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HomeMy WebLinkAboutMiscellaneous - 65 MAYFLOWER DRIVE 4/30/2018 � fis MAYFLOWER DRIVE \ Date..///,`3-,,,............ °F"opr" TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING * etc' w s$'�C14U5� 4 This certifies that.. d t� +'w..//7�!cz./.P4../�.'....................................................... has permission to perform..s.!2 a-...�. Z7..l...�.................................................. plumbing in the buildings of../.. !� ..., ll�t.. -............................................... at... � ?. . /okra ................................ .........../�Nrth-Andover, Mass. Fee.?. 517 ...Lic. No. ...�o.. F ........Yom; .. ....................................... } PVUMBINGNSPECTOR Check# /144- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY K MA DATEPERMIT#162k.6 JOBSITE ADDRESS `' OWNER'S NAME _/ OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL © EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: Ell RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO©C FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB __! CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OCL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN __ 1 .-.--.--C ! FOOD DISPOSER FLOOR/AREA DRAIN i - - _._1 INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN f J ( f _.J _._..J J --.._ .Jr. J SHOWER STALL SERVICE/MOP SINK __-! ._ _I I 1 ! _.J J ._ _..I ----j==== J TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES F 1 i ! - _ _ - --J1 _J I _ WATER PIPING ► i _ .. ..J ! _ # ___..I f OTHER INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES - NO IF YOU CHECKED YES,PLEASE INDICATE THE T OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY D! BOND Q OWNER'S INSURANCE WAIVER:I. m aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts Go a Ikvs,an at my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT l SIG R[!-6F OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accur to the est f my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co an(;ewi II P rtin t p vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME • ! J I LICENSE# i ATURE MP El JP n CORPORATION PfLj PARTNERSHIP Q# LLC ! COMPANY NAMES _ �(,(, ; ADDRESS Y 9 - - CITY � jISTATERolIP TELAl FAX - i CELL EMAIL -- ---- - -- - -- ._...... --- - ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No G.. G — —L6 / THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ /74 FEE: $ PERMIT# PLAN REVIEW NOTES F T 1� Y o The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations • 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers'comp.insurance. y p t1'• 9. EJ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they ai-e doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Simature• Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: l Information and Instructions ' 9 • Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,. 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth.of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston.,MA.0211.1 TeX,#617-727-4900 ext 406 on 1-877,7MASSAFB Revised 5-26-05 Fax#617-727.7749 www.mass.gov/dia s t Fs t CERTIFICATE F USE & OCCUPANCY Yi i •�, s TOWN OF NORTH ANDOVER Building Permit Number_ 137(8/21/07) Date: March 14, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 65 Mayflower Drive (Lot 18) MAY BE OCCUPIED AS Single Family Dwelling (Old Salem Village) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Key Lime,Inc. 10 Heoatica Drive North Andover.MA 018456 Gerald A.Brown,Inspector of Buildings NORTH f r Town of 0elf No. ti, o dover, Mass. i > 0"- L A 11 I� COC MIC ME WICK .1k. 7�S RATED P �cb BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • B GIN PECT THIS CERTIFIES THAT lopEl��................................ has permission to erect........................................ buildings 1C.x... ��.yr..1 /ftovw... !.................... Rough;.; i to be occupied as.................... rte.. .A...... i&O.4�O.:� imne ..................................................................... provided that the person accepting this rmit shall in every respect con m to the terms of the application on file in — � �, this office, and to the provisions of the Codes and By-Laws relating to a Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBINC INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 1 u PERMIT EXPIRES IN 6 MONTHS ' ` -o UNLESS CONSTRUCTI STARTS ELECTRICAL INSPECTOR Rough, f .......... ........ . Service> BUILD IN SPECTOR Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove B J/" d No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. {7J Smoke Det. SEE REVERSE SIDE / �. e. NORTH pt t�ao 1,1�A ? t O O A F f i a � o" ,•,?;;, two,� 0Rno 1SS'`C""5� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY : Map Parcel Lot Number / SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 3z 0,4 FIVE (51 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK ANDS F TWENTY DOLLARS20.00)WILMUST BE COMPLETED L/BE CHARITHIN GS TIME ED D IF THE STRUCTURE INSPECTION FEE OF TWE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address SIGNED ROUTING d CONSERVATION PLANNING r( DPW -WATER METER SEWER/WATER CONNECTION NOT DPW MUST INDICATE THATANG WATER NSPECTION REQUEST INSTALLED PRIOR TO SUBMITTAL OF THE OCCU DPW_ MoD Signature Fife: Application for OC form revised Jan 2007 FORTH OtttOav 1M1'O .�: s�. _ •_M a OL O �1- 1SS''c"us� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# : L ADDRESS/LOCATION OF PROPERTY : Map Parcel Lot Number /O — SUBDIVISION �� C,�-�� `/v �01 DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARSOCODES. WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET A Permit Issued to: Address SIGNED ROUTING CONSERVATION PLANNING DPW -WATER METER SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN REQUEST INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION DPW_ � Signature File: Application for OC form revised Jan 2007 N6vl16-2010 10 :20 AM LARRY OGDEN 978 352 2858 P. 01 LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell: 97$-502-5921 November 16, 2010 Mr. Benjamin Osgood fax to 978-685-1099 Key Lime Inc. 10 Hepatica Drive North Andover,MA.. 01845 RE:Unit"E", Lot 14 Old Salem Village,North Andover Dear Mr. Osgood As you requested I visited the site to review the installation of the Engineered Materials consisting of LVLs and Steel Beams utilized in the framing of the above project_ These are shown on plans prepared by O'Sullivan Architects Dated 7-2006, revised 1-8-09 with the framing sheets certified by me 1/8/09. Based on the above site visit and based on what I could visibly see, I can certify that to the best of my knowledge the installation.ofT_,V!,s and Stpel Beare members utilized in the flaming as shown on the drawings are installed properly and meet the loading conditions of the 7`s Edition of the Massachusetts State Building Code for 1&2 Family Residences. This certification assumes that all other framing requirements of the drawings and code, including but not limited to materials,nailing schedules,blocking,connections, material manufactures recommendations and'other details were properly complied with by the licensed construction supervisor responsible for the project_ Should you have any questions please do not hesitate to call. Yours truly, �4 f '(H OF REi�CC p A'.-IP p, Lawrence H. Ogden P.E. Structural 27765 5`Q�Q � sI'NAL�EN�'�� Il�{6�2a�v r D SA M V1 AO 114 North Andover, MA o ' SULLIVAN T ARCHITECTS ARCHITECTURE DESIGN PLANNING IJNIIT . . . . . . . . .. . . . ... o000 0000 0� 0000 a000 00 N a000 ooao N O b DRAWING LIST ARCHITECT DEVELOPER SITE ENGINEER > A0.1 GENERAL NOTES AND SYMBOLS O'SULLIVAN ARCHITECTS KEY-LIME, INC. HAYES ENGINEERING O w� A0.2 SPECIFICATIONS 201 EDGEWATER DR, STE 215 1538 TURNPIKE STREET 603 SALEM STREET Al FOUNDATION PLAN WAKEFIELD, MA 01880 NORTH ANDOVER, MA 01845 WAKEFIELD, MA 01880 N' A2 FIRST & SECOND FLOOR PLANS Voice (781) 246-1667 Voice (978) 683-3163 Voice (781) 246-2800 A3 ELEVATIONS Fax (781) 246-1683 Fax (978) 685-1099 Fax (781) 246-7596 w A4 SECTIONS y A5 DETAILS 3 A6 FRAMING PLANS A A7 FRAMING PLANS W/ SHED DORMER 0 U .n 4: r W _ C7 s CONSTRUCTION SET 7-20-06 x . L J �. �"�. �' d s � �.�� I � l . , �� `� 50'-0' 7-3' 13'-6' I'-I I' 6-4' 5'-0" 5'-0' 7-0' 6'-0' 7-0- 7-0- 12'DIA CONCRETE FILLED SONOTUBES DOOR SCHEDULE STO cgpb� OLNDIBTLRBED I SOIL(TT'PJ I N-YvHER TYPE MAIL WIDTH 1-EIG14T I THICK REMARKS W/6X6 PT.COUJMJS DI ENTRY MTL/INJSLL 3'-0'3'-0" 6-8' 1314 W/12'SIDELIGHT I Ib, — O ' S U LL I V A N 04 02 SINGLE MTL/INSEE 6'-8' 1 3/4 20 MIN RATED W/SELF-CLOSING HINGES 03 SINGLE WOOD 7- 6'-8' 1 3/8' - - I 1- I I I ARCHITECTS, INC. SINGLE WOOD 7-6'6 b'-8' 13/8 - D5 SINGLE MTLGLASS 6'-O'3'-0' 6'-8' 13/4 ARCHITECTURE r DESIGN.PLANNING Db SLIDERWD✓GLASS 6'-8' 13/4' h A4 D7 DBL BI-FOLD WOOD (2)3'-0' 6'-8' 13/8' - A` I I I �El '-' 201 EDGEWATER DRIVE,SUITE 215 08 SINGLE MTL/INSU-. 3'-0' 6'-8' 1 3/4 - "" WAKEFIELD,MASSACHUSETTS 01880 — — — _ ° 4 09 GARAGE WOODMTLjISIl 1 7'-O' 2' METAL OVH21HEAD DOOR W/1'-0'TRANSOM Tel:(781)246-1887 Fax:(781)2061683 DI0 SINGLE WOOD I'-6' 6'-8' 13/8 - Up _ WWW.OSULLIVANARCHITECTS.COM DII SINGLE WOOD 7.8' 6'-8' 13/8 - - — — — — — — — — — — — — — — BE I � meas arewi�yo erw spacnconwv„ero aaaaree II'wa ei u,e m 0-Inmmlea.rw um ar�d 10'CONCRETE FMD. /♦ 2KETS aae k aw,easH nmileo w ma be„miae wrenoe. i" WALL W/20'X10" / ( I v Howe o.reP,caeciron by aey menroa,mwnda h CONT.CONCRETE LL 4'CONIC.SLAB a I^Pad.�a P�ibileE I—Y Mia w,. FTG'(TYPICAL, (3000 PSI MIN)W/6 I I MIL POLYETHYLENE ®2006^O'SWlivan Architects Inc. VAPOR BARRIER W/ 6X6X 10/10 W.WM REINF.OVER 6'MIN p COMP.GRAVEL 'ANDERSEN 2817 BASENvENT I I 10' FMD. SASHWITH AREAWAY AS 2X4 WOOD WALL /20'X10' I I REOD(TYPJ I WALL CONT.CONCRETE 16'O.C. TV EL 91'-T O7SLgg FTG.(TYPICAL) O I 10-9' 7-9" 3'-0' 14'-0' 6'-6' 6-4' 10 GENERAL NOTES I _ BEAM I L FOUNDATIONS, I P T - PQ-�T Old Salem Village A) ALL FOOTINGS SHALL BEAR ON UNDISTURBED SOIL HAVING A MINIMUM _ BEARING CAPACITY OF 3.000 PSF POUNDS PER SQUARE FOOT). D A L I I I T.O.FOI.ND. LIME OF J L- -1 I i in B) TI-E BOTTOM ELEVATION OF EXTERIOR FOOTINGS SHALL BE A MINIMUM WALL EL UP BEAM OF TO-0'BELOW OUTSIDE GRADE LOWER FOOTINGS AS REQUIRED TO REACH I L 100'-O' 14R ABOVE Q BEAM GOOD BEARING. — — — — — PO C) TaOROUGFLY COMPACT TI-E BOTTOM OF EXCAVATIONS PRIOR TO - FORMING FOOTINGS. r- — — — — — — — — — — � ,, LINE OF BEAM -- 0)Al FOUNDATION WALLS SHALLL BE BACKFILLED EVENLY ON BOTH SIDES O I WALL EL FOUND ��.O__�.�S� AB I I POST ABOVE TO PREVENT UNBALANCED LOADINGS TO O I 97-8' 8 WWF io 2.-,.JkW.LAZY 100'-0', COUIMN WITH TOP D ALL BACKFILL USED INSIDE THE BUILDING SHALL BE WELL GRADED GRAVEL ? DROP WALL 17 I I AND BOTTOM PLATE V ICH SHALL BE THOROUGILY COMPACTED W 8'LAYERS ON-SITE MATERIAL in I I BELLOW T.O. I I :HIG44 PT.MANo Opp°X 12* I I Route 4- '�i MAY BE USED IF ACCEPTABLE TO THE GEOTECFNICAL ENGINEER. I DOOR I I T.O.FOUND. = TYP.(SEE DETAIL, Q7 F) ALL CONCRETE SHALL BE PLACED IN DRY IXCAVATIONS,PUMP AWAY I WALLELNorth Andover, MA GROU!`,D WATER AS REQUIRED. I I Z I I 100'-0' N G) FOR CONSTRUCTION DURING WINTER,FOOTINGS AND FLOOR SLABS WILL 9'-0' 8'-0' p� REQUIRE PROTECTION FROM FREEZING TEMI 62ATLRES AT THE BEARING I I 4'CON-.SLAB 8 g I BEAM o SURFACES EMIL THE BUILDING IS ENCLOSED AND HEATED. I (30 POLY I MIN)W/E6 O O N POCKET I]-1 Z CONCRETE VAPOR BARRIER W/ Q - - - I NMINIM" I REIN 10/10 W.WM. m BEA� I n l "EE-11 A) ALL CONCRETE SHAH HAVE A COMPRESSIVE STRENICTH OF I 6X6X 1 OVER b"MIN IRS I I c\T 3,000 PSI AT 28 DAYS COMP.GRAVE o. ABOVE bb L I I ~m I I 4 TO I Q Foundation Plan B) MAXIMUM ALLOWABLE SLUMP OF CONCRETE SHALL NOT EXCEED 4'. (� I I 0. ( I � b� C) ALL CONCRETE WORK SHALL COMPLY WITH AGI.SPECIFICATIONS. SFELF EL I _ I 3. REINFORCING STEEL, A) ALL REINGFORCINIG STEEL SHALL BE ASTM A615-GRADE 60 AND SHALL BE FOOTING NIOTES� W DETAILED,FABRICATED AND INSTAIED IN ACCORDANCE WITH THE LATEST 1. ANY WOOD IN CONTACT W/CONIC.MUST BE P,T. I 14 �. A.C.I.SPECIFICATIONS I DROP WALL 17 2 PROVIDE 7-10'CONCRETE POUR.(S�SECTIONS) I BELOW T.O.SLAB y�-T•�SLAB� I 'O Q — — — — NI B) WELDED WIRE FABRIC(W.WFJ SHALL BE ASTM A-185.LAP ALL SPLICES 17 I LOW PT•GARAGE ' OW) O 16'-6' 2 0 J 3. TOP OF MAIN FOUNDATION WALL ASSUMED TO BE 100-0' I L DOOR EL 99'-4' C14MINIMUM SECUZEY FASTEN W.W.F.IN PACE TO PREVENT MOVEMENT DURING — J 0 'FO CONCRETE PLACEMENT. 4. FOOTING ELEVATIONS REPRESENT A MIN ALLOWABLE — — — — — — — — ;o — — — Key-LlrrTe, I PIC. O DEPTH ALL FOOTINGS MUST BE PLACED ON UNDISTURBED O W CALL WONCRETE FND T.O.FOUND. I I 10'CONCRETE FMO. 1538 Tumpike S(. W C) ALL HORIZONTAL RODS ARE CONTINIUO.IS.THE LENGTH OF ALL LAP — — — — — — — — WALL WALL W/20'X10' �u North Andover,MA 01845 SOIL OR COMPACTED FILL BUT IN NO CASE LESS THAN _ SPLICES SHALL BE AS REQUIRED FOR'CLASS B'TENSION SPLICES PER THE T4£FROST LINE DEPTH(4'-O'MIW(CONTRACTOR TO I.DRIVE OUT I CONT.CONCRETE VARIES LATEST A.C.I.CODE REQUIREMENTS UNLESS OTHEpWISE NOTED ON THc Q V EL 82'-0' L FTG.— — 4' 4" CONT,CONCRETE STRUCTURAL DRAWINGS.PROVIDE CORNER RODS AS DETAILED ON THE VERIFY SOIL CONDITIONS UNDER ALL FOOTINGS) in _ _ P) CONTRACT DRAWINGS T.O.SI-ELF 3 D) PROVIDE A CLEAR COVER FROM REINFORCING STEEL TO ADJACENT O 19'-4'M.O. 7 — — — — — — — BRICK COURSES .3 CONCRETE SURFACES AS FOLLOWS BELOW GRADE BOTTOM OF FOOTING 3' 20 4 17-10* T1O Ir-10,1O SCALE: 1/8"=1'-0" (] PIERS AND WALLS I I/2'(EXCEPT T AT a6 AND LARGER BARS) C THESE DIMENSIONS SHALL BE CONSIDERED ACTUAL AND ARE NOT TO BE 50'-0' O ADJUSTED IN EITHER DIRECTION � FOUNDATION PLAN - UNIT E ISSUED DRAWN BY O ` D ALL REINFORCING RODS AND W-WF7-20-06.SHALL BE SECURED IN PROPOER Scele: 1/4•=1'-0' m POSITION ON CHAIRS OR BOLSTERS AS MAN-FACTURED BY RICHMOND SCREW q ANCHOR CA.OR APPORVED EQUAL REVISED/REVISED BY O U 'v UNIT E S.R 5-25-06 04022 O FIRST FLOOR 1596 SF. JOB NO: SECOND FLOOR 89!r S CA SHEET NUMBER _O TOTAL- Al GARAGE 477 SF. OPT.SECOND FLOOR 1053 S.F. SIM A B AO A4 / DOOM SCHEDULE — — — — — — — — — — — IT- — — — — — — — — — _TT `` NUMBER TYPE MATE I WIDTH HEIGHT THICK REMARKS DI ENTRY MTLJINSLL 3'-0• 6'-8' 13/4 W/12'SIDELIGHT 02 SINGLE MTL/INSLL 3'-0' 6-8• 1314 20 MIN.RATED W/SELF-CLOSING HINGES D3 SINGLE WOOD 7-10• 6-8• 13/8' D4 SINGLE WOOD 7-6 6-8' --1-3/8- 05 SINGLE MTL/IISLI_ T:zx 6'-8' 13/4 - _ UNIT E S F 5-25-06 D6 SLIDER WDJGL 6'-0' 6'-8• 13/4' - 07 DBL BI-FOLD WOOD OJ V-O' 6'-8' 13/8' FIRST FLOOR 1596 S.F. D8 SINGLE MTVINSUL 3'-0' 6-8' 13/4 D9 GARAGE MTL./INSEE 9'-0" T-O' 7 METAL OVERW-AD DOOR W/r-Cr TRANSOM O ' S U L L I V A N SECOND FLOOR 895 SF. DIO SINGLE WOOD I'41' 6'-8' 113/8 Z11.TO TOTAL- 4491 , DII SINGLE WOOD 7-8' 6-8' 113/8 - ARCHITECTS, INC. BELOw� O � GARAGE 477 SF. 50'-0' ARCHITECTURE-DESIGN PLANNING —ZS— OPT. OND FLOOR 1053 201 EDGEWATER DRIVE,SUITE 215 r — — — �7 — — — — — — — — — i•+ &1� 6-8- 14'-4' 7-O' 3'-0' 3'-O• 2'-O• 7-O• WAKEFIELD,MASSACHUSETTS 01880 LIN'_OF CLOS TW W W.OSULLIV�ANAACHfTECTS.COM 22x30' iv .� CHASE ii ' r FLOOR 1 ACCESS �„ I PANES mase erewinas end aPeraficeibre were papered t«.,se et me rooenpn Na�oeroa,wdbeean aro we is pxpressy nn:iea to me penunoa woman. O IL 22x30• WOOD RAILING DOWN TO 8euse«nfprPauclion oy enr rnemoa.ww+,ae O ACCESS •36'ABOVE BADE «in Pan.is Pran�area w:mwr me wanpn DN PANELS DECK pemmsslon or aswren � 16R C 2006 O'Sullivan Architects Inc. O SECOND FLOOR PLAN - UNIT E ALTERNATE C - DECK 7-6 T-8' 3 - A4 c A A4 A B A4 A4 O i — — — — — — �— FLA CENG•9'-0' iV CD II II O — — 1 I I 1 GAS Old Salem Village �' 3'-7 I-0' GAB Di•1 ^ KITCHEN/ FIaN� I I _ BRKFST 3'_4• 18'-8•X 14.,6. I I iv U PER LIVING M. m BEDROOM OPEN To � o _ BI 7 M. B DROOM Zn IS-AND WALL I o ROOM I B DIRM tt3 ./ I I 14•-4'X 13'-4• CO LATER I I Ib'-8'X 19'-0' SLOWE I -0'X I5'-0' SLOPE - vm� II' 'TRAY CEG. Q II'HI' T-5' — — — — — — — r — — — — — — — — �n `Q 6'-9' , 4'-10' '-4• 5'-5' 4'-II' 5'-T 7-0• 4'-Y I LIN=°F — — F 3'-0-C.O. I$ O 8'-0'2t D MECH CHASA E I• tV � C PAN CI-IASE — J Route 7 �I 4 ,, D O > WOOD ° 3,_°.C.O. 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N 27X30' CLNG P I THE CEILING OF TI-E GARAGE E ACCESS r — — — — — — — TI-E WALLS BETWEEN THE HALF WALL v 60 PANELS I — — ,� ARAG�€DWa�.LJNG RE9U — — — 36'AFF. 8 E VE TORA E I � — SINGIF LAYE32 OF 5/8•TYPE p,MS r C W000 ^ Q 3 I I WIN 5/8*TTYP 'CT XTGYP.VIE I C� q 1 s-0'KNEEWALL - - - I I I I q of STUDY SCALE: 1/8"=1-0^ O Q — — — — — — — M 11'x'X q-6' ISSUED/DRAWN BY 22x30' I a I I I o 7-20--06 ee.. in I PANELS L FIBERON M REVISED/REVISED BY VDECKIN 10127N6 v - - - - - - - - - TI PORCH Q } Q 27-6' V-10' 3'-10' 19'-10• .JOB NO: 04022 O 5•-7' 9'-101 5'-T 5'-6' 91-01 2'-0' 6.3' 6-3' SECOND FLOOR PLAN - UNIT E ALT. SHEET NUMBER � I 21'-O' 50 FIRST FLOOR PLAN - UNIT E A2 lw nAn CONT.RIDGE VENT � CONT.RIDGE O ' S U LL I V A N 12 ARCHITECTS, INC. 10 LARCHITECTURE.DESIGN HARDI-PLINK ARCHITECTURAL • PLANNING ASPHALT SWING� 201 EDGEWATER DRIVE, 215 SHAKES pHARDI-PLANK (TYP)–7 �., WAKEFIELD,MASSACHUSETTS 01880 f 12 SHAKES \\ ARCWITECTL12AL Tel:(781)2461667 Fax:(781)246-1883 \ 6 ASPHALT SHINGLE WWW.OSULLIVANARCHITECTS.COM (TYP) ' 12 - 7 mese aeras va mear uwo".e.a to ewresvy wr+w ro o,e�aeronea IasYm. �. by / I v®m�ss�oe or oS,.n�.en a-uiear,vw. \ I \ 7L\ARCHITECTURAL ( O 2006 O'Sulfl a ArchltectS Inc. ��. ® \L SpHA) LT SHINGLE ICE E WATER SI-EII.D, 12 CRICKET DORMER AT ALTERATE TAP.VALLEYS. ALONG 10 1 \ ELEVATION ONLY VALLEYS.EAVES E / I 2 �\ DORMERS I - - — — A5 TPP— — 5 � I i '� 5 L _ J V SECOND FLOOR SECOND FLOOR I-PLANK SIDI GUTTERS E LEADERS GUTTERS ELEADERS - (TYP) (TYP) 17 /$'� 6'PAINTED WOOD 6"PAINTED WOOD mot TSalem Village CORNEzaoARDS RYP> ® CDRNE)RBOARDS(TYP) I I TR ® ❑ ® OWN �+ 4'PAINTED WOOD TRIM 5 C 5 47 PAINTED WOOD TRIM oaao000 AROUND DOORS E WINDOWS AROLND DOORS E WINDOWS ? HARDI-PLANK SIDING ,® 3 8•BOXED PLAIN 3 5 3 f5fl (TYP.) Q PAMB.FYPON ��� Q COLUMNS-163409 V FIRST FLOOR D Dng FIS 0 a s ~ = I----- - _ _ — — — — — — — — — 8'BOXED PLAIN 9 TYP IX PAINTS Route ute /( IX PAINTED WOOD I I I I I I I I I COLUMNS-163409 I I ABLE WATER I I f 1 �i- WATER TABLE NOTE, M I I I I I - - - - - - North Andover, MA�N=DOWj IGAnC — — - - - — — — — — — 13 OW DESIGNATION BY lES WINDOWS UNLESS OTHERWISE ANDERSEN 2SERIES M TED WINDOWS U1,LESS O1 I I I I I I OTHERWISE NOTED 1.0 r �( ( Tc-tt-1--C N LEFT ELEVATION - UNITE scale: 1/a -1'-o U r-1 i l Elevations b w� N O ROLLED-UP ROLLED-LP ROLLED-UP Key–Lime, Inc. d' HOUBEWRAP HOLJSEWRAP HOUSEWRAP 1538 Turnpike St. O W CUT HOUSEWRAP E)POSED ptPO$® UNROLL TOP FLAP AND ROLL UP EXPOSE) North n over, 4 51-EATHING SHEATHING ,. AND TAPE SIDES EXPOSING SHEATHING AND WINDOW HEAD 4 SHEATHING WINDOW SEAL HEAD E INSTALL rn FLEXIBLE I ❑ I CUT NOUSE_VJRAP OPENIINIG .)SMAS W OPENING,LN CAND FOLD INTO INSTALL WINDOW WI7 MEMBRANE -,3 SEAL ALL AROUND OPENING INSTALL FLEXIBLE CONTACTING SEALANT FLANGES FIRST WITH FLANGES SEALANT VERINIG I INTERIOR OF WINDOW w OUTLINE OF MEMBRANE SEALANT AT UAf ISIS THEN BETWEEN WINDOW Q WINDOW / OVER SILL AND LIP AT HEAD UNIT AND FRAMING SCALE: 1/8"=V-0" OPENING SIDES,4'MIN O ISSUED/DRAWN BY STEP! STEP 2 STEP 3 STEP 4 STEP 5 WINDOW INSTALLATION o-20-0s 6 Q NO Scale REVISED/REVISED BY O U W OJOB No: 04022 0 SHEET NUMBER CIO A3a CAW O ' S ULLIVAN A ARCHITECTS, INC. Ad A4 CONT.RIDGE VENT— ENT ARCHITECTURE-DESIGN.PLANNING 201 EDGEWATER DRIVE,SUITE 215 WAKEFIELD,MASSACHUSETTS 01880 HARDI-PLANW. NOTE Tei:(781)246-1667 Fax:(/81)246-1683 12 SHAKES DORMER AT — — — —ALTERATE — — — — WWW.OSULLIVANARCHfrECTS.COM 10 I- ELEVATION ONLY I n,ese arannes ena aPearK.wua..ae vePmee I !«use e�ure pceum�e�asrea.A,cemePn enn usa Is a rq�r 6rrviea w the n m i.kraUan. Reese n,wpon ibiian by any Una wfla n nfrob 7 6 L ARCHITECTURAL «M Pen,a P PMutea nwi me mm�e ARCPITECTLRAL NOTE PertNstian a osau en Anetilea5.mc. ARCHITECTURAL ASPHALT SHINGLE DORMER AT ALTHRATE ASPHALT SHINGLE O 2006 O'Sullivan Architects lnc. ASPHALT SHINGLE (TTP)7 9.EVATION ONLY CTYP) RTP)7 I I I ICE E WATER SFeRD, I TYP.3'-0'ALONG VALLEYS,EAVES ELuj / \ DORMERS 3 5 5 V SECOND FLOOR ��D FLO Old Salem Village GLITTER`"E LEADERS GUTTERS E LEADERS (TTP) (TYP) 6'PAINTED WOODT-T ® 6'PAINTS WOOD CORNE3tBOARDS RTP1 CORNE32BOARDS(TYP> 4'PAINTED WOOD TRIM 5 4'PAINTED WOOD TRIMJFM 441 AROLA�D DOORS E WINDOWS AROLIJD DOORS E WINDOWS HARDI-PLAN0.SIDING 14ARDIikLAW SIDING 6 3 3 6 (TTP) (TYP) Ali p + BOOR FIRST FLOOR f-1 o lrl e 1 1 4 4 BOXED PLAIN PANS COLLAR"fa=1634 North Andover, MA I I I WA W°°° AgE NOTE I I III I I I I I i I I I WINDOW DESIGNATION BY - - 1 ANDERSEN 200 SERIES I I III I I I NOTE, C U 200 SERIES U U I I WINDOWS TED OTHERWISE WINDOW DESIGNATION BY N I I NOS I I I I I I I WI� WSJ I LESS THERWISE I I I III I I I "°'E° I ILL Elevations b � � RIGHT ELEVATION - UNITE REAR ELEVATION UNIT E — J L>a� Scale:1/4'-1'-0' �I N Q Key-Lime, Inc. 1538 Tumpike St. W North Andover,MA 01845 rn 00 A SCALE: 1/8'=1'-0" O ISSUED/DRAWN BY 7-20-06 e y REVISED/REVISED BY G O ✓J V oJOB No: 04022 C) SHEET NUMBER O A-3 b CAW O ' S ULLIVAN ARCHITECTS, INC. ARCHITECTURE rDESIGN rPLANNING 201 EDGEWATER DRIVE,SUITE 215 WAKEFIELD,MASSACHUSETTS 01880 TBI:(781)248-1687 Fax:(781)246-1683 W W W.OSULLIVANARCHITECTS.COM 5 _@5 � tor�we e�me�I�in�amrr1°ea�wi�emm"n use h e,grressy Yenib4 rP nre iCanEAetl ID:2[arl. eBuve M reproductim by eM ,M vRrob P ,h prMldteO r Av& Cie�xlnen PemYssPn Posunl�n n�, 0 2006 05ulltmn Architects Inc. 12 10 1212 12 NOTE, 710 IO F 10 DORMER AT ALTIERATE ELEVATION ONLY 12 ATTIC 1 6 / 2X4 KNE:WALL 8 ATTIC ABOVE•16'O.C. BEAM FRAMING / PLAN __ __----------- _ _ _ BEAM SE= BEAM SEE CLNG.-isTS.W/ BEAM SEE FRAMING CLNG.JSTS FRAMING 12-30 BATT. FRAMING ` Old Salem Village / PLAN W/Q-30 BATT. PLAN INSL.L PLAN g / BEDROOM LOFT BEDROOM \ z 1tt3 RAFTERS 42 S FLOOR JOISTS. - O 1 SIM W/ SEE FRAMING PLANS As AS SEE BATT iNSLA_ATIOrL 15 SES FRAMING As PLAN i FLOOR JOISTS.SES 2X4 Si1.D FLOOR JOISTS SOLID i SOLID FRAMING PLATS W/R-19 BATT BLOCKING WALL BA7rr. � -NG Route � � 4 W/R-13 BATT. INSLIL SEE WALL 2X4 EXTERIOR 2X4 EXTERIOR •WALL INSLI. FRAMING PLANS STUD WALL. STUD WALL• ~S 16'O.C. 16'O.C.W/R-13 w KITCHEN CL �' LIVING ° NOTE BATT.INSLL ROOM g North Andover, MA T14E CEILING OF T14E GARAGE E 2 CAR 3 b ININ 3 q �`Y',' 9 it GARAAG EE OWB-LING THE A GARAGE 9 Q A 00 b� 14 �O A5 SINGLE LAYER OF 5/8'TYPE X P h O GYP.BD..PROTECT STEEL BEAMS N WITH 5/8'TYPE X GYP.BD. N 7�; FRAMINGPLANS __ ___ _____ _ ____ __ _ ___________________ ' t �it 11 E= STS FLOOR JOISTS cv l TT W/R-19 BATT - - S e Ct I o n S b0 INSLL SEE S 6. FRAMING PLANS NFIN. UNFIN. SEMENT v � � BASEMENT 10 m I N C-4 Key-Lime, Inc. O MIL P�OLYETTWYLSLAB E EOVAPSOR BAARWRIE52 J 1538 Turnpike St. W/6X6X 10/10 W.W.M REINF.OVER 6 4'CONC.SLAB(3000 PSI MIN.)W/6 North Andover,MA 01845 MIN COMP.GRAVE_ r.�SECTION - UNIT E W/6X6X POL10/E o ww i QEINFFBARRIER E6' k MIN COMP.GRAVEL r, SC81e ,�` r-o �1SECTION — UNIT E y O •3 � Scale: 1/S`=1'-0' w A SCALE: 1/8'=1'-0" Q O ISSUED/DRAWN BY 1-20-06 o REVISED/REVISED BY O U a _ W H O Joe No: 04022 0 c� SHEET NUMBER O A4 K:\OSGOOD\RTE114\Construction Drawings\Unit E\04022_Unit E_d.dwg,10/27/2006 9:38:48 AM D H ..� I Is loll r< gs gs - m :L= ,NI I llIII III av 1Q eTq� 1 ggy 9sQp �� b r ci rI •p �, r < 9 fill P1 Jill o �I 'til 11 I - I — c , A &� o ILII v T� •� \ �� D � o d ' A rn g 9 Dz 4 0 HIM § r IF Hall d:l _ �„ 40 r D \ tB b 7$ a F Q 2 NCD ! I I I � wit Aar 11 M.VMKO A a O ~ 6 D \\ r n B� Fn e r D DjM1141 9' 9L% 11 IPH I vi z m m 5o � � O C o Qo c '° g a mfr D [El 0 > = C N ISI K 1 cQs Z D D CDN n Z BEAM.SEE SECOND FLOOR FRAMING PLAN FOR SIZE I%-X IV;LVL CAW% 2)I�'a X IV4 LVL (2)IV X IV4 LVL HDR — — --- - - - - - - -' 1-0R HDR O ' SULLIVAN - - - - - - - - - - - i I c) r — — I ARCHITECTS, INC. ARCHITECTURE.DESIGN-PLANNING BEAM SIS SECOND FLOO1 CL SECOND HDR 201 EDGEWATER DRIVE,SURE 215 I FLOOR G PL FLOOR CLNG BELO WALL I I WAKEFIELD,MASSACHUSETTS 01880 I �A"11��-�F� FRAMING PLAN FOR (3)I�4 X 9Ya LVL BELOW SIZE SIZE FLUSH FRAMED (D 13/ X 4 VL Tel:(781)246-1667 Fe (/81)246-1683 (2)IV 9Y4•LVL MECHI FLUSHTOP J MDR Www.10SULLIVANARCHrMCTS.COM OPNG MDR HDR COM'.RIDGE VENT I � � T r Tnrx arew+rres•.w svdree�bre w•re«ec•ea BRING WALL 'r —ft«r.poa�dron or�r..,,moa.n wiw�e CONT.RIDGE VENT BELOW BRNG WALL � � w•y e.cras�Ir em�•a�o m•a•nofi•e roe•non. BELOW —p o��diea wiuwi m•...n�m oenrv%+wn a�os,nw•,awmds,��c. BQNG WALL HDR o 2006 O5ulllvan AvchitecLs Inc. BELOW HDR CONT.BEAM SED 0 SECOND�� G.C.TO ADJUST '4 XT BQNGFRAMING AS FRAMING BELOW ALL PLAN FOR SIZE NEEDED FOR TO BE 2ALL CX1O1O FLOOR RAMING / CRIB / \ I TOILET OPENINGS .16'O.C.UNLESS OTHERWISE / \ 8'LVL NOT® (4)I:(X 1 I USH _ OR I / W12XX30 STEEL SM HDR DROPPED (4)1S!X 104FLFRLVL USH AMED W/ FLOOR JOISTS 2X1os 14 ICE AND WA"TE32 SHIELD OVIB2MANED (4)1% X 9Ya LVL Old Salem Village EXTENDED 36'UP SOFFITS ALL ROOF FRAMING TO BE (2)It'd X 9Y4'LVL D FLOOR JOPLUSH ISTS W/ PROOF PLAN AND ALONG VALLEYS 2X10 WOOD FRAMING I I DROPPED FLFLIbH FQAAAED AND DORMERS •16'0.0 UNLESS(THe2WISESECOND FLOOR FRAMING PLAN NOTED .Z 1)ALL NG FLOOR JO ROOF FRAMING PLAN IJ ALL FLOOR JOISTS.RAFTERS.E CEILING JOISTS•16 O.C. � UNLESS OTHERWISE NOTED. `' Scale: 1/8•=1'-0" (3>P.T.2X10'$ Route 7 4 B PROVIDE SOLID BLOCKING TO JOISTS LOW AT ALL North Andover MA � BEARING POSTS DOI.BLE ALL OISTS BELOW PARTITIONS P.T.2X105 , M PARALLEL WITH JOISTS. •I6'O.C. 31 PROVIDE IX3 MID-SPAN BRIDGING AT ALL SPANS OVER M 10•-0'OR AS RECOMMENDED BY ENGINEERED LUMBER MANFACTIRM \O 2XI0'S•17 O.C. (2)1%'X 9Y:LVL 43 PROVIDE DOUBLE JOISTS AT ALL SIDES OF ALL � DROPPED OPENINGS UNLESS OTHERWISE NOTED. — — — — — — — — — — HDR ' Unit N 5J PROVIDE 2-2X10 WADERS AT ALL WINDOWS AND DOORS �OTHE2w15ENb,�. Framing Plans qp 6)ALL FRAMING LUMBER 1000 FIBER STRESS.E1.2 MILLION I HOP X 16'LVL 4b P.S.I. BRNG WALL MECH (FLUSH FRAMED HDR 4+I 7J'MICROLLAM(LVL)'.'PARALLAM(PSL'.•TIMBERSTRAND BELOW OPNG BOTTOM W LSU AND'TJI/PRO SERIES'ARE REGISTERED TRADE MARKS, — — — CONR S)ANY SUBSTITUTIONS OF OTHER BRAND BEAMS MUST BE 0 1% X IV'4 LVLi ; C�AND VERIFIED BY SUPPLIER. FLUSH Fi2AMED O DR APED 4 LVL I BOTTOM N 9J MAN IPACTIRERS SPECIFICATIONS REGARDING INSTALLATION MUST BE FOLLOWED FOR ALL'ENGINEEREDBRA yyAly WOOD PRODUCTS' BELOW j G.C.TO ADJUST K(_-y-Lime, Inc. FRAMING.AS 1538 Tumpike O PRESSURE TREATED O HDR • TOILET OPENINGS North Andover,MA 01845 G>a t. 10.)ANY WOOD IN CONTACT WITH CONCRETE MUST BE FDR m NEEDED FOR >~. 11.)ANY POSTS SHOWN ON BUILDING PLANS OR FRAMING CONT. PLANS UNDER BEAMS SHALL BE CONTINUOUSLY SUPPORTED (2)131 X 9Ya LVL TO FOUNDATION WALLS OR COLUMNS IN BASEMENT. ACCESS HDR DROPPED 3 12)BUILDING DESIGN LOADS ARE AS F0110W9 PANEL OPNG ROOF•50 PSF ALL FIRST FLOOR FRAMING Q 2ND FLOOR CEILING•30 PSF BRNG WALL 2ND FLOOR-40 PSF I TO BE 2XWOOD FRAMING SCALE: 1/16'=1'-0" p IST RAO12-50 PSF BELOW IXTBND >• u�,_/. •O T O.C.UNLESS OTHERWISE 'U BEARING WALL•10 X HT OF WALL GARAG ' '4 NOISSUED/DRAWN BY WALL — — — 6-9-06 REVISED C — L CONT. 0/26106 /^Sm BY C — — — — — — � lD I�4 X 16'LVL ALL SC-GOND FLOOR CEILING — — FLUSH 16-LVL FRAMING TO 2X10 WOOD T1ED 41S 02ANOTE FRAMING•16'O.C.UNLESS BOTTOM FIRST FLOOR FRAMING PLAN THIS DRAWING IS A GRAPHIC REPRESENTATION OF THE DTI-E2WISE NOTED SECOND FLOOR CLNG FRAMING PLAN 1 • FRAMING FOR THIS STRUCTURE.CONTRACTOR SHALL NOT Scele: 1B'=1'-0• SCALE THIS DRAWING FOR THE LOCATION OF FRAMING `� Scale: 1)8•=1'-0• MEMBERS.REFER TO THE PLANS,ELEVATIONS.AND 04022 O SECTIONS FOR DIMENSIONS AND HEIGHTS JOB NO: O vOi SHEET NUMBER O A6 MO ROOF RAFTERS •16'O.C. BEAM.SEE SECOND O ' S U LL I V A N FLOOR FRAMING (D I2';X Ill';Llu /---,2)1W XIE;LVL ZW XIly;LVL ARCHITECTS INC. PLAN FOR SIZE (3)I�';X 9Y;LVL r HDR ARCHITECTURE•DESIGN-PLANNING _ _ _ _ _ _ _ _ l� HDR `FDR F � 201 EDGEWATER DRIVE,SURE 215 � WAKEFIELD,MASSACHUSETTS 01 B80 — — — — — — — — — — — 2X10'5•12'O.C. I� I Tel:(781)246-1667 Fax(781)246-1683 II I W W W.OSULLIVANARCHrrECTS.COM BEAM SEE SECOND BEAM SEE SECOND HDR I I mope a.e..mgo.,a spoor r .rae pep­ FRAMING PLAN FOR CLNGFLOOR CUNG BPNG WALL rOf ice" s � SIZE FRAMING PLAN FOR(3)Iii X%LVL BELOW SIZE FLUSH FRAIv1E-D (2)I'y';X L — ren.io�aone'.by mm.xcia — — — _ — — — k\7 FLUSH FR TOP HDR x.*:ssian of asonrs�aoerecn.wc. J (2)I%'X 9/'q'LVL HDR HDR C 2006 O'Sullivan Architects Inc. GT�Nff.RIOT VENT CONT.RIDGE VENT BRNG WALL BRNG WALL BELOW BELOW I-0R I HDR 04 4 CONT.BEAM SEE I O CLNG FRFRAMING+ G.C.TO AD-LIST SECOND FLOORI' X T44 F BRING WAIL I PLAN FOR SIZE FRAMING AS ED F�OR ALL SECOND FLOOR FRAMING BELOW O WOOD FRAMING TOOIILETT OPENINGS T 680.0 ILNLESS OTHERWISE (4)W4 X 16 LVL NOTED \� FRAMED OR p OPPED DR Old Salem Village (4)I�';X�';LVL FLUSH FRAMED W/ ()1 4 FLOOR JOISTS LJ � 2Xlos (4)i3;X%LVL — — — — ICE AND WATER SHIELD OVERFRAMED FLUSH FRAMED W/ NDED EXTE36'UP SOFFITS ALL ROOF FRAMING TO BE (2)I,X 9Y4'LVL (2)IV X 'LVL O FLOOR JOISTS ROOF PLAN AND ALONG VALLEYS 2X10 WOOD FRAMING I I DROPPED FLUSH FRAM® 5 scale: Ire'-r-o DOR"' •16'O.C.UNLESS OTHERWISE 2 SECOND FLOOR FRAMING PLAN W/SHED DORMER NOTED FRAMING NOTED Route 1 14 IJ ALL FLOOR JOISTS,RAFTERS,E CEILING JOISTS•16 O.C. LL�FSS OTH5RWISE NOTED C-41 ROOF FRA AN ort Andover, MA ?J PROVIDE SOLID BLOCKING TO FOU DATION AT ALL M BEARING POSTS.DOUBLE ALL JOISTS BELOW PARTITIONS Y Scale: Ire'.1'-0• Gn PARALLE.WITH JOISTS. (3)P.T.2XI0'S C) O IN3)PROVIDE 1X3 MID-SPAN BRIDGING AT ALL SPANS OVER N tor-6,OR AS RECOMMENDED BY ENGINffiRED LIXviBER P.T.2X10'$ n MANLFACTL12E2 •16'O.C. LJ n I n n G4)PROVIDE DOL6LE JOISTS AT ALL SIDES OF ALL (2)WA X 9y4*LVL .-. OPENINGS UNLESS OTHERWISE NOTED ER . DROPPED 2X10.5•12.O.C. (p)i%'X i LVLFraming Plans t10 5)PROVIDE 2-2X10 HEADERS AT ALL WINDOWS AND DOORS 3 UNLESS OTHERWISE NOTED. w I- - - - - - _ - - - - - �R w/Shed Dormer 6)ALL FRAMING UJI B62 KM FIBER STRESS,E-12 MILLION W PSI. 'q 7)'MICROLLAM(LVU','PARALLAM NSU',TIMBERSTRAND HOP a (LSU AND TJI/PRO SERIES'ARE REGISTER®TRADE MARKS. MECH (2)1214 X 16'LVL HDR ER`IG'A Al LFLUSH FRAMED N 8.)ANY SUBSTIT11TIONS OF OTHER BRAND BEAMS MUST BE E EL O OPNG BOTTOM CHECK AND VERIFIED BY SUPPLIER. Key-Lime, Inc. Nt Ot 9)MANLFACTURERS SPECIFICATIONS REGARDING (3O T.X 9/;LVL 1538 Turnpike St. LLl INSTALLATION MUST BE FOLLOWED FOR ALL'ENGINEEREDpgpppEp North Andover,MA 01845 WOOD PRODUCTS' m/ Al 10)ANY WOOD IN CONTACT WITH CONCRETE MUST BE r B12NG WALL _ OD PRESSURE TREATED BELOW FRAMING AS T • IU ANY POSTS SHOWN ON BUILDING PLANS OR FRAMING NEEDED FOR 3 PLANS U VEP BEAMS SHAD-BE CONTINUOUSLY SUPPORTED TOILET OPENINGS TO FOUNDATION WALLS OR COLUMNS IN BASEMENT. CONT. A 12.)BUILDING DESIGN LOADS ARE AS FOLLOWS (7)13/4'X 9Ya'LVL SCALE: 1/16'=V-0" 1-012 ISSUED/DRAWN BY p ROOF•50 PSF DROPPED 2ND FLOOR CEILING-30 PSF t ,Vy 2ND FLOOR-40 PSF r ,�,.• 6-9-06 IST FLOOR-50 PSF oswo� BEARING WALL-10 X Hi OF WALL ALL FIRST FLOOR FRAMING REVISED/REVISED BY b BRNG WALL 1 TO BE 2X10 WOOD FRAMING - 0 BELOW EXTEND Q), r •16'O.C.UNLESS OTT-E3RWISE 1026/06 � +� NOTED + ALL SECOND FLOOR CEILING I GABA — — — _� r (=1 FRFI��NG a 6''O.C.UNLESS p WALL — — J rfy FRAMING NOTE OTHERWISE NOTED — — — — — — IT A THIS DRAWING IS A GRAPHIC REPRESENTATION OF THE — — — — CONT• o FRAMING FOR THIS STRUCTURE,CONTRACTOR SHALL NOT (2)13/,X 16 LVLLJOB No: 04022 O SCALE THIS DRAWING FOR THE LOCATION OF FRAMING FLUSH FRAMED FIRST FLOOR FRAMING PLAN SEDC ONSFFRS ORRDDITND MENSIONSA4EIGHTS.THE PLANS. "'1VD SECOND FLOOR CLNG, FRAMING PLAN W/SHED DORMER ' seaie: 1/6'=,'-o SHEET NUMBER • � 3 scale: 1/8'-1'-0• A7 L— 4 ..Date... c2e, -G ? NOR7p °tt�``°;•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CH This This certifies that ............. �`'`.!� ....... Lf T..................... has permission to perform .................................�.�.�.�. ��....................... wiring in the building of ..... ........... ............... ................................................. at... .." ../y16 . . .... ..rvL ......... ..... ,North Andover,Mass. a Fee Lic.No....1....J7M.......... . ....... ............... ......... LECTRICALINSPECTOR i i Check # 7862 o Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. < ?Z— Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATION) Date: /2 -2 o- - c-r City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) �� _ Owner or Tenant 1-7 _ Telep one No. e/yj Owner's Address 3 _-e Is this permit in conjunction with a b ding permit? Yes Q�No ❑ (Check Appropriate Box) Purpose of Building l� ,7, ' Utility Authorization No. 3— Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 2,e-d Amps Volts Overhead❑ Undgrd ❑` No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: ` //"s Completion o the ollowin t¢ble maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in ❑ o.of Emergency Lighting nd. rnd. BatteEy Units No.of Receptacle Outlets 4!�� No.of Oil Burners FIRE K�:---Mis INI o.of Zones No.of Switches Y. No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ""' ������������������ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal [I Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: /z.-p c�- —.r,7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such;;!�= E] n force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true andpomplete. FIRM NAME: _ r / ,-/,,— LIC.NO.: Licensee: `�, L/ Signature -9 NO,. 3 (If applicable, a er "exempt"in the license number line.) Bus. el.No. 7 Address: = S ;'� y Alt.Tel.No.: *Per M.G.L c. f47,s. 57-61,security work requires Departme&of Pyla c Safety"9" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Px y r The Commonwealth of Massachusetts i ! Department of Industrial Accidents Ojf1ce of Investigations 600 Washington Street Boston, MA 02111 i t www.mass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AuPlicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone #: . Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I b New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition ' working for mein any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised theirP 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No-worke'rs'comp. c. 1.52, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13 ❑Other comp. insurance requited.] *Any applicant that checks bolt#I must also Bill out the section below showing their workers'compensation policy information. I homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attacked an additional sheet showing the Warne of the sub-contractors and their workers'comp,policy information. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or SeIf-ins. Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date.- Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: 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 contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. 'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance'coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,notthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their Self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemlit/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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.#617-7274900 ext 406 or 1-8.77-MASSAFE Fax#617-727-7744 Revised 5-26-OS www.mass,gov/dia LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 pager 978-502-5921 December 5,2007 Mr. Benjamin Osgood fax to 978-685-1099 Key Lime Inc. 10 Hepatica Drive North Andover,MA. 01845 RE: Unit"E",Lot 18 Old Salem Village,North Andover Dear Mr. Osgood As you requested I visited the above project to review the Engineered Lumber used in the framing as shown on plans prepared by O'Sullivan Architects 11-30-06. and certified by me . The Engineered lumber is installed as shown on the drawings and field modification sketches as prepared by me. I therefore certify that the use and installation is acceptable and will support the loads as required by the Massachusetts State Building Code 6h Edition. Should you have any questions please call. Yours truly OF M,gysc /[v/ 9 L4WRENC9 yG HAROLD � Lawrence H. Ogden P.E. E" g .o 2 65 1/ , rb , AL a"esve`� Date../.�/.�`'�l• •`• •�. ... .. NORTH TOWN OF NORTH ANDOVER 1 0 � A • - ' PERMIT FOR GAS INSTALLATION s a �,SSACeHUSEt< This certifies that . . has permission for as installation . . ` . �� . . . . . . . . P g i in the buildings of . . . . .r.!� p� . . . . . . . . . . . . . . . . . . . . . . . . . . at <f. . . . . . . . ., North Andover, Mass. Fee. .?.0 Lic. No.. 3. ?. . . . . .�- _. . . . . . IGAS INSPECTOR. Check# 6250 MASSACHUSETTS UNIFORM APPLICAI 4ON FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 1/-/y�D 20 07 Permit# GZ 30 Building Location /p Uy {� Owner's Name /.C�,, G;�,, G �A/� Telephone qn 6 3,3 -3/6 3 Type of Occupancy /ze 5;d New Renovation El Replacement El Plans Submitted: Yes El No❑ N y ` 0 � N 2 M � d d aN. r (Oj m = � -W L. Z N m +-'CD d d Q. O 0 M MIX a� d 2 aCi 0 �- 0 > 0 4l d N C M Z L i 0 L 0 1- '0 4) r yCL d 0 > 4- ".1 v 0 C O C d O M 41 > 0 a -1v > ai' W = O x u_ 1�: 0 0Wo - O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane,Inc. Check one: Certificate Address 100 Myles Standish Blvd., Suite 101 X❑ Corporation 132 C Taunton,MA 02780 Partnership Business Telephone (800)822-1300 X8055 Rick Rousseau C(603)231-2702 Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson(800)822-1300 X8051 Cell(508)294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes X❑ No 1-1 If you have checked ves, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Owner Agent Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Type of License: By Plumber Title XX Gasfitter Signature of Licensed Plumber or Gasfitter City/Town XX Master APPROVED(OFFICE USE ONLY) Fliourneyman License Number 3707 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES 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 20 GASINSPECTOR r' Date AAA.7. . ... .. r NORTiy TOWN OF NORTH ANDOVE • PERMIT FOR GAS INSTAL TION • o� �a h SACHUSEtS V. . . . . . . . . . This certifies that . `3��.'' �y �L ��. has permission for gas installation A:r'`.^. Y.0.—. .-. .— . . . . . . . . . . in the buildings of ►. .`. . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . 6. . . '!«.Y. . �.� . �.. . ., North Andover, Mass. Fee*Z . . Lic. No.. . . . . . . . . . . . . . � IGAS INSPECTOR Check# 7� 6`180 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING _----� (Print or Type) MCA Mass. Date Permit # /+ Building Location 6s' An,f I Owner's Name kcX ISL LL L Type of Occupancy �,�- &e New [� Renovation ❑ Replacement ❑ Pians Submitted: Yes❑ No❑ ¢ H w N Y Z 2 N N N U ¢ !- 2 N S N ¢ O =) N = 1u W ¢ O U m r•' S A < O Y = _ b Z u < s ¢. O O 2 } m 0 r y ,y0 a c '� < O W < ►- M > ftW Z V W H W < ¢ W CC Lr z -2 < W ¢ Q ¢ > W W V .J h W Z t W -1 < �- �- } N m Z -0 Z d O N S a 's o t� s U. 3 c t7 .� o ¢ y o a t— o SUB—BSMT. BASEMENT 7 ST FLOOR 2ND FLOOR 3RD FLOOR ATH FLOOR -.� STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR /� installing Company Name GCA,p s VV"4 pi u, A� 1��� Check one: Certificate Address L _ ( ❑ Corporation M- ❑. Partnership Business Telephone �� _« 3 D Firm/Co. Name of Licensed Plumber or.Gas Fitter INSURANCE COVERAGE: I have a current City insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ff No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ®� Other type of indemnity❑ Bond D OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent OwnerO Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are tnAe and accurate to the best of my knowiedge and that all plumbing work and installations performed under the permit issued i r this _ pli a in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General w . $Y T 'cense: umber §gnatur o tensed Plu Gas mer Title fiber ` .3 ster license Number cityiiown w Ire, an i i NL w Date A/2.ef� "O R' ��/WNOF NORTH ANDOVER PERMIT FOR PLUMBING I`SSACMUSE� This certifies that . . . . . . . . . . . . . . . . has permission to perform YL.1--, . . . . . . . . . . . . . plumbing in the buildings of . -. �-.�. `-^. . . . . . . . . . . . . . . . . at. . .V . s.!!ham Y.A4� 7.(^. . . . . . . . . ., North Andover, Mass. Fee ImelR- .Lic. No.. . . . . . . . . . . . . � �1 . . . . . . . . . Yp-�L UMBING INSPECTOR Check # 77 � 752; 0 MASSACHUSETTS€ NIFORM APPLICATION FOR PERIMIT TO DO PLUMBING (1�7pe or print) a(U k pot&)"r /a I I—O 7 MASSACHUSETTS Date Building Locations A Permit # 7��- Amount Owner's Name Wim°_ umo. 4 L New Renovation ❑ Replacement ® Plans Submitted FIXTURES con M sn w O Cn U a w W W a a a A a Z CC Z 91.sBgV[C >�� o ► l i am>tioaR 1 aux 1�.aoR stli>�loaR 7111 lIDM sIIt Lvoat (Print or type) Check one: Certificate Installing Company Name Galinsky Plumbing & Heating X❑ Corp. 1906 Address P.0.B o x 1701 ❑ Partner. Hnvarhi 1 1MA ni Rli Business Telephone 978-374-1743 ❑ Firm/Co. Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ d not have an one of the above Insurance Waiver: i,the undersigned,have been made aware that the licensee of this applicationoes Y three insurance Signature Owner El Agent ❑ I hereby certify that all of the details and information I have submitted(or entered in above application are true and accurate to the e for this application will be in best of m knowledge and that all plumbing work and installations pe rm P it Issued pp Y g P g compliance with all pertinent provisions of the Massachusetts State mg o d Chapter 142 of the General Laws. P P By: signature of uc W Flumser Type of Plumbing License Title City/Town icen "Umber Master ❑ Journeyman ❑ APPROVED(OFFICE USE ONLY