Loading...
HomeMy WebLinkAboutMiscellaneous - Exception (520)----7 � 1' a MASSACHUSE TTS UNIFORM APPUCA-TON FOR PERM TIO DO GAS KING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date %(.11j c) Building Locations -_.cl wt n4' Owner's Name New ❑ Renovation Replacement SU B -BASEM ENT HASEM ENT 1ST. FLOOR , N D. FLOOR 3RD. FLOOR 4TH. FLOOR TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH.' FLOOR. Print or type) ;/ Permit # Amount S Plans Submitted ❑ Address Q t! \,- edr 12— Business felelinone Y. Name of.Licensed Plumber or Gas Fitter neck one: Certificate installing Company Corp. ZmVco. er. � INSURANCE COVERAGE I have a current liability Insurance,. policy or it's substantial equivalent Check one: if you have checked ves. please indicate the type coverage by cheekin the Yes Liability insurance policy g appropriate box. E Other type of indemnity ri Bond NOD Owner's insurance Waiver 1 am aware that the licensee does not have the insu Mass. General Laws, and that m signature on this enntt� 'ice coverage required by Chapter 142 of the Y �' p application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner t hereby certify that all of the details and information 1 have submitted Agent (or entered) in D application 1 e best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be 10 compliance with all pertinent provisions of the Mass a stat Ch and accurate to the as Code � after . 2 of the Geral Laws. By' Signature of Li Title [Plumber City/Town. 0 Gas Fitter 0-1master JAPPROYED (OFFICE USE ONLY) Journeyman Stud Plumber Or Gas Fitter icense umbe a w v; Z 0 U d x i a w a Z Q w a v W z 5 Address Q t! \,- edr 12— Business felelinone Y. Name of.Licensed Plumber or Gas Fitter neck one: Certificate installing Company Corp. ZmVco. er. � INSURANCE COVERAGE I have a current liability Insurance,. policy or it's substantial equivalent Check one: if you have checked ves. please indicate the type coverage by cheekin the Yes Liability insurance policy g appropriate box. E Other type of indemnity ri Bond NOD Owner's insurance Waiver 1 am aware that the licensee does not have the insu Mass. General Laws, and that m signature on this enntt� 'ice coverage required by Chapter 142 of the Y �' p application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner t hereby certify that all of the details and information 1 have submitted Agent (or entered) in D application 1 e best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be 10 compliance with all pertinent provisions of the Mass a stat Ch and accurate to the as Code � after . 2 of the Geral Laws. By' Signature of Li Title [Plumber City/Town. 0 Gas Fitter 0-1master JAPPROYED (OFFICE USE ONLY) Journeyman Stud Plumber Or Gas Fitter icense umbe Date .. ..`.. /. `. � . NORTh TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .` `..T! .... : v ...�.� ... . has permission for gas installation .. f!t: :4.-e .1 4-e 4-7�r.` in the buildings of .................... at ...VA . ....�h �� /. ..... . , North {Andover, Mass. Fee. vu . Lic. No..P.3. �O. ;�!�-•mss:! Y GASINSPECTOR Check # { i� 6825 f 1,.CP ummnnwealth ofMQssachusetts De artment o .f Inducts ial Accidents Office of frcvestigations W 600 as .,, hineoton Street �osfoez, MA 62111 r; + wx�rv.rsx�ss.gov/dig Workers' Compensation Insurance Affidavit. g"ders/Contractors/Eiectr' ?Ulicant Information idianslviumbers Name (Business/Organi=bc)n/individual): Address: ,4� (3 V k l E ✓L City/State/Zig: z, 4). • sit —L� Are you an employer? Check the appropriate box: 1 • [}'tarn a } Phone #:_ cj %p d-16 — em o er with 4[� emp}oyees( 11 and/or part-time).* . h� a general contractor and I p ) hired the sub -contractors 2.0 I am a sole proprietor a partner- listed an ship and have no employees the attached sheet. 2 working for me in any capacity.work=c:om r- urs have [No workers' comp. insurance 5.. We are � C_ insurance. requrrred.] 3. ❑ I am a homeowner doing all work myself. [No. workers' comp. insurance required.] t corporation and its o$ieemhave exercised.their right of exemption per MGL C. IS25 § 1(4). and we have no employees. [No .workers' camp. insurance required.] 13.0 Other *Anv applicant_thai checks box # 1 .must also'fill out the section below showing their workin,. com t Homeowners who submit.tifis affidavit indicariuL u�ey ase duirg Lt wt!' -v 'Conuac a Thai check this box -must attached an additional sheet showing P'nsation policy mrofmahon. r=F+� inert hiry ou�ide- eontraeiurs mutt submit a new amdavii m_i�ng a ch. the �"f: the sub-c�„nactn2 and {Heir wo 'I am enempjoj)r thX tsProviriir�B worms , rk=, camp, policy.fomaticn.infnr►natioa cn`,,perrsine for ' e e„ '"Ploy -s• Beloit is thePoKCY and job sire Insurance Company Name: Type of project (required): — .6• ❑ New construction ?• Q RernodeIing . 8• E] Demolition 9. ❑ Building addition 10:0 Electrical repairs or additions I I.0-P'rumbing repairs or additions 12=� Roof repairs Policy # or Self .ins. Lic. #: Expiration Date: Sob -Srt`. Address: Attach z copy of the workers' comp City/Stitecip: compensation policy cieeiar-a tion o Failure to Secure coverage as required under Section 25A of page (showarzg the policy Dumber and expiration date). nue tip to X1,500.00 and/or one-year imprisonment. MGL c. 152 can leadd to the imposition of Y as well as civil WORK criminal penalties and Investigationsa fine of up to .1250.00 a day against the violatorpenalties in the form of a STOP . Be advised that a copy of thisstatement may be forwarded toK Investigations of the DIA for insurance n Coverage verificatio the .. Office of i do hnrni.' #- f' Peaal�ies of pe�P'4h" the informa6" Provided above is true and correct v x—"Lz Ufjiciuse on' y. Dn not write in this I area, to be comPieted b3, city fir town oficiaL City or Town: Issuing Authority (circle one): Permitfucense 4 1. Board of Health 2. Building Department 3. City/Town 6. Other Clerk 4. Electrical Inspector S. Plumbite� b Inspector Contact Person: Phone #: iniormanon c .nd 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 ".. ever -y person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, parinershep; association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and inclucii ng the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, associate an or other legal entity, employing employees. However the owner of a dwelling house. having not more than .three ap zu-hments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maint.-nance, 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 o r local licensing agency shall withhold the issuance or renewal of a license or permit,to operate a basiness 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 els political subdivisions shall eater into any contract for the performance of public worll.c 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 compl-etely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) 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 catry.workers' compensation insurance. if an LLC or LLP does have _ employees, a policy is required. Be advised. that this af6ci<.avit may .be submitted to .the Department of Industrial Accidents for confirmation of insurance coverage. Also lbe sure to sign and date the affidavit. Theaffidavitshouid be returned to the city or town that the application for the permit or license is being requested, trot the Department of Industrial Accidents. Should you have any questions reg*t- Tding the -L-xv or if you are required to obtain a warke�s' compensation policy, please call the Department at the ntUrnber:eisted below. Self insured co rippanies should enter their self=insurance license number on the aDprop^ate line. e 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 contactyou regarding the applicant Please be sure to fill in the permet licew nse number which ill be used as a reference number. In addition, an applicant that must submit multiple permitnicense applications in arty given year, need onl), submit one affidavit indicating current policy information (if necessary) and under "Job Site Add -cess" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially st&rmped 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 Iic--mas. A new affidavit must be filled out each year. VJheae a home owner or cetiz,-n is obtaining a licens-- or permit not related to any business or commercial venture (i.e. a dog license or permit to burnleaves 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 lztdustrial Accid nts. Office of Lavestigations 600'Waabdngton Street Bosron, MIA 02111 Tel. #. 617-727-4900 e= 406 or 1-9.7?-MASSAFE Revised 5-26=05 Fa: 4 61 7-727-7749 lx%wmass.gov/dia Date Jzbe63 ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING tffhis certifies that..... /).� ... ................................................ has permission to perform ..... FA U..:.Z,104 7 ........... wiring in the building of .... r. .......................... S0.1�1.7�.Ale ................. . North Andover, Mass. Fee.10s,�UZO Lic. No. k3l'�-.?.; ....... ... ... a..... ELE&mcAL INsPE R 77 :,2= Check # 486"1 THECOMMONWEUTHOFM DEPAHIIT'OFPUNIC BOARDOFFMPREVEMONRR APPLICATTONFOR PERMIT TO PER ALL WORK TO BE PERFORMED IN ACCORDANCE WrrH THEWSSACHI (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) V Town of North Andover The undersigned applies for a permit to perform the electrical work described Location (Street & Number) Owner or Tenant 6A2/Lo// /�V /it E7 -P&,- 7;1-1--1 SETTS Office f` Use only Permit No. 4e(o R7CMR12.010 Occupancy & Fees Checked RMELECTRICAL WORK ELECTRICAL CODE, 527 CMR 12:00 Date D 1J I4CQ 3 To the Inspector of Wires: Owner's Address S;0 ^16 Is this permit in conjunction with a building permit: Yes =No 71 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service AmpsVolts Overhead M Underground No. of Meters New Service oS0 d Amps /a/ 2 o Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA O ground D ound 1 No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units Oo No. of Switch Outlets • �� No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals Z No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating. KW Z No. of Self Contained Detection/Soundiog Devices Local Municipal Connections _ Othe No. of Dryers Z Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER- hlstua =Co%nge. PtltstrarttothetequmlazofMa%adiuse cenetalLaws Iba,&aamatLdxkyhmum=FbhcyinddngCompl* CovaageorAsmbgmitd privalart YES F1 NO IhawahnaodvandproofofsmmtDtrOfficeLYES riQh If)mlnwdWWYESplmnk&tbetArOfODWWby dleddngthe box 1L•J� INSURANCE BOND GRIERR ftweSpecify) t FIRMNAME M 07 Mr tIRI, rtw —17 a . M. -m I LimmNo. o•! 3 P ' Z - Lime CZi / GJ Signaa>le - - Ib �1 319 2- BusirmTel No. C/ !�%Y/E�6L•1 .�� /�J`���L eA) A1tTe1No. �� t --OWNER'SINSURANCEWANER,IamawarethattheLmwdoesnothaivedieinstuarloeoD—m ageorasabstmtdegzvalentaslegtWbyMa%adRmmGetlaalLaws and that" %g mtxe on this pmnit application waives this regtlitenifft (Please check one) Owner ED Agent Telephone No. PERMIT FEE $ AQ oZ 3, UD Signature ol Uwner or Agentl; The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, Mass. 02911 WorkersCompensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I 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. Policv # 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_weU_as_CMI,penattiesbihelmn-dABTOPMRK_ORDFRand afore-f_($1AO.DD)aAVAgainstmP— I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is bye and correct. Signature Date 01 Print name Pbone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing. Building Dept Check if immediate response is required Llcensinq Board E] Selectman's Office Contact person: Phone #: E] Health Department 0 Other Location_'SU IMM'' No. � d �l (A Y- Date O� NGRT01 TOWN OF NORTH ANDOVER 0 •. 09 0. + - s • ; , Certificate of Occupancy $ MU t Building/Frame Permit Fee $ % U AGS Foundation Permit Fee $ Other Permit Fee $ �. TOTAL $ c Check # 3SCI 165,5 ;Building Inspector A !-lUU CJ LUV,) IMI VU' 11 i it VIAL\ ,ll 11 li1U1.11 U ULh'J1 _ V IQ -)IL JUUU I , 1 _c (Co r yl we 1�L— 15 .5V.+fM 6 X<6 lk SUMMIT STREET FOUNDATION LOCATION PLAN u � Of W , $ To APRXA"MVM MMAW INEfolartRMCAMSnMVM OW QOVVCA W Oars Or 6004M Mr OW MWM97 cpaorWn��w nAiV4& vM CLIENT: JIMCARi?OLL OMWVW M*W MU orar At WO dr W 0" FW AW MIS CE MO=AMM IS MADE AND WOW MIMrM ADUOMWN ar wK `IMOirU it sm w" no Mf,1BOVE CL1E 1w� rtas a Wip as mw � err OF � &savor W. AAD AW u OUTHOM cn VSE d AWOMcva�srMM t Axa r At err LWATOON: LOT Z SUkWT T.,NO.ANDOVER UK Or r SCA LE:1 *NM' DA M-6130103 CHRISTIANSEN &SERGI LAW SURWYM Ido say m sr. mm 1 " olaw UI. am -M-0/0 Maar or CAROMAM& soar► W. DWO. NO.: 98002007 ,16 Date ..1 p` tao ,aye OL TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that .. ! :� r t r� U t v. . . has permission for gas installation .. &).:? (!t! ................ . in the buildings of .. C- A .R .(2 � . l ..................... at S y''`� L' ! ......, North Andover, Mass. Fee.. � � .. Lic. No.. 11 5 5... ........... C . % /u /u GAS INSPECTOR Check # k °D 0 4495 �J MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS Ff rHNG (Type or print) . Date 3b -�,003 NORTH ANDOVER, MASSACHUSETTS i.S-! <7 r1 Building Locations �' Permit # Amount $ (Print orC© one: Certificate Installing Company Name W w��CL�C.P.� �yw�b�n�c �r�li-lLrACeal� 1-t�� Corp. Address ((033 Y -1 �' ❑ Partner. Business Telephone Ct-11:� -. aN'j ---I lg7bu ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter o,, INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M No ❑ Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ 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. Signature of Owner or Owner's Check one: Owner -1Agent ❑ 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 ofthe General Laws. OVER (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber 1 I g kl" -- ❑ Gas Fitter License Numb.eF 91 Master ❑ Journeyman Owner's Name�.�t�0 ( I ��� New El Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print orC© one: Certificate Installing Company Name W w��CL�C.P.� �yw�b�n�c �r�li-lLrACeal� 1-t�� Corp. Address ((033 Y -1 �' ❑ Partner. Business Telephone Ct-11:� -. aN'j ---I lg7bu ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter o,, INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M No ❑ Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ 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. Signature of Owner or Owner's Check one: Owner -1Agent ❑ 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 ofthe General Laws. OVER (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber 1 I g kl" -- ❑ Gas Fitter License Numb.eF 91 Master ❑ Journeyman JND. FLOOR 3RD. FLOOR (Print orC© one: Certificate Installing Company Name W w��CL�C.P.� �yw�b�n�c �r�li-lLrACeal� 1-t�� Corp. Address ((033 Y -1 �' ❑ Partner. Business Telephone Ct-11:� -. aN'j ---I lg7bu ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter o,, INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M No ❑ Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ 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. Signature of Owner or Owner's Check one: Owner -1Agent ❑ 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 ofthe General Laws. OVER (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber 1 I g kl" -- ❑ Gas Fitter License Numb.eF 91 Master ❑ Journeyman Date.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING . a This certifies that ..�. M�.NtcW. .. ?u w '.�. ............ has permission to perform .. A Y. �... �-1k k" "` ........ . plumbing in the buildings of .. Cn rr� at ...1.5 .". ... S „ ` �.K .`. ... '. .".... , Nrth Andover, Mass. Fee. �b�3�... Lic. No.�.�. ... J -:1vlU2..' � M, �-.... PLUMB NG INSPECTOR w Check # 0-,40 .: 578-' �oa3 MASSACHUSETTS UNIFORM APPLICATION FORPERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date ©c.;�- Building Location -~,,,,A- 5A. Owners Name �� ,n (� 1�,��j , Permit # Amount Type of Occupancy New Renovation Replacement 1:1 Plans Submitted Yes No ❑ FIXTURES (Print or type) Check one: Installing Company Name�yv��5�1Ca \ baa �, 6,r'�4AC�0y 1 Zt-:7-C, ® Corp. Partner Lj Finn/Co. Name of Licensed Plumber: KA , twNA 011 \ U, Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity El Bond ❑ Certificate 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 El 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 Plumbing Code and Chapter 142 of the General Laws. By: igna ure 01 Eicenseaum er .a Title Type of Plumbing License t e 3�—'S ❑ City/Town (cense Numuer Master® Journeyman APPROVED (OFFICE USE ONLY 15-Iq Location°� °Z `' - i Su w a'' ✓� J� No. 6 req Date -03 NaRT� TOWN OF NORTH ANDOVER ?o°`..e .o 0 A. Certificate Occupancy LID of $ �'� s'•^° tt�' +cwus Building/Frame Permit Fee $ Foundation Permit Fee $ r 0 Other Permit Fee $ TOTAL $ Check # i 6 4 5) A M Ct,,- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WAUR6NOVAOR DEMOUM A ONE OR TWO FAMMY DWELLING BUII.DING PERMIT NUMBER DATE ISSUED: SI(iNATiJRE: - AA Baildi Colnnlfssioller ofltl ' Date SECTION i- SITE INFORMATION 1.1 Property Address: STfe2 A 12 Assasas Map and Mep Numbs Parod Number Pamd Number 4 i 4 C< �f 1.3 Zoning&d'wmdion: R4 .- _ Zarin Di*id _ use IA PmpedyDimatsioas �f,oia Lnt Area toes Freata a 1.6 BUnD1NG SETBACKS Front Yard Side Yard- Rear Yard .'red.de ProvidedProvided loi� ,7 1.7A'mrstQplglNalc ]3. FlaadZoaeWmt pamk a P&ui o I zoo- 0shWFbodZ= ti Makw lt" Sc�vereDuposrlS}st� o o.si*vap«a-sy*'m n SECTION 2 - PROPERTY OVAURSEEMAUTHORUED AGENT , 2.1 Owner of Reoord JAMQ j C Aeeo t,(. 10- �i Name (Print) Address for Service.: GQL"' Telephone �o a Vecord sJ 2 ofR Nama Print Address for Scfyice- si&utult Tet bone SECTION 3 - CONSTRUCTION SERVICES 3.11 Constriction Supervisor. y CgpQO C Lioensed Construction Supervisor i a �t►�s �t�, . ��r�• ,rn�� o►�eo. Adder Ws l f V 6---ak` . _ 9 le 3 - 33 (0 Si atarc Teleghoae Not Applioabic D -- License Number 5- G 3 so 3 F,Vhtiar Date 3.2 Registered Hone Improvement Caihector Not Applicable 0 CompanyName Regisharion Number Address EVirafm Daft Si atnie T go M z 0 k3F 0 . 0 m^ . r V 0 z M go d r S� 4 M r r AAz Y a SWnON 41IMMUMCONFINSATION:CIL:.C;13S' uc(. waha� compesaaaon Iesiutpoo &Ma* moat bo aomploeodaod wbmdted w,Ihthu app�eatioe �.Faluceto pravido thq A&&"WWMMAboldim in i);e daai�! of the tsswooe-of the` _. SSCPION 3 Readoii of _ Work &tckiY New tloastrndign FxittioB B.wA u8 Repau(t) ` A16aat!°pa(i) 11 Addatiaa ` AciussnDe0: Ow. ':0 Spaafy..., oml►t►oa; ` &ief Deamiptiw of ft%)o cd Wada: . FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT (,,c_P LOCATION: Assessor's Map Number Ldr So 4 5a SUBDIVISION STREET Sjr-nM 1-1- 5-lreei TION COMMENTS OFFICIAL USE ONLY AGENTS: DATE APPROVED DATE REJECTED PHONE bL' 3 - 3 3 8 (o PARCEL 5b LOT (S) a_ ST. NUMBER_ FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS �UBLIC WORKS - ✓FIRE DEPARTMEN' RECEIVED BY BUIL.........,. �.,.., _.. Revised 9*7 jm 410 r� MCA j INAll SIR-; �rrrrr�� �tivr -� i • - „� NOTE: SURFACE WATER 55.35 I 45.33' RUNOFF WILL BE MITIGATED L O/T Z _. 1 BY A METHODOLOGY 32 -- AGREED TO BY NORTH AREA = 14,F S.F. o ANDOVER DPW BASED ON CONDITIONS ENCOUNTERED U4 IN THE FIELD. - - ZONING: R4DECK -- - -, i 16 2, MIN. LOT AREA=15,500SF --- �CK�� w MIN. LOT FRONTAGE=100' l 16.7' „ MN. FRONT SETBACK=30' / \ MIN. SIDE SETBACK=15' - , 7'0 EXISTING SHED MIN. REAR SETBACK=30' N TO BE 'R ZED_ 90 PROP. TWO FAMILY T. 0. F. = 131.0 130--� _\J - �— NORTH 16.3' `30 1.6.7' o � I I Fi N to r r� MCA j INAll SIR-; �rrrrr�� �tivr -� i • - „� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit "M Please Print Name: Location: City Phone 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. U' Address 100-,rIr\y cAkQ .5T City: N6r�4 alaoy0.4 Phone X78 CZ G,-T'7d Insurance Co. 6,,:e TASvmai& Qo jip Policv# �J Ot,—' C i 1 O � ( G 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 may be 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. I Signature C" a Com. . - p4z&� Date (0-3—o3 Print name c k -g r l es A C4'i-?s �) Phone # q 78 W6-7 7d y 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 p Licensing Board p Selectman's Office Contact person: Phone #: Health Department Other FORM WORKMAN'S COMPENSATION } . r-."-- - S ' ✓� T�O%%N%NYIItI/fN/��.' p��00�GLU f 66ARD-OF"BUILDING REGULATIONS <,. Ucense: G NSTRUCTION SUPERVISOR Numbe�:� ` '083503 l J Bilfttlate 1J7l19/� 65 4 ' `I 711912 3 Tr. no: 12903 _ Res C :i- ..,` . ,... r�I JAMES V'CARROLLr • 12 PIPERS GLEN ANDOVER, MA`.0181 "I T4: , Admini tt Ct r OROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH AND 0 VERB UILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 3.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary infortt don as requested below. to 1- .. Permit Applicant Property address Map / arcel e8b..779Y .applicant's Phone Number Single I ". y Two Family I the undersigned applicant for the above property attest that the attached building permit fur whiff this Dorm is :uniplacd does comply with the EXEMPTION section 8.7.6 ofthc Growth Management Bylaw. I also understand providing this Win dues not absolve me or any party to This permit from the requirements of obtaining other permits required prior to the issuance ufthe building permit. Further 1 understand that my interpretation of the exemption status is subject to review by die Building Department and is unl. urlicially accepted when the building permit is issued. Based on section 8.7.6 or.the North Andover Orowth Bylaw the above la and the work as applied for on Uta above lot in the building permit application and associated atuchmmts, complies with one or more of the 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 to existence as of the effective date of this bylaw, provided that no additional residential emit is created. The lots) was / were created prior to May 6, 1996 and are exempt from the provisions of seaiun 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income lamilics or individuals. where all of the cuthditwns of 3.7.6 are met and or represents dwelling units for senior residents, where occupancy orthe units is restricted to senior cozens through a properly executed and recorded deed restriction running with the land. For purposes ot'this section "senor•' shall mc:ut persons over the age of SS. This application is part of's development project which voluntarily agreed to a minimum 40 %permanent reduction in density (buildable lou) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at I" ten buildable acres and permanently designated os open space or farmland. The land to be preserved shall W protected from development by an Agricuhural Preservation Restriction, Conservation Restriction, dedication to the'rown, or other similar mechanism approved by the planning board that will insure its protection. This application represenu 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 one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. J This application represents a lot which is ready for a building permit ( all otter permits from all other boards and wmmissions have been received and the project is in compliance with those permits), and the Development Schedule does nut aaommodate issuing a building pamit in that year. One building permit will be issued per year per Development until such time as the development schedule.aecommodates issuing building permits: Applicant must submit an approved FORM U with this E� �I PTI ON. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAXfNV .A DETERJWNATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGH PING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PER1?vUT IS ALLOWED AN EXTMPTION AS CITED ABOVE, FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR KNOT IS I1 GROUNDS FOR REFUSALj BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. C leo Cl C.�^^'___ 1 r 0"3 APPLICANTS SIGNATURE DATE TIES FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION 0-/25/2'133 10: 12 979'C,93K47 I:;r_ r ? 3 = �:--tt-'�' T M PAGE 01 :ACORL),,, CERTIFICATE OF LIABILITY INSURANCE DdTB(Mf;J ��� 03/2512003003 PRcouCM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M.P. Roberts Insurance Agerr.:cg Iris T ONLY AND CONPER3 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFI4ATF DOES NOT AMEND, EXTEND OR 1060 Osgood Street � ALTER THE COVERAGE AFFORDED BY THL POLICIES BELOW. Ncrth Andover MA 01845 978 683-8073 MUM NORTH ANDOVER REAl-TY CORP, 100 .:OHNNYCA-KE ROAD NO. ANDOVER, MA C+"LS45 978-686-•7724 COVERAGES INSURERS AFFORDING COVERAGE I It1:UvERA: �n.�,a�.recq w�na.0 a.a 0usU%mun uv IINBuFEF;a: HANOVER INSUPILNIZE CO fuStiP.ER C: UNITED ST.ATNE T 7A13ITJTY INSURPNCE - — THE POLICIES OF !NSUR:ANGE LISTED bELQA' MA/: FU=6:413SUED TO THE' INSJFM !+JAME7A6t')VE FOR 7; POLIV( Pfrtlol) ICd01G.ctk5 N0711VITHSTANDING ANY REQUIRrmMY, TERJ: OR : OND! TION .f ANY--CUN-FM7 OR OTHER El0,-.Ltu'ENT lNITI-I j.EGPECT TO ` -MICH THIG CERTIFICATE MAY EE 1390E0 Oil MAY PERTAIN, THE INSJRANCE AFFOA:^ED 3"i TH'E PC:•LICIK DEvCR15ED HEREIN IS SUBJECT TIl' A_L THT TERMS, E?'CLUSIGNS AND CCNDITIONE OF GLOM PCI:ICIES. AGGREGATE LIMITS SHgVVN Nd1Y HAVE BEEN REDUCED 8•r FAiD CL.A!m& It "•,--- LIFTYPBDFINSURANCE -~._-..--- — POLICYEF�Ei YYE � I PCIL{CYNL!IVAFiiR CATIi-,mfA,'DD.M!1 ' v PGLICY ayp. LIMITS EA{y (JCPURR`-.�G:3 @ 1, OOa, OOa 1 GENERN.0AS1'_IT'( ! IC,kA.m:6..,miLGEv,-FAL'_IA.'.'LITY {FIRE CMMA.G-,Alivonet, S 30,000 A -.,� +•LPI,M'= �AL•E I g j OCC'L'Tc I I TO BE ISSUED 0:1/1.3/03 I `:1°) E';P S, (, 0 0 03!1311}4 i 1, 000, CSO �,.scraALs Hca In LeY & r. -_._-..L ..._,_N,L - - ! 1EPE'RALkG:GREGATE 2,000,000 _ Z!IN4ACGREG ATELiM:Tf,PP�ESPER. 1 I?Ro_LCT3_"=VP-AaL'AGG :; 1,QOO,OOJ•,••_ I POL GY I PRO I .00 I AUT01110BIL'a LIABILITY C ,'-e- NED F!f'LKE WT $ i (Ee Ixtdoec) ANY UTO 1,000,000 ALL::NNEDAI��i.f II p0G1IY 'NJ_JRY IX ECH:S9Ui.f=DAUT05 �� ".IR=CA�� OS I AMTS-50�g646 :1?/06/03 021a61a4 I` ' �i �IDIv-O'PoNkOALT_�S I I i I i'?raxlAerq $ I - - - j 7fi5R'aE LiA)31�Pry I I . AUTO Of, -,N - EA xC-C-IDc�NT - jr#— _ 1 ANY A's -,-C61 j , �Trt�THF^i lo - ALTO ONLY: ALTO V��i - ' E�K:E88LI4BILIP ( FACHOCCURRENCE g 1, DOJO, Dad - II ' i h I Y AaGR£GAT= s• 2, 00 a, 000 To BE ISSUED j 03/13103 10317.3!04 D_o�eTl�Lr l r��� s X ; FE TENT'o+1 $ 10, 000 ---- i S WCflttkTiSCHM,'ENEATION AN.^s I r I ORVWC l u- TR - r:oxc.4.I)9345 1 v31=v/03 ; 031131(} 4 I r•�-SA HACVDEN_ j I s 500,000 1 5 5G-- 000 P - -- - FA. YEE __ _ DISEE.ASE — ( ---- � �SEf+S'E-POLiCYLI�!IT CY LI - 0, 1 $ JaO, Oho C•rh9R t i CHEfRIPTION OF 7FE'.RAit0iJ37LG^ATIS115�?�NIC.[o"IEXCL:J9IOi13 RDD:C 6Y £NGORFf+t _R71SPE[�PL Pk0'lISION5 L'AK. 978-S8b-".-*729 CERTIFICATE HOLDER ( j AC]iT10NAl :NS�frED, INfiUFc'.^n {E:T_a:"CANCELLATION TOWN OF NORTH A.BTDOWR 384 O$GOOD STREET WORTH AMPC)IM-r-, 301 01945 ACORC 35-S (7197) SHOUW AW of THE MiIOV5 aFECMSE] POUCIEB 3E CANCVLL£6 AEPORG THE EY.PIRATICN DATE THER€CF, THE ISSUING iN'SUKER W'LL 010- EANOP. TO RAIL 1 a DAYb WA^.TEN It�TlCE TG TFIE CEf•��iGATE MOL06R NA'S1=C `C TI1E /:GFT, 's.Ul- FR&UR.`. TD p0 SO SHALL fM-08E NO lJSL .AT*llr4 ._n LAE1TY Or ANY icND UPON TVG IN9,1SGR: IT¢ -,QrNYF AR REPAMENTATIVHJ. AUT143RZEC REPRESEI_7AYiV9 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: -30 Y4913 CUNTx11W e2 4 t' (67- (Location of Facility) Signature of Permit Applicant 6,/3[03 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck Software version 2.01 Release 3 TITLE: DX -29 / 22076 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 8-2-2002 PROJECT INFORMATION: 2 - 23 x 46 Duple2,449 sq. ft. per unit COMPANY INFORMATION: North Andover Realty Trust NOTES: Lincoln window units, Low -E COMPLIANCE: Passes Maximum UA = 837 Your Home = 823 Permit # Checked by/Date I E Colonial Drafting Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ----------7-------------------------------------------------------------------- CEILINGS 2799 30.0 0.0 98 CEILINGS 19 0.0 5.0 3 WALLS: Wood Frame, 16" O.C. 4364 15.0 0.0 336 GLAZING: windows or -Doors 461 0.330 152 GLAZING: Windows or Doors 27 0.560 15 GLAZING: windows or Doors 19 0.560 11 GLAZING: windows or -Doors 36 0.560 20 GLAZING: windows or Doors 23 0.320 7 GLAZING: Skylights 16 0.400 6 DOORS 76 0.350 27 DOORS 33 0.540 18 FLOORS: over Unconditioned space 2498 19.0 0.0 117 FLOORS: Over outside Air 284 19.0 0.0 13 HVAC EQUIPMENT: Furnace, 80.0 AFUE ---------- 7-------------------------------------------------------------------- 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the designad as specified in Sections 780CMR 1310 and 34.4.9 Builder/Desi ner 1/& Date 9 —�2 J ao�a TITLE: DX-29 / 22076 MAScheck INSPECTION CHECKLIST Massachusetts Energy code MAScheck Software version 2.01 Release 3 DATE: 8-2-2002 Bldg.l Dept.l use I CEILINGS: [ ] I 1. R-30 i Comments/Location [ ] I 2. R-0 + R-5 p-''/G �ULLZbi�1� ��itl�(91A �c�11'l� I Comments/Location I WALLS: [ ] 1. wood Frame, 16" O.C., R-15 i Comments/Location I WINDOWS AND GLASS DOORS: [ ] ( 1. u-value: 0.33 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location ,LW<G 22= La—M(Jkll [ ] ( 2. u-value: 0.56 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 3. U-value: 0.56 For windows without labeled u-values, describe features: _# Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location��o�% [ ] ( 4. U-value: 0.56 For windows without labeled u-values, describe features: I # Panes - Frame Type Thermalreak? [ ] Yes [ ] No I Comments/Location [ ] 5. u-value: 0.32 i -.For windows without labeled U-values, describe features: I I Panes Frame Type Ther al Break? [ ] Yes [ ] No I. Comments/Location �%t �T— SKYLIGHTS: [ ] I 1. U-value: 0.4 I ;For skylights without labeled u-values, describe features: I :# Panes Frame Type Thermal Bre k? [ ] Yes [ ] No I Comments/Location 1? vC U - �o� I DOORS: [ ] I 1.,U-value: 0.35 Comments/Locational [ ] I 2. U-value: 0.54 I Comments/Location- FLOORS: [ ] I 1. over unconditioned space, R-19 Comments/Location [ ] I 2. over outside Air, R-19 I Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 80.0 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 I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I 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 I provided. Insulation R -values, glazing u -values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table 34.4.7.1. ( DUCT CONSTRUCTION: [ ] I All accessible joints; seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. --The HVAC system must provide a means for balancing I air and water systems. TEM PERATURE-CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I 014.automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 steam condensate any 1.0 1.0 1.5 2.0 i COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)--------=---------------- Project Plumber & Title: 12X-29 Z 22676 Calculations for Square Footage(s) of Ceiling(s) Flat Gelling � s E vaulted or Cathedral CeII �i 7- , $ectlon ----- ---- + Length a) Ll + L2 + B) X W = Area Wldth (W) L X W = Area Plan Vlew Work Area Attic Access Area = L F, 7-�? Ceiling area calculations �+ Sub total = Zg e24 Attic Access to be deducted Skylight Total Sq. Ft, area to be deducted ■ - �� '2✓� Total = Z 7 [ 1 Project Number & Title: vx- 2 y 222076 Calculations for Square Footage of Walls A A N let Floor Plan B D 2nd Floor Plan B _ I N3 G F� D C C i Perimeter I (PI) = A + B + C + Perimeter 2 (P2) = A + B + C + D N2 2nd Floor D+E+F+G+H PI X HI = let floor wall area (Al) NI P2 X H2 a 2nd floor perimeter area (A2) I let Floor P3 X H3 = 2nd floor wall area (A3) Al + A2 + A3 = Total wall area £section ' Wall calculations Work Area l�t.ST + t + -Z*I�gA6 �2 x8.575 2 4 4 *-1 +-7+5 t-1 24 10 j- ID 4- 24 + X02 t+Z2 K 4� Sub Total Window Total Sq. Ft, area to be deducted Exterior Door Total 5q, Ft, area to be deducted = — 7 �5, 62 Total - Project Plumber & Title: -DX— 2q Calculations for Floors Floor Plan E s length V LXW=Area Area of floor over unconditioned (unheated) apace (L X W) t=tR zocZ� 46 2 ( Ze ZK Total Area of floor over outside air (L X W) x ! = 142 Z�15 )e Z - Total = 2 Project Number & Title:yx- 29/22ex� Calculations for W indoors & Doors Table of areas for Double Hung windows table of areae for Casement windows APPROXIMATE WIDTH APPROXIMATE WIDTH D 110° 2T ' 2'6' 2'8' 2'10" 3'0° 3'2' 3'4' 3'6" b 1'5' 1'8" 2'0' 2'4' 210" 3b' 3'5' 4'0' 4'9' 60' O 3-9" X 4.1, D. 4'S° -i ni Z 49 M 5'1' 5'S" 6.26 ° 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11.96 6.87 8.13 9.38 10.0 10.6111.25 11.88 12.49 13.13 7.47 8.85 10.21 10.89 11.6712.25 12.93 13.60 14.29 8.18 9.57 11.04 11 .7812.6213.25 10.25 12.0 14.25 14.10 14.71 15.58 8.80 10.29 11.88 12.67 13.57 14.2515.16 15.82 16.75 9.30 11.02 12.71 13.5614.39 15.25 16.10 16.93 17.79 10.03 11.74 13.54 14.45 15.46 16.25 17.28 18.04 19.09 Calculation table for D.H, windows, Unit size Area of unit X quanfly ° Sub Total 210 �� W 13.55-7 ro 135.7 7,1V -Z- 35 be - 22'6" 3.89 4.66 �t78 4 �9iz /10 4.25 5.01 6.99 8.49 9.0 10.25 12.0 14.25 18.0 4.84 5.71 6.83 1 7,96 9.67 10.25 11.68 13.67 16.23 20.5 5.67 6.68 8.0 9.32 11.32 12.0 13.67 16.0 19.0 24.0 8.35 10.0 11.65 14.15 15.0 17.09 20.0 23.75 30.0 Total Calculation table For Glass Doors, Unit size . Area of unit X quanity - Sub Total Total (00 Calculation table for exterior doors, Door size Area of unit X quanfly ° Sub Total � � W .4.0 ig 6.0 7,1V -Z- 35 be - 22'6" 3.89 4.66 5.43 6.59 1 6.99 2'6"= 16.67 5'0" = 33.35 Total ')'A"-17Al AW' = ,to M 75,62 3'0" = 20.0 8'0" = 53.36 Area of various, doors 66'8" helght) -U 2-0- 2-4- 3.0. '0'2'4' 3.0. 3 D 35' --I M 4'0' G� 5'0° 5'S' , �6 r36 2.83 3.34 .4.0 4.66 5.66 6.0 6.83 1 8.0 9.5 12.0 3.26 3.89 4.66 5.43 6.59 1 6.99 7.96 9.32 11.07 13.98 4.25 5.01 6.0 6.99 8.49 9.0 10.25 12.0 14.25 18.0 4.84 5.71 6.83 1 7,96 9.67 10.25 11.68 13.67 16.23 20.5 5.67 6.68 8.0 9.32 11.32 12.0 13.67 16.0 19.0 24.0 8.35 10.0 11.65 14.15 15.0 17.09 20.0 23.75 30.0 07.67 9.05 10.83112.62115.33116 .25 18.5121.67 25.73 32.5 Calculation table for Casement windows, Unit size Area of unit X quanity ° Sub Total Calculation table for other glazing Unit size Area of unit X quanity - Sub Total Calculation table for interior doors, Door size Area of unit X quanfly • Bub Total 26,(a8 Total 33.3�i Calculation table for interior doors, Door size Area of unit X quanfly • Bub Total .>2 ,56 '64 11] ._54 Total 33.3�i .>2 ,56 '64 11] ._54 v� (A o O � � CO wo o W �, v FMa w W d y o 0 ijO_� •w � Q y W = O W C 00_ ; Oct o� �Y S ' ro jr GOQ� � Om LL0.91 " �Ln -0 p1 zs _ G c 0 i` o `3 N c c 4.�. O otn ° 4 �� a Ilk: m a (9�C C wU � Q1 co L. o Q CD a� c C ,� o a — ) >(U o .° E O Q "ma aj c ._ Q _ a 0 O d m C ai c V `O ` H.0 c�CLO. 1 o A ++ OAc � E V 0 a) = N liai n W r cM m Z o� g L- 0 o zUl z 4A x w A O c� C: ti U)G U) 0 U � z UZ A "� w° pG U w 0 � a OO CIO a U w O u G U w z z C�7 bo O C d w. A a w j z ,w, C cn z 0 w w a 6 O CD O O z 0 CA CD CLL CLO C O O V y O Q. CO) C O C CO) r�l _o LLI U) W W W U) �• Q : c c M :oma (Y) C CO) �• O C a�'r :_CCo) _4 CD C H =` mo�M 114E`�c� ® O ; CME CD. c s mm4 a N N m 3 cm c m�s o CID 3`=-0 .0 c y c Eh iY m ro p :aC` 0 y 0m Z cc boa o o r 1i;6y�0O m C Z C ` C h Q m y C ,L C = 3 m ro o 0 N 0 CDs CD W 03 C 'oJR Z ... ,.. a .y CLS Z U COD_i m CJ0 O.- O� Q = _ eyv �0ca O = � CL z 0 w w a 6 O CD O O z 0 CA CD CLL CLO C O O V y O Q. CO) C O C CO) r�l _o LLI U) W W W U) al �¢ W4 A �G O u z z z "a x O1-4 O a W W p y~j C U W PW z O C H W w A 7 co cn cn zCL T r c c O VO V R m C r O VS) O � /+ f E a CE0 C� r m • N %* —•: is O O c E O mom H y Cf m N C C � m� O C C E acct � m y O ; = O O) C's a Q•cr m :mom �ca C'm Zcm o` ti c � a Q m : cot) m o x m � c N w c ze 02 W.. r .y Ergs z oc •E 3 � N o LL, m om�c g V) O. '0.5 O -0 G -1 CD O CD L O s z °' CL O CO) 0 C I 0 U) ui Cn W w crw LLI Cn I 1 1 O OL a U- i `Ll ti JL n O 11 ® C" _ 0 Ln Ln ® co M co ® Q) ate+ x a� o _ xa) -X X9 L / CNcl)� X -piO ® C" _ 0 Ln Ln ® co M co N 7 F) 0) ® '�.. OM L _ 1 1 1 1 I I 1 I 1 1 I 1 I 1 1 I I I 1 I L _ J - 1 1 J 1 F -I L - J 1 I 1 1 1 I 1 I I •. I I I 1 I I 1 I 1 1 I I 1 1 1 1 1 I 1 1 1 I 1 I • i ! 1 1 I 1 1 1 I I 1 I 1 I I I I 1 I 1 1 I 1 I 1 1 I I I 1 I I 1 1 I 1 I 1 I 1 1 I I I I I 1 I I _ 1 I •----a 1 r-1 ----T-1----t 1 L_1 1 1 I I I 1 1 1 I I I 1 1 I 1 1 1 I I I - I 4 1 I I L _ 1 1 1 I 1 L _ 1 1 I 1 1 I --J 1 --. ---T-T-- L_1 L _ I I W f! u- o _ L L / V X -piO UL 0 O O EV \Q n N 7 F) 0) ® '�.. OM L _ 1 1 1 1 I I 1 I 1 1 I 1 I 1 1 I I I 1 I L _ J - 1 1 J 1 F -I L - J 1 I 1 1 1 I 1 I I •. I I I 1 I I 1 I 1 1 I I 1 1 1 1 1 I 1 1 1 I 1 I • i ! 1 1 I 1 1 1 I I 1 I 1 I I I I 1 I 1 1 I 1 I 1 1 I I I 1 I I 1 1 I 1 I 1 I 1 1 I I I I I 1 I I _ 1 I •----a 1 r-1 ----T-1----t 1 L_1 1 1 I I I 1 1 1 I I I 1 1 I 1 1 1 I I I - I 4 1 I I L _ 1 1 1 I 1 L _ 1 1 I 1 1 I --J 1 --. ---T-T-- L_1 L _ I I W f! E c-4-4-a� �}-pp� r3 spm nmrnQQ(1(1 w N 00«. -fly rn3�x���,� r LP ? S�-0 Q<p -690 0:7 N — o �Q C. (D m (D s 6 >-i-40o r—r-n-nmmm x!1(1 (0 Q E 70 �0 0 3 3 Q30'O�-nILI) o00x���p� •. Q�(,l { �� ter;.. O N < { 3 CP r (0 C4- E o 0 Q �► jr L nCth o 6 � � o ( Ln:2rn-6 P � w!�- mw (P ssrn 6 0 �o �oX�0-5-5-5- x0 w n,co C4- 6-13 o(fl (b�E(Dm—� -6Q E �(DO OQ (P 0 0 QO 10o �� p .. 0 p Qp 6 N��ccp� - S �X 6 m E(D (� L0 0 E �• 0 0 3 (ED �3 E �0 cp Q� 6c� 0 0 _ Q� Qo- (+0 -"o °ilS1 0(-I.- 3 0Q �,0 LQE� 0n+, LU :3 60� 6 �- -'� (pw v?E a' 0`} -7 0�+0: 0 00 n, N��III x C� �Q(D � 0 0 � �Q �60(p �Q� (gym K - (P mmm b� O E 0 00,- s� p — LD Ib Ci C4, NQ X 3 Q 66Q vfj Ell QN ( N N n 0 cc tc �0�W� � �•G0� N�0 0 Q 0� � (D� n N W �' Q t0 nQ X�W' �_ _ ' to = n �� 0 0 � x 0 0 n = cr E 7r (D o, (0 E r �, -� N . -� — U) (gyp U] n n, p ' .. m rn 6, E : p ^' npxl-UCUZ (� XlXlxl 0 O LoZ m w Q3 Ci oQ �� on�co o x,00 < O �Q �o p E oN O Q Q EE E �0 — U� m (D S -6 N u 11 (P C 11 Q 7r 4` x F W n - lL lL 0 E fi fi r3+ N (l C* (D w 8) n� ,+ _ w Q r Cl C1 �' 3 m 3 -6 (,� O G� XI 0- � iU N 0 0 00 �� Q 0 (p x 0 c -6 c n. (b (D ca v z 0 , • (0 n. Q QO s� Scp : �0 � �'ZScn w(so (P E�0�< C. ��(P 0� Q6�D�A o � � N � p6n,� (SD�M (P p,wW 00 �E� a S 4- m pQp (0cP p: LP SO 0 x w C. X41. S 5 cA 0 ! 0 a(nA� _ 0LP OOa. 0 `P - °i a. � :i & m -3( (6D � Q C+' n, Q ��Q O �' fl, Qs \N w (P X -6 v 3 mo o, 0i 0 (o p E X ; = W tG (1 � n .+ (D 1 _ SQA ` 0 S^ E' X00 x cc (SD ' 45 m 1 r- r- X1 tl 6 3 (' S (D p 0 0 0 0 1,3NS~0 �� O p 3ZZZ� QtD r.. X x x (D� ca SO p 6 QO 0 0 ' Mri 0� 00� pL ��0-Il n p0S 007 (D r- Q.. �' NNN"ti3 3 e+fl1 (D `+(a X O 3w �dkp XXXm (DS . _ 013 S • � c � Qc� (D o — i� tr 0 0 lU 0 3 6 9 �, (1 t1 o pOp�4 ��Q cb 3m ceo d d _ d .moo :T;Q Q 0 a (D u u (D 003 - (DS(D c — 0- Lo (D (D S( � Q Q -a U� Q �- r m 0 v 6' .- 0 0 S1 &Cb -i r� NNu i,, SFO <fi� (P (P n �' Q NQ NNQ 0� O—O� S 3 00000 Q� N 5�� r�� E LQ Q� � S � � O Q_Q E 0 Z. 0 30 pEl 6 3 w 0 � moi~ �l 00 Fin C) U3w o ir, � n ° 00 d� n �D• 0 w W to z W P• �s 3 E � o Q a � rn S OX st it aar 070 � o cob 07 00 ap vii 0 cr O E 00 G7- a I � C4 `T' A �' O Q 3 Q a t cC=n 2" LA CD a CP C4 UE v, n cc let FT �o ►� O O O o. o c 00 oo 000� o �, oo ►-� -117 C0 0 N ltt -6 c -6 C tD -� 0111 �1 (P O LD 0 E (D (D� n, Eri co 0 r- r- X1 tl 6 3 (' S (D p 0 0 0 0 1,3NS~0 �� O p 3ZZZ� QtD r.. X x x (D� ca SO p 6 QO 0 0 ' Mri 0� 00� pL ��0-Il n p0S 007 (D r- Q.. �' NNN"ti3 3 e+fl1 (D `+(a X O 3w �dkp XXXm (DS . _ 013 S • � c � Qc� (D o — i� tr 0 0 lU 0 3 6 9 �, (1 t1 o pOp�4 ��Q cb 3m ceo d d _ d .moo :T;Q Q 0 a (D u u (D 003 - (DS(D c — 0- Lo (D (D S( � Q Q -a U� Q �- r m 0 v 6' .- 0 0 S1 &Cb -i r� NNu i,, SFO <fi� (P (P n �' Q NQ NNQ 0� O—O� S 3 00000 Q� N 5�� r�� E LQ Q� � S � � O Q_Q E 0 Z. 0 30 pEl 6 3 w 0 � moi~ �l 00 Fin C) U3w o ir, � n ° 00 d� n �D• 0 w W to z W P• �s 3 E � o Q a � rn S OX st it aar 070 � o cob 07 00 ap vii 0 cr O E 00 G7- a I � C4 `T' A �' O Q 3 Q a t cC=n 2" LA CD a CP C4 UE v, n cc let FT �o ►� O O O o. o c 00 oo 000� o �, oo ►-� bi= is I 11 1101M II I 11 I 11 I II I 1-----------f----------- 4.--------------)----- ----------- j ---------- ---------- ------ ------------ -------i x;,e,i --_ ---�------------X n9,z------fi x;es - - -- r r 1 Ili A °Q ... 1 1 1' = L J t i 0 g w Six 1 U U - r 1 U^ p� r 1 too 9) cq - 1` 1 (L Um inl 1 L_---------- ----------- I l t l l l _ _ ___ 1 I i r ----------------------------- ___ -________-t____, 1 - 1 11 II II It � — 1ol i ' 1 "dt'I 13 X19 "di a ' a6RJPV Jo dol DDP v t) Jo dol 11 1 1 11 11 -----------------------------� _ ir --------- --------------- u VD641up J0j adolg 1 - 1 191 L r -------i L--------------------------- ----------------- - ------------------ - 1 t ------------ 1 rJ L_ J 1 1 E r , r 1'1 1' 1 1 t 1 6 p 1 t L J L J p 1 1 IL�im 1 1 - r 1 Lnoln 1 rm LLL r - n 1 P 1 r. 1 L O U1 ; - L I _ _ _ ' - 1 1 , LIMO - L rJ Ll J 1 I , _ 1 1 1 ` 1 L---- ---------a--- 115.1 x if £ x191L 1 1 __________� _J 77 — -----------r---------- ------------- ----------------- n -I" nrlo rGI�JI 110191 II 1 I Cx 4 1 .b � 1 I I R7 s I -.4 _ IL en P,u�O LL 4 Q � Q r -�- I X 1 LJ d! 4 o $ s IL LL .4 A d U Lvp 1 ' ; cR Q r -�- I X 1 LJ d! J u a ua o $ J u a 0 E v W LQ Sl c O i c9 0 E I kN ri fi r-+ LTI CD ® Ln V w 0 0cnQcnvw�tt?n�Qgvm�o)�mNo w�C:co9 c�oa(wrD. �� DNo��oa � 8u(D fio 63 0 r)1 M:3:d�- OtCGo� p1 � CD < Z(nOL acsoAoo (DCODQ<), 0)o cv to 5?:(p Cr (D PL X o-1wacna �_�. O W -gymN :aU N �� A0) 0 C a N0CD 9 cw a.a. oNo.����QN -r 0 v'0 aco,mo Qa w NN�a)— 0 w z (DI Pi < `C 13 Q CD N -- � a x � a� (D C) cn ~ m°D C) -* w o o ' 0 .< 0! oo (n C) 0C N ?Ow -Aa� as a� X`�(D N ::rco m C :3 OOC.3 (T) (D as - ,3..W a fn -nD -i oma, - � c m -D OL m ro " ai �Cn(� ^zm o O"D1 wW O a -a U)w(n Q) N -11, A J O w 0 n tAI m fA n a :3 cc a Z?1.GI m D . L. Nvw o A X 03 ,-1. 03 w o � UA; r r w 1 FS N n u Q a . 0 o a o m � c � 1 d 0 8'41,2" 29'4" = apprx. building he 1011 814jf�11 0 ► m X S �► � N r = n Q.- N X -'—' OmaIT O0 .a E I X C li n X X Q D ►i6tQ�1 wcc ' Sul (b a� o ►� cEll O � • Lb 3 :7- v 0 1 • I 13 R 6 8 V16'(+) = 8' 9" 14R68H-'3'21/21' X S �► X X —� QQ1 E I X C li n X X Q D � Q Q a (b a� o O � 13 R 6 8 V16'(+) = 8' 9" 14R68H-'3'21/21' X S �► X X A C n a (b a� o A n L 0 -iCQ III � Q S � CQ N FV E o < � O � � O 8 1/4' (Cub riser 1 ( max, ) I I ^ i �r 1 1C 1 ono eco to - m n' I I ® 1 1 1 I 1 1 tee^ 1 O N X I 1 Lo - s ccni o =' o 43 X ' O U IQ LL l�I n� n Z/1g�6 U COO i T'— Z n rn � S�j ^p� Jq a 9 x x O x Q N CU 0 x x- lL to 111 N E QI X ' O U IQ LL l�I n� n Z/1g�6 U COO i T'— Z n � S�j v X� m E QI ~ c m U(v L LE) -C ` y I LL (3-0 CIA UN cpmN V a nt���s „o,tr ; o 0 Cc o u u al p M_ IX N DL N • X ' O U IQ LL l�I n� n Z/1g�6 U COO i T'— Z ca e 1 3N W -D CU O t X U O c O �X o X X @ ao x N C- o_ox III � � O i I I - O s W � O v* w rnW � o Ilt — 5r O ib 111 - ill cr+ w *j - 111 0 U 10 co ' 1 �CL n :3 b b lJM N II n� n X x � CID (p O _ Es O O rtt '' -� 7 o a L� o n3 c: �c - o _ @ ME�p . p a r La Q all�E CP CIDCP o 0 o o a S � 4 ca e a Ln N lQ CU O t X Va O �X o X X @ ao x N C- o_ox III fl. tti fl1 i I I - O � W � O v* w rnW � @ Ilt — 5r O ib lo'o" (31011 Poll 4,� If Centerline Dr(dging � N 111 11! X Va O �X o X X @ ao x N C- o_ox III _ tti fl1 i I I O O N W ` v* w rnW � @ Ilt — 5r O ib 111 - ill O 111 IN IN c �! 11 0 (P x xul 111 II Itl ' 1 �CL n :3 b b lJM N II rN a p N CIS Wi m -, QD 97 n- c O Q n O Va O �X o X X @ ao x N C- o_ox _ tti O O N W ` v* w rnW � — 5r O ib U r! ii O N IN IN c �! 11 0 (P x xul ' 1 �CL n :3 b b lJM N x � CID (p O rN a p N CIS Wi m -, QD 97 n- c O Q I da �X o N C- o_ox tti O W ` N � I