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HomeMy WebLinkAboutMiscellaneous - 65 NUTMEG LANE 4/30/2018 65 NUTMEG LANE MAP 38 PARCEL 287 I l I I Date No NOR71y Of TOWN OF NORTH ANDOVER,h •.• O ° : p PERMIT FOR PLUMBING SACHUSfc� This certifies that • •� «,-�*' � j� has permission to perform . . . . • • • . . . . . . . • • • • plumbing in the buildings of . . �'!�`'.,... !.-. !'T at Z �.( . �7. . . . . .. North Andover, Mass. Fee. /.C1 -. .Lic. No.. D. ��(. . . . . . . . . . .c/z..,. PLUMBING INSPECTOR Check # / ? Z ) WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO BING (Print or Typal Mass. 0 e /_;1_,/�, — Permit # 3 Building Location o 7— 7 � r's Name //��� e 1. Type of Occupancy 15 tc.lAC� New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ FIXTURES 2 N , z Y f � N N N y o z 2 W W U < y /7 ¢ ¢ W Y J M < - f• _ = N tL H Z N < ¢ ¢ _ ¢ N W z _ r l.. O N N N 2 „ h` U W N Y < A. t7 < & < 3 x � Q m N ¢ Y < C tl O _ U W O < 0 = C ¢ W 2 o z ¢ < N ¢ 1 < W N ¢ J O C O W S W = < s 3 o z S Y � o ~ z z < W W Y W s d a _ _ W f' o u s < ►' < < S < < O < < ¢ ¢ d < O < F- 3 Y J to N O O J 3 = r N W U 1 7 < 3 ¢ 61 0 t Sua—SStdT. BASEMENT a 1ST FLOOR IND FLOOR 3RD FLOOR 4TH FLOOR STM FLOOR eTHFLOOR JTHFLOOR -77 ATH FLOOR Installing Company Name /Ll �o t rc rte_ Check one: Certificate Address C? v k 7 ❑ Corporation f� yet ❑ Partnership Business Telephone `L5` 7— /ys` 7 '4� Fsrm/Co. Name of Ucensed Plumber nt r C- ��rr 1- /uct V C o u A INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes-f S— No ❑ It you have checked yn, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ;l9- Other type of Indemnity, ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not haye 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 C3$rgnature of Own et or O+mer's enl I hereby cenity that all of the details and information I have submitted lox anteredi in above application us true and accutats to the best of my knowledge and that all plumbing work and installations performed undet the permit issued of this application will be in compliance with all pertinent provisions of the I.lassachusatls Slate Plumbing and Chapt 42 of fal LAw3. By • SIgnatuis of Ucansedum r Title Type of License: I.laslet`Er .burnayrrtan❑ Gty/Town L Liunse Number 1091 ,Z— /' J4J Date...... . ....`..`•.••• ,aORTM TOWN OF NORTH ANDOVER O�Oy..,,ao PERMIT FOR GAS INSTALLATION 9 ,SSACNUSEt This certifies that . 1.. ... . . . . . . �G • . . . has permission for gas installation . . . .�:-.:. :. . .`. . . T. . . . . in the buildings of7` -• . • • • . . . . . . . . at . l. .,. . l7. . . . . . . .`. -. Vit' ;r , North Andover, Mass. r i Fee. .2 No.. ./ GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 7>l (Print or Type) ' y3 Mass. Date LO • Permit #J2 Own Building Location,__ _ Lo Lp1/ ype of Occupancy New Renovation O Replacement p Plans Submitted: YesQ No Q N ¢ N W N . Y Z ¢ N N V ¢ N F- cc y ¢ O _ W r 0 r W z o u Q ¢ o o = r- < r0 N H W W HN a C > W N ¢ W Y V W ¢ N W Cr W O W _~ H ¢ W ¢ W W N j < = V > LL i- V 'j $- W O F' Z J_ t' Z F+ F' )- N •m Z 'O a o M x < W > 7 Z' ; O D J V W O t1 W O > o a !- ¢ S O O S U. 4 SUB—BSMT. ------------- BASEMENT IST FLOOR 2HDFLOOR I 3RD FLOOR 4TH FLOOR STK FLOOR 6TH FLOOR. 7TH FLOOR STH FLOOR lit Check one: Certificate Installing Company Name � Address P � Qo k 7�� O Corporation v& c « Y M ce Q. Partnership ' Business Telephone h•S 7- /�' -� Name of Ucensed Plumber or.Gas Fitter Ad e a Firm/Co. c INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes �3 No If you have.checked yes, please Indicate the type coverage by..checking the appropriate box. Other of Indemnity O Bond O A liability Insurance policy type . 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: OwnerO Agent O Signature of owner or Owner's Agent rate to the best of I hereby certify that all of the plumbing work and installations performedtion I have ted(or under the eperdmit issued for ve application aippl'ication will be iinnucompl compliance with all � •knowledge and that all plumb ng pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral taws :pGa'slitter f license: mber Signature o censed&Iumberor as itt Title aster Ucense NumberCityfrown urneyman N N° 2GUr' J Date.... ..1. . 0..... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING �'IS cwus� This certifies that G`v�? p c,r to /-- X", w .... ................../................................ has permission to perform ...... v-..... .M. ................................ wiring in the building of M a , /1,0 f r ..�......7 .................................................... a ...: .�......1J1.4 r.rl. ./ �t.. North An Mass.' ✓ ............... .. " Fee..3d�' Lic.No.,[. ,�. /PiiC�MR ......: ........ ELECTRICAL Check .# C�7% WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MECOMMONWF-ILTHOFAMSS4(HU. .} Office se only DEPARTAR�VTOFPUBUlC&4= Permit No. a BOARD OFFIREPREVEMONREGUTA770NS527CW?12 1 Occupancy Fees Checked APPLICA TTONFOR PF]?h1flT TO PERFORMELEC CA' L WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below/. PARCEL Location(Street&Number) -,065- /JmL '�d a „ 6D Owner or Tenant //'t ct &--f -- pens Owner's Address 5C a Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 5/�,j-�z "61A3,� Utility Authorization No. 00�'0&1 Existing Service Amps / Volts Overhead Underground No. of Meters New Service 1-cro Amps 12ci 1Sg0Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground D.,ground 17 Ta.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No. dro Massage Tubs No.of Motors Total HP OTHER- hst==Ca.ca Ptastmftothereglmerrra>ssaflVlassadnsebsGaraalLaws a Ibawaama>tLiabdtyhia==Pohcym&dingCarrpl� CocaaWanssksbritWegttivaialt YES NO lba%eabrntbdvihdp[adofsmwtothrOf m YEsNO F-1Yy uha edmdmdYES ple�ea> the wxrWbyd�rgthe B� FaFpqxiWbcK o ftase Spo*) Expff=aw Estirrla>ed VahecfEkChiml Wak$ W6ktoS&xt -�- hnpactimDateRec}ra-3led Rough �Ut I/ c r�lL Final sig<radurarel of.pltlw./ �� (���-r Cal �' L; ffMNT4a 1199-774 FIRNINAN E L-/ '�”t'�3 Lioerl9w (x.11��_ /�rens�-�- Signahae "t U •rte�+��/t�'-- LioameNo a nessTelNa Gj7f`&-k-,[k(_ dd=q . Alt Tel Na OWNER'SINSURANCEWAIVfI;;Iamaw&edig the Licamdoes not hrnethe rararma crits stist2atalegimala$asregmedbyMassadaisets Cxn=jaaAs mdtlratmysigriAmmdwpmnitzghcatiarwars this oymial (Please check one) Owner = Agent Telephone No. PERMIT FEE 6ignature ot Uwner or Agent I/ per/r� Date..1�.<... .. llffff �aORTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSEt This certifies that .... .. ...1...�..!..�!C�t...- T.. ...... . .................... has permission to perform .... ..�...(.......A.9./... o..t.......................... wiring in the building of �!'L- .�� f ............... ......................................................... _ \ , l.� at.....41�. .............`V . . ....................... ,N Ando ,M S' Fee...?S,W. Lic.No.... ....1..S C.................. .............. .... ..,....u ICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer convn;onruaa!!fs o`ii/ acJtu�af�! For Office Use O ly IBMc7 (Rev.11/99) �sPa��n> o`}ilti�irriico� Permft Number. BOARD OF FIRE PREVENTION-REGULATIONS occupancy s,Fee APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORT:TO BE PERFORMED WITH TiE MASSACHUSMS ELECTRICAL.CODE 527 CMR 12:00) f PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date:// City or Town of: /V. 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: Zia Owner's Address: Is this permit in conjunction with a Building Permit? Yes W_*1_No oCheck A ( ppropriate Box) Purpose,of Building:��S (`�j� / Utility Authorization#: Existing Service: Amps_____L_Volts Overhead O Underground.❑ #of Meters New Service: Amps / Volts Overhead El Under round.❑ ! 9 #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work:—&—r r 2 A/ 1��AOZ No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground o In Ground o #of Emergency Lighting Battery Units No.of Receptacle Outlets No, of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices No.of Switches No.of Gas Burners #of Sounding Devices: #of Self Contained No.of Ranges No. of Air Conditioners TOTAL TONS: DetectioNSounding Devices v No. of Waste Disposals Heat Pump Totals: ' Local o Munici al Connection o Other o Number. TONS: KW: Security Systems: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: Kyy Data Wiring,No.of Devices or Equivalent: No.of Dryers Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs:_#of Ballasts: OTHER; _ l #of Hydro Massage Tubs No. of Motors Total HP IF INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND O OTHER ❑ Please specify: Estimated Value of Electrical Work$_ �/t� �/r G' (When required by municipal policy) Work to Start: Al —.2 — t!U Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of per)ury,that the Information on this application is true and complete. Firm Name: St/ Ar14� f taim , � � Licensee: G �. fv� / /Agnature: C! 7,0LIC.#_oc o2 7 �j �J�J (If applicable,enter"exempt"in the license number line) Address: / /%i /� _f� Bus.Tel.# 7�i-G��=G YA7'T�# 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. 1 am the(check one) Owner o OR Agent❑ Signature of Owner/Agent: Telephone# PERMIT FE)::S Location No. 6 /7,-//4 Date NORTH TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ HUst� Building/Frame Permit Fee $ ' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 539 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 774 ti � ` ark ,,TI> s far ticrUse flet _ BUILDING PERMIT NUMBER: /� DATE ISSUED: 0 O --- SIGNATURE: Building Commissioner/122Q22tor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: LN. Y� n Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re4pired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 '�• SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT F M 2.1�Owner of Records Name(Print) Address for Service: ` Z74- mss- ap SignatiWe Telephone d 2.2 Owner of Record: Name Print Address for Service: zp� M Si natureTele one @9p� SECTION 3-CONSTRUCTION SERVICES 30 3.1 Licensed Construction Supervisor: Not Applicable ❑ A(I)IP, MA1 II e �— I i Licensed Construction Supervisor: 3 ry T S r C7 ' 2 K O 1 nLicense Number M Address 5' I S f Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name n Registration Number Address Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction g._. Existing Building 4�-- Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify BriefDescriptionof Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 60EICIAL USE�t?NLY Completed by 2ennit applicant 1. Building (a) Building Permit Fee d Q Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 49 Z4 SECTION 7b OWNER/XUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS 1 ST 2 3ko SPAN DRvlENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ..............0............................■..............................q. APPLICANT t I � `� �U '� SHONE If ASSESSORS MAP NUMBER LOT NUMBER m SUBDIVISION LOT NUMBER STREETS'.:.....G�A .P c{...:A)..........�6STREET�NUMBER...... ....... OFFICIAL USE ONLY Now mom some OEM monsoon us NOON Nam Monson mom now soon@ a No mmummulkno us on no sauna same NON RE OMMENDATIONS OF TOWN AGENTS I mommomm(mom 0 0 amomoumm on S DATE APPROVED C SERVATION ADMWISTRATOR DATE REJECTED COMMENTS Y` W✓� Qd � L5 Vy"C/-- DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE yr R vJ \ / L OT 17A 25, 704 S.F. oo '3'50 os 4 0 N 90' I ' s 1/� o - o � O c Gla j,'c �. 'o c K 1� TOP FOUNDA77ON ZONE. R-3 �•�.• �''�,�I cAs MIN/MUM SETBACKS.• a� FRONT = 30' 51DE = 20' REAR = 30' �N M/N. LOT AREA = 25,000 S.F. M/N. FRONTAGE = 125' NOTE.• LOT PER/METER TAKEN FROM A PLAN BY NEW ENGLAND ENG/NEER/NG SERV/CES, DATED ✓UNE 12, 2000 NORTH Town of Andover C' - a dover, Mass., � a - o6) COC T ADRATE D S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System T A..L..... / BUILDING INSPECTOR THIS CERTIFIES THAT A.. V...'.....A ........................sp.pj..................................................................... Foundation has permission to erect..,/07 $4 ..... buildings on ..Ab.�..A/v rh ....A.M.!..................... Rough to be occupied as OPEN bF LK rt F'o"JI 8A44 ��� eq Chimney provided that the person accepting this permit shall in every respect conform to the terms of the app ication 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. I" a 13 07 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ....................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 r Street No. SEE REVERSE SIDE Stroke Det. N2 `2 5 5 1 Date.................................. 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SS^cM1WgEt TIs certifies that ............... ............ ............................................. . has permission to perform ...("t ................................................ wiring in the building of... ................................... at...'..' ........ ......... .North Andover,Mass. Lic.No.,�� -/�l ./t.............................................f............... Fee--/.................. ELECTRICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TLE COMMONWEAI.TIIOFAMSVAaIUSETIS Office Use only DEH4RTARN70FPUBLICSA= Permit No. a ` BOAROOFFIREPREVF.MONREGU 4770AN527CMI2i 0 Occ ncy&Fed Checked APPLICATIONFOR PE MT TO PERFORMELEC'TRICA WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH TIS MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 q,' �^ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit too perform the electrical work described below.-. PARCEL Location(Street&Number) L /-7 -,,� o- 1- Owner or Tenant CL �y (SSD Owner's Address Q f C oTl J/ DG �d Is this permit in conjunction with a building permit: Yes[::] No ® (Check Appropriate Box) Purpose of Building •N /T— Utility Authorization No. G U 43 2-0 Existing Service Am / Volts Overhead © Underground No. of Meters New Service —1 KD Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ones No.of Receptacle Outlets No.of Oil Bum ers No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Can Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total' Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryers Heating Devices KW Local Municipal Other Cormcctioru No.of W:,,-,r Heaters KW No.of No.of _ Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- hnla-atreCo�et�Plaaef�totheragt�anaisafIv1a55adz�LsGa�aalL3ws Ihawaaram%Lmbtdtyh>Sstaa PbbcymdudngCmTich�o�aBCae'agecrilssubsoritalegtrivaiart YFS NO ED Iha%xstrtr 1*dmldptodofsffmtotheOfCe YES _0 NO F1 lf3vu1medrJxdYES pkdsebydrddi*dr bac iT1SURANCE BOND OTMZ (1' ase SPAY) Estar&dvahiedUxbmI Wade$ WcdctoStart 9 IrWaczi Da1eRetxstad Rough Final SigiredttrlderTrl rralbesofperjtay / �,�r.J t_c �e_e �l'm Cit.! •C tee, L;oa�eNTo. /r v-114 � FIE2N[NAME 41,A I�easae /1 ry 5410 t J c— LQ t.�r`e->,CSz- Sigc sae lioarseNlo / Bum=TeLNo. 91?- led, AItTel.Na OWNERSINSURANCEWANII2;IamawuethatbeLmmsedoesmthaaethea>staiffwwvmwcrtssubsktalegnvalanasiegmedbyM Gtzr=IL,ws aaclthatmysigt>ahuemttnspalilt plica v4mmi ttnsregirtarrart (Please check one) Owner M Agent a Telephone No. PERMIT FEE$ —Signature ot 7w-ner or Agent Location No. 14 U Date NORT1y TOWN OF NORTH ANDOVER O * ; ; Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ swcMuse 9 Foundation Permit Fee $ /Un Other Permit Fee $ M' TOTAL $ X U rf1/ Check # r t 3 5 Building Insp 6r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING for BUILDING PERMIT NUMBER: Q 7-31 v O rn SIGNATURE. /0 44 t(^A-o*-� Building Commissionerfl for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6i 16-rin a ),,41YZ Q 0 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ZoningDistrict Proposed Use Lot Area�- Frbma e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided p` 4.1- 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Ij Private ❑ Zone Outside Flood Zone 11 Municipal R On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record 7 v Name(Print) Address for Service ?� X75- 73 1 nature Telephone 0 2.2 Owner of Record: Name Print Address for Service: rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 1 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ 14411Z1Y T IWf41L<1-5 r Licensed Construction Supervisor: Q (� f' r�J l O License Number Address� f�1Expiration bate 3 Sig ature 07 Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name Registration Number r Address _r Expiration Date z^ Si nature Tele hone P1 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: w � . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE;ONLY Completed by permit applicant 1. Building (a) Building Permit Fee / Multiplier l9 2 Electrical (b) Estimated Total Cost of Construction l 3 Plumbing Building Permit fee(a) X(b) C1 92 4 Mechanical(HVAC) / 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property ' Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, /i U/ �✓ �.-- /f f %L L z-,- — ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief XL Prin ameP-�� Sof Ont Date NO.OF STORIES SIZE �[ ` BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ,t 2 x 10 3RD K o SPAN /'- DIMENSIONS OF SILLS o2 a X PT DIMENSIONS OF POSTS 4 g 4-4-Y5 DIMENSIONS OF GIRDERS 2: HEIGIIT OF FOUNDATION THICKNESS /D " SIZE OF FOOTING / X -7- X / C MATERIAL OF CHIMNEY 1?1t�rn. IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date a 00� THIS CERTIF�IES THAT / THE BUILDING LOCATED ON 9 ,1A-V L' <<��P7,) MAY BE OCCUPIED ASJlyell.09 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 13 doom s f 3,zS j3,9T/,S�3 Sfa/% U.ycOe�e= CERTIFICATE ISSUED TO 4,771)),4 N-e t J oy S p ADDRESS S' "Usk Building Inspector l Town of And 0 No. 3 Dorn dower, Mass., dy CJCHICHEWICK y A7'E D PQM\ .F4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' ; �� BUILDING INSPECTOR THIS CERTIFIES THAT..........................,�� /� �..� S ' I Foundation � �+ has permission to erect.. ..........�....................... buildings on Aoi4 #`�..N...... .. �A V C p . .. ....... .. . ... Rough _. r to be occupied as.1 Q..1909M.4.0 4..�th. 1Y4#.ftd?.f....S.. .� ....k i �'4 Chimney provided that the person accepting this permit shall in livery respect conform to the terms oxhe application a- in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, iteration and Constrt_:: :m11 of Buildings in in the Town of North Andover. PLUMBING INSP T R VIOLATIONaim Po 411 pinal of the Zoning or Building Regulations Voids this Permit.I�tJG►�, 1 13:4.01 'x'���� �lV�� � Llai lYl� sPin M.�..a a �� ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough -. .................. ..................................................................... ervice BUILDING INSPECTOR / Fi ` r3 t,LPancy Required' tch Occup�r BuiZding GAS INS CTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove 69 No Lathingor D Wall To Be Done -A� FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner I Street No. SEE REVERSE SIDE Smoke Det. ' �" Town of North Andover t4ORTH O I'%.eo 6'9M Building Department �` 27 Charles Street o w North Andover, Massachusetts 01845 .4 (978) 688-9545 Fax (978) 688-9542 T O�q t0[wl[M KK y1' T APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS r LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION Q FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING ff,, U CONSERVATION DATE PLANNING DATE D.P.W. —WATER TER TJ'�) DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNAT / W AUTHORIZATION Town of North Andovert10RTH 0�� 4FO Building Department �� gt "•,'b o 27 Charles Street ti North Andover,Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 O CO[I[ItwKK 1' 4 ' AC PIUs���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS r �6� &' r Z_ LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION - O FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIlmE FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION DATE PLANNING { `� �-= DATE Z D.P.W. —WATER LTER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNA / W AUTHORIZATION LocationD�f� No. �o Date 6 NORTIy TOWN OF NORTH ANDOVER # _ Certificate of Occupancy $ [/Q s4CMUSEt� Building/Frame Permit Fee $ �- Foundation Permit Fee $ Other Permit Fee $ l TOTAL $ Check # 3 s xw Building Inspector P1--AN OF LAND Acf M it- kv, /N NO, A ND 0 VER, IVA 55, SCALE- I" = 40' AUGUST 10, 2000 HAYES ENG/NEER/NG, INC. \ 603 SALEM STREET CIWL ENGINEERS & WAKEFIELD, MASS. 01880 LAND SURVEYORS TEL. (781) 246-2800 / CER77FY 7NAT TH/S FOUNDATION /S LOCATED ON THE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SE734CK REOU/REMENIS• OF THE ZONING BY—LAWS OF THE TOWN OF NO. ANDOVER. / FUR7HER CERI7FY THAT TH/S PROPERTY DOES NOT LIE WITH/N A FL000 HAZARD AREA (ZONE A OR V) AS SHOWN ON 17000 INSURANCE RA7E MAP COMMUN/7Y PANEL NUMBER 250098 0010 B,• EFFECT/VE DATE: JUNE 15 198J `MOF DATE AUGUST 10, 2000 �` --------------------- -- ;` w PROFES ONAI LAND SUR %:W� tk. � S� �F / L OT 17A 25, 704 S.f oo 1 X50"E 40 �. N�9•�3 1 titi o . 1� TOP FOUNDATION ZG �� ZONE. R-3 �j• �'�,��cQ� M/N/MUM SETRACKS.- �� FRONT = 30 ON" O O SIDE = 20 REAR = 30' h M/N. LOT AREA = 25,000 S.F. Z MIN. FRONTAGE = 125' NOTE. LOT PER/METER TAKEN FROM A PLAN SY NEW ENGLAND ENG/NEER/NG SERV/CES, DATED JUNE 12, 2000 F FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT c/ t�/t�,(�/ �'� -J- PHONE ASSESSORS MAP NUMBER LOT NUMBER c SUBDIVISION LOT NUMBER STREET /Y 6I &E e- STREET NUMBER OFFICIAL USE ONLY RECONIlNIENDATIONS OF TOWN AGENTS 0a2xx000xx0000x0000a00000xaE0a000■0x000x00x000x00x0000x0xxxx000■ .00x.0.... 9 Y \h n L L 3-LQ DATE APPROVED � tb CONSERVATION ADMINISTRATOR ` V 4 DATE REJECTED OMENTS [, Ivf o,1AUj DATE APPROVED (D TOO R DATE REJECTED COMMENTS DA'IZ APPROVED FOOD INSP OR )TH� DATE REJECTED O DATE APPROVED U P C 3WECTOR-HEALTH DATE REJECTED CONW ENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS �o-27dU DRIVEWAY P RMT1 AP13ROVED FIRE DEPARtNfENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE PSG OO G �h• oh. �•Y 8 Vis 6 E X04 0�'h6� a0 � .�lz 5�� �5•a� �TRQ 0 s 1 5./OwlpE ESMITY s06 . 99l� IK- C) 20 U110 06.1 ,0 0 0 0 adv ,G� h .H h 0,0 �h °p 6FN 00;g POO E `,�G h � 666 r` •� "�' `V 5 78 pi, 14 h� 51 �O 0 �o h� O 0 O ,*--26 86 �•� ►� �� �a� F The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02119 Workers'Compensation Insurance Affidavit Please Print Name: f'I, o- Location: 467 16; '/ .,77 C— (:2 A �� City /Y© Q?H �911A o aer/E Phone �17�' X75 73 q 9 am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policy# Company name: . Z lel L T Cd/YST' B ��7/7'Ir9/G Lir Se rrs ,Ti►'c Address o? S �C-©'T T City: /����l /oh, D/p/d Phone* l?� 12 -A37 I Insurance Co. .�.�/o TIrS. �.o Policy# ltfC 5'-©o ssf 3 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. SignatureA0= , ut � Date 7, /3 ' Q� Print name 14 J- V l J , /, L L- Cl Phone# 97 SJ 47S 7- Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION { I i �I ✓fie �anzmanu�eaf� ��� 6(twutcltcde�s BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR {� Number: CS 016511 Birthdate: 05/1511937 r` Expires:05/15/2002 Tr.no: 26814 Restricted To: 00 ALVIN J MAILLET 3 WESCOTT RD ANDOVER, MA 01810 Administrator, i i w GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. '0 � 111910-14-14-17--�7 3-hly7r�46-4 !,r 4r/Oybox f 'W a,F7 Permit Applicant Property address Map/'Parcel VV X79- 7Z (19 Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as of the effective date ofthis bylaw,provided that no additional residential unit is created The lot(s)was/were created prior to May 6,1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all ofthe conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. ,4PPLICANTS SIGNATURPE DA THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION r -y I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I TITLE: PLAN NO. 6421 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-12-2000 DATE OF PLANS: 2-8-98 PROJECT INFORMATION: COLONIAL HOUSE COMPLIANCE: Passes Maximum UA = 684 Your Home = 536 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1945 30.0 0.0 68 WALLS: Wood Frame, 16" O.C. 3168 13.0 0.0 260 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1945 0.0 19.0 76 GLAZING: Windows or Doors 284 0.350 99 DOORS 93 0.350 33 HVAC EQUIPMENT: Furnace, 87.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4 . l Builder/Designer Date '! `':::9 U TITLE: PLAN NO. 6421 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 7-12-2000 Bldg. 1 Dept. 1 Use I I CEILINGS: [ ] I 1. R-30 Comments/Location I WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location I BASEMENT WALLS: L ] I 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 continuous Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] ( 1. U-value: 0.35 Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 87.0 AFUE or higher Make and Model Number I AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: L ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. I ( .TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- ORTIy Town oAndover = TO No. ~ AKE To, ndover, Mass., COCMICMEWICK �A QDRATED P'P�,`�� 7SSAC HUSH IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .. .l... !....� .�./�!S► ... ... d N... ..................................................... has permission to excavate and pour foundation at .10 ..... 4kr...,Ivo for the purpose of....5-!N �!..... .N!��. ...... r►.�.��I�I .... ....3YOV.....P.&C d^ The person accepting this permit must return to the office of the BuildingIpector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXP RES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT FEE C LESS FDA FEE .......*low.40** .......................................... DUE FRAME PERMIT$ BUILDING INSPECI'OR ikORT#1 Town of Andover 0 K VIA No. 388 ��odover, Mass., '��✓� y COCHICHEWJCK ORATED P"? BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.A.,..'T......MAill 14-.30*4............... ......I........................... Foundation ..M 10 E ......84 AA has permission to erect.............I....................... buildings an Aoi.e).!�45.0..N ......................... Rough Chimney R .. VV ..4 to be occupied3 . ....P91 provided that the person accepting this permit shall*in"Ivery respect conform to the terms o*f e application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, ion and Construction of Buildings in the Town of North Andover. I VIP PLUMBING INSPECTOR M g Al2 89 XZ. PERMIT FEE Y718- VIOLATION of the Zoning or Building Regulations Voids this Permit. LESS FDA FEE '/ S'o 0 41PRough DUE FRAME PERMIT$ "kFinal PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTORUNLESS CONSTRUCTION ST TS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT Cie Ur.ew CD PERMIT NO.: PROJECT: 1 +�+: DATE: r7-3/'-0 6� REMARKS,: ` JV 2 - 36 O/ )-c = c 3 g O 31 = 431 "yes a $ a1 n p O'2Nc� 3 '-43 a 0 e % 33 ' `� 8 ��S r l� �ao as 41 o a 14 a s3 � a If 3a, a 0 Date: Date: © Date: Inspector Inspector Inspector DSO O Date: a 'CJ�" '15 Date: Date: Inspector Inspector Inspector 1 is / �v p=ro Date: Date: Date: Inspector Inspector.} Inspector Date: Date: Date: Inspector Inspector Inspector Certificate of Use and Occupancy Date: Date: Date: C of O a Inspector Inspector Inspector Form 0995 Action Press.6857000