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Home My WebLink AboutMiscellaneous - 700 SHARPNERS POND ROAD 4/30/2018N � � O C',o a Zu v� _o m 1 _0 0 o z CD v o � v Date.. ..................... .. . .. ...... . .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING �.v . ......................... I ....................................... has permission to perform wiring in the building of ..... &� ................................................ ................................... at...10...... . .......... .. I ...... ...................................... North Andover, Mass. 0 Fee .............................. Lic. No.Z.1.6k,5( ...................... ELECTRICAL****''*INSPECTOR"*'* "'**" Check# Commonwealth of Massachusetts Official Use �Only r Permit No. I [I I ' Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leavebltutk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perrormed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININKOR TYPEALL INFORMATION) Date: 11/3/2015 City or Town of. North Andover To the Inspector of Wires.- By ires:By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 700 Sharpners Pond Road Owner or Tenant Gary Conti Telephone No. 978-852-5409 Owner's Address 700 Sharpners Pond Road North Andover MA 01845 Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building Solar Installation Utility Authorization No. Existing Service 200 Amps 240 / Volts Overhen UndgrNo. of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd'P No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rooftop mounted solar array Completion of the folloivinx table mai, be waived by the Insvector of iFires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool rnd. Above ❑ In- rnd. ❑o. omergencytg mg Battet Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No, of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: Number Tons I KW I No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Munic%pal ❑ Other Connection No. of Dryers Heating Appliances Kms, ecurity ystems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: 30 Panels Attach adelitional detail if desired or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: 2500.00 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, ander lite pains ar(l penalties of petjw3Y, that the information on this application is trite and complete. FIRM NAME: ASTRUM SOLAR LIC. NO.: A21555 Licensee: JASON RILEY Signature LIC. NO.: (Ifapplicable, enter "exempt" in the license number line.) .�' Bus. Tel. No -508-208-4371 Address: 15 Avenue E Hopkinton, Ma. 01748 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. lam the (check one) ❑ owner []owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ��- The Commonwealth of Massachusetts `Print Form Department of Industrial Accidents ' — Office of Investigations (_ I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Astrum Solar/Direct Energy Solar Address: 15 Avenue E City/State/Zip: Hopkinton, Ma, 01748 Phone #:508-208-4371 Are you an employer? Check the appropriate box: 1.0 I am a employer with 15 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' msurance Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. P/1 OtherPV Solar Installation *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Co. Policy # or Self -ins. Lie. #: 59536900 Expiration Date: 1/1/2016 Job Site Address:700 Sharpners Pond Road City/State/Zip.-North Andover MA 01861 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perfuiy that the information provided above is true and correct. Phone #:508-208-4371 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: A "® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 DATE MM 03/(02/2 15 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Texas, Inc. c/o 26 Century Blvd. P.O. sox 305191 PHONE FAX • 877-945-7378 888-467-2378 E-MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGOOVERAGE NAIC # INSURERA:ACE American Insurance Company 22667-302 pq�p��EET ENTED PREMISES?aoccurence) $ 100 000 INSURED Direct Energy and its majority owned INSURER B: Zurich American Insurance Company 16535-305 INSURERC:American Zurich Insurance Company 16535-306 subsidiaries and affiliates including INSURER D: Astrum Solar, Inc. 8955 Henkels Lane, Suite 508 INSURER E: Annapolis Junction, MD 20701 INSURER F: COVERAGES CERTIFICATE NUMBER: 22864701 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ITR TYPEOFINSURANCE DDL SUB pOLICYNUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X SIR: $100,000 XSLG27341226 1/1/2015 1/1/2016 EACH OCCURRENCE $ 1,000,000 pq�p��EET ENTED PREMISES?aoccurence) $ 100 000 MED EXP (Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: POLICY X PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS-COMP/OPAGG $ 1 000 000 $ B AUTOMOBILE LIABILITYBAP595396601 X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS 1/1/2015 1/1/2016 (aacINden) I)GLELIMIT $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Peraccident) $ PROPERTYDAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ C B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNENIA OFFICER/MEMBER EXCLUDED? (Mandatory, in NH) fyes,describeunder DESCRIPTION OF OPERATIONS below WC595396901 WC595397301 1/1/2015 /1/2015 1/1/2016 1/1/2016 X PERTUTF OTH- FP E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 JJ`DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) GEH I IhIGA I t HLJLUtK GANL tLI.A I JUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Town of North Andover 1600 Osgood North Andover, MA 01845 Cell - 4635895 Tnl - 1894829 Cert -22864701 0) 1988 2014 ACORD CORPORATION. All riahts reserved Aropn 25l9nld/1`111 The ACORD name and loco are registered marks of ACORD 'G N ;s v� D O c o Gl 0- �' < N <<<<<< s A 6u w r� N O� w o W W m o o c J lD N N x u, m o o 0 o s s -• sc s[ x[ D Z Z Z v n 2 m D m A m w N r N 0O Z 3 0 3 n D y J N 7z Z { n a D a m m D p n v d J in O» Z N s o on m m a o 0 N Q o 3 n ° 0 ° D J a a o om o a 0 w D 1 m N 0 J d J a a oc J .Ct Or � m 0 J 0 m C N < n p CONTI PROJECT C 700 SHARPNERS POND ROAD m X NORTH ANDOVER, MA 01845 m —i UTILITY ACCTq - 28732A0014 D REV. DATE REMARKS Direct Energy Solar Z 3 DIRECT ENERGY SOLAR 15AVENUEE HOPKINTON, MA, 01748 Tuesday, November 03, 2015 0 m 4 EF EF 2 2 2 C) C m ti c c 1 [my eat '° y 3 } t NS CONTI PROJECT y 4 _ C x 70 700 SHARPNERS POND ROAD I rl►yam 1 ms`s OP N l k �y+ S1 Energy HOPKINTON, MA, 01748 3 - °z D 1 sQ E5 D S y2 F Z - 3 £ oZ S� 3� sr � z3 3 - z 0 LA -n 1 e 3 EF F Tuesd3y, November 03, 2015 _ o f n 5 3 F ^ o - 0 - F - F� ^ R O n T p ti, o o a T 3 T G a F u 3 n H 3 3 3 3 a g x - T E - P Q b 2 4 EF EF 2 2 2 C) C m ti c c 1 [my 0 3 } t P s � C CONTI PROJECT y 4 _ C x 70 700 SHARPNERS POND ROAD I rl►yam 1 ms`s OP N l k �y+ S1 Energy HOPKINTON, MA, 01748 f °z Nfl Solan 1 sQ E5 D S y2 S� 3� sr � 9 O 0 LA -n 1 C) C m 1 [my DATE REMARKS Q (A CONTI PROJECT /�1�► Direct DIRECT ENERGY SOLAR C x 70 700 SHARPNERS POND ROAD I rl►yam 1 15 AVENUE E N r- Qp -0 NORTH ANDOVER, MA 01845 �y+ S1 Energy HOPKINTON, MA, 01748 °z Nfl Solan 1 E5 D C) LA -n UTfUTY ACCT# -28732-9W14 3 Tuesd3y, November 03, 2015 a mono..., NeON W300W&A.3 Introducing MonoXr- NeON rhodule sefles, whl& ' highly effiqicentr-ty�e—nWals. an& elaborate adopting a APPROVEPRODUCr 6 C cwductorpr ng solution and a-cduble-sidedstfucture &C04C -'bh:d @ Our R&D cbhte tos developing a product thotjs not only W$545M =612ts effido' but strivesto -in, cre8e pf�ictical Value for customers �PM1� N -TYPE MATERIAL ;*n6 N nt b asti XT�' N -a cells, o. ng .;Usp ..yp. higher m6WIitypfelectric charge, esultingin Ky. M highez�gdheriatfiafi adn" . . . - . M.—I NEAR ZERO LID (LIGHT INDUCEDPEGRADATION) The fi-type coils used in Mand- NeON have almost nobior6ft, which may cause the,initial effiriency to. drop, loading to:less 1_16i f NAWOJLEVEL CONTROL DOUBLE SIDED CELL STRUCTURE MorfoXlm NeON uses the. NMo4evel process The rear of the cellcellused i" M0npXw NeON is designe,'d control predominant in,senicondtaorprocessing to contribute-io generation, the Q.h b_etreflected process; which.ensures Iess.eJectdc: loss from. from the rear 6f the modulo is reabsor"beid-to generate interna[defects. agTtatamount 6f.additio6Wpower. i6.� o 0 Bk!j a 60ht k0kif AbbufLGE14CMAhkS MEGHANICAL PROPERTIES .Cells 10 �Cellvendor IP 67 with 3. bypass.cilodes Cell type Yonocrystalline Celidimen-sidris; :156 x 156 mm [6 x 6 in 'u.of busbar Anodized aluminum Dluiensibris (L x W x H) `1640_x 100.0 x 35 mm IEC 12 1 IEC. 61730-11-2, UL 1703, .. 264.57 x39 3791.3.8 in .Static snow load 5400 WO P I a/1 13-p . ff .Stat,"Infload ;j40d,Pa/.50psf Wdighi 6.8 :E .0.5 kg 136.96 +11 lb .!.Connector type Mc.4conn.ectorlP 67` Junction box IP 67 with 3. bypass.cilodes Length of ekles 2 x 1000 Mrn 2x 39:37 in GlassHigh transmission tempered -glas's Frca me Anodized aluminum tt0fiNifAticias AND WARRkNfY. certifications (in Progress) -9 . s) IEC 12 1 IEC. 61730-11-2, UL 1703, .. ISO 900.1, IEC 61701, JEC 62716 Product.warranty 10 yors Qutput.morranty of Pmax Lin warran (inamrEmEntfolenm'at 3%1* 1000 W40, 29'C, Am 1-s •Tfie nmwpfawypwercmputkmeasured and d—nimd by LG Electrodes acus olcandabscUidOcmr m TEMPERATURE COEFFICIENTS' NOCT 45:t 2 T .Pmpp .-yi %/-C NO c -019 %rc -1sc .0.04-%/-C-- CHAPALC#R(SfIC-CURVES i46 Tzo :9 100 If l5c Voc p(hax 0 -.V01taq-(V) —mqxm4m ELEQTI4ICALP,.RPPERT Maximum power (Pmpp) 30OW mppvoltaga(Vaim) 32,0 MPP (Irnpp) gA0 Opdn cirdu-It.voltage (Vpc,) 3%8 .Shoft dr -cult cuftent (1k) 9;98 Module efficlen.cy 1,8.3 Pperating temperature (T) ,Maxirfiurn system Mtqq(V) 1.000 {IEC), 6QO (UL) Ma)dmum senre - S We rating (A) .20 powertaterahce (%) 1000 W40, 29'C, Am 1-s •Tfie nmwpfawypwercmputkmeasured and d—nimd by LG Electrodes acus olcandabscUidOcmr m E-LE-CTRItAL'OkOPE'RTIES,(NOC-T*) -30DW Maximum power (Pmpp) 210 MPP voltage (Vmpp) 293. MPP current (laipp) Open, circuit voltage (Voc) Short drcijlt rurmPf(I5c) 6.05 Eimdleocy reduction IS% DIMENSIONS WAi/lN) - . Dm . a x Dhj I 1Y RAW 22idST Morth kmdm1ar 9jsinessleam LG uwiumt15A Inc, -w 10005]ytwan&me� Englemod drN A I qt%TA pupp(ty-0 f* theIr mWcdm amers. LIS _Ds.N_6 002 With LG, it's all possible t0pyiigh2 6,261 j LG tkamnics. AU nlghts msmwd. LiferGoodcontacc 'g;56'ar@'§'.com VAVW195 DWUMCUiti10/01120i3 1:47.6' .NM 044p1E0 DW,1l 12-042 -1 2b060031 r gs gr *44137.17 I a ram . Dm . a x Dhj I 1Y RAW 22idST Morth kmdm1ar 9jsinessleam LG uwiumt15A Inc, -w 10005]ytwan&me� Englemod drN A I qt%TA pupp(ty-0 f* theIr mWcdm amers. LIS _Ds.N_6 002 With LG, it's all possible t0pyiigh2 6,261 j LG tkamnics. AU nlghts msmwd. LiferGoodcontacc 'g;56'ar@'§'.com VAVW195 DWUMCUiti10/01120i3 !ZnphaddO MIOTOMYPOP.r.s. Enphase'M250 cridift6etbir-defivenq 1hcre.k80d energy hwvqdtand reduces design and The. kited approach. With the.M,250, the DQ-6rcuit 19 isolated and insulated installation complexity with its all -AC re ve required for This from ground) so no. Ground E.Jearode OonduOtpir (OK) is be Microln rter furth . r.§impli [es ih§tal . 1�iflon -enhances safet d a 0 1 .save$ on labor and Mpteri Isc6sts Engage Ogbl%the phyb�p communipations The Eilphase M250 in ly'with the ,tegirktO,$ 80arriles'§ OatOW and Enjlghten6, EhohasO!s monitoring and analysis- s0ftro:: ':RPSVG-T -O,Otj(ht4p forhigher-,p9wer. modules Maximizes Wordy production MinithVq. ImpAct of shading, 00$t, and debris enphaseM E N 11 R G Y oval M;P'LE �Nor(3EO�ni ededforf rm0rQjr1VOrtOr No`D;C,design. or string Alculaflon required E4py.ln-$taIlOf1oh with ErT9490 " L E # AA1 -.4th-generation product -More than 1 M111116 hours of testing n acid 3 million un-isshIPOO Industry 4Ieadjnq'w4rrqnty, up to 26 years Enphaspe M200 Mjqro1pvqrter // DATA - INPUT DATA (DP) M25640,�2!-LwS-22/$28=4 -210-300W Recommended Input power (STP) Maxtiburn input 00 Voltage 40V pbal< power tracking voltage .27V -39V 00prati— fig range 16V -48V Min/Max start voltage 22V/48V Max DO short clreult current 15A Peak output-Ij r 'Hated 09;1#4644 output power 6,minal Output 090 t Nornln6l vol tageftinge *Mfhal frequency/range. gxte4dijd fr6qu6noy.range" `Po*r factbIr Max] rofn uhlbj P'OrW A. brah0h circuit @208 VAC 250 240 W 1.15 A (A yrns at nominal -di ratt6n) 268 V / 183=229 V 66.0 / 67-61 Hz 57-62.6 Hz >0:95. 24 (three ghas6) 850 rhA ernsfor . 6 -cycles .AO VAC bEbvq!ghted efficiency, 12 - cEC weighted afficlenc Y,1268 VAC; peak inverter efficiency 965% Static MPPT;bffI6jdnpy (wqjghtad,reference FN5b53p) .9-%4 % qp rnw Max 260 w 240 W 1.0 A (A rms at nominal dgratl6n) 240 VL 211-264 v 6.0..0 7 67-61 Hz - .57=,024 Hz >13.96 16 (single Phase) 1360rnArrnsf0t6.0VP,IP6, time.power,cons.ump _on - MECHANICALNight bATA .A11161ent tdrnperatura range Adoc to -006,0 - effiperaiure range {internal) ppAr4tit(g "temperature to +85,00 '- tl6 brOcj�qf) -171 MM x'17.3 MM.x �3_O.. rnn�,(Withput lbo.0n . g Weight Codling NdtUral `convection - No -farts Enclosure envfronrh erital r4ttrldEMA6 —Ntdobi N 5EATURE—Si -- :at :6'ornpIjJIII- cbi�-Paifb . la with .60 -'cal OV modUlds. POW& line meets the requirements for -ungrounded PV Ways 10 The . Integrated ground .D-C,circuit 10 in the Engage Cable.' NEG 690.35 Equipment ground 19 provided i, , ni No additional GFc or dr d'jg required - Free lifetime monitoOdg Vila Enlighten software Monitoring UL-1741/(EE:Ftit-47,'Fioe:p_or.ti5Class o CANICSA-029.2NOA40.11, 0i4 -04'.:g1 -107.1-'011 Frequency ropgqp can bq qkwrjded bqbnd nomIrfal If required by theutility ; To. learn more 6bout.Enphape Micro -inverter technology,enphasea -6 Y nphasa Energy Atl rights PeserVod. Atl IrademarJ<s or 6rarids In'ifits dticunlent are'togistsred:by their rospeetive owner. P Date .... .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that.. ......................................................................................... / ........... 0 ,Q -7.2$ has permission to perform ......................../ wiringin the building ..................................................... A ........................................ atA � .... ...... ..... ...... ............................. I North Andover, Mass. Fee ..... / ��:7 Lic. No. ` ELECTRICAL INSPECTOR Check # —7 -7 7c)6 12695 - H4 5 Official Use Only c� �arvica� Permit No., � 2 = eL.Japar(.rnan,' o��ira Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 11,00 (PLEASE PRINT IN INK OR TYPE ALL IA'FORMATION) Date: Cl — t & —/ S City or Town of: al o,( 4+ &0j e K To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location {Street & Number} 200 Sha(pn�e cS Lmd Ati Owner or Tenant 8 CY J _ cin Telephone No. 9?f • JPs -2 • S_YO f Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Cheek Appropriate Box) Purpose of Building Utility Authorization No, Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Scn ice Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters14) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Solar Electric - Photovoltaic (PV) system jzS- 1 _panels rated d2�j kWan STC Grid Tied. In conjunction with a Building Permit 8 Cattrpletion ofthefolloiNng table may be ~sawed by the Inspector of Iyires. No. of Recessed Luminaires No, of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KV A No. of Luminaire Outlets No. of Hot Tubs Generators RVA No. of Luminaires Aboven- Swimming Pool rnd. Elin- El o. o Emergency ng 'No Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS Na. of Tones No. of Switches No. of Gas Burners No. of fietertion and InitiatingDevices No. of Ranges No. of Air Cond. Total Tons No. Alerting Devices g o. o No. of Waste Disposers 'lest ump Totals: ntnber •1 ons K o. of Sell ' -Contained Detection/Alcrting Devices No. of Dishwashers Space/Area Heating KR' Local ❑ municipal ❑ Other Connection No. of Dryers Heating Appliances KW ecarity ystems: No. of Devices or Eguivalent No. of Water KW o. o i o. o Data Wiring: Heaters signs Ballasts No. of Devices or E un•alent No. hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the btspector of 11"ices. Estimated Value of Electrical Work: 130 000 (When required by municipal policy.) Work to Start; ASAP Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND ❑ OTHER ❑ (Specify:) 1 cern& under the pains and penalties ofperjury, that the h1 formation oil this application is true and cottlPle e. FIRM NAME: SOLARCITY CORPORATION LIC. NO.:1136MR Licensee: MATTHEW T. MARKHAM Signature LIC. NO.:1136MR (if applicable, enter -exempt" in the license number line) Bus. Tel. No.:774.258•818D Address: 24 5T MARTIN DRIVE (BUILDING 2- UNIT 11) MARLBOROUGH, MA 01752 Alt. Tel. No.: 774-2582505 *Per M.G.L. c. 147, s. 5761, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: l am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. Omer/Agent Signature Telephone Na. PERMIT FEE. $ 12 _ "V_ _itll��t./l�P,�.{.1� f y�r Office of Consumer AI`tanci Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts n? 110 1-lomc Improvement Contractor Registration SOLAR CITY CORPORATION MATT MARKHAM 3055 CLEARVIEW WAY SAN MATEO, CA 94402 w., A. o trruaert(0unrte 44- , ,,,00 �. —#11v , I %!..... 4. #, tNTiiceofConsuinerAlliilra& IiusinemRet;olation L HOME IMPROVEMENT CONTRACTOR Roglstration: 968577. Typo: ' Expiratien: t3:7017 SupplerrentCatd SOLAR C, I C t )iR I"JRh i ia, t Registration: 168572 Type: Supplement Card Expiration: 3/812017 Update Andress and return card. Mark reason for change. Address Renewal Employment host Card I .icense or registration valid for individal use oitly before the expiration slate. If found teturn to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston. \1A 02116 MATT MARI-�I V,',1 24 ST MARTIN S 1 RLL 113LD ZUNI ee, UNLeoRoucll, Mn 01752 --�-----.�-----.-- ' '�• �'�'` lindersecretan t'r'ot valid without signature tw ELECTRICIANS ISSUES THE FOLLOWING LICENSE AS Anel REGISTERED MASTER ELECTRICIAN +� SOI,ARCITY CORPORAT 10N MATTHLW T MARKHA.M 24 SAINT MARTIN DR 91.I11-1 2 UNIT I I HAKBOROUGH MA 01752-3060 � ,. N .f ` T ke Commonwealth ofMassaclausefts Department of IndustrklAccidents Dice of 1nPeSdg4&XN X Congress .Rete Slate 100 XtesAw; MA 0211"1117 )VWW. MgSS.goV1& Workers' Compensation Ltsamnee Affidavit: Builders/ContmctvrdElectricisns/Plumbers AppLicant In€ormation Please Prion Le 'bI N€ime musincss/organization/fndividuaD-. SolarCity Corp. Address: 3055 Clearview Way City/State/Zip: San Mateo CA. 94402 Phone #: 888-765-2489 Are you an employer? Check the appropriate box. _ Type of protect (retluireai): 1. 0 a a employer with 5,000 4. [ I ata a general contractor and I b n New construction emplaynes (full and/or parmirne).11 2. ❑ 1 ata a sole proprietor or partner- havc hired the sub -contractors listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These subcontractors have g. 0 Demolition wanking forme in any capacity. employees and have workers' 9. Q iiuHding addition lWo workers comp, insurance required.) camp. insurinta. 5. Q We are a corporation and its 10.[] Electrical repairs or additions 3. ❑ I ant a homeDwner doing all work officers have exercised their I LEI Plumbing repairs or additions rnybeii: (No workers' comp. ,iotiuf excurpdort par Mal. IZ.❑ Roof repairs insurance required.) t c. 152, §1(4), and we have no employees. [No workers' l3 titer Solar/PV ✓ tomo. insurance mouired.l *Any applicant that ehccks boar # t umust also M out the section below showing their wotkcss' contpcnsattarr 1011"I" rc =" . I ktomeowncrs who submit this affidavit indicartmgfgey are doing all work and then i►iteoWidc contrat:tors mast submit anew affidavit indicating such. tCcntmators that check this box must attached an additiond sheet showing the nmw of the sub-cornamm and state whether or not those entities have cmployt m. if the sub•contrac on bavc antployecs, they must provide their workers' comp policy member. rn� I am as employer that isproviding workers' compensation insurance for my employees. Below is ll:epollcy acid job site �r{/ormen7ien. Insurance Company Nam; Zurich American Insurance Company Policy 9 or Self4ns. Lic. #: WC0182015-00 Expiration Date: 9/1/2016 Job Site Address: TCO shown -co Pbn 1 C/ City/State/zip: n)�i it �771(iCAJ�� Attach a copy of the workers' compensation policy declaration page (showing the polity number and expiration date). Fpiluree to secure coverage as tcguired under Section 25A of MGL c. 152 can lead to the imposition of ceminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 3250.00-a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DFA for insurance coverage verification. 1 do hereby certify under the pat Us and penalties of perjarJ, that the inforrr:adon provided above is true and eorre a q-!(4 -(s- Phone S Phone M. ©ffidal we only. Do not wri.'e hr this area, to he completed by city or lawn, official. City or Town: Permit/i,lee;nse Issuing Anthorlty (circle ane): 1. Board of Health 2. Building Department 3. Cityii'own Clerk 4, Electrical Inspector 5. Plumbing Inspector 6. other Contact Person: Phone 4: AC4 R�6 CERTIFICATE OF LIABILITY INSURANCE DATA {derrl�orYYrrl CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 08117015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL, INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK& INSURANCE SERVICES RHONE_........_......._... _.._............. ,PAX....._... .... ... _._._._.__ .._.. 345 CALIFORNIA STREET, SUITE 1300 �� F�tk......... _ .._ . _ _ ... _......... ......... lAl�. N?J:...... _ ............................. CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94104 E-MAIL ADE' Aftn:Shannon Soott415-7438334...........INSURERjsjAFFORDI#GCoVERaciE..... .. ._....._._ ... NA ._. . 998301-STND-GAWUE-15.16 INSURER A; ZUrieh American Insurance Company 116535 INSURED - INSURER 0: WA _ .. :NIA Sowity Corporation t .. ......... . .. 3055 Clealview WayINSURER C: NIA NIA _. ... ..... _._ _...._..._.._..._.._._ ......_.._.._..__+-._ ........... .. San Mateo, CA 94402 SURERD : American ZUndl Uuurance Comm - X10142 INSURER E: I GENERAL AGGREGATE 3 INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-D02713B36d1B REVISION NUMBERA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW#THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. n15R ADAL-SUBRT — T---...._._......- .,. POLICYE -.. .... LTR TYPE UP INSURANCE POLICY NUMBER I MOLIICDY UMTS Charles M armolelo - �! "—?• �li��.— . A X COMMERCIAL GENERAL LIABILITY iGL00182016A _ . 09101/2015 s09�112016 EACH OCCURRENCE S G 3,000,000 bAMAGE Tb REN7Ep._.... CLAIMS MADE OCCUR PREhAESES;Ea aocVr!erlce� X SIR: $250,00 .........?...... ...... _ ...... ...... j F MED EXP (Any one Dersonl.... . _ 5,006 _........................ __._............ .... PERS ONA_0D._--... L 8, ADV INJURY $ 3 3,.x,600 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE 3 6,060,000 1 PRO. r .... , I X POLICY . j JECT l....; LOC PRODUCTS - COMPIOP AGG : S ..._... _ .... 6,D6D,OOD i OTHER S A ; AUTOMOBILE LIABILITY IAP0182017M !09!01/1615 0919112016 COMBINED SINGLE LIMIT g SAOO,60D r LEa acctdeptJ........... .... ..:...... --..... X ANY AUTO . .: BODILY INJURY (Per person) ': $ X ALL OWNED SCHEDULED AUTOS AUTOS ..... .. BODILY INJURY (Per accident) $ .... _......._ i.X X HIRED AUTOS X NON -OWNED AUTOS `. ' PROPERTY DAMAGE }S �... , f... �(Pt:?#�tdent). ..... _.........+.. .. ....._ _.- ---._....._ COMPICOLL DED: S $5.000 UMBRELLA LIAB "OCCUR EACH OCCURRENCE $ S EXCESS EXCESSLIAB CLAIM&MARE AGGREGATE. }.. ... f.. t..... ......_1. ....-.._--_._ _. _._..J I f.. _. .. .. i. ..S ... DED R NTiON $ I S D €WORHERSCOMPENSATION `: WC0182014 00 (AOS) 09K11/1015 09101/2016 ; X '; PER ;DTH• ; AND EMPLOYERS' LIABILITY A : WIN; N : WC0182015-00 MA PROPRtETORIPARTNERIEXECUTNE ( } f___ i STATUTE. ;......i ER ..... f _ . _ ... :0910112015 '09101/2016 _ _ ....._.. 1,000,000 ,ANY :OFFICER/MEMSEREXCWDE07 �:NrAI f.L ACC1DENi 5 EACH r-- ---------._._._.........;. ..... {Mandatory In NMI WC DEDUCTIBLE: $500,DDD N E.L DISEASE - EA EMPLOYE ' SA00 - -- -----.._ .. ... -- -. ._ . . ye, describe under DESsCRIPTION OF OPERATIONS below i E L DISEASE - POLICY LIMIT I S 1.000,000 I I I i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD.1o'1, Additional Remarks Schedule, may be attached If more space Is required) Evidence of irwrance. CERTIFICATE HOLDFR CANCFI I ATIAtd SolarCity Corporation 3055 Clearview Way SHOULD ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN San Mateo, CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Charles M armolelo - �! "—?• �li��.— . ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2094101) The ACORD name and logo are registered marks Of ACORD U y N w _O •V tG Oen D C O � ?ave g j'v C � O W1 Q z r/ N cn i rr 5e to LU z ' Q L LU :x it Ca�j w SJa O o w J U p U U W Q J W LU r (= J�UJ O O Q 5CN O F- Lr CL m ¢ a UNNOF- L Z r » - Lo > > > Q fn Cl. Cl. Cl- CdU LU * * * p p. 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EM I Q � Z Q W z Q O W W 0.. W Z U .B d C T 0 F Q f� Q 1 o 2 E EM I Q � Z Q W z Q O W W 0.. W Z U .B d C T 0 <: q 0 C, < <:E: C) 0 E: E E u ) 0: a C: :> >: N: ti cs O:w M: E E u:� ci o o 2: 70 C, 10 1 4) 1-1 x: o: 0: >>: 0: :o.w o. o V. 8 @j > 2 co, 0 0. 0 c rq . ...... . ......... :-6 o o mm It >: 'D :-6: -0 V o c �o u o m 'r, m o it < <:E: 0 E: E E u ,10 ti cs E E u:� o o 2: 70 4) 1-1 x: o: m C LU 0: a z > 2 >: m >:o: 0 0. 0 c rq :> :.o >: >: o :-6: -0 V o c c < 'r, m 0 u u m 0 o 0 m < ,�:: m. E 1� 0-- 0: —Z IL 0 . W: U U: t w m : z Z -0 Qj < m z iE 11 z Z u Z 2 < <:E: W 7a E: E E ,10 ti cs u:� 70 4) 1-1 x: o: m C LU E: <: z > 2 r -c m o 0. c rq :> :.o >: >: w > z i E: I E: A:N 0 < 4A 0 'r, m 0 u u m 0 m o: m. 0 v: > w 0 0 o 'B t w m .29 -0 Qj > V) -0 m z iE 44 w -r-0 0 o m: !2 i Q. O > o! w 0 o CL E 'S m o xD. 0 >: M o: o o u: c): Q 3: + o m: <! >: o6: IL < mal * :2: 'o a): o; it: 0: o 4 z: o. 3:i 4 � i <: + _o a -g. lo w: @j o v + E: O ry o V z x Lr! cl z z �z O ul N. N w 19, t tE i z >z ro uj —o o: > E a: 0: z: o Z 86 bo W: w u u o: >: E: Z! o. oi g: g! Ynx >: o o o z = o o E: E: _'•p: E- 0 o. w - w-= , ro 3:: o: f T E: o, i3i o: a! a: Q: Z� u: >: 2: w: —w: o:,G o wu. z: VZ Vli vi;<.n z 11 z Z u Z 2 W 7a E E ,10 ti cs 70 4) 1-1 m C LU z > 2 r -c m o 0. c rq CL > z 0 < 4A 0 'r, m 0 u u m 0 m Q Qj 'X cu o 0 > w 0 0 o 'B t w m .29 -0 Qj > V) -0 m z iE 44 w -r-0 0 o u m —M r= Q. O > to w 0 CL E 'S m o xD. 0 11 z Z u Z 2 Phone: 978-342-2660 JAMES A. TRUDEAU Fax: 978-342-2699 Adjustment Service Inc, P. O. Box 942 Fitchburg, MA 01420 claims(a,trudeauadi.com Notice of Casualty Loss of Building Under Massachusetts General Laws, Chapter 139, Section 3B March 13, 2013 Building Inspector 120 Main Street North Andover, MA 01845 Board of Health 120 Main Street North Andover, MA 01845 Fire Department Dept. of Records 124 Main Street North Andover, MA 01845 Insured: Marlene Mitchell Loss Location: 700 Sharpners Pond Road, North Andover, MA 01845 Insurance Company: Preferred Mutual Insurance Co. Policy No.: PHOO100744192 Date of Loss: February 8, 2013 File Number: 13-11471 Claim Number: 13002868 Type of Loss: Property Damage Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000.00 or cause "Mass. Gen. Laws, Chapter 143, Section 6" to be applicable. If any notice under "Mass. Gen. Laws, Capter 139, Section 3B" is appropriate, please direct it to the writer and include a reference to the captioned insured, location, policy number, date of loss, and file or claim number. On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first class mail. Sincerely, Nicole Pereuoco Claims Adjuster 014f (Eommonlutdo of filttsstt>' 1MIetts Bevartimat of Vablir %fdg BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Oniy�� ' Permit No. Occupancy A Fee Checked 3190 0eave blank), j 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 v — Q* or Town of NORTH ANDOVER To the In peci r of Wires The udersigned applies for a permit to perform the electrical (work described below. Location (Street & Number) -7-0or P�r,8- Owner or Tenant u jpI-r- I L r�nrlv14 "N (may P4 Owner's Address 42" "- e ' " r ` Is this permit in conjun on with a building permit: Yes ! No (Check Appropriate Box) Purpose of Buiidings�� C Utility Authorization No Existing Service Amps __l VOItS Overhead ❑ Undgrnd ❑ New Service Amps _J Voits Overhead ❑ Undgrnd ❑ No. of Meters No. of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work INo. of Transformers Total Hot No. of Lighting Outlets � No. of ..ot Tubs - I KVA No. of Lighting Fixtures 9 9 I Swimming Pool Above-- g grnd. _ In- r gmd. ! Generators KVA No. of Receptacle Outlets I No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets I No. of Gas Burners FIRE .ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices — Municipal Local u Connection (Other No. of es Ran 9 No. of Air Cond. 'otai ions No. cf Disposals Heat Total Total p No.of Pumos Tons K:`: No. of Dishwashers i Space/Area Heating KW No. of Dryers i Heating Devices Kw No. of Water Heaters KW No. of No. of I Sicns Ballasts Low Voitage Wirina No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to me requirements of Massacnuserts General Laws ^ I have a current Liability Insurance Policy including Comoieted Operations Coverage or its substantial equivalent. YES = NO I have submitted valid proof of same to the Office. YES = NO f ou have checked YES. please indicate the type of coverage by checking the appropriate box.�� [� INSURANCE BOND --OTHER = (P!ease Specity) `7 d� (Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Recuested: Rough F nal Signed under the Penalties of perjury: > FIRM NAME �� Sia� UC. NO. Licensee 0-16?rn.A M^1 &^--s Signature //'' e Bus. Tel. No. Address �✓r Rc� � P, hA do ` Ir — Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee ooes not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE 5 (Signature of Owner or Agent) x-6565 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 8 Ui CH "OfA This certifies that has permission to perform ... . .. . ............. wiring in the buil of.. .. . ..... at.. .. ..... 0 dover, Mass.m .7.lv--v .... buil Fee/,-?—. ... ... Lic. N .. 7y..0 . .............. ........................................... 2 ELECTRICAL INSPECTOR PINK: Treasurer GOLD: File WHITE: Applicant CANARY: Building Dept. r ,I jr Si N2 214 3 Date....a .... —,-Z' 0- TOWN OF NORTH ANDOVER PERMIT FOR WIRING ............ This certifies that ........ vol.�k ..... o.-� ..... A cltd.f.ci�m ....... has permission to perform ...........i' .... .................................. wiring in the building of ...... L':� .......... ......................... at ..... ..... roa, ......... North Andover, Mass4' Fee ....,70..,.�.... Lic. No. 31-,�.7 .... ...................... Z ELEcrltic'AL MpEerOlt C �t VT -3-17 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ,/ Office Use Only The Commonwealth of Massachusetts Permit So. U WIN—Im Department of Public Safety Occupancy b Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave blank) A i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed in accordance with the Massachusetts Electrical Code. S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I�-�s` () U City or Town of {Up , (ar,cA--ook- To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) . I DO Owner or Tenant la e: Owner's Address CA,,-blf1 Q!S T O`er C\ 1 Is this permit in conjunction with a building permit: Yes [0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps / Volts Overhead LJ Undgrd E] No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters, Number of Feeders and Ampacity. Location and Nature of Proposed Electrical Work (\(ll�;� �0% f'� .y� anae(i0 9,V rk T -� a L Y� ��. �', r t7 �{ C7 i'1 �1: 7'; i" No. of Lighting Outlets 13 No. of Hot Tubs No. of Transformers T1CVtAl No. of Lighting Fixtures Swimmin Pool Above In- g grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ Other Connection No. of Disposals No. of Heats Total Total Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, of No. o Sign Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: v INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a currentiability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES t] NO ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE [4 BOND Q OTHER ❑ (Please Specify) D Estimated Value of Electrical Work $--A 5O , Work to Start 1 — ?40(:) Inspection Date Requested: Rough Signed under the penalties of perjury: FIRM NAME VAq, \( kA , Expiration ate Final LIC. N0.51 'acj 4 L. Licensees \c�,� L\ �eOtrcn�-`Signature k. -t��0.)C ][n `LIC. NO. Address "\� �U�� 4••� \`c . !!- (��,� Bus. Tel. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am a are that the Licensee dIQ not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) t 5 Telephone No. PERMIT FEE $ Signature of Owner or Agent I `.0 M.N. Falardeau Electric 93 Rockingham Road Derry, NH 03038 Phone (603) 434-3560 Fax(603)434-5098 January 31, 2000 City Of North Andover Electrical Inspectors Office 27 Charles Street No. Andover, MA 01845 Dear Sir: An electrical permit is needed for the following address (Jewett Residence, 700 Sharpners Pond Road, No. Andover, MA). A copy of my insurance binder is on file with your office therefoe I am enclosing a check for $30.00 made payable to the City of North Andover. My Electrical License Number for the Commonwealth of Massachusetts is #37294E. Kindly mail the permit to Mark H. Falardeau, 93 Rockingham Road, Derry, NH 03038. Thanking you in advance for your timely handling of this matter. Sincerely, Mark H. Falardeau cc: Champion Patio Room & Reattach Service Location 4No. Date ;2� N0RTh TOWN OF NORTH ANDOVER f 1y 3? 0 + ; : Certificate of Occupancy $ CMUS E�� Building/Frame Permit Fee $ � JA Foundation Permit Fee $ Other Permit Fee $ s TOTAL $ Check # 13 7 i • Building Insp c1 r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: I DATE ISSUED: j aw dw SIGNATURE: '0000o C 660�� BuildinE Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: SDG S harpy►er PO•J a 1.2 Assessors Map and Parcel Number: ! 0 S D Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided -530 30 30 1.7 Water Supply M.G.L.C.40. 54) Public 0 Private 0 Zone I.S. Flood Zone Information: Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Priv) `706 Sn ra,Me r Fop.& &d , Address for Servi e 7&of 7 �-- 135 �ignatu a Telephone 2.2 Owner of Record: Name PrA -766 Address for Servi : SiVlature Telephone SECTION 3 -"CONSTRUCTION SERVICES 3,1 Licensed Construction Supervisor: licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: mm �Pc�ec,L ®tC �nVeo ,. SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OI)�F'IICAI,'USE (ONLY . 1. Building 12- 00 (a) Building Permit Fee Multiplier G 2 Electrical (b) Estimated Total Cost of Construction a O 3 Plumbing Building Permit fee (a) X (b) - 4 Mechanical (HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, ' X11 latter relatiyAto work authorized by this building permit application. � to 00 Si nattue of 6,kxqier 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/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T1IVMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DRVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM IIISTRUCTIONS: This form is used to verify that all necessary approvals/permits from. Ecards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compli2nc ith any applicable or requirements. *<*t*tAF�LICA,�1T FILLS OUT THIS APPLICA;�T flet)Y)� �e PHONE �t ` W73- i35� LOCATION: iN12P dumber 05-✓ PARCE_ U SUBDIVISION D Q w I l�) STREET S�'eepN,?S ��"O( ��L' ST. NUMEER /vim OFFICIAL USE ONLY"""" "t `" RECOMMI ATIQN,QF T0,WN AGEtgTS: oZ _74", G �C CONSER ATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOINDS ECTOR-HEALTH TI('iNSPECTOR-HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED- PUELIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPAR T NIENT RECEIVED EY EUILDING ii ISPECTCR Revised 5'+9' im ,1=�— DAT i= 5� •' SUi;SL1iiACF SEVIiA� tlISPb5�1! �'t'iEM Ify3PEC>ritif�J`tM ' Wt C sySTEM INkAMAtION (toMlhued) E Property Address: V1(O `,'�tl'\�p.A-s Owner! QAJ�hti Daateteo of Inspection: SKETCH OF AGE POSAL SYSTEM: incl a ties to least two permanent references landmarks dr tienthniuks I all wells ithin 100, (locate where public water supply corttf's Into houses ,. j 1 }v 1 -t. � a u. Wr'",f! /� 3' - 4a Ar- �c„ad (swiied 04/:S/97) s y.9AFAA1A es RVAD SCALE: 1" = 60 A0Al,p CERTIFIED TO: �yo.B7�jiV�.F C'o.Pf�op�7T/oN ITS SUCCESSORS AND/OR ASSIGNS I CERTIFY THAT THE STRUCTURE SHOWN EITHER CONFORMED TO THE DIMENSIONAL REQUIREMENTS OF THE ZONING BYLAWS OF THE TOWN OF.vse-'v MA., WHEN CONSTRUCTED OR IS NOT SUBJECT TO ZONING ENFORCEMENT ACTION UNDER M.G.L. TITLE VII, CH, 40A, SEC, 7 AND IS NOT LOCATED WITHIN A FLOOD HAZARD AREA AS SHOWN ON FLOOD INSURANCE RATE MAPS OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY. B COMMUNITY - PANEL NO. �.T009�, �� ✓� Z --993 �.��a,ic% C! i5lc�uo�%�- �vardwd,E.e Z3, /99J PROFESSIONAL LAND SURVEYOR DALE MORTGAGE INSPECTION PLAN REFERENCE 46.17' O,- 7i reE .lo. /2435- ,vo�T.�/ �9.v�Ot%F.t', �1pS.Ti�c�.siuS•ET7S EDWARD C. HELMES, JR., P.L.S. 4 LANCASTER AVE. PREPARED FOR CHELMSFORD, MA 01824 .s�.�.�.�.��.v ,� F',E,�i.2�.g8.Erav M ✓.Fw.F� T i I I 6 EXIs4;y, I I , �.er^oae 1 ar,C 7 0. ctc a one I Isis 14 f. 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Falardeau Electric 17 Blue Jay Way Litchfield, NH 03052 Phone(603)595-6680 Fax(603)882-4115 June 19, 2000 City Of North Andover Electrical Inspectors Office 27 Charles Street No. Andover, MA 01845 Dear Sir: This letter is to inform you that the work scheduled at the Jewett Residence, 700 Sharpners Pond, No. Andover, MA, is complete and ready for inspection. If you have any questions please contace me at (603) 595-6680. Sincerely, Mark H. Falardeau Champion Patio Room Location No. Date MCRTpy TOWN OF NORTH ANDOVER f � ' Certificate of Occupancy $ s i sACHU t�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Chuck # X5558 Building Inspec�r NSI w N cn N 1 sir 41 J N J 00 w z u I 2 Z O i Y< I 19 Z Q O z C w U G, w Vto F t V Q a w � < w O O \ � W Q o ca a H ti r z � 7 t w < A < � C� in lwi. Gw. F 7 w O o O iZ �n Q W F i w > O O U w J � 154 Z 0. L w a N B < a F w e w (b U v U b 5 w < z z W < z O % a 19 Z Q O z C w U G, w r 0 L-�� ELLD LU 00 V=I N uj �3 r.. Z F t V Q a w � w O O \ � W Q o ca a H ti r z � 7 t w < A < � C� in lwi. Gw. 7 O o �n w W F i w > O O U w J � Z 0. r 0 L-�� ELLD LU 00 V=I N uj �3 r.. Z t V Q w O O \ � W o ca a H ti � w < A < � C� in lwi. Gw. 7 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 APPLICANT S7eP le `��w f PHONE LOCATION: Assess&s Map Number PARCEL SUBDIVISION / LOT (S) STREET ST. NUMBER 706) ***********************************OFFICIAL USE ONLY******************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED COMMENTS N� Watlot S TOWN PLANNER COMMENTS DATE REJECTED. A � o !1 /- DATE APPROVED DATE REJECTED_ FOOD INSP CTOR-HEA TH DATE APPROVED DATE REJECTED fSEPSPECTOR-HEALTH COMMENTS it DATE APPROVED DATE REJECTED_ PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm i _ C),' 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: 3 S ©UP? %r, �� reS'c; v /ray (Location of Facility) `J Signe of Permit Applicant /0A Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r t� t t � s � r°• ( - j f C 4 1 77f ------------ • ! S 465 Q— r ( E 4111--7-all I .. y { .` �• • -_ Imo..-_. ! �i -- f-=4 ! I `( �.`.' .1 C' �• f�" r�' ��. t .._-� ,�a-L --'�} �,: �� 7.. -'i�� it t — — r f --� � I _.-_ � 1 ,.__ __ - ��Q,r..pdC_ did_ •pq�� ' E ROO M f - • j i =_-._.:, " �p �- -��{ _.� Dm's i t I. •1( ��4 r}�� 1 x . i 'i`"` - [a -s. t --� j: ...!- L—, lActt ( -fes--• t .. i - i �_* j •---. _ � -; ,_... - _�._ - , . ! IS d G/9 L - S P 7A/C fAiV �1- IREAlr11E'S 4.2'X�3,x x 0 35 Dunham Road, Billerica, MA 01821 • H.I.C. #127172 (978) 663.1495 • 1.877.846.3699 Replacement Windows • Glass & Screen Patio Rooms • Vinyl Siding & Shutters • Storm Windows & Doors • Gutters & Downspouts CONTRACT PAGE OF To `C' j— �� <' f Dale 21>1 f. C. ��)v Home Phone City % "' lV� ;_ J V State Z. Zip Business Phon6(omrs.) ��'�� L1 s l x f 5 I DEAIOLITION ❑ NOT APPLICABLE RLNCL —I -%'� L, ,r1� DECK PACKAGE ❑ NOT APPLICABLE ❑ CUSTOMER INSTALLED / EXISTING t–�JNCLUDFD APPROX. S1[ZE 1 Z X. DECK BUILT BY CHAMPION INCLUDES 4" X 6" POSTS SET IN CONCRETE, BEAMS AND JOISTS AS NECESSARY. VAPOR BARRIER. 3/4" TONGUE AND GROOVF. OSB OR 3/4" TREATED PLYWOOD SUBFLOOR OR 5/4" TREATED PLANKING AS NECESSARY. STAIR AND/OR RAILING DETAILS AS NOTED BELOW. EXISTING DECKS :E�-vo-r APPLICABLE ❑ CUSTOMER INSTALLED / EXISTING ❑ St!PPLY AND INSTALL 3/4" TONGUE AND GROOVE SUBFLOOR ❑ RFSU Pilo RT' DETAILS: ❑ STAIR AND/OR RAILING DETAILS: %,%-"1 CONCRETE SIA BS 15NOT APPLICABLE.❑ CUS'rOnH:R SUI'PLIF.,D/ EXIS"rTNc% ❑ INCLUDED APPROX. SIZI? SLAB POURED BY CHAMPION APPROX. 4" THICK WITH VAPOR BARRIER. SPECIFICATIONS TO I,OCAL. BUILDING CODE, X FOOTERS 9NOT APPLICABLE ❑ CLJS'rOMER SUPPLIED / EXISTING ❑ INCLUDED APPROX. LINEAL. 1'T. DEPTH AND SIZE TO LOCAI.. BUILDING CODE. CHAMPION IS NOT RESPONSIBLE: FOR EXISTING FOUNDATIONS OR STRUCTURES. ROOT' SYSTEM (INSULATED OR SUPERFOAiSlUPERFOAM ZECOMMENDED) STUDIO EW ROOF & SUPPORT/MOUNTING SUPERSTRUCTURE ❑ EXISTING/CUSTOiNIER SUPPLIED ROOF: NOMINAL 4" EXPANDED POLYSTYRENE INSULATED FOAM IR -191 WITH �1- EMBOSSED LAMINATED ALUMINUM SKIN AND THERMAI_I.Y BROKEN I-BFAMS. f I ❑ V -PAN NON -INSULATED ROOFsYSTENt WITH BIIILT IN GU1T}?FLS (NOl'('OMPAITBI.fi �4'ITH GLASS WAILSYSTI MS). i ( 1:11, XISTING POSTS ❑ NOTAPPLIC'ABLE ❑ «'RAP(COLUR__ yy�� ❑ EXISTING HEADER ❑ NOT APPLICABLE ❑ WRAP (C0I,OR —___) ❑ LEAVE ALUM: .STYLE STUDIO ABLE ) ❑LEAVE ALONE ROOF COLOR WHITE ❑ TAN TRIM COLOR 4NVIHTE ❑ TAN MOUNTED ❑ BRON-!.E OFF HOUSE WALL, ❑ OFF FASCIA: DO NUT DISTURB EXISTING OVERHANG ❑ SADDLE TIE-IN SHINGLES ❑ NOTAPPLICABLE i E^ REMOVE. EXISTING OVERHANG (REQUIRES SHINGLES ON NEW ROOF) KNOT'CH EXISTING HOUSE AS CLOSE AS L'OSSIBLF. [�NO"T,111 LICALILE ❑ INCLUDED S 1DDI.E FII_I_ ISNOT APPLICABLE ❑ VINYL (COLOR _) ❑ OTHER OF'Tl(�FY4 GI.AStGARI.:OR WINGS ❑ NOT APPLICABLE 9INCLUDED To'F'A1. NO. iRGQI' 1I'PROX III RPSINFS.S DAYS AFTER FRAMINf�"rO INS TAIA.). GUTTER(S) &c DOWNSPOUT(S) ❑ NOT APPLICABLE .-INCLUDED: 1?�TO GRAI) E ❑ TIE-IN SKYLIGHTS (SUPE:RFOAM ONLY) §9NOTAPPLICABLE ❑ INCLUDED TOTAL No. ❑ VF,NTI?U CI1AI`1P1ON IS NOT RESPONSIBLE FOR EXISTING FOUNDATIONS, STRUCTURES, OR 1,.XISTING HOUSE ROOF. BUYER RIGHTTO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER A"F ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER TIME DATE. OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING. "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER ATTHE ADDRESS SHOWN ABOVE. Total Brice for ahovc Down payment Balance payahle upon InstallatiotZelivery U Financed by: ❑ NON -VENTED ❑ Cash on Completion Payments of $ Per Month All material is guarawee(l to he as specified. All work is to he completed in a workmanlike manner according to standard practices. This contract is valid curly with proper signatures. Champion shall not he het(] responsible for time and material delays, strikes, acts of God or any other matters beyond its control. Owner agrees that the equity in this property is security for this contriict. Since this contract calls for made to order goods, it is not subject to cancellation except as stated above. Start installation on or about eeks from above (late. Verbal promises can cause misunderstandings, therefore this contract constitutes the entire understanding of the parties, and no other understanding, collateral, verbal or otherwise, shall he binding, unless signed by both panics. All charges listed above. Champion to remove and haul away all job related de 1. II sales and discounts allotted. Thank You For Your Order! n uycr*19�it . re Champion Represents ive X Buyer's Signature Charnpion Authorized Officer • Fae"All, Arvaps, rory greetsig« rasa [ ;Wham Road, Billerica, MA 01821 • H.I.C. k127172 • ( 663.1495 • 1.877.846.3699 Replacemmenntt Windows • Glass & Screen Patio Rooms • Vinyl Siding & A,,ers • Storm Windows & Doors • Gutters & Downspouts «.. •surra PaNeRoonu CONTRACT PAGE-2-OFZ r CHAMPION PATIO WALL SYSTEM ❑ NOT INCLUDED 11�*CLUDE APPRO76 SIZE �_ X CHAMPION TO MEASURE, MANUFACTURE OR FURNISH, AND INSTALL CHAMPION'S PATIO WALL SYSTEM WITH A4? ED "SAFETY** GLASS. ALL I� WALLS INCLUDE BUILD -OUT AND LEVELING SYSTEM AS NECESSARY, WITH A SERIES OF SLIDING ALUMINUM WINDOWS ON TOP OF APPROX. IR" KNEEWALL AND/OR SLIDING ALUMINUM DOORS (SEE LAYOUT PAGE 2). WINDOWS AND DOORS INCLUDE DUAL LOCKING SYSTEM, ANODIZED ALUMINUM THRESHOLD, SYNC -LOCK INTERLOCKS, STAINLESS STEEL WHEELS, AND SLIDING LOCKING SCREENS. CHAMPION TO DETERMINE EXACT SIZE OF UNITS AT FINAL FIELD MEASURE. n_,_A— GLASS TYPE _12 NON INSULATED VtTtvs MTED []EVERGREEN ❑ OTHER COLOR OF WALLS '4 WHITE TAN ❑ BRONZE OPTIONS: BUILD UP 0 NOT APPLICABLE ❑ INCLUDED: APPROX. HEIGHT BUILD DOWN ❑�'7 NOT APPLICABLE E1INCLUDED: APPROX. HEIGHT V\ iN . I V FIXED TRANSOM D9.NOT APPLICABLE .11 ❑ INCLUDED: APPROX. HEIGHT GLASS KNEE WALL 1A NOT APPLICABLE ❑ INCLUDED: APPROX. HEIGHT VINYL WINDOWS UNOT APPLICABLE ❑ INCLUDED: APPROX. HEIGHT CHAMPION SCREEN ROOM SYSTEM GINOT APPLICABLE ❑ INCLUDED (SEE NOTES BELOW FOR DETAILS) CHAMPION 1S NOT RESPONSIBLE FOR EXISTING FOUNDATIONS, STRUCTURES, OR EXISTING HOUSE. ROOF CARPET 1 -NOT APPLICABLE ❑ INCLUDED: SIZE STYLEICOLOR BASIC ELECTRIC (IN WIRF MOLD) ❑ NOT APPLICABLE tfor �iNCLUDED — OUTLETS �_ SWITCHES CEILING JUNCTIONS LIGHT JUNCTIONS NOTE.: ANY CF.IIJNG OR LJGHT FIXTURE MUST BE SUPPLJED BY CUSTOMER. BLINDS (INCLUDES PVC, ACCESSORIES, HARDWARE AND VALANCE) 49 NOT INCLUDED ❑ INCLUDED ❑ SMOOTH ❑ RIBBED ❑ EMBOSSED COLOR CODE LOCATION ❑ ALL WALLS ❑ A ❑ B ❑ C NOTE_: CONFIGURATION AND OPERATION OF BUNDS TO MATCH CONFIGURATION AND OPERATION OF DOOR AND/OR WINDOW UNITS (EXCEPT WHEN USING VINYL. VVINDOW.S). NOTES FOR WALLS AND/OR ROOF SYSTEMS ------------------ J� S 5 lo", I t"cr D BUYER RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING, "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. SCHEDULE OF PAYMENTS Total sale price: $ 15 <Cj Less down payment: Initial balance: $ ! Less partial payment - (Due following completion of room structure PRIOR to installation of: Custom, Glass, Carpet, Electric, Blinds ): ($ FINAL BALANCE (Due in full following 100% completion of project): $ Lq rFinanced by: R�-� (?� t" ❑ Cash on Completion L2 -C_ Payments of $ er Month All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. This contract is valid only with proper signatures. Champion shall not be held responsible for time and material delays, strikes, acts of God or any other matters bevond its control. Owner agrees that the equity in this property is security for this contract. Since this contract calls for made to order goods, it is not subject to cancellation except as stated above. Start installation on or about 1 Q- t weeks from above date. Verbal promises can cause misunderstandings, therefore this contract constitutes the entire understanding of the parties, and no other understanding, collateral, verbal or otherwise, shall be binding, unless signed by both parties. All charges listed above. Champion to remove and haul away all job related debris. All sales and discounts allotted. Thank You For Your Order! ll X BuS,er's S gnat r Champion Representative X Buyer's Signature Champion Authorized Officer 0 0 ��ie L�"Grrzyyzc-rzz�:aa�C` r`'�� lCa.;;ac�zl.�e�; 1rt - ."IQ,'� CHAMPION WINDOW P AI I" T 1 v ADMINISTRATOR 4 s r'r' O. Q �iie -t°omvnzo�uuea� a�,/l/iaaaac�uiaelia BOARD OF BUILDI�jG REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 074305 Birthdate: 02/06/1978 Expires: 02/06/2003 Tr. no: 74305 Restricted To: 00 CHRISTOPHER J LAMARCHE r 3 FINNWAY STREET L�" BILLERICA, MA 01862 Administrator ACORD :. PRCCUCER~(-$i3)C_1 5715 .•W FA -(t.. (5,3)421-0_30' +alter �, Oalle Insurance Agency, Inc. 3'_Z 'Aalnut Street Atte: 3. 3. Barna t NSURFC ........ .. . ......... ............................. Cilrat0n '•4in D'.v Cc. DP 3cston jou:h, LLC %5 SLOCk'nv� Uni : #? AVJn, M`; OZ322 tna QCK 111-102/01/19aa lqRyr4EVr ONLY AND CONFERS NO RIGHTS UPON THE CERTIFiCgTE t HOLDER THIS CERTIFICATE DOES NOT AMEND, ExTENO OR ALTER THE COVERAGE AFFORCEO ay THE POLICIES BELCW COMPANIES A==OP.CING CCVeRaGc .................... CCh1P4,vY CGU-insur3nC? .................. Z1» A ............... .... ...... ... . .......... �_Ch1F t,iY �U.TID2r?12'1' _ II a� .. .... E CCh1PANY F i r r,;13 n' S r'. n d.................................... C .n j7r.in C' Co.L... ............ -.1 ........... .. .... C CM1IPANY ............. ..... 0 :Nils !S TC CERT FY LA: 7-+E .jD000'ES F ll cZURANCc+: L S'c cLG4! AVE BEEN .SaUE� -0 Tine INS R_ NAAt _ ;NCIG'EC NOTb'A i:!S7,ANCING ANY REn ❑ AVE❑ e cC cC / c ^- UIR_�IEN' I =1M CR CCNCITICV CF ANY CCN +C CR 0? ER JCC �1EVT P!r'H .gEcpc --,� L CY rE�.CC CER; IFIGTE SWY BE ISSUEC EXC c.r C . _. 7 . :., ,J P N F=O Cc/ - ~r _ PJHIC� i P �WY? � V Lip %LA �J NS AVO N ,CNS OF SUCH ?OL!C, !;`,t - _ -- L.0 SCz18EC H°RElN IS SU6_cCT ALL - I - �iS c • c^ CL'C . cA C;.... ��. - c C Ic I LTR TYF`_ OF INSURANCE 'C L; LY JJUMaE R PCUCY E 'EC j -c ; PCUCY .-"'..PIP.AT',CN ......_ ..... ....................... _........_ ................... CA = CdM/CCS CA- {utaIDcfrn, L.tu S O cNE.RAL L:A81L! iY � � _ X CCMMERC�AL vcNE.R,4 UAaILI- / :=NE?AL AuGrt_;aT_ 0 VMS ,YtAGE - ............................... X :CCC F .VN_.�S 3-CNL=At`�:,nS °a.C' ii)3�30� p� •�.,. .aag6,aC-/1P.+CL,a.V ;. .__..-...... 1. �. �.�!. ` _ :........................... GGO 7 _ .,... ,,,�.-.INCE ................ JO^ .. .. a SHCULOAN7CFTHEAZCYEOESCRIH2C?CUC;ES`3c,U.VCZ: 8E`CP---'-.E, y XPIPATCN CA, c THE?ECP, 7 -HE ISSUING CCIUPANY WILL eNCEAVCR TO MAIL n CAYSYIRhN.-JOY=CE 1-0 74E CERIFICATHCLCER!,I E7 ,^..'-'.E'_==,, 3UT FAILURE TO MAIL SUCH '4C —,CZ SHALL IMPOSE NO C8UCA"1GN OR L:AGIL17e OF ANY;t;NC 11PCN THE cZMPAM(, !Two A0ENa OP. REP?E3EN7A TT/ 3. i V 'd li O,VI .MA`! CpvI�ERv A Jl�' -�F/�� :0,000 AUTGhIC81l= LA LABILITY IT EXP EXP _ca 'd EC iry " "'rscnl ...... a,VY :U-� -C',IS:NE: SINCLE _M7 , .......... ._:iECLLEC 1L -CS -CL;LY :N,:L'AY vON-CwNEO AU70S CCu,'r w:U?.Y .... ac.CF_R-f GA.mAGE ]i GARAGE UAeIL:TY _'+E .:.v AL -C ONLY: ................................ f.......................................................... E.. coo ^ zR'-A;: X UMBFFLLA ECRM icy _- i -.+Cn^C^"FGE?!C : y _•....�..`.,c.....'...:..J „ OOC 0001 0 46R : iAN UM6 R�!uacFhl.:..........15,OCJrOGO -r l C .................................. WCPX R3 C MP V3ATICN AVD =MPL.,Y_RSr UABIUTY -- - a _..-.._.._.,. -_._._._._., .._.-_........ --E cw Z i 0 3 a 9 �AR'VE�S(IXF NCL =_ Cr, AC ` 1/1n9S :O r000 • U"V �FF!CER3ARE: - ^5 �! CtScA:E-'OIICY --ml-, .,. 0 r 000 ' CLieR E_OISE.+SE- a. E.'dFLCY== S :,00 J00 CESCRIPTIC,V OF OPEriAI I CNStLCCA 70N3.'/EMtCLE9 5P_OUL i7=.N5 .. a SHCULOAN7CFTHEAZCYEOESCRIH2C?CUC;ES`3c,U.VCZ: 8E`CP---'-.E, y XPIPATCN CA, c THE?ECP, 7 -HE ISSUING CCIUPANY WILL eNCEAVCR TO MAIL n CAYSYIRhN.-JOY=CE 1-0 74E CERIFICATHCLCER!,I E7 ,^..'-'.E'_==,, 3UT FAILURE TO MAIL SUCH '4C —,CZ SHALL IMPOSE NO C8UCA"1GN OR L:AGIL17e OF ANY;t;NC 11PCN THE cZMPAM(, !Two A0ENa OP. REP?E3EN7A TT/ 3. i V 'd li O,VI .MA`! CpvI�ERv A Jl�' -�F/�� ant By: Champion Window Mfg.; 513-346-4614; 0 NFRC Product Certification Authorization Report (U -Factor) . Manufacturer Information 366, Champion Window Mfg, 11750 Commons Drive Cincinnati, OH 45246 Product Information Series/Model: 700 AWNING Product Type: Projected NFRC Product ID: 356•A-003 Cert. Authorization Expiration Date: 9/184002 Delete Code: Feb -10-Q'—N 1 :03AM; Page 5/8 IA Identifier: A Page: 1 Laboratory Information Simulation Report Issued By: SETC Simulation Report Date: 10/28/98 Simulation Report Number. 0345709.0-510.0 Product Information Prod Del Res NonRes Frame Sash Glazing Lcw'E Data Film No U -Value U -Value Type Type Layers Emissivity 1,2,3 (Surface) (Surface) Spacer Gap Gap Width Type Grid Fill 001 0.32 0.32 VF VF 2 0.15(3) 0.570 Sa B ARG 002 0.32 0.32 VF VF 2 0.15(3) 0.514 S4 B ARG Baseline Information Test Thermal Tested Standard Thermal Test Lab Test Date Test Sizes U -Value U -Value Report Number x x I hereby certify that the above information ' true to the est of my knowledge. I also certify authorization under the NFRC PCP have en met / that all requirements For certification Authorized IA Signature: Date Approved: 09/18/98 Revised Date: 12tM98 i i 1.5 + 59.375 + 0.5 + 77.375 + 4 + 1 sill(s) = 144" B WALL Customer: jewett A WALL O City: n.andover 4 + 77.375 + 0.625 space + 4 + 77.375 + 0.625 space + 4 = 168" C WALL The C wall is a mirror image of the A wall shown above. 0 Job Number: Order Date: 10255 10/4/99 FILENAME: 97W3693 05/07/97 R � A -11x aoo � � u 2 b FLOOR JOI5i5 0 4' i I I I oA N x cD O (J)z -� rn I 0 1 N I N �rn CP rn� 0 0 c rn N 0 A x I Cl �_ Nz Z ' 57 m 3 � x ? m N n � 0 O i r i Xm Z c Drn1 rn S O rn A x UyN rn r�i (n U1 N D A N 'L y N 3 z z z z m z z F 1 % m n rnm0mm . c a a as U m � ct �' N x x x v x RI m O o P X u x x x x x A Fj 0 A j U .� x P 1 i — � 0 STEf/E S W2 CLIENT/PROD. PH. ( ) DATE REmSiONS 70o Slzr�Prs lvo,�d C•� CUSFOIJER SIGNATURE: DRAM BY: DAVID CENTORSi DATE: SCALE: i/ti'=I' �I R � A � � u 2 b FLOOR JOI5i5 0 4' i I I I N x O 1 N I N �I J Z O w N O a cl0. a w O 0 F- cr O clO a z 5 a ui O z 4e9Gi Coin P .S�/19RAAe,eR5 I00/VAD CERTIFIED TO: MO.eTfjiVG.t C'O.+PPORATic ITS SUCCESSORS AND/OR ASSIGN! SCALE: V = ao I CERTIFY THAT THE STRUCTURE SHOWN EITHER CONFORMED TO THE DIMENS ZH OF REQUIREMENTS OF THE ZONING BYLAWS OF THE TOWN OF.vienv ,pvgov6.P. WHEN CONSTRUCTED OR IS NOT SUBJECT TO ZONING ENFORCEMENT ACTION ?. EDWARD UNDER M.G.L. TITLE VII, CH. 40A, SEC. 7 AND IS NOT LOCATED WITHIN A FLOOC C. Sa HAZARD AREA AS SHOWN ON FLOOD INSURANCE RATE MAPS OF THE FEDERAL 4 •3 EMERGENCY MANAGEMENT AGENCY. 1)� DQ• COMMUNITY - PANEL NO. 2T009®� Dort' Tvvc� d 1993 RVEF • ♦ 11 Z G�w�ic� C� �. i%. ✓erdti4Ee 1 i, i9�s PROFESSIONAL LAND SURVEYOR DATE MORTGAGE INSPECTION PLAN REFERENCE 06,eT Of 7iT•C6 .v p. i2i�J 'n 0 . S�yi9�PP.�/�iP6 �ovd .'Poi9D �aRTN A.vdvv.F,e, Mi�SS�C.siu�•ETTS EDWARD C. HELMES, JR., P. PREPARED FOR 4 LANCASTER AVE. CHELMSFORD, MA 01824 S1^.�ioiS/Ei✓ it: �,E.0/.2ri98•E77'V �`4. ✓EW.ETT - vov�MBEP P3 i, DWG. NO. �/ SUBSURFACE SEWAGE DISPOSAL SYSTEM IN5PECTI6N46kM PART C SYSTEM INFOkMATION (eohuhued) a ' / Property Address: �I 00 Owner: Date of Inspection: SKETCH OfWAGE POSAL SYSTEM: incl de ties to at least two permanent references landmarks or benchmarks locat all wells ithin 100' (Locate where public water supply comes into house) KA3 �1 5,4,6 it a Lt l Av � � 3tt31t (revimad 04/25/97) 4- x w w ti O w C z zC7 .r rL U i c O z z a�'. [i O C- z -- U cn u. p u f c z w x c. W Q ca z i� D c i ' m C c r:C•- ic IL -U o ' Gi lb: O C : L O �o� �, • E a fFEMW fi o L Com.) ++ m N f` E S :cam :oo ?:mom a_.� Nm coYof�3 N C C O O'C L L C co) A y :ate` qb• �+ 'fl co � m .s r `' V N Z m ti c a o 0 y °D :mLo W C � w O LLmc, C cq cc C4 d L C W E 5 .0 V V m O -0 = C V� C' m .5 O A`O H C -r- 4 L 4- C.L.. C1 E CLN L N .O O N C O Cf CD C: cm 0 rn c N CO L_ O Z J 0 a Qb Allmo O Q 0 O CD O CD 0 O a CA co .E CD C 0 CO 0 _m CL y CDO V c V L V CD a y c CD CM c 0 co .O 0 w C/) LLJ W crw LliW y FACTORY DIRECT SINCE 1953 WINDOWS - SIDING PA ROOMS BUILDING PERMIT PACKAGE FOR CHAMPION WINDOWS AND ENCLOSURES o � 0 ° rla.9oss o �� y SOS T O� i 'S MASS. Champion *ndows,Enclosures 1 1750 CcmmcnS Orve Cind.rnaG OH 45246 ENCLOSUk:� S 1.0 INTRODUCTION This document has been prepared for Enclosure Suppliers Inc., 10030 Springfield Pike, Cincinnati, OH 45215, by Ambric Testing & Engineering Associates, Inc., 3502 Scotts Lane, Philadelphia, PA 19129. The purpose of this evaluation was to determine the load carrying capacities of the various Aluminum members and connections which are used In the construction of the ENCLOSURE and the pre sen, tat ion of tills information in user friendly member load tables. This information is the property of Enclosure Suppliers Inc. and should be used solely in conjunction with their manufactured products and in the construction of the el,� ENCLOSURE three season rooms. The load capacities of the component members were determined by engineering analysis and design. r4p '0�3�h1 V ' ON , F Ambric Tesring & Engineering Associares, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 25, 1998 (O� ENCLOSUF(OS 1.1 Revisions Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 J2nuary 26, 1998 O r� 3 GABLE ROOM MEMBER LOAD TABLES FED A 'T7 9 i ENCLOSUt�ES Table 3.5.6: CORNER COLUMN FOR GABLE ROOM AL 6063 -T6 Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 Allowable Roof Load in Pounds per Square Foot (PSF) with Horizontal Loading of 30 PSF Panel San Width of Opening 5 110 15 20 125 30 35 40 45 50 55 60 t —0- 8' 4' 5' IIIIIIIiII. 6 IIIIIIIIIIII. I--�'7' I I I I I I I I I I I I• 8' IIIIIIIIIIII. 10' I 4' I I I I I I I I i I I• 5' IIIIIIIIIIII• 6' i.• I I I I I I I I I I I. 7' 1.1.1.1.1.1. IIIIi. 8' I111IIIII111. i I I I I I I I i 12' 4' 1 1 I I I I 1 1 1( 1 I• 5' III.I1111I1Ii• 1 6' 7' IIIIIIilii11. 8' IIiIII111111. IY { I I I I I 14' I 4' 5' IIIIII111j11. 6' 1.1.1.1. 11111ii. 7' 8' III111111II1• I I I I I I I I I I i 16'Ac01 P t '��, • 5' •1.1•(•1.1• ZI ��:�;�, i 6' I I S 1 � I �o ° •rrd ; I o 7' Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 I a p Q G� ENCLOSURES Table 3.9: GABLE WALL DOOR HEADER BEAM AL 6063 -T6 Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 Allowable Horizontal Load Pounds per Square Foot (PSF) Width of 5 110 15 20 25 30 35 40 45 50 Opening ` 4' --r~ 7, ( a'j1 I I I I I Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 U � � ENCLOSURES Table 3.8: DOOR HEADER BEAM FOR GABLE ROOM AL 6063 -T6 OSP O, n O � ;� BCSTCN Ar.Zbric Testing & Engineering Associates, Inc.Z 3502 Scotts Lane, Philadelphia, PA 19129 / January 26, 1998 Panel Width Allowable Roof Load in Pounds per Square Foot (PSF) Span of Openin 5 10 15 20 25 30 35 40 5 .45 50 5 60 I I I I I I I I l —sI 8 � 5' 6' I I I I I --► 7 I I I I I I 10 4' s' I I { I { { 6' IIiIIIilII•i. {�{1110 IIIII•iI{{. I 8; 12' I 4' s' ...IIII III. 6' {I{IIIIIIIII• { 7' • I { { II 14' I 4' i i.............. I I s' IIIA 6 I ►11IIII. I �{1110 8' ------------ 16' { 4' { { { s' IIII IIIII�I. { 7' 8, I I I I OSP O, n O � ;� BCSTCN Ar.Zbric Testing & Engineering Associates, Inc.Z 3502 Scotts Lane, Philadelphia, PA 19129 / January 26, 1998 ENCLOSURES Table 3.7.5: Allowable Roof load (pso on Door Sill with 30 PSF Horizontal Loading ED A,,Rg o No. 9065 ?: STON +� �0 , ' ASS. / Ambric Tessin; & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 Horizontal Load; F Length of projection'of Room Width of Opening 8'-0" 10'-0" 1 Z'-0" 14'-0" 16'-0 1 18'-0" 5'-0" 45 I 45 I 45 45 45 1 405- 55'-6" 51-61, 45 45 45 45 45 1 45- 6'-0" 45 45 45 45 45 1 45 6'-6" 45 45 45 45 45 1 45 --� T-0" 45 45 45 45 I 45 45 T-6" 45 45 I 45 45 45 45 45 45 45 45 I 40 I 40 ED A,,Rg o No. 9065 ?: STON +� �0 , ' ASS. / Ambric Tessin; & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 N400,&w ENCLOSURES Table 3.6.6: INTERMEDIATE COLUMN FOR GABLE ROOM AL 6063 -T6 Allowable roof load in Pounds per Square foot (PSF) with Panel Span Width of Openin 5 110 115 20 25 30 35 .,v 40 rJr- 45 50 55 60 I I i l l i l l l l l l -�8 4 III11111iII. 5 IIIII1III11. 7-6, III1IIIIIIII. I--� 7' 8' IIIIIiIIIi I. I I I I I I I I I I I► I 10' I 4' IilIIIIIIjll. s' IjiliiIIIiII, 6' IIIIIiIIII11. 7' Ijllllllllll 8' IIIIIIIII I i I I I I I I I I I I I A 12' 4' 5' IIIIIIIIIIII, 6' 7' IIIIIIIIII I 8' III111111 l i i l i i 14' j 4' i 6' IIIIII111111. 7' IIIIIiIIII 8' 16' I 4' iIIIIII i! • v� . I b I • I • I . 1 . 1 • 1 . I , I , � �}�, �� i� _ Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 A "Q oy STH p MNS Janna Y,�� ENCLOSU'�;i�S- Table 3.4.6: Gable Column with 4 x 4 wood post AL 6063-T6 Allowable Roof Load in Pounds Per Square Foo Panel Span (Ft.) Ridge Beam Scan (Ft.) 5 I 10 I 15 I 20 25 30 35 40 ` I •45 I 50 f I 55 160 6 -40P-40Pa 10 j .�. 1-0 • I • I . I . I . . 1 . I . ► . j . I� I . I j . 10 I 10 12 I 10 14 to 16 I 10 . I . I . ( I . . . . I • I . I . I • 6 i 12 8 I 12 10 12 I 12 t4 12 6 I 12 . I, I, I,. I• I. I• I• i I• i• 6 j 14 I I I I I I I I j I• 8 I 14 10 I 14 I I( I I I I I I I I• 12 I 1a •• I• I• I. I I• I• I j. I I 14 I 14 � I I I� I I I I i I I• 8 I 15 I I I i• I I I I I• I 10 I 16 I I• I, I I I I• I I I• 12 j 16 14 j 16 . I, I• I, I I• I I• I• I• I• tE I 16 I I I I I I I j I I I. E j 18 9 � 19 i l l l l l l l I I I• 10 ie I I I I I I I I I 1' 14 I 18 . I • I • ( • I • I • I . 16 I 1a 1 1 1 1 1 1 I I I I I 6 I 20 j l l l l l I I I I• 8 I 20 I I�• I I I I I I I I. 10 ( 20 I I I I I I I I I I• 12 I 20 I I I I I I I I I 14 I 20 16 I 20 5 I 22 a I 2-1 10 I 22 i2 i `= • I• I I••• I• I• I• I j• j 14 I 22 6 I 24 9 I 24 12 14 I �a 1 1 1 1 � I • I � I • �: T�`� J I !AI 1 a I 24 I I I I I j o wss. Ambnc 1 esting & Engineering Associates, Inc. ' 5" 3502 Scotts Lane, Philadelphia, PA 19129 �T �pS Jan �o c,'Xc ENCLOSURES Table 3.3: GABLE BEAM OF DIMENSIONAL SAWN LUMBER TO}N ASS. m Abric Testing & Engineering Associates, Inc. tiny 3502 Scotts Lane, Philadelphia, PA 19129 y. �p5`' Janu . ttldge beam bpan Panel Span Roof Load PSF 10'-071 12'-0" 14'-0" 16'-0" 18'-0" 20'-011 22'-0" 24'-011 10 I 15 I 20 25 I 30 2-2x8 1 2-2x8 1 2-2x8 2-2x8 1 2-2x8 2 _2 2 -2x82 1 2-2x8 1 2-2x8 1 2-2x8 1 1 2-2x8 1 -2x8 1 2-2x8 1 2-2x8 2-2x8 2-2x8 1 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x 10 1 I ')-2ya I 1 2-2x8 1 2-2x8 1 1 2-2x10 1 2-2x10 1 2-2 x 10 1 2 - x 12-2xio 1 2-2x8 1 2-2x.10 1 2-2x12 2-2x10 1 2-2x10 1 2-2x12 2-2x10 1 2-2x10 1 2-2x12 2-2x12 1 2-2x121 2-2x14 2-2x12 1 2-2x 14 1 2-2x 14 I 35 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 ! I 40 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 1 2-2x14 1 I 1 5 10 15 20 1 25 1 30 1 I -?x 8 12-2x8 1 2-2x8 2-2x8 2-2x8 2-2x8 I 2 -2x8 I 2-2 x8 1 1 2-2x8 1 2-2x8 1 12-2x8 1 2-2x8 1 1 2-2x8 1 2-2x8 1 12-2x8 1 2-2x8 1 1 2-2x8 1 2-2x10 1 2-2x8 1 2-2x8 1 2-2x8 2-2x10 1 2-2x10 1 2-2x10 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x12 1 2.2x8 1 ?_ x8 ?-2x1 2-2x8 1-2 - 2 x 10 1 2-2x12 2-2x10 ! 2-2x10 1 2-2x12 2-2x101 2-2x12 1 2 2x12 2-2x 12 1 2-2x 14 1 2.2x14 2-2x1.1 1 2-2x14 ! I 35 1 2-2x8 12-2x8 1 2-2x 10 1 2-2x 12 1 2-2x 12 1 2-2x14 1 I 1 40 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x14 1 2-2x14 I I 7' 1 5 1 1G 1 2- 2 x8 2-2x8 12-2x8 I 12-2x8 12-2x8 _2x8 I 12-2x8 ?-?x8 1 1 ?_ 2x8 1 2-2x8 1 2-7x8 1 2-? x 101 2.2x1? 2-2x5 1 2-2x10 1 2-2x12 I 15 12-2x8 1 2-2x8 i 2-2x8 1 2-2x8 1 2-2x101 2-2x10 1 2-2x121 2-2x12 I 20 12-2x8 12-2x8 12-2x8 2-2x10 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 1 25 1 2-2x8 1 2-2x8 1 2-2x 10 1 2-2x 10 1 2-2x 12 1 2-2x12 1 2-2x14 1 2-2x 14 I 301 2-2x8 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 i 1 35 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x 12 1 2-2x12 1 2-2x14 ! I 1 40-7-2 - 2 x 8 1 2-2x10 1 2-2x12 12-2x12 1 2-2x14 ! I -�8. 1 5 1 '?- x8 �- x8 1 ?_2x8 I? x8 I 2 _?xg I ?_2 x8 I ?-2x1 I ?_?x 12 I 10 1 2-2x8 1 2-2x8 1 2-2x8 2-2x8 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 15 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x12 2-2x14 1 20 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 1 2-2x14 1 25 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x12 12-2x12 1 2-2x14 1 2-2x14 1 I 30 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 2-2x14 1 2-2x14 I I 35 2- x8 1 2-2x10 1 2 2x12 1 2 - 2 x 141 2-2x14 1 I I 9' 1 40 5 1 2-2x 1 ?-2 x8 1 2-2x12 1 2-2x 12 `I 2-2x 14 1 ?-2x8 1 ?_ 2 x8 I x8 2-2x 14 1 ?_ x8 72 I - x10 I ?- 2 x12 I ?-'7x1? 1 10 12-2x8 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x12 I 15: 1 2-2x8 12-2x8 1 2-2x 8 1 2-2x 10 1 2-2x 10 1 2-2x 12 1 2-2x 12 1 2-2x 14 I 20 12-2x8 12-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x14 1. 2-2x14 1 I 25 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x14 1 2-2x14 1 1 I 30 12-2x8 2-2x10 12.2x12 2-2x12 1 2-2x14 1 I 35 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x14 1 ( I I 40 1 2-2x 10 1 2-2x12 1 2-2x 14 1 1 I I I 10. 1 5 1 ?- 2 x8 12-2x8 I x8 I ?- x8 I 2- 2 x8 I 2 - 2 x10 I 2 - 2 x 1 I ?_?x 1'7- ?10 101 2-2x8 1 2-2x8 2-2x8 2-2x8 1 2-2x10 2-2x10 1 2 ?x121 2-2x12 15 1 2-2x 8 1 2-2x8 1 2-2x 10 1 2-2x 10 1 2-2x 10 1 2-2x 1 ?-2x 14 I I 1 20 1 25 1 30 1 2-2x8 2-2x8 2-2x8 1 2-2x8 1 2-2x10 1 1 2-2x10 1 2-2x12 1 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x12 1 2-2x14 1 2-2x12 1 2-2x14 2-2x14 2-2 _ 1 35 1 2-2x 10 1 2-2x12 1 2-2x 14 I I ( ! (- ! 40 2 x 12 1 2- 2 X 14 ! I I I I n I._ TO}N ASS. m Abric Testing & Engineering Associates, Inc. tiny 3502 Scotts Lane, Philadelphia, PA 19129 y. �p5`' Janu . ENCLOSUkES Table 3.3 cont'd: GABLE BEAM OF DIMENSIONAL SAWN LUMBER Maximum Ridge Beam Span for Standard Structural I umher Riles Panel Span Roof Load PSF 10'-0" 12'-0" 14'-0" 16'-0" 18'-0" 20'-0" 22' 24'-0" 1 I 5 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x8 I -2x8 1 2.2x8 2-2x8 I 10 2-2x8 1 2-2x8 1 2-2x8 1 2-2x8 1 2-2x,e l 2.2x8 1 2.2x8 1 2-2x8 I 15 1 2.2x8 I 2.2x8 1 2-2x8 ( 2.2x8 I 2/7x8 I2.2x10 1 2-2x101 2-2x12 ! 20 2-2x8 I 2.2x8 2-2x10 1 2.2x10 ',"-2x1212.2x12 1 2-2x141 2-2x14 25 1 2-2x8 1 2.2x10 2-2x10 12.2x,12 1 2-2x14 1 2.2x14 1 ! 30 1 2-2x10 1 2.2x12 1 2-2x12 12;Zx14 1 I I ! I 35 1 2-2x10 1 2-2x12 1 2-2x 14, 1 I I ! 40 1 2.2x12 1 2.2x14 1 ! I 14' I 1 12-2x8 1 2-2x8 1 2-2x8 I 2.2x8 1 2-2x8 1 2-2x8 1 2.2x8 12-2x8 ! 10 1 2-2x8 I 2.2x8 1 2-2x8 1 2-2x8 1 2-2x8 1 2.2x8 1 2.2x8 ! 2-2x10 15 2-2x8 ( 2.2x8,"i 2-2x8 12-2x1012-2x1012.2x1012-2x1212-2x12 I 20 1 2-2x8 12 2x10 1 2-2x10 1 2-2x12 1 2-2x12 ! 2.2x14 1 ! I 25 1 2-2x10 I.:Z•2x10 1 2-2x12 1 2-2x14 30 ! 2-2x10'1 2-2x12 1 2-2x14 1 ! I I I 35 12.2x121 2.2x141 1 I 40 12=2x141 16' I 5 %I 2-2x8 I 2.2x8 1 2-2x8.1 2-2x8 1 2-2x8 ( 2.2x8 1 2.2x8 1 2.2x8 10 I 2.2x8 1 2-2x8 1 2-2x8 ! 2.2x8 1 2-2x10 1 2.2x10 1 2-2x10 1 2-2x10 ! 15 1 2-2x8 ! 2.2x8 1 2-2x10 1 2-2x10 1 2.2x12 12.2x12 1 2-2x141 2.2x1: 1 %20 1 2-2x8 1 2.2x10 1 2-2x12 1 2.2x12 1 2-2x14 ! 1 ! 25 1 2-2x10 I 2.2x12 1 2-2x 14 I I I I A 30 1 2-2x121 2-2x141 I I I I I / I 35 2-2x141 1 I I 1 I / I 40 I I ! I I I I I 45 I I I ( I I I 1 50 I I I I I I I Note: Engineered lumber may be used asvan alternate to the Douglas -Fir No. 1 Appearance Grade dimensional sawn lumber, shown in table 2.3 Ambric Testing & End neering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 f� El CONNECTIONS: LOAD TABLES & DETAILS No N O n O �O W - J 0 0 r .7 O -� O U) � CO < 0 ° r UO < °= r N Zn 0� O� �� ° ��'—wo C7 N o O—nom Oj —ono N w 4m r- Cn 0 p 3 N n on=oj D C, f" C ° nom W 0 D coQ �• '' I c � Cn � a (T1 X Cn n* N ` p N IN M p CC/)c N N q DM. n O� O � X MX p G p U7 CD �� CD G - Cn Cn �N� :nom_ I c�C/) •.• O _= O (Da Ci O x 0 O Q A cn x l C7 A -j I -. O. O Ln n O ci O G C p O (DG Co C() C-' Cl)a C c�i� Cn-M CD = L�; CA 'D " rz > CD �- (r.' 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SME ELEVATION CABLE POOF STYLE BUILDING i TTL_: _ ~_ _._RE. INC. JOE 7: _ \ _ ` _ Z _ DA7=. i Fl (f URE 4. .2 OPWNN EY: SCAN=: S=r ;N0iNE -STING & ENGINEERING ASSOCIATES, i S02 SC0 � � c _ANE, GHL.A., PA 19129 (215) 438-180Q =AX (215) 438-7114 c F to SECTTOW 1 I COL 60 (o 40015A 40019 I -HAM a A* -e' G.C. WITH 3 3/d' �5 SANOWICN PANE! \ dA � 40C \dC ' 4C 40022A dA I I 40023 4l7 L do 4u008 CORNr-R POST =E -Q + 2 SECTION 3 a 'rVITH 3 3/4" c S S1NCW!C i =ANc_\ cA\ —I 4CG1EA - - C-� cC d002L4 ,cc cc 40010 4c !-cEAM 0019 =� CFS FC'� BC8TON Jt SECTION G ENCLCS;—iz,=_- —3_98 DRA'NN EY: SECTION, 5 IIIA A CD ---STING L ENGINEERING ASSOCIATES, INC. 3502 SCOTT 1 S LANE, ?BILA., PA 1912C 2_ .FIG URS' 4..2.1 S -AL=. -- v0,v= C f (215) 4.78-1800 4ANG�R PANEL / EA SEC— TIOi 6 j /ALUMINUM RICGE C.p F;ANGE,R 7A2 /,HANGER 7.1E I i t OC� 1 I 40C2CA 1 A 1 I — _100 FAN E ` 1 C SIMPSON 1Co c - MILE: = r_�c': �E ^ NC. JOc Tr =VG 7 DATIE: i ' —�-' —L i —v i i0C 1 GC /1 CA 40020A X100 �1CA \FA �SIMFSON STRAP 7100 J 04COC9"\ 7A 7A / I 40018 SEC— IIa� 7 sCC1S 'r 5a SECTmV g 1 A -- SIMPSON SFO o C No 0065 ' NASSN / DRAWN EY: J' C T. -TING ENGINEERING ASSOCIATES INC. 3502 SCO;, i S LAVE, P4ILA., PA 19129 7;. <CCC4 7A AvEI SA \<CCiE 1 .A /4C01 E T S MFSCN 1 1 C SinAFFI{ \di,C i C aYd wOCO ?OS7 (215) 438-1500 FAX (215) 438-71!0 Em n 14 'Avil C4 m w O c5 Q? A N ?Q M NJ rQ 6 6 6 fp m - ri 0 a10 'CIO 10 a—' M N) Pj Pj N N) b. A, a a J A A b. a N NJ N NJ Nj —Kj —tJ —N Z6 -N - IIJ —0 —0 —0 —0 —ri - N -6 -0 -0 -0 nln,nnnnnnnnn ppp'6-0000--- .0 n c? I") 'o I*,) Q. 0 0. ri o 6 '6 0 o -6 -6 n C-) n n 'j 'Q Pj NJ tj C) L PQ 0 .P000000 LPocp. h. CD 0 P: 6 ZS '6 in Pc C) 0 9 P hin'n 6 Fo �n h r r1i N N m N NJ NJ N Pli.LN r1i z fnj z "i —tj -izi- —Fj m z 2 -6 o o o 10 o n NN p N P P 0 0 Z5 �5 -6P-6 c c o o P F P P Pj N) m N— — — Z .A. 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I Ono I - Fi ri N rj M N t.- ri N tj 0000000000 0 CA PQ PQ r1i rQ rQ NJ m t1i Ni N -Z� JI: -It —rlj —Nj PQ N N N N N N N cm 000000.0000 nnnnnnnnnnn =O N Nj rj M m m tQ m r -i N ri —rj N N N N N N 03 00000000000 P I plP P I On, h h NO O N t1i N NJ to Pi m NJ r1i rj M Ni N 0 —C —0 —0 —0 -6 -6 —0 -6 -6O in h h h 'n �) h 'o 'o 6 . . . . . . . . . . t'i ti N rj m N M M M -F:J, N N N N N —ri .000 , C Q 0 0 0 C) P - C-) - n - n 6 61 h 1.6 16 1 rj N rj n5c0000po 62 EO D -1 cn =, O (p O O � c Q cn J n O cn cn J c c� CD Q. v C) 0 C7 CD J 0 v C [7 %n CD C7 C7 O 7 cn IN cn c C Z r -r 0000000��r- ;�o ..r n zz _� co Cn C/)Cn cn C/) C/) -' O D D O O CO G) G7 CD N Z o � G7 O G) O W O W W N G) Z ZZZZZ -�� 0 0 o o o o O O O O O Z O Z O ..^ N C O CL cl CL rx x x x x o o /�� N N N N N I O cn c Lol A CONSTRUCTION NOTES &DRAWINGS ' ENCLOSU 'REV S General Construction Notes: 1. All extrusions shall be AL 6063 - T6 Aluminum supplied by Enclosure Suppliers Inc. 2. Roof panels shall be 3 '/<" thick expanded polystyrene sandwich panels faced with 0.024" Aluminum sheeting slotted between AL 6063 - T6 1 -beams. 3. Maximum roof loads presented in span tables are for a deflection of span/180 and span/120. 4. All enclosures shall be constructed in accordance with Enclosure Suppliers recommendations. 5. Soil Bearing Capacity: All footing shall bear on undisturbed virgin soil or engineered fill placed in 8" thick loose lifts compacted to 95% of its maximum modified proctor density per ASTM D-1557. All foundation soils shall have a minimum safe bearing capacity of 2000 PSF. 6. Concrete: All concrete work shall conform to the recommendations of ACI 302-89 and shall have a Minimum Design Strength of 3000 PSI at 28 days. 7. Timber Design Stresses: Douglas -Fir No. 1 Appearance Grade Bending Stress Fb = 1500 PSI Horizontal Shear Stress F, = 95 PSI Compression perpendicular to the Grain FC = 625 PSI Modulus of Elasticity E = 1,800.000 PSI Ambric Testin5 & Engineering Associates, Inc: 3542 Scotts Lane, Philadelphia, PA 19129 January26, 1998 J Lim Cn L•: < M uL LJ C-' U =UO Z LI. 1 z c] Z �- < OU —,:2 LSI < — =z 0 i I I � L C j � C? CD vi C O i ' O r � n C J C .r U Lo %'m .0—.8 CD. alo C --Z) UU UOO C N X x x N N N L C L: J C N C U Cz S C� z ocr oL) ZOL lu LLJ C CC Cbz C Ll L C O N w u U Ox L.1 Q ZNJ� I L O vcCccn x J F- — p t 3 O (!7, i 7 CERTIFICATIONS ENCLOSURES 7.0 CERTIFICATION The following tables have been prepared based on engineering analysis and design and reviewed by a licensed professional Table Nos. Table Nos. Table Nos. Drawing Nos. 2.1 3.4.1 3.6.1 4.1 2.2 3.4.2 3.6.2 4.1.1 2.3.1 3.id. 3 3.6.3 4.1.2 2.3.2 3.4.4 3.6.4 2 2.3.3 3.4.5 3.6.5 4.2.1 2.3.4 3.4.6 3.6.6 4.2.2 2.3.5 3.4.7. 3.7.1 6.1 2.3.6 3.4.8 3.7.2 6.2 2.4.1 3. 5.1 3.7.3 2.4.2 3.5.2 3.7.4 2.4.3 3.5.3 3.7.5 2.4.4 3.5.4 3.8 2.4.5 3.5.5 3.9 2.4.6 3.5.6 2.6.1 4.1 2.6.2 2.6.3 2.6.4 4.3.2 2.6.5 4.3.3 2.7 4.3.4 2.8 4.3.5 3.1 4.3.6 3.2 4.4 3.3 9' Seal: o C, 80S 0 N Original seal and signature in blue Ambric Testing & Engineering Associates, liac. 3502 Scotts Lane, Philadelphia, PA 19129 03/23/98 co ESI Enclosure Sucolicn, irc. 10036 SprimrHcld Pikc C1nC'1Rati Oh 4521; 5 5 13 702 3900 Location -760 No. e' Date „OR7M TOWN OF NORTH ANDOVER Ot �i♦a° ��,4, AhL;, Certificate of Occupancy $ p s Building/Frame Permit Fee $ � sAcHus Foundation Permit Fee $ +',, Other Permit Fee( {A $ Sewer Connection Fee $ Water Connection Fee $ Un 2 TOTAL $ tt 3U Building Inspector 7837 Div. Public Works Location No. �J A- -- Date « A ,A 7710 TOWN OF NORTH ANDOVER Certificate of Occupancy $ � � Building/Frame Permit Fee rte, $ �_ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ <0 Building Inspector Div. Public Works Location �� t1RPlyc>�'1Y�j _ A_ No. Z Date R4 TOWN OF NORTH ANDOVER p Certificate of Occupancy $ « ' Building/Frame Permit Fee $ sACMUs t� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee _ $ .. WaterConnection Fee $ l TOTAL $ ISS t Building Inspector 7709 Div. Public Works T KI V a It z 0 to W z x U z 0 H a p z 7 0 LL LL O F I 2 W x SII 0 x� z J ® W W 0 Z F 0 0 LL LL 0 W N y zo z j` 9 M i LL m } 4'w d w 6 m r d' W (� W F- F F Z ' 0 /t hJ d 0 o U 0o U U t f W IL w w U JZ 0 a p p d a ¢ I-- J D U J m J m JU m lit Z ro J W W W w O U U S tU � C Z O N V Z 00 j 0 rl LAJ Q d W O ,Z {��y, tW ~ m 0 W 4 . 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I I-II TI I_ I I l I I I I I I I w C v_ 2 A 0 M C7 ri W Cd ago �¢ W w a o as 2cf) • Vy ° w cn o w z z d a �+ w° C4 v U R% , ' z / O a C w a u x w W 0 a: •� cn (a x U a A z � m w z x w a w w� o z cn v Q O cn D J uj • or CL z 4 r ,op ��o v � ciao �o =Zoo Com% O O m o m~H �+ C. a H O m V': o 7 ` C.) CY) ri im c Cc* �' 3 L ) cm m o c m •s H � O E m •v `m o CL C.3 cD m = o o� V! CO p m oho c_ CL. m h m c c = m m p N ~ vy OAC1 m W A_.+ O w •vyi az�c Z LLI I= E v;;vH CO U CD VA C. m � = i ti = A O 0 dwm S co O E co L O O C2 Z CD O. O y D � W cm ca 'C CD M WMM E ca CD 0 CD O i � co o 0 m o a CL CMa ca C O C O R �C. O �O+ CO2 Z C CD CL V c02 O � C C H G Z Q ui z O U J Q z L.L.. C3 z z Z O� ...._—,.-- � T' — s .. e' « r •ter'' �r: � , � .� �,�y, .,1 .y"T[ T � .' Wo3�yr+. ti S t'i ty q � � 2 � . e ,3i�..+ h �� b � syy� ads t � p�� . •N _ �� "r .p'�, i � �� `. i � ..�yy��-�� '� sti' y� F ��y �°"�*�a�,�,' .+vJ? s�•�'. 9i �`�� /- rt'Z'�i*�r+.� ;.�i �` -i4�5 + :�,, m • "�7 4 h. -Y �: ` ' :� r _�t 'r?.�7z.ffY Y PF 4 g .r„F �i,L�*,' ' fi F t ""' , r` R�+ S �''irt#f^F+>�-. r. 4 ie�,`• t ', M, h ,...K S �,'m... �°i7i7�ia -w'�.� � 7'� a��, ,, ; . �„ t a" ^r` ti ,�•iw '. § ! �`i lex. "Y � 4�`'�a, �� } �+. �•,ti�t'��r�t'_"'3��"�,'�'+ .3i � •h} � et fA +�Y`x��'`y+-as'Y��i�.�y '�P t MAP # LOT # PARCEL # � � STREET • �ONSTRUCTIQN APPR L ' � ` -' HAS PLAN REVIEW FEE .BEEN PAID? /. YES NO PLAN APPROVAL: DATE l0 �L/ l �t APP. BY _ DESIGNER: c 1 AR A Aez-o PLAN DAME. CONDITIONS WATER SUPPLY: TOWN WELL WELL PERMIT 4/3 DRILLER.`_ WELL TESTS: CHEMICAL DAZE APPROVEU.��_, BACTERIA I Ufa FE APPRUVED Il .— ._. BACTERIA II DA1'E APPRUVEL) COMMENTS:. FORM U APPROVAL: APPROVAL TO ISSUE YE DATE ISSUED �� BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL. BOARD OF HEALTH APPROVAL: DATE ..._..._._BY _ FORM U - LOT RELEASE FORM x a, INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: AUDxE14) W X44wiC6 291LQ X .ZMW, Phone11 79S��3S7/ LOCATION: Assessor's Map Number Parcel Subdivision Tom n 141/ L. rs Lot (s) 7 Street 1{ Z.a&AE ek f_RM VJ . St. Number 700 ************************Official Use Only************************ RECO NDATI S OF TOWN AGENTS: C servat'on Administrator Comments Date Approved Date Rejected )��) (gr"QA±SZD Date Approved _L�#JqZ4 Town Planner Date Refected Comments Date Approved Food Inspector -Health Date Rejected �y Date Approved �� O Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit �/Z Fire/ Department Re*t^Y1J��'�'✓/•►'.r1�a�"°r��'nr " •�,pJn,�..�/ ceived by"Buildi4g Inspector Date NOV - g 1994 I' i ,aORIN � KAREN H.P. NELSONor°: Town of 120 Main Street, 01845 °fr °' NORTH ANDOVER (508) 682-6483 t�. BUILDING �y CONSERVATION ,Ss�CMUSf` DIVISION OF HEALTH PLANNINGPLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE QaLujaw, 995 PERMIT # LOCATION 700�Q�/!.O� —107— % � v OWNER'S NAME LIc� lM�rcvLc�l �c� BU I LDER' S NAME MASON'S NAME-1)6z'� MASON'S ADDRESS .3&g MASON'S TELEPHONE f j)r 794/--35 7/ MATERIAL OF CHIMNEY ell tic INTERIOR CHIMNEY 649w EXTERIOR CHIMNEY ,(qua NUMBER AND SIZE OF FLUES Z. $X F3 7 -- THICKNESS THICKNESS OF HEARTH B Ir Will chimney or fireplace conform to requirements of the code and have rules and regulations been received:] DATE 1 IS195- SIGNATURE OF MASON_ CONTR. LIC. # 0(,Q5) 1 EST. CONSTRUCTION COST/CONTRACT PRICE PERMIT GRANTED `Sib� FEE r ROBERT NICETTA, BUILDING INSPECTOR (O/C�7 � INSPECTED REMARKS a SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES .'i } j: i,; •d L;, ,•i:�h ;�_ ;.F.. �,,: IF'q cvr\• .jai ♦ - $'f`• `>,-L ':• vi: n. 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L' rr: }'•�"�).• <..'� i "r ,�,tt•' tt,l ��.�I ,*. � � f v,,�i. .f:� .,, .:'i':�'.1 i .i�`.;, v 1. :, \.._•,"•, Lr .�..'" � •� 1 Vii• � �1 ,•t 1 :;' + e, ;:t. `t_,} :� ±f t r� �t J f .t ;\i t , ,t' e�.1.i. 7i1 cl.'iF. ,. .t } •r r 1',,: .y' :>i��=.i t� v' Falloff to 0wo ^ > ,1' "! i. i', ) � i I. c ,- _, � 't•.. �. s',',1 �.5�.11 ;f .fi.l t. .,r , ,%l•`�;!j, :` t i 3 ` '1, - .t•••j � �,'� ,j� ;r, i ,.. 1' -S1 C { .\ , ,r t ;f.y j+•..i.ti1.;t';�ti 1.} �) j1 �t'\1 ,,' ✓ ,� f t. ' r j b i+ - , rr {_ ' +-'S:��J.' �t T•�r.j��.,�s �,��,�r�'rS'' i`t�it•1� t . y: _ 1 I 7{ .+i, r rj ,�,1j,�' �,�s}.rtr�-+'�•�. ;y �l .tC• yr n f��1>FJrEit�,3'�.rJ•3�. { •; , DEPARTMENT OF PUBLIC SAFETY Mays Aasaitssee* ! 9 rat /OrIarOC „ 'MEL ONE ASHBORTON PLACE offAlsNp asa• '�,,:�' �. ' BOSTON, MA 02108 CAUTION EXPIRA. ";a'`3` ,'I:;; , - _i;='- �;`,' FOR PROTECTION AGA EFFECTIVE DATE LIC -110. 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Y — •O -p m O p to o �E O z 3 CD L) d- -�. �o .... .. _ O t . Q m 'J X "- 4- N p \ N M 4)c N Q O �X O _ >r 3 N Cn Y U O N C D .—j O CN O - U p V) T Cl CV Qf O >+ ® to x d O (.3 .. -CM=. _N Q N¢ x N CNS p U O a �l EE O • - d J m �- J E x x N O N x N N V W �_d�. _. .r 4 � _ �► � . � .., THIS PLAN IS NOT FOR RECORDING PURPOSES OFFSETS ARE NOT TO BE USED FOR THE REPRODUCTION OF PROPERTY LINES SPECIAL .FLOOD HAZARD AREA (FIA) IS NOT APPLICABLE tt7� A "I certify that the foundation shown hereon is in compliance with the applicable Zoning. B) laws of the Town. ofd with respect to horizontal dimensional requirements! P.L.S. DATE "FOUNDATION CERTIFICATION" PLOT PLAN OF LAND IN MASS. SCALE: 1" = FEET DATE: Ao&.'FZ'P Vie, lh9- D S DEVELOPMENT SERVICE COMPANY 30 WOODLAND ROAD ASHLAND, MA 01721 (508) 881-8776. �+n+rr�rMi�rpi��.�irr.r..��Mrw p��r4�11�,1�m.�+�11 i�.Mri��.�aiir �r�rrrrr�rl�.w�r`rrrl4r��rrirrw�NrrYl/• t9