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HomeMy WebLinkAboutMiscellaneous - 114 BLUEBERRY HILL LANE 4/30/2018 114 BLUEBERRY HILL LANE /// 2101098.C-0093-0000.0 3 ! 7 Date. cam/ �....... A Cf No°TM 1ti !3? ..,„``_...•�,�o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �O+•n° ��sS�cMusE� This certifies that ............. /..u.............�- I �C.... ��..`.. . has permission to perform L { J�i�. � �c wiring in the building of . ,. at... `1.:..;/.....I�.l.....:.. Z.... ,North Andover,M% r Fee....�.:�..:�..... Lic.No1... � �1/ ..........1... ..:........... Check # ELECI'R16AL fgISPECfOR l � � (fammonWeatLJl v�/ /asdac�116d¢LL� 7 FOccupa Official Use Only /�LjePar[nlan[o�}iia �ervice� BOARD OF FIRE PREVENTION REGULAT ONS nd Fee Checked � ev. 11199] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Elcctricaf Cod (iIN1EC),527 CitIR 12.00 (PLE,ASE PRINT IN INK OR TYPE,ILL NI' AL 1170tV) Datc: vZ City or Town of: J To the In )ector of!Wires: By this application the undersigned gives notice of hA!"'; r intention to erform the electrical,work described below. Location (Street & Number) / Owner or Tenant p� Owner's Address Telephone No. Is this permit in con]unction with a building permit? Yes ❑ No (Check Appropriate Bos) Purpose of Buildingljylr;l,� Utility Authorization No. ESIShIIg Service Amps / Volts Overhead ❑ Undgrd ❑ No.of ilIcters Nely Service Amps / Volts Overhead❑ Undgrd 0 Number N f Fe _1 tD. of letersa L`. seders aIIII ARIpaClty Location and Nature of Proposed Electrical Work: U 00 AW�J Cunrnletion o(dre(oUuninQ table may be n•aived by the Ins ccro,•of jVires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Falls No.of Total Transformers KVA No.of Lighting Outlets No. of Iiut Tubs Generators KNIA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ i o.o mergence lg lung 5 crud. end. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARII,IS No.of Zones No. of Switches No.of Gas Burners No.of etection and Initintin-Devices No.of Ranges INo.of Air Cond. Total Tons No.of Alertina Devices Heat Puulp I `lumber_ Tons !K1V iVo.oCSetf-Contained No.of Waste Disposers Totals: I I Detection/Alerting,Devices No. of Dishwashers SpacciArea Heating XNV Local ❑ ttiiuuicipal 4 I Connection ❑ Other No.of Dryers Heating Appliances h1V Security Systems: No.of Devices or Equivalent No. of Water I1Vo. of inn, of K1V Data VJiriv-- IIeatcrs Sins Ballasts No.of Deviccs or Equivalent No.H)'droinassage Bathtubs No. of,llotors Total h1P Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired, oras required by the Inspector of;Vires. INSURAINCE COVERAGE: unless waived by the o%veer, no permit for the performance of electrical wort:may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. 1'lle undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuin.office. CHECK ONE: INSUYLANCE Z BOND ❑ O-I-HER ❑ (Snecify:) ­?w�Giaout Estimated Value of E! ctr al Work: �— (When required by municipal poli (Ex)<iration Date) cy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certifj•, under tete pair and penalties of perjun•,tl:at the information all this application is trite and comple'te. FIR,II NAVE: j;1 �t<�� 71Z�C' Cly 1 d_ LIC.\O. ,�S Licensee: //I-/, D -./2 Si;filature � (If applicable. enter -exempt"in the license numbline.) 4 - / X"',/��D�>dliz Ci/�5�f Bus.Tel.No. ' Address: Shy C/�ic'/�// /YG Ce D Alt.Tel.No.: OWNERS INSURANCE N'AIVLR: I am aware that the Licensee does trot have the liability insurance coverage normally required by lag. By Itiv si,_nautrc below, I hereby xvuive this requirement. I am the(check onc)❑ owner ❑ owner's aeent. Owner/Agent Signature 'I•c!ephon,e No. [P1_-R_1_r1T FLE•: S /J 3 Location No. Date 'AO TOWN OF NORTH ANDOVER AGAI&iviu p Certificate of Occupancy $ : Building/Frame Permit Fee $ fur ESQ' Foundation Permit Fee $ s�CMus F Other Permit Fee k Sewer Connection Fee $ is Water Connection Fee $ TOTAL $ 3�— I` Building Inspector €. �� 7830 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4d0. LOT NO. 2 RECORD OF OWNERSHIP IDATE (BOOK :PAGE ZONE I SUB DIV. LOT NO. ( OCATION PURPOSE OF BUILDING !� 0-440 .�WNER'S NAME NO. OF STORIES 'CAS' SIZE gWNER'S ADDRESS Com' ��p BASEMENT OR SLAB ARCHITECT'S NAME y� �►/ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME n L,®� n��,�Bf SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE 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 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 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 LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. Fr. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM (f P!) 46 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS c PLANS MUST BE FILEDAND APPROVED BY BUILDING INSPECTOR DATE FILED i,/ 4 o &Z —1 -�^�/ RU ILDI NO INSPECTOR -SIGNATURE OF OWNER ORVITHORIIIED AGENT r L,l E E � ' Z OWNER TEL.# PERMIT GRANTED CONTR.TEL.N CONTR.LIC./1 7 H.I.C.b �l� 3 3 BUILDING RECORD 1 OCCUPANCY 12 a SINGLE FAMILY I I STORIES 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 I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDWD PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ '/. 1/1 1/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADE.UA% NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES T11 E FLOOR TILE DADO 6 FRAMING II 11 HEATING - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W T OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 7;,—1 3,d INO HEATING "" A'd0 oprover No' 600 Tylpndover, Mass.,� m 191 Q J' LAKE COC LAKeJICOF,A.r.Es BUILD BOARD OF HEALTH Food/Kitchen PERMIT TO Septic System �oxA� �Qu 11 �T BUILDING INSPECTOR THISCERTIFIES THAT...............................................`............................................................................................................... Foundation has permission to erect...Act*&. ................... buildings on ...11!' ..IL•u660-R2c1...�,�,� Q-�..................... Rough to be occupied as..9.4VA ..l.I.. .4-14...... . QfJ 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. Rough Final PERMIT EXPIRE IN_�. 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS U N ; T� Rough ...................... Service BUILDING SPECTOR Final Occupancy Permit Required to Occupy BLcildirlg GAS INSPECTOR t Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT �783d