Loading...
HomeMy WebLinkAboutMiscellaneous - 769 FOREST STREET 4/30/2018 (2)N2 2787 Date .... e 4 V, TOWN OF NORTH ANDOVER PERMIT FOR WIRING (7, This certifies that ........................... 01! ... r ....................................... has permission to perform...... (—,- -.,-� C, .,- /, (...4/le ............. .................. ................. wiring in the building of ......... .................................................... at ................... .... ... ..... . ........................ . I-4orthkndover, Mass. /,- K,� f FeeAL:.()') ... Lic. No. -:�. iAI17.... ........... ...... ................. ................ criucAL INSPECTOR Check# 30!�7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �•� THE (DA MUNWBAL1HU14AL451W1HUMI1JUtttce Useonly DEPARTMENTOFPUBUCSAFM Pern-dt No. BOARD OFFIREPREVEW0NRWUMTIONNWOR 12:00 -- I Occupancy &Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date,i� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes L__J�No F1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service8= Amps)66/agi Volts Overhead0/ Underground No. of Meters 4�. .. New Service Amps` / Volts Overhead M Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total 15 KVA ,,No. of Lighting FixturesC Swimming Pool Above Below Generators KVA \5 grounda1:3round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units —44o. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs a No. of Motors Total HP OTHER - Bill "I TAMAN hill / o i! i �._.!.`. OWNER'S RsSURANCE WAIVER, I EstatEkd Valued'Elea iral Wotk $ Rough Final i aoddvtmyWug - cnihisp=-dwplimonwx'%tsd stt'amed. (Please check one) Owner M Agent AII. Tel Na IN0,111NO1.. Telephone No. PERMIT FEE $ �L f d v TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING , s� 1 9 DATE ISSUED: t `a o to z) BUILDING PERMIT NUMBER: %319 N C SIGNATURE: Building Commissioner/In for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: I& 9 �s /o 5 D� ` � Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R/ �'- ZoningDistrict Proposed Use -#,v�58_' Lot Area st Frontage 'ii 1.6 BUILDING SETBACKS 11 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System X 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone i Public ❑ Private SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record c T,►�o+ti��fi rl's6y 1769 ForESt St Name (Print) Address for Service: 37 rl 1 Signa re Telephone t 2.2 bwner of Record: o r- F- n ?v- s,6 v 9 q-6 5 Name Print Address for Service: 0 ". , , (: � �,), " e, 9-7 -/33/ Signature a Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 66?/6 License Number Alidress / '41" 7 Expiration Da e JI S nature Tel phone 2Z JyZ� 3.2 Register Hor^e Improvement Contractor Not Applicable ❑ Ala Company Name Registration Number Address^, ci zo;/ 7 C) Expiration Date/c1 Signature Telep one O z M 90 O mn ic r M _r z G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant i4 .•.OFA ICTAL USE 0NL1t 1. Building�p � a Multiplierdin g Permit Fee 2 Electrical/ `� iJ (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) U 7"t 1 Check Number 4 Mechanical HVAC N 5 Fire Protection r 6 Total 1+2+3+4+5 6.50 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION b OWNER/AUTH NT DECLARATION I, property Hereby declare that the statements and informatio and belief ®r as Owner/Authorized Agent of subject a -and -accurate, to the best of my knowledge Print Name Si ature o Owner/A ent HIM NO. OF STORIES Date SIZE ' u BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1 2 3 RD SPAN ' DIMENSIONS OF SILLS v DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION i THICKNESS SIZE OF FOOTING ZC2 X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND , IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .......................................... 0 ■ ■ ............................. ■ . APPLICANT 26 � 6_6'Z PHONE 6 E3 —/, 3 ASSESSORS MAP NUMBER dS- LOT NUMBER Z% 2 SUBDIVISION LOT NUMBER Jio-Z-t-- _ STREETSTREET NUMBER �76 OFFICIAL USE ONLYo�y a n RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMR,4STRATOR I ) DATE REJECTED nnna,FTr nr-, b DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INS 19 13,- DATE REJECTED . DATE APPROVED P CINECTOR -HEALTH r DATE REJECTED PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ,g=able Septic Compliance, Inc. F. Paul Cardone, Soil Evaluator September 18, 1998 No. Andover Board of Health 27 Charles Street No. Andover; MA 01845 Attn: Susan Ford Re: Sanitary Disposal System Inspection 769 Forest Street - Doreen Prisby Dear Ms Ford: In accordance with the Commonwealth of Massachusetts, Department of Environmental Protection, State Environmental Code (Title V), 310 CMR 15.301, paragraph 7, please find attached a "Subsurface Sewage Disposal System Inspection Form" for your records. If you have any questions regarding this report or any of its contents please do not hesitate to contact this office. We thank you, in advance, for your continued cooperation in these matters. Very truly yours, SEPTIC C CE, INC. �k Paul Cardone Certified Septic Inspector �rr-N Attachment �a PC/JMP titles prisby.wps • TITLE 5 SYSTEM INSPECTORS • D.E.P. SOIL EVALUATORS - 447 Boston St, Topsfield, MA 01983 371h Baremeadow St_, Methuen, MA 01844 Tel (978) 887-8586 Fax (978) 887-3480 (978) 681-0726 ✓ Watw Table Septic Compliance, Inc. F. Paul Cardone, Soil Evaluator SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: Doreen Prisby Address of Owner: 769 Forest Street, No. Andover, MA 01845 (if different) Date of Inspection: September 11, 1998 Name of Inspector: Paul Cardone I am a DEP approved septic inspector pursuant to Section 15.340 of Title 5 (3 10 CMR 15.000) Company Name, Septic Compliance, Inc. Address and 447 Old Boston Road, Topsfield, MA 01983 Telephone Number: (978) 887-8586 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes Conditionally Passes Needs further Evaluation By the Local Approving Authority Fail Inspector's Signature: Date: 6;)/ The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. • TITLE 5 SYSTEM INSPE pWR4%f-1 P.E.P. SOIL EVALUATORS 447 Boston St., Topsfield, MA 01983 37/2 Baremeadow St., Methuen, MA 01844 Tel (978) 887-8586 Fax (978) 8 8 onn Re World Wide Web: http://www.magnet.state.ma.us/dep (978) 681-0726 (revised 04/25/97) Town of North Andover NaR -H O� �iLeo 6 qAy 16 Building Department o -= 27 Charles Street 4 North Andover, Massaehuset s (978 688-9545 Fax /978 688-9542-1 -- --- 4SSACHU5�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: acility gnature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. lel 41 4 L I-- N 2 PT AN OF LAND LOCATION NORTH ANDOVER, MA DRAWN FOR DORErN 77& TIM i-IUS1. Y SCALE: V=40' DATE: JUNE 26, 2000 01 40' 80' 120' SCOTT L. GILES, P.L.S. FLANK S. GILES NORTH ANDOVER, IVIA 01845 (978) 683-2645 SiTRT-CT PROPFRIM Assessors Map 105D Parcel 72 769 FOREST STREET FRISBY, TIMOTHY A DOREEN MARIE PRISBY Deed Bk. 4096 Bk. 184 SEE PLAN #7809 N.E.R..D. � w b � w o �a COO U a �r M �p N a 0 00 z z 72' PT AN OF LAND LOCATION NORTH ANDOVER, MA DRAWN FOR DORErN 77& TIM i-IUS1. Y SCALE: V=40' DATE: JUNE 26, 2000 01 40' 80' 120' SCOTT L. GILES, P.L.S. FLANK S. GILES NORTH ANDOVER, IVIA 01845 (978) 683-2645 SiTRT-CT PROPFRIM Assessors Map 105D Parcel 72 769 FOREST STREET FRISBY, TIMOTHY A DOREEN MARIE PRISBY Deed Bk. 4096 Bk. 184 SEE PLAN #7809 N.E.R..D. � z O b � w U a �r N a 0 z PT AN OF LAND LOCATION NORTH ANDOVER, MA DRAWN FOR DORErN 77& TIM i-IUS1. Y SCALE: V=40' DATE: JUNE 26, 2000 01 40' 80' 120' SCOTT L. GILES, P.L.S. FLANK S. GILES NORTH ANDOVER, IVIA 01845 (978) 683-2645 SiTRT-CT PROPFRIM Assessors Map 105D Parcel 72 769 FOREST STREET FRISBY, TIMOTHY A DOREEN MARIE PRISBY Deed Bk. 4096 Bk. 184 SEE PLAN #7809 N.E.R..D. � z O ON _ O PT AN OF LAND LOCATION NORTH ANDOVER, MA DRAWN FOR DORErN 77& TIM i-IUS1. Y SCALE: V=40' DATE: JUNE 26, 2000 01 40' 80' 120' SCOTT L. GILES, P.L.S. FLANK S. GILES NORTH ANDOVER, IVIA 01845 (978) 683-2645 SiTRT-CT PROPFRIM Assessors Map 105D Parcel 72 769 FOREST STREET FRISBY, TIMOTHY A DOREEN MARIE PRISBY Deed Bk. 4096 Bk. 184 SEE PLAN #7809 N.E.R..D. Assessors Map 105D Parcel 176 N 763 729,, W 34695, 'LOT D ,r Area = 47,888 sf 1.0994 Acres -A, ~ `� j„Area= 1,17 N 7,3 o36 32.6,O n 05, ) C:dp769FSNA.DRG I_L� Propos tion - L LLLLL 32' 8 � a�el� .-i \' W Gid Assessors Map 105D Parcel' 4he Commonwealth of Massachusetts 47 Department of Industrial Accidents �79 1Of ice of Investigations ,J Boston, Mass. 02111 /5',�Fy,2v-1W rkers' Compensation Insurance Affidavit Please Print Name: Location: City Phone = am a homeowner performing all work myself. =I am a sole proprietor and have no one working in any capacity j I am an employer providing workers' compensation for employees working on this job.. �dfc Company name: Address City Phone #: Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided.above is true and correct. Signature Print Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone #. FORM WORKMAN'S COMPENSATION hone # ❑ Building Dept C] Licensing Board C] Selectman's Office C] Health Department 0 Other Jure -22-00 03:15P A&K FOWLER INS:•AGENCY 978 664 2209 P.01 NORTH ANDOVER MA 01845— (508) ;924-4073 ONLY AND CC HOLDER. THIS ALTER THE CC SUED AS A NO RIGHTS DATE DOES DATE (MM/DONY) 06 22 00 OF INFORMATION THE CERTIFICATE LEND, EXTEND OR IFFORDED BY THE POLICIES BELOW. 1 AFFORDING COVERAGE--- COMPANY OVERAGE__COMPANY A ZURICH INSURANCE COMPANY _ COMPANY B SAVERS PROPERTY & CASUALTY INS. CO. COMPANY C COMPANY D 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. r POLICY EFFECTIVE POLICY EXPIRATION CO LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE (MMIDONY) DATE (MMIDDrM A71 WNERAL LIABILITYa GENERAL AGGREGATE s2,000,000 X I COMMERGiAL GENERAL LIABILI Y SC P3 418 0 415 112 / 0 2/ 9 9 12/02/00 PRODUCTS• COMP/0P AGO $ 2, 0 0 0 I Q O Q I CLAIMS MADE F,X OCCUR PERSONAL 8 ADV INJURY sl" Q 0 0, 0 0 0 — — T EACH OCCURRENCE $1 , 000, 0 0 0 j OWNER'S 8 CONTRACTOR'S PFICT I FIRE DAMAGE ;Any one fere $ MED EXP (Anyone person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT . S ANY AUTC �. L i ALL OWNED AUTOS � BODILY INJURY SCHEDULED AUTOS (Per person) � . --- - --• _ NIRECAU70S .. BODILYINJURY (Per accident) . NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT - S --- -- ---- ANY AUTO / I` I / HER THAN AUTOO —' -- -- f � OEN T s - AGGREGATE $ EXCESS LIABILITY '' ' UMBRELLA FORM / I / / EACH OCCURRENCE AGGREGATE $ $ R $ OTHER THAN UMSREUA FO M TA B 1 WORKERS COMPENSATION AND _CRY MIUS _, R j EMPLOYERS' LIABILITY 12/14/99 12/14/00 ELEACH070CWC0011ACCIDENT $_100, INCL EL DISEASE - POLICY LIMIT 000 I THE PROPRIETOR! I $5 O O , O O O PARTNERSIEXECUTIVE �` ,-- -- — OFFICERS ARE: I X. EXCL..EL DISEASE - EA EMPLOYEE S 10 0 0 0 0 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS INSURANCE VERIFICATION TOWN OF NORTH ANDOVER FAX 989-9925 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUIBIO.COMPANY WILL ENDEAVOR TO MAIL • �Q_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Of N KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHIOPlgkD REARESENTAVVE Al �:'. xi , Y��` h. �:'. 0� xa w O c� u OC4 u° cn U Z c7 Qu Or - -v w2 s w2' > c U CIS w w C7 a � w w C V a � uto cn m w p w � z Z 9L° ro w d w Q w w CO o cn p. cn ui om 1 o � m c CD o� c m cC9 o `.° C', 22 : �: m �: L 1A O• _ y.. CDV lit E C3 ' v m c E COL O y L m C9 N C T Ocoo o E �(Da a ,► m =, o ; •�= o os IN c �o Qc c _ :CID a=� Cj 'y O L A Z O O CD O = o. m H= Lm C's F- 2 coo L cc fcc, N dG A = O z r+ m y O LU o ca o�cw� _ 5 o-0= c COO) d 0 -5 O5 _ A a 16-= h '= 0 a.... 00 a om L CO) CDCOO) .CD L- CL co C O CD V CL CO) O V CO) c O V O CD CD 3 O D O Lm O L Q. o� Q C � C J .0 O Z L) CO C. CO) C LLJ 0 /U) LLI v / rr LIJ w Ccw w Cn (Type or Print) , NORTH ANDOVER ,Mass. AX ate: Building Location Pen wt II W F1 Owners Namean New '❑ Renovation Replacement ❑ Plans Sylbmitted ❑ .'� FIXTIIRF� ' i (Print or Type) Installing Company Name Address Business Check one: Certificate (� Corp. Partner. —� Firm/Co. Telephone '�, Name of Licensed Plumber: - e�% Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ©Other type of indemnity 0 Bond ❑ Insurance Waiver: I, the undersigned, have been made aware -that the licensee of i this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner l� Agents,. ❑ I bucbr cc/lift Wal all of tllc dctails and in(ocnralion I loa•c sutimitIcd lot cntc/cd) in atma- applicatiow rile fort 4:844 to lik beat d W, Uewkdge and that all plumbing work and installations 11coI'm nicd undo rcreta il Issucd for Oil appikattiosa will b0 in Oestljslleltast rj{il � �itlsleµ «`,t vW"s of tits blataad mmlla Slatc Plumbing Code and Cluplcl 142 0( Ibc (:casual LJ1WL 44 i By Title• City/Town: i .ADOC?0VF=n 7OFFICF USE ONLYI Signature of Licensed Pl"ber Type of Plumbing License License Number Ll Master ❑ Journey"A • V z an V < a • to m os O Cl = • W �G Z Os J < P. cc . ` i- Z O Z w ¢ _cc W Ul K v Z' ¢ o a 93i W >- tr rr- < an h Z .m aC A 4L 4 to t7 a s < o. a W z O F• a f.. W < m O W .J tC cc ~ J p O J Is. Q: • i W F- V < r �: CL Y x 1' Y n. O z= < W t' IL iC W } h' O to 7 V) Z O Q Qs W O V Z ir Y J 94 W D as J = h N W 4 O O < da Q SUB-,BSMT. BASEMENT 1ST FLOOR 2ND FLOOR I % 3RD FLOOR ATH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Installing Company Name Address Business Check one: Certificate (� Corp. Partner. —� Firm/Co. Telephone '�, Name of Licensed Plumber: - e�% Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ©Other type of indemnity 0 Bond ❑ Insurance Waiver: I, the undersigned, have been made aware -that the licensee of i this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner l� Agents,. ❑ I bucbr cc/lift Wal all of tllc dctails and in(ocnralion I loa•c sutimitIcd lot cntc/cd) in atma- applicatiow rile fort 4:844 to lik beat d W, Uewkdge and that all plumbing work and installations 11coI'm nicd undo rcreta il Issucd for Oil appikattiosa will b0 in Oestljslleltast rj{il � �itlsleµ «`,t vW"s of tits blataad mmlla Slatc Plumbing Code and Cluplcl 142 0( Ibc (:casual LJ1WL 44 i By Title• City/Town: i .ADOC?0VF=n 7OFFICF USE ONLYI Signature of Licensed Pl"ber Type of Plumbing License License Number Ll Master ❑ Journey"A • V 72862 Na 3886 °N Date . �Z• : •c^ TOWN OF NORTH ANDOVER IT FOR PLUMBING PERM .. SAC MUS' This certifies that"... . • • ' ' has permission to perform . plumbing in the uildings o • • North Andover, Mass. at.. ............................... Fes" .. , , . L1C. NO. • • PLUMBING INSPECTOR 12/10/98 13:45 35.40 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �141 v jLoc?a—t—ion Novo I J Date NORTIy TOWN OF NORTH ANDOVER / z,, -- f h O 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 10/26/98 14:03 176.00 OnT>a Div. Public Works Q� LJ ►' u z X Cr - k s lv• � `h � (� Q � � y C v �vc w 11 4H � — w = F, u �.. T Z L =moo is a ? z Y - W w w z w L� r H - n N_ O Q L Nj .9IP 10 uj 4-1 c u % 4 o uj LU �, LU (� w Q G N H 11 V =) � tl Ci 1 N w~ LL a uj In z y i. 3 ^^ u a � w � � ZLU � ' \J _ E Z - " ? z Z — Z z W u z c c n — 0 0L i 9 LU z z T z Y co 0) LO �_. N _. a LL Q a T z Y Do V � Q a H r — lJ Z 3 y v yy U 'J T z Y ;3� c no No limmill I '1. 4 t c 1 1 «\ ✓die TOosnUYtane�'BfLUR � i%i(fdd�[d�d 1 -✓1� Vd/!'Z IYL(Y/ZI.C�P.0000i2, p`J�.; 6�(Q:JJU,ClI.IIJe'( �\ HOME IMPROVEMENT CONTRACTOR DEPARTMENT OF PUBLIC SAFETY Registration 115194 CONSTRUCTION SUPERVISOR LICENSE } Type - INDIVIDUAL Expiration 01/03/00 Nuiber: Expires: 8irihdate: 021624 12/111i1999 12/11/19! MORIN CONSTRUCTION CORP Restricted To: 00 JEAN N. MORIN FOREST ST JEAN N MORIN ADMINISTRATOR NORTH ANDOVER MA .0184595 FOREST Si NO ANDOVER, MA 01845 -FROM : BERKAL STEL41AN DAVERN&SHR I BMAN PHONE t4O. : MORTGAGE INSPECTION! BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA LOCATIONJ�r._/ilA;f.---•- SCALE : I" = 60 FT. DATE REFERENCE.a: ;3326, .-�? ............... ........ ....-----•-......---------- ---- To: G2ov..:$i4NK...._._.............. The location of the building(s) as shown, either complied with the local zoning set backs at the time of construction or is exempt from violation enforcement action under Mass. G.L. Title V11 Chapter 40A Section 7. Aug. 20 1998 10:59AM P2 NOTES: • This is a Mortgage Inspection survey and not an instrument survey, therefore this plot plan is for mortgage inspection purposes only. • This survey is based on survey marks of others. • Bushes, shrubs, fences and tree lines do not necessarily. indicate property lines. • In my professional opinion the building{s) are not located in the special flood hazard zone, as defined by H.U.D. • Whenever an offset is iI* or less, an instrument survey is recommended to determine prop. lines. • Offsets shown are approximate by tape survey. LQT 15 5T, N �� .k f � �:• -til' � t1 • �{ � - / SEE PIAT ' 1 10— .� tib• j I t ^ I. 0. ♦\` (• ; ,�' - � � s L ` t I � ' • y O _ C i t• • _ 7 r i t rp9 t / rn e' 'a r \ A• � O / Fri m 13r r a- / m j t F S 1 + � t IRCL - � � j SF t = + � � F� � \• • / � � I F a � ♦ w' t � a I j y G 6. t �♦ a _ O°O �i ��' tt Oa 1 { l t ♦ • t r r i - • 1. oll V l • { ` SEE. PIAT 9� _. - E • � r , i 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 �I oar FEI'L ►'I S b PHONE -73-3j LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (S) STREET /7; q E0CZ51 ST. NUMBER '76 USEONLY********..*,.*..*. RECOMMENDATIONS OF TOWN AGENTS: RVATION ADMINIJTRA COMMENTS 1 TOWN PLANNER COMMENTS FOOD INJPECTOR-HEALTH DATE APPROVED DATE REJECTED DATE APPROVED 'DATE REJECTED_ DATE APPROVED DATE REJECTED_ V�T"ICPECTOR-HEALTH DATE APPROVED � DATE REJECTED_ 2 C 0 M M E N T S "r:��-fe G_- �r� �r `tai <� as c eco% 1 �e cte-�" Ik Li4p, PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT IRE DEPARTMENT .✓x -A t (CCL �(rMOVC- L',e-Cb.- T -Cu. NAM q TY RECEIVED BY BUILDING INSPECTOR DATE 0 a O= u° v T a chi 94 z z Q w w° , v X U G x 1% w a�°° w�' c w AG w 2 c a O � A w a w ro o cn C o cn n d z �+ co H VO V y•pa, CCU CO 0 l � co �! E< L m c '=tea •• m o a N cmc aml: aw. • y CO m m mc, co a C3 C m m C a m ..-Malmo h N CD ? a8 H o m .Awv. allow C7 N O c�•�Z • c � o a � ym� :a H o h mw~ co C Or=... -WC LA- N asOC ac CS,•E ; IS y U= m c of c h a 'D S eyv ��y•� aw m O 0 O a� 0 CD Z O D CO) .9 CD CL Co c 0 C.1 ev CL CO) 0 CO) c V t� CO) 1MM7 C OM O Co W W COLLOPY 65 AYER STREET FRANCIS H. COLLOPY REG. PROFFESIONAL ENGINEEER ENGINEERING CONSULTANTS :PFF r 7.9109tl - - wa�: CIVIL STRUCTURAL DYNAMICS Mr. Jean Morin Carpentry Contractor 895 Forest Street North Andover, MA 01845 Dear Mr. Morin: METHUEN, MA 01844 RESIDENCE: 8) 685-7969 OFFICE IFAX 7 685-8069 October 23, 1998 The purpose of this letter is to provide you with the necessary structural framing for the proposed addition to the Prisby Residence at 769 Forest Street in North Andover. I have reviewed the plans which you prepared for the overall concept of this addition. Based on these drawings and my site visit of October 16, I have enclosed Sheets D1 through D3 which provide you with the required structural framing to meet the intent of the Massachusetts State Building Code for the roof and the first and second floors. The attached engineering framing sketches are meant to compliment your drawings which provide additional details of your proposed project. The existing residential building,being a modular home with two 12 foot sides attached at the middle,does not have the framing which was built for an additional second floor addition without some strengthening of the first floor main girder. A detailed sketch of this girder is shown on attached Sheet D-1. The 2 x 10 member shown which is lying on the flat hides the detail of any misplaced joints in the interior 2 x 81s. It has been my experience in modular homes that the manufacturer does not pay specific attention as to the discontinuous joints only being located over column supports. Since, I couldn't observe the presence of any joints without removing the 2 x 10 for the entire length of the beam, I have had to make some conservative assumptions in my calculations. Therefore, I am recommending the addition of mid -span columns between existing "columns so as to shorten the span of the existing girder so as to properly support the increased load from the second floor addition. p .1 Also, it should be noted that the addition of the higher roof line for the 33 feet on the right side of the residence, creates a high - low roof intersection which is a potential for builtup/drifted snow, and the State Building Code requires this to be considered at such areas. This is for approximately the first 6 feet away from the new high roof. This strengthening of the existing roof can be achieved by adding 2 x 8 rafters(and ceiling or eave ties) between existing roof trusses in this area. The eave ties can be located a few inches above the ceiling level as long as they are continuous and are properly nailed to the rafters. If you have any questions concerning this matter, please do not hesitate to call this office. Sincerely, COLLOPY ENGINEERING CONSULTANTS Francis H. Collopy, P.E. Structural Engineer Attachment: Sheets D-1 thru D-3 COLLOPY ENGINEERING CONSULTANTS 65 Ayer Street METHUEN, MASSACHUSETTS 01844 TEL /FAX (979) 695-8069 04 11M .......... ............. ....... .... OIL x 0% olt 7 204-1 (Sin* Sh") 20fr1(PWdsQ JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY-- DATE V1 x) I rLJ -Z COLLOPY ENGINEERING CONSULTANTS 65 Ayer Street METHUEN, MASSACHUSETTS 01844 TEL/FAX (979) 695-8069 JOB SHEET NO. _ Z OF CALCULATED BY DATE / 12 3 CHECKED BY DATE i�., i M PR=T 101-1(SYpl1$ WUf 1051 MdW COLLOPY ENGINEERING CONSULTANTS 65 Ayer Street METHUEN, MASSACHUSETTS 01844 TEL/FAX (978) 685-8069 JOB 15 B r Dt NG E SHEET NO. D-3 OF 3 C CALCULATED BY • DATE 17g ! Z CHECKED BY DATE PRODUCT 204-1 (Single WMI2051(PaM) FROM : BERKAL STELMAN DAVERN&SHRIBMAN PRONE N6. : MORTGAGE INSPECTION BAY STATE SURVEYING ASSOCIATES 234 CABOT ST., BEVERLY MA LOCATION ...NoR7'i-IAND0Vo5 , M,5:,-_--.. SCALE t 1" = bo FT DATE REFERENCE'...X.. ; 37,6.. P� :?p ............... SSS _4en,-1 (5 .._.....---- The location of the building(s) as shown, either complied with the local zoning set backs at the time of construction or is exempt from violation enforcement action under Mass. G.L. Title VII Chapter 40A Section 7. LOT L Aug. 20 1998 10:59AM P2 NOTES: • This is a Mortgage inspection survey and not an instrument survey, therefore this plot plan is for mortgage inspection purposes only. • This survey is based on survey marks of others. • Bushes, shrubs, fences and tree lines do not necessarily indicate property lines. • In my professional opinion the building(s) are not located in the special flood hazard zone, as defined by H.U.D. • Whenever an offset is 1't or less, an instrument survey is recommended to determine prop. lines. • Offsets shown are approximate by tape survey. 0 M V M (r 3a?2 T00'd Z80Z'ON XH/XL SZ:01 86/b1/0i --------------------FACSICMIME TRANSMISSION -------------------- FROM TIM PRISPY 769 FOREST STREET NORTH ANDO`JER, MA 01845 HOME PHONE: (508) 683-1.331 WORK Pi -TONE: (617) 345-2545 FAX: (617) 330-1986 DATE: October 14, 1998 'I,0: Mike McGuire COMPANY: Building Office. FAX NUMBER: (978) 688-9556 Number of Pages (including cover sheet): 7 Please put these documents in with the file for the permit pending for the property located at 769 Forest Street. Thank you. Nilike: I really need to speak to you as soon as possible_ T have a permit pending; for a 2"' floor addition to my .ranch house at 769 Forest. Street. 1. just received revised and much clearer plans from my contractor, Jean Morin and wanted to get them to you. 1 am having difficulty finding a structural engineer to get in here by the end oFthis, week, and was wondering if these new plans would suit_ 1 ask because our contractor mentioned that our house (at 1,100 SF) falls below the minimum requirement in the building code that specifies the need for Dian certification by a, structural engineer_ Is this true? I am simply curious, because if we can get by on these neve plans without having; to wait for an engineer's schedule to open up (not to mention the high fees), we still have a chance to get this addition built before our new baby arrives, despite the delays that have already put us a month behind schedule. Please advise. Thanks, Tim &ti d 2r68 St -2 Lts- $ 1fFdbH H36d3S38-x;3-LS3i`1N1 L,E-60 abbe-t'i-IJa Z00'd Z80Z'ON XH/XZ SZ:OT 86/6T/OT 4W 1 �sifi 0 ,FCI'd IT6e St7 L.T3 T 1 ANdH H38d=,3 i IX31S3+ )N I N SZ:c60 S66T-hT-iDO coo*a zooz*ON XH/xl SZ:OT 86/VT/OT 33'— 10*4— TIO—, 4' 54,..-,— 3x31 a 2040 W4 F5 No ra 64 97 172 J- 74 I-Xil 33— ANbE H366=8 Ixg-LISSIN r BE :60 866T-t7T-JDO Jr 6OO'd Z8OZ'ON XII/Xl 9Z:OT 86/VT/OT trk•a 'd E T68 ShZ Z4 t `iNtig HD&:� 3'33d iX3i 3i `eN I 8c:60 0 900'd Z80Z'ON XH/XZ SZ:OT 86/6T/OT 3i� 'IZT68 St7£ 2,T9 i .MtE H -1c'0 832 i"1131S31N t 02:60 866 T—t%t—i3O I V7 I Jr a- 3i� 'IZT68 St7£ 2,T9 i .MtE H -1c'0 832 i"1131S31N t 02:60 866 T—t%t—i3O 4 1 • Z80Z'ON XH/XZ 5Z:OT 86/6T/OT Ltd '9::1 2 T60 SG- Lig & ANt+H H:a(�Ita3'338 ±X3±S31`)Nf C12,60 a 66 Z—thi-1-30 900'd ZROVON XH/Xl SZ:OT' 86/VT/OT (T) So"d ET68 St72 LT9 T ANtia HD�&3S28 iX3iS3)N I 6E:60 a66T-t7T-J3O ON k �11 I r-- i I (V 46' 13'10 10'2 46' M 20'3 H e N N 33' 13'10 10'4 i 8'10 i m l 12'9 T4 33' Eia s F E A 0 I 3040 4'— -- 6'4 ---� i 3040 io co IIp,! I [O L 2666 2468 2668 —f 1 I co I I O w V -- 3068 2668 � I t 4 N � zo O o � f { I j I o a I C CD 1 i n 30310 4 I i 3040 j 3040 f F — 64 4- -- 6 5 — I __ -- e'R TA a•e ---- I �'' f m l 12'9 T4 33' Eia s F E A 0 01 4 . a . I A r , J " 8 • 0 k It 4. 1 i .• t. 1 ,- C S . U W U z V Z w Q p� A CL O O � V (� O a) O � C 0 Q W coO t LL z O ``- O W = Q V F'' m — LL dad' E ? — E u a) a W� C 7 m U W U z z � w p� A + O O � z z A a t � F'' �• dad' W� O 00 O � Opo A U W a 0 U W U �I 0.. Q `0 0 E 0 0 -Co-V .a wc C� CD 0 CL ce E CC" CL:p q6:: Ma CA Q • cc-= :•.--MEMO ca CUC -yIE= VI... go cm C.3 C." cm 42 cm z ca CM CL CD La I... coj 06= Z oc *1 C=4- `0 0 CD 0 CD IE '00— 06 4D g go .0 CD CL.,- CIO :30 I -K fil r%, 0 z 0 U C/) C/) I 2 u co E co o ts co O H CD cm I o -cv CD M co E 1= co 0 CD s— I.— _.0 .0.0 co Cm O Q Cc 0 cL In.. CM< co O CD co t5 CD CD (_:I CA m cc k44 �U a 0 P-4 u) u 0 U V) C/) Q `0 0 E 0 0 -Co-V .a wc C� CD 0 CL ce E CC" CL:p q6:: Ma CA Q • cc-= :•.--MEMO ca CUC -yIE= VI... go cm C.3 C." cm 42 cm z ca CM CL CD La I... coj 06= Z oc *1 C=4- `0 0 CD 0 CD IE '00— 06 4D g go .0 CD CL.,- CIO :30 I -K fil r%, 0 z 0 U C/) C/) I 2 u co E co o ts co O H CD cm I o -cv CD M co E 1= co 0 CD s— I.— _.0 .0.0 co Cm O Q Cc 0 cL In.. CM< co O CD co t5 CD CD (_:I CA m cc