Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 9 FOXWOOD DRIVE 4/30/2018
O O cn O o Q � N O rn o 6o o X P m 0 PO Box 55098 Boston, RAA 02205-5098 617-951-0600 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: FEMI OGUNTOLU and OLUSHOLA OGUNTOLU Property Address: 9 FOXWOOD DR, NORTH ANDOVER, MA Policy Number: HMA 0200613 Claim Number: BOS00050489 Date of Loss: 2/19/2015 Company: Safety Insurance Company 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 applicabl-e" 'If ariy notice`under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it`to the -attention of the writer and include a reference to the captioned insured, location, Policy, number, Gate of loss and claim number. Thomas DiMarzio Claim Examiner 2/23/2015 Safety Insurance Company Homeowners Claims Unit P. 0. Box 55098 Boston, MA 02205-5098 Phone: (617) 95'1=0600 EXT 3527 Fax: (61.7) 531-8864' - Email'Th'om'asDiMai4ip@Sgf6tyjqsLirance.com t71.t, y��.., y.i .: �-:.f .'U i.� Sa r... ., ...• ., � ,.._..._., .y.. '..e •, a+, :. �. • ... .., - ... . —Wo Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B Building Commissioner or Inspector of Buildings City Hall NORTH ANDOVER MA 01845 Re: Insured(s): Property Address: Policy Number: Claim Number: Date of Loss: Company: Board of Health or Board of Selectman City Hall NORTH ANDOVER MA 01845 FFMI OOUNTOLU & CO USHOLA OGUNTOLU 9 FOXWOOD DR, NORTH ANDOVER MA 01845 0200613 BOS00007556 02-26-2010 Safety Property and Casualty 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, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number. Date of loss and claim or file number. Dan Cairney, Adjuster Safety Insurace Company Homeowners Claims Unit P.O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 x5389 Fax: (617) 531-2730 03/01/10 CC012.001 F, a),o,� a � I Dml Z), - I "? � -I- OA6A. 1J 1� G .. toll,' k4 Y--.—I LV tG11 ' — -- f, substantial interest in said sign, directing the repair or i (30) days after giving such notice No permanent sign si without a sign permit issued by the Building Inspector. conformance with this Bylaw. No existing sign shall be way unless it conforms to the provisions contained here Please contact me so that we may begin the prose, may be reached at 978-688-9545 between the hou; Respectfully, Michael McGuire Local Building Inspector Business Name Signed Date Date......... ............ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSA This certifies. that has permission for gas installation in the buildings of .. ........................... at ? ..................... x North Andover,, Mass. d Fee Lic. No..4W.l ..... ... Check #, 6344 /-0 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING /(Print or Type) A • A/1-bL1lf0L ,MAn. Date $� Permit # Building Location 9 r `/k W 0 o-t�� ' Owner's Name 0 &!//J F b j,,. L( f ��/%� (• Owner Tev 5 o i 9-b7 Type of O=, tp, r-, L (� l New ❑ Renovation Replacement ❑ Plan Submitted: Yes ❑ No FIXTURES Installing Company Name,!,! �ST, : �?-L10 c Check one: Certificate Address So cf-M' l /nl POJ S 1- ❑ Corporation 1)D1,E70-N r/ Q 1 ❑ Partnership rG\ Business Telephone % o ] a a3 — 3� i `� Flrm/Co. Name of Licensed Plumber or Gas Fitter 1.G N L' Q A y S O /) INSURANCE COVERAGE: have a etxrent liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. `(esNo 0 M you have ed nj, please Indlcate the type coverage by checking the appropriate box. A UN" knuranca policy Other type of We" 0 Bond 0 OWNER'S INSURANCE WAIVER I am aware that the IlcegM M hW the Insurance coverage required by Chapter 142 of the taws, Mau. General and that my signature on this perrnh appkido-n walm fhb requirement Check one: Owner ❑ Agent ❑ Signature of Owner or OwrWa Agent krwwtedge and that all BY rrtle work and Insta rchusetts State Crtyrrown APPROVED (OFFICE USE ONLY) I have submltW (or entered) In above application are a and actuate to the beat of. my K performed under the permit Issued for Mb.appkfi0h willant with as Code and Chapter 142 ofthe Type of Ucense: -Plumber Slgn reof L censsd Phan ltter -Mas fitter i1 Q I -Master Ucensa Number 'T �Joumeyman COMMO ' QY'ryASSACMUSETTS Ell D12111 Of �. IN PLUM�EfS ��1�NA�SITTERS L I CE•NSE.D J.DU NE • -GASF I TTE Iss .sl r ro `MICHAEL BRA ONS,, 16 NICHOL iv�k LYNN °: �N-�` '02-3718 40.0 `'i..0,5pryre� 1i Ip 25.9163 COMMONW1'1:TH OF. MASSACHUSETTS IN PLUMBERS AND,GASFITTERS LICENSED AS AN:.LP••-GAS INSTALL 188}!E$?H►S.� 10EN1E TO 111 C H A E L A l6 NICHOLSIAVEtUe;. IN LYNN ; V, ....0 •`902-3718 933 Opp 259162 r i G ` DATE (MMIDOrTYYY) ACDRQ CERTIFICATE OF LIABILITY INSURANCE 1 11/26/2007 "Mum (976)922-2288 FAX (978)922-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Appleby • MIyRIan Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR III Conant St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Beverly, MA 01916 Susan Rubin INSURERS AFFORDING COVERAGE NAIL K ommED Michael A. Bryson INSURERA: National (Irange Insurance Co. 14788 DBA: c/o T'Y9, Inc. INSURER 8: 1404. Main 9t. INSURER C: Middlton, MA 01949. INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JIM TYPE OF MSURANCE POLICY NUMaER P P LIYITS GBlmm m am RMOI921 11/01/2007. 11/01/1008 EACH OCCURRENCE III 1 000 DAMAGE TO RENTED f 50 X COMMERCIAL GENERAL LIABILITY MED EXP (Any ane pwsan) S 5 CLAIMS MADE ® OCCUR PERSONAL & ADV INJURY S 1 D00 A GENERALAGGREGATE f j 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGO S 2 000 POLICY _ jECTT LOC AUTOMOBY.E LIABILITY ANY AUTO COMBINED SINGLE LIMIT S (Ea �M) BODILY INJURY S (Per Person) __-- ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY f (Par seeidsM) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per aaiUM) . GARAGE LJABRJTY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC f' ANY AUTO AUTO ONLY: AGG S EXClSSAIMMI I A LIABaJTY EACH OCCURRENCE S! AGGREGATE S OCCUR F� CLAIMS MADE f' f DEDUCTIBLE S RETENTION S W A TH• WORKERS COMPENSATION AND E.L. EACH ACCIDENT f EMPLOYEW LULBalTY ANY PROPRIETOR/PARTHERIFXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMB i SPECIAL PRO=01S below OTHER ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS i i I I TOWN OF NORTH ANDOVER ATTN: GAS INSPECTOR 146 MAIN ST NORTH ANDOVER, MA 01845 SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED,BEFOAE THE EXPIRATION DATE THEREOF, THE ISSUING SISURER WILL ENDEAVOR TO MAL 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE T'0 MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACD 25 (2W1108) FAX. (978)774-3344 PDF created with pdfFactory Pro trial version www.r)dffactory.com CACORD CORPORATION 1988 ��D, CERTIFICATE OF LIABILITY INSURANCE MIDW 02/04/20081 PRODUCER (978)922-2288 FAX (978)922-2731 Appleby 8 Wyman Insurance Agency Inc. 182 Conant St. Beverly, MA 01915 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED NEFP, Inc. 140 South Main St. M i dd 1 eton, MA 01949 INSURERA: National Orange Insurance Co. 14788 INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI% LIMITS GENERAL LIABILITY BP096943 01/65/2008 01/05/2009 EACH OCCURRENCE $ 1, 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 CLAIMS MADE a OCCUR MED EXP (Any one person) $ $ A PERSONAL & ADV INJURY $ 1 000, GENERAL AGGREGATE $ 2, OWE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000, POLICY E a LOC AUTOMOBILE LIABILITY ANY AUTO M9096943 01/10/2008 01/10/2009 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 BODILY INJURY (Per person) $ A ALL OW NED AUTOS X SCHEDULED AUTOS X HIRED AUTOS x NON-OWNEDAUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CU096943 01/09/2008 01/05/2009 EACH OCCURRENCE $ i'000,000 OCCUR CLAIMS MADE AGGREGATE $ A $ i'000,000 $ DEDUCTIBLE nx RETENTION $ 10, $ WORKERS COMPENSATION AND WC096943 01/05/2008 0`1/03/2009 1 WC STATU- 0TH - A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 5OO E.L. DISEASE - EA EMPLOYE $ 500 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMB $ 500 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS > I I TOWN OF NORTH ANDOVER ATTN: GAS INSPECTOR 146 MAIN ST NORTH ANDOVER, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS O AUTHORIZED REPRESENTATIVE tu- err .a-�.,inneen■ r' ACORD 25 (2001/08) ©ACORD CORPORATION 1988 PDF created with pdfFactory Pro trial version www.Ddffactorv:com The Commonwealth of Massachusetts Department of Industrtud Accidents Office of; 600 WashingtonStreet Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/lndividual): L' / ��/�' G ( J�}✓�/C�~� C"/!�� Address: So v T "/N S %~ City/State/Zip: /� �Lt'7v`� A%4 Phone #: 778"' 2-3 — /3 0 / _ - Are you an employer? Check the !Wropriate box: 1. E311 am a employer with -5 4. [] I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 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.: 5. ❑ We are a corporation and its required.] 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' Type of project (required): 6. ❑ New construction 7. remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or, additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other ,Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i t Homeowners who submit this affidavit indicating they are doing all worst and then hire outside contractors must submit a new affidavit indicating suc h. Contractors 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. f I am an employer that is providing workers' compensation Insurance for my employees. Below is the policy and job site Information. _ Insurance Company Name: �9PP - �y 9� UJ X,gn - : Su/Z Policy # or Self -ins. Lic. #: . GW C, D Q 6 9 3 Job Site Address: lc x fd/O X02 , gn/ C,C 196--G�JG �/ _ J- rJ, Expiration Date: �� d �_ /041 City/State/Zip:N . Pt/t)OtlE� 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 tine 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 I do hereby certify Phone #• 9,7e_ oZ.'3 — /,3 0" 51 Official use only. Do not write In this area, to be completed by city or town ofj3cial. 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 #: 11tpartmart of Public $afttq BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 Oflla Un Only wrtna No. -;% OCCUpffd W A itis Cfteolted 3190 004W ttlertk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massacnusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 16[ °)-4 10 1 Rl* or Town of NORTH ANDOVER To the Inspector .of Wires: The uderaigned applies for a permit to perform the electrical work described below. Location (Street & Number) _ F� Owner or Tenant L_ &t Owner's Address X-', t Is this permit'in conjunction with a building permit: Yes ;_ No C (Check Appropriate Box) Purpose: of Building �in �_��-/� t-),71 1,4) Utility Authorization No. Existing Service d/Amps _J Volts Overhead Undgrnd ImNo, of Meters No oils Overnead _ Undgrna C No. of Motors Number of Feeders ano Ampacity Location and Nature of Proposed Electrical WorK L No. of Lighting OutletsI No. of Hot ',:-s I No. of Transformers Total KVA No. of Lighting Fxtures i Swimming Pcoi Aocve.— in- F7 _ grno. _ grno. I Generators KVA No. of Receotacie Outlets No. of Switch Outlets 4 No. of Ranges No. of Oisbosals No. of Oil curners No. or Gas=crr.ers No. Cf Air Cor.o. .otai :cns No.of Heat To:at -otat Put .::s :ons KAY No. of Dishwashers I SoacerArea Healmo K`y No. of Dryers ( Heating Cewces KW No. of No it No. of Water Heaters KW I Signs ?a ias:s No. Hydro Massage Tubs t I No. of Motcrs .otat NP No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. Of Self Contained Oetectton/Sounding Device$ Local —' Muntcioal •Other Connection Low voltage Wiring OTHER: INSURANCE COVERAGE: Pursuant :o the requirements of Massacnt ssrs ;eneral Laws I have a current Lfaotlity Insurance Policy tnctuaing Comc.etec Ccerations Coverage or its substantial equivalent. YES = NO = 1 nave suomttteo valid proof of same to the Otfice. YES = v0 = It you have checkea YES, p(saae fncicale the type of coverage by checking the aoproonate oox. INSURANCE = 80NO = OTHER = (Please Scec:",q Estimated Valw of E!ectncal Work S 2-00 ' (Exalration oatel work to Start /G J a.!!�J J CI'7 lnsoec:ton Date Aacues:ec: RougnFinal Signeo unser the Pe If s of perlury; FIRM NAME ' U L1&, e A e UC. NO. LicenseeS;gca: re UC. NO. RRr Address 2- Y -h 1 L 1 G� �` I " j/yj Ya „� �, sus. Tel. No. CI f 7 ^ _2 7 2 I Alt. TN. No. OWNER'S INSURANCE WAIVER: I am aware that the Ucensee toes not nave the insurance coverage or Its euostanttal equivalent as re. qutreo by Massachusetts General Laws. aha that my signature -7 7;1. aopimatton waives this requirement. Owner Agent (Plea" check onsl� (Signatwe of Owner or Agentl :eteonone No. PERMIT FEE S '11-2 1249 Dat -/t-/)- r) ......... . V- . .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ............... has permission to perform .. . .................... ..... f wiring in the building of .................... ..... ... .... ...................... at .... !.�/ .................. .... ; ........... I ........ ................ . North Andover, Mass. Fee -"7 ................ Lic. No/?41z ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer pTM Location Lt.., 0 U J (> No. Date 16'c>?S-!�?� "OR7q TOWN OF NORTH ANDOVER � 9 # # $ Certificate of Occupancy SAcMug t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c Check # �6 Building Inspector 4 1.1 Property Address: oX Lu ado 1.2 Assessors Map and Parcel Map Number Number: Parcel Number 1.1 90 ouee o (84 S 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 ReqWred Provided R tared Provided 1 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private 0 1.5. Flood Zone Information: Zone Outside Flood Zone 0 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 NtUI1U-N L - PRUPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record _ c � (AJ (A/P(2 9 k Lk, c,C)D Name (Print) Address for Service: SPP Cay✓ f/Y}C-� O -p f220— S Signature Telephone 2.2 Owner of Record: Name Print Address for Service: P Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ A SV ll(,-h' p Licensed Construction Supervisor: G Q I License Number �� n, � lPrr` l Address A/A 1� 1 4, 0, A. 3 d � Expiration Da e ,Signature Telephone 3.2 Registered HHome ,I�Jmprovement Contractor Not Applicable ❑ (I)d w ) Company Name G °� D 1 — Registration Number N ^I (� r Addr s a / 'y s/oc� G � Expiration Date i nature 'Tele hone 4., 10, 9 d 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 buildi rmit. Signed affidavit Attached Yes ....... V No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify $ v w )RC) O /h Brief Description of Proposed Work: COQ✓ ��-rvGf �'� / %( .S r 4 �Y e 1/�OR, C: .�c/iv�rla/N ��✓ A�✓ 2 X rS f ►.vL� tolt��C� SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar) to be ( )_ Completed by permit applicant , OFFICIAL ,•�,, USE ONLY >� 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) �l / 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 CJ 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, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, kPv i ,,, /V1 �/ ��/ �f�.-� 0 T ("'%A/sj f 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 k .5,-)/ I Print Na � Signature of Owner/A ent �� GO Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 SPAN .. DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE j U� vod M C) �''F�S 1w a X l c7 C (C g _00 FORM - U - LOT Rt LE. ASE 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. APPLICANT PHONE I ' ✓J— 4 ASSESSORS MAP NUMBER_ LOT NUMBER o2a SUBDIVISION LOT NUMBER -'' n STREET �cV �C� cc)OC �_� STREET NUMBER MEN .00.0nom OFFICIAL USE ONLY INNESEENEENNe RECOMNIENMIONS OF TOWN AGENTS ,.. .............................................................'\......... DATE APPROVED_�l D V SERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTTC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE -REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE �1 0 PLAN OF LAND IN NORTH ANDOVER, MASS. 9 FOXWOOD DRIVE SCALE 1 IN.= 40 FT AUGUST 5, 1998 PREPARED BY: EVERETT M. BROOKS COMPANY SH Of 49 LEXINGTON STREET WEST NEWTON MA 02465 (617) 527-8750 BRUCE �\ BRADFORD PROJECT NO. 19067sr o /38376 sURV% \ 7 OS 6\ s O 1) Q OJT h � LOT 1 21,783 S.F.t N� rn O ..................o t �; � ✓,<ie �omvmoouvecr�Di o�,./�uaaaaivae�a , } I BOARDOFBUILDING REGULATION9. I! License: CONSTRUCTION SUPERVISOR. Numbet;; CS 075909 BlrOdit i: O31978 Expires 03130/2003 Tr. no: 75909 bicted T46: ':abj Administrato&' KEVIN M SULLIVAN 21 WILLIAM ROAD BILLERICA, MA 01821 t �; � ✓,<ie �omvmoouvecr�Di o�,./�uaaaaivae�a , } I BOARDOFBUILDING REGULATION9. I! License: CONSTRUCTION SUPERVISOR. Numbet;; CS 075909 BlrOdit i: O31978 Expires 03130/2003 Tr. no: 75909 bicted T46: ':abj Administrato&' KEVIN M SULLIVAN 21 WILLIAM ROAD BILLERICA, MA 01821 1p ro .............: ......... ....^'•^}-: rr.Ty. s.:s».i::...;y;:::yy[vc.i;ni.};:;:k;i{'::ti:}:j$:}:ii::::y:4i:{ Yi:i:i;i{{{: •.};: •{{x.: K•y,•,v.+,v, ,}y: •.yv ::.w.v:•: •: :Yy+. :�.ti; ..:; : • •:;; ;{; ; .... / :) ::., y; ....: y: :: ` ..:}:: ii:: '?' iY� !, {8 r � .�,r.+`i..yl/.?ti•:+?k}}yi;;}}::?v::;:!;?;i<�{`•::::ii'i}iiiiii:�i{4iY............................ 2 >;,,.:.;»::• :`i; Tr ?•'ri: DATE (MKtWM wDxaa:<y%.xaoo« .; .: }.... :�� }%� f:%�' • k:: •� /■■■ :; •�:�iY.};•,.: ;r.;•.;'.•''y •� •:.•) 'Y'' .} •::: },6; iriJti....>%.tl1CSikY. .y.,}:.,.,..};{::{::: •:Y: ri '•T PRoouCEx ksrke%a .ue: ry.:,:{.}�.}.?,a:z:><::,:.:.:}:::{.,.. 513)421-6515 FAX (513)421-0130 v, 1v :: '1! .. i '� i}i;:?i{i{:>!:!��!y yi _.:rr:.•»». rh x:.vA:•.ray. 3...i:.<..<;::s::.?a<;<.sz<> >:r::< 12/09/999 THIS al P. CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ter Dolle Insurance Agency, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 312 Wal nut Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 3200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cincinnati, OH 45202 COMPANIES AFFORDING COVERAGE _...................................................._........... COMPANY CGU-Ins..ur..ance Atte: Robert B. Barnett Ext: 214 A INSURED ........ Champion Window Co, of Boston North, LLC COMPANY Fireman's ......FUntJ IIS. CO. COMPANY 35 Dunham Road :.........C.... Billerica, MA 01821 COMPANY Lumbermen's Underwriting COMPANY D yy:•}: is ;i:.; .::.:.::•.{.;::•: ii:•::..:.:.::.:..:.:.:.............. .•:..:..:...... ..... L�A�:............::::::::::::::::........::::::.;•::::•::. ii::•iiyii::•iii;ii:{•:;iiii:•:isi>;isi::•ii;i::::•i:..::;:.::..::.:.::..::::::.::::::::::::............ .}ii'•4': •Y;v{: y;{:;•v:;y.;; •}::{:.}'{{i{{{{:{: v.y::::w:::::. ................................................................. ............:::::::.�:::::: :... ............::::............ .6q/'►�iGs:•:: ..} .. �•::..,. .... , ....y..... ............,.:•:xy;ii:•ii:<;y:•i>:t<o:c<t............::.................:::::.�: :•:::::..:::::: •:• .. ........... ..,....._........ .v........<.wV.wJ..:..%y'.yi,N , . .. , .y,. :., . , .; �......::::... .. ....... .. n:•...:.:::::::::::::::: w.:....................:.......::. ::::: is •: r: nom; .........n.......... •..::::::::::::::: :................................................................ »..a 4vY..ha.n0.0V.�Kvyi:h%ay.YAfab.i:,..iyr..:: ••y: •, •: ,•.:v.• .:{.: . . »n.nµ:.. .... y.. ::: nv •?, w;, ..; ... .. .... :nom. �::..... �?.};}:::::::i:::::::{:::5::::::::::�i>:::Gi :::>:`::i::::::i:�:::::::R;�: � ...,a•...y,...,.ya:.:•}t»%<•::.^k....,.?.r:<cc.•,.::{ :;:�:�;::;::�:::<::;:a:;. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONMION 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE _..................................................................................................._ TERMS, BEEN REDUCED BY PAID CLAIMS. .. .... ._ CO LTR TYPE OF INSURANCEPOLICY NUMBER POLK:Y EFFECTIVE POLICY EXPIRATION LIMITS DATE (MMf XYM DATE (MWOONY) GENERAL LIABILITY GENERAL AGGREGATE $ 2 , 00Q 0, X COMMERCIAL GENERAL LIABILITY , PROOUCTS • COMPrOP AGG $ 2,000,04 CLAIMS MADE X OCCUR : A `""k` :FIR586306 .12/01/1999:12/01/2000: - PERSONAL 6 ADV INJURY $ 1 , QOQ , 01 • ""' ''• ""' ' ' ' OWNERS d CONTRACTORS PROT EACH OCCURRENCE f 1,000,0( ............................................................. { FIRE DAMAGE (Any oro fire) f 2510,0( ....... I................. ... ... MED EXP (Any one person) S $ 0k AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,0( ALL OWNED AUTOS BODILY INJURY S A SCHEDULED AUTOS XB84008 eon) (Per prs 12/01/1999 12/01/2000 HIRED ALTOS ... BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE LIABILITY ALTO ONLY • EA ACCIDENT $ _. ..: ANY AUTO . _......._................ ... .. . ...._._..., .......... � OTHER THAN ALTO ONLY ........................................................... EACH ACCIDENT $ ....................._...'__ .. ......_ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S 15,000.0( C 'X'.UMBRELLA FORM XYZ00096219456 12/01/1999: 12/01/2000 :AGGREGATE S 15,000,01 OTHER TH" umsRELLA FORA S WORKERS COMPENSATION AND c> EMPLOYERS LIABILITY TORY LIMITS ER -_ ..._....... .., .. BEL THE PROPRIETOR/ 275086 EACH ACCIDENT $ 500 , 0, 12/01/1999 i 12/01/2000 .. ..... PARTNERSSE) ECUTIVE IJCI EL DISEASE • POLICY uMIT $ 5()0, 0' OFFICERS ARE EXCL EL DISEASE • EA EMPLOYEE $ 50(),0 OTHER DESCR PPTPONN OF OPERAI*NS&DisnASN�I � alrertiticate Holder Additional as lessor of premises at 35 Dunham Rd,, Billerica, MA 01821 �. . ' :' '' �7�.•�..y�y .�T. ��pp{,i :�Ygnj,..::.v::::::i:?•}ii:?{?•}iy'<:.v.v:::::::::::.::::::::::::::::..:oi}:'. .i}'::.::::::::::.�:::::. vF+�Rlr-iY.R4�.:!714!M�If�+s:r,y..:::::::::....:..:.....::.: :.:.•:.: •::::: �: .:; .,;..;.;:� ..... {..::: i,: :.i,. :i.: :y}:.: .i .................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MNL D.I.V. Dunham 3 5 , LLC 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. One Appleton St. BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBUWTION OR LLk<Y Boston, MA 021.16 OF ANY KJND UPON THE COMPANY, ITS ENTS OR R ATTVES. 1 Appleton St.ALTHORL=REPRESENTATN'E �4LfY�lilYl:Ali•.Q.aYikY\.'•?2•°C..'7,'."g?r1W'rYR�i%:•:�:hir9-rcsvimro}}%x:,:virw�.:x..,..:::..::::..:,,.::,,.:::...:......... -........._.......-_.--.... ..,'_;,r,.,!.;^':,r..rcic•Z:.!�..; J-: oy'rrw.p.{a �r .»;;,;ryy;<r,• :,y,v /J// •:'% Ji%i ......:.......fi/... .::»¢i�..'�'. �. ifi�!S.•., r.y �:..{y>:•ii:��:: ..:...: :y{::c::i. .,'.,G',A,''CC<..., �/: .c;k}:: ':••r.'%'vim':. .// Town of North Andover o& No oT" � o Building Department o �+ 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 4A °°�-�-�•,�1' �•9 �R4TfU rPa ��S SSACHU`�� 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: ? Qe I C C TR tick I". 6 - Facility Facility location Signfiture of Applicant VgLo Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 4 .N -r 1� J�4 uj u R a or. o v U —coQ+ x in w a w W n�J chi —coto w a�' m w z w w C r� o z cn O cn uj O 'S .� Co O Co z O D y Co .E CD i CL CD .0 C O co V _m CL CO) O CL v CO2 C 0 v M (n Cn CC w w CO i; . c � c� o C.3 y CL c c =o oLIO m A m� 0 N x E Elb b o a cO N � H ca : > 3 c m C9h c/-: C Ls CID ; .V N° i 2 713 Date ....l..l....�.....a.d.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......[.!.t. e � . ' F(c C�lec"k �... (iP ................................................. ................. ppChas permission to perform .........�.. 5�.......!U ....t4. �:�........U`.'.! R, c 1�.`a. }........... f� J wiring in the building of ........ c,,.s.y? s......i�. .!. �'� °�' at ..... �.0 w ciuc�'� .................. . It rth Andover, Mass. Fee..... :.v..... Lic. No. 31P.7 , ........... . .. m... ...1<........ EL�ECCRICAL SPECTOR f Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealg of Maddacltudelb Official Usc O:tly ej �7 Permit No. , oParEt:uttl a�J`ira Jarvicad — BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev. 11/99] (leave bunk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ail work to he performed in accordance with the Massachusetts ElLctrical Co e (hIEQ, 527 CRIR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INT-ORMATION) D21c: City or '!'own of: To 1he Inspector- of 1 "i -es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant e; - Telephone No. Owner's Address � r', Is this permit in conjunction with n building permit? Yes No ❑ (Check Appropriate Bo,-() Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overlicad ❑ Undgrd ❑ No. of Meters. Ncw S rryiee Amps / Volts Overhead ❑ Undgrd ❑ No. of .-deters Number of Feeders and Anlpacity Location and Nature of Proposed Electrical Work: 1 No. of Recessed Fixtures u r e ro" u t re %ul u,wn¢ No. orceii. Susp. (Paddle) Fail table tray be ,raieed by the !ns'rcctor of JYWes. iNo. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swilluning Pool Above ❑ In- ❑ o. a inergency loutlug I r11d. end. Batte Units ZFIR.%EALAP_)'1S No. of ZoitesNo. No. of Receptacle Outlets No. of Oil Burners of Switches No. of Gas Burners etecdon and Initiating Devices ' No, of Ranges No. or Air Cond. Tons No. of Alerting Devices \o. of Waste Disposers catPutll 1 utfi er. _'ons KW_r 1 0. o! e - ontaincd Totals Detectiott/Alertin Devices No. of Dishi,•ashers Space/Ai-ea Heating KW Local ❑ hlunicipal Connection El Other ;No. of Dryers fleatiag Appliances KW Security Systellls: No. o. of Water t o. 1 0. of No. of Devices or E uivalent + Heaters kiV Sins Ballasts S Data Wiriug: I No. of Devices or E uivalent No. Hydromassage I32tlltubs No. ofRlotors Total IIP I' eleconiniunications ti •iring: n Tt]nr _ No. of llevices or E uivalerlt V 1 izGiV Attacli additional detail if desired, oras required 6v t/te Inspector of lYires. I SURA�NCE 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 sucli co crage is in force, and has exhibited proofofsame to elle permit issuing office. CHECK ONE, INSURANCE I30ND ❑ OTHER ❑ (Specify:) Estimated Value of Iectrical Work:**DN (When required by municipal policy.) LExpiratron Daic) Work to Start: 1 t, p0 Inspections to be requested in accordance with ITEC Rule 10, and upon completion. Icct tif}•, utrrlc•r the panes nein penalties of perjury; that the information ort this application is trtre attrl Complete. IrI12.ilI NAME: •, Licensee: \C— (If L (!f applicable, enter - venrpl " in Address: OWNER'S INSURANCE V required by lave. BY lily signature below, I hereby waive this reguircmcltt. Olviler/Agent Sisuature _ Tolenhorin No — LIC.NO.:3-7 a9 4 E LIC. NO.: Bus. Tel.No.:_ SyQ3-Sq,�- (ob$D Alt. Tel. No.: insurance coverage normally [I owner ❑ o%vncr's at_,ent. M.H. Falardeau Electric 17 Blue Jay Way Litchfield, NH 03052 Phone(603)505-6680 Fax(603)882-4115 November 8, 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 (Weiner, Elaine Residence, 9 Foxwood Drive, No. Andover, MA). A copy of my insurance binder is on file with your office therefore 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, 17 Blue Jay Way, Litchfield, NH 03052. Thanking you in advance for your timely handling of this matter. Sincerely, Mark H. Falardeau cc: Champion Patio Room 7 FIXTURES Installing Company' 4 GALINSKY PLUMING & HEATING INC. ,; Name Check -one: Certificate Address P. 10 BOX 1701 Corporation 1906 HAVEIRHILL, MA 01831 0 Partnership Business Telephone 508-374-1743 0 Firm/Co. Name of Licensed Plumber or Gas Fitter STEPHEN C-'GALINSKY INSURANCE COVERAGE: I have a current liability , insurance policy or its substantial equivalent which meets the requirements ibf,MGL Ch. 142. Yes)e NO If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the license-, does not have the insurance coverage required by Chapter 142 of the Mass. Genera! Laws, and tha: my signature on this pe. -mit applicafio7 valves this requirement. Signature of Owner o- Owner's Agent Check one: Owner 01- Agent I here`, cerliip that all of the ce:ails and info—ation I have su:+-,ired for entere j^ the abo,E application are true and accurate to tl..e b-- 7 and that al! plumbing and int:a�;ations Perio"ed uri,:i,-7 the permit issued for this applicz:ar, wili be in cc,,=.aze with al! pertinent provisions of the Massachus.--�,S--:- c an: Chapter 142 at-, General La— Tive of License. 8N. Titir Vzste, S;Fnature o: Lce" O' C,1 Fitter � (9. 40 (D O 19 m s _T P" a z `o z ,y J -� Date.�!`��� _- NORTH TOWN OF NORTH ANDOVER-'. p`���eo ,e 1tip541, 0 `p PERMIT FOR GAS -INSTALLATION tR 'ls9SSACeMUSEt ' lf . �� r. This certifies that .. �?:. !�! h./. .. � ... `. � ....... . . has permission for gas installation ... in the buildings of?. T........... at .4.V. �. .% ... aY v. P.� , North Andover, .Mass. Fee...7a i Lic. No. ).Q Y. ................. rGASINSPECTOR 12/15/95 14:32 74.00 PAID. IF WHITE Applicant CANARY Building Dept PINK. Treasurer GOLD File GGGG , .�: �11V Al-ocation 2 Z N6. Date ,F .fid 7169 TOWN OF NORTH ANDOVER Certificate of Occupancy $ "N2 —A-' Building/Frame Permit Fee $ e) Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 2 - Building Inspector Div. Public Works Location 19 �,•..• No. % Date _ . -_ 7 r, .TOWN OF NORTH ANDOVER,, p Certificate of Occupancy $ �� J Building/Frame Permit Fee.,$ �-�,.¢=� p3 ' .. ��'� > _..tom �:,—�— Foundation Permit Fee $ �� �� o Other Permit Fee t ; F j,;1 Sewer Connection Fee $ Water Connection Fee $ >?' TOTAL $ O• G Building Inspector �! 7130 - Div. Public Works µLocation N l Date �--✓— �f 40RTN - TOWN OF NORTH ANDOVE �A Certificate of Occupancy $ t,- ' • � ; ; Building/Frame Permit Fee $ a sArHus Foundation Permit Fee $ m Other Permit Fee $ (ate' - Sewer Connection Fee $ /40v . A/,P 33% Water Connection Fee $ TOTAL $ 6944 Buildingtinspect r ���--� Div. f6bil ftorks 4 �ttT „ TO.y MAP ANO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. G�� y��i/_S/;2. iPAGE 1 I INSTRUCTIONS SEE BOTH 61DE04 FM 5 _...._ mid 0 •; PAGE 1 FILL OUT SECTIONS i - 3 DU �� P •.+...�.�,,.,,.,,�„�„��, PAGE 2 FILL OUT SECTIONS 1 - 12 �"��`T ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR PERMIT GRANTED ��' d 19 —f—/`— �� X0 93 j I //a.S OWNER TEL. # Zg CONTR. TEL. CONTR. LIC. All —T M94 * Domr a C 3 PROPERTY INFORMATION LAND COST 6,000 EST. BLDG. C0�3�p A I EST. BLDG. 68T PikitaTr6QQ.. FT. / EST. BLDG. COST PER ROOM �Jf7�d SEPTIC PERMIT NO. N� 4 APPROVED BY Fort. l� �3 s r'�C.£1�iRM� t bs� 3 qr BOARD OF HEALTH ti PLANNING BOARD BOARD OF SELECTMEN Nummims INSPECTOR LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK '.PAGE ZONE SUB DIV. LOT NO. 46 LOCATION 501< �., t !!<C�M Q % � PURPOSE OF BUILDING 5.L d ( OWNER'S NAME )ti L� S 41 NO. OF STORIES 7 f SIZE7=42az. C.. OWNER'S ADDRESS 133 ..ti �, _ /' ii�� r�S, J /'� /1/ �[ Y �AS�E�ME`NT OR SLAB 13 ,a VA s:���,� ARCHITECT'S NAME —_ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME'I"/ �4ts / /4�� SPAN DISTANCE TO NEAREST BUILDING _ /jl i -� DIMENSIONS OF SILLS r DISTANCE FROM STREET 5--/CCJJ —_ POSTS Xf DISTANCE FROM LOT LINES — SIDES REAR 6 GIRDERS gY AREA OF LOT & Q FRONTAGE RT l SCJ HEIGHT OF FOUNDATION 7THICKNESS /Q rl ! IS BUILDING NEW SIZE OF FOOTING t Q x � u IS BUILDING ADDITIO K>D MATERIAL OF CHIMNEY IS BUILDING ALTERATION 140 - IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER t/M BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS L NE INSTRUCTIONS SEE BOTH 61DE04 FM 5 _...._ mid 0 •; PAGE 1 FILL OUT SECTIONS i - 3 DU �� P •.+...�.�,,.,,.,,�„�„��, PAGE 2 FILL OUT SECTIONS 1 - 12 �"��`T ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR PERMIT GRANTED ��' d 19 —f—/`— �� X0 93 j I //a.S OWNER TEL. # Zg CONTR. TEL. CONTR. LIC. All —T M94 * Domr a C 3 PROPERTY INFORMATION LAND COST 6,000 EST. BLDG. C0�3�p A I EST. BLDG. 68T PikitaTr6QQ.. FT. / EST. BLDG. COST PER ROOM �Jf7�d SEPTIC PERMIT NO. N� 4 APPROVED BY Fort. l� �3 s r'�C.£1�iRM� t bs� 3 qr BOARD OF HEALTH ti PLANNING BOARD BOARD OF SELECTMEN Nummims INSPECTOR 1 OCCUPANCY SINGLE FAMILY STORIES MULTI. FAMILY 4 � OFFICES APARTMENTS _ CONSTRUCTION c 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY WALL v _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/, 1/2 '/, FIN. ATTIC AREA _ NO B M HEAD ROOM FIRE PLACES _ MODERN KTTCHEN" 4 - WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 �_ _ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ CONCRETE - EARTH ' HARD\!J'D COMMCN ASPH. TILE BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I -i POOR _ ADEQUATE / I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL_ MANSARD TOILET RM. 12 FIX.)' FLAT SHED WATER CLOSET _ ASPHALT SHINGLES / LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST I PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS f AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OI L B'M'T 2nd _ 1st 13rd I ELECTRIC NO HEATING BUILDING RECORD 12 •' \ 3 .I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS.' WITH, PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. w r, s a 4 � 12 •' \ 3 .I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS.' WITH, PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. w r, s v 1 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: i i ^ Phone 697-117-14 LOCATION: Assessor's Map Number Parcel Subdivision lc'b-;Z� / / Lot (s) Col I Street 6 YD�pCY( St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: u 4— Date Approved Conservation Administrator Date Rejected Comments 1401 �4904 Town Planner 1 Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved L411 IqL4 Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections ;C - driveway permit , 0/1 , Fire Department Received by Building Inspector i'flf fir%r A APR -71994 ! H ..1 Date -/ - gld �O \ I'*111047-id t/ LacAT/c../ A.V INST,C,imE,VT Sv�E'VE'!�, �! � � �ke, Q� L M25M DIN 6� r o/E.PEaY cE,cT�FY ro T,yE r17,�E RL O T R4 4--t/ TI% 7//EB,4iVV TWgT 7-,Ve- -Etc/.car /S LOCATED O.v 40r ftf J-5, WAIANO ;WOT?OAFS GO.t/F;:2ew /N 'y'AwN OF NO. Aed,,X",- W -V iQL�6yI.�0/Nls SET�./C.t'S FE0�1 ST�PEETS � LOT U•NES. " / NO . /Q,�/,�O ��,�al �A,S,S', LOG4TE0 //� T ETFEDE�.oG FiCObO �ZA p A.PEAaT O.Pq`Y/V FOiP S+yaww oiS/ FEic+�,MMt/N/Ty �O.l�t/GG '� � ;L: :!�.�P 2�OD98 0007C xwaal� IEE-,VL7-y CIO 2'f? Al �� ',{��• ..,.l� BOvvO.PY N BOlI.VOA� �FO.Pi11 �E��/�A�' E'.f/G/.t/EE.P/•!/6 SE.PY/G'ES .47-lo9.f/ TA,ee-41 A.VOOYE.l; �J.4S.SAGf///SETTS O/8/D s>IJoM ollgnd •nlQ i l� II'17N1 ]ll l f1� n /�V aoloodsul Bulplln6 chi 0� CI"i21Tfl )�21 CD -1V101 ------------- $ aa -A uOl139uu00 JaleM ------� $ aad U01139uuO0 Jannag (J $ Z-7, aad 3!wjad J9430 $ aad )rwJ uol)epunod l�sne ovrsl $ aad 11wJ9d awed/6u1pling $ AouednooOlo 91eo!p1•ta0 W o" a3AOCINV H1a0N A0 NMOl M�aoM �►'• Lvov&��r� �. °N uolleno -- -- :panti��a� iraaq s�lo�ro�rl6; lllnP pin, - 1pnz zil-). fn I;- -uJwaIn•n!*v ally q uluoyll 'J ZJU?dalrrg 110 h-allump -- - - --- �// MINV311 30 S93N`10I1 --------- Cl/ •�� � S3117� �� 3Z IS ON'd �3fl}11l :A-INI1111;2 NOINI M :h3NI1I11O 2tOIN311 :A3NI1I110 90 1VInf. Q - ;3NOIW3131 S,NOS1 2 -1,21 o .T.TIJ2f'Id (tu rJ vt7 O/ 7 .mmu u IINV NOI-JVaI1,1/1V Al- NIVIII) 1 It 1.:1:11 I11 I 'Nc Jti' I: IN 't I'1 1 tHAI, IVH .i.NzIIV�i()'i:1�1ei(i .l.i.iNt'IIViU!);)'�T :)N1NI�Tt�'Ici • 4;2,! 1• 131! 1111! 11' r* .' y. .` •;.� �a't1 ° '1•. t \t ti tD l� t11) a DLJ 1y'' l � i� 'l tl N�� .� 1.:�AT O N j *FD .. J: 1.1f1t;.11lta`J 1.1i: 1=/l,fV'T eA Amsr% w 3NOOV S,NOSZ :91VN S,NOSI �3WVN S,�3O7ir :31WN S, �I3Nn NOIIVD(, f„d, 3.iV z � 07 � z7TJ y . z - � v � z O y 0 C � ` 0 G C r"rD � CD CD O yx CACD C7 az y r CL C. r cm IN CL �• y O v CD CD o CL a CD C-) CD O CD z C" W _a . m �. CD av y y c� I C) CD z _ o -o CO) Z CD CD M CD T O z D c CD r 0 v rn 1 1 •'T1 m rn m C W?•o o =r _ aoScD -0 y -I IO = CD 0 CD Cl) G y 0 a C-3� 1'r1 pz ��=r-o ca .-r a _PCD = a m a CD co CA CD -4 o iCD CD 2 m-0 CO) um o A% .. 00 CD VJ N CD Ir-^-� dCD CD •'� o y CR d y CO) a d C CL d CD CO) f .rt C H v J CA y `C CD CD CSD CSI CD �. CO) .e -"Ai CV yto h. r:CD m z �: o z C% CRIH: = a d Q o 07 � z7TJ y aQ C) M w cp C JJ G z O rf m 0 � R� ` 0 G C r"rD � CD p O yx ;A 0 c .sA-rsss::_s9n�+.::--^_--�s..�.s..:L^".:6;=�+c. +.+:.. •�e.ty�_�'S. `�'^'czY::.t,.kC�,:cs:H.ea�E„ �..: cn M.5 O M T z y'�_•. � d. Y� GM rt m Orn ' 31,CD COPI - N `Q Jp zy z rrn T CD CD 'o. . z Qr C)m D Q. CR CA .� o O C C� N O C C3 CD CCD Q W _ CD \ J o CD C CD p C) O cn M C CD y O m CD Cn CD CC, z � -G co) m CD Cl) � w o �z I L 0 CD 0 44 CD O = G.O m = CO) CD m Cl) H m dC ...► O . m N T_ 02 m —IOON C y mm: m n 3-aoC'% o N ... p N C% a o m • N 7a CD CD m N RCD N � +� Gl N : G 01 Q c � c CD cc CD N N `C CD � D CD ..► n :� CD " 1 CD O C) 70 m '► '� m ED s� ���� A - � �p C) O SO o CD CD w � C 3 -71 0 0 PTJ ` a. tom" y W =. a C x m 9 4 ra a y 0 0 c �SS�cHus� fi This certifies that ..L .Z Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING % has permission to perform . J4/—,L�"', wiring in thebuilding of . L 1'. �.. �.. :!��!!... - at ...?...�� `.': ................. `�.... North Andover Mass. Fee !.....v.. Lic. NZ ,s .. _�. � .... f f.f % %l ELECTRICAL INSPECTOR Check # IW4 5850 a I Commonwealth of Massachusetts Department of Fire Services urvi BOARD OF FIRE PREVENTION REG TIONS APPLICATION FOR PERMIT All work to be performed in a rdance with (PLEASE PRINT IN INK OR E A L O 1 .City or Town of: Ptl By this application the undersign d gives tice f his or I Location (Street & Number) � I e %k r Owner or Tenant Owner's Address Official m V Permit No. Occupancy and Fee Checked [Rev. 11/99] leave blank D PERFORM ELECTRICAL WORK Massachusetts Electrical Code(IybEQ CMR 12 0 W) / Date: ,/CJ- lj e To the Inspector of ires: intent*Nto perform the electrical work described below. Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building `t Utility An Tele hone�to. / / (Check Appropriate Box) ition No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters '«��.-wuuona, aerau y desired, or as required by the Inspector of;Fires. 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:) Estimated Value of Electrical Work:(When required by municipal policY(Expiration Date) Work to Start: I certify, under FIRM NAME: • ) Inspections to be requested in accordance with MEC Rule 10, and upon completion. ie pain$. and penalties of perjury, that the information on this application is true and complete. lig+?/T) LIC. NO.: /s Licensee: IC'I G�� 9&Z!Z ignature LIC. NO.• Cp o<e7Z (If applicable, enter "exem t " in the lic nse number lin ) . Bus. Tel. No., P7 -11rT fr� Address: r Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensod 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Y vi d I N W ♦� I Z 80 Z IL 0 _ 0 . a O u Z W a p N S O ti m s Pj l P d 0 z 0 V 0 C a z � �I 1' z 0 z W IL 0 a L h I m I,- O z hIL t M 'Q 0 Z r 0 D Y O � O D i n 1 O �. z i 0 z O z O m I M m z 1 a m/ O m 0 J 0 J = O r N u C u m yJ U' L V L W W M FORM II - LOT RELF•A.SE FORD INSTRIICTIONS: This form is used to verify approvals/permits from Boards and De a that all necessary have been obtained. This does not relieve is having landowner from compliance with i jurisdiction regulations or re applicant and/or quiianco w. any applicable local or state law, ***************Applicant fills out this se t• APPLICANT; w fiZ-- ' Phone °� -7— CATION: Assessor's Map Number f Parcel_ Subdivision �re'et � • o Lot (s) " C St. *** Number �ficiai Use only******************** /HECOMI�Ft�ii�TTn n .; Conservation Comments 1 � r Town Planner Comments Food Inspector - Septic Inspector -Health Comments S: ator owO/ Public Works - sewer/water connections Date Approved ` C C/? Date Rejected ------------ Date Approved' Date Rejected _ n, Date Approved Date Rejected Date Approved Date Rejected driveway permit /Fire Department Aro Received by Building Inspector Date 1 0 (` \ ✓he L�oonnnovuueal�t o� �uJeaa _. HOME IMPROVEMENT CONTRACTOR Registration 100100 Type - PRIVATE CORPORATION Expiration 06/23/48 G110 -1-1,v :!�TON STRUCTURES 3 INTERIORS ADMINISTRATOR Theodore S. Richards 681 Highland Ave i V. ilL1 ut5,ViC",. (` \ ✓he L�oonnnovuueal�t o� �uJeaa _. HOME IMPROVEMENT CONTRACTOR Registration 100100 Type - PRIVATE CORPORATION Expiration 06/23/48 G110 -1-1,v :!�TON STRUCTURES 3 INTERIORS ADMINISTRATOR Theodore S. Richards 681 Highland Ave i V. name: L=.t!._i f,,4l 1'y V ii lam ^ location:��i�Jl[� city phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ARI am an employer providing workers' compensation for my employees working on this job. fit n.. y C] I am a -sole proprietor, general contractor; or homeowner (circle one) and have.hired.the contractors listed the following workers' compensation polices: _who have 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 stat (rent may bel! forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce bundr th& ins a d penalties of perjury that the information provided above is true and correct Signature Date l Print name'f — Phone # Z"?�' official use only do not write in this area to be completed by city or town official city or town: ❑ check if immediate response is required in contact person: V (revised 3/95 PIA) permit/license # nBuilding Department (]Licensing Board ❑Selectmen's Office ❑Health Department phone #; 00ther Information and . Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or, implied, oral' or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual. , partnership, association or other legal entity, employing employees. However the - owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs -persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant:-thereto.shall.not:because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into. any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the evert the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference member. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .G' �iy �,✓i` a.,r�'a�l«:r �. ,s ..k fir; o . un.c . ,6iSr' ?r rile ` i"sPT 41i :7.':'i is b JI iJ 1'1C�i�r�'t:f"r:"w'1' •;7i ''.':�.1'fF.�':.w� c1f"C,_:��::C:'.:i 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 727-4900 ext. 406, 409 or 375 PLAN OF LAND IN NORTH ANDOVER, MASS. 9 FOXWOOD DRIVE SHOWING PROPOSED ADDITIONS SCALE 1 IN.= 40 FT SEPTEMBER 8, 1997 PREPARED BY. EVERETT M. BROOKS COMPANY 49 LEXINGTON STREET WEST NEWTON MA 02165 (617) 527-8750 __ ._ 3 � b,:'� _ �} ,. �� i � �� '" y JOB /! i;•y< i /.f. ,'l f )�; :� ,..zd'ii. ' ABERJONA ENGINEERING INC. SHEET NO. OF One Mt. Vernon St. P.O. Box 215 WINCHESTER, MASSACHUSETTS 01890 CALCULATED BY ,` tR'? - DATE (617) 729-6188 Fax (617) 729-7960 CHECKED BY DATE SCALE o 5 , g - 3 - .; 5 i 3 i _ 3 .. 5 E , 2 _ - 5 , ] 2 .. - :. 2 2 .. 3 c 5 - _ .- - - - :2 . =soouCT�g1 Hees': �n3 01171 .T�uFse-1 U0,37563sn _ rJzrJ�� UL yj 7 2 _--/ ../..: s r_ 49t: y 6-7-1 e 4 L, y %2 zwz .. S��l : ._......� �......_ _..... _ _ z . ............... ... ...... ................. -. ... .......... .......... ...... .......,...... ... ........... ........ .......,.. .. .. ... g z. .... ........... 3Uv............... 7 Z-& kl/ / ..............��� < . _.. .._ �..................__. __....... ... ...... g Z'Z a m ....; ....f i. ...L% X l �// /�,�.. ......./ ��Z/il..' ............ .. �(// ....�....... .........Z- {i ,,,..5 .../. �f�....., ... .. ... ... ........ Z'2' ��- - "5-01' I ¢/-L Lc(ciiuw}' s �j`U X1� s ,31�v 3 kvrr HNR 5 N TU '� - G- iC 3O1 67 �— �,Jc a .®� X0.24067 ; Q/STS - s / 7 In �'sa®AL�� =soouCT�g1 Hees': �n3 01171 .T�uFse-1 U0,37563sn 5 11 Eff W W cd � x o w A ■ L x w co x a U Z a x ca A CD cm c C ■O O p coo a w v V) cx co cm w° a°G v U w ♦r CD �3 — �v O lz o z ca 1 : o � C y O4p C3 C.3 C 06 G C A O N -A m C - : Z O Cc CEV O O '= w 0 d E c O m C_ O O c E o z3 z fA � CR m N m �p u N :L C C ti O O E h O O 0 Q :ave m 40 Z Z O Of cm'C 02 N � dC= m O O v H Z p Cocm > _ i O V O s d C Q CD` O C �C = m d<r 0 O W C OLL �•OZ L •H d=_ O C O W 'E 'a c°t, �Go O C.3 m "0.81CD g COD d mCO _ca ` ti = O f- t �O.wm Sw O ■ L co Z a O ca h CD cm c C ■O O p co cm ♦r CD �3 — �v O C 0 O a a: ca c cc C Z CD 0 V CL y c c c cc CL h Ct Print or Type) installing Company Name Address Business Telephone Name of Licensed Plumber: • Check one: Certificate (� Corp. Partner. Firm/Co. Insurance Coverage: Indicate the type ef--i-nsurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity E] Bond Lj Insurance Waiver: I, the undersigned, have been made aware -that the licensee of this application does not have any one of the above three insurpnce coverages.- • Signature of ownerlagent of property Owner AgeneN I hereby certify that all of Oft detail: and. infotnfalion I Yaws subfnittcd (or en(cfcd) in ahlfvc application are tout 4 0 44 late to Ore bat of my knowledge and that all plumbing work and installations ticffnfnicd undct rcimit hsucd for this application will be in caffplianoe With -to palittgtl 014...1} wisioaa of the Massachusetts Slate Plumbing Code and Chapter 142 of (tic Genual Laws. , By Title• W City/Town: Edi ensed Plumber Type of Plumbing License License Number ❑ Master /0 Journeyman MASSAMUSETTS UNIFORM APPLICATION:FOR.PE IT;%TO:00'PLUI4•61 0 (Type or Print) ;�{ Date:' -- NORTH ANDOVER Mass. ., . Building Location . G�/ Permit Slay-- p.! Owners Nameit�'i�, . New Renovation �f Replacement 0 Plans Sybmitted17 II ' to :. Print or Type) installing Company Name Address Business Telephone Name of Licensed Plumber: • Check one: Certificate (� Corp. Partner. Firm/Co. Insurance Coverage: Indicate the type ef--i-nsurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity E] Bond Lj Insurance Waiver: I, the undersigned, have been made aware -that the licensee of this application does not have any one of the above three insurpnce coverages.- • Signature of ownerlagent of property Owner AgeneN I hereby certify that all of Oft detail: and. infotnfalion I Yaws subfnittcd (or en(cfcd) in ahlfvc application are tout 4 0 44 late to Ore bat of my knowledge and that all plumbing work and installations ticffnfnicd undct rcimit hsucd for this application will be in caffplianoe With -to palittgtl 014...1} wisioaa of the Massachusetts Slate Plumbing Code and Chapter 142 of (tic Genual Laws. , By Title• W City/Town: Edi ensed Plumber Type of Plumbing License License Number ❑ Master /0 Journeyman to :. 03 01 x O Y Z h > w W Y J 0• } Q V 4 h N d .. W N J Z 4n W Q CC ~ it 2 a. o Z d a.Cr 3 K p \, V 0'! Z 0G Q W t- 0'1 Z� 0 Q s ` O W ¢ n rn Q W (!) s CC to W _ W p a 9C j a O ca Q CC W Z< t- 1' X W O D x Z. J >< o cc O t r Q )G .[ W tL 4. X a W V l a i` `a' 4 a o a o O a cc it ca o f t- , o 1� SUB—BSMT. ' BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TNFLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH,FLOOR Print or Type) installing Company Name Address Business Telephone Name of Licensed Plumber: • Check one: Certificate (� Corp. Partner. Firm/Co. Insurance Coverage: Indicate the type ef--i-nsurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity E] Bond Lj Insurance Waiver: I, the undersigned, have been made aware -that the licensee of this application does not have any one of the above three insurpnce coverages.- • Signature of ownerlagent of property Owner AgeneN I hereby certify that all of Oft detail: and. infotnfalion I Yaws subfnittcd (or en(cfcd) in ahlfvc application are tout 4 0 44 late to Ore bat of my knowledge and that all plumbing work and installations ticffnfnicd undct rcimit hsucd for this application will be in caffplianoe With -to palittgtl 014...1} wisioaa of the Massachusetts Slate Plumbing Code and Chapter 142 of (tic Genual Laws. , By Title• W City/Town: Edi ensed Plumber Type of Plumbing License License Number ❑ Master /0 Journeyman X;� rII ROGER GRAY 6 SMALL ROAD BARRINGTON NH 03825 ooe09-05.56 uce 09GYR56051 l; Iss. CLASS OP1114611C 09-29-1997 END. ON5.2001 SEX M HGT. 5-04 REST. VIRGINIA C. BEECHER i;=.—A-T'H OF MAw;;;HUSETTS IN PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN PLU ISSUES THIS LICENSE TO ROGER A GRAY 6 SMALL RD BARRINGTON NH 03825-41 o 19373 05/01/98 168242 2, 3522 Date/ A TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING g r This certifies that / ..`..14 ............ u� has permission to plumbing in the buildings of ............... Cm CU at .. �.r�.......... .... , North Andover, Mass. Fee- , Lic. No./g�/�.. ..... .................... . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:. Treasurer, �y 6H to C r' 0 5 Z r ra to M v, u, O O r n v Cl) d r tp, V] t v C G r c, C `A p ? z z j ON Z t'> �i C rl c C C 71 c o O 1 kA Z n C cn o o R7 1 cn •e v is C O r C `, > m 1-4LAc CAI IT, O N al 00 47 NW 1. b. goo C'1 CA 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 lP-t �13d4lew tC PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) 'I STREET _ Q rOxi.A>ooO ST. NUMBS *******************************OFFICIAL USE ONLY************** ****************** RECOMMENDATIONS OF TOWN AGENTS: qhs �SZ CONSERVATION ADMINISTRATOR COMMENTS NER COMMENTS DATE APPROVED DATE REJECTED S�3 C, DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENT PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) 0 Signatu ermit Applicant 7-�q-g q Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector _- lL-- _...---.... l -f ru ___. - ... ........... -_.. . _.. _._...._ o W y - �Z O V ? Z tO,xx� er. 0 o� i o ---- -- --- - - .A 0 PLAN OF LAND 9 FOXWOOD- DRIVE SCALE 1 IN.= 40 FT AUGUST 5, 1998 PREPARED BY: EVERETT M. BROOKS COMPANY !BRADFORD OF49 LEXINGTON STREET WEST NEWTON MA 02465 (617) 527-8750 UCE376PROJECT NO. 19067sr 1 ps. 63 s O 'q0 72/ �Olt LOT 1 21,783 S.F.t O ss \ 0.2.gi.vAn � � X30, oa f� ori .' Lc 'r .VEPE3Y cE,criFY ro 7;Ve r17,1--- IL O % TD T.'/E B,4N,�' TNgT TNEO�rEGL/.c-K /J LPCATEO ON TWd- G v7" .!S S.st�iy'N ANO T.�G4T? OAEs CO,</FGtPAf //V If'/Tf/ T•4�E 'TO:�N O/� NO. q,vGo%C ZON/,vG ,c�E6vL,4T,19,✓,s' QL�6+ I.CO/.t4; JET�AC.PS FROM STPEc?S !LOT U�'ES. ' �1' / �/O . ANz)o FU.�%YG.t GE.PT/FY TN�IT T•Y/J O.Y'ELG/N6 /S NOT LOG 4TE0 /4/ T.yE FEOE.P,41— F44WCO f14Z4.C:o ,4 PEA, O,PA%YiV fO,P SyawN O✓t/ FCMA' �MNc/N/Ty �C�NGG '� 7- 414 71ED 6/293 S. ATiO t/ TAME(/ ��q EX/ST/NG ,4�ti00YE�C, /fJ,4SSAG%!/SE"TTS O/8/O I -) 4 Ui3U salter P. Dolle Insurance Agency, Inc.(513)421-0130 312 Walnut Street Suite 3200 Cincinnati, OH 45202 Aft": R. 8. Barnett 6j,q1iC;=i1 ............................•.••..... •. •• .............*.......................... . ... .. . . . ....... Ext: Champion Window Co. 75 Stockwell Drive Unit #7 Avon, MS 02322 .............................. . Of Boston 50UZh, LLC wAuER P DOLLE (a002/002 02/0.1/1999 IS MOE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. COMPANIES 17FFOR�11���Coy���� ................. . .... . COMPANY CCU Insurance 214 A ....................... ................. I ............. ..... * ......... .. . .............................. COMPANY Lumbermen'sUnderwriting . .... .... ...... I ............ I .................. ........................................................ COMPANY Fireman's Fund Insurance Co. C COMPANY . . .. ....................... D THIS ISTOERTIFYT POLICIES OF INSA�NCE LISTED BELOW HAVE UED TO THE INSURE15*�AMtb': 3:;VWg: AS VE INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrN 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. . . . .................................................... . . .................................... .. . . .. ............. I ........ LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Poucy r=xPiRAT1ON DATE IMM/DDM/) DATE (MM/DD" LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE S 2 .000,000 .......... -.1 .................... ......... :. .., ............. .................... CLAIMS MADE PRODUCTS - COMP/ OP .............:..........2.,.0.00.,.000 2.,000,000 A X i OCCUR! OWNER!S & CONTRACTOR'S PROT: AIRS863OG 02/01/1999 12/01/1999 PERSONAL &ADV INJURY :.s 1,000,000 ....... EACH OCCURRENCE .......... ................................ ........ .. 11000,000 .......................... .............. I ........ .......................... FIRE DAMAGE (Any on 9 nre) ......................................................... 2SO, 000 AUTOMOBILE LIA91LtTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO ... ............................................... EXCESS 'UABIUIY C X UMBRELLA FORM OTHER THAN UMBRELLA FORK WORKERS COMPEN9A- :-kYZ96053707 — EMPLOYERS' LIAaILrfY AND THE PROPRIETOR/ -270849 PARTNER INCL SIEXECUTrVE OFFICERS ARE: EXCL: TO WIjOM IT MAY CONCERN T MED EXP (Any one person)3 ............ ................ -5,000 COMBINED SINGLE LIMIT 5 ............................................. ........ . . BODILY INJURY (Per Per -son) ........................................... ..................................... .... :7 BODILY INJURY (Per Gcojoent) . .......... . .. ........................................ PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT : 5 .............. I .............................. OTHER THAN AUTO ONLY ............................................. -Ak EACH ACCIDENT' S ............................ ........................ ............. AGGREGATE: S EACH OCCURRENCE ..........................S ZS .000,000 12/01/1998 17/01/1999 :AGGREGATE .................... I ............... 15,000,.000 ................. • EW k;.. 12/01/1998 12/01/3.999 ... EL EACH ACCIDENT .......................................... $ 500,000 .............................. I.......... EL DISEASE - POLICY LIMIT s 500,000 ............................ EL DISEASE - E.A EMPLOYEE: 3 500,000 ......................... SHOULD ANY OF THE A130VC DESCRI0P-0 POLICIES ME CANCELLED' BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -3,0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, BUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. I 09:26 5085806064 . • � , °�.,- -,'-�' A�1 i,,1c � . cif � V "i,Z %' nj1 ! ...1 � �� tiliy �'.•� , PAGE 02 The Massachusetts State Building Code (780 CIVLR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application, when a builder/contractor or homeowner, consuucting/installitig a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom" of any size, configuration, Orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a "sunroom" addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of "sunrooms", included below is a non -required, open-ended list of product and design considerations that a homeowner may wish to consider before actually eonstructing/installimg a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATIED TO "SUNROO),is- • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar hv.t gain • Frame materials • Glazing to frame sealing and gasketing materials/ seal durability and/or weather tightness of the sunroom • Adequate ventilation - Operable windows and fans • AppliedShading Systems • Insulation level in floors, walls, and ceilings • Possible Suuroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency, Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual orooertv owner (oot the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FOR:Nl prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential build , accordance with this requirement, the undersigned hereby acknowledges that she/he has read the in o ation in this ocument concerning sunroom comfort and energy conservation. of Actual building Owner Print Name Owner Address (jf different than project location) res- s� Date Address of Permitted Project Owner's telephone number ... en y: Champion Window Mfg.;513-346-4614; Feb -10-99 11:03AM; Page 5/8 NFRC Product Certification Authorization Report (U -Factor) Manufacturer information 366, Champion Window Mfg, IA Identifier: A 11750 Commons Drive Cincinnati, OH 45246 Page: 1 Product Information Series/Model: 700 AWNING Product Type: Projected NFRC Product ID: 356-A-003 Cert. Authorization Expiration Date: 9/18!2002 Delete Code: Laboratory Information Simulation Reoort 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 Width Type Gap - Grid Fill 001 0.32 0.32 VF VF 2 0.15(3) 0.570 S4 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 informationj�true to authorization under the NFRC PCP have en met. Authorized IA Signature: of my knowledge. I also Certify that all requirements for certification JI, � Date Approved: 09/18/98 Revised Date: 12/M98 07,e rrirraancuea�C c�,: l�a ylac`i u yaCCl i0 71,., TyPP - oolti��. HE CORPOIP TI l CHAMPION WINDOW &PATIO ROOM 467 ADMINISTRATOR s n 14 � 1 A V C 1E.��/ANc 1I L iN �i 7711. �, &I-All'sla/\¥�� .+. . 3§E#£ OF &&E aRe . ! E »)CONSTRUCTION SUPERVISOR GZwE ( /ac lizTIG§: } �3 e§&3 e126189 117/6182 \ -- §a6ctd9: # } ALERT( 6#\l / /;\E )§ / ##28\ » R9: ' AFFIDAVIT I, the undersigned, being the owner of the property at hereby verify that I have authorized Champion Window Siding and Patio Rooms and its agents to apply to the Building Department of the City of 'fIeATi`f /f x:f- , 177 ,6 - to act as representative in obtaining building permit and, or any zoning requirements needed to obtain permits. Signature of Address of Owner % f'11<4a Date: DI-cl Sln 1959 35 Dunham Road, Billerica, MA01821 -H.I.C.at27172 - (978) 663.1495 • 1.877.846.3699 Replacement Windows - Glass & Screen Patio Rooms - Vinyl Siding & Shutters - Storm Windows & Doors - Gutters & Downspouts 0%F,,d,r-U & Sidig Patio Room CONTRACT PA,.GE 2 OF A CHAMPION PATIO WALL SYSTEM ❑ NOT INCLUDED 0,I&CLUDED APPROX. SIZE t 2 X CHAMPION TO MEASURE, MANUFACTURE OR FURNISH, AND INSTALL CHAMPION'S PATIO WALL SYSTEM WITH TEMPERED "SAFETY" GLASS. ALL WALLS INCLUDE BUILD -OUT AND LEVELING SYSTEM AS NECESSARY, WITH A SERIES OF SLIDING ALUMINUM WINDOWS ON TOP OF APPROX. 18" 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. ,��// ` GLASS TYPE L7 ❑ NON INSULATED INSULATED ❑ EVERGREEN ❑ OTHER COLOR OF WALLS 04-V iHTE ❑ TAN ❑ BRONZE OPTIONS: BUILD UP ❑ NOT APPLICABLE ❑ INCLUDED: APPROX. HEIGHT BUILD DOWN ❑ NOT APPLICABLE ,,❑_,LUDED: APPROX. HEIGHT , FIXED TRANSOM ❑ NOT APPLICABLE LyINCLUDED: APPROX. HEIGHT GLASS KNEE WALL �❑ T APPLICABLE Fia'1�NCLUDED: APPROX. HEIGHT VINYL WINDOWS L7 NOT APPLICABLE ❑ INCLUDED: APPROX. HEIGHT CHAMPION SCREEN ROOM SYSTEM El- I�OT APPLICABLE ❑ INCLUDED (SEE NOTES BELOW FOR DETAILS) CHAMPION IS NOT RESPONSIBLE FOR EXISTING FOUNDATIONS, STRUCTURES, OR EXISTING HOUSE ROOF. CARPET NOT APPLICABLE INCLUDED: SIZE 2 X STYLE/COLOR BASIC ELECTRIC (IN WIRE MOLD) ❑ NOT APPLICABLE IPINCLUDED OUTLETS l SWITCHES L CEILING JUNCTIONSy LIGHT JUNCTIONS NOT& ANY CEILING OR LIGHT FIXTURE MUST BE SUPPLIED BY CUSTOMER. BLINDS (INCLUDES PVC, ACCESSORIES, HARDWARE AND VALANCE) 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 IYNEN USING VINYL {t'INDOW S). NOTES FOR WALLS AND/OR ROOF SYSTEMS 'l LAYOUT SKETCH OK FULL VIEW KNEEWALL 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: $ q 8� G j_ . 5�_ Less down payment: ($ 16 60 fV ) Initial balance: $ G Less partial payment (Due following completion of room structure PRIOR to installation of: Custom Glass, Carpet, Electric, Blinds ): ($ 3 000. ,3D ) FINAL BALANCE (Due in full following 100% completion of project): $ c ❑ Financed by: ash on Completion Payornts of Per Month < o C d,.,m 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 beyond its :ontrol. 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 -ancellation except as stated -above. Start installation on or about weeks from above date. Verbal promises can cause misunderstandings, herefore this contract constitutes the entire understanding of the parties, and no other understanding, collateral, verbal or otherwise, shall be binding, 4signth 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! ture Champion Representative Buyer's Signature Champion Authorized Officer 35 Dunham Road, Billerica, MA 01821 • H.I.C. #127172 (978) 663.1495 S 1.877.846.3699 Replacement Windows • Glass & Screen Patio Rooms • Vinyl Siding & Shutters • Storm Windows & Doors • Gutters & Downspouts CONTRACT rnGE IOF_� To L- f4,11.it eIix< Date F O�, Wy 0 ( p Home Phone City State Zip d �Sr Business Phone (M:1Mr) `% 7 1.3 DEMOLITION ❑ NOT APPLICABLE ❑"INCLUDED COs t V LCI tf DECK PACKAGE E NOT APPLICABLE ❑ CUSTOMER INSTALLED/ EXISTING ❑ INCLUDED APPROX. SIZE X DECK BUILT BY CHAMPION INCLUDES 4" X 6" POSTS SET IN CONCRETE, BEAMS AND JOISTS AS NECESSARY, VAPOR BARRIER, 3/4" TONGUE AND GROOVE OSB OR 3/4" TREATED PLYWOOD SUBFLOOR�OR 5/�4" TREATED PLANKING AS NECESSARY. STAIR AND/OR RAILING DETAILS AS NOTED BELOW. VUPTING DECKS ❑ NOT APPLICABLE L�3'CUSTOMER INSTALLED / EXISTING PLY AND INSTALL 3/4" TONGUE AND GROOVE SUBFLOOR ❑ RESUPPORT DETAILS: ❑ STAIR AND/OR RAILING DETAILS: CONCRETE SLABS 1311NOT APPLICABLE ❑ CUSTOMER SUPPLIED / EXISTING ❑ INCLUDED APPROX. SIZE I X SLAB POURED BY CHAMPION ,,��..APPROX. 4" THICK WITH VAPOR BARRIER, SPECIFICATIONS TO LOCAL BUILDING CODE. FOOTERS UN -OT APPLICABLE ❑ CUSTOMER SUPPLIED/ EXISTING ❑ INCLUDED APPROX. LINEAL FT. DEPTH AND SIZE: TO LOCAL BUILDING CODE. CHAMPION IS NOT RESPONSIBLE FOR EXISTING FOUNDATIONS OR STRUCTURES. y ROOF SYSTEM (INSULATED OR SUPERFOAM RECOMMENDED) STUDIO GABLE IAV ROOF & SUPPORT/MOUNTING SUPERSTRUCTURE ElEXISTING/CUSTOMER SUPPLIED SUPERFOAM ROOF: NOMINAL4" EXPANDED POLYSTYRENE INSULATED FOAM (R-19) WITH EMBOSSED LAMINATED ALUMINUM SKIN AND THERMALLY BROKEN I -BEAMS. ❑ V -PAN NON -INSULATED ROOF SYSTEM WITH BUILT IN GUTTERS (NOT COMPATIBLE WITH GLASS WALL SYSTEMS). ❑ EXISTING POSTS ❑ NOT APPLICABLE ❑ WRAP (COLOR ) ❑ LEAVE ALONE �y ❑ EXISTING READER ❑ NOT APPLICABLE ❑ WRAP (COLOR ) 1:1 LEAVE AVONF U STYLE STUDIO ❑ BLE ROOF COLOR ,.,M TE ❑ TAN P TRIM COLOR WHITE ❑ TAN ❑ BRONZE MOUNTEDHOUSE, WALL 11OFF FASCIA: DO NOT DISTURB EXISTING OVERHANG ❑ SADDLE TIE-IN SHINGLES PNOT APPLICABLE ❑ INCLUDED ❑ MATCH EXISTING HOUSE AS CLOSE AS POSSIBLE REMOVE EXISTING OVERHANG, ( QUIRES SHINGLES ON NEW ROOF) ❑ NOT APPLICABLE ❑ INCLUDED SADDLE FILL G NOT APPLICABLE ❑ VINYL (COLOR ) ❑ OTHER OPTIONS: GLASS GABLE OR WINGS ❑ NOT APPLICABLE Ly INCLUDED TOTAL NO. (REQUIRES APPROX. 10 BUSINESS DAYS AFTER FRAMING TO INSTALL).,�- Er L7�+ R GUTTES) & DOWNSPOUT(S) �❑ T APPLICABLE Lr INCLUDED: TO GRADE ❑ TIE-IN SKYLIGHTS (SUPERFOAM ONLY) L.WNOT APPLICABLE ❑ INCLUDED TOTAL NO. ❑ VENTED ❑ NON -VENTED CHAMPION IS NOT RESPONSIBLE FOR EXISTING FOUNDATIONS, STRUCTURES, OR EXISTING HOUSE ROOF. BUYER RIGHT TO CANCEL A� 6 S / S BUYER MAY CANCEL THIS CONTRACT BY DELIVERING Total price for above $ / WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR Down payment $ 30 dU . 6-D TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS Balance payable upon CONTRACT AS THAT NOTICE BY WRITING, "I HEREBY Installation/Delivery $ 6 �1 CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME ❑ Financed by: `' Cash on Completion AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. Paym nts f $ Per Month I.nc-kuAe1 timet ?ic",.., A,, 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 beyond its control. Owner agrees that the equity in this property is security for his 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 9 " ( 2- 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! X - �� Iti,► Yldycr's Signature Champion Representative �X Buyer's Signature Champion Authorized Officer S 9 0 cl-11, - I - FACTORY DIRECT SINCE 1953 WINDOWS - SIDING PATIO ROOMS BUILDING PERMIT PACKAGE FOR CHAMPION WINDOWS AND ENCLOSURES o � No. 9065 0 y 21, BOSTON it oo MASS. Champion indOwsEncicsures 11750 Ccmmons 0dve cin 'nnaU OH 45246 ENCLOSUK S 1.0 INTRODUCTION This document has been prepared for Enclosure Suppliers Inc., 10036 Springfield Pike, Cincinnati, CH 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 &"Aic,- ENCLOSURE and the presentation of this 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 ENCLOSURE three season rooms. The load capacities of the component members were determined by engineering analysis and design. ED ARO,CIA No. 9065 0 v ca Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January26, 1998 C ENCLOSURES 1.1 Revisions Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 s t 3 GABLE ROOM MEMBER LOAD TABLES I 6'°.N q-6.51 C7 f� 7' Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 ' January 26, 1998 ' ENCLOSU%ES Table 3.5.6: CORNER COLUMN FOR GABLE ROOM AL 6063 J6 Allowable Roof Load in Pounds per Square Foot (PSF) with Horizontal Loading of 30 PSF Panel Width of San OpeningI 5 10 15 20 1 25 30 35 40 45 50 55 60 I --� 8 4' I I I 6' II 1..... OwT ill III• . I 1 ' 8' I I 1 I •------------- Ii •1.1.1.1. i r 10 4 s' iIIIIIi► I I 1 I I. 6' . I I I 1 I I I� I 1 I• 1 7' 8' I I • I .1.1.1• i I I •1.1,1.1.1.1.1. i I I T 12 4 5 1 1 1( 1 1 1• 41 I► III III• 71 8 II 11. �I 4 14' I 1 I 5 1 1 I 1 1 1 1 1• 1 1 6 IIiI II 111. / 8 III1I •1.1.1. 11 I Ii• •1.1.1.1.1.1. 16' 4 I'IIII EKED A II P.t •� I 6'°.N q-6.51 C7 f� 7' Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 ' January 26, 1998 ENCLOSURES Table 3.9: GABLE WALL DOOR HEADER BEAM AL 6063 -T6 Allowable Horizontal Load Pounds per Square Foot (PSF) Width of 5 10 15 20 25 30 35 40 45 50 Opening 4' 6' • --►- 7' 8 _�IIi II �\S�,cRED,gR„ P O ? No.9UU5 d -4 SoTOrd / \t , 4 SS. Ambric Testing &.Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998. ENCLO SURES Table 3.8: DOOR HEADER BEAM FOR GABLE ROOM AL 6 063 -T6 Panel Allowable Width of 5 Roof Load in Pounds I per Square Foot (PSF) Span Opening10 15 20 I 25 307 I 35 40 I 45 I 50 55 60 $ 4 I I . • • 1 • I ._,.7' , 8' 10' 4' 1 I I 1 I I 151 1 s • • • 1 ( • 1 • • • I ' 1 � • I • • I ' I ' I 8' • III ,1.1.1.1 • I 12' ' 451 6' ISO ' 7' #EllE 1 I 1 I • 8' I I I I 14' 16' . 1 . 1 ' I I . I. I I I I I 1 • 1 . 1 • • • • 1 • I I , . 1 . 1 . 1 . 1 . I. • I I • . • 1 . 1 • • •I I . • I • Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 P. / O o oy, MASS. i Jan ry 26, 1998 I s J 64ukENCLOSURES Table 3.7.5: Allowable Roof load (psf) on Door Sill with 30 PSF Horizontal Loading D SFO o .� No. 9065 0 u. STON r,- ASS. Arnbric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 Horizontal Load; j F Length of projection'of Room Width of Opening 8'-0" 10'-0" 12'-0" 14'-0" 16'-0" 18'-0" 5'-0" 45 1 45 1 45 45 45 45 5'-6" 45 45 45 45 45 45 6'-0" 45 j 45 45 45 45 45 6'-6" 45 45 45 45 45 45 --� T-0" 45 45 45 45 45 45 71-6" 45 45 I 45 45 45 45 8'-0" 45 45 45----45 40 40 D SFO o .� No. 9065 0 u. STON r,- ASS. Arnbric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 � ENCLOSURES Table 3.6.6: INTERMEDIATE COLUMN FOR GABLE ROOM AL 6063 -T6 Hiiowaoie roof load in Pounds per Square foot (PSF1 wi+ti Panel Span --� 8' Width of Opening 4' 5' --�- 7' 5 110 1 15 honzontal 20 1 25 loading 30 I of 35 30 40 PSF 45 50 55 60 • I ' 8' I I I I( I I I I 1 I I i I 1 I 10' I 4' L 5' 6' '1.1.1.1.1• I II 7' I $ iI1i •1.1.1.1 I i I I I I I I I 1 I I I I I I I 5 I II •1.1.1.1.1. . 7' I.I. ,1,1,1• 8' •IIIA 1I I I � i --------------- I 1 5 6' 7' I I I 1 I 1 8' i 1 1 1 16' 4' I I I I 1 1 I 1• 5' 1 1 I 1 I 1 pit 1 7 I 1 8 I 1 11 I1 I o I ; �8 STON I Ambric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 I ENCLOS Table 3.4.6: Gable Column with 4 x 4 wood l: �vyl ; S t AL 6063-T6 Allowable Roof Load in Pounds Per Square Foot (PSF) Panel Span Ridge Beam 5 10 `20 v I ` v 111 J Z.)r* (Fl-) Span (Ft.)160 I 15 25v 30 35y 40 45 55 6 ,0 I� � I• I I� I I• 10 10 I 12 10 • I I ,a 10 � I . I 16 I 10 j I 8 I 12 j • . • I • I . I • • • • j I • • I I 8 ' 10 I 1212 12 16 I 12 I, • I I I I• I• I I I• o I 14 , I , I • I • I • I • I • • I • • I • I 8 � 14 • ( • I • • • • � • • j • I • j • • j . 10 I 14 12 14 14 I 14 • j • • • I • I 16 I 14 � I(. j • I, I • I, • j . j • I, I• • I • 8 I 16 . � I. I I j•( I I I 8 t6 • • I . • j 10 j 16 • • j j I • • • I • I • i • i . • I • I • 12 j 16 I I . • j . • . I . • 14 I 16 j I j I 16 I I I i• I i6 I I I I• j• j 8 I 18 I I I I I I I I I• I(• 8 I 18 I, • I• I� I� I• I• 10 I• I� I• j 18 12 I 18 . I . I • . I • I • • I • I • . • 14 18 • . j . ( I . . I • 18 I ,a . . I I • I • . • • I I I 6 20 8 I 20 10 20 -' 14 20 I• • I I I I( • 16 I 20 6 j 22 8 22) 10 I 22 I j I I. I• I. I• j. j 1214 16 22 6 I 24 i I I j16.1 a 24 j I , I, j I f, • 10 I 24 12 I24 14 j 24 6 j 24 j I I o MAS. i -�, cu11U11L 1 dung a r-nb neenng Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 q�T 0h1ASS Jan LA COLr L Z Iry lCD CZ. r7- Ln cc cm C:) c—— ZPo LO > z L4 C: C— Ln L4 I cn Qo a I I � EN CLOSUK S Table 3.3: GABLE BEAM OF DIMENSIONAL SAWN LUMBER Ridge Beam Span Panel Roof 10'-0" 12'-0" 14'-0" 16'•0" 18'-0" 20'-0" Span Load 22'-0" 24'-01, i PSF 5 I 10 15 2-2x8 2-2x8 2.2x82 2-2x8 -2x8 2-2x8 2 -2x8 2-2x8 2-2x.10 2-x12 2 20 12-2x8 12-2x8I 2-2x8 2-2x8 2-2x8 2-2x10 l 2-2x10 2-2x12 25 30 2-2x8 2-2x8 -2x8 2-2x8 2-2x8 2-2x10 2-2x10 1 2-2x10 1 2-2x10 2-2x12 2-2x10 1 2-2x12 1 LjLLX12 35 12-2x8 1 2-2x8 1 2-2x8_I 12-2x8 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x12 2-2x14 1 2-2x14 2-2x14 I 40 1 2-2x8 12-2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x12 1 1 2-2x12 1 2-2x12 1 2-2x14 6 1 5 2-2x14 1 2-2x14 I ' I 10 15 - x 12-2x8 -2x8 2-2x8 I- x8 2-2x8 -2x8 2-2x8 �- 12-2x8 1 2-2x8 1 2-2x101 I 20 2-2x8 12-2x8 12-2x8 2-2x8 2 2x8 2-2x10 1 2-2x12 2-2x10 1 2-2x1 012-2x12 1 25 1 2-2x8 12-2x8 12-2x8 12- 2-2x8 1 2-2x10 1 1 30 12-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x 12 1 2-2x12 1 2-2x14 2-2x14 1 2-2x14 35 2-2x8 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 1 2-2x14 I 1 40 1 2-2x8 1 2-2x10 1 2-2x 10 1 2-2x 12 1 2-2x 14 1 2-2x14 I 1 1 5 10 - x8 1 2-2x8 I �_ x 12-2x8 1 �- x8 2-2x8 I 2-2x8 2-2x8 2-2x8 1 2-2x10 1 I 15 20 12-2x8 12-2x8 1 2-2x8 12-2x8 1 2-2x8 .I 1 2-2x 10 1 2-2x10 1 2-2x12 1 2-2x12 2-2x 12 I 25 1 2-2x8 2-2x8 2-2x8 1 2-2x8 2-2x10 1 2-2x10 2-2x10 1 2-2x12 1 2-2x12 2-2x14 30 2-2x8 2-2x8 2-2x10 2-2x10 2-2x12 2-2x12 1 2-2x12 1 2-2x14 2-2x14 35 2-2x8 2-2x10 2-2x10 2-2x12 2-2x12 2-2x14 1 1 2-2x12 1 2-2x14 I -.,08. 1 40 1 2-2x8 1 2-2x10 12-2x12 I2 -2x12 1 2-2x14 1 I I I 5 10 1 2-2 x 8 2-2x8 1�-x8 1 2-2x8 I �_ x8 2-2x8 I �- x8 2-2x8 1 - x8 I 2-2x8 1 x8 2-2x10 1 2-2x12 1 I 15 20 2-2x8 2-2x8 1 2-2x8 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x12 2-2x12 2-2x14 25 1 2-2x8 1 2-2x8 2-2x10 1 2-2x10 1 2-2x10 1 1 2-2x12 2-2x12 1 2-2x12 1 2-2x14 1 2-2x14 I 30 12-2x8 2-2x10 2-2x12 2-2x12 2-2x12 1 2-2x14 2-2x14 2-2x 14 1 2-2x14 ` 35 2- x8 2-2x10 2-2x12 2-2x14 2-2x14 I 40 2-2x1 1 2-2x12 1 2-2x12 2-2x14 12-2x14 1 1 I 9 1 I 5 10 12-2x8 �- x8 x8 1 2-2x8 ( - x8 I 2-2x8 1 - x8 2 -2x82 I -2x10 1 2-2x101 2-2x121 2-2x12 15 1 20 1 2-2x8 2-2x8 1 12-2x8 2-2x8 2-2x8 1 2-2x10 2-2x10 1 2-2x10 2-2x12 1 2-2x12 1 2-2x14 1 25 1 2-2x8 1 2-2x10 1 2-2x10 1 2-2x10 1 2-2x12 2-2x12 1 2-2x14 1 2-2x14 I 2-2x14 I 30 2-2x8 2-2x10 1 2-2x12 2-2x12 1 1 2-2x14 1 I 2-2x14 1 35 1 2-2x10 1 2-2x10 1 2-2x12 2-2x14 1I I 40 1 2-2x10 1 2-2x12 2-2x14 I 1 1 10' 1 5 1 x 2-2x8 8 2-2x8 1 2-2x8 �-10 x8 1 2-2x8 1 2- x8 1 5-2x101 1 1 _ x10 1 _ x10 I - x12 15 1 2-2x8 12-2x8 12 -2x102 -2x10 -2x10 2- x12 2-2x12 2-2x10 1 2-2x1 I I 20 12-2x8 2-2x8 2-2x10 2-2x12 2-2x12 1 2-2 -2x14 25 1 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 1 2-2x14 1 I 30 1 2-2x8 2-2x10 1 2-2x12 1 2-2x14 2-2x14 I 35 1 2-2x10 2-2x12 I 2-2x14 1 40 2-2x 12 12-2x14 1 1 No. I c � Arnbric Testing & Ena b�-ineerin� Associates Inc. ' 3502 Scotts Lane, Philadelphia, , PA 19129 / - , MPSS� & ENCLOSURES Table 3.3 cont'd: GABLE BEAM OF DIMENSIONAL SAWN LUMBER Maximum Ridge Beam Span for Standard Structural Lumber Sizes Panel Roof 10'-0" 12'-0" 14'-0" 16'-0" 18'-0" 2070" 22' Span Load PSF 1 5 10 12-2x8 2-2x8 1 2-2x8 1 2-2x8 I 2.2x8 1 2-2x8 1 2-2x8 I 2x8 2. I 15 2-2x8 1 2-2x8 2-2x 2-2x8 2.2x8 2-2x8 1 2.2x8 2-2x8 1 2-2x8 1 2.2x8 2/x8 2.2x10 1 2-2x10 2-2x t2 I 20 I 2-2x8 1 2-2x8 1 2-2x10 1 2-2x10 -2x12 1 2-2x12 12-2x141 2-2x t4 25 2.2x8 1 2-2x10 1 2-2x10 1 2-2x12 1 2-2x14 12.2x141 30 2-2x10 1 2-2x12 1 2-2x12 1 21x14 1 3S 2-2x10 2-�2-40 1 2-2x12 2. I I 10 2-2x8 12-2x8 1 2-2x8 I 22x8 I 2.2x8 2-2x8 2-2x8 1 2-2x8 1 2-2x8 2-2x8 I 15 2-2x8 2-2x8 2-2x8 1 2.2x8 1 2.2x8 1 2-2x10 1 12-2x8 I 2.2x81 2-2x8 1 2-2x10 1' 2x101 2 'x10 1 2x121 2 2x12 20 2 2 x 8 1 2 2x10 1 2 2x10 1.2-2x12 1 2-2x12 12.2x14 1 -_ 1 25 1 2-2x10 I Z 2x10 ' 2x12 1 2 2x14 ( ------------------ 1 I 30 1 2-2x1.0 2-2x12 1 2 -2x14 I I 35 2.2x12 2-2x14 I I I 40 1 2'2x14 1 1 1E. I 5 10/ ; I 2-2x8 12-2x8 2-2x8 1 2-2x8 I 2.2x8 2-2x8 1 2-2x8 2-2x8 1 2.2x8 1 1 2-2x8 I 15 1 2-2x8 1 2.2x8 2-2x10 1 2.2x1012 -2x10 2-2x10 1 2-2x8 2.2x8 1 2-2x10 2-2 x10 2-2x12 12.2x12 12-2x14 2.2x14 I /20 2-2x8 1 2-2x10 1 2-2x12 1 2-2x12 2-2x14 1 I I/ 25 2-2x10 1 2-2x12 1 2-2x14 1 I 1 /I 30 12.2x12 1 2-2x 14 1 I I / I 35 2-2x14 1 I I I I 40 I 1 1 1 45 1 1 1 I I 50 I I 1 I 1 1 I I Note., Engineered lumber may be used as an 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 ELI CONNECTIONS: LOAD TABLES & DETAILS I � 0 W ti w C:7 C= 0 0 w y a ,� C G Cn c�-0Q, �_-0— n C= 0 .0 'o O (A (D ON F CD ' cn ci CL G C G Y N c�•J G Co-, (jA An� W(7O N CD D N fD y y 00 f. F ^J • N C�=O�n� 0 DO,y G'j '+ C .n. m �� fD Gcn A O C to CD ^- D o m f ' O > N CII m N , O Gni D > D H � o at p M N o �0 D �x a� mx N \' D�_ 3t -iCo nN ^'� a �o �x mx 3 N n71 Z6 x x p_aj OO ff p-0 -� C O O 0 C cO Ln D o O 0 o w o w n X o m C � 0 o 0 to O 0 o � o c- �• o CA n O x A p m n. c7 `. OO j _O O NLM D �? � � � LmC. N �--0o c�=O . o an o �nQ' ON y a ,� C G Cn c�-0Q, �_-0— n C= 0 .0 'o O (A (D ON F CD ' A. ci CL G C G Y O�C�� 0 c�•J G Co-, (jA An� W(7O N CD D N fD y y 00 f. F ^J • N C�=O�n� 0 DO,y G'j c„nc?oAnrn a v) �o m �� fD Gcn A O C to CD ^- D o m f N �--0o c�=O . o an o �nQ' ON cD G C/1 ,� C G Cn A .0 'o O (A (D N CJ O p Cn fD CD ' ci CL G C G CD O c�•J G Co-, : to A N CD D N fD WN ) CAJ ^J • ro 2 y2. ON a v) �o m �� fD Gcn A C N ID C to CD ^- D C C dC 6tCD CD' N cA N o+ Z C C' N Ut fp �7 fD w c � n� -n r cn D PO O tG cn O �C.CnCL co C cn cp (D =7 cD to cD to cD A Q. CD G 67 CD O' �• �• a a� o —1 C Lv � � N (p 0 cn C. �. CD N � O O N3 � 0 fD N n N p c c O J 0 X j C) O CD n O CA CD G O O (D CL] Q. CD �0C, CD41,�E wIyc� oCU CD �_ a cocD ^,�'yJ WN ) CAJ ^J • �C.CnCL co C cn cp (D =7 cD to cD to cD A Q. CD G 67 CD O' �• �• a a� o —1 C Lv � � N (p 0 cn C. �. CD N � O O N3 � 0 fD N n N p c c O J 0 X j C) O CD n O CA CD G O O (D CL] Q. CD 0 r! C) OCD �� o cD -Z �N_ to CD n r� G Cn �� O� O C N N � O G Co nN nrn w Z6 O O m � a)s G : �' Z' CD Ci N- W (7 n cr o. � _ O y' _ �-• r- > CA G c.y.CD , C7 ' (7 N W p� O p_ N W O E - 21 Cl) c0' n = cnLm m o n -o "' p © cn Lm W D a . G o Cl) n N CSD A (7 � ' C7 A O n m 3 m 0 n m CO Q O > m G Co �N CD D ON A� Qj O G Z o� Co -., O L7' 3 o Ln mo CDD mx mx Mx mx -�00 -ate �� — O CD mxmx mx �a mx mx _mx -ap--q mx m p M © y N G N N a o N r' o �? o `° =' 0 0 o p o Q7 cD p co a o O a fD CD N cD O N O O N 07 o0 G t O n CA vii yZ ti CJ N a O ti D Cp CD N CD (D rN 0 CD N 1 � D O �� o ©� o DcD o �o a �o m2a is 2 co _ O O .oma N3CD N C) y �o� moo D� oo QO (i to CD CD N O O N 3 G N N CD W J N 0 r 'n CD Cr N �O CD 'J J Vi n N C-)^? C-) 9 N A _' N N N -� O NIP O A C) (7 Ch � _ J�N o I NI o- o� O,Ny _ ON 0 �N RC1 N N 0— O nI'j ..► C D I Z N N N p N c0 N? N N C7 0 r! m G Cl) C) OCD �� o cD -Z �N_ to CD n C)m coO G Cn �� O� O C N N � O G Co nN nrn w c O O m � a)s G : �' Z' CD Ci N- W (7 n cr � _ O y' _ �-• r- > CA G c.y.CD , C7 ' (7 N W p� O p_ N W O E - 21 Cl) c0' n = G CD Ci ~' (a. Q �_ cD a Co _ . - N C (A G d — Cl) n N CSD A (7 � ' C7 A O n CA O M LA CD O� O G Co �N CD D ON A� Qj O G Z o� Co -., O L7' Ln mo CDD n O (7 N (D N' CD - O — O CD m G Cl) o cD -Z �N_ to CD n C)m coO G Cn �� O� O C N N 0.C� n O G Co n O L fD - a)s G : �' Z' CD Ci N- W (7 n cr _ O y' _ �' L' C7 �• G M a CA CD T-" N O to CD co O G co .� CD 'M (] N � CD a C� 0 - c0' n = N- to CD 1s 9' CD Ci ~' (a. Q �_ cD a Co _ . - N C (A G d — Cl) n N CSD A (7 � ' C7 A O n a.=°' ani Z- nL O ,p ;:n�; p — --i - --, C-) n�;n� c� cD rn wm O.� eco fD r, C)C7f n O N O N O N O O s a °i O1 F/ImsmAli.-I'llskle-IS® T D fn c CC) 0 N Li • A O A O N O ...a O r Co c � •� e .0N ON C7 a n a n A n rn � rn a o Nw�' o rD wai � r O13 . v C �N?� � o^ .� � (D � � iD � i•i I a ON A�CD . o. Z7fD O co co co (� D D O� N C O cz CD (� r a r cn O a � N _�, C7 wco rcE o� v CD CA O r -I °o -{ co D D' Or_ a° N r" 0 W n N W C O O O m m x N D` x -i C7 m -eco M �� �x d� to mx ,<N N \ \' D : x f9 !!� CD N � c � _ a X o� oA x CO a a ... a o a o o o a o co o J o= o p a o O D fD D D O CA No CD CD O Q N C O N C] N D D -• cD ° m D O T ^�� o moa w a 5 w 2a co "n O C c O c°i j 3. oCO N o fD t0 3 CD _ G . =CD D CD _. O 3.0 N O W N ;:n�; p — --i - --, C-) n�;n� c� cD rn wm O.� eco fD r, C)C7f n O N O N O N O O s a °i O1 F/ImsmAli.-I'llskle-IS® T D fn c CC) 0 N Li • A O A O N O ...a O r Co c � •� e .0N ON C7 a n a n A n rn � rn a o Nw�' o rD wai � r O13 . Z C �N?� —CD w_CD Iwco .� � (D � � iD � i•i I a ON A�CD Z7fD O gni O -• O O� N C O cz CD a r cn O a � N _�, C7 wco rcE o� v CD CA O Or_ a° O W n N W C O O O Cj &,F fD P O O Lj CD Oa ON ON 0— O— O� -i na nA Cho Cho n �'�w ° CD l^N o �l 1 1 �W1j�0.7 Z O O 9y' -Mvi O C) Z (n ,S N � � Z to © \� �M o _ o —1 p ;�t.� A O 0 Ay a) CD Di Oi „O� m �N nN ON O� ON O a a A O i �NI�� a c) A C? O C! pil O-` Z n cD O _ C' � cD -� � O o ti 0 n m D p n QI O © D O d d y n O C. m r CA CD �� O� dy pi O O .-q co _.o mx .i co mx-gym CDa w �..�Q, �cn (� N n A A C7t _.o mx Cc) m mx m x -�-n �..� O ON ON�a ON O ON v O Zk.n nN n �� d �O O O X O �O O A Td —A 11d ° O _ O O p O O O X =� to O N J O IP d CD p c A CD O O"LI Oi (��; O _+ ACJ �N A� S' CD O� O O r ON ON n O 1 W DCD D 3 tD >th. n - C7 N l7 Cno .� O _ Tp C7p p� CD is 1 � � O� Ay _� Q �� � � O :r (D O _ y ` �.��y y O O O Co p O CD � � a: to CJ C 1 c) n d o A C C CD CD CD C) ? D O ° (a � N _. -r O c c� m C9 a ri �M o _ o —1 p ;�t.� A O 0 Ay a) CD Di Oi „O� m �N nN ON O� ON O a a A O �NI�� a c) A C? O C! pil O-` O O cD -� � O o ti 0 CJCD ` N ? A ' O C. m r CA CD �� O� dy pi O O D CDa n ° (� N n A A C7t ...� �• -�-n �..� O ON ON�a ON O ON v O Zk.n nN n .0N 'c0 ACD Oi (��; O _+ ACJ �N A� S' CD O� O O r ON ON n O 1 W n n0 - C7 N n Aa �„� Ut Jf o- o 1'� CD O� C7'� O� Ay _� O �� O i ON ON ' CD I ' n ' c) n d o A C a /WING PANEL (iYP.) 1 X, ! TYPICAL DOOR TYPICAL WINDOW X; UNIT OR UNIT SOLID PANEL I I v I 1 }} KNEE WALT FRONT ELEVATION TYPICAL DOOR rPICAl WIND UNIT OR UNIT SOLID PANEL II KNEE 'NALL I SDE ELEVATION I GABLE ROOF STYLE BUILDING TITLE: 1 _\ ._-SURE E.;INC. } JOE CAS_. A 3-3-9E DRAWN EY: S: --H AV ;� i C --STING & ENGINEERING ASSOCIATES INC. 3EC2 SCC -,i_ _ANE, GHILA., FA 19129 I R�?,ED aRc 2 � O � N 065 v /B TON 1ASS. FIG UPS' 4.2 SIAL=: NONE (Z 15) 438-1806 =AX 01G) 432-7110 � r0 I—SEAM a 4'-0'' O.C. WITH 3 3/4' roS SANDWICH PAN'E'L \ 40i; 4C 40022A 4A 40023 40 4D 4000p- CORNER 0008 CORN_cn POST 4001 c ___ 4E CPC-- a Tm c. 40015A 40019 40009 5EC— TIoxq 3 1—^EAM C 4'-0' C.C. Wlirl 3 3/4" E?S SANOWICH PANEL, cA \ , 4C018A I ;5 5 5C i CCO22A 5A 40C22 50 E. 40008 I 5E SECTION 5 I ,..�.. LNCLCSOR= S!»UERS 'NC. -1 I FIG URE 4.2.1 I J08�' 'A -�I - -- DRAWN 6Y: 1 SCAL_: SFH VON_ ` -E -STING & ENGINEERING 3502 SCOT 1 S LANE, PHILA., PA 19129 ASSOCIATES, ES INC. I. (215) 438-1800 < A l7.51 dza-711(1 f 40019 40018 CORNER POST ' I COLUMN / 40015A 4C015A I� I. C e a e a J. 9 7A ° 4 O( CONC. WOOD SECTION 1 "CTT �i 2 I—SEAM a 4'-0'' O.C. WITH 3 3/4' roS SANDWICH PAN'E'L \ 40i; 4C 40022A 4A 40023 40 4D 4000p- CORNER 0008 CORN_cn POST 4001 c ___ 4E CPC-- a Tm c. 40015A 40019 40009 5EC— TIoxq 3 1—^EAM C 4'-0' C.C. Wlirl 3 3/4" E?S SANOWICH PANEL, cA \ , 4C018A I ;5 5 5C i CCO22A 5A 40C22 50 E. 40008 I 5E SECTION 5 I ,..�.. LNCLCSOR= S!»UERS 'NC. -1 I FIG URE 4.2.1 I J08�' 'A -�I - -- DRAWN 6Y: 1 SCAL_: SFH VON_ ` -E -STING & ENGINEERING 3502 SCOT 1 S LANE, PHILA., PA 19129 ASSOCIATES, ES INC. I. (215) 438-1800 < A l7.51 dza-711(1 f 1ANGER 6� 40020ASA a C\, PANE / EA SEC-- TION 6 /8A i a;f 40015A/ / \ 400/9 1 40009 ACTION 8 HANGER TAE 1 G\ 10c� 4002CA )t\ — — I -10011 PANEL ICA SIMPSON STRAP 1c0� NUM RIDGE CAP 1HANGER TAB 7e 1. 40018 cEC— TI—ON 7 40019. 3 3/4" EPS 9 E I a; PANEL 9=/ \9? CA SECTION g l0E � 100 cICA 40020A /4COl6 1 )A 1 1A >100 SIMPSON S Ad I — PPING Sin \SED Rol „ C -''2 �1CA PA Q��? V� P• C�C1 /@ � '< \4Cc1E ` 4 -IMPSON STRAP Q' Z x w000 POST X100 �_ �53 cECTION ? L No 065 ' 0 TON 30 LASS. ' is c;=70'y Jab n' _NG-97-213-^vr j �AIE: DRAWN EY: I 8 CAL_-. I Srr"H NON` f IAMM�C BESTING & ENGINEERING ASSOCIATES, INC. 1 � \ 3502 SCOT 1 S LANE, PHILA., PA 19129 (215) 438-1800 FAx (Zi5) 438 -7110 m W NJ N 0 N) w C) rlj tQ PQ cr cr N O A to Nj cJ C) -t�- rj ?,j ffl co NJ r1i 0 C) C 0 0 a C) C) ----- 00000 nnnnnnnnnnn . NJ N -N. Nj M NJ N m Ni tlJ - —rli —ri 01010 0 0 00 CL 5 �-6 — 0 nnnnnn0 0 C) . n C) 'j N NJ N N NJ N N M (0 —rli -Rj —tj N rIj Nj NN —ri �j N NJ NJ Q Nj NI NJ rz Z6 D. Jh. NIN N N N NJ NN —0 —0 N NQ �nn 0 ffl . . . OIPIPIP p 0 6 o 0 —0 —0 —0 0 rlj N 0 r3j -Zj m -N--Nj —11i -P3 z —ri -C) -r—Z m N C/) .0.0.0 0 0 �O .0 0 o o 6 3 0 On . "In 0 0, 0 C N.0 zl� ACD 4 : A= .0 0 0 O• '6 '6 CL pIn N rj rj N N rj N rj N N -IQz - z - z I rIj N N NJ C) > 00.00000000 ' t1i N m p 0 0 p 01 onnnnnnnnnn (-) 6 Ch 0 OC) n rQ Nj i1i1a - - - Ju A. CM CY) tto P A. z6 rj � j m z, N N NJ Pi NJ NJ ?,j NJ N NJ 0 NJ .6'.6 .6 x 0 1N1 t NJ Q N N t -i rj acts 00000000000 — - N pin n �n n h V) r- - N N N NJ t -j Pj 1 0 C) C) ?,J PQ N N flJ N) NJ Fj N rj rj N(M 0000.000.000 cD > > NJ I'j NJ NJ �j — — — L L. O 0) N C:) r,j —N — t Z I, 1 —Nj k, I —\j rj k .8, co 0! 0 cn 0 NJ 0 0 0 '6 - 0 0 000 0 p 3 C) CA .n 10 1 6 h p M. -Z- N 0 A6 A. C) cn rQ C) N P'j NJ NJ rj N —C '6 5 '6 '6 6 6 - 6.6 O nnnnCL n hIpl C.) , , tQ .tk. N NJ hj Nj C) A C) N NJ rj N N rJ N rj rW 0 o o 0 NJ z cr fli .0 C-) m Z— W NJ N 0 N) w C) rlj tQ PQ Nj m N Nj M N rj ?,j rj m ?,j I,j N NJ r1i N N N tj N N —0o-06'6-0 ----- 00000 nnnnnnnnnnn . NJ N -N. Nj M NJ N m Ni tlJ - —rli —ri 01010 0 0 00 — 5 �-6 — 0 nnnnnn0 0 C) . n C) 'j N NJ N N NJ N N M (0 —rli -Rj —tj —ti -Nl Z6 —rlj Ir7j, —ri op0000c0000 NJ NJ Q Nj NI NJ rz Z6 D. Jh. D 0-0 . . —0 . —0 . -6 . —0 —0 —0 —0 cz 0 �nn . . . . . NQ N rlj N N) r3j -Zj m -N--Nj —11i -P3 z —ri -C) -r—Z m N C/) .0.0.0 0 0 �O .0 0 o o 6 3 0 On . "In 0 0, 0 C N.0 zl� ACD 4 : A= .0 0 0 O• '6 '6 CL pIn 6 6 6 61' n I rIj N N NJ C) z t1i N m p 0 0 p (-) 6 Ch 0 OC) n rQ Nj i1i1a - - - Ju A. CM CY) tto P A. z6 rj � j m z, 0 0 C 0 '6 0• 1.6 16 .6'.6 .6 0 P Z— 0 N N N N N N N N N N N aaA,aA.aa.a.A.A•a s s 0000000 0000 n n n n. . o n n n n N N N N N N N N N N N ami W W N N N N N N O CA CA a N O W Q) a N O 0 0 6 6 0 0 0 0 0 0 0 -i n NNNNNNNNNN-+ aCG N N N N N N N N N N N aaA,aA.aa.a.A.A•a s s 0000000 0000 n n n n. . o n n n n N N N N N N N N N N N A aN ? d N N N N N N N N a .Za A a A A A > 0000.000 0.0 C7C)C)C7n6n10 c) On -i n NNNNNNNNNN-+ Ci ? ? ? ? a a ? ? A. a pLM O N n' a d A• A A A a A. (z o� 00000000.00 c -� -� N �nnPpqn)(OC) CD Qj a a a A. a A, A a A. _ a p W d n N N N NNN N N N N N a a A A. a a O =• C- a a - 00000.00000 �• -w �� C7(�C1(7C7C7nnnC7n n O Cn O N N N N N N N n A a a a a A a a a Cn -. a s _ •� N N N N N N N N N NN C, O7 N � �.., 0000000000• c j n n n n n C7 7 C7 C7 C7 C7 O -� O N N N N N N N N N .. Q ,Na.Nt6 z. NNNN p a a i- _ a a O 0 0 0 0 0 0 0 0 0 0 ca N N N N N N ? ? ? A. a a p p .p Li N N N N N N, 0000000 0 0 c 0 n C-7 cn 1 Q N O CX 02 A N O 666666666 p A N O N N co CA ? N O O Q O CW O O O q6666 O O CD A N CD A CL N O O O p W NN N N N N N N N N N a A A A A A a A a a Q Na Na Na PQt.J (� O to a A d A A N A d A N N N NNNNNNNN '' CD 0 0 0 0 0 0 0 a.aAaAla�,AAAN o A 6 (� n C7 00000000000cn O ion N N N N N N N N N N N aaa aaA> d zt ty cn = f7 NN NJ It Aa aa�,aA„N�aNN :J N N N N N N N N N AaaAaA ad, ►" O != d a n aa� _ � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ••+� NNN'NJ NNNN-NNN a A a A A A A A A a A ... N :Q C7 0 n C) C7 C7 0 0 0• 0 0 0 p 0 0 O 0 n n n n n n n n n 0 r, W,., N N N N N N N N N N N �aaaaA aA aAA n X O NaaN�NNNNN a O U PQ KJ tj NJ N Kj At ??? A a A a a? N N N N N NNNN 0 000000000 "A' y N . n 6 0 n n n n n n 6. o 000000000 = O 0 N _ SD Na aN N N N N N N d A A A � _ d, a A' N N N N N N N ? A A A A A A A A A CA n n• 2: a,� O 46A A Na _ • 00000.0000nO - NA_n . N C).0. C) 0n , 00o00•000 o fD . nNanAN CaN)�nNa n n7 C�n 0.0 C) = -wD O aNa= ANA NNN CON1 ON DQ D a0NA aN Nzi.N; A O:3 0 ANa(aN_ NNN A a aAO I�j NN QO 0 0 0 0 0•• 0 0 0 0 AAN �Na, AAN ANaANAAaN N N N N Q = l^, pip n O = 0 000 O o O•• 0 0 Q Q 0 N N N N N N N N N N Aa�aaa Aa ta, O X O y W NNNN NN NNNN A A A A A A A IMP X N N N N N N N N N NPQ 0 a? a A???? A Or A A a N N W 'p � � N N N N C a A A A A A a A A a Or i Opp C-)0000 _ 00000o00 a cn - N N N NN ???aaa taaa ^ N NNNN N N NNN a a a a A A A A A A d A A N Q ------ - A N N N N N N N N N N N O O O o o O o o 0 N ? A A A A A a a A N 0 P n C-) [7 n O 000000000 C � <_O < N N C 7 f''J�'N c : : Bl n NNNNN N N N A A SO N AN a N N N NA �1 A A A �- Cp - _ N N N N N N N N N n cnz 00 OOO CA N a taaaa � t6 "- ��� �. 0CD �0.000000 w cn 1 0 W N W co C DO�G�cs� mop �O ;9 m pyo v cn 121-9 � ab f�Trc cn � II j ca. O O a. Q (n C7 O cn =I- CD CD O* Cn a tv 0 C-) O n CL a) n (D (D 3 v C� r- rn cn 7 CD (7 O 1 cn c C 1 �1 C� C1t � W N � � •-• '7 O O O O O O p N -0 S CD �A cn 3� O Cl) O CQ O Cn G3 72. O O.. cD 0 C O M //C^L Lrz CD co CD n O O cD C7 O� O n 0 cn = :z cn cn cncl) w cn c O. "? O No Z CD� O M C7 W W N O O O C7) G7 z zzzzz, 0 0 0 0 0 0 �, ZZ .� N' 0 0 0 0 0 0 0 C CD X x x —' �•^ CL \ \ \ \ \ z S CD �A cn 3� O Cl) O CQ O Cn G3 72. O O.. cD 0 C O M //C^L Lrz CD co CD n O O cD C7 O� O A CONSTRUCTION NOTES .&-DRAWINGS i J' E.NCLOSU General Construction Notes: 1. All extrusions shall be AL 6063 - Suppliers Inc. S T6 Aluminum supplied by Enclosure 2. Roof panels shall be 3 '/<" thick expanded polystyrene sandwich panels faced with 0.024" Aluminum sheeting slotted between AL 6063 - T6 I -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 Fe = 1500 PSI Horizontal Shear Stress F, = 95 PSI Compression perpendicular to the Grain Fc = 625 PSI Modulus of Elasticity E = 1,800,000 PSI Anabric Testing & Engineering Associates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 January 26, 1998 � l ENCLOSUAS 7.0 CERTIFICATION The following design and reviewed tables have been prepared based on by licensed engineeringanal , a Ysis and professional Table Nos. Table Nos. 2 1 Table Nos. Drawing Nos. 2.2 3.4,1 3.6.1 4.1 2.3.1 3.4.2 3.4.3 3.6.2 4.1.1 2.3.2 3.4.4 3.6.3 4.1.2 2.3.3 3.4.5 3.6.4 4.2 2.3.4 3.4.6 3.6.5 4.2.1 2.3.5 3.4.7. 3.6.6 4.2.2 2.3.6 3.4.86.1 3.7.1 2.4.1 3.5.1 3.7.2 6.2 2.4.2 3.5.2 3.7.3 2.4.3 3.5.3 3.7.4 2.4.4 3.5.4 3.7.5 2.4.5 3.5.5 3.8 2.4.6. 3.5.6 3.9 2.6.1 4.1 2.6.2 A 2 2.6.3 4.3.1 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 Seal: Original seal and signature in blue Ambric Testing & EngineeringAssociates, Inc. 3502 Scotts Lane, Philadelphia, PA 19129 03/23/98 #"AJQA%.t1Ubt rS UPNIFUHM AFFUCATION FOR PERMIT TU UU 1Jt_UMt11Nu S�1 (Print or Type) NORTH ANDOVER, -,Mass. Date 3 1< J 10 7 0 Building Permit 3 / Locatlon G �Ox 1.i10 Da 'Of Owner's Name Le S CQ_1 P New ❑ Renovation .5;�Replacement E3 FIXTUAE9 Plans Submitted: Yea ❑ No ❑ Installing Company Address f i V- ✓ Business Telephone 6�R Yn7 % Name of Licensed Plumber Check one: ❑ Corp. 0 Partnership ❑ Firm/Co. INSURANCE COVERAGE: Check one I have a current liability Insurance policy or Its substantial equivatenL Yes ❑ No ❑ It you have checked y", please Indicate the type coverage by checking the appropriate box A Itablity Insurance policy x . Other type of Indemnity ❑ Bond O Certificate OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. Generai laws. and that my signature on thta permit application waives this requirement. Check one: NQnatuts of Ownst of Owner • ACent Owner ❑ Agent ❑ I hereby caroty that all of the details and Information t have tubmMed for entered) is above applI atlon us !rw and accurate to the best of my ►nowled9a and that sit plumbing wak and installattons performed under the permit Issued for this application vAl be In compAance with LA pertinen provisions of the Massachusetts State Plumbklg Code rind Chapter 142 of the General LXWS. SY Tilts Signat 7Q p CttyRown ticense Number 1 6 6 C AF M VED (OFFICE USE ONLY) Type of Plumbing Ucansa: Masser Journeyma 0 ~ J M Z O Y Is < s } « w Id y J q s �' V< 31 ~ M i O i a b1 L D J a M »_~ H U s r 0< a �_ a_ x s y 0 M' 7 s< Y w t p 29~ 44 J~ o < s s i a i�rr t a a ar H S tl y 10 a ` M C~ ! O s O at s l 1- 0 s u i r ��� • O S� i� ss p A� O a a t/0� sus-•atMT. tAASMtiNT 1sT FLOOR iflo FLOOR 3110 FLOOR TT 4TH FLOOR ITN FLOOR •T11 FLOOR. ITN FLOOR aTKFLOOR ++ Installing Company Address f i V- ✓ Business Telephone 6�R Yn7 % Name of Licensed Plumber Check one: ❑ Corp. 0 Partnership ❑ Firm/Co. INSURANCE COVERAGE: Check one I have a current liability Insurance policy or Its substantial equivatenL Yes ❑ No ❑ It you have checked y", please Indicate the type coverage by checking the appropriate box A Itablity Insurance policy x . Other type of Indemnity ❑ Bond O Certificate OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. Generai laws. and that my signature on thta permit application waives this requirement. Check one: NQnatuts of Ownst of Owner • ACent Owner ❑ Agent ❑ I hereby caroty that all of the details and Information t have tubmMed for entered) is above applI atlon us !rw and accurate to the best of my ►nowled9a and that sit plumbing wak and installattons performed under the permit Issued for this application vAl be In compAance with LA pertinen provisions of the Massachusetts State Plumbklg Code rind Chapter 142 of the General LXWS. SY Tilts Signat 7Q p CttyRown ticense Number 1 6 6 C AF M VED (OFFICE USE ONLY) Type of Plumbing Ucansa: Masser Journeyma 0 �"'+ -wa; �« . � tab. ld..yp•,�-,..a.—�v ^�'���+�ys�'�-r' f". "-.7',w^"e.ly"`',^'�1 ti'M^ '{ �Y ,�. Date . . . ` P74, t 4 "°RTM TOWN OF NORTH ANDOVER Mp + 1 9 PERMIT FOR PLUMBING This certifies that...... :�� . . .. . . ..,.6wYt4olp has.permission-to perform .. : ..•/ _ plumbing i he buildings of . C!'. ........ at. ....,� :. .... ........ ,North Andover, Mass. m Fee: Q : Lic. No. . . . .......... ........ ...... . PLUMBING INSPECTOR WHITE:.Applicant CANARY: Building Dept. PINK: Treasurer �� Office Use Only 01 4t v:ommunlU alth of -40usadpneM Permit No. Et"rmitnt of Pubur —siufitq 0=pancy & Fee Checked BOARD OF FIRE PREVENTION REGIJUTIONS 527 UJR 12:00 3/90 (leave blank) 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 3 1 9 6 il (%* or Town of NOR K ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) r i (< u 0 0 Owner or Tenant L a- t `� 't- Li e -t Owner's Address Is this permit in conjunction with a building permit: Yes ❑ (Check Appropriate Box) Purocse of Buildino 5 1 h S �y Fla %h t Utility Authorization No. Existing ServiceZ�C) Amps _I V : cits Overhead ' .! Undgrnd ' No. of Meters Volts Overhead _ Uncgrnc r No. of Meters _ Number of Feeders and Ampacity c� �n ,-1 1� Location and Nature of Proposed Electrical Work ST 1G o it L, 14 t \ - I No. of Transformers Totai No. f �igntmg Outlets I No. t Hot ' cs KVA Above— .n No. of Lighting Fixtures Swimming Pcoi grr.a. _ cmc. _ Generators KVA No. of Emergency Lighting No. of Recectacte Cutlets No. at Oil Burners I Battery Units No. of Switch Outlets No. of Gas Surners ' FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Conc. otat :cns Initiating Devices No.of year Total Total No. of Disoosais Heat ,oto :cns No. of Sounding Devices No. at Self Contained No. of Dishwashers I SpaceiArea Heatir.o K`.Y Detaction/Sounaing Devices Local - Municipal ^- Other io Connectn No. of Orvers ( Heating Devices KrV No. at No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wirinc No. Hyaro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the reauvements of Massac-csers ;eneral Laws I have a current Liaoiiity Insurance Policy inctucmg Camp:etec Ccerations Coverage or its substantial eauivaient. YES = NO = l have suomitted valid proof of same to the Office. YES = NC = If you nave checxea YES. please indicate the type of coverage cy cnecxmg the aoproonate pox. r 3 'ot Q^ INSURANCE - BONO = OTHER = (Please Scec:'-.w) �� S rt %� "� O f?. (Exp aeon Datei Estimated Value of Electrical Work 5 7S QG Worx to Start fir! ��_ lnsoec::on Date Recuestec: Signed unser thePenat e of perjury: FIRM NAME %( Yh STC 1,9, 1_ = licensee I i cignature Rough 3l Finai LIC. NO. � LIC. NO. � -vQ —�—atilt. Tel. No. � �' � 3 Zz- �4 Address `) � , I�/, `1 �-� G �-r� -� � I ae`� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee aces not nave the insurance coverage or its suostantiat equivalent as re- owrea toy Massachusetts General Laws. and that my signature on :n:s cermit application waives this reaturement. Owner Agent (Please checx ones Telephone No. PERMIT FEE S Signature at Owner or Agents - - Ir OR Date...../ . . ... .. T TOWN OF NORTH ANDOVER PERMIT FOR WIRING T This certifies that ....... :/.J:.... ........ .... has permission to per form ....... ee�.. . ..... ..... ...... wiring in the buildingof ..... ..... ...... ....... at .... ........North Andover, Mass. ....... Fee ...... z Lic. No .................... - 'C' A*'L"I*N'*S' ............... LFU WHITE: Applicant CANARY: Building Dept. PINK: Treasurer A;— Location - 9- No. 4 Date 7�'b '4 TOWN OF NORTH ANDOVER A ; Certificate of Occupancy $ ;= Building/Frame Permit Fee$ �„�sEt' Foundation Permit Fee $ »Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ t TOTAL Building Inspecto} r 0317,137 3 4 iia. 00 PAID �' Div. Public Works PERMIT NO- APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER. MASS_ Y PAGE 1 I MAP h40.LOT NO. �..y7 7 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE ZONE SUB DIV. LOTTNNO..... - LOCATION OI IIr PURPOSE OF BUILDING OWNER'S NAME_ \ t �� �� Y�/ NO. OF STORIES SIZE EMENT OR SLAB OWNER'S ADDRESS (:;IJ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN /\ v DISTANCE TO NEAREST BUILDING - DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES -SIDES REAR .r-- GIRDERS AREA OF LOT FRONTAGE___-- HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TOREQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY ' IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING r ATTACHED GTAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST IE FILED AND OVED BY BUILDIN INSPECTOR J DATE FILED h{. A.1711 A A 7 SIGNATURE AGENT FEE PERMIT GRANTED A, INN 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST ZD EST. BLDG. COST PER SQ. FT. t� EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL.# ,IQ� CONTR. TEL. # CONTR. LIC. U H.I.C.# /0 7 3 �4- BUILDING RECORD 1 OCCUPANCY 12 r SINGLE FAMILY _ S ORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT'AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH •PORCHES. GA - APARTMENTS RAGES. ETC. SUPER[ MPOSED.'THIS REPLACES PLOT PLAN. . CONSTRUCTION' s 2 FOUNDATION S — INTERIOR FINISH CONCRETE' B 1 2 13 + CONCRETE BL'K. PINE BRICK OR STONE HARDW D I PIERS i PLASTER i 1.. DRY (WALL UNPIN. 3 BASEMENT 11 ' AREA FULL _ 1 FIN. B'M'T' AREA _ '/. V. ' +/. -II FIN. ATTIC AREA I " NO BMT FIRE PLACE5 _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MAS NRY BRICK ON FRAME CONC. OR CINDER BLK. rj ROOF GABLE HIP GAMBREL MANSARD FLAT SHED ASPHALT SHINGLES TA WIRING 10 PLUMBING ATH (3 FIX.) LAVATORY' KITCHEN SINK NO PLUMBING STALL SHOWER MODERN FIXTURES I + s �I :1IL[ VXVV E i a I �I :1IL[ VXVV - + i 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G - UNIT HEATERS 7 NO. OF ROOMS B 22d _ 1sl 13rd I GAS OI L ELECTRIC NO HEATING iQ{j MAR - 7 4 { 5r fg~,AF`. •• �fiLi"o4 tv- lt�5'/,/G. • _� 4kL `-�NQINPREIIEHCONTRACTOR,�`. j Craton 04144 �� PRYTE,nCORPORATION .tea 'd TON STRUCTURES I INTERIORS .-ADMIN*-MMA -Theodore S.-1 lchards ' 687 Highland Ave DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 056125 08/04/1998 08104/1956 Restricted To. 00 THEODORE S RICHARDS =MW 31 BURLINGTON SD BEDFORD, NA 01730 /3 � x A O u a z0-4 O uW WA w GO U x O F' z w A O -u ° w ; W ° cn a or- -Z w° ' U Co w a z r:4° co w U w°' chi ro w d O c° w w a w o in v Q cn ui 0 z o � Q: c ` O y vO C.3 CL C eo ea zo �t ywC Ea c m $ a to :O= 0 C.2 s CD C o � 3�p c� o C C J _ m y O CIO CD E •a CD o y m � O C N Q � C L O CO2 y O :10Z c � o hCL O C _ m +_.+ p C36*' r0+ ~ H G &=M C c Ll CS AD cp 0 s U3 .n m� O.s S A a v N 4- .c s a O m CD F. z 0 w a 0 0 CD O CD O s Z CL CD O y C C 'CD CM O C_ ca 0 O A O O 'E m m CD 0 CD C �� CD CD O i CL CMQ co Cc v O. O ca C Z CL C.3 CO) O C C C c CLCOD D Town of North Andover NORTH , OFFICE OF 3�0`4t�to ,e1.OL COMMUNITY DEVELOPMENT AND SERVICES ° . O27 Charles Street WILLIAM J. SCOTT North Andover, Massachusetts 01845 9Ssgc,Hu5���5 Director (978)688-9531 Fax(978)688-9542 June 25, 1999 Mr. James Lescallette 9 Foxwood Drive North Andover MA 01845 Dear Mr. Lescallette: Enclosed are copies of the original building permit for your property, which was not included in the permits distributed at the recent meeting concerning Foxwood Rd. and Weyland Circle. Please accept our apology for any inconvenience this oversite may have caused you. If you have any questions please call the Building Department at 978-688-9545. Enclosure (1) DRN:jm u Very truly yours, D. Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535