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HomeMy WebLinkAboutMiscellaneous - 149 MARIAN DRIVE 4/30/2018 (3) _ ` i II 1 L 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 Ln Ln z w z �" H a w l w � xa a s a s x kM F H a 1:0 a �" z w H o 0-4 A SCBM e Bk'DENr M HIM rt ern FLOQ2 3RDi FLDQ2 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