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HomeMy WebLinkAboutMiscellaneous - 88 SAW MILL ROAD 4/30/20180 2.40 Roane Occupation (1939132) An aecessov use conducted within, a dwelling by a residegt who resides k the dwelling as his principal address, which is clearly secondary lo the use. of the -building for luring p* wposes. Home occupations shall 'include,"but iiot'limited to the following uses; personal services such as fuuaished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty pulors, animal kennels, or the conduct of retail business, or the mamfaoturi ig of goods, which. irupacts the residential nature of tho neighborhood, 4. For use of a dwelling in any residential district or multi fanny district for a hoarse occupation, the following conditions shall apply. a. Not more than a total of three (3) people may be employed in the dome occupation, ono of whom shall be 1he.owner ofthe hbme ism pation and residing in said divolling., b. The use is carried on strictly witivn the principal building; c. There shall be no extexior alterations, accessory buildings, or display which arc not customw with residential buildings; d. Not more thm twenty- five (25) percent of the existing gross floor area of;tlle dwelling unit . so used, not to oxceed one thousand (1000) square feet; is devoted to 'such use. 7n connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these Wts; e. There will be no display of goods or wares visible from the street; f The building or premises occupied shall not be .rendered objectionable or detrimental to the .residential character of the neighborhood due to the m tedor appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or defrimental to any residential use within the neighborhood; -g. Any such building shall include no features of desip not cust6mary in bindings for residential Use. /l 1 v I Y 7- (s Signa re LI Date NORTH .ANDOVER BIDING DEP- RTA ENT 1600 Osgood Street I`AU Andover Tel: 978-688-9545 - Fax: 978-688.9542 .BU�`.�Vmsmm ' 1R TOWN CLERK DATV,- NAME: ,ONINGDIST.RIC i : — BUMDIlNGLAYOUT PROVIDED: YES NO .7V'AlLANT. rEPARKI G ,SPACK ZONING BYLAW USAGE: YES NO HUSH SS FORM FOR TOWN MERK Check #1 L b .- 7, 1 ///N/ `f 0 �-�— % Building'Tnspector Location I No. Date NOR,of TOWN OF NORTH ANDOVER OfV i? OL F 9 Certificate of Occupancy $ 13 �'�S'••° • E<� s�CHus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /-f3 G Check #1 L b .- 7, 1 ///N/ `f 0 �-�— % Building'Tnspector a I SECTION 1- SITE INFORMATION 1 , 1.1 Property Address:/1 OWN OF NORTH ANDOVER 1.2 BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI REIMOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING sfla ,y r 11 -1.0 r n .: zap wr _ B DING PERMIT NUMBER: ) " DATE ISSUED: � Y 00 / gitNATURE: -'IRWY Building Commissioner/I for of Buildings Date I SECTION 1- SITE INFORMATION 1 , 1.1 Property Address:/1 1.2 Assessors Map and Parcel Number: SFS .S wrnill `?G ) 8 Map Numbet 4© &0 Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: rr/1 E s Zoning District Proposed Use o Lot Areas Frontage ft 1.6 WELDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RegWred Provided T-- 3c"), Vin' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System Public ❑ Private X I SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record K — 711— 13n t -j e— Name (Print) Telephone 2.2 Owner of Record: Name Print Address for Service q.7; Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ ,-.Se- ,g' r" 06-5-370 Licensed Const ction Supervisor: �qM License Number r �J t� 7 C. Addre s Expiration D e Signature Telephone 3.2 Registered Home Improvement Contractor 7 n13 Go c CK.4'ruc Company amee�� / j I Address -/,6'--e? s- -/i 9/ Not Applicable ❑ l2y,�oy Registration Number :!f ,?-C Expiration Dat SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result to the denial of the issuance of the buildine hermit. Signed affidavit Attached Yes .......0 No ....... ❑ Estimated Cost (Dollar) to' ' a A � SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result to the denial of the issuance of the buildine hermit. Signed affidavit Attached Yes .......0 No ....... ❑ Estimated Cost (Dollar) to' C}I�FICIALUS) SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) A Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: X f �lx- 34 (b) Estimated Total Cost of ��'/ ODD !'a rt Vein I SECTION 6 - F.CTTMATF.D CnNCTRTTrTTnm rn4ZTC 1 Addition s Item Estimated Cost (Dollar) to' C}I�FICIALUS) Completed by permit applicant 1. Building (a) Building Permit Fee O Soo Multiplier 2 Electrical ©� (b) Estimated Total Cost of ��'/ ODD Construction ` 3 Plumbing C Building Permit fee (a) X (b) 11{ t 4 Mechanical HVAC 94-00 5 Fire Protection IV 6 Total 1+2+3+4+5 m Check Number NV(NVU HUN 7a OWINER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize efl#101c"rc-� T' er C_ Celt 5 to act on My behalf, iii -Lill matters rela ve to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Si attire of Owner/A ent ikDate MMMOMMOMMM" NO. OF STORIES / SIZE k 1Y X 1 s BASEMENT OR SLAB 3 c. s c w. c111G h Y, A- I I u c ,r- f SIZE OF FLOOR TINIBERS a cc 16 Oil IND 3 RD SPAN / 3 S DRAENSIONS OF SILLS be G DMIENSIONS OF POSTS DIN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS / o SIZE OF FOOTING X ' MATERIAL OF CHRANEY 4/ IS BUILDING ON SOLID OR FILLED LAND ,s' a 1, IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LU"I• KELEAM FORM �4 3�� t,L INS TRUCTIu-- d o: This form is used to verify that all -necessary approval /permits from 'I `/ 3 0 Otzc k Boards and Departmenrs having jurisdiction have been obtained. This. does not relieve the applicant and or landowner from compliance with any applicable requirements.'-� I.mean WON ■......■. now .. Mae ..■r.won .......r....onus . ones ones ................■ APPLICANT 1 vtf J.3 e7 `t,p e— PHONE c 7 IT 2,S'-_) ASSESSORS MAP NUMBER l LOT NUMBER C� 0 SUBDIVISION LOT NUMBER STREET. ln1'Y✓l STREET NUMBER ir.......■.....■r..■.........................■.............................■ OFFICIAL .USE ONLY 0........r..n...........■.r..O's .■............■................r .............■ RECOAOJEN ATIONS OF TOWN AGENTS ..........■■...........................■................-.............. CR("� DATE APPROVED L� ERVAMNADNM2,TISTRATOR DATE REJECTED DOMMENrs__ L� I DATE APPROVED TOWN PLANNER DATE REJECTED CONO ENI'S DATE APPROVED FOOD INSPECTOR -'HEALTH DATE D _�L,� A DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED -7. CON OAENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DATE APPROVED FIRE DEPARTMENT DATE REJECTED RECEIVED BY BUILDING WSPECTOR i a FORM U - LOT RELEASE FORM I�X� f<< �X?AkWuAj ' t1om u. INS TRUCTR,.. d 0: This form is used to verify that all -necessary approval / permits from `i `� � t- K Boards and Departments having jurisdiction have been obtained. This does not relieve the �e` 13-0 applicant and or landowner from compliance with any applicable requirements. i..■•■......r......■■.....r.■r.•r..•.•■■■r.■.■...r...r......r..r............■ APPLICANT i'J PHONE `1 7 9S ASSESSORS MAP NUMBER 1 DLOTNUMBER 0,C e, 0 SUBDIVISION LOT NUMBER STREET ''►' t STREET NUMBER ......■i........r..r..rr..............mom ..■..............................• OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS am ^IlkDATE APPROVED CO SERVATIONAD TRATOR I DATE REJECTED _ DATE APPROVED TOWN PLANNER CONIMEN'I S DATE REJECTED DATE APPROVED FOOD INSPECTOR -'HEALTH DATE C D 2,4,A--) DATE APPROVED CD SEPTI(f INSPECTOR - HEALTH DATE REJECTED CONIIvffiNT5 PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR . DATE /Yv U. > t ct .1 l 4 �l ct � w a 1 / 1 � I�� 4 a,'`(�,; •�„ may. •... (....,_ i, t �' � ll �, l •/ I I i '! 11 ,Ito/ � t �l o Y / c - n I / /Yv Town ®f North Andover Office of the Health Department Community Development and Services Division Willim J. Scott, Division Director 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director June 15, 2001 Mr. Tim Bowe 88 Sawmill Road North Andover, MA 01845 Re: Application for expansion and deck Dear Mr. Bowe: Telephone (978) 688-9540 Fax (978) 688-9542 Your application for the above at 88 Sawmill Road has been reviewed by the Health Department. The application was denied on June 15, 2001 for the following reasons: 1. V Missing information 2. E/ Passing Title 5 inspection of septic system may be required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. ? Floor plan of existing and proposed addition i Certified plot plan showing house, septic system and proposed project in scale "Note that expansion may extend into the septic reserve area that is in the rear. If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely,' Sandra Starr, Health Director Cc: Building Department File BOARD OF APPEALS 688-9541 BL7LLiING 688-9545 CONSERVATION 688-9530 MORSE 688-9543 PLANNING 688-9535 REQUIREMENTS FOR FORM U SIGNOFFS BY BOARD OF HEALTH To be filled out by the applicant and submitted with the Form U T 1. What is the proposed project? Deck pooladdition new house other 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Yes oNo' 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No 5. Is the location served by private well? Yes ` No 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? _ Yes No 7. If, yes, is the inspection report on file at the BOH? Yes No J. P. Moore, Jr. Moore Construction General Contractors Submitted to: Tim Bowe Job Dspt : Kitchen addition Address: 88 Sawmill Road Job No : 00611 -MR North Andover, MA Date: 6410/01 Phone: (978) 685-2526 UPON CLOSE INSPECTION of existing conditions, we propose the following: To supply equipment labor and material to build a 14x36 addition for a new sunroom and kitchen addition — with new garage bay underneath. Details of this project can be found in the following job specifications, and blueprints. All work is specifically defined in these documents. Any work not mentioned or defined shall not be considered to be included in this contract. Certificates of Insurance submitted upon request. Mass. Contractor's License# 58419 Mass. Home Improvement Contractor # 124604 WE HEREBY PROPOSE to furnish labor and materials complete in accordance with the above specifications for the sum of $ (a 1 c j c o o> � _ LC -1- C � 5 7 js Moore r. Date A. Moor Construc 'on NOTE: This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. This contract may be rescinded within three (3) days of dated signature. OWNER(S): DATE: DATE: �Jfie �a»cmaretorfia�l� o�� �f�'�ruju�aelja BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 005370 Birthdate: 05/14/1953 , Expires: 05/14/2002 Tr. no: 24144 Restricted To: 00 JOSEPH P MOORE 11 GARLAND LANE. PELHAM, NH 03076 Administrator l i lf�„1�r t ,¢uz �%� fwm •xnnuetrlG4 cf .- v z`�-u-�-� ,T�NO�E IiIFROVE11ERi CORiR�CiOR j '' Registrati�n� ; Ezpiratian 07/24/2001 iYPe Individual Ai. I MOORE COMSiR11Cii0�' � , r 105EPH 800RE ���iN�s�tnT°r� PEIHRit . kH • 03016 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: Ci Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity FW I am an employer pro Wing workers' compensation for my employees working on thiE r'_mmnnrni nnmp �.1 C SL -q /tlOY e_d 1' 1/ 6.4 five lr- CGsYL$ Y' Address if-t--�. C a r la --1 L Com an name: Address Citi: Phone #:_ 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 and/or one years' imprisonment as well..as_civil..penaltiesinihe%rm-f-a_STOP_WORK.ORDER..and_.afine of,($1,00-00).aday againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for Coverage verification. I do hereby certify undo[ the paths and Sig Print A that the information provided above is true and correct. N- Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensina Building Dept []Check if immediate response is required p Licensing Board E) Selectman's Office Contact person: Phone #: ❑ Health Department n Other Town of North Andover ty°RTH F Building Department o� 5.. ' .� a °. ' ., 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax. (978) 688-9542 ssAc+us���� 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, sl 56a. The debris will b (disposedoffiin ! S LLf e s 7 7 Facility V 1-0, meitct C ¢- S e -L K„ L L NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. s` " 0/ Permit Number MECcheck Compliance Report � Massachusetts Energy Code /_`3 ADZ/& 10 MECcheck Software Version 3.2 Release la Checked By/Date TITLE: BOWE CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 06/09/01 DATE OF PLANS: 5/15/01 PROJECT INFORMATION: Kitchen Sunroom REMO/Addition COMPANY INFORMATION: Joeseph P Moore DBA Moore CONST NOTES: 14X36 addition on 10" poured concret walls with 4"slab COMPLIANCE: Passes Maximum UA = 135 Your Home = 130 3.7% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling l: Flat Ceiling or Scissor Truss 510 30.0 0.0 18 Wall 1: Wood Frame, 16" o.c. 800 19.0 0.0 37 Window l: Wood Frame, Double Pane with Low -E 167 0.330 55 Door 1: Glass 11 0.310 3 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 510 30.0 0.0 17 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of th desi n Ipad, specified in Sections 780CMR 1310 and J4.4. Builder/Designer : Date 6 A i v MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 06/09/01 TITLE: BOWE Bldg. Dept. Use I Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above -Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: ( Windows: 1. Window 1: Wood Frame, Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: I Doors: 1. Door 1: Glass, U -factor: 0.310 # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: I Floors: 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R-30.0 cavity insulation Comments: I Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfrn (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R -values and glazing U -values must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Unto 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. PkOAS TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Coo'16g Systems Chilled Water, R&igerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 PkOAS TO FIELD (Building Department Use Only) Cl) m m 0 m v CO) C O d CO) CD CS Z CCO) CD O 'v a` r c)� � O CL �• y -w C.) CD CD O CL Cr0CD CD CD mm y, av y to CD g v H O Z O O C 71 O CCD CD0 O -• to o Q C,ao �.m W =t CD m Cl) CD y mCD a m m Z C-4, _I ..r 'M.* m O •71 =r06 maid = N CD �.4 O m y p Om m CD 0 tC�i. G = ...► C LA. : ^ oo m R Q� :4 k VJ m m H ray cc C-) V C d CD C H = N CA CL 03 ►Q y �CIZ 3E CD :� _ H �.� :? m O O� o o .� � lb0 z C CD 0 D 8 CD � m � CD IkCD �C3- � . oma: %: cn. _ 0 Q► c o . Com? � � '��• __ o = ' cn O cn p Ci ?7I" O °' O Cil rfj w O w� b 7 R O O 0• c 7C 0 y 0 O C N2 3--3-0 Date... .4 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .....rte� - -'. k..: .... ..... C ("C!,.'( . ................ -) .......... has permission to perform , , U, wiring in the building of ......... A— f� . JAJ � at ........... . ..... . ................................ . North Andover,.Mass. Lic. No. ................ JELECTkICAL INSPECTOR Check # J WHITE: Applicant CANARY: Building Dept. PINK: Treasurer DEPARTAM?VT0FPUBLICS4FE7Y Permit No. o� BOARDOFFIREPREVEMONREGUL47IOAN527CMR12.-OO f Occupancy & Fees Checked APPLICATTONFOR PERW 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 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)00 Owner or Tenant; ynp^j inN �jC, Owner's Address Is this permit in conjunction with a building permit: YesM No (Check Appropriate Box) Purpose of Building Cre y e S we �) , Utility Authorization No. Existing Service doy Amps � 1,2-30 Volts Overhead Underground r7 No. of Meters New Service +_ Amps olts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets ��` J No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound No. of Receptacle Outlets �� No. of Oil Burners No. ofEmergency Li ghting Battery Units No. of Switch Outlets —y v` No. of Gas Stoners PJp. of Ranges No. of Air Cond. Total FIRE ALARMS No. of Zones Tons No. of Disposals No. of Heat Total Total No. of Detection and Pumps Tons KW Initiating Devices No. of Dishwashers Space Area Heating KW No. of Sounding Devices No. of Self Contained .........� DetectioWSounding Devices No. of Dryers Heating Devices KW Local Municipal Oth.;r� Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP THER .` �C GK'S ' woo cIC' [ cdrt d S U ✓1 ^ ✓dp lM Insum=CompW Rusumt1othetegtmana�oth ad�set�Gar3alLaws Iha%eaammtLd3kybs==Pobcynix&gCargkt CmaaWorilsst*9m>liateWh-dlat YIDS NO E Iha%esubmftdvd1klJ3 ofofsametot4te0ffiM YES M NO If} mhnedtEr WY Sip pack lethetypeof=rdWbydmdcrtglhe INSURAI FOND OTI1ER (P�aseSpe* /,, 4/ (d2 % D* dcbStalt o�Co� E dVaiuecfEkcfticalWadc$ Wo htspectrrnDabRec�ed Rough -- AkAC o Final Sighedut'w rPF3talBesafp*Y, FIRMNAI� �. A , Fra Sets Cc 1 r- T ,=Ni U AA ��11 Btak=Td'Nh ?V11 3'S/ 22 o A� PO 6ox3a3 �e Cka ,,, ' vim 030- ( A?cTelNa 603 635 U -- OWNER'SRg9JRANCE WAIVER, [am awacefdthe LtemmmWMV"RksbnbdeWnWettasmqmWbyNbmaduM Caxial Lam a<tdatmysitseetlthisptatv�esthislecmanent. (Please check one) Owner M Agent a r Telephone No. PERMIT FEE ,S U N2 4"'22 Date. ! . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... )........... . ... c,. t ................... has permission to perform .... ................. plumbing in the buildings of .... i < A'-. ..................... at ... .. ... S f`1 �-t. c �.�................. . North Andover, Mass. Fee.,.' Lic. No.. 1. . ........ .1. . �. . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer e MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB&b reint or IYOW la Mass. Date 19 �� '� Permit : Z"' Bulding Locatlon v s Marne A -we—. Type of Occupancy Re New Q P i 5uO—aSMT. 7ASEMEHT 1ST FLOOR 2HO FLOOR 3RO FLOOR 4TH FLOOR STH FLOOR STH FLOOR 7TH FLOOR @TH FLOOR trudAlhg Gfrove Renavatlon O 0 tly - Q H m • V ce to Y < O CL ax m N a E a Oi- C N Q Y ar r- -• O p v 3 i z H w U. Q a a tt 1* � m W .Wc Q < H ah N < < < anyDVI-KQ_ • �L � i 0—z— A/L J �AAA of Business Telephone Name of Ucensed Dumber ReplaceRm u t ❑ FIXTURES Plans Submitted: Yes O No ❑ �t z x - Q H • V ce to Y < O CL { m CL a m Y CL C N Q Y ar r- -• O p v 3 i z H w U. v a a SCJ rAs .�J C'ieck one: ❑ Corporation KPartnersINIP ❑ FrmVCO. Certmcate INSURANCE COVERAGE i have a current itabiiity insurance policy or its substawai equivalent which meets the requirements of MGL Ch. 142. Yes k No a It you have c ecked yes, please indicate the type coverage by checking the appropriate box A futility Insurance policy PL Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: t am aware that the Ecensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement - Check one: Owner 0 Agent ❑ I hereby certify that all d Uma detaft and intmoation I have uft0ted (or entered) in above app = ion aro trm and accurate to thim )+est Of m. knowledge and that ail PIM"V work and astallabom performed wrier the permit Wised for this acp6ution %%A be in comohance with all pertiirent provisions of ft Massadrusetts State Plumbing Code Chapter 142 of seal Laws lay Title �9 0 licensed - %a 7 G' Town of North Andover Office of the Health Department Community Development and Services Division William J. Scott, Division Director 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director June 15, 2001 Mr. Tim Bowe 88 Sawmill Road North Andover, MA 01845 Re: Application for expansion and deck Dear Mr. Bowe: Telephone (978) 688-9540 Fax (978) 688-9542 Your application for the above at 88 Sawmill Road has been reviewed by the Health Department. The application was denied on June 15, 2001 for the following reasons: 1. C9Missing information / 2. [�' Passing Title 5 inspection of septic system may be required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a� Floor plan of existing and proposed addition Certified plot plan showing house, septic system and proposed project in scale "Note that expansion may extend into the septic reserve area that is in the rear. If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Sandra Starr, Health Director Cc: t Building Department File. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLAPv`N NG 688-9535