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Miscellaneous - 95 MAIN STREET 4/30/2018 (3)
r A m Date............... ................ .3-'V �o TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... A .......................................:............ .......... 61 has permission to perform.......... ............................ ....................................... wiring in the building of ... �` ~........: 1 ........................................ at ................. ..`.....:"-.....::................................ . North Andover, Mass. /12 ay. Fee............ Lic. No........f.... ? .. .. ....�.�. ....... . ........... ELECTRICAL I PE Check # /`�`� Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Ro,s4. Occupancy and Fee Checked / [Rev. 1/07] (jeavP hlanlrl 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: O3> City or Town of. NORTH ANDOVER 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) '?5 Owner or Tenant )eA L10%% �(� �J�',� p /�J .� �� Telephone No. Owner's Address 9 d^ 1W.4'L GeV Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 60M 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: No. of Meters No, of Meters No. of Recessed Luminaires 2, No. of Ceil: Susp. (Paddle) Fans cause may vewaiveavy the Inspector of Wires. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above EJA o. o mergency Lighg nd. rnd. Bette Units No. of Receptacle Outlets l'% of Oil Burners FIRE ALARMS No. of Zones No. of Switches of Gas Burners FNo. No. of Detection and Initiatin Devices No. of Ranges of Air Cond. TotaTonsl No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal El Other_ Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterNo. of No. of Data Wiring: Heaters KW Signs Ballasts . No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsWiring: No. of Devices or Equivalent OTHER: (' Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: J �. (When required by municipal policy.) Work to Start: '5%29" Oe 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: age:xI,+J' LIC. NO.: 57020 Licensee: A'l,I)s44 Signature LIC. NO.: 9-702-0 (If applicable, enter "exempt t " in the li ense number line.) Bus. Tel. No.: fid'/ ^ 9J 6 — Address: L1 3 C,.W jZjV A6_rf f> 2 0 ?� 6 ? *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt L l. No. c 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. P,e�l, 0K C9 y- 7--06 px-r The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 NEashington Street Boston, MA 02111 e,-; www mass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �Please Print Legibly Nanrie (Business/Organizafion/Individual): 7�� Address: C- 1V 7-7-( V City/State/Zig: C� '7t - -;V X /4 Phone #:. ��% �✓^6 r- C���� Are you an employer? Check the appropriate box: L ❑ I am a employer with 4, ❑ 1 am a general contractor and I employees (full and/or part-time).* 2. �9 I am a.sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. I ship and have no employees These subcontractors have working for mein any capacity. workers' comp. insurance. [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself, [No -workers' comp. c. 1.52, § 1(4),' and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions I I.❑ Plumbing repairs or additions 12.[] Roof repairs 13.❑ Other "r+ny BPP11c8m tnat Meeks oox>'s I must also fill out the section below Showing their workers' compensation poi icy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box mustattaehed an additional sheetshowing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is.providing workers' compensation insurance for ray emplayeM Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: J� �'r City/State/Zip: Al. ---f m& 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 e. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above t ,ovve is true and correct. Signature: l/ G �j Date: 9 01 -1 -be Phone #: 2cP -6 06 fr> Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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, §25C(6) 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, MGL chapter 152, §25C(7) states "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 out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confimnation 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, notthe 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. Self. -insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 event 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 number. in addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firture permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax # 617-727-7744 www.mass.gov/dia c c TOWN OF NORTH ANDOVER Oflice of the 'Bu lding Department Community Development and Seii ices 27 Cluirles Street Nt)rth And(.-iver, (rtassaebusetts 01845 D. Roberst. ]INi.celta, Building Onfluniss'.ioner October 15, 2001 Mr. Ralph Joyce 95 Main Street North Andover, MA 01845 Dear Mr. Joyce: 1 elephOne 1,978; 688-9545 F_1X (978 ) 688-9542 Please be aware that the satellite dish installed on the rear roof of the structure located at 95 Main St. is in violation of the MA State Building Code and the Town of North Andover Zoning Ordinance. Specifically the violations are 780 CMR (MA State Building Code) Section 3109.3 which states " The approval of the code official shall be secured for all dish antenna structures more than two feet in diameter erected on the roof of or attached to any building or structure. A permit is not required for dish antennas not more than two feet in diameter erected and maintained on the roof of any building." The following section (3109.3.2 Structural provisions) further states " Dish antennas larger than two feet in diameter shall be subject to the structural provisions of 780 CMR 1610.0,1611.0 and 3108.4. The snow load provisions of 780 CMR 1610.0 shall not apply where the antenna has a heater to melt falling snow. The violation of the Town of North Andover Zoning Ordinance is Section 8.6 Satellite Receiver Discs (1987/83) " To restrict the erection and or installation of satellite microwave receiver discs in residential districts to a ground level area, to the rear of the rear line of the building, within the side boundary lines of the same building so that it is out of Sight from the street. Please be aware that this dish must be removed upon receipt of this violation notice, a permit application will be required along with detailed plans as to its attachment to the structure along with the installers license and insurance paperwork, and your letter of authorization to install. Please contact me so that we may begin the process to remedy the violations. Respectfully, Michael McGuire Local Building Inspector Michael McGuire, Local Buildinglnspector James Decola,ElectricalInspector Jam- Dio—,Gas/PlumbingInspector Naiuiutg Departmoit 688-95.35 Comenlatim DcparbnaA 688-9530 Healdi Depaitimat 688-9540 Zoning Board dAppeals 638-9541. Check # G m 3 5 .:�. 3 5 Building Inspector Location 3 No..3 Date „ORTIy TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a Check # G m 3 5 .:�. 3 5 Building Inspector Oct -31-01 03:29P P.05 TOWN OF NORTH ANDOVER BUILDING ORMUMENT APPLIC.'ATIONTOC)ON�'TRUL71PJ,PAIP,RPNOI'ATL($HANUILTHKiisF,ORO(.!L'UPAN(.-YOF, OR DEMOL1,S11 AM BUILDING --QTHERTliAN hONF,CIR TWO I'ArdlIM 717M rat official Use BUILDING PERMIT NLMFR-,DATE ISSUED: 3301 %a —CP moo 00 SIGNA:rME: t WIdin Conimissioneftl or of 9uiidh��s DRtC Asasars14sndPmv:!Numbw 7- 6? A-t�loo ry-) Map Number FwTvi Number i..i za Tig inr.Ljorl: 1,4PaVoirty Dirnwdiona: -.1.6-81JUDING SETBACKS (ft) Front Yard Side Yard itcquirui Provide Frovidod Re Q .. . ............... ZAMU 4);ftW1-kWzow n Mutticjpat 2.1 Owner d' Rword Naint (Print) Aull—Mo for felephum Iced Ffond:B°.(ID . ..... .-.. Rear Yard owds"kma om sig 'Ampax 5)r n 2.2 "WMOMM Agftl -11-0-N) a eNo pz� 161) p- 0 Mune Print 10 Ackhas fnr Service:: -3 -3 3.1 Uc4fiwd Constructiov Sup"inor dress t LMO e gor LicoruiW Construction Supqrvi%or: 3.2 FkCrAtered home Improventem cnntrutor 611ripany Name I Addrow ignature Nal AppliWik--b----'-*"- Not Applicable 11 Rcjiiratian Nusbar Exltuxlirm Cate I Oct -31-01 03:29P I. NVw ConsiTuclum) LA Existing BaII&Ig Rcpajr(s) Accessory B14. I JkMolition 1.1 01hcr I SJkxjj*y Tlric_f &�cripl inti ol'Prupomd Work: _. ...ZZ5d6kL0 A M-wrably 13 Busi wl C I'duamlional P Factory IT I UA.H�aiard 8 Swrilge Mixed u S qxcial Use P.06 Addition 1. WNW! ....... USE GROIJP(('.lmkasapplicable) GUNSTRU(.'TIONTV13F A-1 U A-2 1 A-3 I A A 4 r" A-5 F) 113 2A 211 L'.1 F I 11 2C 1A 1" 1.1 11 12 4 R-2 L. 114 1J 5A S-2 U 5i3 "I F17- Specify:—__ L! Sfwcify.-.,-., U-711014 IF EXISTING BUILI)ING UNnFRGOING R1N0VATI0N5,.ADDITIONS _AND '0R CHANGF J.N LINE F'ximfing TJsc0rDup:_,. Proposed Use GAmp:. . Existing IIA7.ud Indcx 780 CM 34: 1 '1 oixe-ad I Tmurd Indcx 78U CMR 34: DIMMING AR I -A Ninnbcr of Floors or SWvu Include. Basement lcvcly Flayr Aro mT Floor (5t) 7-411 Ayu A 1,0142.11 lcight 01) YK"ImEnt buuctufM enlPnet nugW Lnictural Peer Revicw Roired _ - -- yes 0 No I I SECTION 10a Owner Authorizakm - TO BE COMPLETLI) W H EN OWNERS AGENT OR CONTRACTOR APPLIVmm- n C Me UTIU non IL a _,as Owncr of the subject property 11crebywAharize—, to act an My bcMt in all matters mlative two work authorizad by this building perMIL application of Owner Wic Oct -31-01 03:30P P.07 $$CEEB 4-'9YOMRS Wnrkau Com n 1i t uxutiMOM Plidnv�t mint he cornliieteti and t,tt,mittc0 isa,uaumc>ith► w,th th,� at+plicatitm. Nlilura to prrnade this atlidavil will mull iq tltr denim of the J builditrnut. _ / _ Si jna cdGdsvit NWchod Yea . Pik No. —. . _— __ _—• -- S)EGTION i -PROF09fAL Dr I t'A" c�RUCTXQN S�imC'LS' FQ$'�JJ .D1�tC�'A1�Ip 4IRUCT>if�3S SUBJL�CT'i0 CoNs'FRUC`"tr'toN COAs ML puR$it ')(` . E . A+Xltt)Q+iG As08E i'n' 78O C"Ar1ft[ 116; 4�ON7 Ai'.ii� C: �. OF Ei+�CtASliB? SpAG'>6) 5.1 ktlKistcred A.rohitect Nanh: —' — — — Address Sig,ttture — I'diphone - ►�amo: ..—_ .— -'— -- .— .. Ar,� of lieelxmsibiii — Name Address tiiy7tature — Neunc Address tiigz~tlure — TY --•• - ... _ itegrstrution NwtAx.T — —. .. DAllirution Date Nn! appljc;iNe [ I — • — .._ Rrgixtratic,a Numtaet 'i'4icphane •' '..—_ _.—_ Expiration Data . Area of kesgxmsibility TeFi traGon Numkr ('t tephone 1'Almation Date - -- Arta ofR(t %xmsibility Itegtstration Number Yclvphoue C'n,npaay Numv: lteslx,nsible ir, Charge ut' C onsttvction — — 1 +t ao ttl Not Apphcable i t Oct -31-01 03:30P I P108 1, _ LLha_C'L_ lloz!�tv _.. . Agent Owner/Authorizod I [err -by declare that the sUletueaLs and information on the ibrogoing application are true and accuraw, to the best of my knowto* and belief. 'Signed ur'&'T the Mins WYLi penalties or perjury Fi'u't Name H i c h -ae o Signature f rtnr/Agevt Date I— NWA 11 L X ItIALL.J SIZF _TA_S_EM_M'i_'C_W _SLAB _ 7 -- SIZE OF —-7 2 r4o -RP—AN" T_T.MWSl0'N,T0I,' _POSTS T NSIONS OF CJIRDFjkS 7_1F.T(;H*1*'(T1- POUNDki'loN TIIICKNL,&S 'F/J, _0VRX)hN(j MATERIAL OF CHIMMY// is BI III 'DTKrT ON SMID OR FILLED LAND Is 9 Ihi 515 -(j c C*N I ED TO N AR T R A I (,AS I X F 77. "IF!".7 1 Building 2 Flecunwi P-Mi'llatw Cost (Dollfirsi) to be ConlPidmIry P=it applicAnt 0 4 Ir i (it) Building Permit I,'tw MIJIliplia (b) Estinlated Towl Cost of Construction frwl..(6) 9iu1diqPanni( [LC 1.1..F. _IL_ (b) 4 Mmliallical (11VA C 7— 6 Total (H204-4+5) Check Number I— NWA 11 L X ItIALL.J SIZF _TA_S_EM_M'i_'C_W _SLAB _ 7 -- SIZE OF —-7 2 r4o -RP—AN" T_T.MWSl0'N,T0I,' _POSTS T NSIONS OF CJIRDFjkS 7_1F.T(;H*1*'(T1- POUNDki'loN TIIICKNL,&S 'F/J, _0VRX)hN(j MATERIAL OF CHIMMY// is BI III 'DTKrT ON SMID OR FILLED LAND Is 9 Ihi 515 -(j c C*N I ED TO N AR T R A I (,AS I X F 77. "IF!".7 0 m x a: NO cl� .W'La MS -34 141 5 fi ¢CD m 0 m x a: NO cl� .W'La MS -34 � O Oar Z w � y 2 LL� G� P cr MS -32 wtli�_uly nierv�aa� c n i � J ❑ J w ' a sQ m G Q I W U �O W� zlo7 •� w r •- w � < C i s x cc_ o & n Jr Oa uw _ F zU. a ❑ J� Sw � �a oma, ❑ \ n �a oz FA S n xa \ a LL m _- \ •a +J.l N O a aN0¢ � �a Zii Q 25 \� \ \ ,DO �\ \ d o'1 •� [o[ Ct O O m ¢ CC r r d N J 2 Q \\ W I 'O'OQ �•`� U rcf E V J z w p O N OO C pQ Oy Osw QwOwt,aa oa Oo 3¢w <7Q 9LE aZ i✓� p p1aaor 7- '=w p W O . Y (OX J Q O Q`f WQ m Nw ob `o WS axzo&N a z v� a:.: a zw rtW r o w �a ew Nawr�pu� sz Ztwt CdLv NU ZYQF=-�Nzm Q Z O w J n U Y Q Q' Z OOC�'L�W W'=U72 ° 3 r 00 _� a Z R > O O_ O ❑ � nx_u- LL r N W L F° w o°wLn N Q� SZ C W 4 — � �l) WN�a C4S �2 ~�Ow �QWC Qx o zo a wzp p zr� wt 0.a JZNaScro O''YU mF Q�f.j QO Z� JU � j ��rv0 aO�nO 3�n ¢� N �Ow� �'• O 071 m 4i 41 r "e e" ? 7 jp10,Cl Q:Jea a o - m } N J R C�Zp J�O�- O wn zd -•� z-, mmF-P O2 q Q �� trfi r-aOry ct-- 2aY ti F-�m b0. o'n' Z acYn Z Z W G � xSC UO• a = 7N�w-' Zi �r O /i J —N UJQQ a MS -32 Oct -31-01 03:29P The Commorlweallh of Massachusetts Department of Industrial Accidents Offica of investigations Boston, Mass, 02111 Workers' Con7petwofion Insurance AfftQavit ' Name: �IICC..._..:.....,.,..._..,_—.__ ��.. Phone 17 am a homeownpr performing all work myself. - Ol am a sole proprietor and have no one working in any capacity M I am an employer /providing workers' compensation for my employees working on this job. Company name: , r../'�0._. (_.� min !)n //' - S •, .r..�....... _._ _._ Address. _1�- ��A-f )')P On 1/ Company name: Address City: �....--- Phone 0: Failure to secure coverege as required under $edlon 25A or MOL 152 can lead to the impaeition of criminal penalties of a fine up to 51.500.00 andror one years' imprisonment as well as civil penafties in the form of a STOP WORK ORDER and a fine of ($100. o0) a day against me I understand that a copy rd ttus statement may be forwarded to iho Office of Investigations trf the DIA for coverage verlftcatlon. I do harby certify urxW Ow pains andpenalties of perjury that the infonnabonproviLWa aeovu rs rrus iirrd currcx:t. Signator 6 -P6- Dale�2'C3 1 Pnnt name..._ Official usa only do not wrtle in this area to oe campietwi by rorty or town dficial- Building Dept []Check if immediate response is required Building of"Pt p Licensing Board l Sefectman'.s Office C;rvllrir:l fxar::n'r , Plk7rxY #. n Health Divpart.oient Other LJ Fn RM W'ORXMAN'S C OMPI-NSA 117,9 SENT BY:HUGHES NETWORK SYSTEMS;11— 1— 1 ; 8:45AM ; INSTALLATION DEPT. DATE ISSUED: DATE DI1F : WO -TYPE: REGION: ISSUED TO: 09/18/2001 10/04/2001 O IN/ IN E02 JOE HALL HUGHES NETWORK SYSTEMS PAGE 1 PES WORK ORDER HRN HORAN COMMUN'XCATlONS INC. 241 SW CUTOFF(KT 20 EAST) CALL 508-393-4897 1/2 HR PRIOR NORTHRORO MA 01532 MIKE HORAN 508-393-3755 WO #; C000425657 REV #: 3 REV DATE: 10/09/2001 WO STA'i'i7S : CLOSED FIR PHOTO REQUIRED: NO CUSTOMER INFORMATION: RDJ17469 REV 00 EDWARD JONES 95 MAIN STREET NORTH ANDOVER MA 03.845 RICH EABERT 978-687-6770 WORK TO BE PERFORMED: LN TASK DESCRIPTION 02 I186 INSTALL 1.8M, 1 SLOT DTTJ 03 DE18 DEICING, 1.8 M 05 IDPC INSTALL DPCEE ONLY 06 MPR2 MOUNT, PENETRATING, 1.8 UNIT COST UM $550.00 EA $80.00 EA $75.00 EA $1,025.00 EA TOTAL COST: COST PER QTY CONTRACT 1 $550.00 1 $80.00 1 $75.00 1 $1,025.00 $1,730.00 Post -ft' Fax Note 7671 Dmf 9 of 0► Te m. t Mt. 6w..e Fmm ., Comm co. Phone # Mona x 3o I a 1— Faxa Fax# 30l l� 04/08/99 16:30 MICROWAVE DISH AND CABLE 4 301 601 4278 NO.104 D02 MDG, lnca 5eftxwlleto ti) 14;- A o l --e ti nA q:.Arl--e„nA 6(1144. 5hetfi lay 4; D&4-erml'Ad 1+ylod Logdl�q . L c� A; CIGcIIq) U��. pV� 16.+ Psf r = Otero G� = I'L► A� % Igo w+ A h+.e 3.¢54'1 144= (.s GtKf-tNmot = Tr(4al)2/+- 11,44 t 2► !, 5'rN G 4 t HMA 7 Z &.14)1-/+ -1.01,1, ¢fiA. �jl 1,2-vr+ Wtnd Lopds ;ovee4) �I� 1��vh lig As Des 'o Lads De+COVA Iv►c C Sir` - fii,or� j r Z, o� A-4 =- no 5 —Ag4o,o A v Gc Pw. We. 14i rz . Ge = lk a� - I,o Illi I=- G 4. # It VO i, Z rn 4 vj;"M �Oel 4j wt kl d �- t veli, , 04/08/99 16:30 MICROWAVE DISH AND CABLE 4 301 601 4278 N0.104 D05 M�c.� Ing. �rGlrtvHder 6� Arv14--eo64 Cot ley yUct4- 4 0�' 4 — r-ot o7l-44-tH e>; Avi+ermA i e7tG A+t,*-0r 4+ 4 A KA Will W?. S O P pc,n+C d 61 101A NP iii o �j - ��,V1 !.'�Y`A �� !� W14 5 r Ki o v vit, -set j +fj #- cj, 0�%U� 4 d� vtiv� COW. = o, c 4 wt OkK b b e r pad 'C� v►t WeA,er+ded b41 proatI10" � %orl pare : 14 A `-I (r,ee c, k, i) Av1�Cnnoi 4 mai,4Kt WeCtH+ NOC".. -- Apt r-, S, *,1, 5 CNec�,.A �M ato0a-r el4t, hyo 3�31�' I�ell�a�t tJokL� I. t rn 0 v4femnol tested �p wins a IZ 5 pmph o J�p ; w ► Kd �p ped = � 0 nip h , �e a ew vm lti1G� h l oel,dr7 ) at-ru k m e. o t- # 19 r • its M Ahteow oil: 04/02/99 16:30 MICROUAVE DISH AND CAELE 4 301 601 4279 N6.104 D15 A*a G h true tit * 6 A_ ..tet . �.�� • J . • ��� 3 $ c o $ °� 7y 04�e9�� 16:30 MICRO AVE DISH AND CABLE 4 301 601 4279 N0.104 1;17 i *N ok At*xl pM'tif'ty& * to 1.6 MFTEA Ui t mji '► EI. t<r VW 1 1 tIN AX I I! W 1 Nt! 1 f1A06 AT 121.1 H A N 0 L E V F' (I w t'; 1E tai ( I A 8. ) M 0 M E N T 6 ( F T. L 8 8 ) 6 L A I F X F Y F 2 M X M Y M j • AXIAL LATERAL. 1 TFT ROLL PITCH YAW 0 0 1632 0 U 0 0 0 0 30 1(05 -St O 0 0 291 0 60 i 7219 -106 0 t l 0 367 0 90 -4 A 193 0 0 0 120 -Zi8 230 0 0 0 -8J6 0 i w -764 1 wi 0 0 O -621 4 t80 -1114 0 0 0 0 0 13 0 1577 O -442 0 -142 a - la 3d 1337 -49 -430 G1 -106 329 15 F,0 1620 -07 -446 120 74 479 is 90 -42 1193 it -212 0 -•790 1 s ' 110 -rt,l.a 0 in 19 -224 -129 -037 15 LEO -722 149 124 -139 -271, -389 15 too -1022 0 140 -0 -361 0 00 0 1351 0 -847 t i -251 0 30 30 1386 -17 -947 103 -1'!k7 178 30 60 1341 -34 -796 151 -67 `A2 30 90 -00 193 22 -409 O -10y 30 120 -164 221 21 -421 -243 -729 30 130 -603 149 201 -299 -501 -54.11 :i01SO -74p 4 247 -�C� -631 0 45 1099 0 -1187 0 01,77 0 45 30 t110 -35 -1266 201 -347 241 45 6n 987 49 -934 14-43 23 -43 45 30 0 -Lys 04;GEi99 16:30 MICROWAUE DISH AND CABLE 4 301 601 2273 z J I.is ft-) iiR 01rr9eT ELEVATION AXIS WIND I --ADO AT I'."Ww f 4XN r . NO. 104 D18 A++acli rn-e N t :11L A h 0 6 9 R O R C E 0 C L 5 0o i M 0 M 9 N T 6( F Y 6 0 1 E L A Y F x F Y F i M x n v M I AXIAL LATERAL LIFT ROLL Pl y4m YAM 45 12v -14A 204 29 -sae •JL? -1411 45. 150 -393 136 103 , Z77 -6153 •3 �7 4$ l80 •530 242 -0 702 0 60 0 771 0 -1:w1 0 -SG7 0 b0 30 752 -20 -136, 151 -262 07 60 fi0 509 127 -/54 -367 212 -213 60 90 22 193 3fd -74)4 0 -499 60 120 -30 164 459 -580 -135 •33; 60 ' 190 -242 127 36 -d11 -7?4 -20#3 60 l80 -211 0 73 , . -O -676 � 75 0 38n 0 002 0 457 G 75 30 330 79 -724 -259 447 X63 75 60 __343 572 320 73 so -11 193 42 -790 0 -212 75 120 . -169 1 /V 337 -701 -:0A 73 190 26 PA `3b 491 -363 -5E+3 -103 7!1 180 -320 0 572 -0 -741 0 0 I Q m c o :oma • C h O C V V ' ■ ..nom co • slid O CD y�� E F r mD :tea y �L Q Doo♦ m cv, E COD CA ■ � O � y c C :2 • y A O �Em L y V m m ■ == o cm ■ ��i .coa 1 mo� m ■ Cj Lo . Z .: c0o c r ¢ 10, O c •O = m :co 3 N 0 W Cd WO"r, r c x a C o `r m .y °� V m p m C CO) n x � ��y•o 0 r- $nim x� 2 v °o w U) a V) P-4 ►� co ° M c o w w o oG v :� U G x w o w c x w a W o cG c� co w ° d m o w co Ui w a w c CO z C/)cn v -0 o Q m c o :oma • C h O C V V ' ■ ..nom co • slid O CD y�� E F r mD :tea y �L Q Doo♦ m cv, E COD CA ■ � O � y c C :2 • y A O �Em L y V m m ■ == o cm ■ ��i .coa 1 mo� m ■ Cj Lo . Z .: c0o c r ¢ 10, O c •O = m :co 3 N 0 W WO"r, r c a C o `r m .y Z O V m p m C CO) n x � ��y•o 0 r- $nim :a z 0 U 0 Cn LLI Cn W w clw Lij Cn Location 9�5 MA IJU S+ No. i _ Date /C)-/7 01 TOWN OF NORTH ANDOVER 9 o •, Certificate of Occupancy $ '�s''^•''<�' Building/Frame Permit Fee $ s�CHUS Foundation Permit Fee $ Other Permit Fee 51 $ S TOTAL $ a Check # V�✓ Building Inspector w W 0 Z Z LL Z 0 H 0 a J CL CL �I W CL N W �+ W- III w ,NJ W N O Q O L LL. O (1) N Co U C O cu C E m .Q U -0 m a M H ti A C O C L YCP ea) U � � M J CO L O 6 m N O a L- a- cn a C Co E a) �-CJ p)U mmm a) O�C��.mC aa) C .__ m a) �-. () •�- L m C OFo.�= .0 a) O O CnEN =3T m C Cr Z- 0 -, E m v a)�.0 a)>� 0C Q >> a) L > L m -a U O a)�CECo N:3 0� M'c�cnCCm .0 L m a) cm U f� 142 C E 05 =a- QC c a) O Q .N 0 M C m C 3 Z+ NO C �= U E y,r O 't. a) Q Q U a) O O E O U C -O >+ ...,C-ON°�E m C N O C -C a) C m -0m Eo _ mCmL O Q O i O Q C ��, O '� U O N +_. N L O zm-0aa)Ea a) v 2 m E O_ tm U Q O C +�+ m O C a)J U) U C L O 0)Z m� a0-cn'is O Z a) A Y O m O U O. C m CD C m a) O C CD N CL CL a `W I -- LU w J 6 CL w 2 J VLL Z LU a o Z U LL Q LL W D H Z U) C a) N O) C C m T a) N m O � •� cn C � � O �o CL O Q Q- cn E d O U mQ c O .r E O p. �— �.� cc O cn L L C L O m a) . m C a.mou) :.= 0 � a � O Z a) A Y O m O U O. C m CD C m a) O C CD N CL CL a `W I -- LU w J 6 CL w 2 J VLL Z LU a o Z U LL Q LL W D H Z U) SIGN PERMIT WORKSHEET Property Owner2...Irl) � 0 C Z C �,-- Business Name lEaf oA P a. /,&) Ce -s 4-0-L CA-�( 3 Property Owner Address Sign Location Address �`� I/ Y !%a- (,-u G Zoning District—6 F. p e 6 Allowed Area S% 4 e a o. r-, Wproposed Area S 1 de i 044 Allowed Height /v/� Proposed Height Allowed Setback A) n Proposed Setback 117 Map Lot Estimated Cost $ Fee $ Permit Application Received Permit Approved / Denied Inspector CO In,by - ��� 1 W*141 - 6P344 I ntW A,r 0Vd., j ,oma 6:LCA> Prop � i � C1. 0100 1 G.�-D �l.�viLvin,�6 3 5 T&A A I rH &Tl11010 3o '- fl- P4 OFIXED GLASS WINDOW: 30"H X 42"W; WOOD FRAMING, WOOD BULLNOSE EDGED SILL @42"AFF. PHONE COMPANY SERVICE TO BE LOCATED WITHIN V-0" OF BOC OREMOVE ALL BASE AND OVERHEAD CABINETS N WH PARTITION PLAN 1. Field contractor to field verify all existing conditions, notify designer of any discrepancies. 2. All changes and revisions must be directed and approved by Edward Tones Branch Facilities. 3. Edward Jones BOC requires ventilation. acceptable methods are: A. Supply/return duct or grille. B. Undercut door to room 1". C. Louver vent in door. 4. Landlord/Con:tractor to provide for separate HVAC controls for Edward Jones space. If additional units are required to accoraDlish aeDarate CAntrolra_ r..•snt.rare+ i.pn4iner f'..r.r i:r,et.-... LEGEND: DEMO PARTITION EXIST. PARTITION c - EXIST. DEMISING PARTITION ww m w NEW PARTITION ®NEW PARTITION/ INSUL. ®NEW DEMISING PARTITION EXISTING DOOR ` FNEW DOOR DUPLEX RECEPTACLE QUADRAPLEX RECEPTACLE DEDICATED DUPLEX RECEPTACLE W/ ISOLATED GROUND E&I TV/VCR OUTLET VB BYPASS JACK T PHONE JACK Q COMPUTER/DATA OUTLET SWITCH EP ELECTRICAL PANEL NOTES: -ELECTRICAL DEVICES HAVE NOT BEEN FIELD VERIFIED; RECEPTACLES AND SWITCHES SHOWN ARE FOR REFERENCE ONLY. CONTRACTOR TO PROVIDE NEW ELECTRICAL DEVICES AS INDICATED ON PLAN IF AN EXISTING DEVICE IS NOT wrmIN 36" OF DEVICE INDICATED. DO NOT REMOVE DEVICES THAT ARE EXISTING IN REMAINING WALLS. UNLESS NOTED -A SWITCH SHALL OCCUR 0 EACH EGRESS DOOR; AND SHALL BE 3 -WAY IF APPLICABLE FOR MULTIPLE ENTRANCES. -NEW PARTITION CONSTRUCTION SFW1 MATCH EXISTING BUILDING STANDARDS; CONTRACTOR TO COORDINATE SIZES OF MATERIALS USED. -PHONE COMPANY SERVICE TO BE LOCATED WITHIN V-0' OF BOC Edward Jones BRANCH FACILITIES 12555 MANCHESTER ROAD' ST_ LOUIS, MISSOURI 63131 PHONE: 1-800--824-6525 FAX: (314) 515-2889 I BRANCH OFFICE 17469 1 95 Main St_ ' North Andover, MA 018 LEASE SO. FT. 820 NO. I DATE I DESCRFDON CEN 7/6/01 Added Window & Stair$ , -RXJ 1 8/9/011 Correct Dimension Rm 102/1 DRAWN Oy. AMJ for IRxj EXHIBIT - A 800-,432-8146 sHrD r 1 - 9b N • v� pO ° C � ce 0 3 U 4) O 10 OrA� "C +� 73 PC a� bn AMaN�C of 9 va ° C13 °rn 0 0 U to M O C •0 W 7�8 'b U �W o"I N b 3 bo O N O �o 0 U Q) Cl) tw b to O a� to O 4-4O on 0 O 6917L 113vaa alv rtiaeavaamoad 'ONI''S'd'V WOJd NOISSIWJ3d 1f1OH11M 3SOddnd ANV dOJ O3sn JON 'Ali:)38ION1 JO A1.1.038I0 30 03SOdS10 JO 031dOO '03Of100Jd38 38 lON TIVHS 11 S33NOV J3MO8J08 3Hi ':)NI 'SN91S1SV3 NVOIJ3WV d0 A183dOJd 3H1 SI 9NIMVJO SIHl 0991A a -W/ addV aawr Sno t 9Z 70 MS .A6 w" QUI `ILMOR NUI ®SNOISZSdd I OOZ© 9bVL-LZ9-008 94un000VJAu04aN SAE)ISJ2SVY seuorp-lumpa :S1N3WW00 a:AG cla01W10 �),9 03111W9f1S VN 'J9AOPuV UPON - - 'IS UIDA 96 :SS3800d ��g31401d :3WVN al 69bL l #al a uj� z2 J W o wry �U) wzow �U-z LU w a Q W W C2C)3: LU a Z m_5 O O vWQ} -' CL ~a�Oa LU 0=0� Z 20 Lu LU0 z LU) z m z LU �g w m ooC)N0 o z M z 12ma�'w- 13;wYOUw �wmO n V _z _J M m Q Z5 U Q M r✓ Z-69 7L L13 Siva Iaroaaeaaaoiow 'ONI''S'A-V WON -A NOISSUN3d inOHIIM 3SOdNnd ANV 2104 03sn NON 'A-UD3a10N1 NO Al1O3a10 d0 03SOdSIO NO 031dOO '03On(IONd3N 38 ION INNS 11 S3321JV 213M02 NOG 3HI 'ONI 'SN9ISISVd NVOINAWV d0 kiN3dO8d 3H1 SI JNIMV210 SIHI aasv3a �dda3W, ��� 10/9Z/LO.AM�sVao 'ouI `ILuourtunuI ®SNJISISd3 Iooz 917VL-M-009 4un000V 10u0.40N 5NDIS1SM9 So u O r p-l-empa :S1N3WW00 a3NJIS301W10 �.19 a3111W8nS yw 'aanopuV 40N - - 'IS u!pW 56 SS3a00v �agg3 u0ld :3WVN al 69trL #al Qi LU 0% J w d z� VCn 13i 1 >, 0 LU -�i co } gToa) C) N � 0 N fnQ C3 0,0) 3 Cn X - o U w .p = 4-.0 zLoma) Q C 3 Lo 0 C Q :3 !ti Q ON 0 E k2)�0-0 �.,-QC7o OOa)�ca C� %0 Qi — C N 0 w w —u'O j C -- 5 � 0 2 .— ,o -cnq C ;� I �-� �� y` �- _.� 1 1 i �� �� �) �; i1 �'T �I ::::� a :s :� i •x S TOWN OF NORTH ANDONMR Office of the wilding Department Community Development and Seiwices 27 Ch�irles Street North And(ivcr, A-lassaebusetts oi&o D. Robert. Nicetla, Building Unflufti.:ssinater October 15, 2001 Mr. Ralph Joyce 95 Main Street North Andover, MA 01845 Dear Mr. Joyce: Te1cT 11()RC (978) 688-9545 FAX (974) 6,98-9542 Please be aware that the satellite dish installed on the rear roof of the structure located at 95 Main St. is in violation of the MA State Building Code and the Town of North Andover Zoning Ordinance. Specifically the violations are 780 CMR (MA State Building Code) Section 3109.3 which states " The approval of the code official shall be secured for all dish antenna structures more than two feet in diameter erected on the roof of or attached to any building or structure. A permit is not required for dish antennas not more than two feet in diameter erected and maintained on the roof of any building." The following section (3109.3.2 Structural provisions) further states " Dish antennas larger than two feet in diameter shall be subject to the structural provisions of 780 CMR 1610.0,1611.0 and 3108.4. The snow load provisions of 780 CMR 1610.0 shall not apply where the antenna has a heater to melt falling snow. The violation of the Town of North Andover Zoning Ordinance is Section 8.6 Satellite Receiver Discs (1987/83) " To restrict the erection and or installation of satellite microwave receiver discs in residential districts to a ground level area, to the rear of the rear line of the building, within the side boundary lines of the same building so that it is out of sight from the street. Please be aware that this dish must be removed upon receipt of this violation notice, a permit application will be required along with detailed plans as to its attachment to the structure along with the installers license and insurance paperwork, and your letter of authorization to install. Please contact me so that we may begin the process to remedy the violations. Respectfully, Michael McGuire Local Building Inspector Michael McGuire, Local Building Inspector James Decola, Electrical Inspector James Dioezi, Gas/Plumbing Inspector platttautg Department 688-95.35 Cons Mlation Departmart 688-9530 Healdi Depattmait 688-9540 Z,onnzg Board of Appeals 688-9541 Date. :�.......... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. �G.!..•....!................ ��................ . has permission to perform ....�. r �� . 4 . ` . r..`.' ............... . plumbing in the buildings of .... . �. E. �� r )"it /�i, f ........... , North Andover, Mass. Fee ..���:.�... Lic. No.. l.:... ....................... '". ... . PLUMBING INSPECTOR Check # 4:'S3 i 1 T°'''. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT_TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS �f Date j Building Location / ' �� Owners Name d ye Permit # C Amount Type of Occupancy New Renovation El Replacement El Plans Submitted Yes No FIXTURES (Print or type)/ Check one: Certificate Installing Company Nameakl"A)U ,�' YI 0 Corp. Address keJd 11Partner. Business Telephone //Firm/Co. Name of.Licensed Plumber. t c: +11'0 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy '0 Other type of indemnity 11 —I ❑ 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 I hereby certify that all of the details and information I best of my knowledge and that all plumbing worlcjn compliance with all pertinent provisions of the s � Agent 11 entered) in above application are true and accurate to the led under Permit Issued for this application will be in r 2 of the General Laws. Title Type of Plumbing License �� City/Town License Number er Master APPROVED (OFFICE USE ONLY Journeyman ❑ �1:1;;W41N000WM-----.-M-...------.- i • - I.---.-.---M..®..--.--.---� / 1 =-=..----.--..-...--.---- / 111 .M -.---..---M....-.----.- M.., 111 ----------------.-..--.-- • 111 ------------------------- 1 e s 1 ---------------------�--- w,ii-asuirt-I,MMMMMMMMMMMMMMMMMMMMMMMM-. / 1 .M----------------------- 111 .-.M------------------m-- (Print or type)/ Check one: Certificate Installing Company Nameakl"A)U ,�' YI 0 Corp. Address keJd 11Partner. Business Telephone //Firm/Co. Name of.Licensed Plumber. t c: +11'0 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy '0 Other type of indemnity 11 —I ❑ 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 I hereby certify that all of the details and information I best of my knowledge and that all plumbing worlcjn compliance with all pertinent provisions of the s � Agent 11 entered) in above application are true and accurate to the led under Permit Issued for this application will be in r 2 of the General Laws. Title Type of Plumbing License �� City/Town License Number er Master APPROVED (OFFICE USE ONLY Journeyman ❑ Location No. Date TOWN OF NORTH ANDOVER Fiji .. . 0 Certificate of Occupancy $ o Building/Frame Permit Fee $ CNUS Eco' Foundation Permit Fee $ A Other Permit Fee $ wer Connection Fee $ Water`661�nection Fee $ ` ®4,`401^ Building Inspector Div. Public Works PER'l1fT NO. D 13 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. Y PAGE 1 MAP K40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE r SUB DIV. LOT NO. I LOCATION -T /� PURPOSE OF BUILDING C3 t -k- N;("I � tfldlL �� Y 1q' ?111;r,cp OWNER'S NAME � q -A I-ry RySwt�«\ ►.`5-t• .l NO. OF STORIES SIZE `��y%-Au t OWNER'S ADDRESS 5y ' 1 V 1v BASEMENT OR SLAB ) C ARCHITECT'S NAME SIZE OF FLOOR TIMBERSIST 2ND 3RD BUILDER'S NAME � tj o C �uS 1 V� J SPAN DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR "' 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 TO REQUIREMENTS 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 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING c� ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED jg-u, SIGNp�T RE OF�NE OR AUTHOR ED AGENT U/ \-'�� �-ic i� 0535 73 FEE #/y -- PERMIT GRANTED 19 i 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST IT" EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN t ! BUILDING INGPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE d I 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN.B'M'TAREA '/.1/2 1/ FIN. ATTIC AREA _ NO B M FIRE PLACES _ _ HEAD �MM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBO RDS CONCRETE EARTH HARDArJ'D COMMCN ASPH. TILE B I 2 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP GAMBREL BATH (3 FIX.) MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET — ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING I 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 GAS OIL B'M'T 2nd ELECTRIC _ 1st 13rd NO HEATING 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. 2x4. % P,t 1* c 44t X f«.albav S�nem w Location '45 l , A rAJ �y No. /6 Date J `/ V ~ y / TOWN OF NORTH ANDOVER .: • o� A Certificate of Occupancy $ cHu"^CHU Eta s�s Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �6�0 Check # Li G Building inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Seeflon for Official Use 0 "Moom'samp -4"WM, BUILDING PERMIT NUMBER: DATE ISSUED: 2 te SIGNATURE: Buildiu Colnmissi2!4r/I or of Buildings Date Srr 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: —5- — 704�--U�l -- ing District used use Lot Area (sf) Frontige (ft) 1.6 BUR DING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided —ie red -4�i I Provided 1.7 Water Siippl;M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 0 private 0 zone — Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record ry Name (Pliuo-- Address for Se&ice SilKt—ure Telephone 2.2 Authorized Agent Name Print Address for Service: L-5 6 91 6 1111.� Signature 61 Telephone 3.1 Licensed Construction Supervisor Not Applicable 0 C S.. 0 Address License Number Licensed Construction Supervisor: —��— r� �l / % 9/(� 7 — — — - 4- <KP 76 33 Expiration W Signa — 6r ,f Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name'. v Registration Number Address Expiration Date Signature Telephone Name: Address Signature Telephone Company Name: Responsible in Charge of Construction Not Applicable ❑ Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone •1. l'��i ?}r.�'Y�Y�.MA�AYF."� ., i= :.`tn�s'��M'k';.,�` . � ., T. 4 f%i. Company Name: Responsible in Charge of Construction Not Applicable ❑ New Construction ❑ Existing Building ❑ Repair(s) ❑ TAilerationt>'<T USE GROUP Check as applicable) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Descripttiionn ofProposed Work: W f -5 ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include /j / Basement levels (/ Floor Area per Floors Z Total Areas �j Total Height (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authoriza ' - TO BE COMPLETED WHEN OWNERS AGE -n OR O PLIES FOR BUILDING PERMIT kZ;erof the subject property Hereby authorize My behalf, 'tters relative two work authorized by this building permit application 'gnature of Owner Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ lA 1 B ❑ ❑ B Business 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ' ' • , * ''❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ I Institutional a `• `• '❑ I-1 ❑ I-2 ❑ 1-3 ❑ M Mercantile ❑' 4 ❑ R residential ❑ R -I ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group:�5/�G�,G Existing Hazard Index 780 CMR 34: — � , r �(�i Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include /j / Basement levels (/ Floor Area per Floors Z Total Areas �j Total Height (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authoriza ' - TO BE COMPLETED WHEN OWNERS AGE -n OR O PLIES FOR BUILDING PERMIT kZ;erof the subject property Hereby authorize My behalf, 'tters relative two work authorized by this building permit application 'gnature of Owner Date to act on as Owner/Authorized Agent �information Hereby declare that the staternen;d�n�d on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Si of of Owner/Agent Date MR - Item Estimated Cost (Dollars) to be Completed by permit applicant 1. Building(a) Building Permit Fee C-) Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number ............... "a NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS i ST 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS 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 JUL-11-2001 10:38 TURLEY MARTIN c i REMOVE ALL BASE AND 2 PHONE COMPANY SERVICE TO BE OVERHEAD CABINETS LOCATED WITHIN V-0" OF BOC ., �; PARTITION PLAN .,edlll��. 1. Field contractor to field verify all existing conditions, notify designer of any diserepanoies. .314 515 .3518 P.05/06 LEGEND: - = = = 3 DEMO PARTITION il EXIST. PARTITION EXIST. DEMISING PARTITION � NEW PARTITION gNEW PARTITION/ INSUL. ®NEW DEMISING PARTITION EXISTING DOOR NEW DOOR j DUPLEX RECEPTACLE ., QUADRAPLEX RECEPTACLE (� DEDICATED DUPLEX RECEPTACLE W/ ISOLATED GROUND hTV/VCR OUTLET V® BYPASS JACK t PHONE JACK COMPUTER/DATA OUTLET $ SWITCH o ELECTRICAL PANEL NOTES; -ELECTRICAL DEVICES HAVE NOT BEEN 'FIELD VERIFIED; RECEPTACLES AND SWITCHES SHOWN' 1 ARE FOR REFERENCE ONLY. CONTRACTOR TO PROVIDE NEW ELECTRICAL DEVICES AS I�N� DICA?ED ON PLAN IF AN EXISTING DEVICE IS NOT ' ' WITHIN 36' OF DEVICE IND'CATED. r I DO NOT REMOVE DEVICES THAT ARE EXISTING IN REMAINING WALLS, UNLESS NOTED -A SWITCH SHALL OCCUR ® EACH EGRESS DOOR: AND SHALL EE 3 -WAY IF APPLICABLE FOR MULTIPLE ENTRANCES. -NEW PARTITION CONSTRUCTION SHALL MATCH EXISTING BUILDING STANDARDS: CONTRACTOR TO COORDINATE SIZES CF MATERWLS USED. -PHONE COMPANY SENCE TO BE LOCATED WIT4N I'-0' OF BOC " Edwardjon s BRANCH FACILITIES 12555 MANCHESTER ROAD'';'`. ST. LOUIS, MISSOURI 63131 PHONE: 1-800-824-65251 j FAX: (314) 515-2889 I BRANCH OFFICE 17469 95 Main St. North Andover MA 0184 LEASE SQ. FT, 820 Location: / Ci �/l% f��C�L'c ,_ l % Phone me & Z am a homeowner performing all wo myself. ` am a sole proprietor and have no one working in any capacity 0 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 w!!el 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 t y be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under a pains pe al les o erju at th information provided above is true and correct. Signature /� ,-�--- Date g Print name/ 'L� --J o �C I Phone #' 7 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 ❑ . 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