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HomeMy WebLinkAboutMiscellaneous - 1499 SALEM STREET 4/30/2018 / 1499 SALEM STREET J 210/106.A-0030-0000.0 l koo C rr, roll 287.8, EXISTING 9, FOUNDATION 60• m 37.9' o LOT 1 AREA = 1.037 ACRES± C3� 90. 71 317.8' LOT 2 REFERENCE PLAN: N.E.R.D. PLAN#10428 I CERIIFY THAT PRIMARY STRUCTURE FO UNDA TION L OCA TION PLAN THE HORIZONTALT SHE ETBACK REQUIREMENTS OFSHOWNTHE LOCAALLRMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER MESSINA DEVELOPMENT CORP. RESTRICTIONS SUCH As COVENANrs,wETLarIDS,£ASfMENrs CLIENT.. ORDERS OF COND/TIONS,£TC) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED ABOMEXCEPT WITH THE WRnTm PERMISSION OF CHRISTIANSEN & SERGI INC. TO THE ABOVE CLIENT. FURTHERMORE TNIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN Q• SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- LOCAT/ON: 1499 SALEM STREET MATION CONTAINED HEREON. NORTH ANDOVER, MA SCALE: 1" = 60' DATE: DECEMBER 9, 1998 CHRISTIANSEN Q SERGI PRO�SDIONA SURVEYORS �SEERS 160 SUMMER ST. HAVERH/L AM 01830 TEL 508-373-0310 ©1998 BY CHRISTIANSEN & SERGI INC. DRAW/NG No. 98068001 Location S^ Jcon 5-1 FtD—LZ-�iG No. Date NORTH TOWN OF NORTH ANDOVER ?opt.,.° .•,�o �0 - 09 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ SACHU Other Permit Fee F_I,"PUct $ oZ Sewer Connection Fee $ /Jo. Water Connection Fee $ TOTAL tv Mitring In pector 12 5 ��/�7/98 os:� i,�o�•oo as . --- rv. P"u HNorks 1'I?RMIT NO. 612 _APPLICATION FOR PERMIT TO BUILD' *****NOIZT1-i ANDOVER, MA Il)LNl). A 2. Ht:('<)H0OFO\1'NIHSIIIP NI%PNO. /� V00KC>ggjG PAGEd017� 14)N k: Z v SIIH DIV. L(YI NO. {•4 _ 6' AJ fJ0f'5 �/� ?f ,W1S'� �e�f Pl1KP()SE<N d1111DING DWCLL l) /NC ik ( A11ON ,,/ p I OWNER S NAME �SSf�� D�J 6- � � �'C` NO.OF SfCM21ES z SIZE ��/� �O O WNER'S ADDRESS xx O M BASEMENT OR SLAB �S-fes e AU 'r ND IITECI'S NAME- 3p-cl Aj SSe SIZE OF FI.O()R 1 IMBERS 2- X16 ST 2 2 X/ 3�bbf AAESS' ASPAN1 DER'S N.4N1E I ANC1=10 NEAREST BUILDING / / / DIMENSIONS OF Sit.LS DISVANCEI-ROIv1�TKEE1' 6� DIMENSUNNSa I'O6Ts DIS I'ANCE FROtd L.OT LINES-SIDES,5,3 REAR Z O 2 DIMENSIONS OF GIRDERSZ- AREA OF LOT y '3o FRONTAGE �S v . Q I IEIGI IT OF FOUNDATION 8/ > THICKNESS IS BUILDING NEW SIZE OF FOOTINGX ,0 / � Z D � ISBUIIDINGAI)DITtON h�© MATERIAI.OFCIIIMNEY �SQ�()J4�7 It BUILDING ALTERATION NO IS BUILDING ON SOLID OR FILLED LAND rjoLl 1� WILL BUILDING CONFORM TOREC�l11REMENTSOFCODE C-5 IS BUILDING CONNECTEDTOTOWNWATER \4 BOARD( APPEALS AC ION, IF ANY N �- IS BUILDING CONNECI ED TOTOWN SEWER N IS BUILDING CONNECT ED TONATURAL GAS LINE \/ INSVOCTIONS 3. PROPERTY INFORMATION LAND COST 1j5-0,006 EST. Bi-";.COST /y(i 60 8 PAGE: I Flit.O11T SECTIONS 1-3 EST. BLDG..COs-f PER SQ.FT. e O(i ES I. BI.D i.COST PER R(XW EI.EC-TRIC METERS MUST BE ON Ot ITSIDE OF BUILDING SEPTIC PERMIT NO. A 1-1 ACI IED GARAGES MUST C()NFOtM TO STATE F1 RL REGULATIONS $. APPROVED Hl: i PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR „DA 11-1-111-1) / �� OWNERS FEI b J? 72, ✓� C97 -897-3fo2. (N�7'I�R.11 1 H CON-1-R.1 1(-# o q2-312-) SI(;NAl I1KI:OF01N'NFI?a 1K All 111OR111:1)A(il_NT L LC.11 1'1 KN111 GRAN I11) -19 O)l POC) ,I,R x cr v,-e dec X 4 C) cps, � 5 VAJ41e k- 6p Q 40: 00, .YLO >(620,0 C, s oil 00, C>� C;z PC 844h 02 D(41 )4 33 (DI 0 �( e-- pr r4o/0 r- 1 13 B d�j ,5 W 0 8 C9-- / a f FORM U - LOT RELEASE 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 or requirements. **'"***APPLICANT FILLS OUT THIS SECTION* e PHONE FF-7-3162, APPLICANT �.SSI��F� >C�i� LOCATION: Assessor's Map Number " PARCEL_ SUBDIVISION LOT (S) STREET ST. NUMBER . ..*,.*►*►*►******-***.********'*****OFFICIAL USE ONLY****..""`**"'""�` J CO MENDATIONS OF TOWN AGENTS: NSERVATION ADMINI� RATO R DATE APPROVED ' DATE REJECTED COMMENTS DATE T WN PLANNER PROVED DATE REJECTED r COMMENTS FOOD INSPECTOR HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS ' PUBLIC WORKS -�•-�� �`"tom WATER CONNECTIONS 1 :5 y CSL DRJVEWAY PERMIT 1 S 5 U �'Y> O � 3—l�� FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE R MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other Non-Electric Resistance DATE: 11-9-1998 DATE OF PLANS: II TITLE: COMPLIANCE: PASSES Required UA = 603 Your Home = 574 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------'----------------------------------------------------------------- CEILINGS 1504 30.0 0.0 53 WALLS; Wood Frame, 16" O.C. 2176 13 .0 0.0 179 GLAZING: Windows or Doors 298 0.500 149 DOORS 18 0.350 6 FLOORS: Over Unconditioned Space 1584 19.0 75 BSMT: 8.01 ht/4.0' bg/8.01 insul. 1584 11.0 112 HVAC EFFICIENCY: Boiler, 86.0 AFUE ----------------------------- ---------_ ------------------r.---------------------M'--------------------------ter COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. e Builder/Designer Date % <� � ! ` � .... .. .. ... .. .. �4-. .. i • .� ,. .. .. . i ... .. � ,i; �t x .. - is .. .� � .1 r i :} >v.r a. t MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 11-9-1998 Bldg. Dept. Use CEILINGS: [ ] .1. R-30 comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location . WINDOWS AND GLASS DOORS: [ ] 1. U-values 0.50 For windows without labeled U-values, describe features: # Panes, . Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0. 35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location BASEMENT WALLS: [ ] 1. 8.0' ht/4.0' bg/8.0' insul. , R-11 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Boiler, 86.0 AFUE or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ) Required on the• warm-in-winter side of all non-vented framed I ceilings, walls, and floors. MATERIALS IDENTIFICAATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating + r .. �a Sol a �, . 1. s v 1 •�, , , - t ... :11 - . F equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC Y system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: C ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building department Use Only)------------------------- ...'i U d Wov . �f'., . '. 1.. 5 ♦ F .r ,{-s� ... .. a ♦. .. 1! .. ... � r. r. .. ,♦ t W71 n I I !L � Growth Management Bylaw Exemption Statement Town of North Andover Building Department This fort 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 Permit(below) mss beu a• :.xvc- l'/? 5,1/est '4rt•s4z Map and Parcel;/ ' 4 urpose of Application (check below) P mber of Applicant Single Family _Two Family I the undersigned applicant 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 iq 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. AThis is an application for a building permit for the enlargement.restoration,or reconstruction of a dwelling in exis encs as of the effective date of this by-law,provided that no additional residential unit is created. X,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.care 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 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 knowledge or not, is g'rnounds for refusal by the Building Department to issue a Building Permit. p KdLt Signature of Owner or Authorized Agent who signed the Attached Building Permit Dat This form must be attached to the Building Permit upon application for such permit Town of North Andover ,,ORTH OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street ; WILLIAM J. SCOTT North Andover, Massachusetts 01845 ��,'•SAC. ::•`�y; ,SS�CNUSE� Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Op is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NIGL c 111, S 150A. The debris will be disposed of in: SO &iu?`CAU c k/ACJ C L (Location of Facility) Signature of Permit Applicant AI 116 s Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. I BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 68&9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER, MASSA.CHUSE , TS DIVISION Oi= PUBLIC WORKS 364 OSGOCU STREET, 0!84-1 GEORGE PERNA Telephone(508)685-0950 DIRECTOR Fax(508)688-9573 OF o � � n s a "QSSA HUS DRIVEWAY PERMIT Date: i L-�> -- LOCATION: 14 019 BUILDER: ps �1 — 5 ; I, o phone: 87 — 3 OWNER: vVA (65 ) W tg- &VV phone: a( 'f 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: � ORT Town of 0 j , Andover No. 6"oz., * i - dover, Mass., _19918 o s LANE y� 'Q COCNICNEWICK ^' A0 SS BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System .......�� ,A •......�O• ... BUILDING INSPECTOR THIS CERTIFIES THAT.....A-esu-to-A .. .... ......Com.. ................................ Foundation ........... buiI dings on...... . Rou h has permission to erect.............'.............. .... .Ar�..... � ..�.......... .... g to be occupied as.... �.Nt�' .�`t.....r'�1.M!1.�.... .....1�, ..w...Q....l..�. .. .....o ..... -F .l.l.......VN...... Chimney provided that the person accepting this permit shall in every respect confor o the terms of the application on file in Final . P P P g 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. Trough Final PERMIT EXPIRES IN 6 O THS ELECTRICAL INSPECTOR UNLESS CONSTRU N ART � Rough ............... Service .. .. . ... .. .. .... ..... .... ............ BUIL ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number "5-0 S Date 6 9 9 THIS CERTIFIES THAT THE BUILDING LOCATED ON S 7L MAYBE OCCUPIED AS S1Na le w� It o7 5 CCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "°"';,,o CERTIFICATE ISSUED TO ,Z#es S l.v,4- Y�S c ADDRESS '�i�y �r /�va� �R• s�O x �Q4, s ,CNU Building P Ins ector s II e iF � oRT r ® of tAndove No. d-o 2. _son=_ t dover, Mass., 190/ s LAKE 'DA_COCHICMEWICK .9 Oq r p Pay y SS BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System a j v=-�—� j9 BUILDING INSPECTOR ......... ...................................... Foundation THIS CERTIFIES THAT.....AC59-0*. ....... �I .......... C' has permission to erect.............. ........................ buildings on...... .... ....7...q..... O. .. ..........� .... Rough/41.42 c'cam- I a A)5U ,�t�►a tsr a 31 ti Y to be occupied as.... Nt�. ` - y. 1,/ . .... ..... w ....I.l. +.. .....o�,.....��, t a.I..l........VN� Chimney provided that the person accepting this permit shall in every respect confornAo the terms of the application on file in Final P P P g 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. PLUMB/ININ PE TUB VIOLATION of the Zoning or Building Regulations Voids this Permit. ou final PERMIT EXPIRES IN 6 O THS ELECTRI ALWSPECW UNLESS CONSTRU N ART C 6AA.-� ............................. Service �Iwi BUILDING INSPECTOR ina Occupancy Permit Required to Occupy Building AS IN CTOR t ough Display in a Conspicuous Place on the Premises — Do Not Remove Ri a No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. n . Smoke Det. ` F TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 06/09/99 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by Dave Maynard at 1499 Salem Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations as described in the Design Approval Site System Permit# 1013 dated 5/5/98. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector NORTH 3� h` OL p RECEIVED r r° TOWN OF NORTH ANDOVER JUN 3 1999 SAC U5 NORTH ANDOVER CONSERVATION CON'NUSSION APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY DATE REQUESTED FILED/READY FOR INSPECTION 6 7 CLOSING DATE ON PROPERTY-. FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED f ROUTING CONSERVATION PLANNING DPW - WATER METER /` � A/ NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL O TE OCC N /INSPECTION REQUEST DPW Signature No 2 57 lob/ Date............ r NORT1{ pL TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that .. ..:...�.-.:.... .W!.u.�.�....c.. `. ..:.................................. has permission to perform .......1..tv".��.....4?. '.1.Z. .+.�.e.............................. wiring in the building of .. c at... .�1 ./.......5. .�i". ✓!..-��............................. .North Andover,Mass. z JFee....�i0 Lic.No.... . ............................................................... ELEcrRICALINSPECTOR C 12/03/98 15:01 50.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only �� UhP LIIITITIIIIIt1UPFtlt DfIX55c�th1I5P Permit No. n a i3epaYtment Df Vublir 21afPtg Occupancy.& Fee Checked 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 (PLEASE PRINT IN INK OFA,TYPF ALL)NFORMATION) Date /Z - 3 �J`f� City or Town of e To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 91� � g le, fTOwner or Tenant SS c C r/G -e,�r > Owner's Address � Is this permit in conjunction with a building permit: Yes ❑ No El�(check Appropriate Box) C� Purpose of Building �Z /� S^-r/�, C' Utility Authorization No. hy d—/�0/ Existing Service Amps —J Volts Overhead r❑J Undndgrnd .11 No. of Meters New Service /o d Amps Za Z'Yy Volts Overhead L_—�Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets I No. of Hot Tubs I No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas BurnersAK FIRE ALARMS No. of Zones No. of Ranges I No. of Air Cond. TotalNo. of Detection and tonsInitiating Devices No. of Disposals I No.of Heat Total Pumps Tons No. of Sounding Devices No. of Self Contained Vo. of Dishwashers Space/Area Heating Detection/Sounding Devices h:o. of Dryers Heating Devices Local Municipal ❑Other ❑ Connection No. of No. ofLow VoltageNo. of.Water Heaters KW Signs BallastsWiringNo. Hydro Massage Tubs No. of Motors Total OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Com�pletedd 0 mations Coverage or its substantial equivalent. YES z-1Cr- — I have submitted valid proof of same to the Office. YES �[✓IQO C If you have checked YES. please indicate the type of coverage by checking the appropnX. INSURANCE 0`15oND 0 OTHER 0 (Please Specify) Estimated Value of Electrical) Work$ (Expiration Date) Work to Start lZ 3 — / i Inspection Date Requested: Rough Final �— Signed under the Penalties of erju—ry: ` FIRM NAME l LIC. NO. Licensee/ (� Signatur LIC. NO. 3 Address3 G/t.i fr. Bus. Tel. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the License does not h the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this rmit application waives this requirement. Owner Agent (Please check one) (Signature of Owner or Agent) Telephone t Telephone No. PERMIT FEE$ v / v X-6565 3941 &ORTol TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING SS CH SES This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . plumbing in th�ebb�u*llddi.ngs of ..... . . . . . . . . . . . . ��e . . . . . . . . . .. ' 950 at. . . . . . . . North Ando Fr,Mass. FeP�" . Lic. No.,:?-&X3. . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 02/16/99 12:19 WHITE: Applicant CANR49-KildiRoMpt. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS L dI Date Building Location 6 :54wners Name �eSf�Gl �G Ll Permit# 00 �® Amount TypeiofQccupancy Cf T New �� Renovation El Replacement Plans Submitted Yes No FIXTURES w a H a 2A �" x x a o W�W d d �x a1za a a F x as SLBEM a��v>Hrii' ani 11" 5M FUM sMFUM M 110M gm H"R 44 (Print or type) 20 Y 6' O Check one: Certificate Installing Company Name / Corp. Address U 0 Partner. Business Telephone Z / El Firm/Co. fName of Licensed Plumber. O G r Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: 1 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..of4he details-and-in£or-matien44ave-s�d{or-enter-in-above application-are-true-and-acet 4a-the best of my knowledge and that all plumbing work and installations perf d under Permit or this application will be in compliance with all pertinent provisions of the Massachusetts Sta u ng Cod n apter 2 of the j3eneral Laws. By: Signature ot Liceriseaum er Type of Plumbing License Title -2— City/Town City/Town icense Numoer Master Journeyman APPROVED(OFFICE USE ONLY uuu 3102 Date�? �a %9. . . ......• ca ,aOR7M TOWN OF NORTH ANDOVER b3?Oy �.ao ,e1ti0� PERMIT FOR GAS INSTALLATION ,SSACHUSEt �c,. /{ T N This certifies that . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . in the buildings of . . 'z' . . ` . • . . • • • • •V at .jy`� ,= . . . .. . . . . . . . . . • ., North Andover, Mass. Fee/ ?�. . Lic. No�`/�"�.3 . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DOAS FITTIN/)G ype or print) Date Z // 19 NORTH ANDOVER, MASSACHUSETTS Building Locations / 7 ` Permit ✓ Amount$ /�•� Owner's Name New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ n Cn VW m Gil N C C C s EW- '� fn i- w rn C L w m T_ w W n C St) B -BA SEM ENT BA SE M ENT IST. F L O O R / 2 N D . F L O O R i 3 R D . F L O G R 4T N . F L O O R 5'rli . FLOG R i 16T II . F L O O R 7T I1 . F L O O R 3T FI . FLOG R (Print or type) /-2 -1' // Check one: Certificate Installing Company Name OCQ/e / ❑ Corp. Address CLa o,v) ❑ Partner. ,(i 41 eki Business Telephone 727 Firm/Co. �� i Name of Licensed Plumber or Gas Fitter //4t /e- 1-1-2,,✓ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ 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 ❑ 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 Massachusetts State Gas Code hapter 142 G--e__n--e__raggl Laws. By: Signature of Licensed Plum er Or Gas Fitter Title lumber . 2— 1-f-? 3 City/Town ❑ Gas Fitter License Nurnoer ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman p N° 2255 Date..... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that has permission to perform ..... ......R.Qmc............ �. ...... wiring in the building of..... cc.......�C.... ? cfc- at..... ...........J ............ ............................... North Andover�Mas&. Fee U.: v... Lic.No. l..l. ..............,. .//�. .. ��... ( ELECTRICAL INSPECTOR C t� 5' 7o2/16/99 12:22 250.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only a uhp (rVMM11nWraJt4 Df 4Rtt55cathu5Ptt5 Permit No. p� 1Epartair it of J5ub1iL :EafrfU Occupancy,& Fee Checked I MV-11 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 "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 ALLy FORMATION) Date 2 _ City or Town of � dv.� To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) _y 9 57 Owner or Tenant "e s-r x/-17 y lv�71_41 Owner's Address % G—/e4 / fit Is this permit in conjunction with a building permit: Yes ❑ No ❑ Check 1� ro riate 1 PP P Box) Purpose of Building �tility AuthorizationNo.Existing Service Amps J Volts verhead Undgrnd ❑ No. of Meters New Service .2O O Amps 1?a /_Volts Overhead Undgrnd ❑ No. of Meters / 'h Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work !�` `cam /J1-r ••� ��w� �! No. of Lighting Outlets No. of Hot Tubs I No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges I No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals I No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ❑Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP 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 the Office. YES �O❑ If you have checked YES, please indicate the type of coverage by checking the appro a box. INSURANCE L2r BOND ❑ OTHER ❑ (Please Specify) y' (Expiration Date) Estimated Value of Electrical Work$ Work to Start ��' �,� Inspection Date Requested: Rough i nal Signed under the Penalties of p jury: FIRM NAME l Z,I-e�. �3 Licensee of LIC. NO. �, G� Signature _LIC. NO.;04,s--3� Address ��,.—r f' Bus. Tel. No. ` ti Gy4 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the 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. Ow Agent (Please check one) /) v (Signature of Owner or Agent) Telephone No. PERMIT FEE $ x-6565 Date. 1- `� . O/ . ... . .. . . . . . ... a NORT1y 3=pya �.ao ,"�tiOL TOWN OF NORTH ANDOVER FO P • PERMIT FOR GAS INSTALLATION 9v �9SSACMUSEt This certifies that . . -'J`.:`'`.: . . . . . . . . . . . . . . . . . . . . . . . . . . q has permission for gas installation . . . . . . . . . . . . . . . in the buildings ofd. . '/' 4. . . . . . . . . . . . . . . . . . . . . . . r' at . . �`. . ..�... . ... . '. . . .. .'. . . . . . . . . ., North Andover, Mass. Fee.' '. .. . . . Lic. No.. . .... . . . A . . .uf�'``?� . . . . . . . . . GAS INSPECTOR Check 3 , 69 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIIdG (Print or Type) t NORTH ANDOVER Mass. Date v? 4uilding Location 1L1 q q SA 1e of Permit # R I Owners Name rim Kk>pVe r • New Renovation Replacement Plans Submitted�n FIXTUR=c •- H as V ai �'C. W us os f o v m s as t- < >- z o t- us < m H ►�- w w o o a o W tW- tz N m 0 W Z W W 07 = a W W ~ z p Q W C7 O ? 2 4 W G m .. H y. N m = O W O N = Q ,L't > W a G 4 .� O O W 5 O W 1� G a t- O G1 SU1A—aS MT. BASEMENT 1 tST FLOOR 2ND FLOOR 3RD FLOOR I 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name � c P�bG• �1tq• �•� Inc-- hQi' Corp. 2122 Address 20. Ae eon `Di-, [) " + #Wlo Partner. MjUku in lylo, (''S;Y4J4 Cf Firm/Co. Business Telephone:�07g) Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: +' Liability insurance policy ff Other type of indemnity D Bond Insurance Waiver: 1 , 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 LJ Agent ED !hereby certify that all of the details and hnfotmatiort 1 have submitted (or.entered)in above application ate true and accurate to the test of my knowledge and tlat atl plumbing work and lniattations performed under-Petmit itteed for this application will-be in mplianoa with all pertlaeat provisions of tho Massachusetts State Cas Code and Qupter 142 of the General Lawa. By TYPE LICENSE: Plumber Title asfitter• Signa re of Licensed Master Plumber or Gasfitter City/Town: Journeyman 9953 APPROVED (OFFICE USE ONLY) License Number