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HomeMy WebLinkAboutMiscellaneous - 68 LONGWOOD AVENUE 4/30/2018 / 68 LONGWOOD AVENUE J 210/060.0-0051-0000.0 I HE CUMMUW W 'VAL JH UP' - C;HV3,K11 N Office Use only DFPAUME7VT0FPUB,0CS4FE7Y Permit No. .�S BOARDOFFIREPREVF1VT70 R C7UL47T0NS5rCW12.W Occupancy&Fees Checked APPLICA77ONFOR PERMIT T PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE W IH T MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 E PRINT IN INK K OR TYPE ALL INF ORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or TenantSdUr Owner's Address Is this permit in conjunction with a building permit: Yes® No1:1 (Check Appropriate Box) ��,�� i ? Purpose of Building a�',L ,(�/�� S �� lJ(kJG- cC3M Utility Authorization No. _ Existing Service fQ�� Amp . ZUl 22PVolts Overhead Underground M No.of Meters New Service -��'� Amps 26) 1Z Y&Nolts Overhead 0 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1'l2 f S ft'/Z- i _/�sil "v:j?� �ri )-S J4 / / r No.of Lighting Outlets / No.of Hot Tubs No.of Transformers Total (� KVA No.of Lighting Fixtures v Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets i% No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets '. No.of Gas Burners 2e VU S No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons # .of Disposals No.of Heat Total Total No.of Detection and Plumps Tons KW Initiating Devices a.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices of Dryers Heating Devices KW Local Municipal Other Connections of Water Heaters KW No.of No.of Signs Bailasis Hydro Massage Tubs No.of Motors Total HP R' C Wraga Pti u10thenxitmana>tsdWtasswht�Gamaliaws liab&ykmm=PbkyoduckgCaqpi* CDm rageoritssubsiantialegxyalat YES NO ' vafidprc&ofsametDdrOlim YES � Lrklk box, Ifywha%ectredadYES,pleaseirrdicalethetypeafoo�er�by LJ BOND r7 OTHER LTJ rem**) E0nakd Vahre dE1xttical Wodc$$ 61 U U v tTiePeralbesofpajury hq)ec6mD1eReWes1ed Rcugh FmW LicawNo. C �'LY sig=w LkffwNo 36 0 3> L / n Busia=Tel.Na Alt Tel Na -0 INSURANCEWAIVEP,IamawaredrLtheLictrwdoesnothawtheirm=McoWWorgsabstuMequ�asWnmdbyMassxbixMGe dI-aws cn this' liattionwanesthis ret�merrai< ec e) r f Agent r a a, fi Telephone N PERMPT FEE$ A61) rgna ure o caner or gen 5 �' G�JCC O � Location �Uit/C✓�y0©� !' vim" t No. Date NORTIy TOWN OF NORTH ANDOVER Certificate of Occupancy $ ;�S'•••'EZ�' Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ j Other Permit FeeStop $ jDy TOTAL �'�'aQav $ 0�J Check # �� 17947 Building Inspector Inspector Location ��✓ tel ���� -�✓ , Nor Date TOWN OF NORTH ANDOVER f 09 Certificate of Occupancy $ Building/Frame Permit Fee $ ANXVia �cMus Foundation Permit Fee $ Other Permit Fee $ 4 TOTAL $ Check 178 ! 5 Building Inspector J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING r BUELDING PERMIT NUMBER: DATE ISSUED. 33 9° SIGNATURE: Building CommissioneLAAEtoi of Buildings Date SECTION 1-SITE INFORMATION IO (��a+1.1 M' Property Address: 1.2 Assessors Map and Parcel Number: 4OWC - WOOD y o Map Number Parcel Number. 1.3 Zoning Information: g g 1.4 Property Dimensions: III Lo Zoning District Proposed Use Lot Area s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red Provide Required Provided Required Provided d 1.7 Water Supply M.G.L.C.40. 34) . 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT i`strict: Ye, No rn 2.1 Owner of Record 5,c-P P �(�v _ 1-0 w&-W00,& tw. I Name nnt) V Address for Service: IN, r ( 6 +d Ci► O Sig nature i Telephone 2.2 Owner of Record i Nadne Print i Address for Service: z M Si natureTele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: / Not Applicable ❑ Licensed Coustruction SPe rvisor. y O-8 0 C d® f fV I1 i �f �NG License Number Address °� Expiration Date � Signatur Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Com an Name / 'SLam/ �f , � Registration Number r' Address /)JIK- /�/ �• � a v` — 1 ��'�� ( Expiration Date Si . a 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 0 Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: X I STI A)G- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Buildingo (a) Building Permit Fee Multiplier 2 Electrical de (b) Estimated Total Cost of 15 �� ' Construction 3 Plumbing d,GEn), UCS Building Permit fee(a)X tb> 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 , Q Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 4 ---I 1/h.4:•• t— Sol V 0 as Owner/Authorized Agent of subject property Hereby authorize 0 Ae f �e�c-- � -- to act on My behalf,in all matters relative to work authorized by this building permit application. L 4 U L Signature of Owner Date SECTION 7b OWN]gR/AVTHORIZPD AGENT DECLARATION r 1 property as Owner/Authorized Agent of subject p ' r 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/Agent Date NO. OF STORIES SIZE S , BASEMENT OR SLAB u L SIZE OF FLOOR TIMBERS 1a X N11 3 RD SPAN DIMENSIONS OF SILLS a( DIMENSIONS OF POSTS )< DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION �7% 1,!' THICKNESS 7 SIZE OF FOOTING X MATERIAL OF CH VINEY V otiJC 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE uFg Town of North Andover &ORTH Office of the Zoning Board of Appeals o? • ' Community Development and Services Division * 27 Charles Street North Andover, Massachusetts 01845 ITS., USE` D. Robert Nicetta Telephone(978)688-9541 BuildingCommissioner Fax 978)688-9542 T is is to certify that twen+) have elapsed from date of deosr,; without filing of an appeal. Any appeal shall be filed Notice of Decision Dated // within(20)days after the Year.2004 own Chest Bradshaw date of filing of this notice in the office of the Town Clerk. Pro at: 68 Lon ood Avenue NAME: Gluseppina Savi HEARING(S): September 21,2004 ADDRESS: 68 Longwood Avenue PETITION: 2004-024 North Andover,MA 01845 TYPING DATE: September 24,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street,North Andover,MA on Tuesday, September 21,2004at 7:30 PM upon the application of Giuseppina Savi,68 Longwood Avenue, North Andover,MA requesting a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing,non- conforming structure by adding a one-story frout addition for a family and bedroom on a pre-existing,non-conforming lot. The said premise affected is property with frontage on the Southeast side of Longwood Avenue within the R-3 zoning district. The legal notice was published in the Eagle Tribune on September 6& 13,2004, The following members were present: John M. Pallone,Ellen P.McIntyre, Joseph D. LaGrasse,Richard J.Byers,and Albert P. Manzi,III. The following non-voting members were present: Thomas D. Ippolito,Richard M. Vaillancourt,and David R_ Webster. Upon a motion by Joseph D.LaGrasse and 2`a by John M. Pallone,the Board voted to GRANT a Special Permit from Section 9,Paragraph 9.2 in order to extend a pre-existing building,non-conforming structure with a one-story front addition for a bedroom,family room,and porch per Plan of Land in North Andover,MA.no.68 Longwood Avenue, Giuseppina Savi Special Permit, Date: July.6,2004,Revisions 7/29/04 by James W. Bougioukas,PLS#9529,Bradford Engineering Co., 3 Washington Sq.,Haverhill MA.01830,Addition to Forooha Residence,68 Longwood Ave. —North Andover,Date:09 August 2004,Sheets A-1 Floor Plan and A-2 Elevations,prepared by Stephen M.Born,Registered Architect#7670,and West Elevation [revised elevation plan received 9-21-04]with the following conditions: 1. The applicant shall maintain the existing setbacks. 2. The addition shall agree with Sheets A-1,A-2,and the revised,West Elevation. 3. The ground to roof peak elevation shall not exceed 241. Voting in favor: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J. Byers,and Albert P.Manzi,III. The Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the zoning bylaw and that such change,extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore,if the rights authorized by.the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after ' notice,and a new hearing. Town of North Andover Board of Appeals, i AT'IESa A Tr °3 Ellen P. McIntyre,Chair Town C.',,,.!; Decision 2004-024. M60CP51. ,r Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 r l j . ...frig.: Registry of .D;=c'Us � '381, Common Street t { D; ::�:�.f t s } i d North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector .f Board of Building Regul (ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 13531 Type: Indivic Expiration: 3/22/2 JOHN DIVECCHIA JOHN DIVECCHIA - -- 6 SCHOOL HILL LANE. - -N. READING, MA 01864 Update Address and return carp =_I Address Renewal !� ✓fie �arrvmoouoea� a�:./�aaaacfir�aelt —�-\_ Board of Building Regulations and Standards License or registration valid for individul use only _ HOME IMPROVEMENT.CONTRACTOR before the expiration date. If found return to: Registration: 135313 Board of Building Regulations and Standards Expiration: 3/22/2006 One Ashburton Place Rm 1301 Type: Individual Boston,Ma.02108 JOHN DIVECCHIA JOHN DIVECCHIA 6 SCHOOL HILL LANE. N.RAIDING,MA 01864 Administrator Not valid without signature 1' BOARD OF BUILDING REGULATIONS p j.. Llcense: CONSTRUCTION SUPERVISOR I. Number: CS 087143 Birthdate: 05/18/1954 -Expires. 05/18/2007 Tr.no: 87143 Restricted: 00 JOHN DIVECCHIA 6 SCHOOL HILL LANE NORTH READING, MA '01864 q - mIs oner AC©RD,, CERTIFICATE OF UWILITY INSURANCE °-] �� �, RODUCE R THIS COMFCATE IS I,SV"ASA MATTOU&WORMATION A 4 K Flowler Insurance Agency ONLYAND CONFERS NO RWM IPONTFECERMICATE 200 Park street HOLM IM C611ITMATEDOWNW AIYI010>aL 9W OR 'North Reading, MA 01864 ALTER T1ECOIVWAGEAFIORO®BYTHE POLICIES SMOW. Its AFFORIDIN0 COVERAGE MAIC 0 VSUR® Rill Ln. INSURERA Prefarred �U&I Ini� OD 6 St..Y1DOa.choo a lDt� Co. INSURE R R SafetyIia1 II a nee DD 6 North Reading I+A 1318$4 INSURERC:Travelers Insurance INSURER D. M12Preferred tusl InITira>I1N Co INSURER E :ONERAG6S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY 11COWRE ENT.TERM OR CONDITION OF ANY CONTRACT OR EITHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR D' PO CY" RVE R!@fCS EIEPAii)N TR, SIR T7YPE0FIN51JRMCE 9OLMYNUMSER LAIRS GENERAL LIABILITY EACH OCCURRENCE $ _ _500,_000._ X coMMERcauoENERALLaABurY CPP0110566728 3/14/04 3/14/05 s SOF 000 CLAMS MADE Fx_1 OCCUR MEDEXP(Anyonsperson) $ 5 000 PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 11000,000 GEN'LAGGREGATE LIMIT APPUES PER: PRODUCTS-COMP/OPAGG S 1,000,000 POLICY jEa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 ANY AUTO (Esaccident) $ 300,000 ALL OWNED AUTOS BOOLY INJURY $ 3 SCHEDULEDAUTOS 1803373 3/12/04 3/12/05 (P-Per ) HIRED AUTOS BDDlLXlNJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per a=dw4) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSNMBRELLALIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONMD TYA U EMFLOYM*LIABILITY 7PJUS7334A78404 3/22/04 3/22/05 ANYPROFRE.L.EACHACC�BNT $ 100IETOR/PARTNERJEXECUThE ,000 OFFICER/1.EMBEREXCLUDED? EL DISEASE-EA EMPLOYEE $ 100,000 tFyes,descd be oder SPECIAL PROVISION Sbebw E.L.DISEASE-POLICY LIMIT S 500,000 OTHER ESCRIPTION OF ORRATIO NS I LOCATIONS I VE N CLES/EXCLUSIONS ADDED BY END ORSW ENT/SPECIAL PROVISIONS Ensurance Verification ,ERTIRC ATE HOLDER CANCELLATION SNOULD MY OF THE MOVE DEBMIA®POLICAESSE CANCELLED BEFORE THE EIMATION Town of North Andover DATE THEREOF.THE IMI NG INSURER WILL ENDEAVOR TO MNL 10 DAYS W RRTEN Hail ding Department NOTIC ETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TDO OSO SHALL Attn: Michael McGuire IMPOSENO OBLIGATION OR LIABILITY OF ANY KND UPON THE RER.ITS AGENTS OR 27 Charles St. RNBsRE8a31TABWEB. North Andover, MA 01845 AUTHOR®R T CORD 25(2001108) 0 ACORD CORPORATION 1988 l The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations ~� Boston, Mass. 02111 ' Workers'Compensation Insurance Affidavit Name Please Print Name: LC'C / Location: City Phone # 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing rkers' compensation for my empi yees working on this job. Company name: _tom Address City /U (/l��p//UG= ✓� G��G �( Phone# [� �- � d��al-6 , Insurance Co. f 1Q /G�P IPL �h/�Ca r Policy# A t Comvanv name: Address Ci : Phone#. Insurance Co. U/r �' S Poli # /°TU y``t 7�y6 y 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 andfor one years'imprisonment_as_well_as_civil.penaltiesintheforin d a..STOP WORK_ORDER..and..a.fine of.(.$10D.00)-play,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 hereby certifyn er the sins an nalt' s of perjury tha he information provided above is true and correct. Signature -l/ Date 1� ^o _ r Print name 0 �� 0 r l/��c ��} Phone# . 7 Official use only do not write in this area to be completed by city or town official' City or Town Permit/1-icensing 0 Building Dept j []Check if immediate response is requiredEl Licensing Board p Selectman's Office Contact person: Phone#. C] Health Department { Other I I MAScheck COMPLIANCE REPORT I I Mass.aghusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-27-2004 DATE OF PLANS: 09/27/04 PROJECT INFORMATION: PETER JENKINS 68 LONGWOOD AVE. NORTH ANDOVER, MA. COMPLIANCE: PASSES Required UA = 163 Your Home = 154 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 639 30.0 0.0 23 WALLS: Wood Frame, 16" O.C. 822 13.0 0.0 68 GLAZING: Windows or Doors 123 0.240 30 DOORS 20 0.280 6 FLOORS: Over Unconditioned Space 604 19.0 0.0 29 FLOORS: Over Outside Air 14 30.0 0.0 0 ------------------------------------------------------------------------------- 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. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE:t9-27-2004 Bldg. l Dept. l Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: ( ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.24 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.28 I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location ( ] I 2. Over Outside Air, R-30 I Comments/Location I I AIR LEAKAGE: [ l I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When 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 I 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 shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. II I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] 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 I provided. Insulation R-values and glazing U-values must be clearly I I marked on the building plans or specifications. . � I I DUCT INSULATION: Ducts shall be insulated pdr Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. i I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1 310 and J4.4. I I ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I 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: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ) I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I 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 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 i I ----NOTES TO FIELD (Building Department Use Only)------------------------- BC CALL®2003 DESIGN REPORT - US Monday,September 27,2004 14:57 Double'13/4" x 11 1/4" VERSA--LAM®2800 DF File Name: BC CALC Project:RB01 Job Name: PETER JENKINS Description: HEADER IN ROOF AT FRONT WINDOWS Address: 68 LONGWOOD AVE. Specifier: City,State,Zip:NO.ANDOVER,MA. Designer: Customer: Company: Code reports: ICBO 5663,NER 442 Misc: 0 /12 1 Standard Load-25 psf 11.5 psf Tributary 08-06-001 AIL BO 1488 lbs LL 61 963 lbs DL 963 lbs LL 963 lbs DL Total Horizontal Length-14-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 14-00-00 Live 25 psf 08-06-00 115% Member Type: Roof Beam Dead 15 psf 08-06-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 8578 ft-lbs 43.0% 115% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-lbs n/a 100% Tributary: 08-06-00 End Shear 2123 lbs 24.7% 115% 2 1 -Left Total Load Defl. U461 (0.364") 39.0% 2 1 Live Load Defl. U760(0.221") 31.6% 2 1 Live Load: 25 psi Max Defl. • 0.364" 36.4% 2 1 Dead Load: 15 psf Notes Partition Load: 0 psf Design meets Code minimum(0180)Total load deflection criteria. Duration: 115 Design meets Code minimum(0240)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearinglength for BO is 1-1/2". Th completeness and accuracy of g Minimum bearing length for 61 is 1-1/2". the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a particular application. The output above is based upon building Connection Diagram Consult project design professional of record or BOISE technical representative for connection design code-accepted design properties and analysis methods. Installation Bolts are assumed to be Grade 5 or higher. of BOISE engineered wood Member has no side loads. products must be in accordance with the current Installation Guide Connectors are: 1/2 in.Staggered Through Bolt and the applicable building codes. a=2" To obtain an Installation Guide or if b=2-1/2" b d— � you have any questions,please call c=3-5/8" (800)232-0788 before beginning d=24„ a product installation. BC CALCO, BC FRAMER®,BCI®, BC RIM BOARDTm,BC OSB RIM BOARD rm,BOISE GLULAMTM', C VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND'*' VERSA-STUDS, ALLJOIST®and AJSrM are trademarks of Boise Cascade Corporation. Page 1 of 1 Wednesda ,October 06,2004 08:26 BC CALC® 2003 DESIGN REPORT - US y I Double 1 3/4" x 9 1/4" VERSA-LAM® 2800 DF File Name: BC CALL Project:R601 Job Name: PETER JENKINS Description: CEILING BEAM OVER LIVING ROOM Address: Specifier: N NORTH ANDOVER,City,State,Zip: O DOVE ,MA. Designer: Customer: Company: Code reports: ICBO 5663,NER 442 Misc: �0 12 (Standard Load-25 psf 115 psf Tributary 08-00-* BO B1 1400 lbs LL 1400 lbs LL i 898 lbs DL 898 lbs DL Total Horizontal Length-14-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 14-00-00 Live 25 psf 08-00-00 115% Member Type: Roof Beam Dead 15 psf 08-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 8044 ft-lbs 58.3% 115% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-lbs n/a 100% Tributary: 08-00-00 End Shear 2045 lbs 28.9% 115% 2 1 -Left Total Load Defl. U273(0.615") 65.9% 2 1 Live Load Defl. U449(0.374") 53.5% 2 1 Max Defl. 0.615" 61.5% 2 1 Live Load: 25 psf Dead Load: 15 psf Notes Partition Load: 0 psf Duration: 115 Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Disclosure Design meets arbitrary(1 )Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a particular application. The output Connection Diagram above is based upon building Consult project design professional of record or BOISE technical representative for connection design code-accepted design properties Bolts are assumed to be Grade 5 or higher. and analysis methods. Installation Member has no side loads. of BOISE engineered wood products must be in accordance Connectors are: 1/2 in.Staggered Through Bolt with the current Installation Guide and the applicable building codes. a=2" To obtain an Installation Guide or if b=2-1/2" b d you have any questions,please call c=2-5/8" —1— (800)232-0788 before beginning d=24„ a G �, product installation. BC CALC®,BC FRAMER®,BCI®, BC RIM BOARDTM,BC OSB RIM i 'I BOARDTM, BOISE GLULAMTM, C i VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM VERSA-STUD®,ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. Page 1 of 1 BC CALC®2003 DESIGN REPORT - US Wednesday,October 06,2004 07:09 Triple 1'3/4" x 11 7/8" VERSA-LAM®2800 DF File Name: BC CALC Project:FB01 Job Name: PETER JENKINS Description:CENTER BEAM Address: Specifier: City,State,Zip:NORTH ANDOVER,MA. Designer: Customer: Company: Code reports: ICBO 5663,NER 442 Misc: Standard Load-40 psf 10 psf Tributary 08-00.00 Ak BO 61 2880 lbs LL 864 lbs DL 2880 lbs LL 864 lbs DL Total Horizontal Length-18-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area. Left 00-00-00 18-00-00 Live 40 psf 08-00-00 100% Member Type: Floor Beam Dead 10 psf 08-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 16849 ft-lbs 58.5% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-lbs n/a 100% Tributary: 08-00-00 End Shear 3332 lbs 28.1% 100% 2 1 -Left Total Load Defl. U322(0.671") 74.5% 2 1 Live Load Defl. U419(0.516") 86.0% 2 1 Live Load: 40 psf Max Defl. 0.671" 67.1% 2 1 Dead Load: 10 psf Notes Partition Load: 0 psf Design meets Code minimum(U240)Total load deflection criteria. Duration: 100 Design meets Code minimum(U360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for 61 is 1-1/2". the input must be verified by anyone Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing who would rely on the output as evidence of suitability for a Connection Diagram particular application. The output Consult project design professional of record or BOISE technical representative for connection design above is based upon building code-accepted design properties Bolts are assumed to be Grade 5 or higher. and analysis methods. Installation Member has no side loads. of BOISE engineered wood Connectors are: 1/2 in.Staggered Through Bolt products must be in accordance with the current Installation Guide r and the applicable building codes. b=2.1/2„ b4 d-- L To obtain an Installation Guide or if 1— c=4" you have any questions,please call d=24" a (800)232-0788 before beginning Ti product installation. BC CALC®, BC FRAMER®,BCI®, BC RIM BOARD rm,BC OSB RIM C BOARD'rm, BOISE GLULAMT'", VERSA-LAMS,VERSA-RIM®, VERSA-RIM PLUS®, VI/ VERSA-STRANDTM' VERSA-STUDS,ALLJOIST®ander. AJS'rm are tradenfarks of Boise Cascade Corporation. Page 1 of 1 R Tly own o �o- Andover o 4-10 .0 M . 10 ® 106690 �, Io dover, Mass., / • /.Z -�d d y T O LAKE T COC MICME WICK V ORATED PY 0:1 �CO �SSAC HUS�� FOR EXCAVATION ANDN U DATI N THIS CERTIFIES THAT ....a.i.P..&.....O.. .....!.AO.A............ ;3 A..vI. ......................................... ...... has permission to excavate and pour foundation at for the purpose of.....4.....X..a t...... :.. I Iy.... I' . ..adt..4/...1F.00.rme...4M�; AAA The person accepting this permit must return to the office of theBuilding I Spector a certified plot plan show of building thereon before Foundation will be inspected. e C f C l 2 6 A Dec. {j adpy • 0gj4 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES 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. .t... ................. SEE REVERSE SIDE BUILDING INSPECTOR %AORTFt Town of Andover . No. abPy 0 dover, Mass., 0 tL- LAKE COCHICHEW CK OOATED P'f U BOARD OF HEALTH Food/Kitchen PERM IT T D Septic System ...6140 SA W ; BUILDING INSPECTOR THISCERTIFIES THAT ..41! ... ........ .............................................................................................................. Foundation .I L I's rp has permission to erect............... A.............0... buildings on... ....LOO.&W. .*4......Aq.*........... Rough I to be occupied as .......0.P.....V V.0.*A.... �*")...4.0^...4-161 ............ Chimney ........ . ........ ... ... .. ... ... ..... ....... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. & OC / 5-1 Z 114A A 0004 '. 0a 4 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 5.VP-f aq ..a 06 4( Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU C-4'IT11 N TI.............S ELECTRICAL INSPECTOR Rough Service .... ... ..... ............ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIRE Smoke Det. �10RT1� Zoning Bylaw Review Form A Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: Ir— Map/Lot: Applicant: G PAi✓u q 5,4 0! - eD Fo r`v oh 4 v Request: i f — F,-,v A ad, iz&� Date: 0 y Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning IQ a 3cl0 - faS i�4/3o moo — 30 ' F s l� Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting L r- 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage e 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required a `�, 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient Pdel, ons 2 Complies 3 Left Side Insufficient 3 Preexisting Height Lj e 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient i Building Coverage 6 Preexisting stin � g setba ck(s) �5� I`ear` 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies om lies D Watershed 3 Co verage Preexisting Lt -e 1 Not in Watershed �e � 5 4 Insufficient icient Information 2 In Watershed d Sign N a 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information F Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district i t e S 2 Parking Complies Li e 3 1 Insufficient Information 3 Insufficient Information 4 P-re-exi ig Parkin Remed for the above is checked below. Item # I S ecial Permits Planning-Board Item # Variance Site Plan Review Special Permit C-a Setback Variance Access other than Frontage Special Permit _P7arking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sion Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderl usin Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo S ecial Permit Earth Removal Special Permit ZBA Planned Develo ment District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit 3-a( Special permit for preexisting Watershed Special Permit nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled`Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new permit application form and begin the permitting process, , �e�,,f�' L•e�. 7-is-o y '7�is-o � Building Department Official SignatV0 Application Received Application Denied 4 y Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: ',I�i ) ,. v 1 "`A £ h4 a tN R x' 4 sem, '�°M.tu F,F,`�• ; .�tP•'t' \,tt"a t+ y ii s� a a ,` �a� 7 l�t�d n� �rNe cYr641, / !�N C()ti /�" /�rvYtiti �^vc�(r rt kne ens rl� -'ham ;Boa/\d ® )C A PPFA`/S �u 11 o5Y C/1rivf A0/d C ' C 9V. a t I PV �I �;v ! G�- - � i i I I � I Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other Building Department i Town of North Andover Office of the Zoning Board of Appealso ���.'�'y°�� Community Development and Services Division • 27 Charles Street • „s �-�' North Andover,Massachusetts 01845 C„use� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2004 date of filing of this notice in the office of the Town Clerk. Pro at: 68 Longwood Avenue NAME: Giuseppina Savi HEARING(S): September 21,2004 ADDRESS: 68 Longwood Avenue PETITION: 2004-024 North Andover,MA 01845 TYPING DATE: September 24,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street,North Andover,MA on Tuesday,September 21,2004at 7:30 PM upon the application of Giuseppina Savi,68 Longwood Avenue, North Andover,MA requesting a Special Permit from Section 9,Paragraph 9.2 in order to extend a pre-existing,non- conforming structure by adding li one-story front addition for a family and bedroom on a pre-existing,non-conforming lot. The said premise affected is property with frontage on the Southeast side.of Longwood Avenue within the R-3 zoning district. The legal notice was published in the Eagle Tribune on September 6&13,2004. The following members were present: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P. Manzi,III. The following non-voting members were present: Thomas D.Ippolito,Richard M. Vaillancourt,and David R Webster. Upon a motion by Joseph D.LaGrasse and 2'a by John M.Pallone,the Board voted to GRANT a Special Permit from Section 9,Paragraph 9.2 in order to extend a pre-existing building,non-conforming structure with a one-story front addition for a bedroom,family room,and porch per Plan of Land in North Andover,MA.no.68 Longwood Avenue,Giuseppina Savi Special Permit, Date:July 6,2004,Revisions 7/29/04 by James W.Bougioukas,PLS#9529,Bradford Engineering Co.,3 Washington Sq.,Haverhill MA.01830,Addition to Forooha Residence,68 Longwood Ave.—North Andover,Date:09 August 2004,Sheets A-1 Floor Plan and A-2 Elevations,prepared by Stephen Ni Born,Registered Architect#7670,and West Elevation[revised elevation plan received 9-21-041 with the following conditions: 1. The applicant shall maintain the existing setbacks. 2. The addition shall agree with Sheets A-1,A- 2,and the revised West Elevation. 3. The ground to roof peak elevation shall not exceed 241. Voting in favor: John M.Pallone Ellen P.McIntyre,Jo seph D.LaGrasse,Richard J.Byers,and Albert P.Manzi,III. The Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the zoning bylaw and that such change,extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two 2 )Year period from m the date on which the Special l� Permit was granted unless substantial use or construction has commenced,it shall lapse and may reestablished only after notice,and a new hearing. Town of North Andover Board of Appeals, r 1' Ellen P.McIntyre,Chair Decision 2004-024. M60CP51. ; w Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-088-9530 Health 978-688-9540 Planning 978-688-9535 i �10HY'{j Zoning Bylaw Review Form Town Of North Andover Building Department " 9 -- ��" 27 Charles St. North Andover, MA. 01845 yOqno,x'`19 S"` Phone 978-688-9545 Fax 978-688-9542 Street: 69 koN a we, oD 4v Map/Lot: eD o C-/ .5 i Applicant: G>j U SW N a S a L9I Request: X 3 d' -a-/- -Pv\o X9 +, o ►y Date: 02 p Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning 3 Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting Ll'e -5 2 Frontage Complies 3 1 Lot Area Complies 3 Preexisting frontage 5 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed s G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 1 Use Preexisting 2 Complies 4 Special Permit Required It r 5 3 Preexisting CBA 4 Le S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 I Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height L S 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient i Building Coverage 6 Preexisting setback(s) `A S 1 Coverage exceeds maximum 7 Insufficient Information F-oKt- 2 Coverage Complies D Watershed 3 Coverage Preexisting Ut %---S 1 Not in Watershed -( - 5 4 Insufficient Information 2 In Watershed d Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking Ju 1 In District review required 1 More Parking Required 2 Not in district LA -C S 2 1 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 1 Pre-existing Parking Remedy for the above is checked below. Item # 'Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback.Variance Access other than Frontage Special Permit Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit 3— Special permit for preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new permit application form and begin the permitting process. � ��✓��L � I a 7/2-/o f Building Department Official Signafyre A 'ratio Received PP PP A ica ion Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: z - k4.rsA ,w� {•.. _.."^u�.�fa{ �w.,! _��.7� fes, N ,.e ;(�`" 4/2I'1'e Q� �Cd�,�rirv�rlti S /te e v a r o L/ t, Lj `74 Le Referred To: Fire Health Police Zoning Board ConservationPlanni De artment of Public Works Other Historical Commission Other Building Department Town of North Andover Project: Building Department NORTH 27 CHARLES ST ? 's�,� �° c �. ( !o'X33 1= o.l 1 o� 978-688-9545 �,SSACH►15�`S� APPLICANT: C, , sY p pcti A- S A v t RE: (e !^mti� w 000Q Avti DATE: t i co c( Title of Plans and Documents: Please be advised that after review of your Application and Plans that your Application is DENIED for the following reasons: Plan RevieW The plans and documentation submitted have the following inadequacies: 1.Information is not provided,2.Requires additional information, 3.Information requires more clarification 4. Information is incorrect. 5.All of the above. # I # 1 Foundation Plan 12 Plumbing Plans 2 Subsurface investigation 13 Certified Plot Plan with proposed structure IL 3 Construction Plans 14 116 Affidavit 4 Mechanical Plans and or details 15 Plans Stamped by proper discipline 5 Electrical Plans and or details 16 Framing Plan 6 1 Fire Sprinkler and Alarm Plan 17 Roofing Plan 7 Footing Plan 18 Plans to scale 8 Utilities 19 Site Plan 9 Water Supply 20 Sewage Disposal 10 Waste Dis osal a Fd f-- 21 Driveway Entry App. DPW 11 ADA and or ABBA requirements 22 Other: Administration The documentation submitted has the following inadequacies: 1.Information is not provided.2.Requires additional information. 3.Information requires more clarification.4. Information is incorrect.5.All of the above. # # 1 Water Fee 5 State Builders License 2 Sewer Fee 6 Workman's Compensation 3 Building Permit Fee 7 Homeowners Improvement Registration 4 Building Permit Application 8 1 Homeowners Exemption Form 9 Other: The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application form and begin the permitting process. Bui ding Department Official Signature Application Received '7///0 Y Application Denied If faxed:# Date Sent Referral recommended: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission cc: Heidi Griffin Revised 9W Im Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the permit for the property indicated on the reverse side: PIA Cq V 5 D r 2 w, f PIA 0 VA /—CO TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioneffl for of Buildings Date Z SECTION 1-SITE INFORMATION� 0 1�Pr��Address: 1.2 Assessors Map and Parcel Number: (Tt400 n �e f v /�r{/,9 ,^may �Q Map Number Parcel Number 1.3 Zoning Information: V 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Tsb Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40.11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ �J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT i rn 2.1 O ner of ecord 911 _ 3660 Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address Expiration Date ^� Signature Telephone V SECTION 4-WORKERS COMPENSATION(MG.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 a0 applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �con`�` SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Coqipleted by permit applicant 1. Building 4 0 (a) Building Permit Fee L/ o Multiplier 2 Electrical (b) Estimated Total Cost of Construction W 3 PlumbingBuilding Permit fee(a) s (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNEJLS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r " �Hereb as Owner/Authorized Agent of subject property y at orize to act on My behalf, i all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS 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 lee C , r7 / O 13 7 . //,4Ulz CY^ �lof P/ate r7o^' �- WoKNOr,cJ A e b o 3©/z a�,/3 O —2s—CD o � 'r ra WOOF,) IN r� o�p�EAIp 3a LO IDIZ50 4± 1 �3 i.Zo,06' �r To THE ( Winchester Savings Bank AND ITTS TTLE waURER& MORTGAGE INSPECTION PLAM I cEF1l RTITHAT THE BUILDINGS SHOW DO ( cq�F�e To SETBACK ReQU1P�ENTS LOCATED IN I.E. (FRONT. SIDE. 4 REAR SETBACK )ONLY) OF No r t 1 I And o v e r N 0 R T H A N D 0 V R RUO7EDR .OR ARE no �i Tum VIOLATION SENT ACTION yNDER MASS. O.L �ASSACNUSElTS �Hme Z outside I FURTHER CERTIFY THAT THIS PROPERTY IS Not LOCATED IN THE ESTABLISHED ILOOD HAZARD AREA.OOMMUNITY PANEL NO.: 250098 Ooo6C7 DATE: 6-2-93 DEED THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED BOOK 1191 DATE OF THE LATEST DEED OF RECORD. PAGE - WHENEVER BULLRINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED CERT N THAT A MORE PRECISE SURVEY BE MADE In VERIFY THESE MEA9�IRQ�IETHTS O• CERTIFICATION IS BASED ON THE LOCATION OF SURVEY M QF 0]FIE$Ei NOT PLAN PAGE REPREBk?1T A PROPERTY 6URVE1f. VE]IIFICJITON OF SIXtVEY MARK S UStT)•ATjD"L�E1C, SNOWN, MAY E ATOOC PUSHED ONLY BY AN ACCURATE, INSTRUMENT SURVEY:- �r �'.. PLAN / 4666 DATED THIS CERTIFICATION TO BE USED FOR MORTGAGE PURPOSES ONLY.. Ni. .R . July 1 1998 OFFSETS AS SHOWN ARE NOT TO 'tE ( �� g ��_ 20 USED FOR THE ESTABLISHMENT OF PROPENTY,01ft �, �r BRADFORD ,w . .,. • .�... ENGINEERING CO. 4 %PORCH ' COATS ine BATH BEDROOM LMNGROOM � I I I cLoser ?\ ------- --- i I DINING ROOM II I I I STAIRS - KRCHEN I o --- MASTER BEDROOM L L J I �� I z 39-1 V IYA Ur 21'4r --- --- --- - - t I � � I ' c COATS MASTER I LIVINGROCH BEDROOM E! \lOYER T-6" 4'Z L L 3Z 19'-5' .. MA 0 GARAGE I BA ASTER I T§ DININGROM CLOSET I F, HALL 3W 11.9" BREAKFAST ROOM BATH 112 I 1 II CHIARA -STAIPS KITCHEN 'S BEDROOM CLOSET ---------- ffi r? k==!t 39-11' Date.fR- 3.-us< G�.HORTM,4, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING . � • o� a 100- S US This certifies that . . . . .--'S.' -1. . . . . . . . . . . . . . . . . . . has permission to perform . . . ems, . . . . . . . . . . . . . . . . . plumbing >n t e buildings of . . . .�. �' �'. . . . . . . . . . . . . . . . . . . . . at . 44 . . . . ..-- . . ... . . . . . . . Nortfi A,dover, Mass. PLUMBING INSPE sT,R Check # fn -��� 6271 MASSACHUSETTS UNIF RM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS l (( Date Building Location 6 '&- 1,®t\ Wo�d wners Name Leo Sc,,V iP Permit#----k 7 Amount 4 T e of Occu anc 5 f h G vr.d f New Renovation Replacement E3 Plans Submitted Yes 0 No ❑ FIXTURES CC w z 0 w AR1E > EVE*X MR" MHJOCIR 4MHfM 5M Mm 6M HJOou m gfm 9M MOM (Print or type) _ Check one: Certificate Installing Company Name w. '�'C�c t✓l �`F �._o� ® Corp. Address Partner. Business Telephone 7 g p Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicatehte of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond F Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance j, Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumb g Code and Chapter 142 of the General Laws. BY 1gnS—afure o i ense um er Type of Plumbing License Title 10--7 9 —7City/Town Ls n e 1me� Master Journeyman APPROVED(OFFICE USE ONLY � � w -- Date. ,iORTIy pf „ao ,°,ti0 TOWN OF NORTH ANDOVER p 7D PERMIT FOR GAS INSTALLATION h �9SSACMUSESA This certifies that :Z:-:�, . . .,. —�'/.-�-►.. ..-:!. . . . . . . . . . . . . . . hai s permission for gas installation--,-....' ` in the)building of �. . . . . . . . . . . . . . . . . . . . . . . . . . . . at . 6'.6 �-Y �.z��. .!�!� ., Northndover, Mass. Fee��j:'�fLict!No f�'. 9�, . � :. : . . �I��"'GASANSPEC'ro Check# �'c�s ((����JJJJ 4968 MASSACHUSETTS UN1F ORM APPUCATO FOR PERNIlT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations © �� ���^ A Permit# ` Amount$ Owner's Name New Renovation ® Replacement Plans Submitted a U F» x a N z o H W o w a o ] o z W W 04 z U W w W C4 c4 to.' A E x W W U v� _ z WW� > e a z a o o z z o w �. x O F' w D �v A C7 .a U x � A w E• O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . F L O O R 3RD . FLOOR 4TH . FL.00R 5 T H . F L O O R 6TH . FLOOR t 7TH . FLOOR STH . FLOOR (Print or type) Check one: Certificate Inst III Company Name t (of N 11/ ®'"Corp. ',-l_3 6? Address P I C) ` B o X ( ❑ Partner- Business artner_ Tc cv Lcs h vt'� r1'�.14 n t�S"-7 Bus ness Telephone 6j _ 6.y p_ © R-1 aL ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter wck.jtl C_ 111SURANCE COVERAGE Check one: II have a current liability Insurance policy or it's substantial equivalent. Yes D No 0 I you have checkedeyes,please indicate the type coverage by checking the appropriate box. liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter Title ?❑ Plumber 0 9? r Tit City/Town ® Gas Fitter License Number easter APPROVED(OFFICE USE ONLY) ❑ Journeyman Town of North AndoverID f N°RTM Office of the Zoning Board of Appeals h � !1 Community Development and Services Division • 27 Charles Street •;+o+;�o „��• North Andover,Massachusetts 01845 C,ws� Telephone 97 - e 8 688 9541 I D. Robert Nlcetta P ( ) Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2004 date of filing of this notice in the office of the Town Clerk. Pro at: 68 Longwood Avenue NAME: Giuseppina Savi HEARING(S): September 21,2004 ADDRESS: 68 Longwood Avenue, ,. PETITION: 2004-024 North Andover,MA 01845 TYPING DATE: September 24,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street,North Andover,MA on Tuesday,September 21,2004at 7:30 PM upon the application of Giuseppina Savi,68 Longwood Avenue, North Andover,MA requesting a Special Permit from Section 9,Paragraph 9.2 in order to extend a pre-existing,non- conforming structure by adding a one-story front addition for a family and bedroom on a pre-existing,non-conforming lot. The said premise affected is property with frontage on the Southeast side.of Longwood Avenue within the R-3 zoning district. The legal notice was published in the Eagle Tribune on September 6& 13,2004. The following members were present: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P. Manzi,III. The following non-voting members were present: Thomas D.Ippolito,Richard M. Vaillancourt,and David R Webster. Upon a motion by Joseph D.LaGrasse and 2"d by John M.Pallone,the Board voted to GRANT a Special Permit from Section 9,Paragraph 9.2 in order to extend a pre-existing building,non-conforming structure with a one-story front addition for a bedroom,family room,and porch per Plan of Land in North Andover,MA.no.68 Longwood Avenue,Giuseppina Savi Special Permit, Date:July 6,2004,Revisions 7/29/04 by James W.Bougioukas,PLS#9529,Bradford Engineering Co.,3 Washington Sq.,Haverhill MA.01830,Addition to Forooha Residence,68 Longwood Ave.—North Andover,Date:09 August 2004,Sheets A-1 Floor Plan and A-2 Elevations,prepared by Stephen M.Born,Registered Architect#7670,and West Elevation[revised elevation plan received 9-21-041 with the following conditions: 1. The applicant g licant shall maintain the existing setbacks. 2. The addition shall agree with Sheets A-1,A-2,and the revised West Elevation. 3. The ground to roof peak elevation shalt not exceed 241. Voting in favor: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P.Manzi,III. The Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the zoning bylaw and that such change,extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover `- Board of Appeals, 1 r` Ellen P.McIntyre,Chair Decision 2004-024. M60CP51. w Board of Appeals 978.688-9541 Building 978-688-9545 Conservation 978)88-9530 Health 978-688-9540 Planning 978-688-9535 Location- No. ocation No. / F7? Date NORTH TOWN OF NORTH ANDOVER . 9 Certificate of Occupancy $ �_'� i> 0 tJ Building/Frame Permit Fee $ �� u MSS 'Foundation Permit Fee $ � 4 . ,O�tNr Permit Fee $ 'ew&Cjol:i.nection Fee $ Watif p4Ton Fee $ TOTAL 10 41,11, XIAX Building Inspector Div. Public Works PrNtliIT NO. G}. y APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. VIPAGE 1 MAP ri14 ,/�C _ LO 12 RECORD OF OWNERSHIP DATE BOOK PAGE — ZONE cvv I SUB DIV O O. F LOCATION / Q2 ©/� G✓` /� PURPOSE OF BUILDING OWNER'S NAME(!yv (� NO. OF STORIES c' �P.ticl / .!,. c..� —►" _I-��I fP 1�/Oo�� OWNER'S ADDRESSGc/®d /y �! .�/o�»!� BASEMENT OR SLAB V r c)/-/c ((�1 lµ / ARCHITECT'S NAME //0 %f'+'�u SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �.� SPAN DISTANCE TO NEAREST BUILDINGA DIMENSIONS OF SILLSIV - --_ DISTANCE FROM STREET '41-f " POSTS DISTANCE FROM LOT LINES-SIDES N7 REAR " GIRDERS AREA OF LOT IV4 FRONTAGE HEIGHT OF FOUNDATION THICKNESS v IS BUILDING NEW / o `7 SIZE OF FOOTING X IS BUILDING ADDITION ,V J MATERIAL OF CHIMNEY IS BUILDING ALTERATION •,le` IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /e IS BUILDING CONNECTED TO TOWN WATER ` BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION #NO COST SEE BOTH SIDES EST. BLDG. COST 114110 /' //0 PAGE 1 FILL OUT-SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 a SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED �j J�/ BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT TTAAV Ve/Ioz r'- F E E 06) Oyu 41 ,/J�' MANNING BOARD PERMIT GRANTEQ% OWNER TEL.# i9 � CONTR. TEL.# 7C Z CONTR.LIC.# BOARD OF SELECTMEN el 'e zz/�& INSPECTOR BUILDING)RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOT AN.D,DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 \ CONCRETE BL K. PINE BRICK OR STONE HARDw-D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ '/, 1/1 1/ FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COM&ACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I=1 a BRICK ON FRAME CONC. OR CINDER BLK. Y STONE ON MASONRY WIRING STONE ON FRAME r SUPERIOR 1--1 222R _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK t' SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING \ WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR ti , WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS- GAS OIL B'M'T 2nd _ ELECTRIC tsL 13,d I NO HEATING t i` f t 2 Stevens St. north shore Andover, MA 01810 Improvement 617-470-291S c a r p o r a t 1 o n General Contractors Resident/$!and Comntareiat i/we,the Owner(s)of the premises mentioned below,hereby oontrectwith and authorize you as contractor,to furnish all necess. Ary materials, labor and workmanship, to Instsil, Construct and place the improvem0nts according to the following specifications, terms and condition?, o prem'ses below described,Workmen's compensation and public liability insurance re cam d n all-work. Owner's Name ,t'.. ....... �.'~.. '' ff� �/�� �;r , � / Tel. JobAddreas...�,..4,�!,��):`i:441.►.!....��1:�:................City Y ,... .,... SPECIFICATIONS DESCRIPTION PRICE A7c --- -- _�. DEPOSIT ...� TOTAL P'or the aboygt ullJ alir od agrees to pay the aum of o , ?4; .a? pgl(arsSs. } ! UU 99 as follows: $... $ /. .�f .. when work 6Q�6 completed S .�.�,j 'A hen Qlr?... Cash upon dAfiverV f stook �nhen work Is complete. Contractlockouts,fires, accidents,ccidennot ts,la kie for delay,of material or damage nother cause inability eyond the control of theto carry on the work of tnstallation caused ContraC or either before resulting aftergthfrom deliveryof the material and equipment at Bald promises. The Contractor is to be permitted to proceed with the installation of the above specifications without interruption and is hereby authorized to do such work as in his opinion is necessary to complete this installation,but will not guarantee any repairs on gutters. This agreement shall become binding only upon the Contractor's written acceptance hereof or upon the Contractor's commencing You may Cancel this agreement if it has been consummated bya partythereto eta place other than an address of the sel- ler which may be his main office or branch thereof,by a written notice directed to the seller at his main or branch office by ordinary mail posted by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. The Contractor will do all of said work in a good workman-like manner according to manufacturer's guarantee, This contract shall be void and of no effect if credit approval of owner (s) is refused. Owner agrees that in event of cancellation of this contract before work is started,Owner shall pay to Contractor on demand twenty- five(26%4 per cent of the contract price as its stipulated damages forthe breech,end all reasonable costs,attorneys fees and expenses and any other damages that shall be incurred in enforcing the terms and conditions of this contract end/or any lien in connection therewith. There are no other agreements, understandings, representations or warranties,verbal or otherwise, expressed or implied,which are not contained herein. All extra work end material to too paid lmmodlotely. This Contract is subject to Approval of the General Manager. IN WITN}�]ESSjSf WHEREOF, the partiyes have hereunto placed their hands and seat this day of orttref•tors mprovarttnt Signed ..... ......................... JJ11c c r pdjtl6 n VWt'G .......... Signed ���.r:���.4�. ,� �,5. Authorized Signature -tiK +VNfrH' � :'� ............... i General Manager......... .................. Signed....................... .......................... .... - 19�i;-i—t:i 1 1 : ti i PAGE _ r 1 -----------1___1--------------- north shore Andover, MA 01810 improvement (508)470-2918 ME c o r p o r a t i o n General Contractors Residential and Commercial January 126, Proposal for Mr . & Mrs . Augeri- 68 Lcl-,­,woon" Av(,�. L_ North A,,nclove,,,. MA 01.645 Nor. th Sho r e n, r)r o v E7?ITT c,1-,-1: C o r p o r a. i o n r e IT)c,d e, a. f o j 1 o°. s 1 . LIVING ROOK A. Rip c)ut G-X iSt in:,' C2i 1 ink' 1-e I-,]'D V e e ID il i S B r a.III e a u I ted cei i i n 1c, supp 1 y & ins'a. 1 1 i ljSk_j j E,4- ion and proper v e n t dc:c-.n r d i n g to c od c-, C. Electrical, w i r e f:c;r s''.a IL 1 Jf o u.r :4 ) r c-c:e s s f--2 d n v a I, I t e d c e i I i n on -nt to .3 u P- Y f i x e instal 1 one r e c e s s e d, I Ji ght. in hza. 1 1 way n plat _ o f existing f i x tu r e aclient. 41- o supp ! :r f i ),t u r e b e e x i s t i n" swatch D Blueboard & skiriccat Plaster new Cei I i n e -11 445 casement' I ow Supply instal I AnderG sen C window. r . i]. 0 i 1/1'] 4' G 13) 6rt it .ad t. r a.c.k,o t z. incl udes a d s P_,:i2 board. 1... and screens sUpply & instal I Iniew trirn T1 . B E D-RO 0 M S A Remove wal 1 between 2 back roorris on the lef-l' . close up one doorway Zk. -natch bath Si'-Ies W i 1,c? f o re. l i n g f a-, in c,e l 11'? with switch. I c lent tc-, z ul p p I y x't u r e U. F r a iTj e n e w c. o s e t. a. I c,T,g e 1-1 t i I.e vj Ek 1 1 0. '1=oSlt.e nc _IdeS C. ;1 os in- up one ( I window L4.. pzltch exterior ( no painting or staining included) '71 board skimcoat plaster new closet. J. s nsta11 6, )(6, 611 Mirrorl_wd bi—P cl doors on close". Close up existing master bedroom closet and open int(D existing closet in adjoining bedroom. x 6' 6" 6 panel 1 . suppl-, & instal 'I G doors cin nrw closet F. 'S s t a 1 f o-I r 4 A n d e e n #C N 23` Cas e m e n t w i .11 W S . 4 2, i n,c I u die'S screens pG.;;e 2 G Supply & install 1 1 one ( 1 i Andersen #C. n•�t_ s (' t t Ant_ �`�._> ��a.�F_'RIC:':`C. window in Spa:'e bedroom. it"iclu.des Screens N. Supply C& inSta1 1 new, trim for closet doors ne-vl windows. 1 . no painting or staining incl uided INTEERIOR DOORS A. Supply & ins'taII three CL) 6 panel pine doors . 1 . 2, 6,,x676„ wide units �. includes two (2) privacv lockset.s 8< one ( 1 ) pass-al-e l ock:set. s _tNp y �< install 2 1/2" colonial casing for each new door _k no painting or stainin.,g included TOTAL $11 19.0 ill north shore Andover, MA 01810 , 47jimprovement (508)470-2918 o r p o r a t i o n General Contractors Residential and Commercial ViXF �jC I�IN.G 2xt� wJ � r� 2X(b us-no- DEPARTMENT OF PUOI-Jl- _ 1010 COMMONWEALTH AVE, a y } COMMONWEALTH 022/6 OF BOSTON,MASS. MASSACHUSMS LICENSE i CONSTR. SUPERVISOR EXPIRATION DATE �6'�5 EFFECTIVE DATE LIC-NO. ' 10/31/19.93 RESTRICTIONS 1 p/31 /19 91 042610 NONE FRANK M KE HOE JR 29 GEORGE AVE SS v 034-SO-0916 REVERE MA 02151 PNoio(BusiwG oPR ONLY) FEE: n - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED OR SIGNATURE OF THE COMMISSONER DOB: 02/06/1962 SgNA�U OF LICENSEE THIS DOCUMENT MUST OF COMMISSIONER CARRIED ON THE FERSNG OF ' THE HOLDER WHEN ENOAG RgHi THUMB ppINT ED IN THIS OCCUPAT104 OTHERS 2ppM•2-87.81429 -° `�c• :,_ _ _. Registration 106509 Type - PRIVATE CORPORATION Expiration 07/23/94 Northshore Improvement Corpor Frank W. Kehoe, Jr. �v� d 2 Stevens Street r" Andover MA 01810 ADMINISTRATOR b Suggested Affidavit for Home Improvement Contractor Permit Application For orrice Use only NAME OF CITY/I'OWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition. or_construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: hffO__(✓ 1�� C� l�G1Ou SY 41 f :7,4% Est. Cost //0 Address of Work C�✓ �� C 4,y d Owner Name: �✓"��qt�s� Date of Permit Application: —e "% 3 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under $1,000 _Building not owner-occupied _Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: S-0 �1 Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name NORTH ?C t •c � ` Town of 0j 19 °o dover, Mass., / O COC MIC ME WICK 7�A0RATEO P "\C, S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR 1111!!�It..... ........... '........ � � " Foundation CERTIFIES THAT has.permission to oMet �y buildings on .. ... ....A.&AN.116..0d M./..I1. .� Rough to be occupied as. . ...I.. �• .�..�.t•�Il.. ..,...�.«.o. ..... ...:..I.��44.. ... ....Ile..If•04A1./rl 4chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUC O STARTQ Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough l No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING —FINAL S100 CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL P'Pa DRIVEWAY ENTRY PERMIT Location f, I-©A-6- r-)W -� ?Alo. V/ Date �Z ! TOWN OF NORTH ANDOVER 3? • - ° 0 aimbidilk p Certificate of Occupancy $ * ^ ' Building/Frame Permit Fee $ •O•rino � ,SSA^MU`�Et Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ PAID BY C v4oknnection Fee $�31 _, 3 01999 - Building Inspector -� No. Andove Collector �-- Div. Public Works . C 413fITmo. I� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP INO. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE `ZONE I SUB DIV. LOT NO. LOCATIPURPOSE OF BUILDING O tet/ G Gt/l/u0 �' OWNER'S 14AME ����J {�.I�C�(�/� A�� sr /* NO. OF STORIES SIZE OWNER'S ADDRESS / 6 C�/ �,n,I�, '1��� 4 J(f BASEMENT OR SLAB ARCHITECT'S NAME GOy h (� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ^, - or � / Or.G SPAN DISTANCE TO NEAREST BUILDING i� DIMENSIONS OF SILLS -- -- --- DISTANCE FROM STREET �e>/U� 1/1// POSTS DISTANCE FROM LOT LINES—SIDES LO REA GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 7 1-n PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 9 L 3;-rF BOARD OF HEALTH SIGNATURE OF O NER OR AU ORIZED AGENT OWNER EL,h F E E! -3F, CONTR.TEL. 4 CONTR.LIC.# U� 61 D - PLANNING BOARD PERMIT GRA 19 —� BOARD OF SELECTMEN BUI G 1 PECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES, GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION - _ --,8 INTERIOR FINISH CONCRETE p 3', 1 2 13 CONCRETE BL K. 7 PINE BRICK OR STONE HARDW D PIERS ! PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/ 1/2 3/. FIN. ATTIC AREA _ NO 8 T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDHJ'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME ' CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR H POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 — GAMBREL MANSARD TOILET RM.M. ((2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN'FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. _ TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G ..: UNIT HEATERS ' 7 NO. OF ROOMS GAS IL O B'M'T 12nd _ ELECTRIC 1st 13rd I NO HEATING w , 24:- -f--24-1-14--3C dO`J y£ a 7 -4-�,�4 - --a-- N r--- — _ C N I i I ' � � t AE- Rl DW I i1 F S87(o I W�� - I S 054a ALRI? E u t, i -2'ROT -- G 1 0 I ( " _ : w. F------------- ... B12 yam. 2T0S � 30 - W1 12 >. f � u _ W?"�Ir?2q= �- W [..I*C 2r, 641. � 33 �3 ( -------------- i . _ M1 _ f L _ r t 7 :_Rv north shore 2 Stevens St.. Andover, MA 01810 6 - I provernent 17-470-2918 c o r p o r a t i o n General Contractors Residential and Commercial May 13. 199i, Addendum to the Augeri job North Shore Improvement will : Rip-out existing cabinetry & counters Includes removal of all trash excluding old appliances Strip wall behind & to left of sink down to studs Re-sheetrock, tape & compound above walls Install new cabinetry & corian counter tops P Includes installingian a corcap on half wall Includes installing a molding on tops and bottoms P of upper cabinetry Electrical : Add two duplex outlets on stove wall Convert outlets to left. & right of sink to GFI outlets Unhook & rehook DW & disposal Run new line for microwave Install & supply 9 recessed lights I Install & supply one undercabinet light Plumbing : Re-rough waste lines Unhook & rehook sink, faucet, DW, disposal & gas stove Install & supply one velux skylight-#VS-2 (w/pole & screen) Install two new casement windows ( supplied by client) Install new header over sink window Sink window opening is moving to left of existing opening Adjust, if necessary, opening for other window Install new . cathedral ceiling • Ceiling will be plastered Install new tile floor--includes $3 allow per sq ft for tile Includes installing new underlayment Includes installing & supplying oak threshold for entrance to living room & for step down to dining room Install new tile backsplash Includes $3 allow per sq ft for tile Install new casing on two doorways Sneciai note : All newly installed windows and trim will be left. t:nfinished CON ERVATI , . l FINAL PLANNING FINAL SEWER/WAT FINAL ��L • NORTH own ® Over No. 41 o - � 4 =w �► ' : ri(VEV1/AY ENTRY PERMfi � N er, Mass., 19 OR QR HE WICK SS PERMIT T 0 BOARD OF HEALTH THIS CERTIFIES THAT . . ....... ............. ' 1 .�....................... �• �E BUILDING INSPECTOR has permission to er t ......................... buildings on .... ..... Rough .. .... Rew Chimney f to be occupied as. •• Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this P 't. PERMIT EXPIRES I 6 ONTHS ELECTRICAL INSPECTOR Rough UNLESS CONST UCTI S R Service Final . .... .. ... . ....... .. ......... . .............. BUILD.ING INSP OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by STREET Smoke Det. Building Inspector „t ., c r r• - G2'`- a - na is 9} ;a''� a �• 4 ! Y a ti a �.pEPA!TMEMT OFrPUBIJC SAFETYx COMMONWEALTHataa"�.s s :>` ' titr r H y �• ,1070 COIIdMONWFAI� !l1VE s, t c� `+` MASS 022y61i!, }' s MASSACHUSETTS , } °P, LICENSE I t ,t EXPIRATION DATt , , 1.4272 Q2 CO{VSTR�,'.SUPERVISOR.. .� `$ Ad 991 EFFECTIVEaDATE t LIC-NO. 8 ' NONE- Fk 10/31!198,9: '0426.10 " FRANK W K'EHOE �J R :� : - 36 `SCHOOL:' STREE? , - SS(BLASTING 034-50-0916 'REVERE HAi 02151 . . oH 00.00 NOT VALID UNTIL SIGNED BY•.LICENSEE AND OFFICIALLY 4'. •' ” HEIGHT: K STAMPED-,OR•SIGNATURE OF THE COMMISSIONER DOB: 02/06/1962 _ THIS DOCUMENT MUST BE '•r ! " �� j IGNATURE OFUCENSEE ` CARRIED ON THE PERSON OF -i l THE HOLDER WHEN ENGAG - } t I OTHERS -RIGHT THUMB PRINT•: ED' IN THIS OCCUPATION 3 ` r Y COMMISSIONER `'.200M•2.87.81429 v� '.. sf C y t 4 t i ( p I, t k, FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANTi/� ( USF )9191V14 S/4 PHONE LOCATION: Assessor's Map Number (D c PARCEL `5—/ SUBDIVISION LOT (S) — STREET L.0 QQd ST. NUMBER ******** OFFICIAL USE ONLY ****************** E ND F TOW A NTS: O SERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS Whk — nf— )'►1 u5t iv e,4"�Vsl 611-, COwl IIhq- �fi �v►T sv�_& " TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT _ FIRE DEPARTMENT-171/ M&L-�-a�� fJ-a 0 y i RECEIVED BY BUILDING INSPECTOR a DATE Revised%97 jm TOWN OF NORTH ANDOVER ' BUILDING DEPARTMENT APPLICATION TOl CONSTRUCT REP REKOVATJ OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: _/� JDATE ISSUED: 7 SIGNATURE: Building Commissioner/1 if Buildings Date Z SECTION 1-SITE INFORMATION 1.1, Property \ 1.2 Assessors Map and Parcel Number: O Map Number Parcel Number 1.3 Zoning Information: 0 1.4 Property Dimensions: Zoning District Proposed Use LA Area Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RcqWred Provide red Provided RegWred Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes_ No_ rn 2.lOwner 'Record Q U v O ,O cam► Name(Print)- Address for Service: C � Signa re Te ephone i 2.2 Owner o Reco d: Name Print Address for Service: z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0- Licensed Construction Supervisor. 1 License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address r Expiration Date Signature Telephone G) 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 an a lieable New Construction ❑ , Exist g Building ❑ Repair(s) ❑ Alterations(s)*t "Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � � (31ECIALU*�"EQ ,Y Completed by permit applicant ; 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X(b) 4 Mechanical HVAC cKo 5 Fire Protection <::30 6 Total 1+2+3+4+5 `a-o U Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES OR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act My!ft allm s relative to wo au el by this building permit application Si aAe Date SECTIO 7b O ER/AUTHORIZED AGENT DECLARATION i 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Sieat of Owner/Agent .Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS 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 F FORTH �4 Town of No. J y F /' 40 VOW ^� C% �-__- L A E over, Mass., COCMICME WICK y1. �ADRATE D BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..... ......... ........ ............... ................... .............. .............................................. ..... Foundation has permission to erect... .......... buildings on � Rough to be occupied as.......... .................................................. chimney . . . . . .. . . .. . . . .. . . ............ ..... provided that the pers accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the ovisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO)NOSJARTS ELECTRICAL INSPECTOR Rough ................................................ .... ..( ..... R � .: Service� BUILD 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. ­WOOD STOVE INSTALLAHON CHECKLIST FIT 110: Permit A building permit is required for the installation of any .;olid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stave construction. sto A Fo Used ►� ' B. radlant__ �o r Circulating C. Manufacturer r—it)G-t tJsr(L P�clkc_'I-Slav, .1 ab.No. Name/Model No. 2 S— P (I y C- Collar size - Dlmensions/Height :2Z�� Length ? f 'i Width 23 -t- Chinawy A rNei" Existing B. Size(flue area) 3 ' ��(�;.�.sfi P Iket— C. Other appliances attached to flue(Number and flue size) *3�f P;0<- 'D. Prefab(Manufacturer—name and type) E. Masonry/Lined r F!ue liner Unlined .tYo•6 Runu„atw.r, it F. Height(refer to diagrams) cap � Fretr. -f v r a in u a_e up OVEN ICr ','o ,C. I TIZ`r hilt(. I .. .-. T 3t MIK HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials Qe t�LT B. Sub-floor construction C. Minimum dimensions(refer to diacraml ° Clearances and Wail Protecilan Lsee stcve installaucn c!e_rances chart) „ A. Type of wall protection provided t 1yc- B. Cleara ces(refertodiagrams) P, 6�- r 4; I'S. Yleq w1`4 13 fr'cc t 2Rc0 -- C) 1 FIREPLACE 0Rr•IER WALLICENTER. i INSTALLATION & OPERATION MANUAL MODEL NUMBERS: 25-PDVC, 55-SHP10, and 55-TRP10 Thank you for purchasing this product from a fine line of heating equipment. We wish you many years of safe heating pleasure with your new heating appliance. i Save These Instructions. IMPORTANT: IF YOU HAVE A PROBLEM WITH THIS UNIT DO NOT RETURN IT TO THE DEALER. CONTACT CUSTOMER SERVICE @ 1-800-245-6489. Mobile Home Use: These freestanding pellet units are approved for mobile home or doublewide installation with outside combustion air hook-up. See "Flue System"section of manual. Mobile home installation should be in accordance with the Manufactured Home and Safety Standard (HUD), CFR 3280, Part 24. WARNING: Do Not Install in Sleeping Room CAUTION: The structural integrity of the mobile home floor,wall and coiling/roof must be maintained. Please Note the Followina Precautionary Statements: NOTE: WE DO NOT RECOMMEND PELLET STOVES AS YOUR ONLY SOURCE OF HEAT. England's Stove Works highly recommends the use of smoke detectors and Carbon Monoxide detectors with any hearth product, including this unit. Follow all manufacturer's instructions when using smoke or Carbon Monoxide detectors. CAUTION: Please read this entire manual before installation and use of this pellet fuel burning room heater. Keep children,furniture,fixtures and all combustibles away from any heating appliance. WARNING: USE OF OUTSIDE AIR IS MANDATORY WITH THIS UNIT DO NOT OPERATE UNIT WITH HOPPER OPEN. LID MUST BE SHUT AND TIGHTLY SECURED. DO NOT OPERATE WITH DOOR OPEN, SAFETY NOTICE FAILURE TO FOLLOW THESE INSTRUCTIONS COULD RESULT IN PROPERTY DAMAGE, , BODILY INJURY OR EVEN DEATH. FOR YOUR SAFETY AND PROTECTION, FOLLOW ALL , THE INSTALLATION INSTRUCTIONS. CONTACT YOUR LOCAL BUILDING OR FIRE OFFICIALS FOR RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS (INCLUDING PERMITS) IN YOUR AREA Questions? Need Parts or Options? www.englandsstoveworks.com v. Rev.8/04 ( -ECUa C u oek�i��i i En l�rH 0 M E D E P • �s�er PELLET STOVES 25 � PDVC Caution: Weight 290 lbs. Use Prover lift equipment to move. Freestanding pellet unit w/ 3" rear exhaust *Use only approved pellet vent pipe to install "Refer to owners manual before installing 03 7 499% 8/13/2004 V ` V Illlnl�uilnlli�l��i�l�lllll 7 94909 25190 7 Englands Stove Works,Inc P.O.Box 206 Monroe,VA 24574 800-245-6489