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HomeMy WebLinkAboutMiscellaneous - 101 NUTMEG LANE 4/30/2018Date./? V/ � .... . TOWN OF NORTH ANDOVER PERMIT- FOR GAS INSTALLATION This certifies that ...(, . F:. 4 n� .� %.....!.?......... has permission for gas installation .... e� . ................. in the buildings of ..... 1 .1 .......................... . at , North Andover, .Mass. Fee.. U.... Lic. No..3 7 .. ... GCZ'PECTORr� Check # D r FIXTURES MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: ey , MA. Date: Dec - 15 - Zo 10 Permit# a Building Location: I0( MuA Lane Owners Name: �Au he.s Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential 19 New: ❑ Alteration: ❑ Renovation: ❑ Replacement: © Plans Submitted: Yes ❑ No ❑ FIXTURES INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes [0 No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Aoent By checking this box ❑; 1 hereby certify that all of the details and information I have submitted (or entered) regardina this aaalication are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ❑ Plumber Title ❑ Gas Fitter Signature of License lu r/Gas Fitter ® Master Cityrrown ❑Journeyman License Number: 9325 APPROVED OFFICE USE ONLY ❑ LP Installer W vi H Z W Y fn W m 2 O� LLJ Ot �} O N = N N 0 O W W Z of W O W 2 O W WZ I— to > w m O� z IL ~ W LU Lu � N V Z W W Z = W 1— = ~ O W _ LL > V W Z W Z le O N J F- Q H Q O m Z J U' W O Z 0 0 W > z�_ W W O IY C 0 D 0 0= Q> O O� O w W z z w Q I— v u_ 2_3 e. H>>> O SUB BSMT. BASEMENT 1 1 FLOOR 2 FLOOR 3 FLOOR -4'FLOOR 5 FLOOR 6 FLOOR 7 FLOOR FT- 8 FLOOR --I- Check One Only Certificate # Installing Company Name: B.F. Murphy Plumbing & Heating Inc. ® Corporation 2903C Address: 72 Holten Street City/Town: Danvers State: MA ❑ Partnership Business Tel: 978-774-3174 Fax: 978-774-8709 ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: Brian F. Murphy INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes [0 No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Aoent By checking this box ❑; 1 hereby certify that all of the details and information I have submitted (or entered) regardina this aaalication are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ❑ Plumber Title ❑ Gas Fitter Signature of License lu r/Gas Fitter ® Master Cityrrown ❑Journeyman License Number: 9325 APPROVED OFFICE USE ONLY ❑ LP Installer a � r b � n �3 O z r m i0s b r_ r > m m b7 z o ❑En r a Z m -� � chi m 1 p m c� b 0 c� b r� 0 z i I Town o North Andover a� NCRTh q Bwtding Department 27 Charles Street 0 Z North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �`y ." �► T O'pq tOLM[M Kw r1 ��SSgcHus���y ADDRESS LOT NUMBER 4a 0 DATE REQUEST FILED DATE READY FOR INSPECTION Lam: 2 SUBDIVISION t -i bb �er i 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 OFFICIAL USE ONLY ROUTING CONSERVATIQN DATE PLANNING DATE D.P.W. — WA I 7 TER DATE G D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO THE INSPECTION REQUEST DATE. SIGNA - PWA TION 0 CER'T'IFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 6 10 C---), Date 0 8-00 THIS CERTIFIES THAT THE BUILDING LOCATED(ON _ MAY BE OCCUPIED AS J , 20 --4 /® jlp_ —/-4—,-�r INACCORDANCE, WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER RePO M SL aT S BA A'S -MAY ADPL L) ti ller f NORTp CERTIFICATE ISSUED TO d ro f p tao y N� A ADDRESS I d `t -TL, rN J ass^CMUStS Building Inspector m m cnm 0 m C rF CO) 10 CD n 2 CD o AAa. r CL aco .p o CD o p CL Q CD o CD CZ O CO CD CO2 10 CD 0 7 y d W O y C7 C O C CO) c� CD O �F CD CD y CD CO2 0 W er . D ILI W- r C 0 c ?� O d x 0 IN dO�m ti CD O = m Cl) 0 coo ma� R, ._*CD w 0) y T m CL P-* ^� G C H y O .r O m almom mIE x 3-c c O !09 C of OHcO7� �o m O � CO) a � CL m m N 1 �•Q d CD I to H O �aQCL C y • JE m CD 1 O7 h Q m r► O cc" &: do •••� � CD O ip�sc a 4 o 'p CD 5:�: m = : �C• N : O m �c CL -� c CD � 0 � C 7 ��� w �G G SL C/) al b O Z x > e P. M W I Q O N H 0 9 0 c Location No. G �a Date 42 -9 -oiD MORT„ TOWN OF NORTH ANDOVER 3? ' 0 '1i 'S O Certificate of Occupancy $ sAcMusE Building/Frame /Frame Permit Fee 9 $ Foundation Permit Fee $ Ib Other Permit Fee $ _ TOTAL $ Check # r I Z.1. 3 9 (6� Building Inspector ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING h�77, BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNATURE: Building Commissioner/I or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 10k Nu-\-r,\eG Lo vyf- 3 O $q i O ^ O Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R3 sie �a�.►►,� 51,g�o aa,, Zonis District Proposed Lot Area(if) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Regitired Provided 30 (P a0 -0 1 110 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside / 1.S Sewerage Disposal System: Public Private ❑ Flood Zone a Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record lib, n ei Name (Print Address for Service: -a Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: C- S O5 a c�LAL License Number 11 1 r- or es fi I a An ouer Addres f 1f 00 anm t Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone Ma rn 0 Z rn 90 0 ic r rn r r aa. A�Z Y SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 & 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildigg permit. Signed affidavit Attached Yes ....... V No ....... ❑ SECTION 5 Desciriiptignof Proposed Work(check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Con5+roclr�o,J b`� a� S�n�fe Fermi !v �cye 1!►�� Car SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical g CX) C) (b) Estimated Total Cost of Construction 3 Plumbing Son Building Permit fee (a) x (b) 4 Mechanical HVAC a 000 5 Fire Protection N A 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION bbaltt- 1, (,(j M 1 Q rv%8a, r r c `1�"TPre s;�Pn �' -0c as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief r re 4A—i Print Name X is 114 1 00 Si ature o er e Date NO. OF STORIES SIZE 3-7,50 BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I b 93elo 2 3 PD SPAN j ' DIMENSIONS OF SILLS a( DIMENSIONS OF POSTS ►{ X LP DIMENSIONS OF GIRDERS 4X HEIGHT OF FOUNDATION $' THICKNESS SIZE OF FOOTING l it X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND SD I i d IS BUILDING CONNECTED TO NATURAL GAS LINE e� GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. A JN 6 Ai- cie u. Car✓) 1 (*) ( AJQ *' M e Q l ane i Permit Applicant Property address Map Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the 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 ofthe- effective date ofthis bylaw, provided that no additional residential unit is created V The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens 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. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density 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 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 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. This application represents a lot which is ready for a building permit ( 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 submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER 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 OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GRO S FOR 3EFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. ,,r 1 a o0 APPLIC S DATE r THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION MAScheck.COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11-29-2000 DATE OF PLANS: 11/29/00 TITLE: 101 Nutmeg Lane PROJECT INFORMATION: Abbott Village COMPANY INFORMATION: William Barrett Homes COMPLIANCE: PASSES Required UA = 708 Your Home = 645 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 1821 30.0 0.0 64 WALLS: Wood Frame, 16" O.C. 3324 13.0 3.0 237 GLAZING: Windows or Doors 648 0.350 227 DOORS 42 0.350 15 FLOORS: Over Unconditioned Space 1814 19.0 86 BSMT: 8.0' ht/6.0' bg/2.0' insul. 100 10.0 16 HVAC EFFICIENCY: Furnace, 86.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents 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 design load as specified in sections 780CMR 1310 nd J4.4. Builder/Designer Date o p I if I E C) hrre q �p-r ZV Agear Irlu.AGf- IJo+I. I, avor� OF MqS DANIEL Y.ORAVOS ,fWIL , it �• � '_ �. `71~ w Irl. Sr4 e V -Ts' - --- - . I P v Lr 41 tir h►'fur3r - I �� E G>a >: atc 91.?i• V14 110 \w win t l LiTHE6 LAQE BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 052241 Birthdate: 10110/ 1952 Expires: 10110/2001 Tr. no: 7876 Restricted To: 00 WILLIAM K BARRETT. 1049 TURNPIKE ST N ANDOVER, MA 01845 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02 911 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone F-1 am a homeowner performing all work myself. F -1I am a sole proprietor and have no one working in any capacity 121, am an employer providing workers' compensation for my employees working on this job. Company name: C n I Ut',o- U'i1\ c Deo. Cup 013A - D hLn•fr orte, C,or"Q Address City: Afir') Phone #• b a - 7;:' Insurance Co. C-, f r .-t- n m r'r r" c' �1,J Policy # P (A C ($ ! a 5 a 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 forma( 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.. Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone #: FORM WORKMAN'S COMPENSATION J I] Building Dept ❑ Licensing Board ❑ Selectman's Office ❑ Health Department ❑ Other REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To be filled out by the applicant and submitted with the Building Permit application 1. What is the proposed project? Deck pool addition new house other 2. Are plans attached? yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Yes No 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No 5. Is the location served by private well? Yes No 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? Yes No L� 7. If, yes, is the inspection report on file at the BOH? Yes No N(4 Town of North Andover 14ORTIV OFFICE OF ? .,�' o COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street • �� = WILLIAM J. SCOTT North Andover, Massachusetts 01845 SACMUSE Director (978) 688-9531 Fax (978)688-9542 CHIMNEY APPLICATION AND PERMIT DATE /I PERMIT # LOCATION 1 Aj tit (n es L 4 A.) � OWNER'S NAME P� BUILDER'S NAME MASON'S NAMET�:) n „ P re) ry) P MASON'S ADDRESS_ L/G? Ly�' S.r- y ,� ��. /Yl +��}r- ., MASON'S TELEPHONE (� �� — 09 y 9 MATERIAL OF CHIMNEY AC LC,V INTERIOR CHIMNEY EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES I CSX I'a THICKNESS OF HEARTH_ j t Will chimney or fireplace conform to requirements of the code and have rules and regulations been received:_ S DATE SIGNATURE OF MASON ,r CONTR. LIC. #_D,5 EST. CONSTRUCTION COST/CON CT PRICE �iljnll PERMIT GRANTED FEE ROBERT NICETTA, BUILDING INSPECTOR INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 DEBRIS DISPOSAL FORM NORTH q `T O'4. COC�CW K• 1' In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Facility location X Signature of Applicant ra I Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 , \24 �q�fFw ^iff 45/ DRIVEWAY PERMIT Telephone (978) 685-095U Fax (978) 688-9573 DATE /V 'Z0Gt5) LOCATION �D f �YLI� ��1 s7 2 /W 2D BUILDER phone OWNER �/' lT hone 682- 2 3�C� 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. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. 1028 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town water main in K Sheet;' subject to the rules and regulations of the Division of Public Works. I I The premises are known as No. or subdivision lot no. c Owner Contractor 1 YK # ellel' 5• ©� s � � Of gas Address MAdd �& Am Applicant's Signature PERMIT TO CONNECT WITH WATER MAIN J.1f,t/t, n The Board of Public Works hereby grants permission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date Street Street See back for rules and regulations -�� '51ee- rg/�/Rt'� �.r 1624 APPLICATION FOR SEWER SERVICE CONNECTION ?,CLQ North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in k4w6wstreet subject to the rules and regulations of the Division of Public Works. n � The premises are known as No or subdivision lot no. /.1 r11. Owner Contractor 1L2 reet C232-23zo r Address Address ?(, :tm Applicant's Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to ( to make a connection. with the sewer main atdw�;V'"&';'6 Z--'ty subject to the rules and regulations of the Division of Public Works.. Inspected by Date Street Division %of P lic Works By See back for rules and regulations Dr7w 292 Date .... NORTH ANDOVER RECEIPT 1,d - Ilt- o.( ..... ,PC. This certifies that ....... 11 A2 .................................. . . . . . . . . . . . . . / . . . . . . . . . . . . . . -ij M7 'Ile for ...... 6ew�?-( ..... .. . ........ Received b .. ........................ y ..................... .7 A) Department ................ 41 6. /� ...... .......................... WHITE: Applicant CANARY: Department PINK: Treasurer FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. IBM 0 won one APPLICANT a-) ++- PHONE & K a— a 3 a h ASSESSORS MAP NUMBER 3 $ LOT NUMBER PaAe� SUBDIVISION A lo h15 At LA I ( 0—y e- LOT NUMBER ©10. STREET N Q+ Mea L a nJ e STREET NUMBER J6 OFFICIAL USE ONLY RECONMIENDATIONS OF TOWN AGENTS 17 "owns DATE APPROVED© CO SERVATIO ADMINISTRATOR (� DATE REJECTED coNiNrENTs42 at Sye / Cy� r DATE APPROVED bO TOWNIS R i� DATE REJECTED CON DENTS FOOD INSPECTOR - HEALTH % O 1 SEPTIC INSPECTOR - HEALTH / COMB ENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER / WATER CONNECTIONS Gly G DRIVE Y PERNIIT AO!� • DATE APPROVED FIRE 15EPARTME9f DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE In R O jd � n m O m Z rt 0 0 5. 0 co m 3 > > o c 3 � . a 3 H' O O 0 n CD N 0 m =1(D p -i rt M = -" M a �Q n C rt �• aD �H m E3m 0 Q lD � n mo cD �, LO in m m =a C: c_ E o CD o O D. 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PLL15H FRAM P Dt 4-91141, I„VL, MA m MV Cl MR t3RU7Gl � -A.L WMR5 ARS O2X10 1211 OL, P1.115N �RAluI�D C� �i,lL`H �RAMi:t7 44 04"' L.V.L. PEA M 4 1 4" L. L. Inli � M5,61 - - - - — ALL WM RS ARr 2X101611O.C, Z Z!L c_ 4, O� - N X X _ O - At \N X\ x\ N< X z FIR -_ z o z a Q) z N X O N- ) NZ O a 0 0 6-4112" 1.,1.. 10111 4 N2 2777 0 Date..'� .... �y ... �:. V ... TOWN OF NORTH ANDOVER PERMIT FOR WIRING f This certifies that ................ 11 .......... ...... ........................ has permission to perform ............... ..................... ..................... wiring in the building of ..... ....... at.// �'•� 1HL'(,UA MU1VWPAL1HUPMA&"(,11U3P_11J utnce use only DBPARTMEW0FPUBLICS4FEIY Permit No. BOARD OFMEPREVEM7ONMGUMTIOAS527CMR12D9 urr Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PEMFORMELECIRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat d h 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) n do A07- /0/ dJTA,�6 6ki 4 Oi% VrrLG1,7"6� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ® No (Check Appropriate Box) Purpose of Building y G L S i itlW� / L y _ / (•� L 1.f Ny Utility Authorization No. 4&>'•= Existing Service ,!_ AmpsVolts Overhead r_1 Underground M No. of Meters New Service op Amps / f p Volts Overhead 1:3 Underground 1�3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work t '73kV Py,C 0A V No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units 4 No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis a No. Hydro Massage Tubs No. of Motors Total HP VTIdER InsuittioeCaaage RasuatttiDthemgmmiatsoWb%ad scmC naalLam Iha%eaettLi mUyhmm=PbbcynixbigCar>pklc C maWcritsabs�t>Uegivala* YES NO a>a Iha%eabn0dvalidpoofofsame1DtheOffi= YES F1 No If}culmedvdwdYES,pleaseatd c*thet WofwvaaWbydaktrgilre bcx D SURANCE M BOND OIIER (PleaseSpacify) Estitr>&d Valueo'Elactrical Wo& $ Final FIRMNAME I tpwJ) tr-1 / Lit eNa Lioa= 1'14S#Jo 1w t -y Sig ne Li c=No �! BusirXssTeLNa _ Address., ��.� UJ 'D Al Ak Td Na OWNER'S?gRRANCEWAIVER;IamawatethldrLxmsedmio the itammoxeraW"st>bsale�tivaiattastegtmedbyeGeneralLaws a a ddhatmysigutumcnfhspem-d pplicmarwanesftt�rialt. (Please check one) Owner r_1 Agent Telephone No. PERMIT FEE $ Location rd O 0 4 f� r ,v� � 1 ti No. 1115, L Q— Date MORT•, TOWN OF NORTH ANDOVER .• O . . - s Certificate of Occupancy $ "�••° •''�� �+cEt SS Mus Building/Frame Permit Fee $ 1593 Foundation Permit Fee $ Other Permit Fee $ TOTAL $—' Check # '63 'T f--- Building Inspector �-lLiTM E6, I iMBY CERIM ro rm No, A'JDAlE�z gam. rFPr' 1wr ria FPrw. m war= ON ria LOr As sfforx AxD nur lr Doas COMM Tlri rj& Tvwt? or Nm, Ao poww Somr, Awxur101Vs REaMMG SRMCM FROM SrRERVS & Lor Lms.` ` 1 FUR!'ialn r1F7 riAr MS FP'rQ . IS Nor Local J1V F RAL FLOOD IL ZUW AREA AS S909N OX : PANRL DATID 4-2-93 . , n - Nor Fain BOUNDARY nom. aomm RY awomuffox UMM PROM msrlNo RECms. PLOT PLAN IN Oo►2r(4 b j oav ER- , HAe-�. DRAIPN FOR 2A ¢V-E-rf' rJE�/, 40, � . �o' ,�A►J . � e,�ol J/R UMUCK RNCIAKERNMO SRRMIS 66 PARK mrcr ANDovRR, mussicxuarms otsio No 2 S-� 0/ 0 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................................. / ........................................................... has permission to perform ................... ....... ................................................ wiring in the building of ............................................................................... at.Z ... / ......... ....................................................... North Andover, Mass. Fee..................... Lic. No.............. /.............................. ............................. ELECTRICAL INspEcToR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TBE09AM0AW 4LTHOFMASSACHU. Office Use only DEPARTAIEVTOFPUBLIMFF.TY Permit No. BOAOF ME ONRMMTIONS527CMR12-W lop RD Occupancy &Fees Checked PPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover The undersigned applies for a permit to perform the Location (Street & Number) / q- r ,),n Owner or Tenant /4.0,0 ical work described below. /f0s6 To the Ins -ct4 of Wires: Owner's Address /o Y9 -7DdN/ //l -r �T Is this permit in conjunction with a building permit: Yes M No � (Check Appropriate Box) Purpose of Building J( All -1- f AWI (Y i UAL LL Ald Utility Authorization No.6% /— Existing Service Amps Volts Overhead a Underground ED No. of Meters New Service a4 Amps / d' Volts Overhead Underground ®. No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ` Z L 2 i s"c-1 AZ C LL��•2z&u-//Lz No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ID ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units 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 No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Locala Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP ,OTHER htstraroeCo�era� Rest�IntO�thetagtffiattais�C>�alLaws IhawawrratLiabttUyk r&=PbhLyarh&gCanplete coArdwc' sRkstam qiValat YES E� NO Ihame%hn2edvalidptoofofsanetothe0ffm YES F)cuha%cdcdWYES,pkmmdc Iletictypecf'wmaWbydakirgthe N&RANCE a BOND M GH4R M WakoStatt htspec6mD*RewmWd SigtxdundoMP ukxso(petjuty. FIRMNAME 0 !►'1 ft �) ) ftwe) E0nEkdVahiecfEkcttical Wdk $ Foal .1 • W6,wl ` s :., and that my sgiatw(n the pts applicad m wages this mw'mrtenk (Please check one) Owner Q Agent M Telephone No. PERMIT FE v N° G i 7 Date ..y ...... �. ............... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4% s o� , _ �•� a CHU This certifies that.... U� .: ..'....... J.....::.:...` ................. '...:..:.....:.. f A has permission to perform ...... wiring in the building of Z..:.....::.................................................. at ...I.:. z........: ! , ...................... . North Andover, Mass. Fee:, .............. Lic. No.l:.r.......................................... .................. ELECTMCALINSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer \ T1MC0A MONWE4LTHOFMASMCHUS'E77s Office Use only DEPARTNIDVT0FPUBLIC&417NY Permit No. UABOARD OFMEPREVEW0NREGM4T10 �SS27CMR 12:OD Occupancy &Fees Checked PPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 // (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat / , 12 — O 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) Owner or Tenant 124 /?/1 Owner's Address Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building Z- - 1 I e), T i -A /" Utility Authorization No. Existing Service Amps �/r� Volts Overhead Q Underground 1:3 No. of Meters New Service Amps / Volts Overhead r-1 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 ground El 2round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units 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 No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis _ �fo. Hydro Massage Tubs No. of Motors Total HP OTHER /f yr �, 14A, �7 / Gf �'WJ htstra=CuAm@24 Rasuatvothem4zane>,tsckTvw adw9mC=aalLaws IhawaomftLiabiltyhn==PcbLymdu&gCanpi*OpwaficrisCoveaWcritsskgatWcWivakit YES NO IhENesthn2edva6dpvofofsame1otheOffioe YES [ r7 IfjuuhawduiWYES,pi mmdc*tttetypecfwva Wbyd=ktrtgt c ,WqINSURANCE F1 BOND a OlHER may) WakmStatt �'/— /7�>speo,D.WeRavested f FIRMNAMEu Licet9ee �z�i.CUlf s;gTMM OWNER'S INSURANCE WAIVER; I am mmdrtthelio=dm nA t andthatmysigt>ahaecnthispem*appticatimwaiAsthisrc mancnt. (Please check one) Owner F-1 Agent n E)pmcnD* E4rt:WdVakrdE b1 ical Wads $ 900 , 0T/ Rao FvW _ liret�seNa Z Z 7 _ L =No S yS A1tTV,h Wt^'�'.�,�� 2� f Telephone No. PERMIT FEE �, �7