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HomeMy WebLinkAboutMiscellaneous - 1077 OSGOOD STREET 4/30/2018 (25) \._ d --dl n �_----- �� i 391-7600 STOCKTON ELECTRICAL CO. INC. 168 MYSTIC AVENUE,MEDFORD,MASSACHUSETTS 02155 MICHAEL R. LOOMIS SUPERINTENDENT orrice We Onl The Commonwealth of Massachusetts (OA0 5datcla. ; Per.tt :To. .z,. Department of Public Safety ? ' occupancy 6 Fee Ducked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 V(` (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Macsachutetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /� F City or Toon of NW- tl,?o t,/ el,--- To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street A Number) �3C e� "(h Owner or Tenant �� @ ��S�yS.Lt er Owner's AddressS AtLo © 3o-2 _ Is this permit in conjunction with a building permit: Ye.k No (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Locations and Nature of Proposed Electric-al Work �,'0y3 9// ReLtSSr.. S-r"r Rei �. �fLIOhJ r No. of Lighting Outlets 0 No. of Hot Tubs No. of Transformers Total RVA Swimming Pool� No. of Lighting Fixtures Above ❑ In- ❑C� grnd. grnd. Generators RVA No. of Receptacle Outletsf(� 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 Total No. of Detection and g No. of Air Cond. tons Initiating Devices Heat Total Total No. of Disposals No. of Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained I Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of No. of Water Heaters Si,nsf Ballasts LowWirVoltage ng No. Hydro Massage Tubs No. of Motors Total HP OTHER: SEP n INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NOD I have submitted valid proof of same to this office. YES❑ NO D If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND F] OTHER F] (Please Specify) (!N� Expiration Date Estimated Value of Electrical Work S4110o0 Work to Start Inspection Date Requested: Rough FinalL41• tt C/{ Signed under the1 penalties of perjury: �i� Ob,�tL` LIC. N0. Licensee's Signature LIC. N0. Address '7 '=rC�v,c�.;ycs 5T ,( �¢vt��.u.ei4t ynig Bus. Tel. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit ation waives t`/r requirement. Owner Agent (Please check one) Telephone No. OA; �� - �� PERMIT FEE o- Signature of Own6e or Agent �. - ' 391-7600 STOCKTON ELECTRICAL CO. INC. 168 MYSTIC AVENUE.MEDFORD.MASSACHUSETTS 02155 MICHAEL R. LOOMIS SUPERINTENDENT . � Y Date.... / l..... '" 2620 ti NOR7q TOWN OF NORTH ANDOVER .f p PERMIT FOR WIRING cMusf� 9 f This certifies that .......P.A&o'.........i 1F ............ has permission to perform ......... ....��.�..1.Ir, .. ........... � P........... wiring in the building of V.mt...ck(.&........0.y...... ........... I ,North Andover,Mass. at d.77.......C,�5..9.�..........5.T..'. FAO,� ....!.O.. Lic.No.1,9.41 !�!= ELECTRICAL INSPECTOR k q r' 0 1 /95 16:13 2N.UO PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Location X07) ST No. Date TOWN OF NORTH ANDOVERT 3 Certificate of Occupancy $ ., Building/Frame Permit Fee $ � ` Foundation Permit Fee $ r s�cHus I� Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ _ d tau Building Inspector 8714 Div. Public Works PER111T NO. PAGE 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP i-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION 6`l-1 C !;q 1'Cr+ 1� RPOSE OF BUILDING j� l ,,, WNER'S NAMEv // `Jct �..7 �`� vl�f• NO. OF STORIES �j 1 SIAE /v L,-OWNER'S ADDRESS ® BASEMENT OR SLAB ARiHITECT'S NAMESIZE OF FLOOR TIMBERS IST 2ND 3RD SCI ILDER'S NAMET v1 A/7 I{\n r�ji ,�p/Iti ,�� SPAN -- ✓DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS WSTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION 15 BUILDING ON SOLID OR FILLED LAND _,NrILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1 fOA IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION �]y�y LAND COST SEE BOTH SIDES Tqlmo(LT9--�um- ((� � EST. BLDG. COST r(���1 ```��� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT.� PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE F LED AND APPROVED BY BUILDING INSPECTOR (W'1 DATE `(O G l ` c. • "� " ' '"^I BUILDING INSPECTOR SIGNATURE OF OWN FER OR AUTHORIZED A NT n FEE OWNER TEL.1i 0c) PhtRMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.N H.I.C.N "PL A C-L� ori � Q BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY soRlEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM " MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K._ PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ 114 1/2 �/� FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING ORT Town of � � Andover 396 ,ort dover, Mass., 06, Ice 1 q'gC0 Q , LAKE T COCHIC"1 WICK ADRgTED PP �`� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..4g6ka.. c c, .../on .lb .... l A��.�2C...-•••••SA�!v Foundation has permission to erect.... Lr`"�' ................. building ..... $ .......�.......................... Rough to be occupied as.,�?..... .7a .... 0,� . 1'�. .. •.. Chimney .. .................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rouge, Final PERMIT EXP 6 MONTHS ELECTRICAL INSPECTOR UNLESS CO STR ST Rough ... .... .. ... .... ... ..... Service BUILDING ECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No, Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT _ s ' — I 4 COMMONWEALTH OF DEPARTMENT OF PUBLIC SAFETY a ONE SHBORTON PLACE MASSACY.IISTS C;L° j q 2� BOSTON.Miia2tU3"'= r,- A23 , nce lop L ofthjs, EXPIRATION DATE LICENSE C O N S T R. SUPERVISOR CAUTION 10/25/1995 RESTRICTIONS EFFECTIVE DATE UC-NO. FOR PROTECTION AGAINST NONEo Lb/30/1993 029125 THEFT, PUT RIGHT THUMB PRINT INAPPROPRIATE PLACIDO DISTEFANO SS 014-54-9D2Q 12-14 ATKZ�iSON AD -- m SALE NH G 3 07 9 g STII��G�PERATQRS t j 3 PHOTO OPR ONLY) E� FlOA. NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ' i 3 ��.�•.�''y'; 1 ) HEIGHT: STM/PED-OR'SIGNATURE OF THE COMMISSIONER •.i f I I '7 I DOB: � 10/25/1955 . �,� THIS DOCUMENT MUST BE D.i •�/• CARRIEDONTHEPERSON EN- « SIGN NAME IN FULL ABOVE SIGNATURE LINE THE HOLDER WHEN EN- OF LICENSEE OTH SPRINT GAGEDINTHISOCCUPATION. COMMISSIONER • ...asm...ry.._..,F,..--e++.•.:....�...-_.r. ............y.....r�......_...,..,...�.w.m......r_..._ a+.rr� , .. ♦_. _... .__, z v L 682s / o3 oVM � ; tAndover � � G 0 • ,j �- -Nort dover, Mass.. A 061 I 192 Y, E u BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 10 - �� `„� ����. ������� ��� BUILDING INSPECTOR THIS CERTIFIES THAT............ .../A. Foundation has permission to erect................�"`.�................. buIIdIng .....CO.:!�.O tt C 51'-x....... ........................... Rough • tobe occupied as..................... .........?....OW `...`............... . ........................................................................ Chimney provided that the person accepting this permit shall In every respect conform to the terms of the application on file In eD gD tb this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough I f PERMIT EXPIRES IN 6 MONTHS I ELECTRICAL INSPECTOR . UNLESS CONSTRUCTION STARTS Rough ..... ........ Service • BUILDING INSPECTOR Final ` Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTM N!),r 4 Until .Inspected and Approved by the Building Inspector. Burner CONSERVATION FINAL . PLANNING FINAL 0 Street No Smoke Det. t SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Town of North Andover 'Building Permit Number S— S9 (a Date 10 ZO —0k d 4c t>AY �. THIS CERTIFIES THAT THE BUILDING LOCATED ON 10'ZZ OS G,06\> Sr Ql i C" s MAYBE OCCUPIED AS lP AC N IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pORTq o ,,..• •�+o CERTIFICATE ISSUED TO A)q c GI ADDR ' ! v •�• .its' �,� A 4D ' ! •+4cMus l g i I