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HomeMy WebLinkAboutMiscellaneous - 61 CARLTON LANE 4/30/2018 (2) 61 CARLTON LANE 210/106.C-0089-0000.0 Date...... ....30.-0 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ST, AcmU'- This certifies that ........... .......... ................................................ has permission to perform .........S-.% ....... wiring in the building of............!''f AI..---4.4.4:.7T e.............................. at...6. AV......4-W................ North Andover,Mass. Fee..ST . Lic.NoJP.�KI!J . .................. .0y.......... . .. ........ Check #. 8368 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIR REVENTIOVREGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CKR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Q City or Town of: NORTH ANDOVER To the Inspector of Wird.- By it .-By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 41 // Owner or Tenant Urt[ S s "u Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No R (Check Appropriate Box) Purpose of Building 1 J Utility Authorization No. Existing Service "�W Amps (24 aqV Volts Overhead ❑ Undgrd)K] No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 2".e., Location and Nature of Proposed Electrical Work: (igL4� v O 4e-r 0" . -C Cly Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators K-VA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ons g No.of Waste Disposers Heat umpr. Tons KW No.of Self-Contained Totals: i """ Detection/Alerting Devices t p KW (Local❑ Municipal El other No.of Dishwashers S a res Heating Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent ' Data Wiring Heaters Signs Ballasts No.of Devices or Equivalent I No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirina: No.of Devices or E uivNent I OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: qQO .00D (When required by municipal policy.) Work to Star,: E Qg Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCECO"IER(AGE: 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 6- BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: R,14 4 LIC.NO.: 10IRS k Licensee: ature LIC.NO.: 36 oV (If applicable,pqer" empt"in the li�se number i Bus.Tel.No. - 9 Address: \64,1, `faib PDSC� Fix el.No.:2126-3p>-8S'8/ *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: 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 Signature Telephone No. PERMIT FEE:S i 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): }�`( r1,,(J Address: Ci /State/Zi `r G jbone #:_- 1py) —ea 9 Are you an employer?Check the appropriate ttox: 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. $ Remodeling i 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 10.❑Electrical repairs or additions required.] officers have exercised their 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' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 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.M VL9 Expiration Date: sv (9 Job Site Address: "21 cl fVIA 144-7, City/State/Zip: ✓ }2Y t'2j,V 3 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 t pains and of perjury that the information provided above is true and correct Signature: Date: Phone#: l 7 Va 7 37� / l 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#: Location xg No. 1A, > Date NORTN TOWN OF NORTH ANDOVER a p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ JACMuSE Other Permit Fee $ i Sewer Connection Fee $ PAID BY CO2-91VO nection Fee $ _ TOTAL " 0 1g9 +' Building Inspector M©. Andover Coledor Div. Public Works Location No. Date NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�cNust 1 Other Permit Fee $ Sewer Connection Fee $ y ��U'.. on,�ne ion Fee $ ^' TOTAL $ , 20L` Building Inspector Div. Public Works PER11IT NO. 0 APPLICATION FOR PERMIT TO BUILD- NORTH ANDOVER, MASS. PAGE 1' MAP iqO. LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK PAGE —\ ZONC I SUB DIV. LOT NO. )T GW4-/W, siLOCATION / //l/J�L--77e. � �,, PURPOSE OF BWiiD11�FG5l�eee OWNER'S NAME. .�/✓�vL/�L�� NO. OF STORIES C/ SIZE'' OWNER'S ADlSRESS L �r p.�j ��. ZJ BASEMENT OR SLAB - ARCHITECT' NAME (`f(JT SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER' M NAME V i��` SPAN --- DISTANC TO NEAREST BUI DING 6© 1 DIMENSIONS OF SILLS DISTANCE FROM STREET _(` POSTS DISTANCE FROM LOT LINES-SIDES LV REAR {'ff "" GIRDERS AREA OF LOT � FRONTAGE,746�`- HEIGHT OF FOUNDATION THICKNESS ,,{ IS BUILDING NEW 0 [_�/ SIZE OF FOOTING X IS BUILDING ADDITION N0 MATERIAL OF CHIMNEY IS BUILDING ALTERATION �� `�J/f�©A �J�y�� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS,iO'FvCODE I/„�Cf' IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY �/�'/) 7 IS BUILDING CONNECTED TO TOWN SEWER /f)d - ��/ Vw� �`'��} IS BUILDING CONNECTED TO NATURAL GAS LINE �V INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR �y , DATE FILE C-- BOARD OF HEALTH SI NATUROF O NEOvvllr.M ILL. OR AUTHORIZED AGENT CONTR.TEL. FEE Z. } PLANNING BOARD PERMIT GR ED ZO 19 BOARD OF SELECTMEN BUILD G IN ECTOR BUILDING RECORD 1 OCCUPANCY 12 n SINGLE FAMILY SFORIES 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 0 2 FOUNDA710g INTERIOR FINISH CONCRETE §STERL B 1 2 I3CONCRETE BL'K. PIBRICK OR STONE 1� H _ _ PIERS PI _ DRY WALL __ UNFIN. f•++/� I �V 3 BASEMENT i AREA FULL FIN. BM'TAREA _ FIN. ATTIC AREA- NO BM'T FIRE PLACES HEAD ROOM _ MODERN KITCHEN _ (�•!WL yk.��� �.f��••••fff 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDY � _ ASBESTOS SIDING _ COMI7CN VERT. SIDING ASPH.TILE �{I_ STUCCO ON MASONRY STUCCO ON FRAME R-1 CK ON MASONRY ATTIC STRS. &FLOOR _ BRICK ON FRAME - CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE I-1 ONE - $ ROOF 10 PLUMBING GABLE ] HIP BATH 13 FIX], _ GAMBRMANSARD TOILET RM. I2 FIX.) _ FLAT SHED WATER 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. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS NO, OF ROOMS GAS OIL B'M'T � 2nd _ ELECTRIC Ist 13rd NO HEATING i SEWER V`VAT ° 4., 4 4 ' .ANNING FINAL CONSERVATION � -- own ® 6Andover ------ 0 AIL - - � r� er, Mass., 20-19?( DRIVEWAY ENTRY PERMS AoR Pte,. SS BOARD OF HEALTH PERM LD THIS CERTIFIES THAT.../.��t .... 1 �,......� �� p0 BUILDING INSPECTOR has permission to erect f�ffl(q....`fq... buildings on .../.!l;�....136�r�.ln F,! ! ,Q�....61..CWI /0 Rough to4woccupied as......S)La.t. . .Y19.CsT. ......�....CA?1e.�:��T.(�A ��lvS.... Chimney "" Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids t ' Permit. PERMIT EXPIRES 6 M NTHS ELECTRICAL INSPECTOR Rough UNLESS CON RUCTIO START Service Final ..... .. ....... ..... BUIL N CTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildi Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by SMe rN' Building Inspector TO: Mr .& Mrs. Mike Philpott FROM: Jay Philbin DATE: 9-18-91 I RE: Scope of Work at 61 Carlton Lane, N. Andover (See attached contract) i 1 Draw Town of N. Andover permits for work listed below. 2. Labor and material to build approximately 120 LF of (non-support) Partitions in basement. 2x4 pressure treated double shoes to be 4, used. 3. Labor and material to insulate (2) exterior walls using 3 1/2" f s• batts. i f. 4. Labor and material to do rough electric (by code) : includes cable I and telephone wiring and additional BIV outlet. Also included is a $600 ceiling light allowance. 5 . Labor and material to install 4th zone FHW heating . Includes thermostat, wiring and 40 LF baseboard heat. 6 . Labor and material to install 1/2" wallboard, along with tape and skim coat plaster . Includes (2) interior interior closets and stairwell wall skim overcoat. (pI-ofOkerr,, PP J 040-( cocu�lc,V G,,rXY r 7 . Labor and Material to install Armstrong "Second Look" dropped y " ceiling to be as tight as possible to ceiling Joist. 8 . Labor and material to do the following finish woodwork: (a) (1) set 4' bifold doors / (b) (1) set 6" bifold doors Ccvkti (3u4,4& revr*r W'sf e (K,1/,Q (c) (1) 24" access door (d) (1) 26" closet door (e) (1) 36" boiler room door (f) (1) closet shelf and pole set (g) (1) closet shelving set (h) 5" - (1) piece baseboard (i) Trim kit (1) window ( ,i ) Trim kit (2) cased openings (k) " Foundation wall shelving ' 9 Labor and material to paint all doors, casings, trim, etc. Labor and material to paint all walls one coat. 10 . Remove all debris from site and leave in "broom-swept" condition. LAP Ti in De elo went Corp. P P �oKrk Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 97888-9545 Fax 978.08-9542 Street: (�- Map/Lot: o Co CZ R ei Applicant: Cz �10 4 S U g. _.AG.A.�. fi}. Request: �� ht Slcl� cl ► t� r. Date: Please be advised that after review of your Application and Plans that your Application is DENIED for the following„Zoning Bylaw reasons: Zoning - Item Notes Item A Lot Area Notes F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies y e s 3 Lot Area Complies y e S 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed yes 2 Not Allowed 1 Contiguous Building Area N A 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient Li 10141 4 Insufficient Information y e S 5 Rear Insufficient qe S add) 1 Building Coverage 6 Preexistingsetbacks N � � 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed y e S 4 Insufficient Information ' 2 In Watershed Sign 3 Lot prior to 10/24/94N 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District 1( Parking 1 In District review required 1 More Parking Required 2 Not in district y e-,5 2 Parking Complies e 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 C-5.4 Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway S Decial Permit Height Variance Congregate Housing S ecial Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board independent Elderly Housing Special Permit S ecial Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA i Planned Develo.Ment District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for sign R-6 Density Special Permit --..Special Permit reexistin nonconformin 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. uilding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative 3 The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: {�.� int .�r�,ra8 ��„'f�Y1 �1���r�,jY1 a�✓�r �!(u� �'�11°v� F�,�9i4�" �'tk; ��� �� s T t¢� �� .4,v�t?,?� h�`�S✓ '.�'3�.i '?r k 9µ! }. C A.) 1 c7` I'i �d l^ �no y� �0 7' L[�V e S 7L0"��' �[.v-e.`�f•t. 2mNln� �rci41u..) anV� Referred To: Fire Health Police Zonin Board Conservation De artment of Public Works OtherPlanni Historical Commission Other .BUILDING DEPT rw, rLM/" y, N TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,.. .:.. �','�` _,,: F�(- +�a*"^• �`4,' a �� �$l ..R,n., 5 '+'.tr.*.� _ i;"�-a.Hw,.�a T3m�,� ^�a*d M BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: MUM "I Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: LN _ 106 G Map Number Parcel Number 1.3 Zoning Information: C 1.4 Property Dimensions: Zonin District Pr osed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided _R 'red Provided 1.7 Water Supply M.G.L.C.40.154) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Q/ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 9-1— SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Cxl,o& See_ AAAGRU:T 6( CnLron) Lru Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: O Name Print Address for Service: Z M Signature Telephone Aw SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date = Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ N )eiL. emo Ll 1i Company Name LIC os o n g o M Registration Number r Address F d z Expiration Date Signature Telephone w y " SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 2546) 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 Descriptign of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be MW USE i(11�IiY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)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 1, ;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 Signature of Owner/Aent Date NO.OF STORIES SIZE ' BASEMENT OR SLAB SIZE OF FLOOR TEVMERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DIMENSIONS OF GIRDERS I1T IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUE DING CONNECTED TO NATURAL GAS LINE 01/23/2003 15:15 9789272173 ONEIL CONST PAGE 03 SECTION 4-WORIUMC %;L C 152 . . Workars Comppensetion tnd st"tted:with the appliotioo. Failure to provide this affidavit will res44 in the denial of the jszuar,t&o ihi Si vit Aeac Yas, �:hl'i''•' . New Construction A Allemtiot*s) d Adclitian A=essory Bldg. 0 ❑ Spay &iefDesaiptiott bf 21- iV ON i-ES'CU"T.'ED. h= ' to be 1 Builddag (a) litiidiug Permit Pec Ua. 2 Electxleai {b} F ted.Total Cost of �aaisdvction 3 Pluto }3tuldin$PdOWt fft(a):(k) 4 Mechanical 5 Fire Proteedw 6 Totai 1 2+3*4+5 Ctre&X mbcr SECTION 7:OWNS AUTHMM -10-$lI'MFLBM WHEN OWNERS AGENT.Olt CONYM1ILWG 1' as OwaiWAutharized Agent of sobject property Hereby auWorize. to act oa My behalf,in all moue relative to wart�"by this bWHing permit application. 9• Of Owner Date SICTION 7b'OWNEWAUT$ TIG1►1: .as Owur/Augwrized Agcnt of subject PvPerh' . Hereby declare that the statettuan so& 0n tt6s 1loai4 application we true wo arenrate.to the best of my lmowledge mid belief. Print Name S' ' ture of2=Z/ t NC).OP.STORIES S1 BASE 4R St Af3 SUE Of FLOOR TMERS t: 2 3 SPAN DIMENSIONS OF SILI:S IONS o R 7S DIMENSIONS OF GIRDERS ffJGHT OF I'OUNDAWN THICICldI;SS SIZE OF FooTtN G ){ M!17ERIA.G OF CI�AI�Y IS I)U)LDINIG ON SOM OR FILI:FGY lS BUILDING CONN ,M TCD, __ 01/23/2003 15:15 9789272173 ONEIL CONST PAGE 02 61/23/28x3 11:34 S 772328y5: MAGALETTA MG(CI I HY PLoa `NORTH ANDOVER ANGDEPAR'�A+�N� m R . , nA ISSUED: au rGM34T Mumma. DO SlCC170I( 1•iii Te 1I1 �lA1 lDt� l.2 At�rrow W.P WA Nr wab+i' 3.t IropaRyA,d�es: 1, CA4,L�D -►� : - =- . 1.1 1�fonrrym: 1.4 % _. i.6 Roar Y PIW*F�orot Y� Y Pt+vvided p'd'"�Od ,� �a a.�vwa.�ate+► �' 1 a Y MMwrat a OWEar of Rood , 3;i l,ioarwd Coadeuapaa 9upavisor r, Net A~# 1 i4 J— �ty Ilk A, t % z v., �A 4- -%AA Vt A v� % 7 'Tl.,, ,i;�*�, - , -l'",,": , '. ,, 1. , ,q tj 1�A. >4 ri j "U" -0 4W 4;C7 z- V V49"'i .1ft ril 4-T, w t7 ty�o ............. i 13 1 lte z�F61 th I1,gA, pill .7p