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HomeMy WebLinkAboutMiscellaneous - 15 MAGNOLIA DRIVE 4/30/2018 15 MAGNOLIA DRIVE 210/043.0-0037-0000.0 Date.... ..... of NORTH TOWN OF NORTH ANDOVER '01WRAW PERMIT FOR WIRING This certifies that .........-7....C..'.'ff.../.:....... ................... has permission to perform .......... .c..... .............. .......... wiring in the building o44...... ..................................... at......... ............. North Andover,Mass. Fee.�S. . ........ Lic.No./.?.7./J ............. .... ELECTRICAL INSPECTOR Check # 7432 Offrcia' Use Only -- Permit No. 7// 32� Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL.INFORMATION) Date: > p City or Town of: To the Inspect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant �ot �,�j, o s,r} Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ea,d wllrt Ca ", -c,4_, Completion of the following table may be waived by the Ins ector of Wires. INONo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tr Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA .aboveIn= o.o mergency Lighting No.of Luminaires Swimming Pool rnd. ❑ rnd. BatteKy Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. of Detection and - Initiating Devices No.of Ranges No.of Air Cond. Tons Total 3,S No.of Alerting Devices No.of Waste Disposers Heat Pump Number. Tons KW o. of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection . Heating Appliances Security Systems:* No.of Dryers g pp KW No.of Devices or Equivalent No.of Water-- ,_. No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent .+ r OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pans and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Ake— LIC.NO.: Licensee: Signature LIC.NO.: I'171 f,2 (Ifapplicable,enter exempt".in the license number line.) Bus:'Tel:No 4>7k-372:%S5;; Address: R�— SI S 41Y aJe s Imo. a)/f OJO7! Alt.Tel.No.: Ara 212f>23e, *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have'the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/..bent Signature Telephone No. FPERMIT FEE: $ gas MASS APPROVAL .# GASFITTING MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO Do .(Print orXT ) A) 4 , Mass. Date Permit 9 Building Location- -- r K�(�� ( T Type of Occupancy I cu���� New p' Renovation rki Repucerfient 0 Plans Submitted: Yes[] No n o: Y t G In N W Q O V = F S UA e: C Cr n UA r r a o z o ~ 'v' o M i i W > u z. < C < < o o � o c > o s V. o SUB—BSMT. BASEMENT I I IST FLOOR I I I 2ND FLOOR I I I 3RD FLOOR I I 4TH FLOOR STH FLOOR ' I 6TH FLOOR I 7TH FLOOR I BTHFLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET 2 Corporation 103C MIDDLETON, MA 01949 r-1 «Rr�cinace�Tpfnnhnna 978-774 ' 2 760 rP 4--FTm/Co. Date. . . . . . . . . .. . s the requirements of MGL Ch. 142. HpRTM ropriate bo)L °p TOWN OF NORTH ANDOVER Bond 0 . PERMIT FOR GAS INSTALLATION Insurance coverage required by ':plication waives this requirement. sSACMUSE Check one: . �.: r. ' `' Agent❑ This certifies that . . .. . . . . . . . . . . . . ..� -alt � .� /r has permission for gas installation, :J. . .. � �— jaticn e We d accurate to the best ai my in the buildings of -� E? L' . . . �. . . . . . 'I 1 be m c°mp' a° at . .�,,—North Andov r, Mass. ';w moor or rtter ee.u!�. . . . Lic. No... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR 3785 C`eck# 4639 - 1 ___ � __,. o-�� - •f-j:.�r..✓Nt�`L �nr.y,;y ..--'Mrr.-• ..'.,.�.:4.,....u. � .. .-r.�+... ._ ..t` Location -5 1j)40joL114 No. /G / Date �. NR�N��� o,t«,o r.,w ®p4TOWN OF NORTH ANDOVER Cer I !.?•� Y�� w of Occupancy $ 'Building/Frame Permit Fee $ f Foundation Permit Fee $ sACMu ®r/ �tppr Permit Fee $ l� 0d L Sewer Connection Fee $ Water Connection Fee $ TOTAL $ /z, , Building Inspector I 505 / Div. Public Works PERMIT NO. (D l APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP $-4O. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZPNE SUB 61W.-CO T NO. �)LOCATION 15 M A &irc C_ .Dle���' 7 PURPOSE OF BUILDING OWNER'S NAME G ?A /LAnm`� NO. OF STORIES SIZE OWNER'S ADDRESS I?� flA^ `r1 /K1 /SLI A ;\R BASEMENT OR SLAB ARCHITECT'S NAME l T JJ SIZE OF FLOOR TIMBERS 1ST 2ND 3RD } UILDER'S NAME L SPAN 4 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS f DISTANCE FROM LOT LINES-SIDES CJl/S'T/%vG REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X jl9'S BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION - IS BUILDING ON SOLID OR FILLED LAND L.-W'I—L BUILDING CONFORM TO REQUIREMENTS OF CODE S IS BUILDING CONNECTED TO TOWN WATER 1,i"6"15ARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 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 LA S MUST BE FILED AND APPROVED BY BUILDING INSPECTOR • DAT -Ep ��19Z BOARD OF HEALTH SIGNATURE OF OWNER ORA ORIZE ATENT OWNER TEL.# 6 F E E O CONTR.TEL.#_ CONTR. LIC. # PLANNING BOARD PERMIT NTED �7 < 19� BOARD OF SELECTMEN APR - 6 ►� BUILD INSPECTOR s BUILDING RECORD 1 OCCUPANCY 12 i SINGLE FAMILY I_ 'rOR1E5 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY O—FFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 11 8 INTERIOR FINISH CONCRETEL11d 1 2 I3 CONCRETE BL'K. PINE BRICK OR STONE HA STE 0 PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ '/, 1/2 14 FIN. ATTIC AREA _ NO BM'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 HARDW'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ONMASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR Ij POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH Q FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK i SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES Ir TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT 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 3rIrI NO HEATING t f >� p� I own ofFINAL T40RTjj PINAL I n4..� _ � over - 6 . No: 101 rG xx ; �F IVB V��� ��TRY PE RI' - ri}a T �K r� er., Mass,P1 x - 11 I * w BOARD OF HEALTH t IT1110LD 'THISE � � i � ¢{<t �CERTIFISTH'AV-A„ ,, ” _ RA ......... has permission to erect ........ ............ buildings onU4#-,,. . BUILDING INSPECTOR • Rough k'' to be occupied as. fcc....&7wo~. ej. 10t ............. Chimney'. . `�•. Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ; '-this - PLUMBING INSPECTOR office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough :•. •z-}Sk#ate ' Buildings in the Town of North Andover. Final fj $ 'VIOLATION of the Zoning or Building Regulations Voids thi mi r xyt PERMIT EXPIRES N6 M NTHS ELECTRICAL INSPECTOR UNLESS CON RUCT TAT Rough ' Service a Final •• 'Y BUILDING ECIOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final µ ' Display in a Conspicuous Place on the Premises # } " FIRE DEPT. ' Do Not Remove Burner No Lathing to Be Done Until 'Inspected and Approved b Y Smoke Det. Building Inspector L.00atlon No Date `� 7 , pORtM rt TOWN OF NORTH ANDOVER ' k, Certificate of Occupancy $ ' �__.:.�..._, .,�•+ Building/Frame Permit Fee $ Foundation Permit Fee $ _ �.. Other Permit Fee $ h OD r Sewer Connection Fee $ C Water Connection Fee $ r Y- TOTAL $ /Q, Building Inspector -5Q87 A .it i� �i c, �¢ I Date. .. pORTH i �tOya TOWN OF NORTH ANDOVER FO .� 9 • - PERMIT FOR GAS INSTALLATION 9SSACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . JGti� . has permission for gas installation . . . . . . . . . . . . . . . . . z in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., North Andover, Mass. O � Fee.�.p,. . . Lic. No. 3. . . . . ..�. .��ter.C. . . . . . . . /►� / GAS INSPECTOR Check# l/3 6002 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) • , Mass. Date �`�—�2 3 '7 Permit # - Building Location �S� �� /4 ��` Owner's Name&�Ze;4 Type of Occupancy New Ja Renovation ❑ �. Replacement ❑ Plans Submitted: Yes❑ No ❑ m N W N Y Z ¢ uj N N V X 1•' 2 N Q N ¢ O O N S !- W J in W O U 0] S n Q z a u a ¢ ¢ a a r a m rn 1- +J W O a c as Q cc N C7 W < _ = F- N O > W V W N Q 2 D W W Q = 2 2 W ¢ W F W F. H T 0 F- .Z 4 LU J H z W W O O > LL }- U J O to = 4 W > cz < C y- Q Q 4 < O O W O W F' L6 O O O J U > D a H O SUB—aSMT, BASEMENT 1 ST FLOOR 2ND FLOOR OR I 3RD FLOOR _ 4TH FLOOR I 5TH FLOOR 6TH FLOOR ". 7TH FLOOR �d CLIMATE DESIGN HEATING and AIR CONDITIONING, LLCC +. heck one: Certificate _ Installing 5 South Summer Street w1 610 Address Bradford,MA 01835 'ReCorporation ems' 978-372-9999(phone) _ = Partnership 978-372-0882 (fax) Business Telephone t ic. Plumber: t,,,; HaPJ,- Au) - Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X No ❑ If you have checked yes. ple tase indicate the type coverage by checking the appropriate box. A 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: Owner❑ Agent ❑ Signature of Owner or Owners 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 the perms sued for this ap licabo will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of theFG neral s. f) By. Tyke of License. ti- ;Plumber nature of Licensed umMo�as Fitter Title 0 Gasti r 1 3%0 c'Master License Number O Gty/Town Journeyman APPR(7VED (OFFICEUSE ONLY)