HomeMy WebLinkAboutBuilding Permit #Exception - 50 WOODLEA ROAD 9/6/2016t%oRT11,
0*
BUILDING PERMIT
C
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
—0 [-1
PerrnitNo#:_ D �e Re eived
ACHU
Date Issu
I PORTANT: Applicant MIfst ompl all iteyns on this page
LOCATION 00 kM00dJF0,_ Kc --4
P int
PROPERTY OWNER �u_re yes
rict y
n _Z 100 Year Structure yes no
PARCEL: ZO��NG DI VRI T:' "a Historic District no
MAP 10 C V y
11
Machine Shop Village y no
TYPE OF IMPROVEMENT
1 7 --
� US
PROPOSE US
_�pRs�ide��tial
Non- Residential
El New Building
kONfamil��
0 Addition
El Two r more family
El Industrial
N-Kiferation
N:\Of its:
0
0 Commercial
0 Repair, replacement
ED] A ses o Bldg
El Others:
0 Demolition
11 Other
Pg1g,
DFlood0l NW,-etraribs;
4, 1 '7-
I -d P Is, F.1 0' J
4�
4,
OWNER:\ Name: LAS',-,�_
Address- --;CA
Contractor N e: L.,b f
E m a i
Addres\sl-
Please Type or Print Clearly
0— Phone:
Phone: cf 7,Y - L�S-J -�
Sur')�-,Wisor\'�,Construction License: . . Exp. Date:
Exp. Date -
Home Imkovernent License:
ARCH ITECT/ENGI NEER Phone:
Reg. No.
Address:
FEE SCHEDULE: BULDING PERMIT., $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $ o2V(,)
(A Check No.: Receipt No.:_�36
NOTE: Persons contracting ith unregistered contractors do not have access to the guarantyfund
4 32' 8"
----------------
to 0 Ei.
Ln
(D
0 (D n
3 :3
::F
m
-0 LD.
LO Ca. to
0 =r
Cl co
C�
OL
0
n
It
4' 0"-�
Cn
co Lol 3
4 1 1* 2' 4!'�
0 i
i -h M)
-D; i
n -h OD
a CL t I I :C)
CD n
(D
�. lo-,:)
:3 X
C.L Ili
0
10
4 9 4�'�
00
LD.
rD (D c
f � G.
D F"P
0
cq
Lf)
>
426
0
44t CL
co Di
fa
o
0
n Z3 Ln
(D
OL
4 9 4�'�
00
LD.
rD (D c
f � G.
D F"P
0
cq
-0 M
r) ;� 2-, 6
E o 33 -
(D 0)
0- n
(D (D
CL Lf)
rD (D (D
o n �E
E < (D
rD r
(D
D
>
7 o r5D n 0 0
0 (D
0 .5 0
I'D - (D
70
n Z3 Ln
(D
CL n
=:3
0. m a',
Q 73 -
cr ILI. -1 rt
rDL 0
(D 0
-0 M
r) ;� 2-, 6
E o 33 -
(D 0)
0- n
(D (D
CL Lf)
rD (D (D
o n �E
E < (D
rD r
(D
D
R
I
32'9'
Ul Ln m -V m
N3
Ul -1. 26' 8" 0. m
Ln
(D
:E
(D
77
Town of North Andover of tAORTN
Building Department
27 Charles Street 0
0
North Andover, Massachusetts 0 1845
(978)688
-9545 Fax (978) 688-9542
Irk]
ADDRESS
LOT NUMBER____X_____S UBDIVISION_.. j00 c/ -
DATE REQUEST FILED 611'14o")
DATE READy FOR INSpECTION
FIVE (5) DAY'
i N TICE PRIOR TO CLOSYNC- n Arr ire pEQKU1RED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIA SE
ROUT
CONSERVATION DATE
PLANNING
rl- DATE
D.P.W. — W R METE' 6>1<:::� DATE _.LV -5T4
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO TTJE INSPECT�ON REQUEST DATE.
SIG A AUTHORIZATION
t
IF
ca"t S
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number . 6-3 Date c�2 -c�
THIS CERTIFIES THAT
THE BUILDING LOCATED ON-Ac±914L� 0 RCI
MAYBEOCCUPIEDAS --S11V(eXe 501k eoOee— IN ACCORDANCE
WITH THE PROVISIONS OF TtfE MASSACHJUSETTS STATE BUILDING CODE AND SUCH
OTHERREGULATIONS, AS MAY "PLY.
CERTMCATE ISSUED TO -14,-)�7 wood De6), fo��z
�)q- Ke A)�l ��30blG
Building Inspector
-1.
ri
W
co
MINN,
m
LLI
CQ
\ 2)
UW
x
u
cc
0
<
0
0
U)
�2
C2 'S u
x
x
ca
.4
tko
7g r. 0
06
M cc
'D
m
LLI
M
-W
cf)
Z
o
4.4
U)
CD
9
E
co
CL
CO2
CD CM
Q
co
CO) C13
.ff C13 CO
CD 0 CD
L- 1. J=
CL.
co
cm
CD
Q
Cc C2
M: , CMIR
Cc
Q
CL o CD
CO3 2c
CL
C.3 CO2
cc
cc
'a
*6
rl
"I
0
06
M cc
'D
:*a Mm
CD
IA
C.2
4D
CL
r
32 0
t cm
cm
M-0
GO
MO
E C42
cm
-Ma ID
cm
32
co
C2
C2 .5 Ne
0
cm
CL
=3:
0
CO3
Lu
=0
-0 za
a
fA
'i
a
C�J, CUD
cm
LU
G)
L-
4D
CL
C.3 CM
CO3
Cq
=
C)
0 CL
a
M
-W
cf)
Z
o
4.4
U)
CD
9
E
co
CL
CO2
CD CM
Q
co
CO) C13
.ff C13 CO
CD 0 CD
L- 1. J=
CL.
co
cm
CD
Q
Cc C2
M: , CMIR
Cc
Q
CL o CD
CO3 2c
CL
C.3 CO2
cc
cc
'a
*6
rl
"I
Feb 08 02 08:21p Angela Mandalinci
FROM JON MAREN CB HUNNEMAN FAX NO. : 978-794-1429
--------------- &-I ILI- IT
-FF-B.
617-492-4885 p.4
Feb. 08 2002 01'55PM P2
11�U. �41,i r-*':
ADDENDUM
Install Flooring After Closing
S ELLER agrees to allow- BUYER to provide tilcir own carpet for the house at Lot 7, 50
s,
Woodlea Rd., N. Andover, MA."to beinstaUcd after the clos7fiv. BUYER agree to
adhere to Ashwood's schedbl& as arra.nged with the Site Manager.
BUYEK.agmes to-hoUSELL ER. harmless for any loss or darnage of tWS carpet jastalled
by the BUYER. BUYER fin-ther agrees that should any damage occur by any means to
ca I ep na
-je BUYER'S sole Tespovib tytor airtheda, ge,jf1)UYF.R
said carpeting tilat it is jr Pli d at
so chooses. SELLER andBUYER agrec thAt-cal-peting AuP c nd in&t ed by
BUYER is not included in any warranty by the SELLER and maintenance, wcar and tear,
and repair are the ssole responsibility of the BUYER. BUYER also agrees to accePt 6-10
subfloor preparation and surfuce as installed by SELLER
SELLER (Ashwood Companies)
Authorized Representative
-7
LettereJAddendlnstallFlnoring
j
Date
Date
Date
W
,iLoat
Ae5p /1-91
No. ate. /0
40RT#q. TOWN Hk�NDOVER
OF NORT
+
r>
0
Certificate of Occupanc)
BLfilding/Frame Permit Fee $
Foundation Permit Fee
$ AD 0
X- Q?AC Gth w- Permit -Fee
/'26,3 -'-Sewer Connection Fee $ I—C-422. 02-2
Water Connection Fee gz
$ � i
TOTAL
BullUing 1, pect
�IR/oq/4420-7- 1"312.00 PAID r.% 4=
biv. Fiub��orks
7
a(lion z 42b
N ba
�e loh,91117
-ANDOVEF5-
P, 140. TOWN OF NORTH
0
0.
Certificate of Occupancy $
Btfilding/Frame Permit Fee $
Foundation Permit Fee
C"
- - - - - - -Gtkw Permit,Fee $
Sewer Connection Fee
$
7V water Connection -Fee g
TOTAL
- BuJV�ing inspe ytp
1, 312. 00 PAI
Ij
Div.. F�6bli�/>Ibrk�
0 j< 1= 1= I- 1>
z z c
2 2
u
w w
0 0
j J
te I:L�
ww
L L
U
W
z
i v
0
-1
LU
J
w
ci
0
LU
z
3'.
z
o
z
o
0
(L)
V x
0
L
ILA
z
x
W
0:
W
w
W
IL
z
0
J
0.
0
u
u
Ld
z
w
<
lz
a.
0
- .
1
i .
8
(L
<
J
0
u
m
J
w
J
JWL
u
Z
Ix
a
z
0
w
*w
we
v
F-
Z
0
0
0 j< 1= 1= I- 1>
z z c
2 2
u
w w
0 0
j J
te I:L�
ww
L L
La
uj
UJ
cc t"i
0�—
U
W
i v
-1
LU
J
w
ci
0
LU
z
3'.
z
o
z
o
0
(L)
V x
La
uj
UJ
cc t"i
0�—
U
W
0
x
.0
IL
Ld
z
0
14
z
p
T0
3
4A
4i
C,
z
0
Oli-4"
4 =!
A
0
0
POO Z�< >
0 0 � m >
> Lq In 00
0 z 0 > . - (j v c z
> n z >
0 0 0
0000C � 6 >
ZzmZZ0052 0 m m
� x m 0 M M
z � 6 2 a (A Z
-M w LA w C-6
C) Z >
2- 0
(A 0 X
7:lr z z <
.1! 0 z 0
>
Z z
z
n
c
5jj<>O, 0 > 0 0 M z z z 2
0 M 3: Z > > zl co c
> -,;; x 6- n 3: () , , � � MI 2! C >
C MM
.201- > Z
> 0 0
Z Ci n
M:r - - 5? 0
0 x
z
'0 c
0 X
LP 0 - rz,
V I , > > Tj I IT- .0
I zim .0
a 0 -W
z 0 Z:
'Im — ILI H H- z
H I hO I 1 11 11 11 1- 1-1-1 1 '11111, 1, * IF
M r -1
>OX
0
ZM
�m
n
Ozz
c a ?.
c
Inmo
:a x -j
0 0
m
m
tj M
. MX
-iZ>
l(An
ii 6
;a z
M
zo
C
6.3
m
Osz
aro
rOO
0 Zq
z
for
'a ul
-1
>
z
m
-10
0
0
m >
nz
xn
mm
:0
00
?I x
f
Ek 46,766
i
4-.
W
cc
uj
c;
OC-)
co
CL
Cc 0
ID
CD
CL.
tA. . . CD CO)
.10
4D CM
. . . CD
IT - F CO)
.k.2 CL
CD
r= s'o X 4'-�
C/) cp
cl
r c" ti CL
C*7-
4
OD
CD 3: C/)
cm Cm C*
I'D ca
:2 0 CD
CD L-
0-
Qj
EpoI-
CD 0 co
06C.3 a.: 4D cc
a CDC*
cr-
co
cm CL a CD
lt:3 CO3 Z:
C==
CD CL
M C.3 CIO
CCM
06
CL.- 0
0
COD m JS CD cc
L" 0 -0 '0
ce CL
C—S
Li
C.3 DIE
Ca. 0,4
0
0—
CD
CL
Cc:
-r-
cc
-6
x
79
r.
X.
U)
0
E
V)
uj
c;
OC-)
co
CL
Cc 0
ID
CD
CL.
tA. . . CD CO)
.10
4D CM
. . . CD
IT - F CO)
.k.2 CL
CD
r= s'o X 4'-�
C/) cp
cl
r c" ti CL
C*7-
4
OD
CD 3: C/)
cm Cm C*
I'D ca
:2 0 CD
CD L-
0-
Qj
EpoI-
CD 0 co
06C.3 a.: 4D cc
a CDC*
cr-
co
cm CL a CD
lt:3 CO3 Z:
C==
CD CL
M C.3 CIO
CCM
06
CL.- 0
0
COD m JS CD cc
L" 0 -0 '0
ce CL
C—S
Li
C.3 DIE
Ca. 0,4
0
0—
CD
CL
i
"I 11'r 'Ile
Of PUBLIC
fORSTRUCTIO, SUPERVISOR
"vi
n 411171190
cwRol Avg l-UI13 15
IA - linswy 1�nly
IG H�Mes
Growth Management Bylaw Exemption Statement
Town of North -Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below,
Name of Applicant on Building Permit (below) Address of Property for Permit (below)
Purp�ose( f Applic in (check below)
ap and Parcel :
Phone, Number of Applicant: Sin I
- (' - 1) !L.7 .6 1 g e Family Two Family
I the undersigned applicant for the fab'ov-e property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is, issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more 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 in
existence as of the effective date of this by-law, provided that no additional residential unit is created.
/��/The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
a
This application is for dwelling units for low and/or moderate income families or individuals, where all of the
conditions of 8.7.6.c,are met and/or represents Dwelling units for senior residents, where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section "senior" shall mean persons over the age of 55.
application is a part of a development project which voluntarily agreed to a minimum 40% permanent
reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the
environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland. The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 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.
This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and
commissions have been received and the project is in compliance with those permits), and the Development Schedule
does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or t�e checking off of an above item which does not comply, whether done to my
kn e or not, is gr ds fo refusal by �the �Bulld'Department to issue a Building Permit.
0 Jz' If,2 _'dthe Afoched Building .
natur 0 ed Agepr(Affio sigrie Permit Date
to tl
T h i s ) A'oPu s4t'b-er , , �he d' ,$,tAlding Permit-dpDh application for such permit.
FORM U VERIFICATIOIN FORM
A
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state lawl
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Co q%e? � P h o n e 'tJ Y-7
V
LOCATION: Assessor's Map Number �F- oF Parcel
subdivision b9i -e 'Lot(s) 2,
Street LA --w t-tqk- le- �-- - St. Number
ficial Use Only************************
RECO DAT OF ENTS:
7�7 A 11->
Date Approved
Conservat ToL Akdministrator Date Rejected
Comments
z �/� CS, f: i I k, Date Approved
el/ iowninanner Date Rejected
Comments L,
Food Ins ector-Health
4 �Wz
�e�-I�ic Inspector-He—a-l-th
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works <s:ewer/water connections
_::D �0
- driveway permit
Fire. Aepartment L,�e, i,Le 9 (Ai, o,,,
A _ 4 UaIL
JJC/ NL wvlt�,u 9/,
Received by guilding Inspector
Date
T-/-,b,-LS^w0eJ/
------ Yll
AW
7;;D -4
(o
00, c )-
U) Ul 4� (P
LA -401(f)
U)
Ln. -3)8,2*09 0 W
it
It
0) It Do
DO OD
121 6 7' s
v
C3
ov -
v 6 ol
zr
Ai.
-ino- 1 0
U) U3 1-4 9
C)
bD 32 4�� 9 0 cr) /I
4 5--
05 c)
88, p
0
�-j 771 "107'37"
on
48 .. ..
1 39. 4' x
q 0 oc.) -r'
73.92' 1 4'5 7-" W
Z4
Aj 041, 0
S 7915 02 (pro
I Of
cf� I '-, I pb
CA
(0 0) L4 -11 C)
1 0 0) 'S 8 * 46" W
Ln cfn 0 f') 124.86'
n
q 72. 74' '-4u)*Ii ),(/)
ob 504
4 .71 5'
42 V
47.
0, 4,
IG::: it ol
Un
At
it > (f)
C)
Ul i 6'-�
71 P. 01)
try
4
3 LO IV
22 i �.; '1 (0
"l, If N
'Do 7'
Aq
Cligg,
41
5 ;
n 26"
&j
di 4
(�N
k>-% A
(,4(P ---1 0) 1 0 --z .— v
0)
--y
0)
SD U) 4k- Cb
�Tj 0,
"Jw A ;V�
Y I
LO
t!
(>
A'
v oli�
CPi
14� -h
LA /91
VI
69*CF'
C� C,
V4
A
Is
C- et
C,
0
14
co
(D 0
CL
7.
0
C,
�7'
Y)j
78.0
LL)
t -JL
lf4
M, X�;-- )'I'
a
i
M 5
l
1 (10
(0
io
AL
q
cx
Na
(Yi NJ
(40
L-4
W
(b
(b
C EL
X
to
(A
b
-0 \%-
A>
co�� R'
o
M
.00s z
4 m
0
op) z r—
L4 o ZA
z 0
r
-n 00
008
m
IP
0 x
Q0 z
UN
loll
0
Z
(A
>
c'b
CA
r
s
NZ�
x
op"
n-1
c®r
E-2
Z 0
a) -n
0) 3
0 FD*
0
0,
0 CD
L4
� 77 CL
00 -N
CD
> -0
r- Q
M -1 —
CD r
0
z
0
0
(A z 00 >
0 >
Ln
c >
7\- 0
> 0 > 0
. M
z V)
r �-q
;u rn
rTi < 0 M
Fri
0 rrl M < >
(�4 --q r-
C- 0 o M
C 0) 70 <
z
rri M
z
C) >
(0 0
(D K M
(10
z
rri
U)
o a) --4 --4 — (-)
0-<3:MM M 0 -0 L4 --1 K tQ C- M Z 7� -0
mm. >;u (D M, C: Z. C) r-
0 r -;o -4 M 10 ;u .1 zo;o -q -n --4 Z (/) co 0
> F,> — C)m r -0 �j 55 -0 m —z --4 c c:c o -0 c
(n* R -4a) -Tj V > - r- M -0 Z M
— (n M > ;UM > C4 m m ;v;u m m F
-4 Z r- C') L:) U)
0 Z> M m z m>z 0 M
;u > U)
Z>(/)(/)O, > >0 00 Z > M m > C) M Z
Z— M ;o o OX0 � Zor- ;D:c Z 0 o
000C)m 0 CO -n ;u -n to 0 0 -n MO a)>
co -n z M --j M -< 0 m (0 -0 M --ja rn r-
---i > -a �n z r- mZ r- o) (n A m ;u >—a r -o
-qM r- - -< U M > 09> * M;u M rrI Azm c -< o
MM 0 C) m Z zz m M 'M -n :9 in -n >
C: fil U) =� --j . ;u a U, m a 1 :5 0 m 0::!
Ul M M:r M 0 0 0
--40--qo m M 4 omo
0 CD > (D z m m > > M m z
4 (0 > (1) L/) -4
z > > CO o z :-u z z (J) z > > N >
oz -4 0 0
OXOM x 0 0 0 00.'- OC)3: mzz
01 m m M * W > a m -0
Z M V) Z
COM m ---q Fm> -u --4 -u m m M --4 C)
F -q M
CM(l)-q Z 3: OMZ r- -n >>O > 0
Z-JQ 0 0 290 > a m L/) Z Z CO 0
o or' q r- c - > 0 o z C- -0 M 0 r- .
M ;OOZ M Z Z > -4 L/) -4 U)
4N M 00 m M > --I
m Z;o m r. (7) Mmm
3:OM>> M 0 m z > co
< 0 -4
Z M =�-4 z m OD > -0 Ln 0
>Mzo(:) ) ;d > K -4 ;o w r -
Z -4ZZ > - -4 > �4 -< > U) z
0 0 U) Z Lf) m z m m O>m
O -n 0- K 0. am
< 00(f) qk m M50
M-4-nZ > -0 M* C: C -4
:5. 3 .0 -4 Z
;OM m M M 0 -0 -< m
M-4-710 0 M M 0 C- 0 0
3:00 0) m m -u a MZ r -Z>
orrlm> (-4U) > 0) > 0 0 Z r-
0 C CD M m -4
Z N LI) M M 0 > r- M -< M
(,/)0 0 0 ;O;K -4 Fn >
m Z* m :9 OZ Z
M2 -40 Co < r-
C)Mz 00 (J) r-
rri >
4 0
6 m
z
No 2798 Datez��. - - �)- � 9-
.; .......................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Ms certifies that ...... .............................................................
0 1-)
has permission to perform ..... :�V.-.. .........................................................
wiring in the building of ...... ......... ...................
...............................
at .......................... ................................... . North Andover, Mass.
..................................
...... Lic. No?��X':?Ile .......... . .... (0
1741 �,x ELEcTRicAL INSPECTOR
Check
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TBE00W0AWE4LTH0FMAMCHUSFM Office Use only
DEPARTAMWOMBLICS4FM Permit No.
BOARDOFMEPREVEMONRWUATlOAS5rCM12-M Occupancy & Fees Checked C%q)
APPUCATION FOR PERJff TO MWORM ELEOWCAL WORK
PVA ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
4:�E
Town of North Andover
The undersigned applies for a permit to perfbrm the elep.)cal work described below.
lei
Location (Street & Number)
Owner or Tenant
Owner's Address gy 4-w,414e
Is this permit in conjunction with a bp1dinVer7mt: Yes n No
Purpose of Building
To the Inspector of Wires:
'.-, -4, g ,� , � �
(Check Appropriate Box)
Utility Authorization No. 40
Existing Service Amps Volts Overhead Underground No. of Meters
New Service C;7c"e Amps,��a Piolts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 5-�942L-�s- -,9dkZ.1;E;
No. of Lighting Outlets
No. of Hot Tubs
No. ofTransformers
Total
4:51,
KVA
No. ofLighting Fixtures
Swimming Pool Above
[]
Below
Generators
KVA
1-51"
ground
ground
No. of Receptacle Outlets
No. ofOil Burners
No. ofEmergency Lighting Battery Units
No. ofSwitch Outlets
No. of Gas Burners
FIRE ALARMS No. ofZones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. ofSelfContained
Detection/Sounding Devices
Local Municipal r7
Connections
Other
No. of Dr4yers
Heating Devices KW
No. of 4fater Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
lnst=xeCaouW- Laws
Iha%eaaxmtLmbfltyk&r&=PcbL.ymA&gCm#A*Opeoiorlscmerawcritswostgmafivaifft YES NO
Ihawshniodvdbdp[COfOfSaMiDtheOffiop— YES r7l NO r7 1f3cu ha%ededW YES, p1meindc*tbetMxofwAWbydr"igthe
Tprupri*box L.—A
INSURANCE ff BON. OTHR ft.S,.ffy)
it
WorkIDSW hpxfiwD*Re*xsW Raigh
Signal urlderlfi NmYa &
FIRMNAME Z�l "I.-.) e,
ExpramDak
FAm*dV"dHechxalWc& $
Fff W
LimlseNd
Lic'm S P
'Ag �?,6 f -
—IJ0=eTb
&isirm Td Na
'- 0
AiTdNh It -?-I"2Z—
OWNM'S PqSURANTCEWAPM� I am ammdAftl-kmsedpa not 1heiram=o7mVoritssikAUW eqiwkitas regiiindbyNbmhusem Gard Laws
anddEtnTysomhr--cnt�sparniWpfiatimwa*pAsdismw'mnat
(Please check one) Owner M Agent M Telephone No. PERMIT FEE �,Sz
3454 Date. .......
40RTN TOWN OF NORTH ANDOVER
04
PERMIT FOR GAS INSTALLATION
................
This certifies that . . ; ...
has permission for gas installation .......
in the buildings of . ') . .,-.
..........................
at ........ North Andover, Mass.
Fee. . Lic. No. . ........
GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
A/LASSACHUSETTS UNIFORM APPUCATON FOR PERIAITTO DO GAS F=G
ype or print.) Date 2
NORTH ANDOVER, MASSACHUSETTS
Building Locations /W- #,t 7 Permit 9
Amount S
Owner's Name
New Renovation Replacement Plans Submitted
4int or Check one: Certificate Inscalling, Company
Niame— Ypk4&5 [a Corp. AF�
Address 5—k Z F� Parmer.
Business Telephone
Name of Licensed Plumber or Gas Fi[te-
11 Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes F-1 No
I f vou have checked ves the ty
piease in)jcate pe coverage by checking the appropriate box.
Li,bility insurance policy Other type of indemnity Bond 7
Owner7s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the
i'viass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
Sianature of Owner or Owner's A-ent Owner ALYent
I herp�v (-.t--Tifv thnr ill Afthe dernils and Inthrmarion I have submi(ted for entered) in above aaa6cacion are true and accurate to [he
best of my knowledge and that all plumbing work and installations perfizirmed under Permit Issued Cor this application will be in
compliance with all pertinent provisions oFthe N/lassachusetts State Gas Code and Chapter 142 ofthe General Laws.
By:
Title
Cicy/Town
A-PPROVED (()Fi--ic;- usF- �)N[�Y)
SlQnature ofLic,--nsed Plumber Or Gas Firte-
r—'-T Plumber
19Gas Fitter Lic--nse `4umoer
, i\�,Iasie�
r7 Joumevrrian
Date./.—. !� - r /. .
N2 46 8 0"
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
I This certifies that
... .....................
has permission to perform ..... /L) C_ .--. / - .-e ...........
plumbing in the buildings of ... /. 4.) .................
at ... `,-c u c- --t � n 1�f. . . .7
....... . .. ......... North Andover, Mass.
f ( -1 11
F D Lic. No.. . . .......... I .........
ee".
PLUMBING INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
�cx
S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
2– _4—
(Type or print)
NORTH ANDOVER, MASSACHUSETIS Date
Building Locatio ArO �ga �/&O w n �er s N �am e aleap pwa — Permit
Amount 47e
Type of Occupancy
New Er Renovation 0 Replacement [:] PlansSubmitted Yes No 13
A
FIXTURES
(Print or type)
Installing Company Name 10'�
Check one: Certificate
Corp.
Partner.
U Firm/Co.
Name of Licensed Plumber: 1XIed
Insurance Coverage: Indicatj�the type of ir(surance-coverage by checking the appropriate box:
Liability insurance policy [a Other type of indemnity 11 Bond
Insurance Waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 1:1 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 Massac setts tate P urn in ode and Chapter 142 of the General Laws.
92!
By: signaTure of LicenRea Flum-ber
Type of Plumbing License
Title
City/Town Master Journeyman
APPROVED (OFFICE USE ONLY License Mumuer ff . 1:1