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HomeMy WebLinkAboutMiscellaneous - 1 CHATHAM CIRCLE 4/30/2018- AU Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: in accordance with theprovisions of M.G.L. c.143, §.3L, the Penult application form to provide notice of installation of wiring shall be uniforin throughout the Commonwealth, and applications shall be filed - on the prescribed form. After a permit application has been accepted by an Inspector of Wiresappointed pursuant to M. G.L o. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application, such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shalLbe limited as to the time of ongoing construction. activity, and maybe.deemed_by--the,inspector_of_W-ires abandoned-and-invalid.if he_.. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 month period. Upon written application, an extension of time for completion of work shall be pernuttedfor reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the, pemrit application. The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by sections.74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job;growth and long -tern economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic fouucar extension to certairipermits -and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwis a applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008.and extending'through August 15, 2012. le 8—Permit/Date Closed: -2- Note: Rea for new perms' rmit Extension Act — Permit/Date Closed: { Date../�...��. d .C�....... f %0RTM 1 3�°.'�``•'.. °"aoL TOWN OF NORTH ANDOVER JO 9 PERMIT FOR WIRING SACMUs� This certifies that :��.�........................ - :�!%..... hao s permission to perform - ..-.:��............................................. wirang in the building of ....t `'�' -�........................................................ �) at�....J ..................... -�. ..........::."', North Andover,-Mass. Fee . ............. Lic. No. ,%��...........t�*.<.d. .. ... Z� ELECTRICAL INSPE R Check # n ', F 1 Commonwealth of Massachusetts Official Use Only NEW Department of Fire Services Permit No.� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT OR TYPE ALL ,rI�N,,FORMATION) Date: a 1 u City o Town f: �� 1�(�j/ To the Inspe for of Wires: By this applicatio ersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) (hq ajm (_,JY -C, :C Owner or Tenant��((,Lr✓�j,{�(I el,� LQLUIS Telephone No. Owner's Address D ; S2(r L Is this permit in conjunction with a building permit? Yes ❑ No x BLDG PERMIT # Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install low voltage security system at above location Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. s Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. NO. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o ' Initiating Devicesct No. of Ranges No. of Air Cond. 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 No. of Dryers Y Heating Appliances KW urity Systems:* 1 No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts ' in : No. o eve uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Broadview Security LIC. NO.: 749C Licensee: John Holmes Signature fes(. LIC. NO.: SSCO 001163 (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443 Address: 155 West Street, Suite 6 Wilmington, MA 01887 Alt. Tel. No.: *Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" License LIC. NO.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ® owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ q,5 Date.....7. "...� ©...... i &ORT„ °�,�`'�:•�"o TOWN OF NORTH ANDOVER i� •` OL 9 PERMIT FOR WIRING .�olo =« �ssAcwus� This certifies that .............. � has permission to perform ......S .... ................ ..............��°...... : wiring -in -the -building of .............-.-.7,t—Q.�...................................................... at. _.-........... 60zw ! C /4 /f* p4z ...... M , North Andover, Mass. 14336 ,......0 ��r Fee..... Lic. No.......:. ,:... . / .. r G ZE27MCA�L INSPECTOR Check # 7282 A (..omnwnwea[th o�c-�a9dach.udat� 2eparfnmant o�}ire SaraicaA Official Use Only Permit No. 7 2.72, Occupancy and Fee Checked BOARD OF FIRE PREVEW NTII�Ol!N REGULATIONS [Rev.1/07] leave blank) APPLICA F� 107 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 TY E ALL INDRMATION) Date:�d City or Town of: 4M. h Y�Qz- 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 & NumVer) y jt� Owner or Tenant/}Ti7iri �l T. reit / ; ro�o. ti ..e �r l► _ Or'/C .?[!li Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Vols Overhead ❑ Undgrd ❑ No. 'of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: OV �;e,CurTtk I'l rL' 1-1 LCL , rg S Li STPM Completion o the ollowin table m be waived b the Ins ector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. 01 Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool A ove n- o. o mergency ig mg g arn/i ❑ am ri ❑ 111a++.— I1 -;+F No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers eat um umber ons o. oSelf-Contained Total:.............................................................. Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Connection un echo n ❑ Other No. of Dryers Heating Appliances KW ecurity Systems:* No. of Devices or E uivalent ZX No. o KW o. o o. o Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunlcationsWiring: No. of Devices or Equivalent OTHER: — l S Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: t/ 0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IN BOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties ofperjuty, that the information on this application is true and complete. FIRM NAME: SCCUY`l"r Sc-rU(CPS LIC.NO.: /533 'L Licensee:G Signatur LIC. NO.: / c, Z e4JD (Ifapplicoble, enter "exempt o'� th t license number � e) / /(t5 �H �0�9 Bus. Tel. No.: Address: �5 f�p Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. rp ,677 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 p Signature Telephone No. PERMIT FEE: $ No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiatirill Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers eat um umber ons o. oSelf-Contained Total:.............................................................. Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Connection un echo n ❑ Other No. of Dryers Heating Appliances KW ecurity Systems:* No. of Devices or E uivalent ZX No. o KW o. o o. o Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunlcationsWiring: No. of Devices or Equivalent OTHER: — l S Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: t/ 0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IN BOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties ofperjuty, that the information on this application is true and complete. FIRM NAME: SCCUY`l"r Sc-rU(CPS LIC.NO.: /533 'L Licensee:G Signatur LIC. NO.: / c, Z e4JD (Ifapplicoble, enter "exempt o'� th t license number � e) / /(t5 �H �0�9 Bus. Tel. No.: Address: �5 f�p Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. rp ,677 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 p Signature Telephone No. PERMIT FEE: $ =ROM ART PIERCE FAX NO. : 978 745688 Jan. 03 2007 06:iiPM P2 �auolscpu�uop Uato IS tyblaaft t Dal2ld '.t '-Y)H-_>JV 00 :A9t0Ni8a6 p•�� :ou •�i 80010;/80 �9e�IC+:a ;MME/60 -'oWpw;jll3 4,p9000 C)4 S3 :aogwnM 30-Nv2ival:D ':.8Bo S.ls 03S :9211401-1 AL3�t18 Oilend j0 mwid`dd3c �`/'ja;.r.�.rxwvj1..�y ���ail.NvNNr!/Ol�. iFJ/� �P" • r d zr.�s�wa cU/tT/t0 q tZo. a VW \,� r 15 �rVNdf1 I 7z;s.11 q M aniq.LSV ''' `•�;f�S�'.��tl.S'''�fC11�Q: N1'rb.�N�W�tca 01 „ Date. N2 4,�8 ".OR':��o TOWN OF NORTH ANDOVER go PERMIT FOR PLUMBING ;•'SSACMUSE This certifies that f ....... ...”" has permission to perform ........................ . plumbing in the buildings of ...: ��"''�.'.'..'..�................. . < J 6 at. . �. !. T�: .". �. ��.. , North Andover, Mass. Feet/2 . ''..Lic. No./�`�`� f... . .. �:.� :./.4............. PLUMEI NG; INSPECTOR Check # � ✓ /� WHITE. Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS _ Date�� Building Location Cy6SSi j Owners Name / ✓ff QfNj i d Arnount p 1CXAyN A,�pye ( Type of Occupancy p� New Renovation F1Replacement F1 PlansSubmitted Yes ❑ No ❑ (Print or type) Q f' Check one: Certificate f Installing Company Name \{i((C�� ❑ Corp. Address 7 r ie Wd e— ❑ Partner. �3(uAo AA b Business Telephone ��(aQ� � ]—❑ Firm/Co.. Name ofLicensed Plumber- Insurance lumberInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ 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 r_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 Mass hh S e Plu bing Code and Chapter 142 of the General Laws. By: 57 a ns er Type of Plumbing License Title l/yV 4 City/Town License Number Master 2_ JOumeyman ❑ APPROVED (OFFICE USE ONLY Q ot '40 TN 14, us Date../.. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................... ...... — ................ has permission for gas installation ... ............... in the buildings of .... ........ it �.2 / -�- r .1 . ........../...... ....... 7... , North Andover, Mass. ( II'/ Fee 2?. ..... Lic. No. ......... GASINSPo&OR Check# / '?/- 36'9 ?/-II 36'9 MASSACHUSETTS UNIFORM APPLICATON FOR PERAW TO DO GAS FITTING (Type or print) / DD tde — (� NORTH ANDOVER, MASSACHUSETTS Building Locations O n14 1-3 cWhal w l C�YtlSSIh 4 ��� Permit # J ` Amount $ _Vill j _ arch /l,n avY'r Owner's Name, h U<1�t- Carni lrr 6ns) New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type)/ C one: Certificate Installing Company Name �ICI� -Tran (' 1 Corp. Address 7h ��?' "Pl d ✓ E- ❑ Partner. D(Q(4, AA4, 0171( Business Telephone (Gt-7 8-1 9 3'1— 6,gj 1 0 Firm/Co. Name of Licensed Plumber or Gas Fitter kwj a h Tr. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indi a 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. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all ofthe 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 r compliance with all pertinent provisions of the Massachusetts State Crams Codp and Chapter 142 of the General Laws. Title City/Town (OFFICE USE ONLY) Signature of l Plumber ❑ Gas Fitter 04-Aaster ❑ Journeyman ;ed Plumber Or Gas Fitter I/Y4 License Number Date...�..�V �?z..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING � r Thiscertifies that................................................:............................................ has permission to perform .....`....:..............:. wring in the building of ................... ......... ..................................................... [ . North Andover, Mass. • ..... Lic. No .............. . Fee �:..'•.:...... ... �'�......:%..:..��:�.................. / ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 71YE(-VMMUIVWPAL1HUFM4-%Mc Y(ISL+ i(lS uttice Use only DEPARTMWOFPUBLICS MY Permit No. ��!® BOARD OFFIREPREVEN170NRXUMT10MS2701R 1Z* Occupancy & Fees Checked f APP CAT'IONFOR PD?A TT TO .PEUORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MMSACHUSSTS ELECMC;AL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR -TYPE ALL INFORMATION) Date d Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) .3 C�/fI Awl ;r L Owner or Tenant Owner's Address Is this permit in conjunction with a Purpose of Building Existing Service New Service 4a permit: Yes M No F] Amps / Volts Amps 149 / Zw9voltsSich (Check Appropriax Box) Utility Authorization No. Overhead Underground No. of Meters Overhead Underground ®� No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work i No. of Lighting Outlets Igo No. of Hot Tubs No. ofTransformets Total KVA No. of Lighting Fixtures 96 Swimming Pool Above Below Generators KVA and ground No. of Receptacle Outlets �.7 Q No. of Oil Burners No. ofEmergency Lighting Battery Units No. ofSwitchOutlets � J No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. ITotal Tons No. of Detection and No. of Disposals No. of Heat Total Total • Pum s Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sg Devices Local Municipal Other No. of Dryers G Heating Devices KW —• Connections a No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs 02, No. of Motors Total HP OTHER;.-, 11�taanoeC PlisS 3 t1D1helegtm8 dMwmd1Sd Gmval18ws Ihawaax;6tLiaji*kstr=PbbgniLxtmgC'.cigi* Cr ailsst ialatt YES NO Iha%cs>hruftdMfilpla bfSMX1D#ZOffM YES M NOIf}wha�ed lcedYFS,pp�eadi�l6eihetypeoi bydladagthe IIVS[JRANC� I /1/ ' "Mm OTHRR � (Ple mspa* / Dale .n J a JAI Etln*dValuedElea iral Walk $ WodcbSW hwochm D*Rgpc*d Rao Final FIRMNAME 17 rr�K_l Sigraw Limwl%o A1tTaTb. IPM -15,6-0- 7 OWNER'S MJRANCEWAIVFR;I.atnawatelh1dxL medoesnut if ieinsutanoeaa►aaVa-ilsWisLT lgmdatasmgtmWbyMmxbz tsGaxralLaws t�d�tatnrysigtta4aeonthis pe�tatwaives this tt�metletzt (Please check one) Owner Agent Q Telephone No. PERMIT FEE NORM 0 , Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT i /s5 0 F PERMIT NO.: PROJECT: 71)0#04K DZ&dIlkIl0*ktlP DATE: Lam" UNIT NO.: FLOOR: WING: BUILDING NO.// `4 /:P,-/ C' A—IU'v 6711rI REMARKS: Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: ��q —co t� Date: Inspector lM `fes`" Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and / or gas - final Other: Date: Date: Date: Inspector Inspector Inspector 'ire Dept - A burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form #995 Action Press, 685-7000 Location �, r No. �06� Date N� TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'�s'••°'�i�' AC MU Building/Frame Permit Fee $ �a Foundation Permit Fee $ Other Permit Fee $ �JC;?C� TOTAL $ Check # f 14771 / Building Inspector LOT / 5 M o lo - Z s y CHA THAM c 50' WIDE) CIRCLE 8;175.00' 64.57' _ 1.3' 1.3' 22.0' ., 22.0' 00 N N LOT �(! 7 00 5.4' S.4' i/ 5.2'o' EXISTING FOUNDATION o 5.2' LOT ,¢� 9 A2• „'; TOP OF FOUNDATION=235.15' 7.5' 7.5' 66.3' 0 ati 'fie' Tn LOT 18 CN 09=12,759 f S.F. M 108.00' FRED£R CK C. & WILLIAM L. &/ELIZABETH M. N/f CAROL£ JOHANSON-PRUE MORIN HOWARD &JOANNE BROW I I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 8 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE Y -LAW OF THE T WN OF NORTHeANOVER. kjµ OF o GREGORY 9 G PROFES IOR. N LLAND SURVEYOR CORCORAN No. 38034 DATE:...... 4 ..� Z ....al.. A�CFESSIQ��� �a.._ F• N 74 p�n/►li 7 JO' /5s<JF_b 3-6- y -d / TN Nb pt'r`, y CERTIFIED PLOT PERKINS� ine. ConsuRing Engineers k Land Surmyors PLAN OF LAND IN 12MAIN STREET UNIT 111 iEVKSBSBURY, MASSACHUSETTS 01876 N.ANDOVER, MASSACHUSETTS PREPARED FOR: CORMIER-ANDOVER CONSTRUCTION CORP, CHATHAM CROSSING 59 CHANDLER CIRCLE ANDOVER, MASSACHUSETTS SCALE: 1"=40' DATE: APRIL 12, 2001 JOB NO.51165-8 I SHEET 1 OF 1 COPYRIGHT 0 2001 BY DANA F. PERKINS. mc. V 1647 APPLICATION E05�SEWER SERVICE CONNECTIONf2. Forth Andover, Mass.�� Application by the undersigned is hereby made to connectwith the town sewer main in LGa; �GfNi C) � Street, subject to the rules and regulations of the Division of Public Works. The premises are known as Np. Street or subdivision lot no. er 1,4H Owner Address Contractor s Addres l X—Plicant's Sig ure PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to a r pqc e r /—?Pzkil l- `fi/ O— to make a connection with the sewer main at C A - 4,w 4,w ) /-C JV Street subject to the rules and regulations of the Division of Public Works.. Inspected by Oate Division of Public Works 6y See back for rules and regulations 1051 -F�v APPLICATION FOI�V�IATER SERVICE CONNECTION r� North Andover, Mass. 41-64- Application by the undersigned is hereby made to connect with the town water main in J� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. Street or subdivision lot no.� 0J'1-WJ'1&K Owner Address Contractor Address/11 r— pplicant's 5 gnaiure \ I -w D 1t uJere, � 5oo - cV b4tt � PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to ctorm, el to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date Vel le Street Board of Public Works By See back for rules and regulations J_WILLIAM HMURCIAK P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 `�'ti✓p mrnwAy mmm T � DATE >? c -p (3 Zoe) LOCATION - C� Telephone (978) 685-095 Fax (978)68"573 t OWNER Ars CDrN.�;�� hone 47p - a($ THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. F'AMURE TO COMPLY AM OBTAIN "PROVAL VOIDS TSM PER3nT_ n Nn •' 7 q m Q � ED rn -- IN o ZNO ILn 0 0 n ° � d O � rn --- ILn 0 0 n ° � d x � rn --- 90 • d EVS68098L6 Ol ' d1SN00 63I W600 NWA WOa3 22 : E i Z ©Oz -Lc -chid 0 9 In0 a µORrk 'ti,�s o+ne Nr'rig sACM/5E1 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date -/d 00 a. THIS CERTIFIES THAT THE BUILDING LOCATED ON , 0 5 74/ ( A 7'A4 'I 1 i Glt- MAY BE OCCUPIED AS :/:)U p fe- x I Dw 1-2 /l ! A., Y IN ACCORDANCE WITH THE PROVISIONS OF. THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ,5 dao "16' CD /a /3.47-h C 2 5/-4 // c�.lcJ e k-- CERTIFICATE ISSUED TO lem /'�' ADDRESS .: - Building Inspector Cl) m m m m m m C/) m cf) 0 m C4 M CO2 Cl) 10 0 CD C2 z CA P-11, 0 = CD• CL CL >CO -0 loo CD CD CL cr-* %dc SM CD CD 0 CD CD p. to Cc CD CO2 CD z O CD CD im S, YG dc cl:) rr-O — =r -4 — -1 0 Im. = co QtA 4c m C4 0 0 a Cl) =CD cl) cl) C2 m CD - r z =r -c N —4 go Im — CD =r cm -* CD CA =r O CD 0 z:s. IN C-) CD =r =O 2L CL 0 r =3 CD lob CL a ObIm CL Ot w — O CL !4! CCD IN 3 C. IS Co IS CD d Cl CD Raw. U2 rrLa 4L 0 CD CD lob. (A V %RCD — IT At o CD logo HT1 n po go G OQ tz Ty 0 CL Cl) tv It CIO G7 i 10 IE.i- 4,, 0 HT1 n po go G OQ tz Ty 0 CL Cl) tv It 10 IE.i- 4,, 0 Town of North Andover ¢ I KMRT}� q O 1z�eo r6 Building Department �? yt,, ti, a 27 Charles Street o = North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542` ey � O tecwiihi KK 1. 9 ��SSACNUS���� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESSGe'/'Y LOT NUMBER t? SUBDIVISION 9���•r, GAS -' DATE REQUEST FILED fZ 91--11G-I Z DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED 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 OFF IA ROUTING CONSERVAMVMETERQ&_Z"" I /JA PLANNING D.P.W. — W DATEll/ C� DATE L DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO THE 1NSPECTIO REQUEST DATE. SIGNAT DPW AU T H 0 R -1 ZATI