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HomeMy WebLinkAboutMiscellaneous - 90 PEMBROOK ROAD 4/30/2018 (4)1 N Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .. ���—r?" ' 1 .......... ................ has permission to..............................G�.................................... �4�wiring in the building ofd.................................................................... i at.F ..... <� �.1................. . North Andover, Mass. 17.�9� i ``Fee ..................... Lic. No. ........ ...... ... ........ y��... ............ BLRCf aLLINSAECTOR Check # 8903 Commonwealth of Massachusetts Official Use Only a Department of Fire Services Permit No.n�� o� Occupancy and Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC), 27 CMR 12.00 (PLEASE PRINT OR TYPE ALL INFORMATION) Date: 3 [� City o Town f: n OU To the Inspector of Wires: By this applicatio undersigned ­gives no ice of his or her intention to perform the electrical work described below. Location (Street & Number) �J V rZMIo CQ&,. JCC Owner or Tenant I n Owner's Address�/YYl;I_ Is this permit in conjunction with a building permit? Yes ❑ Purpose of Building Telephone N No x BLDG PERMIT # Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install low voltage security system at above location Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- EJo. rnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number TonsKW .... ... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Other No. of Dryers Heating Appliances KW Wu No. of inDevices or Equivalent 1 No. of Water Heaters KW No. of No, of Signs Ballasts in ; No. o eve uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: �j Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: y . C)o (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Brinks Home Security LIC. NO.: Licensee: John Holmes Signature 16 «� LIC. NO.: 749C (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443 Address: 155 West Street, Suite 6 Wilmington, MA 01887 Alt. Tel. No.: *Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" License LIC. NO.: SSCO 001163 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ® owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ,. Date Z�'�?' �7—_ 1;; &....... TOWN OF NORTH ANDOVER PERMIT' FOR WIRING This certifies that ...................... has permission to perform -._-....% ................. wiring in the building of ............................ . ... ......................... at ............ .............. . North Andover, Mass. Fee Lic.LL ? ........ ELECTRICAL INSPE Check # "7�j 6604 DEPANNE TOF)'EUX34FAIY Potttit Na kll 0 4 BLIARD0FF=PREMW1glVMMAWi11SW(11R a%V /`� `% i* occuyomy 3 Fen Checlwd �� y-' APPUCA71ONFOR PERAETTO PERFORM FT C1 [CAL WORK AIL wORK To BE PEMRMBD BV ACCORDANCE wmt THE MAWACHUSSTS ELECrMXAL CODE, 527 CME 12:00 (PLEASE PRINT IN INK OR TYPE ALL PMRMATIONI) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electricaPl work bed below. Location (Street & Number) Q )' U Owner or Tenant BUY! Owner's Address is this permit in conjunction with a building permit Yes'' Purpose of Building 57 I (J- aw Pl yt )1l. Existing Service Amps �Volts New SeCj% 1,4 Q Amps /20 0 Volts Number of Feeders and Ampaclty Location and Nam of Proposed Electrical Work No (Check Appropride Box) 6 Iq 5 S o Utility Authorization No. Ovedtead E3 Undergrowtd No. of Meters Ord�t U ra No. of Metees ftIli No. of Light outlets No. of Hol Tubo Na otTr000foemna Total KVA No. of usliting Pisttse Swimming Pact Above No. Of Oil Bum= Belowvolow Owaseos No. of Emergency Ugming Bsmay Units KVA No. or Receptscb OWW No. of Switch Outlso No. of ass Barmen FIRE ALARM' No. of Zana No. of Ranges No. of Air CastL Toes Na of Detection and Pte. of gspowk No. of Hat Total Total POMP Tar Kw taideling Devices No. of Saaodlmg Device No. of Dishwashos Spece Ana Heating Kw No. of Self Contsirrd DevicesDevicesNa Loader hknicipal Other. d Dryer Hosting Devices Kw oimft-doin No. R Water Heaton Kw No. of No of S BdlssY No. Hydro Message Tabs Na of NO= Totel HP IhnesuttriedvttfdpodofsametolleOft YM NMRANM k Bp on=LWLIJp workbSmc V- ;U� I ispStionDMR=z*d ,SgrzL ter Pt�bofpe* . new the yL Cf_ FVtMNAUE ZaAJ V -e Ce- s5enare 0 AMA 01577 t. �:: L B10111imale --ValreafPhadoliVYPrdrs litd lssrat:Nn 11951 A mWSIIV3[IRANCEWAM ;tonna totbeiimee bmdninmw At'I>•1Na OWI arri�rnysi�tepeandirpmritappict6m 1ita�is�et°0t'�orles�>dla�ivsi�taerepledbYllrtaa®diradbGa>OilLatts (Please check one) Owner Agent 13 Telephone No. pgRbogr FBEJ ',�v' Signal- 31 DwW 317#11111 aApDDEMRIBIWOMMMS�F6'/'Y PertttitNa ``'G' Ormaponq & Fen Cbeclmd APPLICATTONFOR PERMITTO PERFORM FT. CnUCA.L WORK All, woRK To BE PEMRMED IN ACCORDANCE WrM THE MASSACHUSSTS ELECTRICAL CODE, 527 CMB 12:00 C(PLEASE PRINT IN INK OR TYPE ALL WFORMATION) Date Town of Noith Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical wort abed below. Location Street & Number) pZe& U kZ Owner or Tenant i/YI �g , 1�laalL►S/L Is this permit in conjunction with i building punk Yes M No. (Check Apprvpritoa Box) - 6%l( rq 31) Purpose of Building �i� l � Utility Authorization No. Existing Service Ampa./V oltl Overhead Underpound No. of Metm New Stsrvis� Ampler /20 0 Volta Overhead Urfa md- No. of Meters Number of Feeders and Ampadty U Location and Nature of Proposed Electrical Wort No. of Lighting oodw No. of Hot Tubi Na of Traotlorroan Total KVA No. of Ugbtiag Rxcma Swimming tad Abow Below asommim KVA No of Racnptwk Oodw No. of On Burners Me. of Emegsnay Ligfiting Battery Univ No. of Swiwh 0ndeu . No. atom Basan FIRE ALARMS No. of Zama Na of Ronan No. of Air Clod. Total Toon Na of Dstaodm and "W of Dixpouk No. of Hat Total Tatd NUNN Toga Kilt loidning Dovks No. of Smmding Deview No, of Dishwasban Space Ana Hating KRI Na of SIM COUNJO d Load lywddpd Connections Odw No. d Dryer Hating Dances KW No. of Water Reales KW Na d Na d SIMIN Ballads No. Hydro Maasp Tuba No. Of Motor Told HP t. Ilsty xbnkltdvei WddX=1Dd Cfikz YM ® ' B= 0U a wokiosm flWNAN�i%B (� 1;�ra�e l ��re ce—� WaEmiri] rym H - I ` in])* Val dEhtddWadr S Fx* -VI 1( rA find ar�tchatrt�siBs�aeon0ieptmrilrQpicsion (Please cbeclr one) Owner Agaat Telephone No, pggy FEE s 7 c O `a • CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 492 (1/10/2006) Date: November 16, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 90 Pembrook Road MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Andover Construction & Dev 51 Thistle Road North Andover MA 01845 ,5 1-, �: -- /e- _ Building Inspector APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit # :Llga ADDRESS/LOCATION OF PROPERTY: X r( Map & Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CvNIS ERVAT1.0N PLANNING DPW - WATER METER 121 SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST tr File: OC form revised 2006 M C -a N = L �a CD w C. O � CE� CA CO CM O :.o c C/) O m m CL.Cl as 1` o O d ts■•.. o 44 ev c r CL CA CD f--1 V h C ow COD Cl o c E Q Cli� CA 0 O N 3 cz C m ^0 M C -a ! N = L CD Z C. O � CE� CA CO CM O :.o c C/) O m m CL.Cl as 1` o O d ts■•.. o � c ev c r CL CA CD f--1 V h C COD Cl o c E Q CL:rV CA 0 0 coo N 3 C C m O N W • Em,;c, U mo mC Cf) z : •-.0 C W m O CO O CM C N C .O = o CLO- 3 N ca m = . c a t =0- o•N Z O L2 a :��2 5 Fc- W .0 9) c I- o"aX.CC> ! Ll O L CD Z C. O � y C CA CO CM O O CO3 -@ O m m CL.Cl as co Ca m o O d o � c ev c CD CD CD CL V h C COD Cl Ll vi OOTI/ F CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 492 (1/10/2006) Date: November 16, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 90 Pembrook Road MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Andover Construction & Dev 51 Thistle Road North Andover MA 01845 ,e� Building Inspector w(4 v - c o �m \_ c = O_ 0 � O y Z c O O ® VV W IP y.+ C c W !O CD Cc Z O � O OCJ `c I' G �_••• ca= i � •E Q ca �7 V>)' C 0 r I ate, �i C 4 � `w v C �a �' O L-7 z d H :ave o U % :ym� c r ac o of :COQ V) m V y v - P%, i :: E c c o �m • m c c = O_ 0 � O y Z c O O ® VV 0 0 3y y.+ C c W !O CD Cc Z O � O OCJ `c I' G �_••• ca= i � •E Q ca : D c C 0 CL � h C � C �a H P%, i :: E c 4.1 CD • • m c 'c 0 � Z mm O ® y C 0 0 3y y.+ p C — c O O m m CD CD Z O � O OCJ p i O d �_••• c\ c O ca Ii G) C 0 CL � h C � C C d H :ave o :ym� c r ac o of :COQ O y IL p m V y • •� O c O C H s IDo� 0 O C 3 C N ~ C2.y C. W r CO •.+ � Z Z � C +• W � y C CLLU low Z COD a 0-o- 5 0- CLO. C> 4.1 CD O CD Z CD CL O ® y C I CD Ccm O•— � p C — y •E O O m m CD CD Z O � O OCJ p i O d �_••• C C O ca Ii G) C 0 CL � h C � C C d H Date..................... Of AORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... ............... has permission for gas installation* ................ in the buildings of........ XI-.. �.,. A. .......................... at A ra North Andover, Mass. Fee,!** . . Lic. No/ ......... S. CTOR GAS IN' Check # 5552 MASSACHUSETTS UNIFORM APPUCATON FOR PERM rr TODO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 5—S-0(_ Building Locations rl O LOLV" 12=(L— Permit # Amount $ 16'o a,' Owner's Name New © Renovation Replacement Plans Submitted (Print or type)(� Check one: Certificate Installing Company Name 0_,O Mf-� 7&.4 Corp. .;z C. a " I El FlPartner. FirmVCo. Name of Licensed Plumber or Gas Fitter NA , i A-4 A I (k— INSUf?.ANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes © No O If yd'u ;have checked yes, please indicate the type coverage by checking the appropriate box. Liabi!rity insurance policy ® Other type of indemnity 1:1 Bond 0 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ® Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber I ❑ Gas Fitter License Nutriber ® Master Journeyman °% rA x a W O x n z p p W F a UU x ti z O a O q S� G W W cn z .. a 0.' W CC W E, W F U C4 zn C7 F z F z F F W C7 O r'" F .a F o 3 A a a > A a F o SUB -BASEM ENT B A S E M ENT ( J 1ST. FLOOR J 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6 T H. F L O O R 7TH. FLOOR LLI .8T H. F L O O R A I (Print or type)(� Check one: Certificate Installing Company Name 0_,O Mf-� 7&.4 Corp. .;z C. a " I El FlPartner. FirmVCo. Name of Licensed Plumber or Gas Fitter NA , i A-4 A I (k— INSUf?.ANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes © No O If yd'u ;have checked yes, please indicate the type coverage by checking the appropriate box. Liabi!rity insurance policy ® Other type of indemnity 1:1 Bond 0 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ® Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber I ❑ Gas Fitter License Nutriber ® Master Journeyman °% ...�1..- .air' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .............. .. .......... ....... ... .... Y 2-11) bas permission to perform .... � ............. : .............. J4 plumbing,in-the buildings of ... .. ................. at ........ North Andover, Mass. Fee .... Lic. No. .... ... PLUMBIN(I�WS Check # OCTOR 6952 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS n Date Building Location Cl Q br-O©\L_ Permit # 6� Amount Owner A�v1 ( �- - .� I I I�,✓� New Renovation 0 Replacement No■ FIXTURES — .� qP (Print or type) Check one: Certificate Installing Company Address A ■ Partner. elephone Firm/Co. s Name of Licensed Plumber: (\,/1 I Ili I" A -I Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy D Other type of indemnity D Bond D ti Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner D Agent El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. fes. Imo— BY Igna ure o icense um er Type of Plumbing License Title � 135 S City/Town Mcense Mumoer Master El Journeyman ❑ APPROVED (OFFICE USE ONLY� �/�")-6Date ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that,. ... ................ ................... ........................... has permission to ................................... wiring in the -buil ing of ...................... ...................... at..., .......................................... ........................ I ......... North Andover, Mass. c Fee .—./Z4..S. ............... Lic. NoC�.��.170 4�-1 ...... ELEcrRicAL INSPeCr z Check # 6-586 b+r .ti Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. e!�� Occupancy and Fee Checked [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4!� City or Town of: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) g0 Owner or Tenant /f it/Q 0 V e6 s 7. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 2- No ❑ (Check Appropriate Box) Purpose of Building ,f es., ��j� fj�% Utility Authorization 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: �Aq�- ,9,1.,9,e1 -1-i No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. rnd. o. o mergency Lighting Units No. of Receptacle Outlets No. of Oil Burners -Battery FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump .. Number Tons KW No. of elf -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers HeatingAppliances KW pp Security Systems: No. of Devices or Equivalent No. of Water K`,`, No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: /oZ0 D. O""U (When required by municipal policy.) Work to Start:Z—� <p Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q"'BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:S ///lldp V/ f L/9�'/� 62 LIC. NO.: eyj r�- Licensee: LIC. NO.:-?,,? Y742 (If applicable, enter "exempt"j'n he lic se number line.) Bus. Tel. No.X�- i�;�7 Address:,,;27 f7 Alt. Tel. No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ..s TOWN OF NORTH ANDOVER BUILDING DEPARTMENT TMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Co ssioner/I r of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Pared Number: Map Number Parcel Number I l 1.3 Zoning Information: 1.4 Property Dimensions: s S'Z. k �� 13 /d ,,`J y in District Pr 'Use Lot Area Fronts ft 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided RequiredProvided 1 n- 34) s ' AV` 3v 93 1.7 Water S M.G.1-C.40. 54) 1.5. blood Zone Information: 1.8 Sewerage Disposal System: Public � ❑ Zone Outside Flood Zone Municipal A--- On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSE"MUTHORIZED AGENT Historic District: Yes No 2.1 Owner Name (Print) Address for Service: S- - 531i 7 Sigiffiture Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Lisod Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 5�/� �l�v ��� License Number Expiration Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone 00 M X z O O Z M 90 O M r ro 111111011z G) r SECTION 4 - WORKERS COMPENSATION (KG.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 build'g permit. Signed affidavit Attached Yes .....: 1K No ....... ❑ SECTION 5 Description of Proposed Work check su a hcable New Construction V.� o` Exiffttng Building ❑ �i Repair(s) ❑ Alterations(s Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other . ❑ Specify Brief Description of Proposed Work: c cc, �57`4� G w ell SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by permit applicant L V OF�FiCLit wstrS v '731-1--, Mme. (a) Building Permit Fee IISt, ,a€ r, ,..,. .....0 2 Electrical —Multiplier (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 ©Gp ! Check Number /7 d f— / .31?7 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BURDING PERMIT IV 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 I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A 4ent Date NO. OF STORIES SIZE v 4- -BASEMENT OR SLAB S SIZE OF FLOOR T UMBERS 1a YA, 2 ND 3RD SPAN c DIMENSIONS• OF SILLS DUV ENSIONS OF POSTS DM ENSIONS OF GIRDERS v HEIGHT OF FOUNDATION THICKNESS v -� SIZE OF FOOTING p X MATERIAL OF CHIMNEY </ C. C 4f '7 ,a X- 0 -t ­ IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 1 C�� ! ' ! BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:'CS VVR0V� / ' 0=*�."^" . vu�waoo5� Tr. no: 1418 � .. MV � PAUL STM8LAdRE 51 THISTLE RD m&NDOVER. M8 01845 Administrator ma-rre :n; 1 44 , ale A %,(f Fhcre = '. 9 -6 S- CI all wcrk f i yself. CI arm a sole prcp.,ietcr and have no cne 'Ncri<ine in any arm an empicye�r pmviCirc wcr;<ers' ccrmpe!isaticr Irr riiv em CiCvees'NCrxinC cn this jct. Ccrr•c-ry nacre: / ' cl vy n 0, Address 77 1.1-57 Cb Pclic•/ � RN C-, Ccmcanv narrme: Address Citi. -hcre t. lnsurnce Cc. Fciici = allure to secc:re =verare as , .urec urcer S� en Z`.� cr MC-� t 9. can lege to :he :mccsiricn & crmir ce^.allies cr a rine uc to =CO.CO andcr one yearn' imprscnment as .ve!! as uvii oenalttes in :.he rcrm cr a S-C='r/CRK CRC=.= arc afire ^ t5 CO.CO) a csv sSairs-, me. I unce'stana that a C#,/ cf `rs=tste'rert ,,may --e fcrvvarcec to the Cffce cf !nvesrsaucns c::.~e utA cr cover=_4a verric_i;cn. co nereny cs'y uncar :he arts an ,-ena/tres of c—rury ;hat 'he :nrcrrr:avvi c"cv,ded accve s -�Ue and c --•- r c e • '� Sicnature print name F^cre 'IC:ai lL 2 rty CO icz wrte in :Ms. area :c zacc•,.c,et JV c:r/ C:vn =C:::' cr Sl-iicir:c f ecc !7.S;i^7C rCctC — - : :-74 Y i he Commnwealth er Massa&usettS Department or Incustral_:.-corcEncs Office cf Investications —=-- I" Ecston, Mass. 02111 Ccmcensaricn insurarcc ma-rre :n; 1 44 , ale A %,(f Fhcre = '. 9 -6 S- CI all wcrk f i yself. CI arm a sole prcp.,ietcr and have no cne 'Ncri<ine in any arm an empicye�r pmviCirc wcr;<ers' ccrmpe!isaticr Irr riiv em CiCvees'NCrxinC cn this jct. Ccrr•c-ry nacre: / ' cl vy n 0, Address 77 1.1-57 Cb Pclic•/ � RN C-, Ccmcanv narrme: Address Citi. -hcre t. lnsurnce Cc. Fciici = allure to secc:re =verare as , .urec urcer S� en Z`.� cr MC-� t 9. can lege to :he :mccsiricn & crmir ce^.allies cr a rine uc to =CO.CO andcr one yearn' imprscnment as .ve!! as uvii oenalttes in :.he rcrm cr a S-C='r/CRK CRC=.= arc afire ^ t5 CO.CO) a csv sSairs-, me. I unce'stana that a C#,/ cf `rs=tste'rert ,,may --e fcrvvarcec to the Cffce cf !nvesrsaucns c::.~e utA cr cover=_4a verric_i;cn. co nereny cs'y uncar :he arts an ,-ena/tres of c—rury ;hat 'he :nrcrrr:avvi c"cv,ded accve s -�Ue and c --•- r c e • '� Sicnature print name F^cre 'IC:ai lL 2 rty CO icz wrte in :Ms. area :c zacc•,.c,et JV c:r/ C:vn =C:::' cr Sl-iicir:c f ecc !7.S;i^7C rCctC ,-/!,. b,i/C> q' 1LQ t -FORM U - LOT RELEASE FORIIIII e -w LfU) (J' l W %—_ 1 ,( G� OV s 13(o� ,I INSTRUCTIONS: hisorm 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 � '��� v/ �,�: �1��?� PHONE 91b" 2s_a, f Sr 7S' LOCATION: Assessor's Map Number 2 PARCEL _2Z_ SUBDIVISION LOT (S) STREET G%D `I/ ,Grp e �T ST. NUMBER O **********OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADD COMMENTS DATE APPROVED DATE REJECTED COMMENTS t_' 0k, INSPECTOR -HEALTH Kip% I G RGJG\+ 1 =Ii I DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS �! 7. Z-2 P FIRE DEPARTMENT='�'�GG;L� t� RECEIVED BY BUILDING INSPECTOR AUG 3 U zuuk Revised 9197 jm A 1 0 F=4 z C C m 3 cid o A cc w° A U w x0 C2 wA H C C w H � w lz I o z cn cn z C C a x COD W LL cc W C3 y x F- 0 C O .y .m. O. H a :ts m 3 .ateC m m C N O d C V70 3 � O H C C � \ C H � O C E � !'� � w :C.U� m 'yo42 C: (; E met C O C O ' L 0 V �H O C O CL C a x COD W LL cc W C3 y x F- 0 C O .y .m. O. H a :ts E .ateC m m d H 3 = O H C � \ C H � C E � !'� :C.U� m 'yo42 C: _ O CD C O ' L 0 V �H O C O CL C h O C o .c =4 - CL= C_ v•H Z O O<pFE O C �. m �_ O O r0..��0 4. CLS 1 AG f/1 z Oz 0 C Cf) �0 w U v P-4 a M is W O CL ® y ® C C cm O•� COD ® -0 y � CD CD CL _Cc Cl. cm c Cc O m 0 CL CO2 c _c COD vI LU U) 19w LU W 0 _7711 1 C.4 February 23, 2006 Jerry, This is the permit for 90 Pembrook Rd. Please review plans and sign the PERMIT CARD and the copies. The fee of $5580 on receipt #18387 has been transferred from the old permit which had a STOP WORK ORDER until the ZBA resolved the issue of two family building for that property. Jeannine -t 11 ?d , Location ,P -e q 1 No. Date -71j 1 /6_�— T TOWN OF NORTH ANDOVER Certificate of Occupancy $ C14 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 18387 Building Inspector L,\ CO) m m C x CO) S W y C � C!7 'C O O Z CDy 06 o �. � O CL =' y CD o p CDCL o cr d CD CDo CD CO W //��� C� CD y d O CD CO) CD Cl CO) O � Z CD 0 O CD O CCD 0 O 5 cn cn J O cn C cn z �••� cn r' Croi'1 n: 7d V J 2 ON zz W G ims,c o C s -i = w r Oq N o Q N �y S. O pGp S4 d0�o CL O y w x s O G 0 r rD G cp CA O Z cenCL n '=rlo y -4 0. .d -f m y ? d co ? CD O —gm N '0.y N o�m = > > o o m o m 0 0 o n 1 oy' C m may: om. c mCL IF mo O O y W O COL 3CD H d y y d d G � c• 0 0o a y PWCD y .� ^. IE o NP m, Cc" ® o 1 :� :b: 'a o ' CD W cl)CO') CDm d W it n� . t o W: El �- �t� a y 7d w r Oq �y cn �y S. O pGp Cil El O w x O G O G 0 r rD G cp CA p O O '� co b x z d z o r GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior. columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls., Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage , FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. LoLation Con v?4 c No. C Date TOWN OF NORTH ANDOVER p f � - W. Certificate of Occupancy $ LO Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ 0 Other Permit Fee $ TOTAL $ Check # �bO 1,7734 Building Inspector CA m m x CO) CA S 4 ` uui m = z } � o° Jb . O �o Z aj =r� a, z po 0 H \ a oc�0 oto a o 3 z_ m mO0 M n N .+ =i PSD C �D fD -+ C. -4 C a a l.. ai 00 a c° coy C °= U3 n 9 c� ; 1.0 3 a � :tea .no. ajO O c IL G c o •�'» m y O E o -Ek rows -1 A N� 6 N O 3: Erp al EL m m mn 0 'aj _� Eaq FL w 1 � � a cu'0 -Gl. a tTj y g 3CD tTj O 0 `� c r o M, si y fD CD P A H 2 glib, �- ON to �t GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams sv 4. Attic Access. (min. 22x30 w/3' headroom above).j� Crawl space access. (min. 18x24). _ - �;. Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. % of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: -- Lag to house, provide flashing. - Rails min' 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. It Location No. o?% '5( 1 Date0 b i Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ i Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL 18387 A /A Building Inspector C CERTIFIED PLOT PLAN LOCATED IN NORTHANDOVER,MASS. SCALE.1 "=40' DA TE: 7/6/2005 Scott L. Giles R. P. L. S. Frank. S. Giles R. P. L. S. 50 Deer Meadow Road LOT 81S SHOWN ON North Andover, Mass. ASSESSORS MAP32.AS LOT 27, 73 m 0 0 7, 1 CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BYLAWS OF NORTH ANDOVER WHEN BUILT OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. 13972 LAfm 7/91ZOPdS CERTIFIED PLOT PLAN LOCATEDIN NORTH ANDOVER, MASS. SCALE. -I"=40' DATE. -11912006 Scott L. Giles R. P. L. S. Frank. S. Giles R. P. L. S. 50 Deer Meadow Road North Andover, Mass. LOT 8 IS SHOWN ON ASSESSORS MAP32 AS LOT 27. I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY LAWS OF NORTH ANDOVER WHEN BUILT OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. 4� �ad�M OF S O S y o.13972 ; �FCISTER� �yQ �qL L� w I I O cu 3 M C " m 01 .14 CU in 3 3 0 m u 2 aiaj n m u O .0 aj c 01 '10 m 'D c 0 U- aj a M M aj u 2 c 0 uj U) uj 0 19 Ul w C9 LU uj U) O x 0 CL 0 X1/1 0 co LL c. a ase O O 0 c 4A eC U rL (A LA CL tr .0 0 O cu 3 M C " m 01 .14 CU in 3 3 0 m u 2 aiaj n m u O .0 aj c 01 '10 m 'D c 0 U- aj a M M aj u 2 c 0 uj U) uj 0 19 Ul w C9 LU uj U) O x 0 CL 0 X1/1 0 co LL a ase O O 0 c 4A eC U rL (A LA CL tr .0 0 O cu 3 M C " m 01 .14 CU in 3 3 0 m u 2 aiaj n m u O .0 aj c 01 '10 m 'D c 0 U- aj a M M aj u 2 c 0 uj U) uj 0 19 Ul w C9 LU uj U) O x 0 CL 0 X1/1 0 co LL a ase C9 LLJ O 0 c 4A eC U LA CL tr .0 O cu 3 M C " m 01 .14 CU in 3 3 0 m u 2 aiaj n m u O .0 aj c 01 '10 m 'D c 0 U- aj a M M aj u 2 c 0 uj U) uj 0 19 Ul w C9 LU uj U) N Location tQ ple kVOO K H_ No. ate_ Date TOWN OF NORTH ANDOVER L • Certificate Occupancy $ of S cHuSE _. Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee E�kl:E $ U , TOTAL Check # Gow( 17735 u Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 1.2 Assessors Map and Parcel Number: APPLICATION TO CONSTRUCT REP RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: -DATE ISSUED: SIGNATURE: Building Co ssioner/Insp&tor of Buildings Date SECTION 1- SITE INFORMATION 1 ` 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Audfh14a_ 7 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 2oning District se Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R •red Provide Required Providedred Provided 0 3r, 1(5-- ". v _.._ -Pd 1.7 Water S M.G.L.C.40. 54) ir 1.3. Flood Zone lnfo>matioc: 1.8 'S Disposal System: ❑ Public ' ida Flood Zona 1i9� . municipal- On Sita Disposal System SECTION 2 kPROPERTY OWNERS /AUTIiORIZED AGEnDhisturtDistrict:s 2.1 Owner of Retford Name (Pri Address for Service i Sigdat& Telephone 2.2 Owner of Record: Name Print Address for Service: Sigfiature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �pe 'i Li nc�e Construction Su rnsor: S` ` S Z /� y �a f n�A License Number Address T d Vii✓ =,Expimtioe Date tg to Telephone 3, L,%nistered Home Improvement Contractor Not Applicable ❑ Com+any.Name Registration Nirmber Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildig permit. Signed affidavit Attached Yes ....... V No ....... 0 SECTION 5 Descri 'on of Proposed Work check sll appUcable New Construction Existing Building 0 Repair(s) ❑ [Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OCIAT. USS'N,Y,; ' 1. Building (a) Building Permit Fee Multiplier 2 Electrical -- _ - (b) Estimated Total Cost of Construction,,. 3 Plumbing Building Permit fee t+) x (b) , - �-- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) CJieck 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, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the beat of my knowledge and belief Print Name Signature of Owner/Agent Date ; NO. OF STORIES' SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS f3---2 3 SPAN -DIMENSIONS OF SILLS DIMENSIONS OF POSTS" DIMENSIONS OF GIRDERS t3 - HEIGHT OF FOUNDATION THICKNESS - SIZE OF FOOTING MATERIAL. OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND —� IS BUILDING CONNECTED TO NATURAL GAS LINE _� 91 Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 Building Demolition Affidavit DATE 7�/ OWNERS NAME & ADDRESS V40 RTH PROPERTY LOCATION DESCRIPTION o �� S, ,w� ,�Zy CONTRACTORS NAME & ADDRESS S -f DEPARTMENT SIGN -OFFS _ SEWER TELEPHONE -7j;7�,- rJ w _ / " a y 7 /z -0d TAXES ` 7 POLICE - -7 I c y d Ge N i ro)?Rw FIRE EXTERMINATOR DUMPSTER- ON/ OFF STREET - OSZS DIG SAFE NUMBER a O �/ 4/(2/ 0 "/ BLDG. INSPECTOR DATE RECD Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Building Demolition Affidavit DATE OWNERS NAME & ADDRESS F pORT11 o + O L o ��f •p4 [OtIMtMMK• V °'��reo PROPERTY LOCATION DESCRIPTION CONTRACTORS NAME & ADDRESS DEPARTMENT SIGN -OFFS �v/ SEWER jo - i - U 7 /z-0k:f EXTERMINATOR DIG SAFE NUMBER c 41 4rc/ BLDG_ INSPECTOR DATE RECD JUL 27 2004 07:26 FR ENGINEERING 978 725 1036 TO 99786889542 Town of North Andover Moak Rn,ldingDepartment 27 Charles Street North Andover, MnMhusetts Q 1845 (978) 688-9545 Fax (978) 688-9543 , Building Demulftion Affidavit D ATE 7/cf. A -v 3/ MYNERS NAME & ADDRESS pROP1yRTY LOCA'ITQN 9/1. �r��. l . m.,4i 4,4&e&,4 9, SRI ,. ij)+. Ii= 1, - i / i L 1 ♦ i < < D 111PAMM SIGN -0F T-1Z-Af TELEP � CA6LE L- — Q SAFE TER 1 INSPECTOR TE RECD ** TOTAL PAGE.01 ** j)L e_ILt u F ELEASE FORM `1 l 3 o "� INSTRUCTIONS: This form i sed verify that all necessary approvals/permits from Boards and Departments havin !sed ction have been obtained. This does not relieve the applicant and/or landowner m mpliance with any applicable or requirements. JANT ILLS OUT THIS SECTION*********************** APPLICANTS %114 4* PHONE `i 7- LOCATION: Assessor's Map Number '3;P- PARCEL ';17 SUBDIVISION LOT (S) k STREET 9 /I / .P �7�,!_ ST. NUMBER i OFFICIAL USE ONLY ***** (/ CONSERVATION ADA COMMENTS AGENTS: DATE APPROVED 2:/j? /GY DATE REJECTED �— COMMENTS FOOD INSPECTOR -HEALTH S / 1 G- 4.1 LAS INSPECTOR -HEALTH COMMENTS Zip%I C RCJCb 1 CU DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEAY P MIT "f ' c G , -Q 4' ZFIRE DEPARTMENT � lik� � 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: rrr7) 0 0 (Location Facility) Signature of Permit Applicant s' Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector � ✓1LG V/V//Z%%id7:�(/Q�KIG �(��OGK4 BOARD OF BUILDING REGULATIONS Ucense CONSTRUCTION SUPERVISOR Number•�fS 009802 �.1 BI�[thdate �8�14�939 EXT 48/2412005 Tr. no: 1418 j._ PAUL J ST HILAIRE = = 51THISTLE, RD N ANDOVER, MA 01845 - inistrato The Commonwealth of Massachusetts Department of 1ndustral.Accrdents 0f; rc* of Investrcations Eoston, Mass. 02111 ✓l/crkerc' Ccmpensadcn Insur2rce .ar-;cwrt Flame =ease ;=nnr I Lrc-ticr Z-! -�� d, %!cL Fhcre = 7 I am a hcmecwrer Aeric -ming all work myself I an a sole prcrne!cr and have no one `Ncr,tinc in any capadbv F7 I am an empicyer.rCVlding workers' ccmpehsaticn icf n e.mpfe!/e--s'wcrkinc cn this icb. LL CCccmcanv narre• �oy 0 n 00 Address Cihi• /L d de V M !tel• chc••e 9.2 �r - `� .S - 2/ 23 Insurance Cc 6D () 19A d '''� Folic / T �N w 9-9Z I Comcanv name: Address CiN.. =hone Insurance Cc. Folic/ Failure to secc:re coverage u rectrrec under Se ---en 2_A or NGL 1 �_ cm lead ;o the imcesiilen era crmiral penalties ci' a fine uc to .S 1. °C0.00 anrJcr one yews' irrprscat-e.^,t as .ve:l as cvii cenalties in the Corm c.' a S Cr= WCRK CRCS.? and a rine ci (51M.CO) a day =gains: rare. I unde<stana that a cwy ei hrs staemeat may to Ccr�varced to the Grfice ar Invesrgarcns c::tte CIA `cr cove.-mge verincaren. f ca heresy ce b y uncar Ire gains araC cera/t;'es cf ca.,]ur v !hat :he r'rrcnr arrcn Frcvt - ac��e is - 'e arC c��nc Q� E 6 S Print Fhcre -. M- aS-Y-- � C,`!lc:al use only Cc net wme in this area ;o to ccmue:e ty c:/ cr;C.vn =cmf C'tq cr Tcvn P-mit/L:cersirc Sulidirc Cear [C`ec!c .f:irrrreyiate re_c...�se s re;urr� `; L.'CdnSlRc :Gard enr czrrac• , vr_c. ^c.^e . -eelri GECar „ G CG7er E ❑� M W LLJ CL :.CIE . -550 c 5 O ` c12 N 0 C3 •Q'o C = ev � CIS:Z Uw axgw ca w a°4 C7 w°' cd w o c. cC o z cn o cn LLJ CL �a 0 0 z O U W O cm i O O_ h O m m &�= CD c 3� Oca CL G O O O r a co ca c ev C3CO2 ts C CD CL V h c C C C c .y 0 LLI Ck U LLIN W W cc W N :.CIE . -550 c 5 O ` c12 N 0 C3 •Q'o C = ev � CIS:Z ca CF o c. 1� :gym m c y GO O � .Em fteaft y q m ��: w �• 0 C �C O Q fl o m •�c O CD � �NO�c QC O Z ~ 4O. 'ar y o.21-- O COD W=O .0'r�t c +� r=... .� W E o C' CIO 0 H _ O A D ` � O Z . r.L �a 0 0 z O U W O cm i O O_ h O m m &�= CD c 3� Oca CL G O O O r a co ca c ev C3CO2 ts C CD CL V h c C C C c .y 0 LLI Ck U LLIN W W cc W N Location No. C� �c 2*3 Date 9 pQRTp TOWN OF NORTH ANDOVER Q R ♦ ~ a i O Certificate of Occupancy $ 7 l CM�s t� Building/Frame Permit Fee $ Foundation Permit Fee $ / Other Permit Fee $ TOTAL $ l v Check # . �g00 17734 Building Inspector ,s ' TOWN OF NORTH ANDOVER r.d BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,,ir r� j; �-�.x",:H:•�$F�1R��ct8t w-rr� ..a.Y�.,,, y .� �'"' 3 (pdi3 BUILDING PERMIT NUMBER: o2—(93 (J DATE ISSUED: 0 SIGNATURE: Building Commissioner for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 22, Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: KE s , 13 y0o s r /& a " Zoning Di 'd Pr6posed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 0 3-c> /'(:%— I TO X -c1 1.7 Water pVly M.G.L.C.40. 54) 1.5. Flood Zone Information: / e fide Flood Zone 1t� l.8 Sew�tage Disposal System: "Municipal {� On Site Disposal System ❑ Public 8� - It—SECTION 2 =ERTY OWNERS /AUTHORIZED AGENT t u i ic District: wnerofRecord 2.1 Owner of Record ,p % Name (PriA Address for Service 4 >, OL Sioatafe Telephone 2.2 Owner of Record: Name Print Address for Service: .P Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervissoor:/ Not Applicable ❑ f c14 'If �T! .1i/ Licensed LiceConstruction Supervisor. (� { License Number Addre J Dated Mgr to Telephone i - 3.21Zegistered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building oennit Signed affidavit Attached Yes .......V No ....... ❑ SECTION 5 Descrippion of Proposed Work check au applicable) New Construction OV Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 5P a i3.�`W►, a Sid r v l� I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Addition ❑ Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE 3NI:Y.' 1. Building (T v a (a) Building Permit Fee Multiplier 2 Electrical U C) , (b) Estimated Total Cost of Construction._ w 3 Plumbing ' `6 6 Building Permit fee (a)''x (b) 4 Mechanical HVAC v 0, 5 Fire Protection G 01 6 Total 1+2+3+4+5 o a Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT PERMIT APPLIES FOR BUILDING PERT 1, as Owner/Authorized Agent of subject property as 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 1, ; as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name , Signature of Own er/A ent Date j NO. OF STORIES ' — SIZE BASEMENT OR SLAB 13 9, SIZE OF FLOOR TIMBERS v 1 d 2 3RD : SPAN G, / t C�^ DIMENSIONS OF SILLS 4Z 4 DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS r SIZE OF FOOTING 0 X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' PS { r:..,�t�..�`�"`;.""' T',`�•-��r�.�� �.� �__..... ,.___ _.� .-.. � .yam_ ti z �' 6ie -�a.,inoounra� o� /�iaaaac%..aetla T _ BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR s. z.. Number. SGS 009802' �irtiatlafe 08/24/1939 ! Expires 08/24/25 Tr. no: 1418 Restricted PAUL J ST HIL AIRE, 51 THISTLE Rp N ANDOVER, MA 01845 <� dminitor i The Commonwealth of Massachusetts Department of lndustral.'Icc;cencs C ffice cf Investicatlons Easton, Mass. 0=111 l+lcr�kers' Ccmcensaricn Insurarce AtiTcavri �mame iease ,�nr.; art:-ticr•��_�"��zT% � � Cit'/ a�!>• / 'd d v2')l %vj, Fhcre 2l 2 CI am a hcmecwner perc.^ninc all wcr'K myself I am a scle crcrretcr and have ne cne ,.Ajcrkine in any casae^/ 1-7 1 am an emcicyer crcvidira wcrkers' ccmpensaticn fcr my empiayees INcrxinc cr, this jcd. Camcanv Address Cihr /Ir O i �., d �db11 cr.c„e ; 97 - 9 9/ 13 Insurance cc 626 4Ad D Fclic•/ T �,✓ w 3.3. o�c1� Cemcary name: Address C i hi' 7-hcne t* Insurance Cc. Pclici ___ Fatiure to sec::re coverage ss ,ecurec urcer Se---en'-7_A cr iiMC-L ',!-7 c:n lead to the irrccs'dCn d cnrriral cenalties cr a rine uc to antler are years' imorscrrrent as wed as cvii penalties in :he rcrm cr a S C='NC.RK CRCER and a rine -r (5 CO.CO) a day asatrs: me. i understand that a stmement ,may to ,,crNarcec to the Cfflce d Invesr9arcns cr ~e CIA ;cr ccfera5e verfc_ticn. ! do heresy csrry unser Ire �airts arrC renai es of; -- ry that :he inrcrtratic: t Frcvrded aCcve rs -Le and cc^9c: r'c:e si Print F^cne T % Z8-- J-�-212? Coccal use cnty co net waste in this area :c to ccrnc,etec cy c:ty cr :C.vnc of C'iy cr Tcavrt F=rrrrt/l ce^s nc �— GUJICIlTC Gest .f:mrre='rale .resccrse is r ecu;red j- ..,cleC:,71an s CICS C,:nrac• �� L Uthef nor ORM U T RELEASE FORM 91131o� ck, INSTRUCTIONS: ihis--i�drm 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/ c - 1� 1, PHONE 97f-' 2sj-. 5i 7.? LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET ?d a4 ST. NUMBER 9U *****************************************OFFICIAL USE ONLY********************************* REC9IMENDATIONS OF TQWN,AGENTS: tl CONSERVATION COMMENTS R DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH IC INSPECTOR -HEALTH COMMENTS PUBLIC WORKS - SEWER/WATER FIRE DEPARTMENT RECEIVED BY BUILDING INSPECT Revised 9197 jm UH 1 C KCJtG 1 tU DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED rAt BUILDING ®EPS. M A (nI Q 0 O CA) Co S26' PEMBROOK ROAD RECEIVED SEP 0 3 2004 BUILDING DEPT. PLAN # 0023 Ill�N BY: F" 0 0 x = b;�U.bb PROPOSED DWELLING 90 PEMBROOK ROAD NORTH ANDOVER, MA SCALE: 1" = 20' DATE: AUGUST 31, 2004 NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE NORTH ANDOVER, MA (978) 686-1768 J 'b S 'PLA J.D q _ GROWTH MANAGEMENT BYLAW' EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING 'DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. 90 ?ff-Apl-fdovk aa- 3 �' `� % Permit Applicant Property address Map / Parcel Applicant's Phone Number Single Family Two Family } I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 ofthe Growth Management BylaA I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building T permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more ofthe following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as', ofthe effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 ofthe Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are and and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land, For purposes ofthis section "senior" shall mean persons over the age of 55. This application is part of development project which voluntarily agreed to a minimum 40�%permaneitf eduction in A density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions ofthe tract, with the surplus land equal to at least tat buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. ' This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represarts a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued'per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED —BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE: = - :T__ - -il - P FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHEC OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT I O FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. • APPLICANTS SIGNATM DA THIS FORM TO BE ATTACHED TO THE BUILDING PERMPI' APPLICATION 3 t 31 F.i t4f t, f j 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 facility) ` Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoflware Version 3.6 Release 1 Data filename: Untitled.rck PROJECT TITLE: PLAN NO. 4667 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING_SYSTEM TYPE: Other (Non -Electric Resistance) WINDOW / WALL RATIO: 0.15 DATE: 09/29/04 DATE OF PLANS: 9-28-04 PROJECT DESCRIPTION: APT UNITS DESIGNER/CONTRACTOR: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 490 Your Home UA = 490 0.0% Better Than Code (UA). Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor Ceiling 1: Flat Ceiling or Scissor Truss 1720 30.0 0.0 60 Wall 1: Wood Frame, 16" o.c. 2768 13.0 0.0 186 Window 1: Vinyl Frame:Triple Pane with Low -E 408 0.330 135 Door 1: Solid 86 0.330 28 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 1720 19.0 0.0 81 Furnace 1: Forced Hot Air, 82 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard IYesign Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and AA Builder/Designer I IAAA1 Date 51-2, —D4 0 • REScheck 1psp4,do,'h Checklist Massachusetts Ener Code REScheckSoftware Version 3.6 Release 1 DATE: 09/29/04 PROJECT TITLE: PLAN NO. 4667 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation I Comments: Above -Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Triple Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ J Yes [ ] No I Comments: Doors: 1. Door 1: Solid, U -factor: 0.330 Comments: Floors: <[ ] 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace 1: Forced Hot Air, 82 AFUE or higher I Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: Ducts shall be insulated per Table J4.4.7.1. Duct Construction: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ J Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I ,Circulaetiitg Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ J HVAC piping conveying fluids above 120 T or chilled fluids below 55 T must be insulated to the I levels in Table 2. • Table]: Minimum Insulation ness for Circulating Hot Water Pipes. ation Thickness Inches by Pipe Sizes Heated Water N t ' " Runouts Circulating Mains and Runouts Temperature (F) JW to�1'' tI 1.5" to 2.0" Over 2" 170-180 0.5 1�.0 1.5 2.0 140-160 0.5 `' 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pining System Types Raneg ( F) 2" Runouts V and Less 1.25" to 2" 2.5" to 4„ Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (wilding Department Use Only) .,r Q1 w� �b O �s Z3 lb o C 16 Q •� 'b um 0 w i �,11 Qu LL o E '(D E'0 c c� CL tp a� '0ul a co ac W c a�•° w O z • uj 0 U) LLIN W W 19 W N *' E �CA �z o HA�IL c � u Z� co � ai N-0 C)z �o o u tn � a°'i cc o— vs uj 0 U) LLIN W W 19 W N *' E D o �z c � �w rn co � ai N-0 uj 0 U) LLIN W W 19 W N *' E D o c � rn co � ai N-0 o u tn � a°'i cc o— vs a C V � � E •z a`, m a 0 0 - c c '° c N o E d U- n inm L O - L Z G .r Q u g0 �t G aj � FL- m uj 0 U) LLIN W W 19 W N a4 0 z O U rc vn ) WA v v A., ts cI cm CO) O O toO 'E— a LV a m mco !93- � .c ,w 0.0Y+' s — cc W o � CD O a o a W oG M: cma ca s W w c CA a 1 0. O fa) ca C Z ai �..7 CLy O C — m a CO) U v A v o U w w cc w o w° o°d w' cn cn a4 0 z O U rc vn ) WA v v A., ts cI cm CO) O O toO 'E— O LV m mco !93- � .c ,w 0.0Y+' s — cc W CD O cc o a W oG M: cma ca s W o c CA M 1 0. O fa) ca C Z ai �..7 CLy O C — m a CO) ('W O z rA Cd PM v x w o U z q -v w x w U x a W rs; W. 0 W w c w a U z o s� c w w CO" cn o cn co 0 co i 0 co CL O y C IO cm C .0 CD p� CO) O43 m C t O� 0 CD � � L M O a c4 cc �*0 CD c w V h c C s C C _c �. CIO p _ 0 U) UY w w crW VJ U) m C m Cl) 0 m y H C') CD n Z ca 0 CL Q O CO)to CD CD .�-r O 7 r CD CD3 CIO CD CA I 0 CD CD0 We O • N 0 Q co) �0 m CO) a �m C m n yma0 �. m T_ m nim o m O ® N N Y aCD c 0 0 CW2 O N, =r=%ca :e CL m�N� O �0CD: ®a i IL cr 01 N d �C �i 0 o N N SD 1 SD d H m CD o m !Z d� o ng 5. v u'�jia x, s �cn� . � c ��� xn�� 0 cn � o 7 n• a .� °�'� ata CL rD o U z n d C) 4) W 0 N 0 I GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girts - solid brick or steel plate bearing at foundations '/ " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode SIR wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. % of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure. r Date.. 40 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .....� has permission to perform ?-......�.............. . .,��- plumbing in. the buildings ofi-� .....f ... .......... at.y� -� K' C' - ,North Andover, Mass. Uv �_ Fee......... Lic. No..?`A/.... r- 7LM .. .............. G INSPECTOR Check # ��a 5673 ,� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING? (Print or Type) —1L�[_[!f &Qy—Lor, Mass. Date Permit # j IL Building Location Owner's Name_ Type of Occupancy RESIDENTIAL V New CJ Renovation ❑ Replacement �7 Plans Submitted Yes ❑ No ❑ EMERGENCY RENTAL WATER FIXTURES F T Installing Company Name WELCH BROTHERS CO. INC Check one: Certificate Address 148A TANNER ST l Corporation 1501—C LOWELL MA 01852 I I PurUierrahl{� Business Telephone 978 453-2100 I I H1111 U. Name of Licensed Plumber THOMAS F. CAREY � INSURANCE COVERAGE: I have a current liability insurance policy or its substantial aquivulont which meets lhu rug{tnrun,ur,lu of MUL Ch. 142. 17 Yes No l 1 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IX Other type of indemnity ❑ Bond I. I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner I.7 Agent LJ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed w4ep4be permit issued thi plication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha 142 of the Ge r a By A _ Title Signature of Truffil5er- City/Town Type of License: Master [3 Journeyman [] APPRUW (OFFICE USE ONLY) License Number 8481 M �YNIOMENNIINN Y NQ ■ �Y�I 0 MEN 0 NONE NOON NONNI In Installing Company Name WELCH BROTHERS CO. INC Check one: Certificate Address 148A TANNER ST l Corporation 1501—C LOWELL MA 01852 I I PurUierrahl{� Business Telephone 978 453-2100 I I H1111 U. Name of Licensed Plumber THOMAS F. CAREY � INSURANCE COVERAGE: I have a current liability insurance policy or its substantial aquivulont which meets lhu rug{tnrun,ur,lu of MUL Ch. 142. 17 Yes No l 1 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IX Other type of indemnity ❑ Bond I. I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner I.7 Agent LJ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed w4ep4be permit issued thi plication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha 142 of the Ge r a By A _ Title Signature of Truffil5er- City/Town Type of License: Master [3 Journeyman [] APPRUW (OFFICE USE ONLY) License Number 8481 Memorandum To: File 90 Pembrook Road Date: July 18, 2005 AM From: JMC It is noted that Mr. Alan Manzi III reviewed the file for said property. He was observed photo copying the contents of the file. Date.........:....................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING - rr " This certifies that ...... .......:.............................1... � -"................................ has permission.to perform ... <,.........?-.....- ....................... wiring in the building of ......%,:... .. t < -t-s-A................................. at .Kc-2.--� .............. ......... , North Andover, Mass. Crr4 - Fee�� �.............. Lic. No `j t i_'............ 1.. 1111—................................... ELECTRICAL INSPECTOR Check # -�(e 5766 2i� � ,�uG![e Sa6ay BOARD OF FIRE PREVENTION REGUL APPLICATION FOR PERMIT 1 All work to be performed in accordance with (Please Print in ink or type all information) Town of Official Use Only, Permit No. S 527/CMR 12:00 Occupancy & Fee Checked PERFORM ELECTRICAL WORK Massachusetts Electrical Code 527 CMR 12:00 Date To the Inspector of'1`: res: The undersigned applies for a permit to perform the electrical work de cdibed bellow.. th Location (Street & Number / 6 Owner or Tenant i /JI A //A I LO .4 C .� �L�7 .L-1 Owner's Address ^l C /&. A V dtfi- AplG o WA // ! fV6 Is this permit in conjunction with �a` building permit Yes' -U-/ No 0 (Check ADDrooriate Box) Purpose of Building Existing Service i� Amps Voits New Service C! Amps Voits Number of Feeders and Ampacity Location and Nature of Proposed Electrical Authorization No. 361. Il J Overhead 0 Undgmd 0 No. of Meters Overhea� Undgrnd 0 No. of Meters OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws tl have a current Liability Insurance Poticy includi pl Operations Coverage or its substantial equivale E O hav i d proof of same to the OFfiO a If you have checked YES please indicate the type of coverage by checking the appropriate box. Y BOND - OTHER _ (PI Specify) (Expiration Date) Estimated Value of. Electrical Work$ Work to Start -57-20-0 Inspection Date Resquested --73 —05' Rough Final Signed under the Penalties of perjury: FIRM NAME w C.y �t�i P`QNLG��+C (Q�^� LIC. NO. Licensee -Y ZiI-c-X Signature l g LIC. NO. � 4� , Bus. Tel No. Address L cc..- / r Q,/7/('�ifQ/J�i Alt Tel. No. OWNER'S INSURANCE WAIVER: t m aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent)' CW Telephone No. PERMIT FEE' $ .fir, Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA r Above 0 In 0 No. of Lighting FbduresSwimmin Pool and 0 and 0 Generators KVA —{ }} No. of Emergency Lighting N5. of Receptacles Outlets No. of Oil Burners Baftry Units Nb. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total thio. of Diposal No. Pumps Tons KW No. of Sounding Devices Nol of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW signs Bailases .Viring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws tl have a current Liability Insurance Poticy includi pl Operations Coverage or its substantial equivale E O hav i d proof of same to the OFfiO a If you have checked YES please indicate the type of coverage by checking the appropriate box. Y BOND - OTHER _ (PI Specify) (Expiration Date) Estimated Value of. Electrical Work$ Work to Start -57-20-0 Inspection Date Resquested --73 —05' Rough Final Signed under the Penalties of perjury: FIRM NAME w C.y �t�i P`QNLG��+C (Q�^� LIC. NO. Licensee -Y ZiI-c-X Signature l g LIC. NO. � 4� , Bus. Tel No. Address L cc..- / r Q,/7/('�ifQ/J�i Alt Tel. No. OWNER'S INSURANCE WAIVER: t m aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent)' CW Telephone No. PERMIT FEE' $ .fir, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone 7 am a homeowner performing all work myself. F -1I am a sole proprietor and have no one working in any capacity I am an employer providing_ workers' compensation for my employees working on this job. Company name: Address City Phone #: Insurance Co. Policy # Company name: Address City Phone * Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage: verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone # Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION Official Use Only Permit No. VO -4-4 4 POO& Sammi Occupancy & Fee Checked— 1 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. a'? Location (Street & Number kilt - AV Owner of Owner's Is this permit in conjunction with a building N Purpose of Building I� YM -10/ No 0 (Check Appropriate Box) Utility Authorization No. G J Existing Service Amps Volts Overhead 0 New Service A Q Amps Voits OverheVe� Undgmd 0 No. of Meters Undgmd 0 No. of Meters Number of Feeders and AmpacityC / ` Location and Nature of Proposed Electrical Work f11f 1 OTHER: INSURANCE COVERAGE. Pursuant to the I have a current Liability Insurance Policy inc ha proof of same to the OI SU BOND � OTHER � (F Estimated Value of.Electrical World_ Work to Start 51- _0 Signed under the Penalties of perjury: FIRM NAME of Massachusetts General Laws ad Operations Coverage or its substantial equal 1 - If you have checked YES please indicate the type of coverage by checking the appropriate box. Inspection Date R'esquested � "`• LAJ r42 K cat.. �G( /L' C-7 4r? CW. (Expiration Date) LIC. NO.{�— Licensee �� 4_Cz611)f1CA'C-e _Signature ©�f LIC. NO. �/ Bus. Tel No. Address L7 �/r �" Alt Tel. No. OWNER'S INSURANCE WAIVER: 1 iam aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) C.� Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA No. of Lighting Fixtures Above 0 Swimming Pool gmd 0 In 0 gmd 0 Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices Nol of Self Contained No. of Dishwashers Space/Area Heating KW DebectiordSounding Devices 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Si ns Bailases t%firing No. Hvdro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the I have a current Liability Insurance Policy inc ha proof of same to the OI SU BOND � OTHER � (F Estimated Value of.Electrical World_ Work to Start 51- _0 Signed under the Penalties of perjury: FIRM NAME of Massachusetts General Laws ad Operations Coverage or its substantial equal 1 - If you have checked YES please indicate the type of coverage by checking the appropriate box. Inspection Date R'esquested � "`• LAJ r42 K cat.. �G( /L' C-7 4r? CW. (Expiration Date) LIC. NO.{�— Licensee �� 4_Cz611)f1CA'C-e _Signature ©�f LIC. NO. �/ Bus. Tel No. Address L7 �/r �" Alt Tel. No. OWNER'S INSURANCE WAIVER: 1 iam aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) C.� Telephone No. PERMIT FEE $ (Signature of Owner or Agent) TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 July 19, 2005 Mr. Paul St. Hilaire 51 Thistle Road North Andover, MA 01845 Re: 90 Pembrook Road Dear Mr. St. Hilaire: Telephone (978) 688-9545 FAX (978) 688-9542 Please be advised that you are hereby ordered to immediately stop all construction activity at 90 Pembrook Road under building permit #263 (A&B) dated September 19, 2004. The reason for this order is that, pursuant to Town of North Andover Zoning Bylaws, Section 4.122.14 Residence 4 District (Permitted Uses), Paragraph b: "Two family dwellings, by special permit from the Zoning Board of Appeals in accordance with section 10.3 and 4.122.14.1 of this Bylaw", construction may not proceed without a Special Permit from the Zoning Board of Appeals. Please contact this department for further information and for at4 application for a Special Permit. Pursuant to Section 10.1 of the Town of North Andover Zoning Bylaws, if work is not stopped in accordance with this Order, further proceedings may be instituted and you may be subject to a fine as provided in Section 10.13 of the Bylaw. Respectfully, Michael McGuire Local Building Inspector cc: Ray Santilli, Assistant Town Manager/Acting Community Development Director Ellen McIntyre, Chair, Zoning Board of Appeals File TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services A 400 Osgood Street M ^o North Andover, Massachusetts 01845 July 19, 2005 Mr. Paul St. Hilaire 51 Thistle Road North Andover, MA 01845 Re: 90 Pembrook Road Dear Mr. St. Hilaire: "Telephone (978) 698-9545 FAX (978) 6880542 Please be advised that you are hereby ordered to immediately stop all construction activity at 90 Pembrook Road under building permit #263 (A&B) dated September 19, 2004. The reason for this order is that, pursuant to Town of North Andover Zoning Bylaws, Section 4.122.14 Residence 4 District (Permitted Uses), Paragraph b: "Two family dwellings, by special permit from the Zoning Board of Appeals in accordance with section 10.3 and 4.122.14.1 of this Bylaw", construction may not proceed without a Special Permit from the Zoning Board of Appeals. Please contact this department for further information and for an application for a Special Permit. Pursuant to Section 10.1 of the Town of North Andover Zoning Bylaws, if work is not stopped in accordance with this Order, further proceedings may be instituted and you may be subject to a fine as provided in Section 10.13 of the Bylaw. Respectfully, Michael McGuire Local Building Inspector cc: Ray Santilli, Assistant Town Manager/Acting Community Development Director Ellen McIntyre, Chair, Zoning Board of Appeals ,/ File TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 July 19, 2005 Mr. Paul St. Hilaire 51 Thistle Road North Andover, MA 01845 Re: 90 Pembrook Road Dear Mr. St. Hilaire: Telephone(978)688-9545 FAX (978) 688-9542 Please be advised that you are hereby ordered to immediately stop all construction activity at 90 Pembrook Road under building permit #263 (A&B) dated September 19, 2004. The reason for this order is that, pursuant to Town of North Andover Zoning Bylaws, Section 4.122.14 Residence 4 District (Permitted Uses), Paragraph b: "Two family dwellings, by special permit from the Zoning Board of Appeals in accordance with section 10.3 and 4.122.14.1 of this Bylaw", construction may not proceed without a Special Permit from the Zoning Board of Appeals. Please contact this department for further information and for an application for a Special Permit. Pursuant to Section 10.1 of the Town of North Andover Zoning Bylaws, if work is not stopped in accordance with this Order, further proceedings may be instituted and you may be subject to a fine as provided in Section 10.13 of the Bylaw. Respectfully, i Michael McGuire Local Building Inspector cc: Ray Santini, Assistant Town Manager/Acting Community Development Director Ellen McIntyre, Chair, Zoning Board of Appeals .Afle TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 July 19, 2005 Mr. Paul St. Hilaire 51 Thistle Road North Andover, MA 01845 Re: 90 Pembrook Road Dear Mr. St. Hilaire: Telephone (978) 688-9545 FAX (978) 688-9542 Please be advised that you are hereby ordered to immediately stop all construction activity at 90 Pembrook Road under building permit #263 (A&B) dated September 19, 2004. The reason for this order is that, pursuant to Town of North Andover Zoning Bylaws, Section 4.122.14 Residence 4 District (Permitted Uses), Paragraph b: "Two family dwellings, by special permit from the Zoning Board of Appeals in accordance with section 10.3 and 4.122.14.1 of this Bylaw", construction may not proceed without a Special Permit from the Zoning Board of Appeals. Please contact this department for further information and for an application for a Special Permit. Pursuant to Section 10.1 of the Town of North Andover Zoning Bylaws, if work is not stopped in accordance with this Order, further proceedings may be instituted and you may be subject to a fine as provided in Section 10.13 of the Bylaw. Respectfully, Xdi-&w /// Michael McGuire Local Building Inspector cc: Ray Santilli, Assistant Town Manager/Acting Community Development Director Ellen McIntyre, Chair, Zoning Board of Appeals ,/File