HomeMy WebLinkAboutMiscellaneous - 70 LOST POND LANE 4/30/2018 70 LOST POND LANE
210110000.0 _ _J
flus l.vLVALMAv rrl•J+l An tir 1V1tLkY1L1"UJG11 J trance use only
DEPARBIMTOFPURMSAFM Permit No.
BOARD OFFIREPREVEMONREGULMONSS27OM l2VO
Occupancy&Fees Checked
APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 i
LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North AndoverGe
To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location(Street&Number) -74-- -,, 1--J— /NN
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building pemut: Yes No (Check Appropriate;Box)
Purpose of Building f
SZ r/6 �S ,,,�ria t�� f�/.t/ f.�1 rte Utility Authorization No:
Existing Service Amps L�/ �/olts Overhead Underground No.of Meters
New Service Amps I 'Volts Overhead Underground No.of Meters
of Feeders and Ampacity
rn and Nature of Proposed Electrical Work
r
Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
Lighting Fixtures Swimming Pool Above Below M Generators KVA
round around
f Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
f Switch Outlets 3 '
No-..,of ass Bu'niers
rof—Disposals
es No.of Air Cond. Total FIRE ALARMS = No.of Zones
Tons
No.of Heat Total Total
No.of Detection n and
Pumps . Tons KW Initiating Devices
.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
o.of Dryers Heating Devices KW Local Municipal Other
Connections
o.of Water Heaters KW No.of No.of
Signs Bailasis
o.Hydro Massage Tubs No.of Motors Total HP
THER-
ITCoverage Ansa tDftm#areris dv�sGenaalLaws
haveaameYLiabt7ityhmnarrel��icyincl>d�gCclnpleeCovaageoritsantialeyttivtlaY YES NO
vestlbrrm�dvaGdploofofsatlletotheOHica YES r—IT ff}whawdrdcodYES,pleasei[XiicaletheN cfayveWby
nvsvRANc� BOND oTr�tED
E5TiradmD*
ctDsraltc 21165 � Valleo(EkcWcalWbik$
wud
�IadutrLr�iePalalbes�' ><>spe�>� a Ralgtl 02/ ,�/ r�
b7RMNAME / �/ LioawNa
Lioatsee I iY��/SS ��//��� 1� r sigroCne Lkmr4o e Zit
Bumsi=T11 No-
Alt Tel Na
-T `�R's INS YANCEWAIVER;IamawaedxttheLic edoesnothmedrir»anoec ori<ssuh& aleglriva)atiastagtl WbytNbssadl�sGmffalLaws
,.+ JatmYsglahl►eendrisparrutapplic�tirnwaivesthislegtdtar�alt
(Please check one) Owner Agent
Telephone No. PERMIT FEE$
Signature o wrier or gen
I
C�z
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
NORTH ANDOVER, . Mass. Date _I0
Building Permk �(0-7�"
Location U
nv 1 r� (� Owner's n
G O�oSf favi dC � V, ,P Name 4E 11,f b C )(-
New M--' Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑
FIXTURES
N
Z 1! < »
r J • $.- V S 0 d i
q < h i
= i i el
« s i
� w
o — M
el
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U = Oi ; ~
N u �e i Y st s� ! a'js a a Is a rac air
st • • o o ! s em w � i solo s � i i
y� atria—saMT.
aAtlMttNT
1sT FLOOR A
INDFLOOR
$RD FLOOR
4TH FLOOR
aTH FLOOR
6TH FLOOR,
ITH FLOOR
•THFLOOR —
�` Check one: Certificate
Installing Company Name .brrt�1&161L /3w<f Corp.❑
Address MQ NAfi ❑Partnership
C-Prrm/Co.
Business Telephone 116'7
.Name of tJcensed Plumber o
INSURANCE COVERAGE: Check one
I have a current liability Insurance policy or As substantial equivalent. Yea ❑ No ❑
If you have checked y", please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy CL]' Other type of Indemnity ❑ Bond CI
OWNER'S INSURANCE WAIVER: I am aware that the licenses does not have the Insurance coverage required by
Chapter 142 of the Maas. General Laws, and that my signature on We permit application waives this requirement.
Check one:
Sh;nOwner ❑ Agent ❑
ature o er a Owner s Agent
I hereby cwtity that all of the details and information I have submitted for entered)h appRcatlon are true and accurate to the best of my
knowledge and that all plumbing work and Instalallona performed under the rmlt I for thin appficatlon w{l be h compliance with all
pwtinen provisions of the Massachusetts State Plumbing Code and Chaplet 112 o1 al L= .
BY—
Title
we Licensed Plumbet
Tna
Ucense Number 9-,§a"�
CttylTown
Type of Plumbing License: Master @I --
Mf'riOVED(OFFICE USE ONL`n Journeyman 0
Y s Date.�.�. .�
X42 2674
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
• o, _'SS's
,SSACMus�
.This certifies that C' �`+ s`T'. . ?.1 S- --... . . . . . . . . . . . . . .
has permission,to perform . . . . . . . . . . . . . . . . .
plumbing in the buildings o . . . . . .tJ�ILC? .. .aQ0<>. . . . . . . . .
at.72.4. LQ 6.7. Pte . (-Zt. Z). . . . . .. North Andover, Mass.
AM. . . .Lic. No.G&Q_;� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
11/06/95 10:13 273.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
Location
a rt` tea o �_t- Z
No. Date O J
NbRTM TOWN OF NORTH ANDOVi
Certificate of Occupancy $
• c3
• � • � Building/Frame Permit Fee $
NUFoundation Permit Fee $ �'
S�CSE� �
Other Permit Fee $ IQ
Sewer Connection Fee $
.,Water Connection Fee $
TOTAL
a�0 Building Inspector
8880 Div. Public Works
z
Location '~71.� LOa� �
� !
No. - d-
� Dak
ryORTMq
TOWN OF NORTH ANDOVER
- p Certificate of Occupancy $ .f2
Building/FrameEPermit Fee $
Foundation Permit Fee $
s cMuso
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ -E
a TOTAL $ { 1 IN
B it 'ng Inspector
10/16/95 14:52 1,143.50
8947 Di . Public Works
+`y..1^-f�'i.+*'1.a.�..vT's„k!'>'r'e":.�yT„'°^'JYs'.r.F'^y�'.axf'�`..".7W"/""'(�C'� "•^f"+,T"`r"^'VT"'a.6r..T:"'�yy�:yy"_r
Location 720
No. `� Date 13 c{
gO*TH TOWN OF NORTH ANDOVER
opo.`,..° .•,�o�R
Certificate of Occupancy $ S�
Building/Frame Permit Fee $
-Foundation Permit Fee $ ��
J�c►+uSE
Other Permit Fee $
-- Sewer Connection Fee $
v .
Water Connection Fee $
` TOTAL $ !
[cL ;3633 BuildingInspector
4 10/16/95 14:52' P
. 150.00 PAID
's- C?8 % 7 Div. Public Works
r
PERMIT NO. 5 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 6 NICE ' PAGE 1
MAP!-40. joqB LOT440. f7,4,-7 of J21 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE
ZONE ,`-) I.SEJB DIV. LOT NO. ��ra/1 IoC�' fi1L �j s yZ� 7- 130
LOCATIONLo-ST po.Z J_AA/e G `lO PURPOSE OF BUILDING �N i( �AN�r{1 Y�EVP� �1 r'pi
{� IOWNER'--a NAME NO. OF STORIES SIZE J�
Ef,N1 ro ��: ��c Z �skya
OWNER'S ADDRESS 0 0k s3I N, JQN I)L7VeIC BASEMENT OR SLAB /'��5�^t ev)
A'RCHITECT'S NAME jl ejr! SIZE OF FLOOR TIMBERS 1ST 2Xjo 2ND ,?)(18 3RD y2X g
BUILDER'S NAME Fl PvT(ot< NG SPAN Iq
DISTANCE TO NEAREST BUILDING 30! DIMENSIONS OF SILLS q x L
DISTANCE FROM STREET "' POSTS
141 IV C'o/0-o4 N 5
DISTANCE FROM LOT LINES—SIDES 3d J
11 Z l� REAR /301 "' '� GIRDERS z X 1 Z
AREA OF LOT (, 6 1 S V FRONTAGE /d0 HEIGHT OF FOUNDATION 7 r /O rr THICKNESS f JV
IS BUILDING NEW ye( SIZE OF FOOTING /0 , X zo, %
IS BUILDING ADDITION )v0 MATERIAL OF CHIMNEY ea-
1
IS BUILDING ALTERATION tj 0 IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Ye 5 IS BUILDING CONNECTED TO TOWN WATER Ves
BOARD OF APPEALS ACTION. IF ANY AJ0 IS BUILDING CONNECTED TO TOWN SEWER /%/O
IS BUILDING CONNECTED TO NATURAL GAS LINE I
INSTRUCTIONS
3 PROPERTY INFORMATION
SEE BOTH SIDES '
PERMIT FOR FOUNDATION ONLY -`A"° `°BT
REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST -
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
DATE 8 FEE PAID (CC, SEPTIC PERMIT NO.
. ELECTRIC METEP6 MUST BE ON OUTSIDE OF BUILDING � 8 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS C
PLANS MUST BE FILED
�AND APPROVED BY BUILDING INSPECTOR
DATE FILED /v /Q / 1.5-
ave— G m BUILDING INSPECTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT p /' F
-F E IE 6`5`��L I PERMIT FOR FRAME/BUILDING OWNER TEL.1 o �
PERMIT GRANTED CONTR.TEL.k
r
1L3 19 OL�r DATE: O EE PAID CONTR.LIC.s 005613
H.I.C.#
OCT 10 1995SIM PETFEELFM FDA
r3al
DUE FRAME PEW s�
BUILDING RECORD
1 OCCUPANCY 12 +
SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI::FAMILY+;-, OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS- _ RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
,CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _ 3 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDWD
PIERS PLASTER _
DRY WALL �y-
UNFIN.
3 BASEMENT 11
AREA FULL >< FIN. B'M'TAREA _
y, 1/2 1/1 FIN. ATTIC AREA _
N_O B M T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW'D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME_,
BRICK,ON'MASONRY t ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME SUPERIORI—A POOR
ADEQUATE I NONE
5 ROOF 10 PLUMBING
a.
GABLE HIP BATH 13 FIX.) _
GAMBRELMANSARDt TOILET RM. (2 FIX.)'
FLAT SHED WATER CLOSET11
ASPHALT SHINGLES LAVATORY t
WOOD SHINGESI i KITCHEN SINK i 11
SLATE �' rNO-PLUMEANG/
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
yrs} swy�'.
6 FRAMING I it HEATING .. ° ts�.` , Fa t4
WOODJOISTPIPELESS FURNACE
FORCED HOT AIR FURN. _
TIMBER BMS. &COLS. STEAM Ft ` A ) f Q ) ,
STEEL BMS. & COLS. HOT W'T'R OR VAPOR -�'• ttEC1 .a,,'�k'' ",,,,„,,,, _�,,,��,,,�, _ j LNj G LJ )
WOOD RAFTERS X AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
GAS
7 NO. OF ROOMS 61 L
B-M-T _ 2nd,1._ _ ELECTRIC.— �/1 � li � ft. s $ +Mfg
1st 13rd,Jo• il. 1 NO HEATING
_� < `"(33
NORTH
Tovvn or 6Andover
N0.5 0 J
LA.K •Ola,. ,t ndover, Mass., OG10ae,e. �3 19'�tS -
COCHICHEWICK
A°RATED P'P�
G BOARD OF HEALTH
PERMIT T D Food/Kitchen
I
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..��..1'h�T. w_e—...Sa.�C............................................................................................. .......
Foundation-
has permission to erectC ... O)E. buildings on .1.0.......E- ^�'� ..� ............... z�
........ Rough
to be occupied as h . . Gill. . �a. .Al ........... .....Z..c;d(_rs;r91 �....... .. f�2 Chimney
hat the erson�in this ermit tshall in ever res ect co orm to the terms of the lication n fil in
provided t p p g p y p app o e 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. PERMIT FOR FOUNDATION ONLY
PLUMBING INSPECTOR
REGULATED BY PARA. 114.8-S. B.C.
VIOLATION of the toning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MON _____ FEE PAID Final
UNLESS CONS TS ELECTRICAL INSPECTOR
Rough
BUILDING I ECTOR Servi n \�`H
Occupancy Permit Required to Occupy Building QA�Q• INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Z °Ugh
P Y P Ole-
� Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Q,
— ._ - — -- -- i ~ -0 CXdL�J
.. .... -•"d„own, .. ..._ ,.,. .- . .. - ._... .. ...
KARENH.P. NELSON
+` TOWII Of . 120
Main Street,01845
t/ .
p;nTtor =(! • ' NORTH_ ANDOVER (5e8)682-6483
BUILDING .� ::: _ . - -
CO`SER�:aTIUN DMSION OF
HEALTH PLANNING g CONI DIUNITY DEVELOPMENT
PLANNING
CHIMNEY APPLICATION AND PERMIT
DATE V G) �l l S ` PERMIT
LOCATION Lna± Y t6ny Z,4 1,
OWNER' S NAME �-
` BUILDER' S NAME ��`�e- " ✓Q �'
MASON' S NAME
MASONS ADDRESS
iv.ASON ' S TELEPHONE
j MATERIAL OF CHIMNEY /JY
INTERIOR C::IMNEY C f/0� / ( ZXTERIOR CHIMNEY
NUi ,.,ER a:1u SIZE OF I TTVC
.-
THICA'iTESS OF HEARTH h
Wil'_ chinney or firm ace con ffo= to requirem-ents of the code and
have rules and recu'_at-cr.s cee received:
f
CONTR. LIC.
RICE
Location
No. 45Z 5 ' C. Dater, A
r
R
` NORTM TOWN OF NORTH ANDOVER
Certificate of Occupancy $
' Building/Frame Permit Fee $
Foundation Permit Fee $
s�cM s
Other Permit FeE(3M $ 2Z y"
{ 'REUIRrD
Sewer Connection Fee $
SPLAYED ON THE PREMISES
Water Connection Fee $
TOTAL $ 2
�� --CO
Building Inspector '
-�' 11/27/955 13:13 25.00 PAID
# d
9393 Div. Public Works
_,.._�,......,��....-- DEPARTMENT OF PUBLIC SAFETY
COMMONWEALTH EPA FeNerr�lo�so�ss�i aI aarrant
_ 'OF ONE ASHBORTON PLACE., A MaswabosottaStai�B�lAdJn�
MASSACHIySETTS `" '-BOSTON;MA 0210&- d�d�is:oa�aalorrwocatlon
Z LICENSE As. OrMM1 CAUTION
EXPIRATION DATE CONSTR.- SUPERVISOR
FOR PROTECTION AGAINST
01/11/1996 EFFECTIVE DATE LIC-N0. �, ; THEFr,.PUT RIGHT THUMB
RESTRICTIONS
NONE 06/30/1993 005693 , } g . PRINT IN APPROPRIATE'
BOX ON LICENSE.
#-DAVID A KINDRED
-
TORS
4 MARBi.ER
I DG E R D POO'OX, BLASTING OPERA
. 0 _
SS: C: 017=46-679.5 , N ANDOVER MA 01845 zt MUST INCLUDE PHOTO.
PHOTO(BLASTING OPR ONL1) .F 0.0-
00
_ NOT VAUD UNTIL SIGNED BY LICENSEE AND OFFICtAL4'! .y.
HEIGHT: -Y STAMPED-OR-SIGNATURE OF THE COMMISSION JUN
r/
2 3 1993
DOB:
01`/13/195 4
- THIS DOCUMENT MUST BE IG E INULbABOVE SIGNATURE LINE
CARRIED ON THE PERSONOF - SIGNA OFUC i'_ p n
h
THE HOLDER WHEN EN-
OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION. MIS i.
I ^
IL i
-V1
OCT 1 01995
i
Plan of Land
Y OI / In
d' l)
10 0 a5 Un
a�e
�� , �e Nor M A n do ver, Mass. �
so wing
e
"As—Built " Foundation Loco ion
/00 Lot 2 - Lost Pond Large
0
54 �V_Q Prepared For
Flln tlock Inc.
Scale: 1" = 40' Date: October 23, 1995
' �6 24,045 S.F.
i
rn mj� Upland = 24,045 S.F. �g, Zoning District: R— 1 Resider:ce i
o h 0.50 A Cres `L ��h (Planned Residential Development)
' Top Of Foundation' /s� Note:
Elevation = 141.86' ��� Q,� Property line data taken from a Definitive
g t Subdivision plan by Neve Assoc.,lnc.,dated
��� Sept.2J, 1994,revised to Feb. 1 1995
5, G In my opinion, this foundation is not in a
Y e Flood Hazard Zone as shown on the U.S.D.H.U.D.
N \ i d Flood Hazard Boundary Maps.
99.51 O� a► Community Panel No.250098 0007 C
/ Hereby Certify That The Foundation On This
1 0" '00 i Property Is Located As Shown On Plans And
Complies With Zoning Requirements
Of The Town Of North Andover,Mass.
OF
QC
Thomas E. Neve Associates, Inc.
447 Old Boston Road — U.S. Route 1
Engineers — Surveyors — Land Use Planners
Topsfie/d, Massachusetts 01983 (887-8586) E kE
Professional L veyor
NORTH
o' vm oar 6Andover
o
No.5 0
o Ao dover, Mass., 19�iS,
cocHicHEwicn �t
ADRATED PPa\ -\C�
BOARD OF HEALTH
Food/Kitchen
P �' ' Septic SystemRMIT T
7a t
BUILDING INSPECTOR l;t i ,
THIS CERTIFIES THAT......
....... ................................................................................................ ....... roundationZhasermission to erect... OE.. buildings on .�.Q...... T... ...T�D..1!d ............ �,to be oCupied as ak�.. t�f1l. 1 ,�.J1li........... ..... .. Vii ,......
A
provided that the person accepting this permit hall In every respect co orm to the terms of the application on file in
this office,'and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings,ln the Town of North Andover. PERMIT FOR FOUNDATION ONLY PL B G sPECTOR
£. *
REGULATED BY PARA. 114.8-S. B.C. J
:-VIOLATION of the Zoning or Building Regulations Voids this Permit. t� -
PERMIT EXPIRES IN 6 MONS FEE PAIDAf
UNLESS CONS T s-a y` ELE R C 1NSP x }
9 •;/ ,
MIT FOR FRAME/BUILDING x 7 �
PEI .
BUILDING I ECTOR r,. ` t
DATE.�FEE 1D �`
Uccupa ermit Required to Occupy Building GAS INSPECTOR
. Rough
Displayin a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done : 4
Until Inspected and Approved by the Building Insp to : �, .-- FIRE D RTMENT
�r
Burner�,�
12.1� � Street No.
PLANNING FI AL CONSERVAT N-- FI �,;,r,k,,,� �✓, fi�''��
Smoke Det. s '/ic
" SEWER/WATER FINAL DRIVEWAY EN RY PERMIT 0 � I
, j
y
16 , ATE OF USE & OCCUPANCY
E RT I F I C
'•�,: �1�t t�';3 F3 U,� � i' :}: �. , .. i' ... F 3i' .� j3?. .,t( '`�,.� i
x y�=s' :i.
a i
.`-t,•.-. ( - Ixta .s t� t::i(f �r i } tst{} e r - r9 t"
Town of North Andover < _ ;
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1Eo ;$., � "'k ; ,;�(!, F r :, t ' t •.;yF, 1, a.�w;, � � � -�4 e., r� .� : : 1
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€ .i... i, g -r ,•,.i
rr. .f�k,;>�'iS >$: $'• } r��< ,3 :.rt q t ;M' :i. �r..,��'
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tBulldtn .Permit NumberQ Date ; }
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0"TitllGTION.ALL PAW"to
SCALE 1/6" = V-O" JOB NO: 1116 TO Leer oR'e,Y*ZM" u srAn
d - AND LOCAL WLOM&cool.'&
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OCT 0 Q
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HIM
kni 171 V711
El El El
NOTE:
ALL RAKE OVERHAN65 TO BE
6'UNLE55 NOTED OTHERK5E
ROOF PITCHES TO BE DETERMINED
BY BUILDER
HINDOW&RILLS SHOM ARE OPT.
AS PER BUILDER SPEC. _
fz-AR ELEVATION
N.T.S.
O
z
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l2
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LEFT SIDE ELEVATION � RI&HT SIDE ELEVATION
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LINE OF 24"CANTILEVER
ABOVE
40'-0'
b'-4' T-O'
B
O ' G O
1 N nPO-7
DIM:F K A
BREAKFA5T FAMILY ROOM —
FF.OF ORYVIAL.L a in
9'-10• 3' 4'-0' j 6'-6' a-9' Ij 7-0' m
I 1 4 4
KITCHEN I I I 4
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_ J 3-2x10 HDR. III6
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26'-0'
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AS PER CODE REQ. D04 i/2 YVALL r77
A BEDROOM I 004 O
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11 BEDROOM 11
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i[V
14'-2' r-o 0'-6' r-0' 13'-4•
RETAINING WALL ——————— LINE OF 24•CANTILEVER
AS REQ. / Q ABOVE
/ H
' —————————————————\— ————————— ———————————
------ --------- ------...------
� I I
WI I .
1 1 ALKOUT TO 8E DETER I
I AS PER-SITE GOND.AND 2xb KD.SILL PLATE ON I o
I I BLD SPED 2xb P.T. SILL PLATE ON I 1
I LAYER SILL SEAL Y411
1 1 wp ANCHOR STRAPS OR BOLTS 1
0 I Q PROVIDENDOWS AS 4 ALL".SASH ® 5'-b' O.G.(MAXJ I L —
U- lu
I>L 1 7: DIO CODE REQ. Z PROVIDE 2'xl'DEEP GONG.FTG. I I
I x v 1'BEYOND LIMITS OF STAIRS I
{ 1 n PROVIDE I - AYER 5/b"
FIRE-RATED AS SHOWN I j
I ADJAGENT TO _—
I i LIVING SURFACES --- — --- 1 I
I 4-2x12 4-2x12 r 4-2x42 4-2x12 4-2x12 1 z
i— + 70--
mL J L JL - - J L J TO
I 4 I 4
1 BV2' DIA. LALLY COL.ON
I 2'x2'xl'GONG. PAD(TYP)lz
I
I I W ——— 10•GONG.FON WALL ON I I
1 z I DJI'-b' x O'-b'CONT.GONG. I
A Q NOTE. GARAGE SLAB 4'-0• FTG.(48" BELOW GRADE I I
I W 1 DIO TO BE 4•(MIN)BELOW MIND I -
s I D BASEMENT SLAB I I
I I X i I O
I Q m GARAGE UPSTAIRS BA5EMENT i I
Q 13 R
4"CONC.PAD ON 4"STEP 4'GONG.PAD ON I
1 b"COMP.FILL b"COMP.FILL
I '----------------------- ----
I I 1 I
6xb POST ON OIO' I I I
.n GONG. PIER TO 48'BELOW
I L---------------�
GRADE(TYP)
----------------- 1116
T�q' l'-9' lo•�i' 14'-0'
A3
RETAINING WALL
AS REQUIRED
r
w(w
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ROOF OONSTRUOTION TYPICAL FLOOR
215# COMPOSITION SHINGLES ON 3/4 T.dG. FIR PLYWOOD DECKING
P
2xI2 RIDGEC
BEAM W/ ow. 15# BUILDING FELT OVER 1/2" GLUED AND RING NAILED TO
VENT STRIP(TYPJ FLOOR JOISTS AS NOTED ON
PLYWOOD SHEATHING ON RAFTERS
RooFlru,SHINGLES AS NOTED ON PLANS. PLANS.
1/2'PLYWOOD SHEATHING TYPICAL SOFFIT TYPICAL 511...L
�x0 ,CRAFTERS o Ib'O.G.
Ix5 FASCIA TRIM BOARD IxIO PINE FASCIA W/ ix3 FASCIA I - 2x6 K.D. SILL PLATE ON
IxIO FASCIA.BOARD TRIM W/ CONTINUOUS METAL DRIP I - 2x6 TREATED SILL PLATE ON
12 SOFFIT W/CONTINUOS VENT. I- LAYER SILL SEAL W/ NON-
EDGE. PROVIDE I/2' A.G. PLYWOOD 1
/S OF, Ixl2 PINE SOFFIT BOARD W/ CORROSIVE METAL ANCHOR BOLTS
`� 2x CONTINUOUS VENTING AS PER OR STRAPS ® 46" O.G. (MAX).
3xdG1.G.JOISTS o 16'O.G. CODE REQ. SILL TO BE 5" ABOVE FINISH GRADE
4' INSULATION m5o1 (MIN)
VAPOR SV4000
xSTRAPPING KA�LL CONS t IWC/t IOI`t TYPICAL STAIR
I/2'6.YV.B.
4 1/2" T.W. HARDBOARD SIDING ON 3- 2x12 STRINGERS W/ q" TREADS
BOTTOM OF JOISTS ?/16" ASPENITE OR 1/2" PLYWOOD (MIN) (HARDWOOD OR 3/4' PLYWOOD
I'-0.OVERHAN& SHEATHING ON 2x6 STUDS ® 16" O.G. AS PER BLD. 5PEG) 3/4"-R15ERS
.KCAL MAX. W/ R-111 BATT INSULATION. EQUALLY SPACED AND NOT TO `fl
PROVIDE 4 MIL POLY VAPOR EXCEED 8 1/4" IN RISE.
5/4'TI(9 PLYWOOD BARRIER ON INTERIOR W/ 1/2" p
GLUW 4 501;ZF D 5HEETROCK OVER. z
BEDROOM BEDROOM 2xIO
LOOK JOISTS
o 16. O
WINDOW SCHEDULE
SUBFLOORING 2ND FLOOR MARK QTY NUMBER R.O. NOTES
aX A x 5>5L-C7
4 2x10 FLUSH 3 o Ib'O.G.WD.5TUD B 2626-2 70"X65" MULLION P
I/2'6YI B.(INTERIOR) G 1626 2:2"x&5" DBL-HNC
6'BATT INSULATION W/V.B.
I/2'SHEAT1i1N6 D 1535-5 60"x43" CASEMENT TRIPUE
E 2524 34"x5'1" DBL-HNC =
3/4' T86 PLYWOOD F u
GLUED 4 SCREWED
DINING ROOM KITCHEN 2x10 FLOOR JOISTS o Ib"O.G. G
b""BATT. INSULATION H
1x9 CROSS BRIDGING
�UGS 5UBFLOORIN6 15T FLOOR DOOR SCHEDULE V
TOP of FaxrDAr1oN MARK QTY DOOR SIZE TYPE / NOTES
I-2xb K.D.SILL ON 2 12" SIDELIGHTS
2 -S 1-2x6 PT.WD.SILL ON
SEALER W/NON CORROSIVE 2► 2'-8"X6'-6" 6 PANEL
ANCHOR STRAPS o 4'-0.O.G. 3 2'-6°xb'-6" 6 PANEL
BASEMENT 4'THICK GONG.SLAB 4 2'-4"x6'-6' 6 PANEL
5 112'DIA.LALLY COL. 5 I'-6"xb'-8" 3 PANEL imNO
ON 2'x2•xf GONG.PAD 6 t'-0°xb'-6" 3 PANEL 1116
"I 6'-O""x6'-6" GLASS ATRIUM F-Ade.
8 5'-O"xb'-6" SLIDE-BY CLOSET A - 6
FININSHED SLAB q 5'-O"x6'-6" BI-FOLD
10 q'-O"x"1'-O" O.H. GARAGE DOOR
' JAD
a
.r (\ Office Use Only
b - t 011E Lfam ITIIII11 ratt1 Bf fflassar4uUtt5 Permit No.
_ Meparttant f1f JI1IbUr �afEtq occupancy,& Fee Checked
r 3/90 (leave blank) 1
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR
All work to be performed in accordance with the Massachusetts Electricai Code, 527 CMR 12:00
PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Ae `
(i)Q or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform thee electrical work described below.
Location (Street & Number) 72 Zo57' 1 e �
Owner or Tenant ��ln�i LdCti' [/V if ,
Owner's Address
Li
Is this permit in conjunction with a building permit: Yes IL�No ❑ (Check Appropriate Box)
7,
Purpose of Buiiding E,yJC,44�' Utility Authorization No. 0 -a V1
7j
Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service rhe Amps Volts Overhead 7 Undgrnd [No. of Meters
S Number of Feeders and Ampacity
�—
Location and Nature of Proposed Electrical Work
Z� i No. of Transformers Total
No. of Lighting Outlets No. of Hot ,ubs KVA
C/ Swimmin Pcci Above— In- r
No. of Lighting Fixtures g grno. grnd. Generators KVA
No. of Emergency Lighting
No. of Receptacie Outlets Q I No. of Cil Burners l I Battery Units
No. of Switch Outlets 5� I No. of Gas Burners FIRE ALARMS No. of Zones -�
Total No. of Detection and
No. of Ranges / I No. of Air Conc. l tons Initiating Devices
Heat Total Total
No. of Disposals No.of Pumos Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers I ScaceiArea Heating KW Detection/Sounding Devices
Municipal
No. of Dryers / i Heating Cev ces KW Local Connection 71 Other
! i No. of No. of Low Voltage
No. of Water Heaters KW Sicns Sailasts Wiring
No. Hydro Massage Tubs I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements ct `.Massachusetts general Laws _
/ISO
I have a current Liability Insurance Policy inciucing Com^.ete perations Coverage or Its sups:antial equivalent. YES I
have suomitted valid proof of same to the Office. YES NO = if you have checked YES. piease indicate the type of coverage by
checking the aoppropr�te box. _
INSURANCE §OND = OTHER = (Please Scec:fy)
(Expiration Date)
Estimated Value of Electrical Work S /' ,/
Work to Start /Q Sr Inspection Date Recuestec: Rough W/ LLQ' Final wl4--�
Signed under thPenalties of perjury:
FIRM NAME �64Lf10 LSC 1c LIC. NO.
Licensee r— f1PSr6 Signature
LIC" NO.
�cf� /l11//,� //� C //� / a'� us. Tei. No. .�C�
Address .^ Ox ��`� , f7 i'/moi ]%oL�" /� Alt. Tei. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quirea by Massachusetts General Laws. and that my signature on :his permit application waives this requirement. Owner Agent
(Please check one)
Teleonone No. PERMIT FEE S �
(Signature of Owner or Agent) x-5565
Cit 1('w)
• 3800 Date.��.C;/...............
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACHUS
X) .. ........................................
This certifies that ...... . ........ .......
has permission to perform ....... ......................
2z
wiring in the building of......... ...... ................. ..........................................
at ..... .....
............................ .North Andover,Mass.
Fee....t............ Lic.No............./ ...............
............
EL-EcrRI6AL INSPECTOR
Check #
Official Use Only
Permit No. &J?-00 _ ._,�,.__
�fr F(�Z�lb?2Z!/F�1,L�`7>✓f d�'1�$.$�(?>�fZI.SS�T'IS
VeA41&__0°b pate S44 Occupancy&Fee CheckedL2e9
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information) Date o
To the sP ctor of Wires:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location(Street&Number '7 f5 )_d S% Po,,,,l
v /
Owner or Tenant ) l
Owner's Address
Is this permit in conjunction with a building permit Yes ❑ No p---(Check Appropriate Box)
Purpose of Building DW 44 I a Utility Authorization No.
Existing Service a V D Amps Voits Overhead ❑ Undgmd ❑ No.of Meters
New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters
r
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Total
No.of Lighting Outlets No.of Hot fuse No.of Transformers KV
Above ❑ In ❑
No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA
No.of Emergency Lighting
No.of Receptacles Outlets No.of Oil Burners Battery Units
No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone
Total /- No.of Detection and
No.of Ranges No of Air Cond Tons J Initiating Devices
Heat Total Total
No.of Di sal No. Pumps Tons KW No.of Sounding Devices
No./of Self Contained
No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices
❑ Municipal ❑ Other
No.of Dryers Heating Devices KW Local Connection
No.of No.of Low Voltage
No.of Water Heaters KW Signs Bailases Wiring
No.Hydro Massage Tuds No.of Motors Total HP
OTHER:
i
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivale YYES NO
have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the t'8t coverage by checking the appropriate box
INSURANCE = BOND = OTHER t.(Please Specify)
(Expiration Date)
Estimated Value o Elec rical Work$ � O D
Work to Start o Inspection Date Resquested _Rough Final
Signed under the Pe tties of perjury
FIRM NAME ,,// L LIC.NO.
Licensee i9 m g f sC 4t1 )VO Signature LIC.NO. -J6T S S1 cP
/ Tel No.
/ Z
�L
Address ?V `rG/5`mm� V �/ l i7C�F�rQ�► Att Tel.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws.And that my.A'nature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMITTEE $
i
(Signature of Owner or Agent)
Date...... .. ..0`��..........
2647 F
,SORT/{
:°.'"o TOWN OF NORTH ANDOVER
O P
* PERMIT FOR WIRING
,SSACMUSEt
O
r, O
This certifies that ........... ...moi..t.0. ........... .i.F? /t ..C-...........................v
has permission to perform..... .1A.i ......dl...W"IEW..t Ml..-
wiring in the building of...... .=.�.111.f 1(! .1........., ..........................;
S,tL-v .r
M
at....70... .� ....................................................
ry........ ............................ .North Andover,Mass.�
Iva...a... Lic.No.4��� �. o
Fee.... .... .. .............. ....... ...........................
ELECTRICAL INSPECTOR O
ck i�33
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
Date.
".�RT"�tia TOWN OF NORTH ANDOVER
# PERMIT FOR PLUMBING
} ,SSACMUSE�
This certifies that el C. . . . . . .. . . . . . •
has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . / . . . . . . . . . . . . . . . . . . . . .
.
at . . . .&. . 1.C." . . . . . . . •r•_• •, North Andover, Mass.
Fee. . .? . Lic. . . . . . . . -. . . i- fit-._. . . . . .
')PLUMBING INSPECTOR
Check #
5645
MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING 1
(Print or Type)
11
Mass,.. Date 20 P3 Permit # �
Building Location�6✓ 6'`d�J� /}' Owner's NameE•f'', IWs� A
�% �+/���{✓ Type of Occupancy ��`„
NevyL Renovation ❑ Replacement❑ Plans•Submitted: Ye❑ No❑
h FIXTURES
B.P. # SEWER # SEPTIC #
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SUB-BSMT
BASEMENT
1ST FLOOR
2ND FLOOR !
3RD FLOOR
4TH FLOOR
0
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR 1,C-11 I I 1 6-- 1 Eli
Installin anyName ✓` Check one: Certificate
Address ❑ Corporation
❑ Partnership
Business Telephone
❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE:
I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGI-Ch. 142.
Yes No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box:
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURNACE 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 en ed),I-n-ablolve application are true and accurate to the best of
my knowledge and that all plumbing work and Installations performe nde -b permit i ued for this application will be in compliance with
all pertinent provisions of the Massachusetts State Plumbing Code a d h ter 42 of t General Laws.
By i na re of Licensed Plumber
Title
City/Town
Type of License: '`._.- �Ilaster ❑Journeyman
APPROVED(OFFICE USE ONLY) nl 1&
License Number l/
I
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Location
No. f�rf
'��� Date
�oRTM TOWN OF NORTH ANDOVER
� s
Certificate of Occupancy $
�•�s'"'°E<� Building/Frame Permit Fee $
JACHUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check #
75- 58
i Building Inspector
�C,u�-ISP
TOWN OF NORTH ANDOVER
A'
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT M!Mj RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
i ^.. _
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/In for of Buildings Date
SECTION i-SITE INFORMATION
I.I. Property Address: 1.2 Assessors Map and Parcel Number: O
�fl �c�si P0 LA-iJC
1011041. l3 '2�a
A AXI� /I� ,'I�Q �L rt/► A_ Map Number Parcef Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area Fronts ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
ReqWred Provide Rcquired Provided Re red Provided
v
1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Inforeution: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ ZOOe Outside Flood Zone ❑ Municipal gr--- On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT +t: U,t
2.1 Owner of Record
Name(Int) Address for Service: N-
976 - -�zt� .
Signature Telephone
2.2 6vner of Record:
D/9c�7
c, vac,-� Banc-✓r��,��/ c /0a 9. ' A4 SPG O
elite Print for Service:
z
Signature Tele hone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Supervisor: Not Applicable ❑
—A-; JADFI— GR4B �G
q�Licensed Construction Supervisor:
� O
`C))Lc [k4-10 fVA#-Ps� ! 0 License Number
Pn
"-V�Address c / �1- 9f-07
>
�fj- FEZ OZ 9f. Expiration Date C
Sign re Telephone
t
3.2 Registered Home Improvement Contractor Not Applicable ❑
��y►9yGi� IS/1���1 f.J3 �j,tfa�("��� �e,
Company Name
Registration Number r..
109 ��°�-moi S", 5�.��.pse0� 00Ad:!�
UNNE
O 2 Expiration Date ,��`
Signature Telephone V
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 buildiag permit.
signed affidavit Attached Yes...... No.......0
SECTION 5 Description of Proposed Work check a0 applicable)
New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑
Accessory Bldg. ❑ Demolition 0 Other 9---Specify
Brief Description of Proposed Work:
le a . %c=c r .cmc--( /�F• 6V
lip eym Fe, '0fX
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
1. Building / V, (a) Building Permit Fee
��fo
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)x(b)
4 Mechanical HVAC JOZ
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, � �! +�' lL°(•' ,/° as Owner/Authorized Agent of subject property
Hereby authorize_/, 6RA3, 1401 WC4&il' VC-4Vt* 941'Skivs rAJ to act on
My be1 W Win 11 mattlrs rel i to work authorized by this building permit application.
( 1-10 -6f-
Si tat e f Owner Date
SECT ON 7b OWNER/AUTHORIZED AGENT DECLARATION
I, L�iQ(�G �, /�VA.)ci 1 r C e"'� I�Iv�C( I-W— 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
J hL o G 6
Print Nam
Si ature of O er/A nt Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 2ND3RD
SPAN r
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIItDERS /
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
AGREEMENT TO FINISH BASEMENT
Advanced Basement Finishing, Inc. (the contractor) hereby submits the proposal to supply requisite
materials and construct finished basement as designated by attached drawing.
Contractor:
ADVANCED BASEMENT FINISHING, INC.
1029 Humphrey Street, Swampscott, MA 01907
Telephone: 781-842-0296
E-mail Address: advancedbasement aQ yahoo.com
Federal Tax ID# 20-0140136
Home Improvement Contractors Reg# 140838
DATE: January 10, 2005
Customer:
Name: Eric Knapp and Heather Knapp
Street Address: 70 Lost Pond Lane
City, State, Zip North Andover, Massachusetts 01845
Home Phone: 978-258-8228
Work Phone:
E-Mail:
This is a contract between the Contractor and the above named Customer to finish a basement using the
system supplied by Contractor and other related items specified at the Customer's resisdential premises
identified below:
Installation Premises:
Street Address: 70 Lost Pond Lane
City, State,Zip North Andover, Massachusetts 01845
Scope of Work:
All sketches,drawing and material specifications are attached and are incorporated into and becomes a part of this agreement.
Description of Work/Specification:
As detailed in scaled drawing marked Exhibit 1, as materials described in paragraph designated as
"Material Suppied", and as described in paragraph designated as "Construction Notes". This agreement
specifically incorporates separate document entitled 'ITEMIZED PROJECT DESCRIPTION &
SIGNIFICANT NOTES'.
Work Schedule":
Approximate Commencement Date: January 17, 2005
Approximate Completion Date: February 25, 2005
The proposed work schedule is approximate and subject to reasonable change.
CONTRACT PRICE:
Total Contract Price: $ 12,126.00
Deposit with order: $ 1,213.00
Balance Due: $ 10,913.00
TERMS OF PAYMENT:
33.33%DUE UPON COMMENCEMENT: F$ 4,041.60
33.33%DUE (SEE NOTE)" $ 4,041.60 **when raw dry wall is installed
BALANCE UPON COMPLETION
TERMS and CONDITIONS
GENERAL DESCRIPTION:By this contract, Customer agrees to purchase and Contractor agrees to provide specified material and
labor services to complete basement finishing project as identified on the first page of this contract for the stated total contract price
and according to the specifications and other provisions of this contract including(a)this contract form, (b)the Addendum,if and to
the extent applicable,(c)any and all attached sketches,material lists,floor plans,and/or specification sheets.
nnif is InitialE
Page 7 of 2
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6'3 5'8 4'5 4'8
Bookcase/Toy B-i
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computer des ) - unfinis ed interior
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4'11 x2'5
Imo— 3'11 6'11 5'5 �I
3'5 3'6
3'11 6'11 I 5'5 4'8
20'11
LIVING AREA
461 sq ft
Knapp, Eric & Heather
70 Lost Pond Lane
North Andover, MA
01845
21'
6'3 518 4'5 4'8
Bookcase/Toy Bir
(or a great spot for -- — Water lain /Storage
computer des ) `, unfinished interior
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Home Ent rtainme ti Cer ter
i (Built under landing)
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4'11 x 2'5
I-- 3'111 --1, 6'111 -1 5'5
3'5 1 3'6
3'111 6111J- - 5'5 4'8
20'111
LIVING AREA
461 sq ft
Knapp, Eric & Heather
70 Lost Pond Lane
North Andover, MA
01845
21'
6'3 5'8 4'5 4'8
Bookcase/Toy i
(or a great spot for _ \ ----Water Main /Storage
computer des ) unfinis ed interior
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'(Built and it00 landing)
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3'111 -1 6'111 - 65
3'5 - 3'6
3'11 mak- 6'11 -L - 65 4'8
20'11
LIVING AREA
461 sq ft
Knapp, Eric & Heather
70 Lost Pond Lane
North Andover, MA
01845
4^
The Commonwealth of Massachusetts
Department of Industrial Accidents
office offfivesdofiffeRs
600 Washington Street, 7h Floor
Boston,Mass. 02111
P,
—_JWorkKers'Co!p !g tiog Insurance Affidavit:Building/Plumbing/Electrical Contractors
r Ji� 77
tion,
MY: 777-17 --
name:
Address: enp p U;J
city state: zip:01o? phone# IEi—ozlj�
work site location(full address):
❑ I am a homeowner performing all work myself. Project Type: E]New Construction Q emodel
❑ I am a sole proprietor and have no one working ng capa6ity. El Building Addition 71— Aottt—
L"J I am i n fo�_ vp�rki!�gqn this job.
comDanv-nWAe:1
71
city co
14
❑
I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workerscompensation polices:
,tomipanyname:
address: '
'City:
insurance W
co -Dou.
omoanv-name:�
address:
:City: Z_
,insurance co. lko,
no ley
Attachadditional sheet ifnecessary e
Failure to secure coverage as required under Section 25A of 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 hereby ce under pains and penalties perjury oferjury that the information provided above is true and correct.
Signature_ Date
Print name e4.9"Ae (;&AA A, Ift,Phone# 2
official use only do not write in this area to be completed by city or town official
f,r, a Fed not'ci 'use
only 0
city or town: permit/ficense# E]Building Department
FlLicensing Board
check
heck if immediate response is required ElSelectmen's Office
[]Health Department
contact person: phone#;
—[]Other
(revised Sept.2003)
✓fie�arrinao9zcuea ��/�aaoac�ivai kd LL
BOARD OF BUILDING REGULATIONS,
License: CONSTRUCTION SUPERVISOR'-
Number''CS 089566
Birthdate�_Y/2.411950
xpires 111724/2007 In no: 89566
Rest�ric d;. OQ� ��
THEODORE B Gf�ABfi �
' 1029 HUMPHREY STS' l \ �
SWAMPSCOTT, MA.01:907�% 3411
Commissioner
NORTH
own of : tAndover
0
No. _
.NOW over, Mass.,
T Q LAKE
COCHICIiEwICK V
7� 0RATED F"*0 �Cy
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
[[// BUILDING INSPECTOR
THIS CERTIFIES THAT......lT. .r................../. ..........................................o .... ........... .................................... Foundation
has permission to erect.... 'v14 ........ buildings on........ 0 � �i4�
....................
.........................................��................. ....... Rough
to be occu ied 8s C koo IQ � Chimney
p ............. ............................�............*. A.!P............ ..........Q................................................. .......
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. AIAI.0 0 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS ` Rough
........,.��.......................... ....'0-0a 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.