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HomeMy WebLinkAboutMiscellaneous - Devon Court 711045 Date .... :��VOAI TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING v This certifies that ..... ............ ............. ...... has permission to perform.�ao.� ....ACL`-. ****'**""*"***��"*"'***"*"**"**"*,*** plumbing in the buildings of ........ Wi4IL).')JQV-J,� �0-� ...................... ... ..... .... orth Andover, Mass. at ..... Fee.' Lic. No. ........................... ....................................... PLUMBING INSPECTOR Check # I-Ail MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK VV9 CITY__ .._j MA DATE PERMIT # 11 JOBSITE ADDRESS OWNER'S NAME POWNER ADDRESS U W )d _ c %0` TELIFAX TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL Q RESIDENTIAL PRINT CLEARLY NEW: Q RENOVATION: ® REPLACEMENT: 0� PLANS SUBMITTED: YES Q' NOG— FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM I _r..._.. (._.__1 J . __..i _( .__. _-__..j DEDICATED GREASE SYSTEM _____-[ ._.__J DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER „-I i _..__ I __I ._.___1= DRINKING FOUNTAIN I-_--_-( ----_€ I FOOD DISPOSER --I-.--_.I ..._.._ I f, l I .. FLOOR/ AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK —( ----{ ..—_� _...__� I �______i _._.___ ___..._.[ ___J ____J _.._.. . LAVATORY F _ ROOF DRAIN SHOWER STALL _f .__._ I __.� ___._� ,__. ___•_. _.___. _�___1 __._1...._...._1 _. _ I SERVICE / MOP SINK _ .� __. _ f ( _._...__4 ( _. J _.__.._._!ILLI-_j TOILET _..__ ._i j I ___.j _j _I .___J .___- .___I ___._( ._.___T URINAL I_._.I _-.- t 1 ___..... (� { .._...j ..__._. ..._. _r .__...__i _ I WASHING MACHINE CONNECTION WATER HEATER ALL TYPES a_I I --- I _i g .._. _...__--1 --.__j _I WATER PIPING OTHER __._ _ _ I I _ I _._..._l ._..__._1 I _i I ._..___i ! I ._.....__P I 1 6 _.._f _-... _.. .m._.I - _A ----' _{ INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES ...� IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITYQ BOND �I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT 10 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and cur to a best of my k g and that all plumbing work and installations performed under the permit issued for this application will be in complian i all P en rovisio he (Massachusetts State Plumbinge and Chapter 142 of the General Laws. Cod PLUMBER'S NAME LICENSE # SI AT kE IVIP �jp CORPORATION Q#PARTNERSHIP Q# _ LLC { COMPANY NAME ADDRESS ` .Q CITY _.._-� STATE IM I ZIPJ� _ TEL FAX CELL yG(MAIL H O O H U a � w o z W � w O O a w Cl) CL 3 w coO a O z w� a U J a a � B � w z w t- w H O O H U a a a The Commonwealth of ll4assachusetts - Departmint of Indifstrucl Acciel'enis Office of Invesfigatlons 600 Washington. Street .Boston, MA 02111 www.mass gov/ciza Workexs' Compensation Insurance Affidavit: BuffdersIContractors/Electrxclans/Pliimbers Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New cOnstruction em - A (� and/or p e), have hired the sub -contractors listed on the attached sheet 7. ❑ Remodeling 2. am a sole proprietor oxut partner- ship and`lave no employees These sub -contractors have 8. ElDemolition working forme in any capacity. workers' comp, insurance. g, E] Building addition [No workers' comp. insurance 5. El We are a corporation and its • 10.❑ Electrical repairs or additions required.] 3.E1 I am a homeowner doing all work officers have exercised.theix right of exemption per MGL 11.[( Plumbing repairs or additions Myself [Eo workers' comp. c. 152, §1(4), and we have no 12.QRoofrepairs insurancere ed. a employees. [No workers' 13.0 Oihex comp. insurance required.] x.Any applicantthat checks box#1 must also fill outthe section below showingtheir workers' compensation policy information. i Homeowners who submit this affidavit indicatingthey b're doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that checkUs box must attached as additional sheet showing the name of the sub -contractors and their workers' comp. policy information. X am an employer that is providing workers' compensation insurance for stay employees Below is the policy imd job site information. Insurance Company Policy 0 or Self -ins. LiG. #: Expiration ExpiraiionDate: Job Site Address: tY/State/Zip� /V J-0-U-4,1— AXA Attach a copy of the workers' compensationTolley declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 152 can lead to the imposition of erimin:al penalties of a fine up to $1,50 0.00 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 cert& Phone #: Oficial use only. Do not write in this area, to be completed by city or town official. City or Town, Perniff0cense Issuing Authority (circle One): 1. Board of Health 2. Building Department 3. City/Town. Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation £or their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract dhire, express orimplied, 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 employex, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. PSo or ver 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 b con 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), addresses) and phone number(s) along with their certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are notrequired to carry workers' compensation insurance. If an LLC or LLP does have employees, apollcyisxequired. Do advised thatthisaffidavit maybe. submitted tothe Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested, not the Department of Jndustral Accidents. Should you have any questions regarding the law or if you are required to obtain a yPorkers' 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 thatthe affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit fox you to fill aut 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 thatmust submitmultiple permit/license applications in any given year, need only submit one affidavit indicating current Policy information (ifnecessary) and under "Job Site Address" the applicant should write "all locations in . (city or towjm)" 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 future permits or licenses..A. new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license orpermit to burn leaves eta.) 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 c�tzestions, please do not hesitate to give us a call. The Department's address, telephone ahcl fax number: Tho Com4ionwtoaltttoflassachusPtEs - D— Tarbeat of1udwWal Acoldo is • ()£��o ofI'��esti�a�ou� 600 WuhiV n Sl7re .F.E Revised 5-26-05 Fax # 617-727-7749 WWWaxtangovldia 31�Date ... .(A . ......... .......... ....... . ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION V,, -,A This certifies that .......................................... .................................................... has permission for gas installation........... ................................. ....... W in the buildings of. eD 0 ...... 0 L) ....... .......... ......................................... ............ orth Andover, Mass. Fee ..20...........U� .. Lic. No. 19 .......... 6 .... ............................................................... GASINSPECTOR Check # 0:) MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK �—--- — CITY MA cX O v,e�--- T DATE 1.0 _ PERMIT # JOBSITE ADDRESS OWNER'S NAME �_'... GOWNER ADDRESS TE FAXTYPEO PRINTT PRI OCCUPANCY TYPE COMMERCIAL � EDUCATIONAL ® RESIDENTIAL CLEARLY NEW: F-1 RENOVATION: El REPLACEMENT: [a--' PLANS SUBMITTED: YES NOBS APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER _I FIREPLACE 1�= 1 - I — I - I _� -�! FRYOLATOR- FURNACE GENERATOR C .r(I - T 1T a I1 = ....__.. r l� I GRILLE INFRARED HEATER` LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATERROOM/ SPACE HEATER ROOF TOP UNIT _ TEST UNIT HEATER I — — UNVENTED ROOM HEATER _ L- J WATER HEATER DED OTHER _ — INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES 9 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY �" OTHER TYPE INDEMNITY © BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accur to to es my kno. d and that all plumbing work and installations performed under the permit issued for this application will be in compliance wit I P rti n r sl o Massachusetts State Plumbing Code and Chapter 142 of the General Laws.; PLUMBER-GASFITTER NAME - J LICENSE # SIGNATURE'. MPGF [j JP ® JGF Q LPGI ® CORPORATION ©#PARTNERSHIP ®#� � LLC ®# COMPANY NAME:IZ-#- —� ADDRESS CITY l _ �� STATE ®ZIP TEL _ FAX I CELL�L W H O z H w w O W N� O WWP64 a I-- zz W � a LLJ w d cl) g a a P-4 r a U J a 0- 3: z I-- w LL W H O z 0 H U W L�7 C�7 O 4.1 .. LL ..._....:. '': A 01832-8 E tvtRH I Ll 1A 01'832 U 19 1;1 Date .....1..4....`".. .......': .....b to ".' —.3 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. ........ .................. has permission to perform ............. < --00 ' T�� ........... wiring in the building of ... W. P P n.: 0. c Dy E ... k1,6*CS ..................... at .......... P 1 A / ... f0l?.............................. . North Andover, Mass. ,ve:- Fee ... A�----Lic. No . ........ 9 .. ............... 10 7:LECTRICAL INSPECTOR Check # —,77111 7029 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 2 r 2 - BOARD BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 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: 10/18/2006 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) 7 Devon Circle Owner or Tenant Wood Ridge Homes Telephone No. 978-423-7867 Owner's Address 10 Wood Ridge Drive, North Andover, MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box) Purpose of Building Residence 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: Installed 220 Outlet for A/C No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- rnd. rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets 1 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number . . .. Tons .. KW ....................... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kms, Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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. 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 X BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the pains andpenalties of perjury, that the informfr/ion on this applicq(ion is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature t'/� Q - LIC. NO.: 9743 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-686-3828 Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.: 978-686-3829 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 a ent. Owner/Agent PERMIT FEE. $ 20.00 Signature Telephone No. Date.../. %/ . ! ( ..... kTOWN OF NORTH AN PERMIT FOR GAS INSTI This certifies that ... �a4-4. P. _�... ................. has permission for gas installation ...4 :............... . in the buildings of ..../�.t��Iu��rr �.... :���.".�.. _�....... . at .... 7... p� v! !? ..... _........ , North Andover, Mass. Lic. No. c ..3 '. �t- ... ! ..... GRAS INSPECTOR Check # /y w 799 NIASSACHUSEM UNMRM AMUCATON FOR PERNIlT TO DO GAS G (Type or print) Date �/ % Q NORTH ANDOVER, MASSACHUSETTS Building Yry- ions �` '`- CG v l Permit # Amount $ u em 0 S Owner's Name New ❑ Renovation a Replacement dans Submitted ❑ (Print or type) Name Address Lv k us Name of Licensed Plumber or Gas Fitter C e one: Certificate Installing Company Cff Corp. 11 Partner. Dz4frico. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or' 's -substantial equivalent. Yes No O If you have checked }_es, please ind' a type coverage by checking the appropriate box. Liability insurance policyEy Other type of indemnity 1:3 Bond 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 Agent11 �—.7 — ...7 — —1 U< <ll�, uL;tu«3 1L11u HHU11nuLIUn I navc suuuuueu (.or emerea) In aoove appiwation are true and accurate to the hest of my knowledge and that all plumbing work and installations performed under Perm• ed for this a, iCjation will be in _ompliance with all pertinent provisions of the !Massachusetts State Gas Code Ch er of thm Gia r rws. (Title City/Town OVED (OFFICE USE ONLY) Signature of Licensed PI ber Or Gas Fitter Plumber o Gas Fitter Mcense Number 0 Master rneyman • • (Print or type) Name Address Lv k us Name of Licensed Plumber or Gas Fitter C e one: Certificate Installing Company Cff Corp. 11 Partner. Dz4frico. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or' 's -substantial equivalent. Yes No O If you have checked }_es, please ind' a type coverage by checking the appropriate box. Liability insurance policyEy Other type of indemnity 1:3 Bond 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 Agent11 �—.7 — ...7 — —1 U< <ll�, uL;tu«3 1L11u HHU11nuLIUn I navc suuuuueu (.or emerea) In aoove appiwation are true and accurate to the hest of my knowledge and that all plumbing work and installations performed under Perm• ed for this a, iCjation will be in _ompliance with all pertinent provisions of the !Massachusetts State Gas Code Ch er of thm Gia r rws. (Title City/Town OVED (OFFICE USE ONLY) Signature of Licensed PI ber Or Gas Fitter Plumber o Gas Fitter Mcense Number 0 Master rneyman n q 'J 1 349 1 Date...;'.,?. �.... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION p This certifies that�...:-�� has permission for gas installation .................. � ' i><athe buildings oft. �-..•••••••••••••••••• at %.. `'... ........ 'North Andover, Mass. Fee/r5. Lic. No./. h /'j ....... '' —GAS INSPECtOg' WHITE: Applicant CANARY: Buil' ding Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GM1fj 71YG (Type or print) NORTH ANDOVER, Building Locations ACH US ETTS Owner's Name Permit 9 Amount S A ` ELI New❑ Renovation ❑ Replacement �-- Plans Submitted F1 A / (Print or type) `.J / Check one: Certificate Installing Company Namey J 1 t1 11Corp. D g❑ Palmer. business l elephone Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy �—� Other type of indemnityF1Bond ❑ [ 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 submit (or entered) in above ap lication are true an accurate t the best of my knowledge and that all plumbing work and installa[ions pertoyCde d under Pe t ued For this appli tion will in compliance with all pertinent provisions of the Nlassachusetts Sta as and Ch 2 of the neral a By: Title C i tyiTow n APPROVED wi,ncii USE ONI.Y) Signature oT1 JED—Plumber ❑ Gas Fitter Nlaster r7 Journeyman censed Pfuri 4 Or Gas Fitter License iNumotr Location No. - �' Date 2 f VJORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ } ; Building/Frame Permit Fee $ s�cNusE Foundation Permit Fee $ R Other Permit Fee 1CF/1j, $ Sewer Connection Fee $ bAO�jjr Connection Fee $ ' C� TOi�VP $ " �V�r Building Inspector C%e, �,�.. f - Div. Public Works `PEBJtIT NO. 13 Q ,� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /PAGE 1 MAP K40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME + C� p — 1 J NO. OF STORIES SIZE 1 " S 4 / J OWNER'S ADDRESS _ .s.. 0144 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST Z.,rX�u 2ND 3RD BUILDER'S NAME SPAN /6 l DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS"X 9 / /, 7 J� DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT - % ; 1. FRONTAGE - • HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING �` o//Z%1 X IS BUILDING ADDITION MATERIAL OF CHIMNEY ,r IS BUILDING ALTERATION r 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 3 4 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - q APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT OWNER TEL. FEE I 1 CONTR. TEL. # a N - CONTR. LIC. # PLANNING BOARD PERMIT GRANTED �v 19 BOARD OF SELECTMEN e BUIEDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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. l r-' "3 ' MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE 8 INTERIOR FINISH _ B 1 2 13 PINE CONCRETE BL'K. BRICK OR STONE HARDW D _ PIERS PLASTER _ DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/1 V. NO B M FIN. ATTIC AREA FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_, _ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARDW'D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME I� CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR _ ADEQUATE I� NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD A 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. 8 COLS. STEAM STEEL BMS. 8 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 _ 1 s 13rd I ELECTRIC NO HEATING lei l r-' "3 IN m z -® m rm 0► m -1 !A m T1 m me m V�1 'w_ c c C v n er 0 W) � � ?n //��7• O i ° H � � n O eD O IT ri O � a -4G ;o� rt a a. 1 O V1 A m z a ° IN m z -® m C 0 c c� rn 0 Yu9 0 0 m -1 !A m T1 m 7!0 m c 'w_ c c C m<< er w? � � ?n 7c ° a n O m ri a -4G ;o� a > Z m z ° C m m Z Z Z M o C 0 c c� rn 0 Yu9 0 0 _ Wood Ridge 10 Wood Ridge Drive North Andover, Massachusetts Ol845 ' - 711rnhoon6821093 TDD Line l-800-545-183]Ext. l43 July 6, 3992 Mr' and Mrs. Poul Schiller 7 Devon Court No. Andover, M4 Ol845 Dear Mr' and Mrs' Schiller:: Enclosed please find the Wood Ridge Homes Deck Specifications - Please note that any deck exceeding ten feet by ten feet requires board approval. Any deck ten feet by ten feet or less may be Op - proved by this office.. Upon approval, a building permit is required from the town of North Andover before construction can begin' 4 deck Will be C0D- sidered an improvement once the final COSt and d copy of the building permit is reCieVed by the office - Please contact the office if you this prnnesS' B4RKAN MANAGEMENT COMPANY Paul E. BengtsIri Property Manager have any questions regarding —1 + WOOD RIDGE H0ME� ~ DECK SPECIFICATIONS l) I�*Ck may not measure more than ten (lO� feet by ten /lO) feet without board approval.,` ' ` ' 2) Deck must not come within two �2` feet of either end �f re5� deDtS unit. ` ' - 3\ Deck flooring 0USt be at least one (l\ inch below Sliding door.` ' 4` Deck 0USt not he attached in any way (ndiled` screwed, etc,)to the building. 5) Deck may not have any type of overhead stucture (tent awning or roof)..` ` ` 6\ Railing of any type not toexceed forty (40) inches in height' 7) Deck may be Painted white or Stained Or painted a natural color. MA3SACHUSETTES STATE BUILDING CODE l` A building permit must be obtained from the Town of North An dover Building Inspector, telephone 682-6483' - 2) Deck must he built with at least construction grade lumM 3} Footings to be Poured concrete of at least forty-eight /48) inches in depth (below frost line).,` ' 4) Structure framing is to be sixteen (l6` inches on center when three quarter inch stock is used OS' finish decking planks twenty-four (24) inches on Center if one and One quarter stock i` used. � )� 5) Framing stock to be no less two 8\ '2> by eight ( inches when frame exceeds more than ten (lO) feet in length.` ' 6` Any lumber to be within seven (7� inches of the ground shall.be Pressure treated. ' � 7) Spacing between decking Planks to be at least one quarter inch' 8) Deck must have o second means of egress' A complete copy of blueprints or drawings including all dimensions, types of materials, and estimated final cost of the deck to be built must be submitted to management for board ap- proval before any construction may begin - All specifications will be strictly adhered to The resident of for the unit will be held responsiblef ' correcting any deviation r from t�� from the approved Plans o f the above specifications,up to and including the complete dismantling of the deck'