Loading...
HomeMy WebLinkAboutMiscellaneous - 63 BRADFORD STREET 4/30/2018 J 63 BRADFORD SIRES r 210/061 11132_0000.0 • .;, •-�y✓ Wit'• w;r��r--'^-,..w...------: Location A f No. j Date. gORTh TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ Building/Frame Permit Fee $ 'y °+,moo•A .CJ - 'Ss�cMueEt: Foundation P rmi $ Other Permit Fee $ Sewer Connection Fee $ �N wi er Connection Fee Atte $ M? / . UC1 Building Inspector � �7 . Vii— 6161 Div. Public Works PEAl'rIT'N.O: APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK '.PAGE ZONE SUB DIV. LOT NO. F-I LOCATION / - pr.� PURPOSE OF BUILDINS �WNER'S NAME NO. OF STORIES JAN SIZE DOWNER'S ADDRESS w1w( (Z`'pl �QT BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMESvAI /� „n ��A SPAN -- ISTANCE TO NEAREST BUILDING Ji ?J , DIMENSIONS OF SILLS .STANCE FROM STREET 3`] '7 1 POSTS DISTANCE FROM LOT LINES-SIDES (�� IJ Gt� REAR a/ "') GIRDERS � jFtEA OF LOT 4/5 '1�G0 ! O FRONTAGE b l HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW o V SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. •� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY j ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 3 WURE'Of AND APPROVED BY BUILDING INSPECTOR BOARD OF HEALTH /OR �AUTHORIZED AGENT FEE // PLANNING BOARD PERMIT GRANTED >9 CONTR. TEL.N.aby CONTR.TEL# '�, Oz) ��— CONTR.LIC.# BOARD OF SELECTMEN w" BUILDING NSPECTOR f_ s 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 —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M TAREA _ 1/1 1/7 l/ FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �— WOOD SHINGLES EARTH _ ASPHALT SIDING HARDw'D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I I MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING C� r t.. t o i ! �4 w �yJ � � � I OEG� L u!G4 �GJ � I h 1 //E,PEB>' CE.PT/FY TO TyE T/TGE/,t/SU.PO.P ANO /�G. Q r TO TflE.6,4.v T//qT T,1KE OwELGI•t/6 /S fOCATEO ON Tf/E LOT 4S SNO/rN ANO T//AT/TOGiES CO,1/FOPAf //(� JY/Tf1 Tf/E"Tow v OF�vo gvoo�ce zON/,vG PE6ULATi4�t/S REGi4.P0/N6 SETBAfit'S FEOii!STPEETS f LOT L/NES. "' �/� ��fQQ v��7 /+��4 1 F(j.�T,S�EP CE.PT/FY TN�OT 7WI-:F 0/YEGL/N6 /S NOT / / LOG4TE0 /N T.YE FEOE.PAG FC000 114ZAP0 APE,4. DiPANY/V FO,P SHQtvn! OiS/ F,�i��f:.Cp�•svNiTy PANEL 25oo9B o0o 5- d IY 1.4hi •:i.'•`. V O/ / /V C�/V�y O� STEP.�/E.t/ � �i�i5' . ;, L.S. 0,4TE ,, • T,s�rs -e,4A/ Bovvo,PY of eP?1v�cy,�jo�,vo.q esu�.ciFo,P.rf- �E.P.P//s1.9GY E.t/GidEE.P/.c/G .SE.PvilEs AT/O•(/ TA.�E ;c�3;y�..E.I�I3i�,c/G'2E'G'o,POS. �clo f'4•P� .ST.PEET ,�,yam; A.t/00{'E.C, �Yl.4SSAl.!//SETTS O/8/O L S U N D A N C E S P A S J R Even )v AVIueffice, ou.,= t GreatW. hy, i 4 = g We back every Sundance And because our 400 Series spa with a strong, no-nonsense = engineers developed this warranty. And,unlike many other spas on the process, you wori'te find it on spas made by market, the Sundance warranty isn't pro-rated. anybody else. The Rigid Bond Laminate System. For the life of the guarantee, if something And every part of every spa A Sundance exclusive. fails because of a defect in materials or workman- has the same thought and com- a ship, we solve the problem without asking you mitment to excellence built in. for a co-payment. That's why, in 1991, the National How can we be so confident? Because we Spa & Pool Institute presented build our Sundance spas to last. Take our exclusive Sundance with the John Holcomb Silver Award, Rigid Bond"Laminate System, for example. Devel- the industry's top honor for outstanding technical SUNDANCESPAS400SERIES oped in conjunction with a contributions. team of aerospace, chemical And why a leading �ByA�D` T and mechanical engineers, it's consumer magazine named a Sundance spa a Best the toughest, most durable spa shell ever. In fact, Buy. And why there are so many satisfied Sun- over eight times stronger than ordinary shells. dance spa owners. Just ask one. NORT11 - �.✓ ovm Of �� �� X Andover .; VA � � fl� w7 l .`�y. No. Z 42 1., CocH,CQ Andover, Mass., f�IAIJF //_19 AORATE1) '9S H S�'C BOARD OF HEALTH Ql Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......�M...dk#...Wes--jumtot ................................................................ .. ......... Foundation has permission to erect..06.10.rioll.... buildings on .A.z.4s.vooto..n.op..�..r.. Rough to be occupied as..... L.L. ...T�.. ....../,r/,t?, ..44440-410..E L.. .� ...... Chimn y e 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR • Rough ..................... Service BUILDING ECTOR Final Occupancy Permit Required to Occupy. Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Finalh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL y CONSERVATION FINAL Street No. Smoke Det. r+r1 a rrn /I e IATrn CINI A 1 4 Al npji /l=1AN1V PNITRV PFRnn iT i 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: '0W D( (),� oJ� Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street _a �r'qY fo) S-f St. Number _ i ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Food Inspector-Health Date ApprovedDate Rejected A-A-' Date Approved C% Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit V. Fire Department Received by Building Inspector Date i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFIT`Ctad: (Print or Type) NORTH ANDOVER Mass. Date / 9 ` 3uilding Location 13 - Permit # Owners Name3 ' • New Renovation Replacement p Plans Submitted FIXTUP,FS Wo x s �; W. Y m cc m .a N CC • cW. a m w a U ca r s to x a Sul G -d.' to to r. W w occ o a a w t- N cc W O U m z .~. 4 in Q y W W W O .W1 z d x W C q a W ~ W V x C7 cc Q W } C W 2 d Q < st O O W _ O W N a x o O x W n 3 ra t9 ..r Q or } a a t— o SUR—ESMI T. BASEMENT IST FLOOR ! 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TK FLOOR STH FLOOR - (Print or Type) Check ne: Certificate Installing Company Namep F iorp. Address ?p /'� /l/ Partner. Firm/Co. Business Telephone: 55 j-5�5/--I— r Name of Licensed Plumber or Gas Fitter Insurancp Covera e: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F Other type of indemnity Bond Insurance Waiver: 1 , the undersigned, have been made aware that the licensee; of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent I hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the brit"of t;-y. knowledge and that all plumbing work and Installations performed under'permit iutud for this application will be W compliance 4rith'al1 pow4ent provisions of tho Massachusetts State Gas Code and chapter 142 of tho General Laws. — By YPE LICENSE: Title 71- Plumber -- eG�bsfitter Sig ature of Licensed City/Town: Master Plumb r or Gasti.tter- Journeyman APPROVED (OFFICE USE ONLY) um License Number • BELOW FOR OFFICE USE ONLY F!NAL INSPECTION $KETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 19 i GAS INSPECTOR LocatioA No. _t l) In Date NORT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ S�Cwd � `✓ ,� Other Permi Fee $ - r� Sewer Connection Fee $ sL,, 4 /f Water Connection Fee $ r ° TOTAL ��$ ✓� .�j'` —7 Buldin¢Inspectory` j`� Div. Public Works Location &L Alt)l)Fcx2 4? 57 . i No. Date M°RTR TOWN OF NORTH ANDOVER O?O•t•`•o •,�O . op Certificate of Occupancy $ Building/Frame Permit Fee $ f ` 1" '9 G� sAC11U5t F Foundation Permit Fee $ */ her Permit Fee $ /p9 O Se- Connection Fee $ �QO watef onnection Fee $ Gtr TOTAL Building Inspector f, - Div. Public Works Location No. Date �ORTIy TOWN-OF-NORTH ANDOVER o�,,�.o ,,�+ rel A Certificate of Occcupancy f =o �; Building/Frame Permit Fee!-,$ Yf CNUs t� Foundation PermiFee $ ►A 414 Other PerrmitfFe.�e Sewer Connection...Fee�J, $ n Water Connection Fee ` $ .j�i . TOTAL $ -------- ` 133laing Ins6elctor Div. Public Works :a1r9rNO. Z►o (0 APPL11CATION FCR PERMIT TO BUILD — NORTH ANDOVER, MASS. ' AGE`t LOT PJC3. OT� I 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE _3• I SUB'DIV. LNO. C- �� bG , q� l c, r ,LOCATION � PURPOSE OF BUILDING X13 _ � OWNER'S NAME C` G NO. OF STORIES SIZ ,z /^�/ OWNER'S ADDRESS 7X 3 BASEMENT OR SLAB J` ARCHITECT'S NAME f' SIZE OF FLOOR TIMBERS 1ST,,; 2ND ) r�D 3RD BUILDER'S NAME �d SPAN re oC� .. DISTANCE TO NEAREST BUILDING /OD/ DIMENSIONS OF SILLS r7 DISTANCE FROM STREET DISTANCE FROM LOT LINES-SIDES REAR ddD% " GIRDERS) AREA OF LOT ��� O FRONTAGE/ r ® HEIGHT OF FOUNDATION Y p///T THICKNESS IS BUILDING.NEW SIZE OF FOOTING �l /� rr X IS BUILDING ADDITIbA !/ y� MATERSAL OF CHIMNEY IS BUILDING ALTERATION ,d/ /> IS BUILDING ON SOLID OR FILLED LAND LQ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE pl IS BUILDING CONNECTED TO TOWN WATER✓ e p I C d BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER ,I ' IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST 7S, SEE BOTH BIDES EST. BLDG. COST PERMIT FOR FRAME/BUILDING _ -5 f�s�SbO, � PAGE 1 FILL OUT SECTIONS 1 - 3 EBT. BLDG. COST PER BQ. DATE: _L/0152:_.fEEPAID: / /l L EBT. BLDG. COST PER ROOM / IP eO PAGE 2 FILL OUT SECTIONS 1 - 12J v BEPTIC 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 j DATE FILE BOARD OF HEALTH SIGNATU E OF O N O AUTHO IZED AGENT 4 F E:.•E PLANNING BOARD PERMIT G Z 19 SIX PERMIT FIS S wa Vavo LESS cFDA gAFEFPERMIT ._,1.yp T �/ 0 PERMIT FOR FOUNDATION ONLY DUE FRAME PERMI r TAPY �P'O BOARD OF SELECTMEN REGULATED BY PARA. 114.8-S. B.C. Y FEE PAID f ■GILDING SPECTOR �� WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCC U P,-A NCY 12 i SINGLE FAMILY S ORIES ATHIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _- LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- 1 APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ' CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 '/t '/• FIN. ATTIC AREA NO B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 1176 FLOORS CLAPBOARDS B 1 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY II" STUCCO ON FRAME .I «. r•' i• BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR -1 NONPOOR ADEQUATE E 5 R F 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHEDATER CLOSET _ ASPHALT SHINGLES LAVATORY f WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR �— TILE DADO • 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE . s _ FORCED HOT AIR FURN. � �,a. �1 f M TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. HOT W T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING •1 "' �','`1�i ?iy; RADIANT H'T'G UNIT HEATERS P.t•.I 'fC..F $J'6.1i11,: t 'a� #S• ¢� 7 NO. OF ROOMMM3 AS U BMT 2nd. ELECTRIC Isr �3,d I-"- -NO HEATING >. `� _ _ LANNiNG ` c 6 O own of over ® ... K O er, Mass- UAJ EC t HE IC 1 U ON BOARD OF HEALTH PERMI ILD THIS CERTIFIES THAT�A/�AM ••••q�� ..:. ..................... •.1 � ..•!�3•.•.��:3k� � �� BUILDING INSPECTOR ildin s on fi .... .•• •••• Rough has.permission to ere g . Chimney :r to be occupied as.,*maW••• ••• y•••. •••••••""""' Final r� k 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. PERMIT FOR FRAME/BUILDING Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES 0 N T WE: .T........__FEE PAID:..... -- ELECTRICAL INSPECTOR Rough �� �, [ NLESS CONS UCT SW;R S Service BLDG. PERMIT FES.�_� ___. , Final LESS FDA FEE ____.100, 00 DUE FRAME PERMIT' .T /04/h 00 BUILDING INK = GAS INSPECTOR Occt.rp�artcy Permit Required to Occupy Buildin PERMIT�4R DATION bough r EGU LA=. BY PARA. 114.8.5. ILC. Final Display in a Conspicuous Place on the PreWW G w PAIoPV FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. , Building Inspector X32 FORM U .,. TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT, DDE (ASSIGNED BY D.P.W. STREETS — _ "� , d' APPLICANTPHONE DA'Z'E OF APPLICATION 1�77 -2-- TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TON PLAAFER DA'T'E REJECTED CONSERVATION COMMISSION �. DATE APPROVED 7 Z CONSERVATION ADMIN. DATE REJECTED BOARD OF HEALTH DATE APPROVED ` EAL'1'll tANMERiAN DA'Z'E REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT . i -%E*E-R/WATER CONNECTIONS erM i ,w 5 ! �- al - FIRE DEPT. _� , 1' RECEIVED BY BUILDING INSPECTION >.j . L 1' � ! DATE MAY 2 9199?_ `t . LEI- ' form shall be signed by the agents of the Planning and Health Boards, L, ttie Conservation Commission prior to the issuance of any building; permits r for- the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. c u Il r COMMONWEALTH DEPARTMENT OF PUBUC SAFETY - OF 1010 COMMONWEALTH AVE. Z, -.._ MASSACHUSETTS. BOSTON,MASS.02215 ? 7217 LICENSE }fi ICENSE ENCLOSE CHECK OR MONEY ORDER EXPIRATION DATE CONSTR- SUPERVISOR SOR 06/30/1993 FOR REQUIRED FEE, RESTRICTIONS NONE EFFECTIVE DATE LIC-NO. MADE PAYABLE TO 306/30/1991 005693 "COMMISSIONER OF PUBLIC SAFETY" DAVID A KINDRED SS 4 017-46-6795 40 MARBLERIDGE RD POBOX (��N.(SEND CASH). N ANDOVER MA 01845 P EASE :NpTE FEE s PHOTO(BlA$TING PPR ONLY)) FEE: INCREASE 100.00 J^ T HEIGHT; NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY E FEC TI 1911989 STAMPED OR .SIGNATURE OF THE ` • jc- ''/� DOB: COMMISSIONER 01/13 '1954 ,(J. • • '+r ( '•� THIS DOCUMENT MUST BE D p T p LICENSE N S E ",:M'1','"::�„'� •' '' CARRIED ON THE PERSON OF DETACH C H L I STUB' OTHER$ 'h•"'�"a}}' THE HOLDER WHEN ENGAG- .R�N�'THUKt�"pRINT ED IN THIS OCCUPATION. /�SjIGNATU OF LICENSEE I*NOT SIGN NAME IN FULL•ABOVE SIGNATURE LINE • 200M-2-87.81429 0; Pl 'A COMMISSIONER d 7 d - �j SEI) - 9 �� , 1 j@ .DINGEPARTU� IST r h n, � v v M r � QF enT P. 5iE4�0•�'` �.dD 14GtF1 j THIS FLAN IS INTENDED FOR ZONIN,� WE HEREBY CERTIFY THAT WE HAVE EXAYi,NED PUIRF�OSES ONLY, IT WAS COMPILED THE PREMISES AND THAT ALL EASEMENTS, FROM EXISTING PLANS AND RECORDS ENCROACHMENTS A'ID BUILDINGS ARE I�CCATEC WITH BUILDING LOCATIONS CONFiPMED AS SHOWN, ALL BUILDINGS SHOWN CONFORM IN THE. FIELD, IT SHOULD NOT BE TO THE ZONING LAWS OF THE MUINJICIPAI.17Y USED FOR PROPERTY LINE OETERMIN- WHEN CONSTRUCTED, ATION, 'HE BUII DING IS NOT LO;A TED IN AN ESTABLISHED FLOOD HAZARD AREA, ZOPJ! JG: ?- -I- REOU;RED SETBACKS; FIRONT; '5�' S , REAR; CERTIFIED PLOT PLAN VIARCNIONDA & ASSOC. , Iti"C. j �• ^^ .• • •»�" ENG!NEER!NG AND PLANNING CONSULTANTS .1 c 3Do'4Gzt "A, 62 MONTVALE AVE„ SUITE I AS PREPARED FOR STONEHAM. MA. 021801 (617) 438--6121 SCALE; 1�� � DATE; Y & A FILE No.. 'SSI ~01 Town of, N01ITA l A N 1)WvrLlt f'drrflll .\Ir I :ONtiF.l(V 1�1\'Iti11)N 4W Ili l i) GI i .iii!.' I I iiV:I'I I.ANNIN(l I'l—ANNING & (;()(11f►Il!Nt'1'1' ()l;� l;l.()i'I1tl?N'1' I:A I:1J 1 1.1 '. NI:I.tit )N. III (1:(;I OI ' 1. CHIMNEY APPLICATION ANO 1'El;plll ~ Y. ,TE 1'EIZrI I r 11 .. CATION NER'S NAME: ---- ILDER'S NAME: SON'S NAME: SON'S ADDRESS:SON'S TELEPHONE: TERIAL OF CHIMNEY: FERIOR CHIMNEY: a-CL — EXILRIOR CHIMNLY: '44BER AND SIZE OF FLUES:- — X -- I CKNESS OF HEARTH: ' U chbiney un. OiaepCnce col(()onm to 41le u() Vle curie and have -u1f E s rule( gutati.ou been kecesved: 5 TE: _ Z 3NATURE OF MASON: r � r 'RM IT GRANTED: Gj— -- / — FEE �? p BERT NICETTA ILDING INSPECTOR �- SPECTEU: t4ARKS: Apel 3 SOLID FLOCK REQUIRED SJ THIS PERMIT MUST BE UISPLAVLO 014 111E 1'1ZUHAS s o f NOR,H • 1ti v . OFFICES OF: . Town of n APPEALS 120 Main Streei BUILDING '`::: NORTH ANDOVER North Andover, C:ONSL-IiWATIONUIVItiION OF S` IVIiISS;" IIU5C11S O1 84G- +cNunc HEALTH (6 17)6H5-4775 i PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, 0111EC-1-011 In accordance wittl t11e Number provisions of MGL c 40, S 54, a condition of Building Permit is that the debris resulting from this work shall b disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: � r — (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. B ESSOM & T1 LTON, INC. 36 Broadway (Route 1) Saugus, MA 01906 (617) 231-5607 FAX #: (617) 231-561.1 July 25, 1991 M1-34485 Metropolitan Insurance P.O. Box 1205 Tewksbury, MA 01876 Attention: Mr. Bill Feil ' RE: Jerry Lentz 63 Bradford Street, North Andover, MA Your File # : WBO86559-PC Dear Bill : As you will recall , on July 9 , 1991, I met with you at the referenced address for the purpose of extracting cores for testing from an unreinforced concrete foundation. As I understand it some time on or about June 27, 1991, a gas explosion in the basement of the house completely demolished its superstructure leaving only the foundation walls apparently intact. Testing was for the purpose of determining the extent (if any) of damage that the foundation may have in as a result of the explosion, and, in the event that it had been damaged, to establish whether it was still capable of conforming to the requirements of the Massachusetts State Building Code for concrete foundations for one and two family dwellings. i I CONSTRUCTION ESTIMATING & CONSULTING B ESSOM & Tl LTON, INC. -2- July 25, 1991 RE: Jerry - Lentz M1-34485 As can be seen in the accompanying photographs, the foundation is built into the side of a slope in the grade with only the front and left side foundation walls extending to any degree above the grade at its lowest point. (Note: The front of the house did not face the street, but was on the left side as viewed from the street. ) At the rear, the foundation does not extend more than 12 to 18 inches above grade; on the garage (street) side, the foundation is not exposed at all . Since unreinforced concrete, for engineering purposes, is not considered to have any value in bending or tension, tests are only conducted to determine its resistance to compression in pounds per square inch. Testing procedure was in accordance with ASTM (American Society of Testing Materials) Designation C42-87 . For testing purposes, four cores were taken, two on each exposed wall . The locations of cores numbered 2, 3 and 4 were selected by myself. At the request of the insured and his father-in-law, who were present at the time, core No. 1 was extracted from an area of the wall where some surface spalling of the concrete was evident. Photograph #14 was taken of the spalled area before coring took place. BESSOM & TILTON, INC. -3- July 25, 1991 RE: Jerry- Lentz M1-34485 The cores were extracted by DDQ Construction Co. Inc, , 67 Maplewood Street, Malden, MA 021481 and delivered by them for testing to The Thompson and Lichtner Company, Inc. , 111 First Street, Cambridge, MA 02141. The results of the tests were as follows: Core No. 1 was found to have a compressive strength of 2100 psi; Core 2, 2460 psi; core 3 , 2810 psi and core No. 4, 2970 psi. The Massachusetts State Building Code requires that unreinforced concrete foundations for one and two family dwellings have a minimum compressive strength of 2000 pounds per square inch. Since all of the cores tested exceeded the code requirement by a significant amount, there can be no question that the foundation is fully capable of supporting the laods that would be imposed on it by any normal residential superstructure and would be found to be acceptable for that purpose by the building inspector, B ESSOM & TILT ON, INC. . -4- July 25, 1991 RE: Jerry Lentz M1-34485 During our survey of the site, the insured pointed out cracks in the foundation which, in his opinion, had been caused by the explosion. Photographs #15 through #19 are representative p entative of the cracks. While I cannot categorically deny that some of them may have been caused, or at least exacerbated, by the explosion, I believe it to be unlikely. In particular, cracks such as that shown on photograph #16 where the crack is on the exterior face at the corner and does not extend through the wall . In my opinion, the front and left side foundation walls have suffered little or no damage as a result of the explosion. This opinion in predicated not only on the test results and personal observation of the concrete, but also on certain other conditions. The rear and right sidewalls of the dwelling at the lower level were apparently I constructed of wood with only the front and left walls being concrete. Added to this is the fact that the concrete walls I were buttressed to an extent by the earth behind them, while the wood walls had no such reinforcement. Since the force of the explosion would have had its greatest effect on the weakest components (i. e. , the wood walls and wood floor above) , the likelihood that the concrete walls could have been damaged to any extent would be minimal at best. BESSOM & TILTON, INC. -5- July 25, 1991 RE:. Jerry .Lentz M1-34485 ' For your information, I have enclosed a copy of the results of the tests performed by The Thompson and Lichtner Company and a copy of their invoice as requested. I have also excerpted and enclosed a copy of a portion of Section 3402 of the State Building Code which indicates the minimum compressive strength of concrete allowed. If I can be of any further assistance to you in this matter or if you have any questions, please do not hesitate to call . Very truly yours, Me vin Wolf p,E MFT/a r y Enclosures c i i CERTIFICATE-OF USE OCCUPANCY Building Permit Number 206 Date OCTOBER 30, 1992 THIS CERTIFIES THAT THE BUILDING LOCATED ON 63 BRADFORD STREET (Lot C) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARIN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. OF No oTh '91. O CERTIFICATE ISSUED TO Flintlock, Inc . m 'r ; `-" "= A P.O. Box 531 ADDRESS North Andover MA SSACHUSE Building Inspector V/ LANNING FINAL INAL . . * own � of � � � n over ,, O No. n r. . E WA F7,� . t ,j Y F1 E F � � °� ., ;E 4&4er, Mass.,U VAI F 7- l R ? F BOARD OF HEALTH PERMI UILD THIS CERTIFIES THAT��1�A. ...•. .•..•.••..•••..•..•...•.......•..•.... BUILDING INSPECTOR has permission to ere93........ .... .. .. ildings on ... ....BRRD.AW .....6"r .. Rough . 0�6 W Chimney! to be occupied as ... .��. � ... F' al �/ u✓�/3J/S provided that the person accepting this permit shall in every respect conform to the terms of the application on file in �� "� 'S- PLU BI G SPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rou C/� C,N Buildings in the Town of North Andover. PERMIT FOR FRAME/BUILDING Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES l 0NTWE:(Llo.ZiL FEE PAID ELECTRI LIOR ,_ Rough O l NLESS CONS UCT ST R S Service -- BLDG. PERMIT FEE Final LESS FDA FEE.._..__. 100, 00 .. .. . DUE FRAME PERhrM ioy/. Do BUILDING IN PECTO GAS INSPECTOR Fmfffollgh Occupancy Permit Required to Occupy Building MB �4JM ON ON LL _ REGUUITEp 8Y PARA. 1)4.8, 8�� Final Display in a Conspicuous Place on the Pres Lro z- PAID FIRE DEPT. Do Not Remove Burner 0,4� Y"*. c/�• No Lathing to Be Done Until Inspected and Approved by smoke Det. 1° j21 Building Inspector 4 52 - z CEKTIFICATE OF USE & OCCUPANCY Building Permit Number 206 Date NOVEMBER 3, 1992 THIS CERTIFIES THAT THE BUILDING LOCATED ON 63 BRADFORD STREET MAY BE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Y NORTH 9 02 CERTIFICATE ISSUED TO Flintlock, Inc . P.O. Box 531 ADDRESS SSacHLISE< Building Inspector '4111 U LAW FINAL rA L own of � 6 �L naover 0 236 !_ ,'EWA Y f7TRaY PER ITe - K ra fiver Mass.l.1 VNO �. 1 �► NE f ApR� PO BOARD OF HEALTH B, I LD PERMI THIS CERTIFIES THAT � �• •..... ...................................... � Q..l � g �� Bla9D.Awb- BUILDING INSPECTOR has permission to ere �Idin s on .. ��"�- �.... ... Rough l Chi P to be occupied as. *VCjl W ... .W Y....ADWOUAW& F' al k/.- - C./,.3 Z� provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 19 144 ldv /o -S- PLU BI G SPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of rRou �� Buildings in the Town of North Andover. PERMIT FOR FRAMUBUILDING in � L/� Z � VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES �IONTWE:LI-01-2L FEE PAID:-/ 4/ ELECT I ALI OR_ Rough 01 CONS UCT ST R S ServiceBL.DG. PERMIT FEE 11�y/J�NLESS ._ , Final 1 , LESS FDA FEE----./001 00 � DUE FRAME PERMIT ioy/, Ov BUILDING IN PECTO �x GAS INSPECTOR Occupancy Permit Required to Occupy Buildin PERMRYOR ND;IOH though 9R0IAl p BY PARA 114.8,x. IL9 Final Display in a Conspicuous Place on the Pref,,, Lra z._-MPAJD FIRE DEPT. Do Not Remove Burner 0/� No Lathing to Be Done Until Inspected and Approved by Smoke Det. /;Zy Building Inspector ector 2- FINAL F A L -- , . own of 6 n over { 7 w> �' ,� k I =K_ er, Mass. (JAI � 2.. 1 §► C HE IC R SS BOARD OF HEALTH PERM I LD THIS CERTIFIES THATFA/Mr. . X. - K.... WeD./c...................................••• BUILDING INSPECTOR e� pr 93 BRR.Z� ,has permission to er ... . .... .. .. ildings on ..• ..... .... ... ...... ... Rough C��- �� ! , ��l ,"**Vrj JL� / r . xW. .6%4e00V&..... Chimney t to be occupied as. . .... ..• •••• •••••••°•••• F' al provided that the person accepting this permit shall in every respect conform to the terms of the application on file in � n" ��t, `S- PBING SPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rou Buildings in the Town of North Andover. PERMIT FOR FRAMUBUILDING Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRa1ONY16L /U z— FEE PAID- j..._..0 � ELECTRI L1 OR, Rough© � p .: �f ,,_rNLESS CON4TE, S Service zloi . Pt: / /�.._ .. 01 Final L RDA FEE-__ /00, OL . . l �iPh° L. /OC`/, 0 BUILDING INSPECTO _ GAS INSPECTOR Occupancy Permit .Required to Occupy Building PERMITNR TION Ihough REGULATED BY PARD 114JM &C, Final Display in a Conspicuous Place on the PresLILPAID FIRE DEPT. Do Not Remove Burner 0'4� L4 ' No Lathing -to Be Done Until Inspected and Approved by Smoke Det. CG` 121 Building Inspector ector s Carroll Designs P.OBox 1951 Aedover,MA 01810-0033 RESIDENTIAL DEsfC�NERs 508-475=148( Fax 508-414-9354 • Draun Alan CarroI Date June 4, 1992 i Emil I I I i LLLjfl LHA. :z :z m Q� ,Q O V/ X , > /l as C) o a o � \S) :z FFFIIJX —1 CL }- N LL O • Job No. FRONS' ELEVATION '32042 1/411.11 o n Dug No. i ! � 1 4 SIS l OF 10 C arro l l Designs PABox M51 Andover,MA 01810.0033 RE51DENTIAL DESIGNERS 508-4�5-1486 Fax 508-414-9354 Dram Alan Carroll D ata June 4, 1992 ELLLI 8' X 10, Deck R [GHT ELEVATI REAR ELEVATION Cfj LU C�j Actual elevation configurations may vary depending <t U-- on which combination of floor plans are used. cv O Z ItoHIM d Job No. c32042 , LEFT ELEVATION Dug No. SN20F10 - &'211 11'10" 12'0'1 4'O° 3'11?/4' • 6'O" ('O° C arro 1 l j Designs P.OBox ?951 Andover,MA 01810-0033 61011 SLIDING RESIDENTIAL DES1CxNERs � a 1. - - - - � O . \ - 508-4-15-148(0 c", � __ Fax 508-41+4-5354 2 - 2'6° Q DINING O O I I � Aremn KITCHEN , D R Alan Carroll CP LAUNDRY O �O Date 0 1/2 BATH i Junes �-, 1992 _ o LQ N 4'04'(o 4 - 13/4" X 9 1/2 G MICRO-LAM BEAM C) o FAMILY ROOM �' FOYER o = LIVING ROOM _ � LL � � o m 310" O 3651611 4'011 5,011 318 5 (0 3'611 0-1111 Job No. 13'0 8,811 14'4" '32C 42 IWO FIRST - 1/4�� i I,-oil 6N 3 OF 10 - 36'0 23'011 31ro1l 31911 5'9 II 21911 3'011 41911 12''311 & 0 . 0Carro 1 I . Designs 6'0° SLIDING Andover,MA 018"033 ml> RESIDENTIAL DESIGNERS LAV Fax x 508-4 14-9354 OIO KITCHEN ( C — \ DININGROOM Dram Alan Carroll O, O Deter June 4, 1992 NQ CICN3111 31511 2111 41011 4,(011 O O 4 - 1 3/411 X 91/2" 2'(o MICRO LAM, BEAM ABOVE o it AO z _ o � z O Ln _ IF o FOS LIVING ROOM X ->< FAMILY ROOM �� _ _ � �C) m 3'011 � i i 3111 6111 3'011 51011 4161 3'ro 6111 ; 31 11 13'0 -- C3,-j 11 1-3'(0" Job No._ 92042 , Dwg No. FRST FLOOR FLAN 2 A - 4 ' . . 1/4'1 = 1'011 5-H 4 0F 10 36'0" 316 3'13" 5"3 �V 230" 213 310.. so do 41911 1213" . 6,0 C drro I P.OBox 1951 Andover,MA 01810-0033 RE61DENTI,41- - - - DESIGNERS v � OC-4 � _ 508-4-15=1486 \ / Fax 505-414-13354EI � Y \ Oto KITCHEN DINING ROOM � = Draw � � OO ,4la,nCarroll i o Date if June 4, 1992 m � IF _ 31111 31511 21611 410 , 41611 O —0-.11111 0 4 - 13/4" X 9 1/2" 21611 IF MICRO L.AM, BEAM ABOVE v L'Xx � ]z m � In IF .[E[r o O tY1 � UL Z FAMILY ROOM FO''ER LIVING ROOM x - 1 LL o NQ 1,01' 31611 51�U. 4101f P lO�� 11(11 4���1 5�6If 31(11. ✓, r} ,lob No, ,{ 130° 9 " 1316" '320 4 . FIRST FLOOR PSN - 3 1/4" = 11-O" FOR UNFINISHED SECOND FLOOR 5H5OF 10 3b'0 5.8.. 5.0.. S'O" 2'6" 1110" C arro 1 l 411011 31211 31411 sold 418° 5'10° (0,0 It Designs PABox 1951 Andover,MA 01810-0033 r RESIDENTIAL DESIGNERS O 0 EC—) Fax 508-414-9354 Lu Cp BEDROOM #2 DrawW.I.CLOSET = O =� Alan Garro l l UCl _ Data C June 4, 1992 L, 2'4" 2'/1126 ' 2.4.. w 2 5 g�8' Z �— z � Ln o _ X > L CO UO U O O CA X 21611 t— MASTER BEDFPOOM BEDROOM #1 . o G L �; Z I 3'6 56u 4'0n 2'(o 3,0ii 5,6n 3'(on Job No. 13'0° 1 2'6" 20'(o" T S 20 4 2 Dwg No. SECOND FLOOR FLAN 114 = 10" SN60FI 9'10�� 8.0.. 2'6�� 4'4" .3�2 11 4'10" (0,011 Carroll Designs 2110",X 3'5° 2'10° X 3'5° ROBox nsi 2'10" X 4'5" Andover,MA Ol o-0033 RESIDENTIAL o O O [DESIGNERS Ec) 0 0 +- = 508-415-1486 O BEDROOM 02 � Fax 508-414-9354 cn Drawl Alan Carroll 2'b° C L. X Date June 4, 1992 z z 2'6" w LU Ln U O O V n v v 21611 CL05ET �} 2'6" 4'O" 5LIDING 5,6�, —i aL X 26 ' \S3U �tl X o X -1 Q_._ �- 0 0 1N1,45TER BEDROOM o STUDY BEDROOM #1 N o Ly �n c" Z --------------- 2'10" X 4'S" 2'10"'X 4'S° 2'10" X 4'5" 2'10" X 4'5" 2'10" X 4'5" 36�� 56�� 4.0.. Zf6�� Z.O.. 5,6,E 31 ro dd 13o. O" 2 G" 9.6 11'10" jog0 2 Ow9 No. SECOND FLOOR FLAN a � 1/4" = 10 . • SHIOF10 36'p" 588101 SIO II 21x11 • V L II 10 Milo 4'10 3'2° 3'4" 418" 5'10° 6'0" Carroll Designs P,0Box 1951' Andover,MA 0IM-0033 RE51DENTIAL DESIGNER5 0ECD 0 z = 508-415-1480 �II ( /� a BEDROOM #2 _ Fax 508-414-9354 CIDr— W,I,I�LO5LC T o O Drun Alan Garroll ° coCQ U 'D — Date G L, `" � June 4, 1992 IF 2'4, 2,6�� 2.6.. ' 2.4.. o _ O o X o � � z � —g Z J 26 It MASTER BEDROOMBEDROOM #1 o � '� o � � cyZ 1 I _ 3�6�� 5�( 4.0.. 5'0" ��0�� 4�6�� 516�f 3 (0 • Job No. 13'O° T013'6"�� 13'� 92042 Cwg No. 3EC-CND FLC,CfR FLAN # 1/4" = 1'0" - V L5�HSOF10 RIDGE VENT ROOFING CONSTRUCTION ASPHALT/FIBERGLASS ROOFING BUILDING PAPER ICE 4 WATER BARRIER RR ER Q EAVES t VALLEYS LLEYS 12 I/2u PLYWOOD C arro I - - 2 X S ar7 16 O.G. _ Designs CEILING CONSTRUCTION PABox 1951 a�er,MA 0180-0033 • 2 x s a 1 ` or( . RESIDENTIAL R30 FIBERGLA85 INSULATION DESIGNERS_ I - VAPOR BARRIER Alternate Attic Stairs _ 1/2" WALLBOARD 508-415-148(o 13 R 5) 13/4" EA, 7 = Fax 508-414-9354 12 T 0 911 = 9'01' cf =' Dram Alan Carroll 0111 F =' Date c=' LUALL CONSTRUCTION June 4, 1992 7 =1 INTERIOR BEARING WALL SIDING 7 =1 2 X 40 16" O.C. AIR BARRIER 4 = 1/16" O, 5, B. - 2X4aQ16" OZ. R13 FIBERGLASS INSULATION 13 R ark 1 1/8 EA, VAPOR BARRIER _ 12 TO 9f1 X '3,0" ' - v2" WALLBOARD F LLI FLOOR CONSTRUCTION —A X 1 4 =1 X PLYWOOD 2 - 2 X 6 SILL PLATE U ® Q _ 2 X 10 16 O.G. CONTINUOUS SILL GASKET Q Ca C) - 1/2" pIA. X 12° LCs ANCHOR BOLTS Z ' 0 8'-0" O.C. (MAx) 13RQ8" EA, � _' —4 - 2 X 10 CENTER BEAM o- 12 T ra 13 = 9 a- = _'1011 f -1 3 1iZ° D1A, LALLY COLUMN `r >� M\,p 7 (SEE�UNDAWNPLAN LOCATI�ONS) o FOUNDATION CONSTRUCTION �, O • _� 10" CONCRETE WALL / 8'-0" POUR =1 10 DP X 1'-8" WIDE 3'3/2 If _' CONTINUOUS FOOTING wirf =' � =1 4" CONCRETE SLAB .s Job No. 92044 Dug No. 1 5UILIDING 5ECT11 C3 SN90F10 RIDGE VENT ROOFING CONSTRUCTION ASPNAL.T/RBERGLASS ROOFING BUILDING PAPER ICE 4 WATER BARRIER aQ EAVES 4 VALLEYS 1 1/2' PLYWOOD C arro i 2X8Q 16' 0.C. Designs 1 = PA�ox 1951 CEILING CONSTRUCTION Andover,MA 01010-0033 2 x s I@ ib' o.c. RESIDENTIAL R30 FIBERGLASS INSULATION DE51GNERS - VAPOR BARRIER 1/2' WALLBOARD 508-4i5-1480 Fax 508-414-9354 Drawn Alan Carroii � DBts WALL GONSTRUGTION June 4, 1997 INTERIOR BEARING WALL SIDING 2 X 4 Q 16' O.C. AIR-BARRIER . 2X4aQ16" 0 . _ R13 HBERGLABS INSULATICN _ VAPOR BARRIER 13 R aD 1 S EA. _ 1/2 WALLE-CARD i? T 0 '3 = 3'O" r _T - —� 3`I" , _ �� — LO L�i 4 FLOOR CONSTRUCTION —d X > - 34' PLYt000D 2 - 2 X 6 SILL PLATE 2 X 10 !@ 16" O.C. c --- / CONTINUOUS 5fLL G45KET Q 1/2" DIA, X 12" LG 4N:NOR 30LT3 0 (M/-X) tYb F - t j FT 4 - 2 X 10 CENTER BEAM �— !2 T n 9 = 9'0 -r _` i 31/2" DIA. L ALLY COLUMN LL- (SEE FCUKDATI-OK PLAN LOCATIONS) L(SEEFCUKDATIOKPLANLOCATIONS) FGUNDATION CONSTRUCTION 10' CONCRETE WALL / 3'-O" 10OIJR Qc� T 10' DP Y. 1'-S" WIDE Z 3'31/2„ _ CONTINUOUS FOOTING- 4' CONCRETE.SLAB . -n •� — -o -o Job tJo. o � p Dvg 40. E3U DIN ' cam 5 C.- � �i i 5143OFi 36'O" Carroll 6'011 DeSignS PA.Box 1951 Andover,MA 01810-0033 RESIDENTIAL r - -- - - - - - - - -- - - - - - - DESIGNERS-i r- - -- - - - - -- - -- -- - - - - --- - - - - - - - - e e , _ - - - - - - - - - - - -- - - --- - - - - - - - -- - - - -- - - - - - - - -- -- - - - - -- --- - - - - - - - - - - - - - - - - 0 508-415-186 Fax 508-414-9354 - 1 Dram • ' I i GARAGE FINISH CONSTR. A I an C arra 1 - �p ALL WOOD CONSTRUCTED WALLS AND CEILINGS ' ' TO HAVE 5/8' TYPE 'X' FIRE RATED ' Des June �, 1992 WALLBOARD INSTALLED ' 1 1 2'0'i ; 5811 6111 3111 61611 61611 5111 ; (P I 1 BEAM POCKET ; X 6"W X 6"DP X 8"H 1-3 1/2" DIA LALLY COLUMN cis o WITH 2'-6" SQ X 1'-0" DP '� � •° ; ; � FOOTING (5 REQ'D) ' I SLOPE - - - i , BASEMENT UP v4"/FT. GARAGE p. I r LL l�_ p .. (OPTIONAL) N I •p , ' 4" CONCRETE SLAB :z - - - - - - - - - - - - -- - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - ' I ' d e D p e e p A � A 0 e • � � A � � A A e � e � 1 1- - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - Job No. e2042 FOUNDATION FLAN Dug No. , If = 1 -0 1/4 1 -0 SH 10 OF 10 Location {3&A 6 No. 5'C �� Date TOWN OF NORTH ANDOVER - p Certificate of Occupancy $ 41♦� IMMWa Building/Frame Permit Fee $ Foundation Permit Fee $ S�cMusE Other Permit Fee tt> $ �5 ���� Sewer Connection Fee $ a n ' Ion Fee $ BuiIdind'insp t r P40. A0eove3 (,UI CfQir Div. Public Works PER lfff NO. ''4�'L APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP '.DATE BOOK PAGE Z1Ni=` I SUB DIV. LOT NO. I '. — LOCATION 3 or-d.rp-o PURPOSE OF BUILDING / ,OWNER'S NAME {� ) e-K7' NO. OF STORIES SIZE 'i OWNER'S ADDRESS L3 /r�C S� BASEMENT OR SLAB ARCHITECT'S NAMEkJ �t1 f��� SIZE.OF FLOOR TIMBERS IST 2N 3RD /flUILDER'S NAME f �r ) SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS - - v • --_ DISTANCE FROM STREET POSTS Y DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING - X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 3g,00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ° SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 1 ° ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR /ATE FILED /-- W,4 ot-k BOARD OF HEALTH SIGNATURE OF OWNER O ORIZED AGENT WNER TEL N FEE �� .# CONTR.LIC,N PLANNING BOARD PERMIT GRANTED —/,l/ V/� . ,9 BOARD OF SELECTMEN r BUILDINfi INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA. APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 '/ FIN. ATTIC AREA _ NO B MJ FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP S'OING CONCRETE �_ WOOS SHINGLES EARTH ASPHALT SIDING HARD\rJ'D _ ASBESVDS SIDING COM/ACN VERT. tlDING ASPH.TILE � STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I_� POOR ! ADEQUATE NONE 5 ROOF 10 PLUMBING i GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I 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 17 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING M . f . q , TIM 0WAR 0 _ r Illy 6 OL ®ver <w No. 6er n:,, 11% , 19? C M HE WICK Y� SS` BOARD OF HEALTH PERMIT T Lim rwmmmmcs� # LGX%410b=� THIS CERTIFIES THAT......... i, BUILDING INSPECTOR has permission to .... ...... ....... buildings on ..1 ':.. .... .. ....... Rough Chimney te a .... .................. ........................................................... 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;tor Andove Final VIOLATION of the ni ui Regulations Voids this Permit. R ITOEXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough o NLESS CONSTRU ST Service Final •�����.����•�.�•���.�.��BUILDING INSPECTOR ® GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 SmokSTP e DeNO t. Building Inspector i OF NORri OFFICES OF: ��' "" ~°m Town Of 120 Main Street y API'EALS a NORTH ANDOVER North Andover, BUILDING ;, �c:•',e' MaSS ('ht1SettS 0 184 5 CONSERVATION ssAOHU`t DIVISION OF (61 7)685-4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR I i In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number o29G /�_ 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 111, S 150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Akycant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through .the Office of the Building Inspector. Location 63 No. Sc-� Date To, TOWN OF NORTH ANDOVER Of i `an ,a'1•�•C F 9 i Certificate of Occupancy $ Mus t� Building/Frame Permit Fee $ -33 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3-30 - L-1 3 -3DL-l3 0 Check # 16350 `/ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPA!R,RENOVATE OR DFMOLISH A ONE OR TWO FAMILY DWF.I,LINC- ; C ; BUILDING PERMIT NUMBEA: �3 DATE ISSUED. SIGNATURE: Building CommissionerlInsor of-tuildings Date SECTION I-SITE INFORMATION z 1.1 Pmp&ty Addrsae! 1.7. Assessors Map and Pard Number: 0 (OS BeAf)R9b 0 44Q �I. j 6 Map:Dumber Pnnrl Number 1.3 7.nnx )g Ittfnrmaticxt: 1.4 Pr ert D�imcnsions: (I v }'r` y0 t } � )` 1vnVf' Zoning 0ishict !k c>a«i Cisa t.x Area st) PFJ Filxrta c ft1 �((N 1,6 BUILdDINC 5ET'BACKS ft Front Yard Side Yard Rear Yard Re uired Frwidr R uircd Provided Reqaired ... Provided 1.7 WWI. aM.G.L.C.40 1.3. PwZonc nfmwmiw 1.9 '-wT ge rl pont SYste— 16lic Y I2xtao . _ municimi u ()n Sim 1)ipnr41 SE :t O '2-PRC) E'R e '*�VN-ERS-rriPJAtyhIERIZED AGENT 1 2.1 Owner of Recot'tl r W arne("Print) Addreas for Service: _r Signature Telephone 2.2 Owner of Record: ty Name Print - - --.- tldtlro9s fnr Scnice: 3iRnrtturn Telephone -- - -- - -- - SECTION 3-C'ONSTP.UCTION SERVICES 3.1 Licensed Construuc�ctioh Supervisnr. Not Applicable 0 �- 1 Licensed Crmstruetion.Supervisor: r 31trD Lioen-c Number -- _ a pp .._. 1.-[.11L111]LtIV/l LItlCC " SignalUTC,� Telephone r 3.2 Regimred Kc—Impmvemcnt Contmoor Not Applicable J V Company Name Registration Nunll'LLbc��r"--ll" . .---- ass r o X37 9a5 _ 1_ F.rliratian�et� =— z 5i iiaauc z L3 ki SECTION 4-WORkERS COMPENSATION(M.G.L.C 152 25c(6 Workers Compensation Insurance affidavit must be completed and submitted with this s lica6on, Failurc to rovide this affidavit w' PF p ieda !t ell result m the denial of the issuance of the build'n tit. Si uod affidavit Attached Yos No.......0 SECTION 5 Mwi tion of Proposed Work dwckall® licablc New C(mstnwtion ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 1 I Add,tinn i f1=es.wry 13ldg. ❑ Dmolition n Other fI Spacifv B cf Description of Proposed Work: opmyst � TO SECTION 6-ESTIMATED CONSTRUC-I'IoN COSTS Item Estimated Cost(Dollar)to be OFFICIAL U&E O A Gom lard by tx7pn s plicamt 1. Ruildin ! (a) Dididing Pe mit Fec Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee t:l- (n) Nieclianic:ttl(HVAC.) �3 '1 5 fire 1'rotec41011 U 6 Total I C'IleClt Nturiber -7 SE.CTIGN 7a OWNER AUTHOIRZATI€DIN TO BE CO�(PLET E D VITEN OWNERS AGENT OR CONTRACTOR APPLIES ICOR SUILDEXG PF_5,,iI['r I' - - ---- -- � as(hvner.�of subject proly-Ttv to ac.t on y 1 {�_f,tip r,;il 111E tets rei, ay=} aauthmzed by this building p�rlmt Uppl] 15t1C1n1. ii��ss�� //��' n Si nattire ofK�lroatter T)ate SECTION 7h OWNERIALi,rHORIZED AGENT DECLARATION .a ()Pellet/ ",redA,,. t of Subject propertY — 11e1'ctly ttcelilYE ihtit i.11te AailleillCiltj flied inlbrlmatioIl on the lbregoing applivaG n are true and accurmc,to Clic lA'tit UI my k11oWlt:a1gt, and belief Pr .t Hyl e SI laiture of Owner/ tit Li;1JLavL.:1�1 OR ILN IJ SI%.}[C?fi�LU012'l7M[-iliiLS 2 �r.� SPA K, a t T)rN ENSI(DN3 OF SILLS t a I)IMENSIONS OF POSTS 1)IMl.iN53()Nti of(i11mF,R3 t r Fr',' Itumo il frO FOUNDATION r THICKNESS OFFOOTM, X T�.RTAI,Cil;CI iIMNE'YJII. G OSOLID OK FL'�LL''D L/ND G CONNI:C[lfl)'[0 NATURAL GAS L[NN. • FORM U - LOT RELEASE FORM ec 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 PHONE LOCATION: Assessor's Map Number te PARCEL 3 SUBDIVISION LOT(S) _ STREET �n a oL rl S4- ST. NUMBER 4- 3 ************************************OFFICIAL USE IRE , MENDATIONS OF.. WN AGENTS:RVATION ADMINIST OR DATE APPROVED jj���� DATE REJECTED COMMENTS U�� �' f lei TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SE TIC INSPECTOR-HEALT DATE APPROVED Z DATE EJECTED COMMENTS f J S -F. t 11,n) �,•. I- SP ..r- ej epi J) PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE____ Revised 9\97 jm `r MORTGAGE INSPEC TION PLAN AT 63 BRADFORD STREET NORTH ANDOMER, MA. NO ESSEX , REGISTRY OF DEEDS.' BK. 434/ PG. 48 It It It/ PLAN NO. 4370 CERTIFIED T0.' NORTHLAND MORTGAGE COMPANY INC. SCALE.' /"w 60' DATE: FEB. /8, 1999 305.34' 0 LOT C 7D Y R 6 N _ 3I .45' WHITE BIRCH LANE x 66 A-6eAuE,)Z EE,BU)L--r C)o New A,-IDD WK , NOTES: OF /) THIS /S NOT A PROPER Y SURVEY, DO NOT USE THIS PLAN TO ESTABLISH PROPERTY LINES OR:.TO:FRECT ANY.STRUCTURE. 2)PROPERTY LINES ARE DETERMINED FROM COMPILED 03373 INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY,, CERTIFICATIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BEL/EF, l HEREB Y CERT/FY THA T THE PERMANENT STRUC TURES INDICATED ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN AND ARE CONFORM/NG TO THE ZONING SETBACK REQUIREMENTS OF THE APPL/CABL E MUN/C/PAL/T Y WHEN CONSTRUCTED OR MAY BE EXEMPT PER MASSACHUSETTS GENERAL LAW CHAPTER 40A, SECT/ON 7, AND THAT THE STRUCTURE SHOWN IS Nor LOCATED /N A .FLOOD HAZARD ZONE PERFEDERAL EAER6ENCYAMAM MgWAGL WyMAP,' COMMON/TY NO. 250098 EFFECTIVE DATE.' 06 -02-93 ZANE.' X JOHN ' ABAGIS B ASSOCIATES, PROFESSIONAL LAND SURVEYORS /37 CHANDLER ROAD, ANDOVER, MA. (978) 688-4899 . APPLICANT.' U05CHETTO NO. 3920 Hirr Ue Uj U1 : ?-4p Bet-terliving b-Lrd8'/Ub7-bFb- M).FO'V�5EA5-0N rROi ll'X 26'(PfrPDX)A ITAME M 61,I'V5+ H ROOF 5y5lU (14'SPAN) NEW6' NEW 6.17001; FROM roT'�Co�' FROM l"OvOi (NCK 5HOWN IIJ15 AEW) IFI H—I -I-:aIlia-.;J-:Ir-!ihEE!I S!CE hinji- ri LJ LJ --j ll'X 28'(APPVOX) AfMiE 5ME 6"EP5+ 11 ROOF 5Y5rEM ---------- NEW 61 PDX FROM PORCH NEW b'POOR FROM PORCH (Nof 94m fHl5 VEW) t -0 1 L..l ri. �iTEME711-5— rn--.77 ill. �H!—ll 171 I'll: =Tl V.L.'Mic j him- . �i. -Z'i!I:- —11 E-1 I F-!!1-1 I`nl-�I I 1!�Ll 1=1 Ellu—1�—!!l P—H I 1 11 T L; pfill � PI TI-I'llLI ft FM LJ L.1 LJ LJ IZAL Hl('l-i m II"'(READ 13A1.l-L15lFe5PACF Project: Urawinq: Befterliving M05CHMO F�51P�NC� SUNROOMS 0 DAMPOM 51REET A-2 78 Turnpike Road Westboro,MA 01581 N"ANDOVER,MA 01845 Phone(508)670 1900 Fax(508)870 5756 4 2105 5h-e,2 of 2 'Hp?r Ue Ua U 1 : e4p Better l i v i ng SUUU'/U5'/56 p. 1 EXI51ING 6'POOR EXISTING 6'1200R - -. FROM HOUSE FROM HOU5E at I � Ai I' { 6"1 2 I PPCPO%19 NEW VECK(11'X33'AFMGX) - 1 L 2Y5 Pf FUME e 1611 O.C. 1 2.LEDGER PaTrP I/2")u"LA65 32"O.C, 3.J015f HAN1.2R5 00TH ENP5 5.2X8 Pf fRIU ENV BEAM(HIVPEN) 6.(9) 12110 X 48"VEEP FIC6W/ANCHORS 7,'/4"f&G PLY OVERIMAY 8.6X6 P05f5 W/KNEE E5Va5 (-- PROPO%P NEW OPEN PECK(7'X16'AFPFOX) 9.2_X6 VYNYI.PECKING&RA-5 ON OfI N PECK I.2X6 Pf FRAME v 16"O.C. 2,LEDGER Ga V I/2"X5"LAG5-52"O.C. 3.JO151'HMEGERS I%OTN ENDS 4.PNI 51PE J015f5 5.2X8 Pf VEX NO BEAM(HIMEN) 6.7-X8 Pf fPIPI-E BEAM 9.(8) 12"0 X 48"PEEP FIG5 W/ANCHORS 8.6X6 P05f5 W/ KNEE Mg,,; 9.2X6 VYNYL PECKING 10.51'AI� Project: Betterliving - - M05CN��TO p��fb�NC.� SUN ROOMS 63 C3MAVFOW 50Tf A-1 Noon ANnavER,�v�0184 Phone (508)870 1900 FTurnpike Road a(508)80 5756 Vale:4/2105 51eeL I of 2 EXHIBIT A A certain parcel of land with the buildings thereon situated in North Andover, County of Essex, Commonwealth of Massachusetts, on the southwesterly side of Bradford Street and being shown as Lot C on a plan entitled "Plan of Land in North Andover, Mass., owned by George R. Barker", September 1961, Charles C.Mardan, Surveyor, which said Plan is recorded with the Essex North District Registry of Deeds as Plan No. 4370. Said Lot C containing 45,580 square feet of land according to said Plan. mar c-t ua u.y: ooP neLLerl_a v i ng DUUJD t c'JZ�r P. 1 _._.EX%N6 6'DOOR EX15fIN6 6'POOR- 1 FROM HOUSE PROM NOUS PKOP05EP NEW DECK(11'X28'APPROX) 5 � 1.2X8 Pf PRAMS�I6"O.C, y,,y8n 2.LEDGER I3a1EP 1/211X5"LA65 52"O.C, J015f i m6ER5 00M EN195 4,Rt 51PE J015f5 5.2X8 Pf 1'RIPLE END REAM(HIWEN) 91-9!71. 6.(7) 12"0 X 48"DEEP F165 W/ANCHOP.5 8 7-5/4"f0 PLY OVERLAY I 8.6X6 P05f5 W/ KNEE f1 a5 4�__„_—_6'-IU4:�-----�-6'-fUq'�—+ I� �. IP X 28'(AFPROX)A FM-5M[ ) 6"EP5+ H POOP 551-EM (14'SPAN) I, i NEW 6'POOR `.. FROM PORCH i —NEW 6'DOOR —NEW 6'DOOR —� FROM PORCH FROM PORCH (NOf 5HOWN (N0f 5HOWN 11115 VIEW) fH15 VEW) ]I"._ rr :l__, 1'�"=r�r--rli1�1 ���L-1r.Zrr•-'nl. '-rte._, -il ]II JJ]jp-11-) 1 IT-11 X11.__-_-ill1 L;�I-�t-11[ illl_i IV II-( I III-'W 1-,; �, J L=T LU-LlEiil 1 I,I 11-11-111.7j K!11-JI- =fll-iil�. !c:_III-Ii-III=11.. I=III_=i clil ll�-1 Ir 1=III�j]f--1'i.=� il-!-Ir4-JIL',l 1 ill=11 H r III i il-I,C-II. F_ -- = - III. II) I~II ill-1 -Ilk'W (-il n ul,:,!;1= Lit-i�]=1�-III-ti1'I li-il_i-J�!-.1�1_I ll=;ll-1:•-III=ill 1:r �.Iff -1R-.111 f-ilg..!11-iirq 1. '-1- 1 .: (� — �— 1- — _ i III-.I! ) hIII_u .....-i—� IP: 11i1 1111=_II r.,:._111=IIL- iI- fJf.11r-?f I-ill:= tJ -LJ�-" J-.. IJ.UI;.I,� II '::I'' 11 ICIII .III`III__III:..,III_!1 h.. J!1}.:'. 06OR5 fO K'PINNED A %Uf.OWNER f0[Alf OPEN DECK Af 111E COMPL.Er10N OF 5UNROOM. Project: 5r�le:l/8"21'-O" Prawlrq: Betterliving M5CN�TTO F�51n�NC� SUNROOMS 6�DRAa0m 5aEf /�— 78 Turnpike Road WeSt ,MA O158F NORM ANPOVCR,MA 01845 Phone(508)870 1900 Fax(508)870 5756 Gate:5/24/03 Sheet 1 of I LAYOUTFLANS LANSj� WALL 5EGTION5 �1 EXISTING BUILDING DO i a 96.75" n (MAX) (MAX) 96.75 a. ' a 63 �; z } r --- - --- � — ° q GABLE SIDE WALL(A) GA— I GLEE 511PE WALL(G) i P 57".75"D 57 _. U u A55EM13LY DETAILS GABLE FLOOR PLAN (NOT TO'SCALSEE ALLOWABLE LOAD ,. 96.75" TABLE FOR PANEL 51/-Lt, (MAX) . (MAX) i w ..' e —57 3 y- PI"fChi 1:12 TO 5:12 z ; GU'F'fER FASCIA--_ a s .FRAME RIDGE BEAM OP, HEADER SUPPORT BEAMS GLU. -LAMINATED BEAM TRANSOM(OPTIONAL)-- *= Y I GABLE FRCNT WALL(B) ALLOWAPLE LIVE LOAD ALUM.SLIDING fANLE FOR 9 FT. PANEL WITH 8 FT.OR LESS Sf AN POOP,OR WINDOW I--- 20 P5F 25 PSF 30 PSF 35 P5F 40 P5F 45 P5F 50 P5F 55 PSI' 60 P5� ,'Z :a TEMPERED GLA55 — 3"HG 3"HC HG 3HG 3"HC 3"HC G 000R O 'EPS+FI 'EPS i l l 3 TPS fl I' > SLIDIN I s 5"EP5,1 I i'EPSa-TI 3'CPS+H EP5+I I 'EP5 i H 3 EPS FH ,--, N SILL SCCTION WITH DOOR NOTES FOR GABLE CONSTRUCTION {s , op "4Q�A,,�, FLOOR CHANNEL 1.S'FRUCTUKAL MEMBERS SFIALL COMPRISE 4.WIND LOADS=20 P5F ,10.ABBP,EVIATIONS cRaiG DECK/SLAB s of 6063'r6 ALUMINUM EXTRUSIONS PP.OVIDED FOR 80 MPH EXPOSURE A,B,C D DOOR iiai "k 4- S y; JOHN ;m BY CRAFT BICT M NUFACTURING COMPANY. 5.DEAD LOADS=5 PSF DM .DOOR MULLION = 7 Joss W WINDOW 9; C No.955f TYPICAL TiABLE SECTION 2 ALLOWABLE L06D5 AKE BA5ED UPOPI 6.DOOR AND WINDOW LOCA PONS WV rWINVA MULL1014 h } NdT TO SCALE THE LES50R_dF THE ULTIMATE LOAD/2.5 ARE INTERCHANGEABLE. U WCHANNEL o'P•• 0 � '° ` OR THE:LOAD AT SPAN/120. 7.GLA55 KNEE WALLS ARE HC=HONEYCOMB PANELS ='�;roN r Y= 3.I-IC/EP5 REFERS TO CRAFT-GILT STRUCTURAL INTERCHANGEABLE WITH PANELS. EP5=POLYSTYRENE PANELS � p �t t y ,e%'PROJECT: CONTRACTOR ' PANELS WITH ALUMINUM SKINS BONDED TO 8.ROOM PROJECTION(A or C WALL H=THERMALLY-BROKEN m'jP" HONEYCOMB/POLYSTYRENE CORES(3 h✓z" WIDTH)MAY VARY PER DOOR& ALUM H-STIFFENER o`' CflFIG J. G 11 -O x 11 2 AND 6"THICKNESSES.). WINDOW LAYOUT&RIDGE BEAM/ O/H=OVERHANG �. Joss ' GABLE ENCL05�URE ADJACENT PANELS ARE CONNCGfED'USING COLUMN DESIGN(UP TO 16 FT). P5F=POUNDS/5Q FOOT o -sTnucruHnL DWG NO.: F VINYL CLEATS OR He. 1 9.AUTHORIZED FOR BETTEKLIVING P=PANEL T F� aoaza PAWN BY:,CJJ GENERAL-,bAYC�(JT FT=FEET L T co „ t ' DEALEP.L15E ONLY ALUM.=ALUMINUM0", is Y, 4A,s SCALE:1"=50" DATE:1/9/2001 i{. DI3 Property O'lAlner_'4x,zst Complete and Sign This Sect' ` . r ion .�i L sm;:� B it er nereo,j aunoze ue terTicl a as O;�me_o`tl.e s-b;ect 7ro: Tn� _ at;.4 0??25 (d_1 a• — 2.;0 OO�i1S Ci�, 1. _ moi i�� all i1lattei J j—l LL1�v ! e ✓ . '1•• -°� oi�1 �i,1 Lil , 11 _1 C.Q,) l7 act Di7. or(address ei joy oz_zea b;T tnis b? 1_din.? , ;_ pe:�n" sp, ca::01 S� ' -e 0.i O;vner d_.ca4. l 5� =L , tv•' Iiis 7, Sect at. -?gent IZe-eb�' declaxWmaitl_� a , PIS 0+%r e J nv vd fA,f0 G BSS Or�0 v2 2 i0] 0_� Ci,l� �, 1' a 10� 0: .J o J _Ic_ CcLZ 0 t le 7 beat 0 J -� _ - Ki o wledge a 7d b�l'i ei -----_— Lie and gR der irea' i�_2nS ?- Qvi alt,�S C A.ilntiai�? ��' j l a---`� ---- — —. TION�F07f�11R���SUN>1�00IViS,�� ��, 33�k� ��ti� � g�E Cd °A The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and Wo house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION 44 FORM is to.be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a ' ro U� s energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, , p gY Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a A LW� C "sunroom" of any size, configuration, orientation, form of construction or percent glazing, but rather is only 4.4 0-% G intended to assist homeowners in becoming aware of some of the important energy conservation and year 00 0 0 o round comfort considerations involved in selecting and utilizing a'sunroom"addition. p H The connection of "sunroom" structures to residential buildings may create comfort and energy � d b consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In b U the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually to H 0 c constructing/installing a "sunroom". It is recommended that consumers carefully review these options with W N Q their designer, builder, or contractor, in order to minimize potential energy consumption and/or house •H o •?� Cd ro N discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hire ,� 0 � are important considerations. `d W b a PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SUNROOMS" c y -4 • Solar Orientation and Natural Shading o ' o •u • Type of Glazing ',', c N b • Insulating value V U 0 • Solar beat gain b 010:1 1.4 • Frame materials y W a t • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems e Insulation level in floors,walls,.and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods- Efficiency,Zoning and Controls W Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual Rroperty owner (not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential W buiidi g. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the ' formation in this document concerning sunroom comfort and energy conservation. e f& gnature of Actual Building Owner Da e .• Print Name Address of Permitted Project w ' &Et-31yi 3 Owner Address(if different than project location) Owner's telephone number .fan 2? UJ US: UUp HetterLiving SU8Jb-l28b4 p. � 01/22/03 WED 18:11 FAX 734 487 8922 Personal '& Confidential. W UV DnTfl(MMIDDIYYI 7Ke DL, CERTIFICATE OF LIABILITY INSUIRANCE 01/2212003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER 0F.INFORMATION ONLY AND CONFERS NO RIGHTS UPON. THE CERTIFICATE @ORI? HOLDER: THISI CERTIFICATE DOES NOT AMEND, EXTEND OR e 4nsurance Agency, InG. ALTER THE CmVERAGE AFFORDED 8Y THE POL1G1E5 BELOW 33jNSURERS AFFORDING COVERAGE M1 481050333 -_—.. ....— INSURER A' -1-I80fOrd .... _ Patio Rooms of New Hampshire INS B: -- BStterliYiing Sun Rooms of New pt-•. INSURER C: Q - 1 Action Blvd Units 586 _-....__. ... ... . .. LQndonberry,NH 03053 N6LIRER D. ._ INSURER E: COVERAGES 'N ISSUED TO THE THE ANY OLIO REMF INSURANCE E LISTED CONDIBELOW T ON OF ANY CONTRACT OR OTHERSDOC DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEDINSURED MAY PERTAIN,THE INTERMSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ILL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y FAID CL . EpFECTNp(MtTErM9Cr(l�� LIMITS LTR TYPE OF INSURANCE T— POLICY NUMBER DATE MM7at, ()ATMs MMfaaM' tseNl=ruulAaalrr 35 SEW 1(27087 i 02/0112Q03 0211/2004 EAcHoccuRReNcF s' 2,000,000 A I FIRE DAMAGE(A0Y onenre) i 5.000 X.COMMERCIALGENERALL1ABILITY MEDExP(AnTmteP2-1Or' .,.�s,.-..— )0,000 .71 CIAIM$MAGE n OCCUR I P1:k3pNAl 0.ACIV INJURY S _ IO01990 CE NERAL AGGREGATE 5 2.000 OGO 1 J -_ I PRODUCTS.COMPIOP AGG S -,2,DOO,000 GEN'L AGGREGATE LIMIT APPLIES PER 1f 1 ___—•--�•--•�— POLICY I PRO• �I LOC � A 02!0112003 02 112004 DONreINeD 3uvGLE utr1T s 1,000,000 II AUTomoBaE LL B1uTY 135 UEG UH3916 I IEa Pcc tem! HANY AUTO ALL D"CD AUTOS i BODILY INJURY S )rel Person) XX SCNEOUL6D AUTOS I I —.. .-...._ .. .. IIIRED AUTO$ I ( I BODILY INJURY $ (Pel aeadem) NON.OWNEOAUTOS } PROPERTY DAMAGE S ---_—... ......_._......-.- , (Pet ecUaenq , I . .i AUTO ONLY.EA ACCIDENT S GARAGElJA®IUTY OTHERTHAN GA RCC $ ANY AUTO AUTO ONLY AGG $ —--•• _ I i EACH OCCURRENCE 15 EXCESS LIAHIUTY L RCLAIMS MADElAGGREGATE.C7IDLCNTION 6 WC STA 10R COMPENSATION AND ()2/0112003 `021[1120()4TOR L S I E RS'LIABILIT7 `35 WEG GJ7597 I ;E L CACH ACCIOENT I S 1DQ O00 i PEL. DISEASE-EA EMPLOYEEI S --1 DO OOO - DISEASE•POLICY LIMIT 1 OTHER i I DESCRIPTION OF OPERATIONSILOCATIONSNERICLESIEXCLUSIGNS ADDED BY ENDORSEMENT'ISPECIAL PROVIStONS i I. I CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE A90V6 OESCRIHED POL{CIES OF,CAN CELLED BEFORE THE EXPIRATION DATE THEREOF•THE IILSSUING INSURER VWLL ENDEAVOR TO MAIL GO DAYS WIUTTEN Insured Copy NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,BUT FAILURE TO 00 50 SHALL IMPOSE NO OGUGATIVVVON OR LIABILITY OP ANY RIND UPON THE INSURER.ITS AGENTS OR g5PAELkS TA IVES. AUTNORI E �T -/ L AC ORD 25•S(7197) 0 ACORD CORPORATION 1988 • j l BOARD OF'BUILDING REGULATIONS � r License"., NSTRUCTION :SUPERVISOR �� �. Numbe81580 r_ CS 0 A.s Birthdate 02/19/1950 - 4�` Expires 02/19X2006 Tr.no: 81605 Restncted Q0 PATRICK A STEVEMS PO BOX 1068 STERLING, MA 01564' `"r Admmisfrato r �e t�a�aaoaz.uiea�(,l o�..�'�"�e�a�uaelY4 ; '=: •� I � Board of 13uildiug Reaulatious..xnd Standards License gr.rel;islration valid foi hi. drvulul.use only ; Uefa c tUe;ex�i�ation dale. If,found t ehirn to: I HOME IMPROVEMENT,CONTRACTOR 1 Hoard of Building Re ulatiotis and Stlnily ds Registration 1:94126 One AOiburton Place Rm 1301 Exoira�ion 09/27%2003 Bo§ton;)vla.02108 t z r y S YR Individual FATRICKA STEM FATRIGK STEVENS,� . �' ,`• '� ,l �l � �;.� 3� MUDDY POND RD S7hCfIG fvJ15G4 Adminisl� Stu, Not valid.rvilitout signafm e h S U , N R 0 0 $ 1 Action Blvd. Unit 1 Londonderry,NH 03053 phone: 603-537-9256 fax: 603-537-9258 AFFIDAVIT In accordance with Article 1 Section 114.1.3 of the Massachusetts .State Building Cole, I certify that all debris resulting from work associated with Permit # will be properly disposed of at Betterliving Sunrooms 1 Action Blvd. Londonderry, NH 03053 licensed solid waste disposal facility as defined by MGL C11,S150A. Name & Address of Project:U� ', Street Address 14, City/State/zip /�N�, bA 6011-j Name of Permit Applicant (please print name) Signature of Permit Applicant (please sign name) I Date: 3 L-9n -D S Betterliving Sunrooms _ 1 Action Blvd.Unit 1 Londonderry,NIS 03053 i I SUNROOMS Eastern Massachusetts Office: 78 Turnpike Rd•Westboro,MA 01581 •Phone:(508)870-1900•Fax:(508)870-5757 Western Massachusetts Office: 317 Meadow Street•Chicopee,MA 01013•Phone:(413)420-0140•Fax:(413)420-0147 New Hampshire Office: 1 Action Blvd.•Londonderry,NH 03053•Phone:(603)537-9256•Fax:(603)537-9258 Upstate NY Office: 70 Cohoes Avenue-Island Park•Green Island,NY 12183•Phone:(518)687-2337•Fax:(518)687-2338 Pinned Door Permission Form I/We, �� t� 3 2 d S S A—) 30 . Q , give Betterliving Sunrooms permission to include door(s) in our sunroom. I/We understand that Betterliving Sunrooms will be placing a pin within the door(s) and I/we will not be able to use the door(s) until adequate stairs/landing/deck have been built. I/We will be completing the stairs/landing/deck work after the room has been completed. f'r l ; meowner Signature JQDate Homeowner Signature Date Jj l f Product Manager(print) Prdduct Mana ( er (sign) g gn) I I I i rm I Action Blvd. Unit 1 •Londonderry,NH 03053•Phone(603)537-9256•Fax(603)537-9258 6 The enclosed permit package bis for the proposed building of athree-season sunroom on a new wood deck. 'There will be no Electrical Work or Plumbing Work. Included in this Permit package: • Check —CO&5G 3" iO/Application ;""Plot Plan and septic diagram if applicable. Deck Framing Plan Plans for the sunroom Homeowners Permission to represent then in securing this permit l�Signed consumer information form for Sunrooms Proof of Workers Compensation Coverage j/Debris Removal Plan Thank you in advance for your assistance. Please call with any additional information you need. Best Regards, Virginia McDonald 603-537-9256 x 25 D MAR 2 6 2003 BUILDING DEPT. 1 II '' v MAR.21.2003 12:21PM RMCQ PRODUCTIONS 1~fo-s0n.2 — a.11it12/ e8a n fpCer3o s. 13p Homo Impra . .� atract �gLJNF1pOMg • 7>)Tumpi�Rd"wcatbara,MA 01391 a PhaA i o Fa i419)42BA147 • 317 McPdow sum,Chi'"s 14A 01013.1'� ( 3) , 1 Act10n Blvd.'t."n&edetty.N11 03053•phone:(503)S37_02A6,F3agx?`6�517-9259 W 667�ZS38 no=' d peek•OnsA leland,NY 11113•Phone:(s 8)6 / 70 refugee R �4n>X qct ( ate: pradnt:R Mer: )Kamueowner(ttOvrAe ' Wnrtmt[oYa o Qwuar's Noasa+(a : Zdl Ci Street Address• lFown• _ DAYTIME 1?lsotar Herne Y'ltane: �•,� 12.$ 49 - yoh Site wddren(if difforant) MateNais in be ro bided and work to be r[ormsd by Satterlivin Sunam� Studioo►" beau 6�Wni& Q DesgtS Sand BALL GLASS+Lo -RMlsl rane/A.F n Fil x led X �• Q IinsullttCd Aoar(s)�5ereen(g) ED Insulated Window(s)8c ScrS000111(s) i, OFMIM'ew OCifudview WAR-, 3a 18" ❑ Other Solid ❑Glass Vya11:> Inculatad L7aor(4*Sevrecn(s) W Iflsuipted Wlndow(s)d�ScreenCs) �# 1=ullview ❑Grandview Other �7Sotid II�G]as9 OQ]a6 wi=naoma on ASC 'rIat;S w16"fill block C•'W :,,�'It{aulatefl 7]aar(s)�ScrCtn(F) Insulamd Window(s)8t Soreen(0) Q k�ul]view Q Crrandview w :i�18" O Other SolidColor©Glass - WhitelWhi� ❑ �andljpgrg4e$ �Poam Built-in Gutter S ste�hRoom to to tt.,tlt on- Cl svelter°a exiFtittY dec]t if properly footed and up tb oe e - Ggtleraetor m add sub■door z<eeded to mt Ot code, NOTEi;Bydoiu8 upgrades necessary,contrantor will w ty owner's axististg decl:far 1• Deck built b Contractor includes sub•floo Ste s to de off walls) „additional DetakJA.ddifition al Work(dormers,op!':t deck descriptions eta.); Work not to be done Welrganty:Con guanntcea too Inawlt■don of rile we*for a period at ItagolFad FirmiFOt�►plot plan i3 raquitmd by all a}ejeR and toads to m eat■of{nstanagext. ConrrAator lull; pmvido, etre a! hwic a building permit. if Owomr cannot provide Cantraat Y with a one(1)y {r tba inatsllatlan deF;eR'the valid lof plan within{ver(S)days Of the Canute;nRfa.Ceniftew ahatye. all s labor neam■airy f4 ' vdll order a plot iplan it OwnaFs a7tAarloe iotalinC 5500.00.Cattmetar varamoa 9eriOd la 9uarantas is in ado an to the tnanut csurer'a titaitmd a8wa to.otx■in raft building pamriis Rquirod,bat If the permit fsa wovallity of mit 'ata and wadrrtwnablp. This 9uatanttss does net{aelud■ additional costs wit] be the mpon ibtlity of damage to the:. eA tosalti�from ieatdeM4 misuse,impKaper operation of Owriar unstloiodsed r.altcratio ,or dela of OOd lltstz arP no other witrnrld� cx0rataad art Debris Ratetoval: Ail;e4nra°rn debris and roundadan dabrla that the company teas sue will be removed from oho job alto by Conttsetor. Otroa'a ht Gnca1:dWNBR yaliT O CANCJIMDS�SD911SS DAY All tear out,done by rho ltornebwnar and MY a all additl00a1 debris is ANY IIME rI ft TO HIS CONTRACT. To '(malt c�ontrain the tvp,nanAf);h+v of the hAtlfadumar to diannse nf. mu2t notify i fy to OF THIS atitsmTO eengel the Owner moat notipr Con r In verifiers at fat main office Cr Nratectt by ordinary mail owner's Default. If Owner re(tsiea to allow Corttrastor to procmd posted,by ode sent or by delivery, no law than midnight 04 the third with the work or aaemp�to tmseind this 0efitpet(eieeapt ax preyided business day t1a110 'ng the signing of this 4Sret rML in Owners Right 10 Gano91 section).Owner A"s 10 pay to Cgntraclor the profit that Contramar Wol+ld hive earned on the oompleflon Of the >entiro Agraama t This Catam-W� letting 0-11o an to onNA 16r. )Foot Borst work attd mimburas Conlractar for all out-af_po4kat costa and conatdtatrs the ao ag�emont batwae>,0-nor ConlY�ter. ouuttar expenses incurred by ConvAomr, tticluding labor, m■utiala anti to be bound by a teems 0{this Contract al written. Thai&are no Otbt:r cornm;ra;onr. Controicmr`a ion profit ahs]1 be limited W R04b of the addttatandil tu,eA1 Owner end Cagtraatar,eitber orally or ip waiting, Contra+ Priam. All patio matt material ranUina the propony, of Two idendeal a IF at the Contract are to be ooMplwd yid anti etmd. One cepY Contractor until Ctnal poymant by Owner. Own"AWNE3 to pay W is to be teta;aed b Owner attd the albat e0py by 4ontrncmr_ Inmrp-C K the rara of 15%par mopth on mil amounts five GS)or more- Do not 01911 cola is set 1[therm are arty bletalt appear or if it:da■Y net days past due under this Contract,and(6)all Feaaonabl■■ttorrityf'/res ideluds avaryshi spread uPae. Prefect Coanple o:CaK4nWrt apnma to be prepeflt on final day,of room ae to 00 tats ileal IM ak'sot snA d■nvar ileal pitymtatt- CONnt&CT°PMCE INCLUDES kLL APPLICA33LE DISCO t7NT6 AND PROMOTIONAL COI+ISID>fCRAa1oNS- a 1 FML RETAIL(list)PRICE of Itrodect:S d TOTAL.D14COUNT OFF WSW CASH CONTRACT 1 1..Coptritt plic*$ ntYat:t Price 2.Down pint:(2596)S 2 1?4wil PaYmenr.(1%)$ 3.Material Order lnatatirnant:(SCP%)$ 3,Iviamrial Order Installment:(70TO 4,@slsnco Y4 p A lru�cdllJndan(259t°)S elan pule Upon InscallaFion(23461$ Product Manager Ylltits7lYi �•^�tl PM Print Nome .ZA wner Signature NORTH E Town of �r . Andover 0 No. 46 v1-.3 ;a dower, Mass., _� o T Q LA E CoCH w CQ ADRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��// BUILDING INSPECTOR THIS CERTIFIES THAT.....A'Af V.S...4...... .......vssX&......0a.s.. ...... ��.""'...•••-.•: Foundation has permission to erect.. be. .......... buildings on ...4.3......13. .. o.r .....s.... ..�........... Rough to be occupied as.... Chimney e iV r 3 ...a... ►................... .... .N..Ne.w�..... . .....r. . ......... ........................ 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. (P 1 / 3 ZIL 4 330 30 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Fina` UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR Rough ...... *..... ....... ..... ............................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. R SEE REVERSE SIDE Smoke Det. Date... VtORTN q TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4CHU This certifies that ... ........ 17 -f If ............................... ....................... has permission to perform .... ................ ................... .... . ... wirl g in the building of....... . . .......................................... at.- . ............................................... .North Andover Mass Fee.... ....... Lic.No. ..#O.?/ ......... ELECTRICAL INSPECTOR Check # 4545 (Commonwealth /onweao///laeeacltrejelfa Ofiici;f Use Orly Permit No. _ J � 012"lmenl aI Jill services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 Ilcave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordaircc with tltie Masschuscus Electrical Calc 0,113Cy,527 ChtR 12.00 (PLEASE PRINT 1tV 1tVK OR TYPE:ILL INFOR.W,1710N) City or Town of: �� -� To the Itrspector of FY'i,•es: BY this application tite undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street .0 Number) Uy \JC�d �< Olvner or 1'cstasst SSS Telephone No. — Owner's Address �g�y Is this pertnit in conjunction with n buildinb permit" Yes No ❑ {Checl.Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Antlss / Volts Overhead ❑ Und0urd ❑ No.of dieters New Service Anlps / Volts Overhead ❑ Uudgrd ❑ No.of.Meters. ` Number of Feeders and Anspacity Location and Nature of Proposed Electrical York: Coni letion of the fvllurvin-table ttiay be,:•aired by the l,rshcctor of Wil 4!s. No. of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fasts No.of Total 1' l'rarssfornscrs KVA ; Na. of Lighting Outlets No.of Iiot Tubs Generators KVA No. of Lighting Fixtures Siviuurting fool Above ❑ In- ❑ s o.o Inergestcy tguting rsld. rnd. Batte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARIMS jNo.of Zones No.of Switches ilio.of Gas Burners s 0.orDetection and Initiating Devices No.of Ranges No.of Air Cond. Tollsl No. of Alerting Devices No.of Waste Disposers eat Pump . um er _onna, ud Totals: Detection/Alertin Devices No. of Dishwashers S acelArea Heating KW hluniclpai El p 1; Local ❑ Connection Other r No. of Dryers Hea(Ing Appliances KW Security Systen>.s: No.of Devices o,Equivalent No. of Water o.of s o.of I_Ieatcrs KI Signs Balla sts Data Wiring: I No.of llevices or Equivalent No.Hydrornassage 13atlitubs No.o[Alotors Total IIP I'cleconlmunicatians OTHER:: firing: t No.of Devices or E uivalent N Attach additional detail ifdesir ed, or as required by the inspector of Wires. INSURANCE COVEILIGE: Unless waived by lite owner,uo permit for the performance of electrical work nsay issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co erage is in force,and has exhibited proof of same to(lie permit issuing office. CHECK ONE: INSURANCE BOND [] OTHER ❑ (Specify:) (Expiratior.Dc;e) Estimated Value of EIectrical Work: __ C)(), '' (When required by municipal policy.) \York to Start: D3 Inspections to be requested in accordance with NIBC Rule 10,and upon completion. I cet•tif}•, tatttler the pains and penahies of perjury;that the infvrmatio" on this aliplicatiou is trtte and complete: l lIZ1I NAME: w c� LIC.NO.:3D a-9 4E Licensee: 1C.NO.: 1a (ljapplicable,enter ••creMpt"in the licensewnnberlinc.) Bus.Tel.ilo.•_ to0'1S-S9,S'— (o6,'0 Address_ N—) SGS_ �,� A �;��c.�. e-\A— to Y11%, 0 felt.Tel.No.: OWNER'S INSURANCE WAiVL . I�I2Iaani awak3ilwt the Licensee does not have tine liability insurance coverage normally required by law. By my signature below,I hereby waive this reduirc,nent. I ani tlic(check onc) ❑owner ❑o%Nncr's a_ e:u. Oti��ncr/rlbcnt Si;n:Iture Telephone No. P13RitilI1 ILI:': $30, - M.N. Falardeau Electric 17 Blue Jay Way Litchfield,NH 03052 Phone(603)595-6680 Ma Lie MR912 Fax(603)8824115 Ma Lie 37294E NH 11131M June 4, 2003 City Of North Andover Electrical Inspectors Office 27 Charles Street No. Andover, MA 01845 Dear Sir: An electrical permit is needed for the following address (Moschetto, Russ's Residence, 63 Bradford Street,No. Andover, MA). A copy of my insurance binder is enclosed to update your files along with a check for$30.00 made payable to the City of North Andover for this permit. My Electrical License Number for the Commonwealth of Massachusetts is#MR912. Kindly mail the permit to Mark H. Falardeau, 17 Blue Jay Way, Litchfield, NH 03052. Thanking you in advance for your timely handling of this matter. Sincerely, Mark H. Falardeau cc: BL Room I Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 NOY - 22010 �M DEP has provided this form for use by local Boards of HNR sed, but the information must be substantially the same as that provi Jorm, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: U S C'd\�&A <"�— Address A City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record r r 1. Date of Pumping Datet � 2. Quantity Pumped: Gallons o d C7 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank El Other(describe): 4. Effluent Tee Filter present? ❑ Yes No Ify es, was it cleaned? ElYes ❑ No 5. Condition of System: 6. System Pumped By: N-e–t-� e� qj? Name � �✓`.� Vehicle License Number Company 7. Loc ' where contents were disposed: L.S.D. Lowell Waste Water --� n (�— o Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 G1NORTH BUILDING PERMIT �o�<j'rt> TOWN OF NORTH ANDOVER 0 , APPLICATION FOR PLAN EXAMINATION H M 9 Permit No#: Date Received r �SSACHl15�� Date Issued: ORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNE , 0!6scl�ff_ Print 100 Year Structure yes no MAPaDJ PARCEL: ZONING DISTRICT: _ Historic District yes. no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential C,,New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other --- E Septic ❑Well: ❑ Floodplain. ❑`Wetlands 11 1Natershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: /o .X Identification- Please Type or .rint Clearly OWNER: Name: S Phone: 7 6 rs 3 3 Address: .Contractor Name: Phone: Email: Address: Construction License- Ex Dater Supervisor's Con p Home Improvement License:. Exp. Date: J ARCHITECT/ENGINEER Phone: _ Address: Reg. No. 1 FEE SCHEDULE.BULDING FJERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i Total Project Cost: -FEE: $ 43 Check No : Receipt No.: NO s contrdchAegistered contractors do not have access to the guaranty fund fix. -rte• ' - - , Location t No. l ,D Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �=- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2 ;, 3 Building Inspector J Flans Submitted ❑ Plans Waived ❑ Certified Plot flan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS.A L Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dwupster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY Ij INTERDEPARTMENTAL SIGN OFF - U FORM ,PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Sinature j VI COMMENTS I HEALTH Reviewed on Signature COMMENTS ZoningBoard of Appeals:ppeals: Variance, Petition No: Zoning Decision/receipt submitted yes f� I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DEW'I'owm Engineer: Signature: Located 384 Osgood Street FIRE DEP 111111-1 111 T ARtTMET�mp ®upsteronsite e Lo ateci at 124 IVlainn Meth s .partment Sig at,b._rFe i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department arse) i i i I ® Notified for pickup Call Email Date Time Contact Name = Doc.Building Permit Revised 2014 I ''I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract 4. Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4, Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 I I Location No. JV( — Date �- ! l� I . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Lw- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# i 2 ) Building Inspector pORTH oven- of O " - 0 No. 2,1 — * • C, h , ver, Mass, Z&O O�- COCHItHtwItw 'l• _ 4 RATEO 11 BOARD OF HEALTH Food/Kitchen PERMIT D Septic System THIS CERTIFIES THAT bs BUILDING INSPECTOR AT .....RUWA.................................................. .......... .......... .............. ... Foundation ......... buildings on .. has permission to erect ................. .....Zro... . . .............. . .. � Rough to be occupied as ....1.().po..... 4A4 .......................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO7_Z4 RT Rough �% Service ....... ............................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final j No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. M , r 51 ` 1 V\ l l a �4, � • 3 G[!�Q ' 14 1 V f / f ♦ a 1 f1E.PEBY CE.PT/FY TO 7WE T/TGE/,l/SU2o.P ANO �L Q T; 1(j.,41 TD THE B.4,V.r "le,47 T//E OwELGtu6 /S GOCATEp ON Tf/E LaT AS S,VAK41 ANO THAT/T OGrES CO,I/FOPM �� !Y/Tf1 TiS/ETowv OF,uo q�oo�ceOolvlwG PEGULATii�,(i5 RE6A,Q0/NG SETBAC,�'S F'eaM STPEETS f GOT G/.✓ES. "' ��� �/�Q���� �i4 F(/.�T,S�E,e CE.PT/FY T,Si.�T TiS'/.S 01rEGL/N6 /S�vOT LCICATEO /N T,YE FEOE.PAG FL000 HAZA.PO A.PE,4, O,PAh�/(/ /�O,P / SHaI'vn!O/V F�.Mrf:.Cp�.s,yuNi�-y/oANEL '*' aSTEF�HE,t/ '� R •�''.��..,�:; t �,�,•`; /- SO � OCT � r,stis % Bovvo,PY pE• "ae �.�fP.�►=.��;�o�,vo.q.eS�/,�/.�'o,Pir�- �E.P.P/iY1.9G� �.�/G�.t/EE.P/.1/G SE.PI�/CES .ariov rA,r'E,c� r� �Is' =ivcE-coPvs. �� �.4•P,(� S'T,PEET 11,4,02a E.� �YJ.4SS.4G,f/!/SETTS O/8/O I TOWN OF NORTH ANiDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPUCA ION Please print r DATE: j/ JOB LOCATION: Number Street Address Map/Lot HOMEOWNER �dSS� ' '-3 Name me Phone ' Work Phone PRESENT MAILINQ ADDRESS r� I\Q 1 sit City Town State Ltip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license g p provide that the owner acts as supervisor. 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section 110.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 a quirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9 _ 5 1 CONSERVATION 688 9530 HEALTH 68688-9540 PLANNING 683-9535 The Commonwealth ofMassachasetts µ Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 ,.:.sV;�W` www mass.govldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization&dividual): ��'y� Se ( � AA 0Sc._H G Address: h 11 A.C►--o City/State/Zip: ( j 1AjCVeoL/ Phone#: 3 y j Are you an employer?Check the appropriate box: ed)T3pa of P eCt(rqpliro 1.❑I am a employer with employees(full and/or part-time).* 7. []New construction 2.[41—am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] Demolition 3..❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑ 10 [wilding addition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11..[❑Electrical repairs or additions proprietors with no employees. • 12.:[]Plumbing repairs or additions • 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ # 13.[�Roof repairs • These sub-contractors have employees and have workers'comp.insruance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[JOther 152,§1(4),and we have no errigloyees.[No workers'comp.insurance required.] *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 are doing all work and then hire outside contractors triust submit anew affidavit indicating such tContractors that check this box must•attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contraciors tave employees,tliey must provide their workers'comp.policy number.' 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,Lie.#: Expiration Date: fob Site Address: City/State/Zip: Attach a copy of the workers'compensatlon policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL o. 152,§25A is a criminal violation punishable by 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.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 ofperlury that the information provided above is true and correct. signafore •� 4 � 1 Date: Phone#: C' '7 J rY ; `/ / 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#: i I 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 contr ct R Me, express or implied,oral or written.' An employer is defined as"an individual,partnership,association,corporation or other legal entity,or'any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.". Applicants Please fill-out-the workers'compensation affidavit completely,by checking the'boxes that apply to your situation and,if necessary,supply sub'contractoi(s)name(s),address(es)and-phone numbers)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 Ifrdustrial Accidents foi•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' compensatioli policy,please call the Department.at the number listed below. Self-iir'sured 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877=MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia BUILDING PERMITo� No oTH TOWN OF NORTH ANDOVER 3� y� '.- 64` APPLICATION FOR PLAN EXAMINATION41- '� a Permit No#. "� Date Received �q Q�OAreo 01"? SSACHUS� Date Issued: kPRRTT-AANNTT:- Applicant must complete all items on this page P Print PROPERTY 01I1/NER i._ 1.tSS(�if fJ _ Pnnt. 10D Year Structure yes MAP PARCEL• - ZONING D18T-RIOT Historic District yes; Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial ration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition- El Other E:Septic El Well ❑ Floodplanq Wetlands q 1Natershed�Dstnct, ❑Water/$.ewer s _ DESCRIPTION OF WORK TO BE PERFORMED: �I Identification- Please Type or Print Clearly d OWNER: Name _ ose ii Phone:9 9. /I 3S--3 Address:-L3-- (1?-?UA6-Dd 4 � ,ontractor,Name:. _. -_ ..'Rhone: m - - -- -r - ;F i Address: Supervisor's Construction License Exp Date:,- _ 4Home Improvement Licen."se ARCHITECT/ENGINEER Phone: i Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $__02coo FEE: $ Check No.: Receipt No.: NOTE: Persons con a ing w'h unregistered contractors do not have access to the guarar ty fund Signature of Agent/Own _ akJ� ` 'Signature of contractor x i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ J TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ t COMMENTS ,i CONSERVATION Reviewed on � Z,36 � Signature J COMMENTS HEALTH Reviewed on Signature i a COMMENTS 1 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDEPARTMENT =Temp Dump- site yes r - nog - �Lo.catod.at 924-Win'.Strobt Fire'Department signature/date 'GOMMENF Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) r V I I I I i I ❑ Notified for pickup Call Email Date Time Contact Name II Doc.Buildiug Permit Revised 2014 I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ` o Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract a Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 7 o Building Permit Application Li Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for EngineeredP roducts NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single le and Two Family) o Building Permit Application . o Certified Proposed Plot Plan i o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application i Doc:Building Permit Revised 2014 I Location I� y i No. Date L j i . • TOWN OF NORTH ANDOVER m Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $— TOTAL $ I Check 27724 Building Inspector The Commonweakk of tVlaswh.usefts. - Depai-im nt oflndustrigl Accid6nis • . Office oflnvestigations 600 Washington Street Boston,MA 02111 -www.mas,s.gov/dza Worckexs'Compensation Insnrance Affidavit:Bader.-/Cont°actors/Electr icianslP'*i erp Alieant oxanation PleasePrktLe 'bl •Name(Businessforganizationnndzvidu Address: City/Stade/�i ( Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 4. ❑ I am a general contractor and I 6. n New construction employees(i'ulland/or partime)* have hire dthesub-contractors 2.El am a sole proprietor or partner listed on the attached sheet. 7• ❑Remodeling ship and`haveno.employees These sub-contractors have 8. [[Demolition working forme in.any capacity, workers'comp.insurance, g, E]Building addition workers'comp.insurance 5. ❑We axe a corporation and its 10 1]Electrical repairs or additions equired.] officers have exercised.their 3. X am a homeowner doing all work right of exemption per MGL 11.[(Plumbing xepairs or additions myself[No workers'comp. c•152,§1(4),and wehave no 12. Roofxepairs ied. Ti employees.jN'o workers' nsurancere ] comp.insurance required..] 13.[r Other Any applicant that checks box#I must also iill outthesection below showing their workers'compensation policy information, Homeowners who sabmit this affidavit indicatingt icy are doing allworlc and then hire outside contractors must submit a new affidavit indicating such. Untractors that chocktbis box must attached an additional sheet showingthe name of the sub-contractors and their workers'comp.policy infonnation. lain an employer that is providing Workets'compensation insurance formy employees Below is the policy and job site information. Insurance Company lame% Policy#or Seh.7ns.Lic.#: ExpiratioaDate: lob Site Address: City/State/Zip: Attach a copy of the workers'cOmP ensationP olley declaration page(showing.the policy number and exppiratiou date). liailure to secure coverage as requiredunder Section 25.A ofMGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/ox one-year imprisonment,as well-as civilpenalties in the form of a STOP-WORK ORDER...and a fm.e of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office 0. investigations of the DIA for insurance coverage verification. x do liereb er fy under tlie.&Ins and pen ti eYj Fury tfiat the information provided alioye is Ir e and correct. - b Si a Data: 3 U Phone##: Official use oply. .Do not write in Mis area,to he completed by city or town official. City or Town: Permit/Lzcense 0 Issuing Authority(circle one): 1.Board of Health.2.Building Department 3.CityMown Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other - - - TOMV OF i' TORTU AND OVEP, � O£FICE OF � - �' RULD!J NG]DF.P.AR.T� NT ` ' c .� 1600'Osgood Street Building 20,-Suit,,2-36 • • x Orb Letic.t `V North Andover,lVlassachusefts 01845 Gerald A.Brown - - Inspector ofBuildings Telephone(978)698-9545 ROMEOWNER•LICENSE EnykTION Fax (978)689-9542 BDTl�]G pE T API'LZCA T.1!ON . 1'leaseyrint . DATE: 3 6 -4 T JOB LOCATION: lj - �� r Number Street ess I MEO 'CAA Le-0 n� ?fir -3 Y,3 Name. Horne Phone • ork Phone PRESENT MAM NG ADDRESS 504ce— . Sfafw zip Cods The current exemption for"homeowners"was extended to'Uchide owner-occuied pdzyeT�'r gs to hyo units ox loss s, d to allow such homso:.r�,ers to engage an.b-dividual•forhire-vho ds notpossess a license,provided that the oa acts as supervisor). StateDoi ding (Code oe Secfion 208.3.5.7) DEFINITION OFHOMEOVIMER Persons)who awns aparceI ofland on which heJshe resides or intends to reside,on which there is,or is intended to , be,a one or fwo Iau�ily structures. A person who constructs mote that borne in.a two h there O shall not e considered a homeowner. The undersigned"homeowner"assumes responsibility fozcbmpliances with the State Building Code and other Applicable codes,by laws,rules andzegulations. t The undersigned"homeowner"cert fies that he/she understands the Town of North AndoverBuilding DeparEment rw uirem inspection procedures and requirements and that be/she will comply wzthtsaid procedures and requirements, - ZION DWNBRS SIGNATM"4��aW44�iki APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form I3omeowners BxempEon 'k30ARD OF APPEALS 68$-9541CONSEr r RVATION 68$-9530 BEALTH 68$-9540 , • PL.A,IQTIIIQG 689-9535 i NORTH Town of t ,tAndover No. 141 _ * y T co O y LANE h " over, Mass, t COC-4 A°R-ireo 1 P01 (5 S U BOARD OF HEALTH Food/Kitchen P E Septic System R IT T D THIS CERTIFIES THAT .......... ... .� ....... .......................... BUILDING INSPECTOR ... ... .................... h'�.L..... ... Foundation has permission to erect .......................... buildi son .... ........ .w 4�1�Alrlww Rough to be occupied as .... ..... .. ..�.�........ ... . ......... . .. . .....Sr. i�/`„1............. Chimney provided that the person accepting this permit shall in every respect confor the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONT S ELECTRICAL INSPECTOR • . UNLESS CONSTRUCTIO T Rough Service .................. ....................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.