HomeMy WebLinkAboutMiscellaneous - 149 MARIAN DRIVE 4/30/2018 (3) _ `
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Location '1
No. �c��! Date o?441-11,
NORTH TOWN OF NORTH ANDOVER
o
p Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ �—
Sewer Connection Fee $
! Water Connection Fee $
TOTAL $
/ J,
Building Inspector
12 ;' 6 2 02/16/13 11:51 25oo I�am
Div. Public Works
A
40 YS 0 C�"0
Date..................................
NORTH
0
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
CHU
This certifies that ............................ ..........................................
has permission to pprform ...........................'f.........f.A....._Iz
wiring in the building of.... ......................................
................................
at...A/. ................................................... ............ .North Andover,Mass.
....................
Fee.c7................. Lic. 47:f� s.
ELECTRICAL INSPECTOR
Check # -3
Official Use Only
Permit No. 3 ........
�••-
� Occupa y&Fee Checked!"
BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 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
To the Inspector of Wires:
Town of North Andover
The undersigned applies for,a.permit to perform the electrical_work�described below.
Location(Street&Num
be
Owner or Tenant t>o a-,
vi-
Owner's Address
Is this permit in conjunction with a building permit Yes ❑ No heck Appropriate Box)
Purpose of Building Utility Authorization No.
6dsting Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters
New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters
Number of Feeders and Ampacity.
Location and Nature of Proposed Electrical Work i tl S U p`
i
Total
No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA
Above ❑ In ❑
No.of Lighting Fixtures Swimming Pool grnd Cl grnd ❑ Generators KVA
No.of Emergency Lighting
No.of Receptacles Outlets No.of Oil Burners Battery Units
No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone
Total No.of Detection and
No.of Ranges No of Air Cond Tons Initiating Devices
Heat Total Total
No.of Di osal No. Pumps Tons KW No.of Sounding Devices
No./of Self Contained
No.of Dishwashers S ace/Area Heating KW Detection/Sounding Devices
❑ Municipal ❑ Other
No.of Dryers Heating Devices KW Local Connection
No.of No.of Low Voltage
No.of Water Heaters KW Signs Bailases Wiring
No.Hydro Massage Tuds No.of Motors Total HP
OTHER:
Y .
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
1 �submift
Liability insurance Policy including Completed Operations Coverage or its substantial equivale YES NO =
avalid proof of same to the Office YES= NO = If you have checked YES please indicate the overage by checking the appropriate box
INBOND = OTHER (Please Specify)
n (Ex.iration Date)p
Estimated Value of Electrical Work$ ?_000
Work to Start 4--116-o -&- Inspection Date Resquested 9 __—Rough Final
Signed underthe Pe altie of �rjury: 4g P
FIRM NAME( {A l v ax �+f `� �~���.�- LIC.NO.
Lkenseer!e k� 1 R Ph ��� 5 �' ei� Signature LIC.NO. Z��� 7-?
,Q� �/�l� I • , Bus.Tel No.
Address Lou P
L.
�'� `�-'�� ►r� a i`% Aft Tel.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMITTEE $
(Signature of Owner or Agent)
i
PERMIT NO. X02 AI)I LICATION FOR I ERMIT TO BUILD j�*NORT11 ANDOVER, MA
nIu'ND. LOT.NO, Z. RLCORI)OFOWNERSIIIP 1)ATE BOOK PAGE
142
«--
i
ZONE Still DIV. LO'I'NO.
I O(:A I[ON ! Azer'zi-4-1P0RPOSE OF BUI DING
()1VNt__wSNAn1E I NO.(N:SFOR IES $iZF
llil.! �V1/\.1/l/V�.. .S�
OWNER'S ADDRESS I`l �ctl BASEMENT OR SLAB ND RD
ARCI III ECI'S NAME _ SIZE OF FLOOR IIMBERS I 2 3
lit III DE•R'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS 01:SILLS
DIS TANC.E FROM S fREEI' DIMENSIONS(N:POS I'S
DISTANCE FROt 1 L.OT LINES SIDES REAR DIMENSIONS OF GIRDERS
,AREA OF LOT FRCNII AGE IIEIGIR OF FOI)NDATI(N•I T1IICKNESS
IS BUILDING NEW =SIZF.OF.F("IING _ a X
IS BUIL-DING ADDI FI NJ MATERIAL.OF C111MNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID LOTH LED LAND
WILL BUILDING CONFORM TO REQ"IREMEN FS OF CODE IS BUILDING CONNECTED I O TO"WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CCNNECI ED TO'rOWN SEWER
IS BUILDING CONNECTED TO NAI URAL GAS LINE
INSI'lWTIONS 3. PROPERTY INFORAIA-1-ION LAND COST
ESI'. BLrxi.COST GO
PAGE 1 FILL Ot 1 SECTIONS 1-3 EST. BLDG. COS I PER SQ.FT.
ESI. 131 DO. COS I PER ROOM
EI ECTRIC METERS MUS 1'BE ON(AITSIDE OF BUILDING SEI'lIC PERMIT NO.
AIIACIIE1)GARA(iESMUST C(N`IFORMTOSTATEFIRE REGULATIONS a. ANI'll 0NT1)B1': �
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECrOR BUILDING INSPECTOR
% OWNERS I El.a. a; _ !
DA TE FILED
11'fir �v
CON I RA 1:1 fl
z ;
�Iv(SNA l t IRE OF()N'NLR()It Atli l 10RIZl:D A(;GNI' I r•
kk- �--
I'I RnIITGItANII D i9p
TOWN OF NORTH ANDOVER
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units...or to
structures which are adjacent to such residence or building" be done by registered contractors,
with certain exception, along with other requirements.
Type of Work: Q-PirA 2� �� � Voo Est. Cost�O0
Address of Work
Owner Name: �I_A An
Date of Permit Application:
aL�
I hereby certify that:
Registration is not required for the following reason(s): For office Use Only
Work excluded by law Pemit No.
Job under $1,000 Date
Building not owner-occupied
Owner pulling own permit
Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION
PROGRAM OR GUARANTY FIND LINER MGL c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
Date
Contractor Name Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above
property:
/
Date Owner Name
f 1 .
Town of North Andover NCRT►y
pE tato , 4
OFFICE OF 3� ga, ao pL
COMMUNITY DEVELOPMENT AND SERVICES °
* -
27 Charles Street
North Andover, Massachusetts 01845 '�9`°+„oW�•'�cy
WILLIAM J.SCOTT SSACHUSE
Director
(978)688-9531
Fax(978)688-9542
In accordance with the provisions of MGL c 40 S 54, a condition of Building
Permit
Number is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, S
150 A.
The debris will be disposed of in:
Location of Facility)
tY)
i, 'at4��U
Signature of Permit-Applicant
/ Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through--the-Offiice of theSuilding-Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
�IORT
T0VM Of
No. p m
* Z19q gr
Ty _ dover, Mass.,
O s LAKE
'9
-00 C HICHEWICK '��'�•
V
'9A �g4TEp
v BOARD OF HEALTH
PERMIT T D
Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT.........,D A.vj..................A�i ...oN............................................................................
1 ;::::: Foundation
has permission to erect... mQ !�.�.... buildings on .......f..y.. .. IA-PI A....,.f�R.�. .�' Rough
to be occupied as......I.....0A.1* +.�P�!1..........4.r.......Rss�cl,�uf ► �./........tis �..... 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
PERMITT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU S AR Rough
Rt G Service
BUILDING INSPECTOR
Final
f Occupancy Permit Required to Occupy Building GAS INSPECTOR
f la n a Conspicuous Place on the Premises — Do Not Remove Rough
Display Y i
P Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
Smoke Det.
� .r_..s.._�•a,j-. �'�"�,.^""`�.,,•...,r'_•: -�_ .......,-...�-yswr.Fi.�".'„-,�r-'a-�-�. ` .`"•a..S.+Ti'yv."�y-�`:�e.-^".�'�'
Date. :. . .'
N2 - 4026
f pORTM .
�p-��°�•�,�•';�.',�oo� TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
•O•�r�°•A`y�
,SSACHUS�
This certifies that •. . . . . , . .
has permission to perform ., . . . .
plumbing in the buildings of . . . . . . . . . . . .
at. . . S!.h. . . . . . . . . . ., North Andover Mass.
Fee . :-:'' . .Lic. No11�1.�. . . . F '
PLUMBING INS /CTR
45/17/99 14:04 30.00 PAID 4
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
C .^;Date
Building Location p Owners Name 7O v ty) AQw4itdVqu Permit
R
Amount 3�
Type of Occupancy '~es� e k-'}t� L
New Renovation Replacement M Plans Submitted Yes No
FIXTURES
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41111 HJC)CR
51H HJOO t
sifi FIJOCR
7Hi FIJOCIR
SIH FIJOOt
(Ptype)(Print or e Check one: Certificate
,
Installing Company Name�ZL LfN 4 2)/0 r, Corp.
Address 3.� L-P C, +t 0 k G9 v tf ❑ Partner.
Business Telephone 9--2?_^ 9 5?;_ d 5/ ? � Firm/Co.
Name of Licensed Plumber: /-- rL_s q k-,K R,
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 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
Signature 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 MassachuWfttwie Plumbing Code pter 142 of the General Laws.
G
By igna icens e
Type of Plumbing License
Title q
m
City/Town icense uer` Master Journeyman
APPROVED(OFFICE USE ONLY