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Miscellaneous - 14 SKYVIEW TERRACE 4/30/2018
14 SKYVIEW TERRACE 210/098.B-0077-0000.0 ` I ! N° 3 v J Date.................................. NORTI� TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHUS This certifies that =-� 1'�`v :..............,............ 7c .................................. has permission to perform,..,-4 - `:: wiring in the building of....... '......................................................... " at.h./ .F. .... :�� �,,`' `�:~'............................. ,North Andover,Mass. Fee.g�............... L c.No.,!/�'7L' ....................... ...................- / .. ..................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer DEPARTAZEVTOFPUBLICSAFEIY Permit No. ��Fs BOARD OFFIREPREVEWONREGUL4TIOAN5270212:00 �. I kVA Occupancy&Fees CheckedPPLICATIONFOR 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) 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) 1 L11 5k-1 y/ l0 / Owner or Tenant p`1 / _ Pe Tec Owner's Address Is this permit in conjunction with a building permit: Yes[.a No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead Underground No.of Meters New Service Amps� Volts Overhead Underground No.of Meters INumber 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 and ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones,�,�� Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No_of Sounding Devices No.of Self Contained �..�..� Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal a Otter' Connections I No.of Water Heaters KW No.of No.of A Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP 'b OTHER h�strarroeCaeraga P+risuantbtheragtlharla�afhdassad>ti�GaraaiLaws a Iha%eaamftLmbkyhruar=Pbbyvdu&gQnVI& CoAm@�crilsskstitaletgmala* YES NO IhatesthnwdmMpvfof=neio Offio&YES r7JIRO IfjcuhawdxdWYES pimeir &IheWcfmvap plrydxdmgtbe bcx INSURANCE BOND 0I1&TZ IPteaseSpecify) Fst¢n*dVahteoffledliraCWodc$ W6kiDSlart hq)ec6mI7*ReVested Ra* Fara! . Sigtradunler�iePafpajtay. , FIRMNAlV>E f �J t, o ti Li�>Sel�b ikam 44 L,c 14 D s -e Sigra.ue , Lioa>,seNo i �-� 9 7 (J Busi mTdTNh�2 32 S`0 .5-A-7 A SIT n /5 4 ` AkTdNa OWr-M`SII`ISURANCEW I.anawatethatlheL $tea eotrragea Asst lecgriv�art�mgwWbyM CataalLam and�atmyaernihs pe��pFx�atr�es this ragtme�nst. (Please check one) Owner � Agent a Telephone No. PERMIT FEE$ N f Date. . . . .. "oRTM TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING • ,SSACHUSE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . !. tet . .. . . . .. !..wv . . . . plumbing in the buildings of f. . . . . . .. . ... . . . . . . . . . . . . . . . �::,-North Andover, Mass. Fee. . .. . . . .Lic. No.. . .'. . ;.�. . ter` .' _ -�.-r. . . . . . . . . . . . PLUMBING INSPECTOR Check # = v WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �)(Dv) DateBuilding Locationy Ski/y "CW 1e.(C. OwnersName 'W- U 6iuc Permit# I /'���e��Q S Amount Type of Occupancy,,/ New Renovation Replacement Plans Submitted Yes No FIXTURES r Cr W CC Cr Cr cc Z d G4 O ►- d A Q A A FrX SLRBSVz MFUM 70 FLOM ass FLOCIR 5M HDM 6MR(M 7MFLOOR sIHFLOOR (Print or type) `` Q Q�t J} Ch one: Certificate Installing Company Name ��o�/IJhu< 1 f T1 Corp. Address 1 n U 1`� L L)L-'(I 1 M6. 0)f5y Partner. Business Telephone 1:117 If Lf S1-^ (., a 5 5 Firm/Co. Name of.Licensed Plumber e' ') \ ✓`�'�`��J t Insurance Coverage: Indicate thetyp f insurance coverage by checking the appropriate box: Lability insurance policyEl Other type of indemnity 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 ignature Owner 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu State Plumbing C d Cha r 142 of the General Laws. By -igna of LicenseciPlumoer Type of Plumbing License Title a 3 5 3 s City/Town icense i um er Master Journeyman APPROVED(OFFICE USE ONLY u Location No. —S� Date �ORTM TOWN OF NORTH ANDOVER 3?O�,?`,O •,hO O N e 9 t ; ; Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ JACHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ aG� Check # ` Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING :: .s, S.{�'7 '3 sn.:.�>�>_ 1: : v Y` ..w-'��� ,.i._.., ek,: �,a„33i�°�� '�'� y;,, siw..._ i xs � �£.,��= ■.■ BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1 for of Bul Idings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: o Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ` Zoning Diiiict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft i Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.5. Flood Zone Information: 1.8 Sewerage System: 1.7 Water Supply M.G.L.C.40. 54) �8 Disposal ys f Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ i SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record '1)o K) 'F J40AII ( VF ?C- r6yL5 Name(Print) Address for Service: Signature Telephone 1 2.2 Owner of Record: , Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Appcable ❑ i M 'ZAN A-'Vo&J 1 Licensed Construction Supervisor: 90 S A�� O C$ License Number Address `�- 1 © ---1 � - 2aoZ 441 Expiration Date tgnature Telephone 3.2 Registered Home Improvement ContractorT Not Applicable ❑ lA)wl �1 • pow( ,,,t--�vC Company Name ((7 S � ,n Registration Number Address `7- ( 3 -o Z (AIPPP ` Expiration Date Signature Telephone i I' k r' SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check ail applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)tobe r G L U o Completed b permit applicant t 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(s)X(b) 4 Mechanical HVAC X,2 Q 8, 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING 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 L. �J as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief LTJ t L-L-( i . P 'nt Name SignatureofOwner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE / da. r,. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print i Name: l L�f Zr4-x.�d 1✓/ Location � _ 0 6Ce f City -D Akc.—V—I Phone i F-] am a homeowner performing all work myself. i �I am a sole proprietor and have no one working in any capacity i I am an employer providing workers' compensation for my employees working on this job. Company name. b t(,Lf ar-ez "J-, 7-r4I X:�PUC- . Address 90 S44LCwL &D City: RA /�/�t�- Phone# 4?�' -3�4 a U I K • `� 1 Insurance Co. _ _ Policy# J `{13 a c� Company name: f Address City: Phone#: 4 E Insurance Co. Policv# Failure to secure coverage as required under Section 25A or IMGL 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 form of 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. 1 do herby certify under the pains and pens ' s of perjury that the information provided above is true and correct. Signature Date _7 _ 2� Print name Lc-I Phone# Official use only do not write in this area to be completed by city or town official' E3 Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board p Selectman's Office Contact person: Phone#. Health Department Other FORM WORKMAN'S COMPENSATION t�f1N' 1'4m�rwnU. lc� ��� ��s:tit/.'lrJFcs,7 1 BOARD Of BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 050261 Birthdate: 10/1&1959 Expires: 10/15/2002 Tr.ria: 3820 Restricted To: 00 { WILLIAM J ZANNONI _ } i 806 SALEM RD ` DRACUT, MA 01826 Admintsirator Town of North Andover o& Na pT), Building Department �'� y.. ° o o < 27 Charles Street North Andover, Massachusetts 01845 i (978) 688-9545 Fax (978) 688-9542 �q °NT10 rPa�y,t5 SSACHUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, anda 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 c 1, sI50a: The debris will be disposed of in/at: £co Facility location WR Signature of App nt Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ' W 1 3 ( LL .�XtNI 3 LL � Q � h f tis tet«�r-y I. • .v � �� q Cl -- 17 l/� = W l►J D o w �Ar►�!tit�O tiP 1 �5� X78• �R'� 3�f4�i NORTH Town of E over No. z T�( 0 dower, Mass , rj_ ay_doo/ O - QCOC "C V �ADRATED PYga' -`C3 S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 4:� BUILDING INSPECTOR P .N............. QN�.... P!4* #% ,& Foundation THIS CERTIFIES THAT...... v ...... has permission to .. ....... buildings on ...I. ...... ......... Rough to be occupied ' ..... VA.r w..... A0.1 ........ ................ chimney4 . t . . 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. c198/77 0 08 d0ow PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C Rough .... ........ •........................................ Service BUILDING INSPECTOR Final fia Permit Required to OccupyBuilding Occupancy� q g GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date.. . ... . .. . c MORTM o= TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION SACMUSEt ,,,This certifies that . . %'`. .`. ... . . . . ::`:.�{. �. ... . . ... . . . . . . has permission for gas installation .'L . . .�.':':. . . . . . .�. .: : �n the buildings of . .. ��'. :..` ``? "�.:. . . . . . . . . . . . . . . . . . . . . . . at . .,: . . . . '�. .'''` ': . .`., North Andover, Mass. Fee. `! . . . . . Lic. No.. . .: . . . . . . . . .... f. . . ? ... . . . . . . GASINSPECTOR Check# ' 37 7 1 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS G (Type or print) Date Lj / NORTH ANDOVER,MASSACHUSETTS Building Locations I SI} �� V 1�'L-�' \�' �1, Permit# Amount$ 40, % Owner's NameRon 9 o Vi i v e P e New Renovation Replacement ❑ Plans Submitted ❑ � a � d H ° z c 0 W 0 IS 10, F" 1 0 1 SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR 8TH. FLOOR `(Print or type) - Q one: Certificate Installing Company Name r c r G.l DbY ,2 b k>C 7 �`l t Corp. Address Z k ►�!1 L, owC I/ MIA U�� ❑ Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter Ge rr. I D !Q bo h J� INSURANCE COVERAGE Check on I have a current liability Insurance poli*gy or it's substantial equivalent. Yes No❑ y Ifyou have checked M,please indi to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ l 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: Signature of Owner or Owner's Agent Owner ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse tate Gas Code hapter 1,42 of the General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber a3 1�3S City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) Journeyman Office U e Onlq �� �U111111i11illl�flltll llf ���IFt gtill]119etto Permit No. -_ �--� Occupancy& Fee Checked3s.. __ t�C�lilCtlliClll UE �r•I«Llllt �tI�CIU 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 ---- -- ---- ------ APPLICATION FOR PERMIT JO PERFORM ELECTRICAL WORD( All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL FORMATION) Dale 1� the Inspector o1 Wires: City or Town of Q(D( h �� The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) --- Owner or Tenant Owner's Address --- - Is this permit in conj Ilion with a building permit: Yes ❑ No �_I. (Check Appropriate Box) Purpose of Building Utility Authorization No. _ —_----- Existing Service Amps _J Volts Overhead ❑ Undgrnd n t1o. of Meters New Service Amps —_J Volts Overhead ❑ Undgrnd U tio. of Meters — Number of Feeders and Ampacily - -- Location and Nature of Proposed Electrical Work Tolal No. of Lighting Outlets No. of Hol Tubs No. of Transformers KVA - No. of Lighting In ghting Fixtures Swimming Pool grnd. U grnd.- ❑ Generators I(VA — No. of Emergency Uchting No. of Receptacle Outlets No. of Oil Burners- --- Battery Units No. of Switch Outlets rNo. o. of Gas Burners FIRE ALARMS flo of Zone" --- total No. of Detection and No. of Ranges of Air Cond. Ions Initiating Devices No. of Disposals Heat Tutnl p o.ol Pumps Rms KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW — Detection/Sounding Devices -- - Municipal Other No. of Dryers heating Devices KW Local El Connec:'on L�- _-- No. of No of -Low Voltar No. of Water Heaters KW Signs Ballasts - Wiring No. Hydro Massage Ibbs ---- No_ol Motors _- -Total HP - OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws _ I have a current Liability Insurance Policy including Completed Operations Covet-ago or its substantial equiva:enl. VES NO I have submitted valid proof of same to the Office. YES !]r NO !.' 11 you have checked YES, please Indicate the type of coverage by checking the s p opriate box. INSURANCE A BOND C, OTHER r_ (Please Specify) ____ ------ -- ------ ------n Date) Estimated Value of Electrical Work $ Work to Start Inspection Date Roquesled: ou It _-- _ Final __ ------ Signed under the Penalties of periur'y: ANOBW 0 SEW C. O FIRM NAME LicenseeT, — WILMINGTCN,MA 01887u5. I. N _ -- _ _------ Address_ — -- �i•�Q$e��•$43- _ AIL .i. N - - -- - --- - OWNER'S INSURANCE WAIVER: I am aware !hal y, # 5 e� not have the M.^>ur,rre cov age or its substa dial equ alert as re- quired by Massachusetts General Laws. and that my signrrltite on ihr;: permit applicalror aives is te-quirernenl. v; - Agent (Please chock one) �1^ Telephone No. ._ f'f-Rt IT FEE ? (S!gnalure o1 Ownot or A(Ionl) x�inr • t � Date�r�..."...�..J� . . ..... ....... a 9.244 t NOR71�1 ,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMU This certifies that .......::'.. .......... .... ........ ................................. � w has permission to performer r-�................ ....' G `............ �? wiring in the building of..r... - ° .,... ..: .. ............................ 1, at...i/. .. .. .... . ...`..........�...�'.-�-....—... ,North Andover,Mass. Fee ..,........ Lic.No.12 Gs�.............................................................. ELECTRICAL INSPECTOR 10/10/97 11:16 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer CERTIFICATE OF USE & OCCUPANCY " :. Town of North Andover }a Building Permit Number 4- 48 Date A 4- /9 ei, THIS CERTIFIES THAT THE BUILDING LOCATED ON U I LJ MAY BE OCCUPIED AS i ` IN ACCORDANCE WITH THE PROVISIONS OF THE-MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO �S COV D S } s ADDRESS NACKUS ng Inspector - r .p n NORTH F ' TONM 0 L over No. We over Mass. - L 1926 COCHiCHEWI �d A°RATED p'P�,��� 7 5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT...................r .. ...�. .......... ........ BUILDING INSPECTOR Foundation has permission to erect........................................ buildings on �y S .. 1.U..1.67.&O............................. 7 Chi a_e�g to be occupied as.....................................................�../..�G..�G.�.............�.1.91�c..c..�Aitih-e- .................................... - provided that the person accepting this permit shall in every respect conform to the terms 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 r� Buildings in the Town of North Andover. PLUMB INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ou PERMIT EXPIRES IN 6 MONTHS ���ee a -ELE� �I�CA�L IN SPEUNLESS CONSTRUCTION STARTfBDING ................................. .. ............. r ................................... Se Tl INSPECTOR oe in Occupancy Permit Required to Occupy Building ' IN GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove - Route /j 1, c No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner I Street No. SP.:-7kl"r DIC Z&&" �f-2y-a7 44 (� Smoke Det.()y Z_j g,. Location 4 - Teo-No. Date C( W at ;,ti TOWN OF NORTH ANDOVER Z. Certificate of Occupancy $ Z� Building/Frame Permit Fee $ Foundation Permit Fee $ Qd s�cwusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 04A e C ,7/ Building Inspector i ' i .W 9353 Div. Public Works Location / I/ieu) ..G 2 /b� �50 No. 57 G Date &ORTm TOWN OF NORTH ANDOVER •.. • OL vj p Certificate of•Occupancy $ a .w Building/Fraiiie Permit Fee $ -- �i�'°'„•°'''�� Foundation Permit Fee $ SSACMUgE c Other Permit Fee $ M Q, /007 Sewer Connection Fee $ S5/ Water Connection Fee TOTAL 2 ~ u' g I cto d _ . 8937 Di . P lic Works .� ! j .4� .+t � ' ��5 Cl:ZY�tvt �..� ✓�� .� APPLICATION FOR P RMIT TO BUILD — N RTH ANDOVER, MASS. Z C'(AX PAGE 1 MAP K40. LOT NO. 12 RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE — ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDINGi;w � � — o zcode— OWNER'S NAME Ke"bpj. �..._ A Q_/J� STORIES 2 SIZE i lJ�i�!���4Z�f'.l OWNER'S ADDRESS 2Iw7 � SEMENT R SLAB ARCHITECT'S NAMElY26/ r1/�� /yJ _[�/F+1P("`+�- v/►w SIZE OF FLOOR TIMBERS 1ST /1d(o 2ND a .d 3RD BUILDER'S NAME �G� jQIGA,.(,wtdG�./� SPAN Ol/� DISTANCE TO NEAREST BUILDING /W DIMENSIONS OFF SILLS � y DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT A3 5-q f- FRONTAGE HEIGHT OF FOUNDATION THICKNESS a Y IS BUILDING NEW Yej SIZE OF FOOTING 9 It X '4e�-r IS BUILDING ADDITION /AiA MATERIAL OF CHI Y !//�" R e i IS BUILDING ALTERATION c> IS BUILDING O OLID FILLED LAND �C. WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER �5 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 PERMIT FOR FOUNDATION ONLY EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST PER SQ. FT. Ott PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM DATE by FEE AID l vV SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULAp IT FOR FRAME/BUILDING PLANS MUST B ILED AND APPROVED BY BUILDING INSPECTOR DATE FI D �S'' DATE: _�_______FEE PAID. �UILDINO INSPtCTOR SIGNATURE OF OWNER OR AUT ED ENT FEE �Ip� PERMIT GRANTED EL.# YT ot 19 CONTR.LIC.q c G�a966 H.I.C.# NOV o Q !s' - �'Z �2�'k3;��Cu.50ooLWFM 0'3" ME ME KIWIF 8 12C. G�3�3 — oo soy 3 9 yC �� 3 „ r _ BUILDING RECORD 1 OCCUPANCY 12 -� SINGLE FAMILY 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. 4PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WAIL UNFIN. _ 3 BASEMENT. AREA FULL FIN. B M AREA _ - 7, 1/7 V. FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WAILS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDY^✓'D ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME I u BRICK ON MASONRY,,,- ATTIC STRS. 8 FLOOR _ r BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STO EON RAME K oo- _VSUPERIOR POOR I_ ADEQUATE NONE 5 RO 10 PLUMBING GABLE I Z HIP IvOr BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.1 FLAT71 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 6 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE T FORCED HOT AIR FURN. - TIMBER BMS. 6 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 fi 'i - /1^ .K 1st 13rd I NO HEATING s * �v iP]-Yt.�`-.'�Y"� � •w .:sem - � J _ .v .i ' NORTH 0VM Of Ldover N9. 5 76 0 0 19gZ o � dover, Mass., `40'si�meee_ al COC IIIC HE WICK \ AORArED S . BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT.. .. ... . sktoot>H....U .1'4 v.1.M ..?A�R00b................................ Foundation has permission to erect.L0. ...�Affi - buildings on ..� '...S l�l!��......T ........CIjD '..V/ ) Rough lobe occupied as sl y �'��1'�1 ... `kn4a.... Z.�e....GM.......... ... Chimney provided that the person accepting this peribit shall In every respe t conform to the terms of th a� kation on file in Final 4 this office, and to the provisions of the Codes and By-Laws relating to the Inspection AfterTion and Construction of Buildings In the Town of North Andover. PMMI�f FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA. 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONi 6kFEE PAID vo. w Final ELECTRICAL INSPECTOR UNLESS CONT O Rough Service BUILDING SPECTOR s Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough I + Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. %Obl 9.a S,3—c?3 11- • a � FORM U - IAT REIZASF 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: Qui �k.�` kl� e S � ��G�''2-oft LOCATION: Assessor' s Map Number Parcel Subdivis4on Lot(s) 67C) Street vPt, St. Nurtb e r Use Only************************ RECOMMENDATIO OF TOWN AGENTS: Date Approved Co servati n Administrator Date Rejected Comments �Q Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Resected ' ' 6/vt-1'TW k1 !.0 - Date Approvea r -' Septic Inspector-Health Date Rejected Pubs is Wcr:;s - sewer/water connections _ -.7r(•e5 / �-6 - drives y permit 04- �'S F ire Departnent L Received by Building Inspector Date NON - � FROM LAND PLANNING BELLINGHAM PHONE NO. 508 966 5054 P01 t 55.94�,=42 39' 197.r- 15' KiDE OPEN SPACE ACCESS ASEMENT 5U' BUFFEp ZONE_ ' -- r LOT 8 -3-v°--14p _ 23,595_S.F. _ 336 33 340-- ---_ `f , 8—340 LOT 7 •'�-ti• fir.�- _.r„� �. �- 1-4. N �-- - ~ _ 50 Q LOT 9 Tc=352.,50 354 ti GAR.�356 5 r SLAB-349.70 /N V.,T47 B,S _ -3�6 356 nr- S T � C I WATER � o — — „ V.= f WFR 8 P SEWER 3 1 B C S DMH - �j� Y VIE W TERRA CE NOTE: ALL UTILITY LOCATIONS ARE TO 8E FIFLD VERIFIED 9Y THE GRADINC SITE PLAN SITE CONTRACTOR. "C;OKNFI I FEDERAL" WCA*M AT LOT E{/Sa SETBACKS: F-20' R-20' S-20' betw. bldgs. NOWrti ANDOVER HEIGHTS - NORTH ANDOVER, MA pm'Mk= VOR LAND PLANNING TOO.., BROTHERS, INC. ENGINEERING & SURVEY 1800 HEST PARK DRIVE lel HARTFORD AVENUE, ARIIINCHAI[. 1IA O2019 YI1EvTnORO, WA 411M (OW) 0M-4130 FAX (508) 088-5054 11-ti 'J5 1'--4U' NAL 5U Location_�' �� tl t Ido. Date w i y N°"r" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ l� Building/Frame Permit Fee $ C : Foundation Permit Fee $ s� t Other Permit Fee $ Sewer Connection Fee $ 4 Water Connection Fee'j£i $ ZLTOTAL $ Building Inspector t O 34- /30/% 13:58 15o.00 RAID Div. Public Works Location / U < < rr'q-C e No. (� / Date ,.ORTiy TOWN OF NORTH ANDOVER Of i�.ao a�h O n Certificate of Occupancy $ ,s Build ingr5ermit e Permit Fee $ Foundation FeecNuse $ � Other Permit Fee $ Sewer Connection Fee $ t9 Water Connection Fee $ TOTAL $ Jyildi Ins o 9141 Div. I' Works PERJIIT NO. el el Y APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAPN-40- Ogg I LOT NO. n►�S�- 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ` ZONE X-t SUB DIV. LOT NO �I 2 LOCATION /' w PURPOSE OF BUILDING • WNER'S NAME 14/0 C, J Y NO. OF STORIES �rsy SIZE OWNER'S ADDRESS 3q _wtwc.�r!' U�fQy/�[( "•/ BASEMENT OR SLAB ARCHITECT'S NAME � SIZE OF FLOOR TIMBERS 1STX'6 2ND Ir 3RD BUILDER'S NAME /OA SPAN S /ItrY.0 DISTANCE TO NEAREST BUILDING /J S— DIMENSIONS OF SILLS le �c -- DISTANCE FROM STREET POSTS of DISTANCE FROM LOT LINES—SIDES/X y� l� REAR r�D GIRDERS !Zp x AREA OF LOT IM ij�� •7 FRONTAGE /D / HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW s ( ! SIZE OF FOOTING x IS BUILDING ADDITION /� MATERIAL OF CHIMNEY IS BUILDING ALTERATION IY 6 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE I/r IS BUILDING CONNECTED TO TOWN WATER ./rc BOARD OF APPEALS ACTION, IF ANY /� ` IS BUILDING CONNECTED TO TOWN SEWER Yr S tel/ IS BUILDING CONNECTED TO NATURAL GAS LINE rr� INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST 5/OQb _ SEE BOTH SIDES EST. BLDG. COST. cO PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. t� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPKCTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT tz�� F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# r a h 19 .,,E �� ad'`• CONTR.LIC.# i�^t H.I.C.# BUILDING RECORD , 1 OCCUPANCY 12 SINGLE FAMILY x STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICE$ __ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETEtcJl 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL X _ UNFIN. 3 BASEMENT AREA FULL N. B M'T' AREA _ V, 1/7 1/1 N. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN Jr 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE K WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV/'D ASBESTOS SIDING _ COMMGN VERT. SIDING TASPH.TILE _ STUCCO ON MASONRY r/ f STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME K CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I__� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) t 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 11 HEATING WOOD JOIST 1C PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS 3 AIR CONDITIONING RADIANT H'T'G ' UNIT HEATERS 7 NO. OF ROOMS GAS X OIL B'M'T 1 2nd %4 _ ELECTRIC 1st { 13rd 0 I NO HEATING NO.RTFI F Town of 0� dover M.' No. VV6 o - rt dover, Mass., 19 COCM CnEWICK ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ................... ./.AP.G... .......... . x—r-'a®. ..�...5....... ' ......................... Foundation has permission to erect..............I.........:................ buildings on ........ ......... oil-)...... ...................... Rough tobe occupied as ........................................ ............ ............. 19 /lrte!t,.C..(.. /.:...................................... 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 4 TOWN OF NORTH ANDOVER, MASSACHUSETTS J DIVISION OF PUBLIC WORKS 384 OSGOOD STREET., 01845 i GEORGE PERNA Telephone(508)685-0950 I DIRECTOR Fax(508)688-9573 01 NORTH A Fo ,6 qY0 O L �1 Q�4.1TE Oe PPP`•�y 9SSACHUSE DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: phone: V/92- 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: N° 1159 , J APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Sen '-� 19 Application by the undersigned is hereby made to connect with the town sewer main in t r� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. f (J/ems/ �e� Street or subdivision lot no. Owner Address Contractor Kpplicant's ddress Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to- to o to make a connection with the sewer main at �� T �'��. ' Street subject to the rules and regulations of the Division of Public Wo Divoonyl Public Works K By Inspected by Date See back for rules and regulations 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 41/2 foot rod and brass plug type cover. � • e 4 N-0 1159 , APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Sen `-f 19 [(7 Application by the undersigned is hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. j Street or subdivision lot no. < -11/ to Owner Address Contractor Kpplicant's ddress r Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at �� GiG� Street subject to the rules and regulations of the Division of Public Wo Divi 'on Public Works 4 By Inspected by Date See back for rules and regulations 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,-naterials.�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). FROM : LAND PLANNING BELLINGHAM PHONE NO. 508 966 5054 P01 f 55.94 —42.39' 1 X97' 1.5- WIPE OprN SPACE ACCESS ASEMtENT 50' DUFFER ZOITE -- LOT--50 1 '° 23,595-S.F. 340—,— — r -- LOT � --- " - -•- " —3 �"r& so LOT 51 10.61 E)(13 T �41. HDuSE - GAR -T3b:5 - hoLsi SLA9=349.70 INV_.f 48.00 35R N \�fx �� I• \ w Jo., , I WAIF 8 PY SEWER c WE 4 1 DMH - SK YVI E W TERRA CE NO1E: A!i. UTILITY LOCAWNS ARE rD BE FIELD VERIFlED BY 'ME GRADING I SITE PLAN SITE CONTRACTOR. iocam a "CEDARBROOK COLONIAL" IDT 50 SETBACKS: F--20' R-20' S-20' betw. bld9s. NORTH ANDOVER HEIGHTS NORTH ANDOVER, 11 !'i'iP�llm!OR LAND PLANNING TOLL BROTHERS, INC. ENCMERINC k SURVEY 3000 VEST r"K Dmn 267 11Ai4ftRD ABENM HEULNGHAM. NA 02030 WWlSTBORO, �u1 016si (hos) 9"-4130 ]PAX (508) 600-0!,4 8-29-96 1"�40' NAE 50 i Town of 0 dover No. Vgj3 h 0 dover, Mass., 192(l COCHICHEWICK ADRATED 1 5 BOARD OF HEALTH Food/Kitchen .,.PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT . ts,?.-�� P.,G... �............... ...m. .. ...S......./.C.-T-ID........................... """""""""' "" 1~oundation has permission to erect........................................ buildings on ........�I........ j��`..y�.i�.1. ............................. Rough to be occupied as....................................................: ./.. t.:G.�C,e.............X19'll�..C..(.. ........................................ 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................................. .. ............. .. ... ........................................... Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. )o' T " 2434 Date...a . /..?... ..- f ,40RT1y , TOWN OF NORTH ANDOVER p st•ao ,a +0 3? �� PERMIT FOR GAS INSTALLATION _ 'ts °++neo•'�y4`� ,SSACHUSEt O S f� IQ This certifies that . . �. . . . has permission for gas Inst 1ation .:� tz't . .ham , in the buildings of at .` . :. . . . . , . , . . ., North Andover, Mass; Fee. . . .-7�M. No,/./. .?).4?. . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File .'` MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date �S l4uildin Location _ 9 /�f S��UL/i`�� Permit � d <_'e) AM4_1 Owners Name 7,o // 13tyy. New Renovation D Replacement p Plans Submitted FIXTUR'=S N � W SG N • O .N = F Q 0 W "cmzonozul W �2 WQ Q O yw zw d c d WWr yr- 4z FW 0 ? Wt- U .i W O W W oO a .1 U t- Fodddo > O W O - Sua-13SP.IT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name (P2f 104Ct [] Corp. Address r4" Al-4 - Partner. nn11�9M Z vj& Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Life ale y0 Insurance Covera e: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy M 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 Agent El i hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perforated under-Permit issued fo:this apptication will-be in compliance with ad pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the Genual Laws. By - TYPE LICENSE: Title Plumber Gasfitter Sig Lure of Licensed City/Town: Master Plumber or Gasfitter Journeyman if?� APPROVED (OFFICE USE ONLY) License Number ,-, .•••..••••• •••,••..• �•• .��s�rvr7nrl Mf i'L1Vi1/J\JIV r VA 1'Ci7Mi 1 l u uv riu�ti�uuw — (Ptinl or type) lug NORTH ANDOVER, . Masa. Date .lo ca Bonding / Permit 2Z Z v Location . 42 � L//e6c; Owner's Name 723 / /�� . New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No.9 �iXTUAES _� to � M w r J a } Y e M s r M s M s s s s o ° o w w _ • 10- r (A = w NO s s t- A 44 ` _ H ri 0 8 • _ O V r < t < : S • t' o s •o+ s If � • a/ O p ./ a s �• O ` ° al 0 < s s el O sus—•a81T. •AearaNT 1sT PL00R 1N0 PL0011 880 FLOOR ITN FLOOR OTH FL00R 4TH FLOOR. ;TNPLOOR aTHFLOOR /� Check one: CertNlcate Installing Company Name Corp. El Address QIZQ partnership ❑Firm/Co. Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: C'hecr. %X10 — I have a current Ilabilty Insurance policy or Its substantial equivalent. Yes ❑ No ❑ If you have checked B1. please Indicate the type coverage by checking the appropriate box A liability Insurance policy e)o , Other type d Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the Ilceniee 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: Signatuts of Ownst or Owners Aoen-F Owner ❑ Agent ❑ I hereby certity that ail of the details and Information i have submitted toe enteredl in above application are true and amurate to the best of my Inowiedge and that aI plumbing work and Installations Wormed under the p rmil laund for this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of Vw d OY Title Wrist Licensedum et City/Town Ucsnse NuMber APf'RMD (OFFICE USE ONLY) Type of Phunbino License: Master JourneyFnan 0 r Date. . 3229 of „OR"aTM TOWN OF NORTH ANDOVER o.�,h•0 3j 0-- . Oc 00 PERMIT FOR PLUMBING ,SSACHUSt� . . -. This certifies that . . . . . ,�( . . . . . . . . . . . . . . . has permission to perform . . . . . . . . 8 plumbing in a buildings of . . . . ,/ .•. . . . . . . . . . at. . .k—. L 7. N . . . . . . . . . . ` — North North Andover, Mass. / � 77 Fee�C��.1. o.,� .�j. . . . . . . . . . . . . . . . . . . . . . . . . . . . . � PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer o 1 � F^ \ Office Use Only 7 u LQ1n�iIIrilUettlof ttss�Il�Uges Permit No. ! 3 /. "t � �Q(� Bepartment of Public 'hfetti Occupancy& Fee Checkedc Ga- - BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3�so (leave blank) '? ry, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 Cv12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (%K or Town of NORTH ANDOVER To the In ec r of Wires: The udersigned applies for a permit to perform t e electrical )work described below. Location (Street & Number) Owner or Tenant Owner's Address �Is this permit in conjunction wi h a bui ding p rmit: Yes l_ No ❑ (Check Appropriate ox) Purpose of Building 61/V / Utility Authorization No �Q Existing Service Amps _J Volts Overhead ❑ Uhdgrnd ❑ No. of Meters New Service �� Amps ��Volts Overh ad ❑ ndgrnd No. of Meters Number of Feeders and Ampacity �' Location and Nature of Proposed Electrical Work Total No. of Transformers No. of Lighting Outlets I No. of Hot Tubs KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. L grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Ranges No. of Air Cond. Total No. of Detection and No. of Ran 9 tons Initiating Devices No. of Disposals No.of Heat Total Total p Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal �' No. of Dryers Heating Devices KW local El Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Mass usetts general Laws I have a current Liability Insurance Policy including Cc pie Operations Coverage or its substantial equivalent. YES O = 1 have submitted valid p of of same to the Office. YES NO If you have checked YES, please indicate the type of coverage by checking the appro late box. INSURANCE BOND ` OTHER (Please Specify) (Expiration Date) Estimated Value of EI ctric I Work S Work to Start Inspection Date Requested: Rough Final Signed under the ies of erjury: ZFIRM NAME LIC. NO. Licensee Sre a. NO. Jr //"y �/ Tel. No. Address ` It. Tel. No. e Z C N OWNER'S INSURANCE WAIVER: I am aware that th Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x•6565 rj Date.��� 734 NORTH `` " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SAC14US� CI This certifies that has permission to perform `'n. A wiring in the building oflr%rl .� L l i j ti J &'r ( �10...... ......... .X ...... ............. ,North Andover,Mass. W at...... Fee� ....(u... Lic.Np4'1'-;'.r .�g....................................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer