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HomeMy WebLinkAboutMiscellaneous - 146 DEER MEADOW ROAD 4/30/2018 (2) V /'. V `� V V �. JIM l,U1MV1V1y►VWlU n yr iVAtLMM%,"VL2ssl Au �•�--��-�-. DEPA i:'1MW0FPU B1KSUW Permit No. S 77(, BOARDOFFMPREVFTAH 517(11 am Occupancy&Fees Checked APPLICATTONFOR PERNIlT' ELECTRICAI,WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITHTRICAL CODE,527 CMR 12:00 ,{ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date cJ Town of North Andover To the Inspector of Wires: The undersigned applies for a pemlit to perform the electrical Location(Street&Numberr) / e JP owner or Tenant I`fl2R�r- Owner's Address w"P is this permit in conjunction with a buil ing permit: Yes No (Check Appropriate Boa) Purpose of Building LP ! to z Utility Authorization No. Existing Service Amps Volts Overhead a Underground No.of Meters 1 New Service Amps Volts Overhead Underground No.of Meters Number of Feeders,and Ampacity , Location and Nature of Proposed Electrical Work 1�dS2rMi0� 2rtr¢2 —m RQ 1FtNt SNeP No.of Lighting Outlets No.of Hot Tube No.of Trnaforrnms TOW KVA No.of lighting Fixturu Swimming Pool Above Below Generators KVA andground No.of Receptacle Outlets i1 Q No.of 00 Burner No.of Emergency Lighting Battery Units No.of Switch Outlets L/ fP No:of 0u Bumen " No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat TOW Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local r7 Municipal Other Connections No.of Water Heater KW No.of No.of sign Bailasis No.Hydro Mwsege Tubs No.of Motor Total HP OTHER huff QNCW cfMefimdal sCkmdLam ItmeacuneitLiabrRyhs=rBla6cyirtdtidt>gCarnpi*— arssubs�ttrielequivalst YES ®/N0 Itm+esu niradvaldproa7--- NWRAMM Ih omm YMEzr ET ffyouhmdm1mdYFS'pi=stdra�dietypeofwywVby dradszgdle b rl OMM ftm*y) r_ Esti�dValreefFlactiicd Wak$ Whk1DSt3t O 0— ktpecimDimFW mod Rai Anal FMMNAME O`O S E' 14 A• Qw erz 3-72 Limm eNa L k..q LioenseNo &&=Ti 3i g L �/�)✓ ,�I a o ^ 3 ��o � yr dow ,4.� � � o � AL'I�.Na OWMCSMAIANMWAM-lamawaednftLioanedmndhenelheirauaneam*aribsv�rialegtivalaitasregtmadby GalaalLaws arddmffWdgn&eenftpmni QpicadrnwaivesdiaropLimnl (Please check one) Owner Agent o 0 Telephone No. PERMIT FEE S LJ Signature °� y� • __ __ 3569 Date../. ` NORTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that C g.T ' ." .:-.y `�...fi.........t 1"1.... ...........<................ has permission to perform ....... 2 wiring in the building of........l. `` P ' .............. ............................................ at ..�&.... f P�.............. ...................... .... .North Andover, Fee...� .... Lic.No ...... ��.....f� ... . r) ELECTRICALINSPECTOR Check # v ���� The Commonwealth of Massachusetts FOR OFFICE USE ONLY Department of Public Safety Permitx0. 3 Cv BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Receipt No. �h APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code.527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE TE ALL FORMATION) Date �' Q � I t/J City or Town of d"t� + A 1 Ya U"-- rTo the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: Location(Street and Number) 1 I' 49e C C ��4�a t�J 2 Map: Lot: Owner or Tenant OL (L,Y,+ 4a K d ioc Zone: Owner's Address SG p -`�— Is this permit in conjunction with a building permit? Yes❑ No D--� (Check Appropriate Box). Purpose of Building Utility Authorization No. �ff Existing Service 2GOAmps ��' d / Z �� Volts Overhead❑ Underground❑' No.of Meters New Service Amps / Volts Overhead❑ Underground❑ No.of Meters Nuiflber of Feeders and Ampacity Loc&tion and Nature of Proposed Electrical Work t No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above grnd. ❑In-grnd.❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emerg.Lighting Battery Units 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 Total Total Initiating Devices No.el bisposals Heat Pumps Tons KW No.of Sounding Devices No.of Dishwashers Space/Area Heating KW No.of Self-Contained No.of Dryers Heating Devices KW Detection/Sounding Devices No.of Water Heaters KW No.of Signs No.of Ballasts Local❑ Muncipal Connection ❑ Other. No.of Hydro Massage Tubs No.of Motors Total HP Low Voltage Wiring OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES ❑NO❑ I have submitted valid proof of same to this office.YES❑NO❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE❑BOND❑OTHER❑(Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start _ZA, Inspection Date Requested:Rough Final l d Signed under the penalties of perjury: FIRM NAME G rG� ✓► �/e �-r t CO• G LIC.NO.c�A d 11? Licensee Jgr)'6trki gnature. LICNO. Address l4 leek;"100+0 7e-r+1. DO.inyer'SBus.Tel.No. 77P- 75—V -6 ?,00 Alt.Tel.No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee 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$ ��^ O (Signature of Owner or Agent) INSPECTION RECORD Date Notes — Remarks Inspector Location Det AE7Or-c) No. Date Z t A NORTH TOWN OF NORTH ANDOVER F „ Certificate of Occupancy $ o + ; } Building/Frame Permit Fee $ r cMUSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ L Water Connection Fee $ CU TOTAL $ 01 gBuildirg Inspector TO 10000 1 v Div. Public Works f / qq PEbtltiT Nb. -7> APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ,�/ PAGE 1 MAP M40. 9 LOT �NO.- ' 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. —I LOCATIONPURPOSE OF BUILDING Q, M OWNER'S NAME 1 / NO. OF STORIES Y '2- SIZE OWNER'S ADDRESS l�:j T_ J , BASEMENT OR SLAB C ��� �Ae� t,j[4 lL1nnD a n .i C tF�'l ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2 1C) 2ND 3RD BUILDER'S NAME i� SPAN (�I 1 VL/r1 �N1Ly� w_i DISTANCE TO NEAREST BUILDING 1 DIMENSIONS OF SILLS DISTANCE FROM STREET of " POSTS �U�,< DISTANCE FROM LOT LINES-SIDES 77O REAR 1 5 GIRDERS tiC AREA OF LOT �� 1 FRONTAGE ' �j�iM t HEIGHT OF FOUNDATION 1 THICKNESS 1 ® �� IS BUILDING NEW f. -0 �C V SIZE OF FOOTING , X 1 l IS BUILDING ADDITION ��+' ye MATERIAL OF CHIMNEY IS BUILDING ALTERATION YY J p IS BUILDING ON SOLID OR FILLED LAND sic I tl WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /� IS BUILDING CONNECTED TO TOWN WATER yes� BOARD OF APPEALS ACTION. IF ANY a L IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 620 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST B + , p& PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8Q. FT. ' PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS Ile PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE F LEDof � 9 DUILDING INBPQCTOIt SIGNATURE OF OWNERR ORA�UTH RIZEO AG F E E OWNER TEL.# 'PERMIT GRANTED Z3 /n CONTR.TEL.# LS,;�b - 5335' CONTR.LIC.# os--% 4)99 H.I.C.# ����Ll BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ S"ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE PINE BRICK OR STONE HARDW D PIERS PLASTER _ ORY VJAII UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ V, 1/7 1/ FIN. ATTIC AREA _ N_O B M 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"J'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME N1 BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I NONR ADEQUATE E rj ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER*CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE r 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 GAS 7 NO. OF ROOMS OIL B.WT 2nd I_ ELECTRIC 1st 13rd NO HEATING BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 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 RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B t 2 I3 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTERC- _ DRY WALL \\l UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 1/7 1/1 FIN, ATTIC AREA _ N_O 8 M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD!✓'D _ ASBESTOS SIDING COMMON — VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� NONE ADEQUATE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T2nd _ ELECTRIC ist 13rd NO HEATING qq PiWAIT Nb. ^' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. V PAGE 1 MAP d40. T OT 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. �I I LOCATION PURPOSE OF BUILDING L 6 gr— h w, %— tV, 9 1,Tl o In) OWNER'S NAME NO. OF STORIES , SIS OWNER'S ADDRESS / �J BASEMENT OR SLAB 1 i� D Q fL�nnP a f�� I r tf�1 , a A,L-w l i4 A ems. ARCHITECT'S NAME _ SIZE OF FLOOR TIMBERS IST 2,L Q 2ND 3RD BUILDER'S NAME l SPAN 1 1 1 ✓�I� �'VLI re -i l�__-_ DISTANCE TO NEAREST BUILDING s-oI DIMENSIONS OF SILLS DISTANCE FROM STREET (i() . POSTS �UP--` DISTANCE FROM LOT LINES-SIDES r7O REAR ` GIRDERS AREA OF LOT FRONTAGEj�h I HEIGHT OF FOUNDATION 1`+ MCI THICKNESS IS BUILDING NEW f, ]?l {,' SIZE OF FOOTING X l l IS BUILDING ADDITION ��+ V(/„ MATERIAL OF CHIMNEY IS BUILDING ALTERATIONYC-iC /� IS BUILDING ON SOLID OR FILLED LAND tl ^ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /e IS BUILDING CONNECTED TO TOWN WATER ��YJ BOARD OF APPEALS ACTION. IF ANY fi 1 L IS BUILDING CONNECTED TO TOWN SEWER 1v IS BUILDING CONNECTED TO NATURAL GAS LINE•__+ Q INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8Q. FT. �„1 �+ PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 000, DATEF LED / 9 BUILDING INSPKCTOR SIGNATURE OF OWNER OR RUTH RIZED AG FEE ��� OWNER TEL.# -L " R 2f/O 'PERMIT GRANTED CONTR.TEL.# LRS/ ` S 3 j CONTR.LIC.# d U 1 H.I.C.A 0 �/ L� NORTH oVM of �rdover No. 3Y,11 61 dower, Mass., MEWICK _ Z3 19 o COCHIC � ORATED P? '9S BOARD OF HEALTH I i PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR ���� Foundation THIS CERTIFIES THAT................................... ................................... ....A .Q...1.nt.(........................................................ 4©.Q. .......De—a ..... .........has permission to erect ! !.4.v.... bungs on ........ Rough tobe occupied as............ '. .................... �. ?L e ................................................................................ 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST T Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. MORTGAGE INSPECTION PLAN VnUFi FILE NUMBER - ENTURY IVIL ENGINEERING 40T NEWTONVILLE, MA 02160 \k60. 00 , TELEPHONE(617)965-0789 I HEREBY CERTIFY TO: \ '_ LIGHTHOUSE MORTGAGE COMPANY That the permanent structures are approx- imately located on the ground as shown. 3 That they either conformed to the setback requirements of the local zoning ordinances in effect at the time of construction, or are LOT 26 a exempt from violation enforcement action under M.G.L Title VII,Chapter 40A,Section 7, 46, 429 S.F. �. and that there are no encroachments of major O improvements either way across property J lines except as shown and noted hereon. (V Co N tT CP LOT 2,701o I further state that according to Federal y Emergency Management Agency maps,the major improvements on this property fall in \� \\�✓ an area designated as Zone r' N1. Community Panel No: 506 0062V s G► Effective Date: -SUvt 2, 1999 Note: Zone C is areas of minimal flooding (no shading). This designation is not based on an \ elevation certificate. NOTE:This is not a boundary or title insurance ° survey. This plan was prepared in accordance with the procedural and technical standards for ?F t mortgage loan inspections as adopted by the Massachusetts board of registration of pro- J fessional engineers and land surveyors,250 CMR I �� 6.05,and use foranyother purpose is prohibited. This plan is not to be used for recording,preparing deed descriptions or construction. ��•�j�r'~� ,;a� 1 INCH 50 FEET 110 .00 SAE ID �'c,�� 50 O 50 i V. 6 _0%w- s'lr ------ D E E R MEADOW R D _ v . MOSSAVAT r = #37563 OUR ►p�of,D; oP ,'C APPLICANT: ROBERT HARDING AND DIANE SCALE: V- 50' DATE: ii /11/ 93 P HARDING DEED: BOOK 3294 PAGE: 149 LOCATION: 146 DEAR MEADOW ROAD PLAN: NO. 7588 NORTH ANDOVER MASSACHUSETTS FILE: 101426 MEN ■■■■■■■■■ ME ■■ ■■■ ■E■MEME � ■■ IN ■EN■■■■ = ■EN■■ NOON■■. MEN ME ■ ■E■E■E■E■■ EEE■ MENMENNEN � ■E■E■E■E ■O■■■■E■ ■ � _ ��� ■■■■■■■■■ ME EMEMEMEMEM No NONE■ NONE■■■ �■ EEE■NE■■■ ■■■EEEEE �EEN■O■■■■ ME EEE !I, ■■ ME No ME NEE EE MEMEMEMM ME ■E EEEOEMEM ' ' EEEEE■E■ r I I I I I I I 1 I I I I I 1 I I , , , a.1. i •.,'7 I I , I I , , I � � ►� I i j � ; I I I 1 If I I OJO I�A INAAqnx i--7-�---I- I I- I � � I I I i t I 1 Date. . 0q VkORT 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS CHUS This certifies that .... .............. .................. ......... .... ...................... has permission to perform ............................................................................... wiring in the building of................................ I /'4...... ......r�2...........U'................ -A�-I-North Andover,Mass. 001 FeeO?............. Lic.N'fi 92.< ELECTt ,IUCAL INSAi-M-R- Check # 14- 5776 Jim l.t lmylvty►NMAwn yr Irl[ W t►L,ntv.usl Au --•••w��r����� DEP11<W11 WOMBl1MFE1'Y Permit No. BOARDOFF7REPREVEVITON 011�S527CMIM0 Occupancy&Fees Checked i APPUCATIONFOR PERMITTO P ORMELECT u AL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCE WITH THEM ACHUSSTS 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 w described below. Location(Street&Number) / e Owner or Tenant I`A fir-- �- ��2�NP 212S71tVCr Owner's Address 0-'.0 Is this permit in conjunction with a buil ing permit: Yes No a (Check Appropriate Box) Purpose of Building SP t vl tz Utility Authorization No. Existing Service Amps / zydvolts Overhead Underground No.of Meters 1 New Service Amps olts Overhead Underground No.of Meters Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work 2"?, 'Tv 'Ft�.;►s►3eP No.of Lighting Outlets No.of Hot Tubs No.of Transformers TOW KVA No.of Lighting Fixtures Swinuning Pool Above Below Generators KVA ground ground 171 No.of Receptacle Outlets O No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlet / W No.of Ges Burner: No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat TOW Total No.of Detection and Pumps .Tons KW Initiating Devices No.of Dishwashers Space Area Healing KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal a Other Connections rt No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors TOW HP OTHER• 1<>,xratoeCo�PlantbthetegtnenargefNlaGa�lIaws Iha�eaaneitLiabtTtylr�aanoeFb6cytrrludrgCAmp)fie Or�ail�riidequiva�t 1'FS �/NO Ih mesuhrniedvardptoofafsarne drolfm YM IF ouhawdnxi�dYMpbmindraledrtypeof by MURANCE LEr BOND r 011118 _ EftadVaYieofFJBMWWodc$ WodcbSlatt 6 0"' �^ Inyl,U,DabR,c,,d R.0 Fall sgxdurtdff Rhmkiestfpgjtry. T FWNAME Ob$N w A- tbv w^.s ?►2 I ioaneNa 9 `-�d Limine SQ'/t-t.0 spun INo BustrressT�. � 3/g 7 o 6yx tD L �/� ' S�ti AkTdNa .�6rY� r Cow OWNER'SINSIJRANCEWANEE2;Iarnawaed�atdteL+oanedtxsmtharedleiraialo�arne,�aitssubs�rialec}nvalatt�tec}madbyNfa�dz�IsGa�aalLaws anddutnry9g�aerndis�arit�pBcatiwvtai�sdigtec}t�rta�t (Please check one) Owner � Agent e� J Telephone No. PERMIT FEE S U� Signature Owner 161; 014t (�dtNUltlNUlttll44��, tl li ldsoad Ust: ►a u! 1 �s Office Use Only bepmrhmt of public Safety Permit No. WARD OP EIRE WVMION kl`CUTATIONS 527 CMR 12:00 Occupancy & tee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code,527 CMR 12:00 (PLEASE PRINT IN INk OR TYPE ALL INEORMAtION) Date City or town of_, _��p t1 e r To the Inspector of Wires: The Undersigned applies for A permit to perform the electrical[1/work described below. l & lbcatlon (Street A Number)�y c�a r,,,?ea o(I-, P ) Owner or tenant 014 vim. ffi#�/O�rir c Owner's Address 54 Is this permit In conjunction with A building permit: Yes No (Check Appropriate Box) g S'/✓1 (a �vn �� r .1/wi i'�"'� �. -•y,,_,,,3ti -'"``'�,�-�•- .:�mcr•�sv�;°^�-�``��w.;'v-s-,...;�---v:::�+�'v- -11- ,�..�,cjyyy-'/�-.+ ... {` Date..... .... .. �/... rj 4©4 tORTN TOWN OF NORTH ANDOVER '....; A PERMIT FOR WIRING s$ACMUSEt t S1 This certifies that ....�:.:..... ..c.. C- ......... . .......... ... . .. . . a- ........... . .. has permission to perform ......ALrcA-�e+........ 6.`�............ wiring in the building of....... .A,�.F�r�.?! .............................................. l••t . ...... , And0 ,M at f/.: � ................ North. Fee....L1 ....d0 Lic.No/T&?7/..... �..�.. �.. .. ... . . ...... ..... :r ELECTRICAL IN EAR r � `� ✓� 16:14 40.00 PRID WHITE:Applicant CANARY:Building Dept. PINK:Treasurer