Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 10 RIDGE WAY 4/30/2018
Location No. -jp VDate TOWN OF NORTH ANDOVER ____,-Bull g in ect r 07/29/% 09:17 7 1.1143 1,GMeW *b 9084 Div Ublic Works Certificate of Occupancy $ Building/Frame Permit Fee $ *A " MU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ z,3 Water Connection Fee $ TOTAL $ ____,-Bull g in ect r 07/29/% 09:17 7 1.1143 1,GMeW *b 9084 Div Ublic Works Location C rs rz 7r - No. Date 1A /Z TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL / Z -Z- I 017/10/% M47 65.00 PAID Building Inspector Div. Public Works Location c.-) No. Date ArUU 10080 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee zlil TOTAL $ Z4 ding Inspector S�- �11 �i Div. Public Works Ocation c� J-2 C a. 4 No. Date of 'q4,, TOWN OF NORTH ANDOVER '41,90 ".. + 6 0 ;L Certificate of Occupan cy $ 5 Building/Frame Permit Fee $ CHU Foundation Permit Fee $ /00 Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 10103 150- 00 PAID Div. Public Works r Q n .z� ! O z mM r -1 -4 n m � m � y m> ° o O f N a r r c c 2 A > 'w''1 > ,> > o = �--4 0 A 0 m 0 o< A 0 N Z N 1 C n 0 z N 0 z r1 m i m m w> 01 D o m> ° 0 f O f r O N a r r c c 2 A > 'w''1 > ,> > o = �--4 0 A 0 m 0 o< A 0 S 0 0 S o i x a! 1 0 z 0 0 r mo z n z n A A 1 A Z o -4 D m < r z 2 z r A A A �; n r 0 0 > z Q Q p-4 a n 0 2 0 0> Z 1 O ai Q 0 z r1 m i m m i m m w> 01 D o m> ° 0 f O f r O N a r r c c c A > 'w''1 > ,> > o = nn n A Z> 0° o 0 o 0 r z n z n z n A A 1 A a a -4 D m < r z 2 z r A A A �; n r 0 0 > z Q Q p-4 a n 0 2 1 N 0> Z 1 O ai Q r p ry r n; z a > n i ° -1 O 1 S A ; b Ir0 z s i A A A w ` rl{ U i z �. r rAn i {�I t 0; '�` 111 _z o 0 I o h C 0 1, a Z y ri z p .�. p a T 0 2 2 < C y }' : < I ran i i 0 z Le 0, — ^ A ..s. 0 (� V rr 0 �� a 0 b A z I ,� > n 0 > L1 D N N z O C N m m m C m C A A 'n 2 A > z A m A S _C r _C r r r =� i m 'n N TJ z z 2 2 r' O O — z 1 r i i A n .0 Q p 11 Q "Z G :� ... + m� O O 0 A n 1 m 0 7J 0 2 O z 0 2 p0 n 2 ` o n +I aI , a A m C O 2 A 2 A Z M Z > G a r m m 'r 0 o p 9 'r" n z Q O O ° o f4�+ Z w N �1 <0 < 0 2 0 i 0 i " r K W '� +;V� r 1 �^ m c f i ° X I a 2 r 2 r > Q v b > r f A * > Z o ` x Q N A � A � r. N � �r r A A W N A O r x i 2 o > -� A M h 2 ti A m I 0 b m m t, d o m I r � r lam. �• r 0 �7 :y WW u Z <m c �0 ac a o - O o� . U cu < Z be ayg a?0 Z O;a N p Z]W Qmu N LL m z0a �Nw omtn = <z� w I -ri 3oN 0 a U N<� NWw a �Z] Z<N 0 u FN� uW WZ_ NJw N N =0< F- J LY N -I -1 -I 11 I 1 1 1 a I - . _< hl I I I I 1 IT _ TMOZ • .._ _ ... . 5 _ F M V Q yy�� TI rx- 0 d�v�2 W O 0 m� O O = Z i X W 0j I" v 0 ` V V W Ol Z� h Y d N W L �,U i I u I W i> N Z W m a 6 v` z K S G - r. m" m Q d W O < i a91. 8 7 ml IZI<<�Z 'e. R r ii=o W m o<<lo<< R A < �I<��I3<Y N Sa07 ,�I UWSV I I. TTTKp I I I I X u 0 ZT7 0 c u < Z 0 ° Z M J < s O 0 Y K Z W O� O „ 6 < a Z f O = W N N >> N Yi t F ; N y[ iZ v D Z O <,<< �o�a0. < V < r Z O e O aV°N0 ^Hn =>>n S Z 0ZN 2z O 0O 0 We4 _$^ <Z.` M 0 U0 F V BO .ZOZ in ma <•H_N- OO; c y CD O yr C7 n Z y CD O '0CU. cz.• r � � ? CAC aCc O p' lot O CD CL cr •C d CD CD o CD cm ca a C CD y, Qv y O Cc CD S- CA O 'v Z CD O CD O CD at m� m � moa_o 3 Z co w Co - yCL 0 T CD =d N CD y CD O -0-0: O = O CCD m c O y- 0 '1 0CD �L n�~: '^ ca dc O H C2 VJ O co '' o m' ���y c m -3 CA Co ear. O O y cr CL NCD C � v, y l l CD m " N V a a CD O m z Da W !CMI - P. 1vJ- C=D:\_ VJ C S 0: O m Cn el cn b7 17 ,b ^11 Cn 'JO ^77 ",Cl "� z z7 °= (�pr- rb ,b ata 'rf O z Cn al O Q tz o y 0 0 1 ©t - J/ FORM U - IAT 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 local or state law, regulations or requirements. ******************Applicant fills out this section***************** APPLICANT: Xa>'irrs _Lc Phone S20.e-Go?-.29R9 LOCATION: Assessor's Map Number _ Rz-_9 Parcel 00 Subdivision 65 rA A41r 'rs ��s Lots) /--/s Street )�Y..�,,� St. Number -A2- /RECOMMEND TION OF` WN AGENTS: / t �/ AY Conservation A min strator Comments / � P-) aik�� Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Use Only************************ Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connectionsl� - driveway permit�I �7Fire Department �1, 2� s s+� S�''� me �.7^2ah f ter' , A -S O—' 6QO-r-c- dr ad rT.t-aj �..-� - c� � ✓ /`e.7��/,(? Received by Building Inspector Date zec GE0RCIE PEF`. f!., DIRECTOR TOV.'N' OF NORi-H ANDOVER, MASSACHUSETTS 384 OSGOOD STREET. ,!8417 DRIVEWAY PERMIT Telephone (508) 685-0950 Fax (508) 688-9573 Date: ` , e 27/ 76 LOCATION: BUILDER: phone: OWN ER: % _8l phone: 6 2 - 2 The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ■ Remarks: Approval: No 1091 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. �� (� n� Z7 19 Application by the undersigned is hereby made to connect with the town sewer main in ai4e tet/ Street, subject to the rules and regulations of the Division of Public Works.. r The premises are known as No. v or subdivision lot no , a iaL)s- Owner Address Contractor w �4Applic ignature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at /r subject to the rules and regulations of the Division of Public Works.. Inspected by Date Street Street 2 Div' ion of Public Works By See back for rules and regulations C RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and -,backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). . NO 623 APPLICATION FOR WATER SERVICE CONNECTION 1-�, North Andover, Mass. 111, J � on , %7 19 7 � Application by the undersigned is hereby made to connect with the town water main in 4a Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. ,7 *0 Owner Contractor D(0,5 4 1 It We� 0 143-50 682-z7�( Address Address Im Applicant's Signature PERMIT TO CONNECT Wim" WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at /Z-, subject to the rules and regulations of the Division of Public Works. Inspected by Date Street Street Board of Public Works By 6 / See back for rules and regulations If �z RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2.. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. r HUN : r H air FL -411r 1 r r i, ttLL 1 r UHHi i "SEWER DETAIL" TC= 338.00 INV=321.25 SLAB=328.20 go OF 5 PV 0 S� 2? C INV=328.46 332 - LOT 11 LOT 10 326 326— .. ss 1ti� 12 ---� � ••-3 � r — -330 _�aT, -43 - 22,113 S.F. x' LOT 4-4 ao NY N- TC 336.00 j tt GAR= 335.00 �1 56.6?.' ,3,34--- 14,51' 34--- 14.51' R=222.p I SEAS=328.20��i�. INV=328.46 104, R I D 3 `', 2'45 APP �Y) NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE SITE CONTRACTOR. EATON FEDERAL SETBACKS: F-20' S-20' 5-0' R-20' LAND PLANNING ' ENGINEERING & SURVEY 187 HARTFORD AVENUE, BELLINGHAM, MA 02019 (506) 890-4130 FAX (508) 886-5054 GRADING / SITE PLAN LOCATED AT LOT 43 NORTH ANDOVER ESTATES NORTH ANDOVER, MA PREPARED FOR TOLL BROTHERS, INC. 1800 WEST PARK DRIVE WESTBORO, MA 01581 5/2,5/96 1"=40' NAE -43 1 _'� : Ub F RUN HILLER EFIG I NEER I NG. 111ACSTR TO 1500682 333 P. 02 ti MILLER ENGINEERING, INC. WoTEdIrpM / 9011 WWW / EMVIRONMFNTAI / CONCRETE / S1EEL / VOWM(3 / AMMT INSOWTION M&H Nl owmaponeMw es: 100 SHEFAELO ROAD • PA. BOX 4776 • MANCHESTER, NEW HAMPSHIRE 03108 • TELEPHONE (SM) 66846016 • FAX (603) 668-8641 July 18, 1996 Mr. Daniel Bernatas TOLL BROTHERS, INC. North Andover Estates 55 Rosemont Drive North Andover, MA 01845 RE: Foundation Inspection - Lot 43 North Andover Estates North Andover, MA Project No. 40076.01 Dear Mr. Bernatas: Pursuant to your request, the writer was onsite on July 16, 1996 to inspect a recently constructed concrete foundation system at Lot 43 at the subject project site. The plan dimensions of the foundation are shown on the attached Figure 1. Based upon our discussions on-site, the proposed dwelling will be an "Eaton" model with additional standard options from the standard founda- tion layout as shown on the architectural plans. The foundation excavation had been performed in the naturally -occurring glacial till soils prevalent throughout the project site, and appeared to be dry and stable (after the heavy rains experienced on July 13, 1996), and thus suitable for support of the proposed structure. Crushed stone had been placed around the exterior footing encasing an under drain pipe, and below the entire foundation slab area. Interior spread footings were located In the foundation area, as shown on figure 1. Based upon our discussions, you have indicated that horizontal reinforcing steel has been placed in the concrete walls at heights of 2.0 feet and 6.0 feet above the top of footing level as has been standard throughout the project. You have not noted any structural problems with the concrete foundation walls on the CORPMTE OMW E 100 SHEFFIEW ROAD • P.0.13OX 4776 • MANCHESTER, NH 03108 . TET. (6= 088.6016 • FAX(SW)65843641 130 EAST MAIN ST. • P.O. BOX 11 • NORTN8pR000H• MASSACHUSETTS Di SM • TEL MW 39,'3.2607 • FAX (508) 393-8490 21 MAAKARLYN 6TREET . P.O. BOX 1087 • AUBURN, MAINE 04210 • TEL =7) 78613249 • fAX 1207) 777-1822 JUL-19-1996 15:56 FROM MILLER ENGINEERING,M14CSTR TO 15086822333 P.03 project attributable to placement of steel reinforcement. Founda- tion problems encountered at Lot 33 were caused by soil subgrade related problems. Based upon our review of the project plans, inspection of the foundation and subgrade soils and discussions with Dan Bernatas, Project Manager, it is our professional opinion that the foundation in its present form at Lot 43 has been constructed in accordance with the project plans and specifications. It can be anticipated that the foundation will provide adequate support for the proposed structure. We trust the information presented herein meets with your current needs. Should you have any questions, please contact us. Very truly yours I DUectbroYQeote :pam ,/ 14C . ical Services JUL-19-1996 15:56 FROM MILLER ENUINEERINU,MNCSTR TO ��i y Project Name &. . MILLER ENGINEERING, INC. Calc. by-941� Date _. Ch'd. by — Date _ 15086822333 P.04 _ Job No. Sheet of TOTAL P.04 H d c � O O 'C O CD MZ Z y CCD O 'v. CL. r 0 c CO)CL nCO -v o C-) o v CD CDCL o CD CD O CD c CD coo O CO) C � v CO)CD O CD Z O .-0 CCD O /C CD W \ / 0 W n� \ / �:j 0 H (A: l I c ea 2 Q �. y O CS N So S.m " y =: c' O Ca C') CO m C2 •� m O yCDac Z =-o „r o a�0 c m CD Omy o CA N O C=r m Z > >� o : � CO o zS.� O y C7 .� O M C ? C=00 CL o �.m m o ^r =r E: Cay CD W :' C7-= CCo. CL 1�� O y CSL CSCL a CA VI y y L-1 m CD CN NCD � V 0 m� z -- m C� _ �p H W: o m . do vv o CVS: :C C-) C-) 1 C O O � Ca m �q o �? n x a tz rtC O ~ r a\ � x y n 9 d R Oz O O� F! U i N I z a 0 m �o mn 0 O m 00 ok Z � O c p C/� :rrn go �o 00C 0 c(D C Z 0 xx a r y x- o d V 0 r � z �o d cy °zo d 0 :.:.::.... : ro� �bx v� O 0 m �o mn 0 O m 00 ok Z � O c p C/� :rrn go �o 00C 0 c(D C Z 0 xx a r 0 m �o mn 0 O m 00 ok Z � O c p C/� :rrn go �o 00C 0 c(D C Z 0 xx a x- o d V 0 z �o d cy °zo d 0 ro� �bx cc cc � x �n H y ' � z . C� n n n d � z 0 m �o mn 0 O m 00 ok Z � O c p C/� :rrn go �o 00C 0 c(D C Z 0 Office Use Only uIIf gag5al4uRttg Permit No. +�E�IIIi`IIi IEI12 t]f >1h1�L='II{P�tI n Occupancy ,& Fee Checked 3/90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 VAR'12M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR :00�� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date D' , or Town of NORTH ANDOVER To the In ectar wires: The udersigned applies for a ermit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction wl h a oul Ing pa /er Purccse of Suildina L�e Existing ServiceAmos _J VCits Ne,.v Service CW Amps o"�Vcrts Numcer of Feeders anc Amcacity Location anc Nature of Preocsed E!ectricai 1.1icn< _ Yes !G No - (Check Appropriate Utility authorization No. t Overread '_ Unagrnd rI / No. of Meters Over :eac _ Uncgrnc Y No. of Meters No. at-:gnting Outlets i 'va• c• -cs I Above— In- — No. of L,gnung Fixtures i Swtmm ng Pcol grna. _ gr -,C. _ Na. ot=ecectac:e Outlets ! No. at .^ril Surners Mn nr Swarn Outlets No. or Gas =urgers iotat No. of Ranges No. c' Air CIr.C. ;ons Heat Total Total No. of Disposals Noor Paras .ons K'v Na. of ^,snwasners ScaceiArea Heating <' �- _.. No. of Oryers I Heating Oev:ces Kw No. of Vo. of No of Water Heaters KVV I Signs 9adasts ni'. 4.,...., .XA.—MP Tubs i No. Ct MCtCrS Total HP OTHEP Total No. cf Transformers KVA i Generators KVA i No. of Emergency Lighting 3arery Units FiRE ALAPMS No. of Zones No. of ^erection and initiating Oavices No. of Sounding Oev ces No. of Sart Containea OetecaonrSounaing Devices Muncioat —Other Local Connection _ Low Voltage winnc INSURANCE COVERAGE: Pursuant ;o the recuirements of Massacr:uS8-S ;er,erat Laws YES _ ecuiv I have a current Liaoiiity Insurance PCIICy inclucingc;cmc:etetOOCerat`encu raeeaa,ecxea ESe or is S-leasle ind cateaien rie vice of coveerage Cy have suomittea valid proof of same to the office. - cnecx ng the aoro ate Cox. INSURANCE BONO = OTHER _ (P!ease Spec:y) Exa'raion Date Estimates Value of .ecuica Work S 0�7 � Rou n Fnai wcrx ;o Start Inseection Data Aacuestec: g• Signea unaer th P n i es of ^ r)ury �� l / %7�0"T /iEs� Y LIC. VO. =iRM :NAME /! Sigrat re UC No. Licensee Bus. Tat. No. < <� Alt. Tef. No. !! Address OWNER'S INSURANCE WAIVER: I am aware that tr.e L:Censee e s at nave the insurance coverage or its suostantial ecuivale t Agentas re cuirea oy Massacnusetis General Laws. anC mat my signature on rs Cermlt aocucauon waives this reouirement. O w (Please cnecx ones ?ERMIT FEE 5 -eiecncne NO. iSigrature of Owner or Agenu Date ....... 411 -6 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING $A This certifies that .... ........ -r. c.tk., .( .................... ... .. .. .. . .. has permission to perform ....... ...... ............................. wiring in the building of ...... TO.A.1 ....... 6.1 e.0> .......................................... at .... ............. I .. ............ North,�Mdq*,, Mpd. C� �4 1 (o oo LE 1.4NSPECTOR 08/28/% 10:49 360.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer office use only .t Gibe LV=nmllium- ItI of fffin sadrmitts Permit No. T_..-.. Be;ar=x= of Ituhi c C=pancy A Fee Checked BOARD OF FRE PREt1E'MON REGUUMONS "527C IR 12:00 am (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acrcrdance with the Massr-crusetts Elec ricai Code, 527 CM .12:00 (PLEASE PRINT IN INK OR TYPE ALL INFOR IMATION) Date or Town of NORTH ANDOVER To the I spect of Wires: The udersigned applies for a permit to perform the eiecsicai vvcrk des ribe below. Location (Street & Number) Cwner or Tenant Cwner's Address Is this permit in conjunction w th a 3uilding cert`:- r Pumcse Ct SwidlnC Existin �ar�ice mos r v/ cites 9 Ne,. -.f Service +_— Amps/olts Nu^car ;,f Feeders and Amcacity L -f cosec Fec: arc Vat:.re ..^- ..� ....a. I-4-1cr- No. zr 1-4ming Cutters .No. :,,t L:gnting = x:ures T_ No i_ (C~eck Apprconate °cx) Utility Authorization No. :e-=,-" _.__ Uncgrndr Nof Meters ;end Unc_rnc I��,No. of Meters Z =s I No. ct -anstorrners K: a o+e-- in Swimming =t — f Generators KVA *4c. --f ?eee=tac:e Cutlets No. at Cit 9u:rers No. of =Emergency L:gnnng I aarer., Units No. vSwitc.^. Cutters No. ,. Gas - Pi?.E .4L.inMS No. of Zones ;a, No. of mere=:ton ar-C I No. ar Ranges No . _:.Air Co-=• ors Inivaun �avices g No. ct C t No. 64ed' ctai 1 ns Pmcs rs u-z c:ai �:: I No: of ur.ctng Cevrces So No. ct Sen Contained SCacerArea �ee^n, C:J ( cerec::onisouncing Devices No. of Zisnwasners No. =t Cryers Hea;tng ev:ces �:� — Munic:=ai �- C:her --cat — Connec::on No. V No. I Low Vcitage No. of Water Heaters C:! Sims =a:iasa Nirnc No. Hycro Massage u=s No. ct :rotors ''•a• -= CT==n. INSURANCE CC`je=AGE. Pursuant :o lne recuirements =t :'assacncsa :s ;eneral Laws _ _ I nave a current L.iaoiiiry Insurance Pcnc! inc:uc•.ng Cor._:etec C=e-a-cns Ctverage or as sucs:antial ecurvaien:. YES _ NO _ I please maicate 318 rype nave su=mined valid pn:of of same to the CNica• y=S _ `C _ t you ave cnecxea YES. of coverage =y =necxing rhe accroonate Cox. INSURANCE = BONO = OTHER = tP:ease==ec:`!) (Exciration Catei Es::rnated Value at C• x 5 _ _ InsCeC'_•cn ira:a n2d::25:eC dug. -+nal 'Nc.x *a Star Signeo under :n Per. ..e$ of ertury' r uC. No. :nod NAME '-;censee Bus. :BI. No. Alt. :el. 0. / r ACCress `l CwNER•S INSURANCE WAIVER: t am aware that tare if- - eces ^et +ays a insurance coverage a its suost. natOw e0uivalent as A Agent Quirea oy MassaCflUsetts General Laws. and =at n7y S:c,.-.azure an ��.s=err^•tt 3CCtiC3UOn waives this reCWrement. Owner �J '1 tPleass cnecx one) (SjI /� t//L /' erecnene No. PERMIT FE. S flisignature or Cwner or ASMI) Date ... 11A4 -.1Z6 2828 TOWN OF NORTH ANDOVER PERMIT FOR WIRING I'll- Awlw"w o'tAT.D U FE This certifies that ..... .................... has permission to perform ....... (V.-:�.L ......... 6�q�L .................................. wiring in the building of ....... ro .. // ........ 12.6.5 .................................. ...... ...... North Andover, Mass. Fee ... Lic. No. Aat4o .......................................................... ELECTRICAL INSPECTOR C-1 —% I WHITE: Applicant CANARY: Buildin*g Dept. PINK: Treasurer GOLD: File OttIce Use anty uhe �>1m urc>rue I r of 9hii5zIj#Rtt5 Permit No. �occupant^/ & Fee Checked jjgZjrtMr= af j[Uh .It —F*UfZt9 �S9 (leave blank) BOARD OFFIRE PRE/ELATION REGULATIONS 527 CIMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICALWORK All work to be performed in accordance with the Massachusetts sec.ncal Cade, 5527 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Oate W or Town of NO M NNTM TER To the*VIMA r at wires: The udersigned applies for a permit to perform the electrical N rk esceib d elaw• Location (Street 3 Number) Owner or Tenant Owner's Address r✓ Y Yes No (Check Approoria�X) 15 this permit in conjunction with/a ouiidi pe�mit: C/p c�e�Jiq / `�/ Utility Authcrizaticn No. Purocse of 5uildina �� _ Exlsiing Service Amps _.J \fCitj Overhead Unagrnd at Mecers �t Qvarhead _ Uncyrna � i/ tvo. at �,tecers New Service�GG Amos j��vl�_latts � � / Numcar of Feeders anc Amcacity Location ano Nature Of Preaosed" lcrK No. at lignt,ng Outlets No.ct 'rOt '—s No. of Lighting Fixtures i Swtmmtng ?oot grna. — cmc. N at ==cectacie Outlets I No. of Cit =timers Total I No. of :ranstarmers KVA Generators KV1 No. at E:rtergency Lighting i Sanerry Units a. _ No. or Gas 3urr,ers Na. of Swttcn Outlets Total No. of Ranges I No. cf Air Ccrc. tons -eat Total Tacai :No. at rOiscosals � No.af ? -cs Tans {W ! SoaceiArea Heating No. of Cisnwasners - Heating Oev:ces KW No. of Or/ers No. at No. at No. of '.Vater Heaters }(W I Sicrs - Sailasts _ I No. at Motors Totat 'HP OTHE?.. =*RE ALARMS No. at Zones No. at Oecection ana I intoattng Oevtces Na. at Sounding cevices I Nd. of Sett Contained Oetec::dnrSounaing Oevtces Murtcioai - Other ;.coat �_ Cannec::on -- Law Vottage Wir:nc ?us Caveraae Or tssucsYV� — I INSURANCE CCV Er�AG E: rsuant to the reautremencs at '•lass- 'sans yenerat laws I have a current liaatiity insurance ?olio'/ inC:C:Gtng C:.r'T^,:et Ooeratityyou Vnave cnecxea YES. ;)tease t�tnotic3 en Ine vee of Overage ny nave suamtrea valid proof et same to the Office. YES v0 cnecxtng the aaGra to °OX — please Scec:h/) tExatratton Oacet INSURANCE 3CN0 -- OTHER — l Esumatec Value wcrx :a Start _ Signed unser :n FiRVt NAME l.:censee 29 Inscecnon Oate Racuestec: tic. NO. - -- Aacress ' OWNEA'S INSURANCE',VAIVER: I am aware mat ire �_: „n a apes not nav the insurance coverage or its suostanttat eeutvaten��t ente- autreo oy Massachusetts General laws. ana that my signature on :n:s her nit a°ottcatto^ •«arves this reautrement. Owner (Please cnecx one) ocRtvtlT Pc_ g 'etecncne No. --- Office Use Only�� u e &mmoniuraitr of _49usarilartt Permit No. 5 e Eivartntttt of Vuhlit Emfttq Occupancy & Fee Checked e b—� lank) BOARD OF FIRE PREVENTION REGULATIONS 527 MR 12:00 3M (leav APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 52VInpect 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date� (X* or Town of NORTH ANT)OVFR To the of Wires: The udersigned applies for a permi to perform the electrical work des�r/t'b�d below. Location (Street & Number) Owner or Tenant , Owner's Address Is this permit in conjunc4nwith a uild' g permit: Yeso C (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service " Amps _J Volts Overhead ' Undgrnd r No. of Meters r-- New Service Amps —J Voits Overhead — Uncgrno No. of Meters Number of Feeders and Ampacity Location and Nature of Pr000sed Electrical Work No. of L;grning Outlets No. of Lighting Fixtures No. of Recectac!e Outlets Totai No of Hot -ts No. of Transformers KVA I Atcve^- in - Swimming Pool g,na _ Brno. r I Generators KVA iINo. of Emergency Lighting No. at Oil Burners Battery Units No of Switch Outlets No. of Gas Burners No. of Ranges Total No. of Air Cora. tons No. of Disposals No.of Heat "ictal I Purr.cs :ons Totat KW No. of Oishwasners I ScaceiArea Heatira K i No. of DryersHeating Devices i KW No. of No. of No. of Water Heaters KW Signs Ballasts No. Hvaro Massace was I No. of Motors Total HP OTHER: FIRE ALARMS No. of Zones No. of Ceiection anc initiating Devices No. of Scunaing Devices Vo. of Seif Containea Detect:oniSouneing Devices Local -' Municloai ^-Other Connect:on Low Voltage Wir:na INSURANCE CCVERAGE: Pursuant ;o the requirements of '.tassac-users general Laws I have a current Liaetiity Insurance Policy inducing Comc:etec Ocerations Coverage or its substantial equivaient. YES _ _ NO = i have suom�ttea vatic pr of same to the Office. YES = NO _ if you nave checxea YES. please noicate the type of coverage by checxing the aopro ace pox. INSURANCE BOND = OTHER = (Please Scec:fy) (Expiration Date) Estimated Value of B!e trio orK S WorK :o Start Signeo uncer the ine of eriur FIRM NAME Licensee Insbection Date Recues;ec: Rough re Fnai _ LIC. NO. _LIC. NO.�`--11-^— / / 3us. :al. No. rn Z �+ Alt. Tel. No. Address OWNERS INSURANCE WAIVER: I am aware that the ee aces not nave the insurance coverage or its suostantiai eauivalentt wile autres by Massachusetts General Laws. arc that my signature on :nis oermit appticavon waives this requirement. Own (P!ease checx one), �� yf /7J/' � - T PERMIT FEE 3 Teteonone No. Signature of Owner or Agent) Y '=O� I .. 0 * ORTN A TOWN OF NORTH ANDOVER ""to 6 16 11 6 6 L PERMIT FOR 1�01%NLTALLATIONZ SAC M r This certifies'that C pt? q-51 .................. has permission for insta lation .7� in the buildings of ... 7-(� .. tik 0,� ................. at ....... North Andover, Mas1R- F 6 Lic. No.A/W*� ............ ............. ee..,).. C �k / M GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 2 62A 2 Date. . 0 * ORTN A TOWN OF NORTH ANDOVER ""to 6 16 11 6 6 L PERMIT FOR 1�01%NLTALLATIONZ SAC M r This certifies'that C pt? q-51 .................. has permission for insta lation .7� in the buildings of ... 7-(� .. tik 0,� ................. at ....... North Andover, Mas1R- F 6 Lic. No.A/W*� ............ ............. ee..,).. C �k / M GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File This certifies that ....... . . ................. has permission to perform ........ ........... ....... ... k .............................. wiring in the building . ................. ............................................ at ... ........ I ... ............... A:A.", North Andover, Mass. Fee.............. . ..... Lic. No . ...... ........................................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Date ---) 70 1 ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING SA U This certifies that ....... . . ................. has permission to perform ........ ........... ....... ... k .............................. wiring in the building . ................. ............................................ at ... ........ I ... ............... A:A.", North Andover, Mass. Fee.............. . ..... Lic. No . ...... ........................................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File j 1 Office Use On Z` 0j 4t (famnwn1um1t4 of adptf#5 Permit No. Eeprt amt of VUh11C *Ufttq Occupancy & Fee Checked BOARD OF FIRE PREVE'`1TION REGULATIONS 527 CZAR 12:00 _ peeveblank)` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code�527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date <--,/,D " 9 I' qjQ or Town of NORTH ANDOVER To. the Inspector of Wires: The udersigned applies for a permit to perfothe electrical work describ d below. Location (Street & Number) ! 2 Cwner or Tenant Ues ;,wr,er's Address q DO =�s� (►��t 21C 2 e pZZ CL wt is 'r.:s permit in coniunc;ion with a cuiiCina permit: Yes _ No (Check Appropriate Box) cse of °uiiC:r.g-P�w�-1 �D-y"�-E'-A Utility Authorization No. ,� e g 2 B.,is;irrc Service Amps :fits overheard Undgrrtd L! No. of Meters New Service Arnps VoltsC^e=.^.ead _ �c5rnd r No. of Meters Numcer of Feeders and Amcacity and Nature ct . rccosec E:ec-. '"+crx Tota: No. cr_:gn;rng Cu;tets No. acs Na. ct-anstormers KVA Above— :n- 140. cr '_ignttng Fixtures Sw'mr-.:ng mac' ,rnc. _ =rnc. '— ! Generators KVA No. of Emergency Lighting `!c. _.-...cecfacie-utlets C. _-.r.ers Battery Units ..,. cr S.v:;c^ Cu;:ets No. Cr Gas Burners I Nc. -. R anreS `Jct _. A:r �rC. crs . No. ct Ciscosals �o vtal Nc.cr JmLs .ons No. cr Dishwashers ScacerArea Heating C'1 No. of Orrers Heating Cewces No. �f `.Vater Heaters KW�'iCP.S No. cf No. cf ai:dS:S No. `ycro Massage Tubs No. Ct `;,ctcrs ctai r -r _censea t � yN Y-1-5 t 'tS Signature :C. NO. i FIRE ALARMS No. of Zones No. of Cetection anc in:tianng Dav:ces No. w Scunaing Dev ces No. or Se)f Conta)nea Oetec;:cniSounding Cev:css i Mun:cicai —Cttrier _cta' 1 Connectccn Low Vo:tace Wirnc NS:;RANCZ Pursuant :c :ne recu:rerrerzs ::t Massac-,usacs =enerai Laws SGC _ YES C:.;.... Coerat:cns Ccverace cr its substantia! ecuiva:ent. nave a current Liae:iity Insurance °c!icy .nc:;;c:rg ...ems nave sucm)Cea valid ;,root of same to :he office. `!-S Cf NO — !f you nave cnecxeo `!ES. ::ease :nc,cate :he type of coverage cy :necx:ng ;he acCroo to box. iNSURANCE BOND = OTHER Z tP'eass Scec:fy) (Exo:rationOatte)) s:tmatec Value of Eiec:r)cai 'Nor)y�r q� • { 1 � C C Ct/y l� 1 W c l :nal ?na) (d ^g S insb ac: ';vcrx :o Star. -_.._..:ata =_ecues; Rcuch .= Sig,-,ea :ricer ;he Pena s rur/: e�s nY FIRM NA. V _censea t � yN Y-1-5 t 'tS Signature :C. NO. _us. Tei. No. Alt. Tei. No. ACC, esS CWNER*S iNSiJFi' ANCE WAfVER: I am aware at -.e _cersee Ices not have the insurance cbverage or its substantia) equivalent as e Owner Agent ou:rea by Massachusetts Genera) Laws. and 'hat my signature an ;n:s cern:t aoo:icanon waives ;his reeu,rement. ,P`ease check one) (Signature of owner or Agent: Te:eoncne No. PERMIT F=_= S X -65-E5 I * * 452 Date .... 711.K1 . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ......... . ........................ has permission to perform ......... Nc."� ....... KOA.0 ....... ............. wiring in the building of .... ......... .............................................. ...../o ..... W.r.� North Andover, Mass. Fee-ZO...�6.. Lic.NoJ/.�"*"/"*k*& ............................................................. ELEcrpuCAL MpEcrOR C WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Si I O=blank) Gibe Lfommoniuratth of fttoourh1MPtt5 Permit No/ __ _ �e}turim>rni of Puhlit s'ttfPtq occupanc r 3/9t7 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO /K All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 Y �1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 6 jj Q K or Town of NORTH ANDOVER To the Inspector of Wir s: The udersigned applies for a permit to perform the electric or described below. Location (Street & Number) /-(J� LZ - Owner Owner or Tenant Owner's Address Is this permit in conjunction with a bu ding /permit: Yes �' No El (Check Appropriate Box) t //1% / Utility Authorization No. Puroose of Building y Existing Service ps _J Vcjts Overhead E Undgrnd ,� �No. of Meters New Service -;WAmps 10ZlLVolts Overhead U/ Undgrnd tom' No. of Meters _ Number of Feeders and Ampacity l ` Location and Nature of Proposed Electrical Work `! No. of Lighting Outlets No. of Lighting Fixtures No. of Receotacle Outlets l No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters No. Hydro Massage Tubs OTHER: Total No. of Hot :ucs ` No. of Transformers KVA Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained DetectioniSounding Devices Local Municipal C Other Connection i Low Voltage Wiring INSURANCE COVERAGE: Pursuant to the redu:rements of `.lassacnusetts general Laws I have a current Liability Insurance Policy including Ccm`eieteec Operations Coverage or its substantial equivalent. YES ,---'NO = I have submitted valid proof of same to the Office. YES rv,/yv = If you have checked YES. please indicate the type of coverage by checking the ap r nate box. INSURANCE BOND -- OTHER = (Please Scec:fy) (Expiration Date) Estimated Value of 4ecal ork S Work to Start ctr4P Insoec::on Date Recuested: Rough �/ Final Signed under th P Ittes perjury: r LIC. NO. FIRM NAME l Licensee S,grat a LIC. NO. Bus. Tei. No. Alt. Tel. No. Address OWNER'S INSURANCE WAIVER: I am aware that the L.c ee does not have the insurance coverage or its substantial equivalent as re qu:ree by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owne Agent (Please check ane) Telepnone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 swimming Pool Above-- '.- In- 77 grnd. grnd. L. No. of Oil turners No. of Gas Burners C Total I Conc. I No. of Air Contons Heat Total Total No.of Pumas Tons KW SoaceiArea Heaung KW Heating Devices KW of No. of KW INo. Signs Sailasts No. of `.Motors Total HP Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained DetectioniSounding Devices Local Municipal C Other Connection i Low Voltage Wiring INSURANCE COVERAGE: Pursuant to the redu:rements of `.lassacnusetts general Laws I have a current Liability Insurance Policy including Ccm`eieteec Operations Coverage or its substantial equivalent. YES ,---'NO = I have submitted valid proof of same to the Office. YES rv,/yv = If you have checked YES. please indicate the type of coverage by checking the ap r nate box. INSURANCE BOND -- OTHER = (Please Scec:fy) (Expiration Date) Estimated Value of 4ecal ork S Work to Start ctr4P Insoec::on Date Recuested: Rough �/ Final Signed under th P Ittes perjury: r LIC. NO. FIRM NAME l Licensee S,grat a LIC. NO. Bus. Tei. No. Alt. Tel. No. Address OWNER'S INSURANCE WAIVER: I am aware that the L.c ee does not have the insurance coverage or its substantial equivalent as re qu:ree by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owne Agent (Please check ane) Telepnone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 Awl Date.............................. ,40RTH 4, TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING o�Ar U US Thiscertifies that ............................................................................................. has permission to perform ............................................................................... wiringin the building of ................................................................................... at............................................................................... . North Andover, Mass. Fee..................... Lic. No . ............. .... WHITE: Applicant CANARY: Building Dept .................... E CTR ICA L INSP EC TOR PINK: Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATIO%N FOR PERMIT T4 DO GASFITTING (Print or Type) 1 C NORTH ANDOVER Mass. flat"�i _ �uilding New C! Replacement I-] Plans Submitted `' ( Print or Installing Address Check one: Certificate Q Corp. / "� /� Partner. 1� ��Gz!b�J !%�4 ���� F Firm/Co. Business Telephone: �� o�li 2 —a- Name of Licensed Plumber or Gas Fitter! Insurance Coverage: Indicate the type of i:isurance coverage by checking the appropriate box: Liability insurance policy is Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner 1] Agent 1 hereby certify that all of the dcuils and information I have submitted (or entered) in above application are true and aceusate to the best of my knowledge and that all plumbing work and Installations performed under' Permit iuced fo. this appticafion will be eom ' nos with Ili fluent provisions of tho Massachusetts State Cas Code and Cl apter 142 of tho Genual L►ws• TYPE LICENSE: _ ^� Plumber Gasfitter- Signature of Licensed Master Plumberpr asfitter Journeyman / License umber • Y � Y • • • w -Monson EMENEMEN Emmons 11-01111-M-1- ■EMENNINNE-0000W-111,412��� . a 000=onno ■MENEENEEMEMEN ■ ( Print or Installing Address Check one: Certificate Q Corp. / "� /� Partner. 1� ��Gz!b�J !%�4 ���� F Firm/Co. Business Telephone: �� o�li 2 —a- Name of Licensed Plumber or Gas Fitter! Insurance Coverage: Indicate the type of i:isurance coverage by checking the appropriate box: Liability insurance policy is Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner 1] Agent 1 hereby certify that all of the dcuils and information I have submitted (or entered) in above application are true and aceusate to the best of my knowledge and that all plumbing work and Installations performed under' Permit iuced fo. this appticafion will be eom ' nos with Ili fluent provisions of tho Massachusetts State Cas Code and Cl apter 142 of tho Genual L►ws• TYPE LICENSE: _ ^� Plumber Gasfitter- Signature of Licensed Master Plumberpr asfitter Journeyman / License umber Date.. v .................. ,,ORTN TOWN OF NORTH ANDOVER 00 PERMIT FOR GAS INSTALLATION 41 US This certifies that ... -7 .................. has permission for gas installation .;q— 7�� .... ; .............. in the buildings of ...................... at e, rl.,--,�.�./*.-�./** ........ 1, N ndover, IM4 Fee.7?.-=. Lic. No ........... .... ... . .... .. ... SINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File