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HomeMy WebLinkAboutMiscellaneous - 108 WINDKIST FARM ROAD 4/30/2018W 2302 Date ........ //.�. / NORTH 6 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMUSE� ..: � . < This certifies that ....... ... S.e. (' .................. ��...... S .'...... has permission to perform ....... ff....... S ...1 ...................!c............................... wiring in the building of . .....`.. &w.`....c k' 't r.I..... ....... , North And6 , Mass. Fee ... J f �: ... Lic. No. h. 33 C .............. ..... 'u ................................. ELECTRICAL INSPECTOR 0 Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Department of Fire fe`rvices BOARD OF FIRE PREVENTION REGULATIONS O(licial Use Only Permit No. V Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: V- / 1/ - U d City or Town of: /1012 T14 14lUb,9 t/ E/L 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 & Number) %(� �.t� t rU J ,� i's i ,4 it Owner or Tenant Owner's Address Telephone No. 9 %9- 60al-8'518 Is this permit in conjunction. with a building permit? Yes F-1No[� (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps i Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: BURGLAR ALARM + Smoke Detector Comnletion ofthe following tahle may he wnived by tho Incnertnr n(*Rf v No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. rnd. o. o mergency ig ing Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones l No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g 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 El Other Connection No. of Dryers Heating Appliances KW ity ystems: or Equivalent c20 No. of Water KWo. Heaters of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: . Attach additional detail if desired, oras required by the Inspector of Wires. 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:) Estimated Value of Electrical Work: /4m- " (When required by municipal policy.) (Expiration Date) Work to Start: , ,5-11,3 /4nnspections to be requested in accordance with NEC Rule 10, and upon completion. I cert j&, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: ADT Security Services 111 Morse Street, NqVvqpd, MA 2062 LIC. NO.: 1533C Licensee: John S. Bassett Signatur LIC. NO.: 1533C (If applicable, enter "exempt" in the license nu»iber line.) Bus. Tel. No.: 781-278-1169 Address: Alt, Tel. No.: 781-278-1131 OWNER'S INSURANCE WAIVER: I am aware that the Lt nsee does not hai e the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am die (check one) ❑ owner ❑ owner's agent. Owner/Agent FPERMIT FEE: � �S� Signature Telephone No. Location.. No. 3 Date NORTH TOWN OF NORTH ANDOVER j n Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHU Other Permit Fee $ Sewer Connection Fee $ 7- Water Connection Fee $ TOTAL i$ .- 925L /�Z• 00 sf ,-> _ — A `^^ 7 3 71 rn m Z O m W o o i Q A ' c c � r m 0 Z r n lj z 0 w v U C O C> o o >I n i D n p� _\ x m N y A p O 0 0 0 0 Z i z O MA o r 00 m v m O N Z n -1 N o z > 0 z W r M _A r i/ R �` z 3 N m 4 0 /n l' N� m Z 3 0 1 O A ai a a m> m> W o o Z J ' rr Z v 0 Z A ai a a m> m> W o o i 1 .4 Z v 0 Z r n n r r n C ° C O C> o m >I n > r n D n A x m N y M O 0 0 0 0 Z i z O MA o r 00 m v m O N Z n -1 N - z > 0 z W �o° M O r 2 m F �` z 3 �c� 4 0 or N� 3 0 �1 O i m A - m N 0 n 0 0 x i Z Z Z m f m m m> o o o a> 0 Z 0 Z r n N; Z A O r C C ° C O C> o m >I n > r n D n A x m N y M O 0 m > F o i z O z O z O r 00 m m A m m A m O N Z n -1 N > O z > 0 z M O r o m F �` 3 3 z A 3 m z > or N� o fF 0 �1 O i m A - m N n 0 0 x i Z Z r m i c > W —1 < N�(S,Q Z c 0 O G, 0 m gyp, n A ^ n m O 1 A > VJ N N m N m N c D m N m m 61 ; S D Z N N m 0 > Z 0 A c y N C c C r C r Om I i m Z N_ O m INn x m O N w Z► A O 0 a 0 ° 0 D F 0 m O 0 O azi m 0 i 0 i A m 0 O 0 Z 0 Z 0 Z z n x Z O m p c zO 9I N O A i A N > N c r A O Q A n n O Z i ° r N N m Z i O i O i ° ° A j.► O Z m N N p N y ('r GI oo� G 0 0 OVI �%C Z > i A o Z 0 F m C' ^~^ x YN �I N N A p m — N r N a z O D m I N C v a � d w A ov Y � T D Q Im §� - ■� IL'ji uI <It © �O o � Q ZAz us«�i 69 p(Aa z LL 0 a © 25© s 2mu 2 §02 low Z °o■ <z Wkw e U . �§W � & $§2 uwb ©ZB ■ �§) O:Ez zzz §36zz ,uumob) §§\SES m 2 � IE k -G z d0 2�.Rz'®3 o=��;T��� - 1 -2 <o 0 I�1�,I& I}§do ,!moi#5 � � � 2m� $� <z /���� 22 >Z IU 7TF FX ® }}< k} LJ u< !< ! §j ; , k 2 � S z E\:( §/ a U k ) w /��z E G\ R z e� -q §/®y 7�m u ` a �\ 2 ° �}}�§\ �� ° \ }\ am) ° _ 0 z 0 U k �G9k\d :E ) �% A 5§q .`o ƒ»¥� #§I�® �.? \�}X00& m2222 2�-t0 \!Rƒ( . z u0 < O:Ez zzz §36zz ,uumob) §§\SES m 2 � IE k -G z d0 2�.Rz'®3 o=��;T��� - 1 -2 <o 0 I�1�,I& I}§do ,!moi#5 � � � 2m� <z 22 >Z -2f; § ® }}< k} LJ u< )�X<2M0§§9 k 2 � S §/ a 2 - w -a R °} \\( �� 'ERMIT NO. 3 APPLICATION KA PERMIT TO BUILD - NORTH ANDOVER, MASS. PAI MAP 4-40.!O LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGI - I I- ZONE R 2 SUB DIV. LOT NO. /.�.� !/.��s -- LOCATION / ,�NQ�L �3 �% %% GG` PURPOSE OF BUILDING Ct>-"� c/ f )SIIZE OWNER'S NAMEf` NLV 1C `S j --J -ln L� NO. OF STORIES OWNER'S ADDRESS`O `J� T ✓ /c- G7 7 - BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND �3RD BUILDER'S NAME / �- !� SPAN / H DIMENSIONS OF SILLS!____y�// --- DISTANCE TO NEAREST BUILDING >o lo DISTANCE FROM STREET 60 .,POSTS DISTANCE FROM LOT LINES - SIDES rZK ?,S C REAR /� I ` 7 GIRDERS /- AREA OF LOT / L��' QS z FRONTAGE / `� J HEIGHT OF FOUNDATION )O �O" THICKNESS IS BUILDING NEW �.D� SIZE OF FOOTING �/i X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND c7Vie5 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yes IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY /� /{I IS BUILDING CONNECTED TO TOWN SEWER zt/o ' IS BUILDING CONNECTED TO NATURAL GAS LINE Ille,) INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR A DATE FILED l%1.. /, / TORE OF OWNER OR AUTHORIZED FEE PERMIT GRANTED /) v 19_ ST i- 49 g( �& 19 a9iv �J flbds�ft) 3 PROPERTY INFORMATION LAND COST JL:% -v OGv EST. BLDG. COST �✓� Q V EST. BLDG. COST PER SQ'FT. lJ"� EST. BLDG. COST PER ROOM •� ii -7} -t -T SEPTIC PERMIT NO. 4 APPROVED BY BUILDING I OWNER TEL. k 6 EZ- CONTR. TEL. # 65-Z -,- �- 3 2- CONTR. CONTR. LIC. # �17 Z2 H.I.C. # N 'v C � CO) Cl) CD n Z H CD O d =• CO) O CD CDCL o CS CD CD O CD CD y, CD CZ O_ CO) CD I a v W O 'O Z O O c") r.�. o CD O C CD z Cn (nV7 - z O > 'r1 w O adv y �' .�. N Q p CD N W Z �G _ m om o m n �QQ 0 N CD d Cl) r z Cn b n 'r7 -7- O� G T .0►Co � n •y n � m ,,,r O O N m iV `� O m : O Cc,3E -� = O cD o m C z p O NE 0t, Co C CD d N Cfl O p• � ; CDto CD 1 n� 3 CA _+ O HG CO) E N Q O CL d C N N\ N m . _s N N � -� p C CD S d N •` o m CD ~l, � m o � 3 CA o CD _. Co :S (V W w � o 0 ate: 3 C� TJ --SCD: c o �o: o = ' e—o c9 z Cn (nV7 - z ] > 'r1 w O adv y �' n7 °�'— 7d ao�n Z ^rl °�' 7J G r tz :r w n �QQ 7J :7" 'r1 C C a r z Cn b n 'r7 -7- ° ° FORM U - VERIFICATION 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: ,2� �/5 Cd%% z G Phone d; LOCATION: Assessor's Map Number /d % Parcel �. Subdivision _Zleyl i_ /a �,c�2 Lot (s) Street ��12%'11 /5 %L �/<21Z I St. Number l013 ************************Of icial RECOMMENDATION OF WN ENTS: Conservation Administrator Comments Pl ani r Comments Use Only************************ Date Approved Date Rej ected Date Approved' Date. Rejected Food Ins ctor-Health Date ApprovedDate Rejected Date Approved 3_ e i Inspe tor -Health Date Rejected Comments Public Works - sewer/water connections =W ) — %-3 - driveway permit F -ire Department'ptoif, AGA 'k</rr�ci We S,Lwr , ' Received by Building Inspector Date 03!13/98 13:27 FAX 508 6889556 :I NORTH ANDOVER Growth Management Bylaw Exemption Statement Town of North Andover Building Department This forth shall !Mused to assist the Building Department in their determination of exemptions under section a.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant an Building Permit (below) Addres3 of Property for Permit (below) . L6 G .ar � e sal /tea . 12' Map and Parcel ;/0XPurpose of Application (check below) Phone Number of A plicant: Single Family Two Family __6" .2 32v 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 North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from tate 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 Drparmnent and is only officially accepted when the Building Permit ik issued. Based on section 8.7.5 of the North Andover Growth Bylaw the above tot and the work as applied for on the above lot• in the building permit application and associated attachments, complies with on* or mora of the following sections as indicated by a check mark. This is an applir-ition for a bwiding permit for the enlargement. restoration, or recanamcben of a dwelling in existence as Of the effectnte date of this by-law. provided that no additional residential unit is trailed. �The'a4s) werwwas created prlor to May s, IS% are exempt from the provisions of this Section a.7 of the Zoningw, This application is for dwelling units tar low and/or moderzte income famBes of individuals• where all of the condihons of 8,7.6.c•9re mar and/or represents Owelling units for senior residents. where occupancy of the units is iestrictud to senior persona Mrougn a property executed and recorded deed restriction running with the land. For purposes Of tnta Siticban 'senior" shall mean persons over the age of 55. This applicatfon is a part or a development pMlect which voluntarily agreed to a minimum 60% permanent reoucdon in density. (buildable lata), below the donsrty, (buildable Ion), permitted under Zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at bast ten buildable acnes and permanently deslgnatea as open space and/or farmland. The land to be preserved shall be protected from development by an A911cultural proservatlon 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 neid by a Developer in common ownership with an aajacenr parcel on the effecove date of UIS SCCUon a.7 shall receive a one-time exemption from Inc Planned Growth Rate and Dvvslopment Scheduling provisions for in* purpose of constructing one single tamily dwelling unit on the parml. This application represents a lot which is ready for building permits.(i.e. all other pannus from all other boards and commissions have been received and the protect is In compliance with those permits), and the Development Scyedule does not accommodate issuing a building perrntt in that Year. one building permit will be issued per Year per m Oevelooent until such time as the Oeveiopment Schedule aCCaMmodates issuing building permits. Applicant must supply approved form U with thiq EXEMPTION. Please provide any and all information that would assist the Building Department in making a .determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further 1 understand that the submittal of misleading and or inacmr-ate information• or the checking off of an above item which does not comply, whether done to my knowledge or nor. is grounds for refusal by the Building Department to issue a Building Permit. ��i1�1 d atu a of wrier ur AvthonZed Age, ria mgnea t e Attained l3ui in Pernmt logo This Corm must be attached to the Building permit upon applicadon or such palmi!. ®U01 N2 739 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. ' e! 19 1 Application by the undersigned is hereby made to connect with the town water main in �tQ�r .r�Gr StmeY subject to the rules and regulations of the Division of Public 9Works. The premises are known as No. c 4>9 /— tit Street or subdivision lot no. �f tJ"L(lct'- �- ' ;n' L � Owner Contractor s if Address Address . A plicant's Signature PERMIT TO CONNECT WITHf /WATER MAIN The Board of Public Works hereby grants permission to r to make a connection with the water main at subject to the rules and regulations of the Division of Public Works Inspected by Date 2,Z, (f. Street BoaW of Public Works By See back for rules and regulations ! I Fl� 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 4Yz foot rod and brass plug type cover. GEORGE PERNA DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET. 01845 DRIVEWAY PERMIT Telephone (508) 685-0950 Fax(508)688-9573 Dater LOCATION : /p 6 C'd �5 rw BUILDER: phone: OWNER: ZZC phone: 2 - 232�-D 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: t 234 .i 236 —1 238- 240 — -- - - -------- 10 0 RESER VEF-1 I rp 2Z4 — — — — — L — RESERVE, P6A q P13 Nlb 117 ::t 77-3 TYP. 9 L 242 Q� 44 qo- A r7 GAR. FLR-PROPOSED , H OUSE 254., 0 TOP FND.- 257-0�, 256 Lu 254 150.00, CD ------ --------- --- - - - - - - - .- -4 w - ._- -- - - .-+- - - - w - - - - - - I• 05/06/99 THU 09:52 FAX 978 688 9573 NORTH ANDOVER DPW 9-16-19'95 1_32AM MOM Ot `•0 1tiQ TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY: TO j , DATE REQUESTED FILED/READY FOR INSPECTION r 4? %zU319 CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS RI:QUIR.ED ALL WORK AND PERMIT SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST DPW Signature 10003 P. a CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 3 Ii /qP U Date a THIS CERTIFIES THAT THE BUILDING LOCATED ON 108 Wl u 1616 � CA rz Rd MAY BE OCCUPIED AS _ S r,0�! l`- f Amt I-V/ PCSI c1pNce- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "° "7 ; CERTIFICATE ISSUED TO p ADDRESS 110 Y9 J4 6 4- Azz::: � 4� �JS'"""s`Building Inspector Q 6=0` C W �= = s `V 0 S.d y < cr m N CO) -D"t m chi' c o m ^ o ca CD3 Z d M � H C d =r�=O O -•1 m O m CO) .• y � :?m m > >� � C1 t0 OC.) CO) n n 1 c L,; 10 CD ccSom C7 Z ego a H CD C2 ,� j o. -gym a Co r c� C/)m m C/) m m 3 ? CD o om ' oy : T O cif Z i ---i H d d C -� coOo 7d Cn UVJ cm CA ^ "'► toN CD 0 C/) = m � � C y CD E 2 CD m y s :co CD 0 CD Q � .► O � G 00 00 W o CD F 3 d y ►-� o .CD �..: CD CD I = m _ :S CO) O (/) = co) CD CD CD d d , co a� = C T oCD O �. cn " c 0 0 r, ►b ( r -p n � A.. a7 T cn 91 a n CIN Y - iy NNN-N� C�1y a 0 c 05/06/99 THU 09:52 FAX 978 688 9573 NORTH ANDOVER DPW 9-1.6-1995 1-32AM FROM TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRES$&OCATION OF PROPERTY:4i-)l n GC j L DATE REQUESTED FILED/READY FOR INSPECTION 4 1613119 CLOSING DATE ON PROPERTY: c0 FIVE (5) DAYS,OTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN -OFFS MUST SE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE: DPW MUST INDICATE THA PRIOR TO SUBMITTAL OF DPW Signature 0003 P. A 05/06/99 THU 09:52 FAX 978 688 9573 9-16-1-90-9 I : 32AM FROr4 NORTH ANDOVER DPW Z004 P_ 5 TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESSILOCATiON OF PROPERTY: ,` o (,c) ; n-�- DATE REQUESTED FILEDIREADY FOR INSPECTION Jr- 6 CLOSING DATE ON PROPERTY_ (c 41 q q Fn 0) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN -OFFS MUST 8E COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED CONSERVATION L_! PLANNING DPW - WATER METER NOTE: DPW MUST INDICATE T1 !AT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW / Signat m c�9L) Date. �....... r; . 8 TOWN OF NORTH ANDOVER ;4 go.. ` . `p PERMIT FOR GAS INSTALLATION SACHUSES This certifies that. .r . has permission for gas installation l in the buildings of ..4.7 ............................ at F/w`e. I ...... , North Andover, Mass. Fee._?� -... Lic. No.. q -A .... .... GAS ....INSPPECTOECTO . R ........... WHITE: Applicant CANARY: Building Dept. PINK: Treasurer E\ y c MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITT1NG (Print or Type) Z N © o VES Mass. Date NoV ur 19 C/ S' Permit # _ Building Location- /OT fid r°nf�j% Owner's Name tf V LEId�Y Type of Occupancy--f"�`c�F�C� _ New6 Renovation ❑ Replacement r7Plans Submitted: Yes❑ No C3 %V) MENEM WIN . .. 0 MIMI mom N .. Sul WWI... Now LU Y Y 2 S N lA up O .4 W w S N U ,UA = W < C H = V) H S W W H S W W N J 2 W o V W 1 0 !- z 1 !- f. yW„ N 2 O = > S W O Z < S 6 < O O W O al 6 W = O O 2 u. INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes JA No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 14 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 applicationonweaives this requirement. heck Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. BY T e of License: lumber gnature of Licensed Plum�®r�tter er Title Master License Number # h aty/Town Journeyman APPRpy® S N MENEM WIN . .. 0 MIMI mom .. Sul WWI... Now INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes JA No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 14 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 applicationonweaives this requirement. heck Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. BY T e of License: lumber gnature of Licensed Plum�®r�tter er Title Master License Number # h aty/Town Journeyman APPRpy® S N l Date a CL ,aOR7M 1 TOWN OF NORTH ANDOVER 8 py t•ao ,+ h 0 id p PERMIT FOR GAS INSTALLATION SSACNUSE This certifies that . .... has permission for gas installation ..........: • . ...-:..:..... . in the buildings of ..'.::....... :'... �. .................. . at North Andover, Mass. f ' Feer . Lic. No...' . .. . .... .................... . GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date % 19 %� Permit # 1K91 dvzBuilding Location l c� c-r�d� wner's Name lwi�t . Type of Occupancy New P' Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name�4.�T" Name of Licensed Plumber or Gas Fitter i'ra 3 0 Check one: Certificate a3t Corporation Partnership ❑ N �. /_ Y , T,C- Z.d. Q N W M Y z 2 y h ac N c O N = r W W J N rt O U m t 2 Jf c7 Z O D W W < ` y ¢¢ .2 O Y O Q r Z W < m (AF yr „� O - a c p 4 W W N J = U W < _ 2 H 4 2CW7 S S W ~ D W U = H 2 O < W J < C �- W !- Y N m > Z LL O h 2 Ws JI.. O {A W 2 Q S W 2 > 2 W O C7 2 7 Z LL 7 < S Q Q D C7 J O U O C W > D O t1 6 1- f.. O SUB--BSMT. BASEMENT 1ST FLOOR Z _ 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR 8TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name�4.�T" Name of Licensed Plumber or Gas Fitter i'ra 3 0 INSURANCE COVERAGE: I have a currelplability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X No ❑ If you have c ked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy K 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: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge ral ws By T f License: Plumber Signature o M. Plumber or Gas Fitter Title sfitter g '� Master License Number City/Town Journeyman Check one: Certificate a3t Corporation Partnership ❑ Firm/Co. �. /_ Y , T,C- Z.d. INSURANCE COVERAGE: I have a currelplability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X No ❑ If you have c ked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy K 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: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge ral ws By T f License: Plumber Signature o M. Plumber or Gas Fitter Title sfitter g '� Master License Number City/Town Journeyman O D m I r z 0 m m x I 4 S D m a m 0 r m D V V r n a 0 z '71 0 9 v m a 3 O 0 0 0 a N 4 Z Q 1 T m m Date. 3866 HORTFr TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS This certifies that ...... . has permission to perform ..--! ........ . plumbing in the buildings of . ��' ........,ct..c �..... . at ........... . North Andover, Mass. PLUMBING INSPECTOR 11/09/98 09:31 375.00 PAID WHITE: Applicant CANARY: Building Dept, PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) o R (J�'+'4� 1-e,_, Mass. Date Ig—lop Per/mitt# `3d BOG Bulidlny Location l6 y v s �� �L4�— Owner's Name Type of Occupanck9l.y NewX1 Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Com ny Name_,—),,QA. �� r`I La+�a' Check one: Certificate AddresZ7 / 36 -5 D 4 ❑ Partnership Business Telephone d l3 J /3 J 3 3 oZ ❑ Firm/Co. Name of Licensed Plumber / n►i ALU Pf INSURANCE COVERAGE: I have a curt liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yea No ❑ If you have checked yn, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy [k Other type of Indemnify ❑ 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby eertity, 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum 9 anp-Ch 1 natal taws. By Signature of Licen5edPlumber Titre Type of license: Master 911" Journeyman ❑ City/Town�¢$ `VV NL License Number z N N 0 Z Z W W H W h Y J J 1A t < u < N h- V N Q Q 7 ¢ x Z Q N - O W Z Z d �- O _ W H W N r u W N 9 < N K u='o44 7 < J= o o < S Z Q. O Z Z r U o = G < r z 0 N W < o U x < h- < < S a 0 < Cr ¢ ¢ O < /- SUa-BSMT. BASEMENT IST FLOOR % l 1140 FL0001 ]ROFLOOR 4TM FLOOR STM FLOOR BTM FLOOR 7TMFLOOR 8TM FLOOR Installing Com ny Name_,—),,QA. �� r`I La+�a' Check one: Certificate AddresZ7 / 36 -5 D 4 ❑ Partnership Business Telephone d l3 J /3 J 3 3 oZ ❑ Firm/Co. Name of Licensed Plumber / n►i ALU Pf INSURANCE COVERAGE: I have a curt liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yea No ❑ If you have checked yn, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy [k Other type of Indemnify ❑ 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby eertity, 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum 9 anp-Ch 1 natal taws. By Signature of Licen5edPlumber Titre Type of license: Master 911" Journeyman ❑ City/Town�¢$ `VV NL License Number N2 2 31 Date/ �.J... ... J. A TOWN OF NORTH ANDOVER a PERMIT FOR WIRING Thiscertifies that .. .....................................................................o 'has permission to perform ................................. . ........................................5� CU wiring in the building of ........:'.................................. `.... .......... ., ...............-.-' - - ................................................. . North Andover, Mass. Fee `5 ............. Lic. No Z') ......................E.......ECTRICAL..........INS...P..E...CTOR..................... L WHITE: Applicant CANARY: Building Dept. PINK: Treasurer rws 657 WwSS�4ew" 259ri5 agaort.a.c ^6 P -&(e S-0# BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No_ a 12—) Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �`• All work to be performed in accordance with the Massachusetts. Electrical Code 527 CMR 2:00 (Please Print in ink or type all information) Date �/� / 7 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perforin the electrical) work described below. n� Location (Street & Number// �` %u I r (iC �I ST EA J? "I Owner or Tenant r Co I G r -, e-\ V t l 1r:j h -d C Le si: Owner's Address is this permit in conjunction with a building permit Yes gy, No ❑ (Check Appropriate Box) Purpose of Building 124 S 1 6-(, -e t1 A ) Udl'lty Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work UY I4LA 1T INSURANCE COVERAGE. Pursuant tb the requiremen6ts of Massachusetts General Laws '�/ % I have a current Liability Insurance Policy including Co V pleted Operations Coverage or its substantial equivalent YES V/NO = have submitted id proof of same to the Office YES V NO = If you hive Checked YES please indicate the type of coverage by checking the appropriate box INSURANCE V BOND = OTHER = (Please Specify) Elthnated Value of 1 'cal ork -1 6 � ` 0-0 (Expiration Datil Work to Start Inspection Date Resquested Rough Final er Signed undthe na o perjury: FIRM NAME V • 'f' 01 n LIC. NO. r -F 0. S"-.) 11 t VA -N NO. ;2 2 y -7 ` - ,�/J,1v, ) C - Bus. Tel No. X179 ' � ��— 6 y-7 V Address --77 / -1 1191v0 `� 7 Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $--- (Signature of Owner or Agent) Total No. of Liqht8nq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ 2md ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Bunters Battery Units No. of Switch Outlets No of Gas Bunters FIRE ALARMS No. of Zone No. of Detection and Total No. of Ran es No of Air Cond Tons Initiating Devices Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices No.l of Self Contained No. of Dishwashers S ace/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Sadases Wiring No. Hydro massage Tuds No. of Motors Total HP UY I4LA 1T INSURANCE COVERAGE. Pursuant tb the requiremen6ts of Massachusetts General Laws '�/ % I have a current Liability Insurance Policy including Co V pleted Operations Coverage or its substantial equivalent YES V/NO = have submitted id proof of same to the Office YES V NO = If you hive Checked YES please indicate the type of coverage by checking the appropriate box INSURANCE V BOND = OTHER = (Please Specify) Elthnated Value of 1 'cal ork -1 6 � ` 0-0 (Expiration Datil Work to Start Inspection Date Resquested Rough Final er Signed undthe na o perjury: FIRM NAME V • 'f' 01 n LIC. NO. r -F 0. S"-.) 11 t VA -N NO. ;2 2 y -7 ` - ,�/J,1v, ) C - Bus. Tel No. X179 ' � ��— 6 y-7 V Address --77 / -1 1191v0 `� 7 Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $--- (Signature of Owner or Agent) ,N2 2 i -07 Date ... / . .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .. a.164 ..................... This certifies that ... ......... OQ.�' has permission to perform ........ ..... (i olonc ............................... whing in the building of ... ............... at./0-25 ...... W..Ao.jh.A .... Ff� e 144 .... North Andover, Mass. If ' 95--w .............................................................. Fee.3)-rAO.'. Lic. No..P!..... ELECTRICAL INSPECTOR CAI+ 10/A/013iA9151 375.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE0QAM0NWE4LTH0FMASSr4C Amm Office Use Ay DEPARTNIDVT0FPVBLICS4FETY Permit No. L� BOARD OF FIRE PREVENTIONREGUL4TTON.S 527 CMR 12:00 Occupancy & Fees Checked JPPUCATIONFOR PERMTI' 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 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ® No (Check Appropriate Box) Purpose of Building Fo I Ly D(})�G L( 4J& Utility Authorization No. Existing Service Amps / Volts Overhead 0 Underground No. of Meters New Service Amps /d6 / e�5(d Volts Overhead r --J Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work :�-M- i AJ_ a 6LA6tk/ G No. of Lighting Outlets No. of Hot Tubs (Ple"Spoffy) No. of Transformers Total Expiatim Dat Edd Valueo i al Wait $ KVA No. o 'Lighting Fixtures Swimming Pool Above 0 Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units I 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 LocalMunicipal a Other No. of Dryers Heating Devices KW Connections No. of Waterpeaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER. - --- Ir ranoeCoKFr lLaws Ihawao taitLiabt1dyhnzzm=Po6Lyir xkgCo vide * COVWdWcrdsabtadialepvdifft YES ® NO IhaNestbriadvalidproofofs8nelodrOf'imYES F n IfjoutmedvckWYES,plmubc*thety)eofWVWd ebydtedmtgthe INSURANCE E] BOND a OTHER (Ple"Spoffy) Expiatim Dat Edd Valueo i al Wait $ WakmSt3t h�spactionDateRaquestad Signed unckrTrRwbes cfpajuty FIRM NAME T/fib M AT Lioa� �t(1)- p Signat m Ro* Fatal UOMSeNa Ltoalsel" j &sctessTelNa Adl a� � U� D L o'r Pb" 1#WTULAI — AILTVh 7U. 07 !_. 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