at EST. BLDG. COST "j ���ed,s ' W' tF'' Ct, `',.rte' .,,.,..f PAGE I FILL OUT SECTIONS 1 - 3 [ EST. BLDG. COST PER SQ. FT. A x iwr �4 +r.✓ `s6y PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM_- SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - yLLte "I'�ft'. F'4 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AN APPR VED BY BUILDING INSPECTOR DATE IL , BUILDING INGPKCTOR S1 TORE OF OWNER Olt AIJTHOF;FIZEE) AGEN F E E OWNER TEL. fir, r '' it PERMIT GRANTED CONTR.TEL.N ax -� BLDG. PERMIT FFA€ CONTR.LIC.s 7 LESS FDA FE DUB FRAME PERMIT $ H.I.C. z ovm . of , � _ � Andover No. ,//9 * _ /° - 19`7 NICMEWICK , .. - dover, Mass., p - ��KE 'A�_COC iY 7• Ory'�r- rG BOARD OF HEALTH Food/Kitchen PERMIT T,,, D Septic System BUILDING INSPECTOR ' THIS CERTIFIES THAT.....................................44.00.aV .\................. .5, ......................................................... Foundation has permission to erect........................................ buildings on ........... ... ............j�.C�.�. ,C .�� .L .... . . Rough t0 b8 occupied as.......... . . . . ......... . ................ .....� .. 1... ... ................................. Chimney p ,�J.�.,/.._��............ �........ provided that the person accepting this permit shall in every respect conform to the terms of t4plication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the. Inspection, Alteration and Construction of E Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES INv 6 MONTHS ELECTRICAL INSPECTOR UNLESS CQl`dSTRUt. 110iVTL1JL� S Rough .......................................... . .......... ................. ................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Dis lav in a Cons�yicuous Place on the Premises — Do Not Remove Rough P 7 1' Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.