HomeMy WebLinkAboutMiscellaneous - 143 PHEASANT BROOK ROAD 4/30/2018 �Y3 T,05"9.1f
--
t=-7 N2 1591 Date....
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
�ssS A
This certifies that ................. ....................................................
.....................
has permission to perform ........ ........................
!Old wiring in the building of.... .............S
at....4:. .... . ..... North An�ve ass.
Fee....Y3 Lic.No. .............. ............ ..............
LECTRICAL NSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
ThE 09WO 1WE4LTHOF SACHUSE77S Office Use only,
DEP�IRTMENTOFPUBLI MFM Permit No. 1
BOARD OF FIRE PREVENTIONRW MTIONS 527 12A0
UV Occupancy&Fees Checked
PPLICATION FOR PERW TO PEUOR 1 EUCMCAL 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) Date
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) 13 �� J'/'�/v� �pG� A4/7
Owner or Tenant L ) <:::�42
Owner's Address 417S f7t Go✓ l�� -Pli l/� /�/a
Is this permit in conjunction with a building permit: YesNo ® (Check Appropriate Box)
Purpose of Building Utility Authorization No.5='7
Existing Service Amps / Volts Overhead Underground ® No.of Meters
New Service Amps Volts Overhead Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 776 774) 22oa m r
I� s
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
ground ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
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 ® Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER
I
htw&=Co eua ftffstmt1olfiemwmTmzdMmdLs&GmedLaws
IlmeaomatLiaxlityhmratoePolicy ududingC mpi& Caa'�arits absurtH eWuualer# YES NO
Ihmesubrr&dvalidpmofofsaneiotheOffeYES M ® If}whawdxxiWYES,plea9eirdicatethe4WafwwrWbydeckingthe
bcpL
® OTIJ./ .I`
Il`ISLJRANCE BOND ® II~3t ® (PleaseSpacxfy) � i
Estim*dV&ed ] ftxal Wolk$
WolkbStart h" 9 �s h�acYionDRed Rough Fatal
Signedtmder-ieRndb sd*Lffy,
FIRMNAME Loa�eNo
BusimTel.Na �7�3� Ol L 7
AItTe1Na
OWNER'SNR ANMWAIVMlamawacetAtheLi wd ski tlremrat wvmWoritsakMWewvaiattasmgmWbyMmxbmltsc nal lam
aodtatrnysi�won hisptut*Wpplcedmwaiwsftm*ka at
(Please check one) Owner Agent
_ Telephone No. PERMIT FEE 3r!r6 r
I��p.
ADEPT ESC INC. Tel 508936-0484
127 Pleasant Street Fax 508 936-0482
Northborough, MA 01532
December 11,2011
North Andover Building Inspector
Gerald Brown
1600 Osgood Street
North Andover, MA 01845
S_UBJEC—T-RETAINING"WAL"L CONSTRUCTION-ON-PROPERTY-OWNED BY:
CCHARLIE LAMARCA;W-PHEASANTBROOK RD.NORTH ANDOVER-MA
Dear Mr.Brown:
On behalf of-our client,,Charlie Lamarca,.(if not,done so already) we-respectfully-request-that-a .final-
inspection be scheduled and performed for Retaining Wall Construction at the subject property.
Project Plans and Calculations:
Retaining Wall Construction Plan;Dated 10/18/11
Retaining Wall Calculations;Dated 10/18/11
Project Synapsis:
A REDI-ROCK retaining wall was installed on the subject property. During Week 1 -Footings and natural
soil conditions were observed by ADEPT ESC Inc.Retaining Wall Construction observed by ADEPT ESC
Inc.meets the construction requirements per the above design plans and calculations.
We hope you find this helpful in making decisions on behalf of this project. If you have any questions
please feel free to call me or Jude Gauvin,VP.
Sincerely,
Mark Szela,PE,Pres.
CC:File
127 Pleasant Street Northborough,MA. Tel 508-936-0484 - Fax 508-936-0482
Office Use Only
0140 11am nittlI oto of :+ tt stttl u >` Permit No.
%partment of Puhiit ttfEtg Occupancy& Fee Checked
a
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 1
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
(XK or Town of NORTH ANDOVER To the Inspect6r o Wires:
The udersigned applies for a permit
yrmii(t tto�pPllfafl;a)1�7
the electrical work described bel w.
Location (Street & Number 1 1 k,� E-KOOK /
Owner or Tenant per' ay� � ]�� /'
Owner's Address a® 'CGl til L `Uf UY �� 014 MJ4 l_6
Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box)
D .
Purpose of Building w. r, �1 Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrnd I_.1 No. of Meters
New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity a ��.
Location and Nature of Proposed Electrical Work 1 y C1i � U'� `--' /`-'
otal
No. of Lighting Outlets No. of Hot Tubs No. of Transformers TKVA
No. of Lighting Fixturesmlm�U"mming Pool Above In-
grnd. ❑ grnd. ❑ � Generators KVA
No. of Emergency Lighting
No. of Re ��qq "T`" No. of Oil Burners Battery Units
No wit �\S/ 204 No. of Gas Burners FIRE ALARMS No. of Zones
i M l q9 Total No. of Detection and ems®,
No. of.Ran�WG 749" No. of Air Cond. tons Initiating Devices /
No. of Disposals 7 No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers I Space/Area Heating KW Detection/Sou g DevWther��C
Municipal
No. of Dryers Heating Devices KW Local Connection
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:
MAY
199
INSURANCE COVERAGE: Pursuant to the requirements of M sachusetts general Laws
I have a current Liability Insurance Policy including Comol ed Operations Coverage or its substantial equivalent. YES NO I
have submitted valid oof of same to the Office. YES 17 NO E: If you have hecked YES, please indicate the type of coverage by
checking the appy nate box. �� �'
INSURANCE BOND Z_ OTHER — (Please Specify) J-V1.5'hf �f��ff 11 ��GG ll rS)
� (Expiration Date)
Estimated Value of Electrical Work S g2J 0® %
i'' a
Work to Start �" J� Inspection Date Requested: Rough Final 1 �� �yU
Signed under the Pe allies of perjury:
FIRM NAME e NA aH LIC. NO.
Licensee o Signatur LIC. NO.
�• �l��y Bus. Tel. No.
Address .. V O� Alt. Z. No. �J!7' �
OWNER'S INSURANCE WAIVER: I am aware that th icensee 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 FEES
� �
(Signature of Owner or ent) 2 _
�^ x-5565
». Date. - .
3 919
° "° TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
This certifies that ......
._.. �..7 ........ .�Qt261L.... C.v.. :. .......
has permission to perform 5.. ............... G {S
wiring in the building of.......1c<C�,,,,,f,,,,,.
- at....: ....../.Y.3... -eel 5 ...........................j cJot/� 1�.'..: ,North Andover,-Mass
Fee ho.:.O.O... Lic.No. .
>(� >C
1� ELECTRICALINSPECTOR
R
05/12!]i � 5
�� 70.00 PAID
WRITE:Applicant CANARY: Building Dept. . PINK:Treasurer
Location
i
No Date
..00 a.
N°RT" TOWN OF NORTWANDOVER
p Certific fate of Occupancy67
.r a°> ,.�; Bui ding/Frame-Permit Fee $
Eta rFoundation Permit Fee $
,i JACIIt15
j' Other Permit Fee $
Sewer Connection 4e, $
P
Water Connection.Fee $
TOTAL $
Building Inspector
4f97: 1r431,272.40 ' PAIS
Div. Public Works s
PER3flT NO., ., r� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP K4O. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE
ZONE . SUB DIV. LOT NO.
•LOCATION e-/95,�yAA PURPOSE OF BUILDING
OWNER'S NAME b6/ o-c�— NO. OF STORIES SIZE
OWNER'S ADDRESS +16 �Asu�C /bl-itu� BASEMENT OR SLAB
ARCHITECT'S NAME d -<A
5#5 A? SIZE OF FLOOR TIMBERS 1ST �C2ND ?� � 3RD
BUILDER'S NAME r ` SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF S LLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES-SID r REAR GIRDERS
AREA OF LOT FRONTAGE f,YQ HEIGHT OF FOUNDATION THICKNESS Q
IS BUILDING NEW , / / v SIZE OF FOOTING k f�
IS BUILDING ADDITION MATERIAL OF CHIMNEY Sn t
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 e<
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST /4/,p O
SEE BOTH SIDES EST. BLDG. COST oo
PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. Or. re-
sa
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO. $
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED ANP APPROVED B DING INSPECTOR
DATE FILED C e�
1 'i
DYILDING INSPECTOR
SIGNATURE dF OWNER R AUTHORIZED AGENT
F E E OWNER TEL.#
PERMIT GRANTED ! / CONTR.TEL.#
19
CONTR.LIC.#
H.I.C.N 9
t ,
BUILDING RECORD
1 OCCUP NCY 12
SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
r
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
I
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 t 2 3
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER I
_ DRY WALL
UNFIN.
3 BASEMENT
r
AREA FULL FIN. B'M'TAREA _
'/, FIN. ATTIC AREA _
NO B M FIRE PLACES _
HEAD ROOM MODERN KITCHEN _
4 WALLS I FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _ lo
------111 ���
ASPHALT SIDING HARDW'D
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MAS NRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _ —
SUPERIORPOOR k
ADEQUATE I-1 NONE
5 ROOT PLUMBING '
GABLE I HIP BATH Q FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.) /
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY _
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOISTPIPELESS FURNACE
RCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. &COLS. T W'T'R OR VAPOR (-„ (
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd ELECTRIC
1st 13rd NO HEATING
NORTH
TovM
of over
No. d1 _~
ort dover• Mass. f 19
ORATED rA%
Moak '9S BOARD OF HEALTH
RIMI i . T D
Food/Kitchen
Septic,System
BUILDING INSPECTOR
THIS CERTIFIES THAT.............................. WA,P.' . :.......... . : I.... ./ .. ........... .... . ...... ......:,
II Foundation
p l 41.9...... hfT. � �.... 41. ..1 .. Rough
has permission to erect...:. .................... ........... buildings on ..... ... .. `
to be occupied as.......:..::.:............. ...................... .�' ...... .. Chimney
provided that the person accepting this permit shall in every res pe conform.to the terms df 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 EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION ST S � ELECTRICAL.INSPECTOR
Rough
............................... .... ... .. .... .......:.............................................::..:. Service
BUILDING INSPECTOR
Final
Occupancy Permit .Required to Occupy Building GAS INSPECTOR
Rough
PI)isplay 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.
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 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 on Building Permit(below) Address of Property for Permibelow)
I I "1 6()-+, '6�'(b o�__�6
Map and Parcel : Purpose of Application (check below)
/Ph/o�jne,Nurr),,(ber of�p icant: Single Family _Two Family
T the undersigned applic-anf 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 the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in
existence as of the effective date of this by-law,provided that no additional residential unit is created.
The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
Bylaw.
This application is for dwelling units for low and/or moderate income families or individuals,where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section"senior"shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density,(buildable lots), below the density, (buildable lots),permitted under zoning and feasible given the
environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and
commissions have been received and the project is in compliance with those permits), and the Development Schedule f
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this 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 I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply,whether done to my
knowled a or not, Vgfor refusal by the Building Department to issue a Building Permit.
Signafure of wne r Auth rized Agent who signed the Attached Building Permit Date J i ,�i r r ►//�—
This form must be attached to the Building Permit upon application for�uch,permit. .
FORM U - VERIFICATIOv FORM
INSTRUCTIONS: This form is used to verify that all necessary j
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*****************
y d 93 575 7
APPLICANT: ildil 1_/� �'1� Phone S "
LOCATION: Assessor' s Map Number Parcel
Subdivision n.✓r 'n,�. ��- Lot(s)
(�j b, f
Street laY St. Number l
Use
RECOMMENDATIONS OF WN AGENTS:
Date Approved
r e
d �
Con rvation Administrator Date Rejected
Comments (ti /
Date Approved t
Town Planner Date Rejected
Comments
R Date Approved
Food Inspector-Health v Date Rejected
Date- ApprovedLA
Septic Inspector-Health Date. Rejected
Comments
it
Public Works --ter/water connections 1 �
--ter i-v
Permt' L
� 1!
,1�7
'/Fire Depart;nent �c '
Received by Building Inspector Date
bs .
- + .; - - ✓`6 -(Dn7tbmanweall, 01 lla JICLCIufdB�.�� ;
_ L
FIT OF PU8L rC SAF,-TY
CONSTRUCTION SUPERVISOR LICENSE 1
;cumber: E%PirAS: Birthdate:
CS . :@28?1S 94112/1998 04J12/1954
R-e `ricted To: @@
`�•a'."'a .10SEPN ISTEttI
194 IOWELL ST
..:. -
e
CERTIFICATE OF USE & OCCUPANCY
• Town of North Andover
Building Permit Number `;r -17-F6 Date
cZfj"r' r-jcht%F Jl� oa0-u 10AMI c �,a K�� t C, o N S c�1: �, 99
THIS CERTIFIES THAT
THE BUILDING LOCATED ON l 43 ►�ttsftti` 3�eoo 1l �OA�
MAY BE OCCUPIED AS 5 v-�Lc T=,4 C4 '1NL"*E:L .rAuC� IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
JTe'tiU R c To GQ e-TNs 1°MU-D
1497 F102 P,Np-L- e qo. c WPQLcZ 14
5.;�ti CERTIFICATE ISSUED To 0
ADDRESS
JSA MUS
uildtng Inspector
Y r
overoo 0
North doves, Mass., 2L/?
S E BOARD OF HEALTH
P LD
T
Food/Kitchen
Septic System ERMIT
BUILDING INSPECTOR
THIS CERTIFIES THAT...............................C...f 1.�.P.. .1.�..�'............. .. �.... � .�:.�........................................ Foundation
r� �c .0-..1 ..
has permission to erect........................................ building$ on .....1..
...... � f7. .f1L '? , ..... Rough.
to be occupied as .......... '.,�. :.� -
r
Chimney
provided that the person accepting this permit shall in every respect to the terms��iheapplication on file in Final ���p7
this office, and to the provisions of the Codes and By-Laws relating to the Inspecjion Alteration and DmLstruction of
Buildings in the Town of North Andover. Tau 'T'�-� c PLUMBIN9 INSPECTO
2-�
TY
VIOLATION of the Zoning or Building Regulations Voids this Permit. �� a 3 ' °��
01
'i
j .�)_F 1� iA.v.4:' iJ N _ S d `�
ELECTRICAL INSPECTOR,
``t 1= $ TAP
Roiigh 1
Service
BUILDING INSPECTOR ���• ' -�
. � v
Occupancy Permit. Required to Occupy Building As INSPECTOR
Rough 7
,Display in a Conspicuous Place on the Premises — Do Not Remove in
No Lathing or Dry Wall To Be Done FfRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
�. �o� �' ����. Sts� ��-,•� � � Na��Gt-A o��
�. Rs41Zmak- -T STPCiR�.
Fe- Coy. ' Sbf 1 YZ t,�k r� e� i'�,•,e.� k �c-n s�rz�N cis
o r �`�L(.rtyG, ST�rri ies
Lo d-k (3 tTt,-, - 'bis7- o vcm Coate
L>� ti-t> s L&ra 1%,. tT Fns e ?W& 1=o z (3 K t't 6 /P4iI eX.,L 7 X
L t�Te ' Ta
O• e r?c`h�-�e
eq OCA LA rA>J41 *-A
wo�•k �`'I2F-'b�-+�-�t=� T3 � JwcZC�N4r-
r
«trN��.�t,ttuJc s"!S UNIFORM APPLICATION FOR PERMIT TU OU eLUlvlt111rW
�*;1 (Print at Typal
NORTH ANDOVER, , Maaf. Oats 10 a�
Building g� �'�d S �-� Permit
0 � � P
Location_? •-�- ��„�{ ��•
chvnees
Name Nle bP
New 19 Renovation p Replacement p Plans Submitted: Yes No p
FIXTURE$ __.....
aI w z
z ee < ..
• w o s
A z z w
N z N < ai t ;! ~ s O N so t
xi U Xz < = t st
j z y O r M t y A O < = 4 a a
p
>t O ! 4 at ! O V r
1 i o o j s w i a o e = °ae i
f ua—s f YT.
fAf[Y[MT
AN, \ .�
IST FLOOR 'L �-
3M0FLOOR �
SRO FLOOR
4TH FLOOR
IT" FLOOR
aTH FLOOR.
a<
7TH FLOOR
ITH FLOOR —
E,
Check one: Certificate
Installing Company Name 24717,9-2 e_a. 42 61A ❑Corp.
Address ,�1� ,f I�>, 0 Partnership
r I ®Firm/Co.
Business Telephoneeags'y t'Dx-1,G3-4/-ys:
Name of licensed Plumber
INSURANCE COVERAGE: Checx one
I have a current Ilabillty Insurance policy or Re substantial equivalent. Yes IN No ❑
j If you have checked y", please Indicate the type coverage by checking the appropriate box.
A liability insurance policy 19Other type o1 Indemnity 0 Bond ❑
OWNER'S INSURANCE WANER: I am aware that the 11censee does not have the Insurance coverage required by
Chapter 142 of the Maas, General Laws, and that my signature on this permit application waives this requirement.
Check one:
owner ❑ Agent p
Signature of Ownef or Owner a Aceni
i
i
I hereby cwUty that ail of the delalls and Informatlon I have autxnftted for entered)In above application are true and accurate to the best of my
knowledge and that all plumbing wok and Installations performed under the permit Issued for We appkstk n vn7 be in compliance with ail
pertinent provislons of the Massachusetts State Plumbing Cade and Chapter 142 of the General laws.
8y .
TitsSignst ti olpinud Plumber
License Number c)
Ctty/Town ry/
Type of Plumbing lkanse: Master C]AF'f'(1U/ED (OFFICE USE ONLY) Journeyman
fir;,.- ;'.ty;s=.., rs .. "°*wS„ '#3. __ —%: ^'�'^"„ .a .��z-.X`Si-•-t,,.`� ,.,. ,,w+yw,':�, 'r-'�,.;
Date. . . �
NO -279
No ,•�yp TOWN OF NORTH ANDOVER
Aw
PERMIT FOR PLUMBING A
a s �• - J}
. SSACMUS� -
�s.
This certifies that .. s!►!1 . `. . . . . �.`' , . . ". a{!�'y . . =� 1
ro
has permission to perform .
Ir'
_.. plumbing in the buildings of . . .L QWQK cE
of C?d�lt . . . . . . . . . . . . . . . . . . .
at. `. . A ��. . . . . .�. . . . . . . North Andover, Mass. ..
Fee.3 /�O_ . .Lic. No.. ay. 7/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o+
PLUMBING INSPECTOR
W:HITE:,Applicant CANARY: Building Dept. PINK:Treasurer
�� office Use Onty 0
0141 (�>3IItMIlwalfth of 9b5Sz#M1ttE Permit No.
toccupancy& Fee Checked(,31&3P}t1iItmzr t LTf Ilublit �fEttl
C" 3/go (leave blank) /
BOARD OF FIRE PREVENTION REGULATIONS 527 VMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
or Town of NORTH ANDOVER To the Inspector of Wires:
Theudersigned applies for a permit to perform the electrical work desprribe el W.
Location (Street & Number) _ 04 -3 Pb "
OwPner or Tenant k AiN es L—#qM A (-(—A
(Dwner's =ddress '
Is this permit in conjunction with aN a®building permit: Yes (C ck Appropriate Box)
Purccse of Building_ Al 4e4_1 r Utility Authcri ation No.
Existing Service Amps � 6j 1/CItS Overhead Unagrnd rs
New Service Amps /"r - 2 2 0 Voits Overhead _ Uncgrne � No. of Meters
Numeer of Feeders aria Amcacay
Lccaticn and Nature of Precosea Eiecthcai :Vcn<
No. of L:gnting Outlets
No. of Hct T �s No. of Transformers KVA
I Above— ;n- —
No. of Licnting F;xtures i Swimming =oat grna. — cmc. I Generators KVA
No. of Emergency Lighting
No. of Recectacie Outlets No. of Oil _urners j .3arery Units
No. of Sw tcn Outlets No. or Gas 3urners I FIP.E .ALARMS No. of Zones
Total No. of Detection and
No. of Ranges No. at Air Cana. tons initiating Oavices
Heat Total Tgtai
No.af
No. of Oisoosats Pumas Tons KW No. of Sounding Devices _
iNo. of Sart Contained � �!
No. of Cisnwasners - ScaceiArea Heating KV! 0etecaoniScunaing 0evtces
— Muntcicai Other
No. of pryers Heaang Oev:ces KW Local Connec:ion
No. at No. of Lc%v Vatgags I`
No of VVater Heaters Mr! I Signs 3aiias•s Wiring
+
No. r!vcro Massage -cubs I No. o ,.l
f otcrs
oral
OTHER:
INSURANCE COVERAGE: Pursuant to the recuirements at %1assacnuset general Laws _
I have a current.Liao iiity Insurance Policy inc'.ucrrtg Camc:etee Operations Coverage or ;ts suostantial ecuivatent. YES _ ,NO __ I
have suomittea valid proof of same to the Office. YES = NO _ It you nave cnecxed YES. please incicate the type of coverage cy
checKing the aoprocr ate nox.
INSURANCE = BOND = OTHER = (Pease Spec:!y) (Expiration oatei
Estimates Value of Et.ectncai 1-JoElot s
Worx :a Start Z717 Inscec%on Date Racuestec: Rougn F;nai
I
Signea unser mePenaltieso�f7 perjury: r
FIRM NAME / UC. NO.
�--
Licensee -f A 1'►?C' S;grature LIC. NO. �--
gig�
3us. Tet. No.
Alt. Tel. No.
Address
OWNER'S INSURANCE WAIVER: I am aware that the Licensee aces not nave the insurance coverage or its sucstanual equivalent as re-
:mu av MV9z
as Gane at Laws ana that my stgnawre on tins aermn agpucanon welv
aives tinisCreawrement. Owner Agent
(P1&!1ec eCK 0
73
Teiecnone No. PERMIT FEE 5
Si azure of Owner or Agent) <�@c�
Date.....
4 ® 709
?°;•;�`` :°�"°°� TOWN OF NORTH ANDOV
o ER
PERMIT FOR WIRING
0 h G
,SSACMUs�
This certifies that ...
has.permission to perform .. a!t f.... . . .� ' .;
wrong in the building of
North Andover,Mass
Fee 3 Lic.Nok.�,5-7/J-f:).....:.................
:..... ... ..: : ...................
ELECTRICAL INSPECTOR y
01/24/97 11:41 s1fi.00 PAID
WRITE. Applicant CANARY: Building Dept. PINK Treasurer