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HomeMy WebLinkAboutMiscellaneous - 15 WINDKIST FARM ROAD 4/30/2018C.YN Date... �`� ... Noo ., ' &ORT" °ft"`° :•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that .......... " �- ►�. ��..�z.c:..<...............l........................................ has permission to perform .......i1.t.��+ �" ............................................................ wiring in the building of ..........'., t..�.?. v..`!.. e ........................................ t e 4 v(t'�r— �/5.... G. , orth Andover, ass: ....... ...Fee../. /:.�........ Lic. No./.��:. 14�...... ELERICALSPECTOR i Check # " WHITE: Applicant CANARY: Building Dept. PINK: Treasurer n__ �, The Commonwealth of Massachusetts FOR OFFICE USE ONLY PermitNo. Department of Public Safety Receipt No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code. 527 CMR 112/00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of iZt t"e-e— To the Inspector of Wires: The undersigned applies for a permit to perform theelectrical work described below: i Location (Street and Number) f -s k)/.P7 Gxf K i'st FOL r v"J` O a g Map: Lot: Owner or Tenant fz O-'0 t-.� Dg's I w► 0 Vt C Zone: Owner's Address 5 c� t- ', -e— Is this permit in conjunction with a building permit? Yes ❑ No Eii� (Check Appropriate Box) Purpose of Building 2 w { ( I i t^D Utility Authorization No. IVU � Existing Service Zc'V Amps 6?`0 / Volts Overhead ❑ Underground ©"' No. of Meters G New Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters Numbir of Feeders and Ampacity n Location and Nature of Proposed Electrical WorkL�- 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 Detection and Initiating Devices No. of Sounding Devices No. of Self -Contained Detection/Sounding Devices No. of Ranges No. of Air Cond. Total Tons I`1 . of Disposals No. of Total Total Heat Pumps Tons KW No. of Dishwashers Space/Area Heating KW &1o. of Dryers Heating Devices KW 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 Gener aws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O ❑ I have submitted valid proof of same to this office. YES B NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE I- 60ND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final %U a Signed under the penalties of perjury: FIRM NAME le / G LIC. NO. ZV_Z E LicenseeSignature LIC NO. 625--70 V Address _ i� L/11 TZ �• D Bus. Tel. No. 97QC'7M - &2M 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 $ f � Gy , NOR7M Oft,.•° ;•1ti0 v ° a �,SSACMUS� 1! .1 Date ...,l .� // ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... C .......... ..........f ........ ..-......................................... I...... has permission to perform ......1 F f %�.�..'.....:..7... ............ wiring in the building of ....... / i at ..... ......... w.....:^� �.. ! : r� ,.....�.................. North Andoovv r, asses Fee.....? .... Lic. No.Aff*­/­�*K.......... u.//�} EL) CTRI AL-JK.S ECToE Check # i 77 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer The Commonwealth of Massachusetts FOR OFFICE USE OP Y-33 d Department of Public Safety PemutNo. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Receipt No. ,hr 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 INxx INK OR TYPE /BALL INFORMATION) Date City or Town of /V O ►' i'� /-► O I! e C� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: ` Location (Street and Number) 5 � Ivi yu <1 /< i S r )=c -a- Y' &N_ (ZoGt e1 Map: Owner or Tenant CA n 1-5 +0 eG e -1r -5Pa -rP o� Zone: Owner's Address Sam Is this permit in conjunction with a building permit? Purpose of Building Dw e -A I 1 YX Existing Service ^ Amps / Z-0/ Volts Yes ❑ No Lot: (Check Appropriate Box) Utility Authorization No. Overhead ❑ Underground 15-'� No. of Meters t< New Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters Number of Feeders and Ampacity Lor,ation and Nature of Proposed Electrical Work ���a V--3. `� So Ga 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 Detection and Initiating Devices No. of Sounding Devices No. of Self -Contained Detection/Sounding Devices No. of Ranges No. of Air Cond. Total Tons No. of Disposals No. of Total Total Heat Pumps Tons KW N.J of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW —i 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 011KO ❑ I have submitted valid proof of same to this office. YES 9 NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE FOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Wo k $ Work to Start � G / Inspection Date Requested: Rough Signed u FIRM Ni Licensee Address (Expiration Date) G 7 Final / G — LIC. NO. � gllgl 1 Ca, 570V ,1o.975- TO 6 9UV 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 $ /SUd 11 - -In -- --- _ ! . /� Ofna Use Orta quv 0 Of Crommunwealth Qf Mus Parma No. _ Etparintctit of Public $afttg Occupmy A FM Chece�11*3 BOARD OF FIRE PREVENTION REGULATIONS 527 CINIR 12:00 yso 0e"" 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMA 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dote D or Town of—NORTH ANDOYER To the Ins r- ot Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street AS Number) IA t /✓,n(�l �fdtJ� z %5 Owner or Tenant CU, ori /A : I f / Cc /ICiAS I1Gr r) s Lyt�/�fl� Owner's Address %Ul%� �t//�✓o��t� ,�� Is this permit in conjunction with a building permit: Yes C. No ❑ (Check Appropriate Box) Purpose of Building 15 r NG f s YJ r -:.-r,-(, Utility Authorization No. Existing Service Amps _/ Volts Overhead '71 Undgrnd C1 No. of Meters New Service rAb Amps V-0 la�vo Volts Overnead_ Und rno 9 . No. of Meters ...�,_ Number of Feeders ana Ampacity c Location and Nature of Proposed Electrical Work N3 /i� t:c �rCiNd t� ,�� a✓� ��/y y No. of Lignting Outlets IM No. of yot -!,_-sI No. of Transformers Total tNA No. of Lighting Fixtures i Swimming Pcoi Abcve.— in- r grn.o. _ grno. I Generators KVA No. of ReNo, of Emergency Lightingceotacre Outlets No. or Oil corners Battery Units No. of Switch Outlets I No. or Gas 7urr.ers FIRE ALARMS No. of Zones No. of Detection and Initiating Oevicea No. of Sounding Devices No. of Soil Contained Ostection/Sounbing Devices Local -' Municioal f Other Connection No, of Ranges I No. cf Air C; rc. Total 'cns No. of Oisoosais No.of Heat To:ai 70tat aur..cs :ons KW No. of Oishwasnera SoacerArea Heatir.a Kti•/ No. of Dryers I Heating Cev ces KW No. of Water Heaters KW No. of No Jt I Signs ?a lass Low Voltage i Wiring No. Hyaro Massage Tubs It I No. of Moicrs -otat HP OTHER: rnaul•tANCE COVERAGE: Pursuant to the reauiremenl5 Of '.lassac-osers „eneral Laws f1l I have a current Liability Insurance Policy incivaing C;,mc;stec Ccerauons Coverage or its substantial equivalent. YES �X NO = 1 nave suomittea valid proof of same to the Orrice. YES NO = Ir you nave checxsa YES, plane indicate the type of coverage oy ' ' checking the approoriate box. INSURANCE >%- 80NO = OTHER = (Please Scec:?�/f Estimated Value of E!ectncal wont S . (Exaltation Oatet . Work to Start Insoecaon Date Aacoes:ec: Rougn < Final ; Signeo unaer the Penalties of perjury- FIRM NAME UC. NO. Licensesj rfa jW ib Q I9e4 h---4,ZX _Si azure K4 �[ �` g- tic. No. _7 1 1 l� (� fJ H /y� ✓ A / Al Sus. Tit. No. j_ Adanse / +U � ✓ - Alt. Tel. Y0. _/ /7T��%Z.�'_i `' OWNER'S INSURANCE WAIVER: I am aware that the L:censee toes not nave Ins insurance coverage at its substantial equivalent as re• t quireq by Massacnusetts General laws. ano that my signature on 'nis cermit aopiicauon waives lhrs requirement, owner Agent `' ;• (Presse check onei' Orions No. nERMIT FEE S ' (Signature of Owner w Agenn e i.�tx w 122P. CHU Date .../V... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .1-0.44,4S....... ... Nk.'p.6� .... has permission to perform ....... ...... q.o.4.t.'.P'W ........ wiring in the buildin ; of ........ ................................ at ...................... . North Andover, Mass.-' Lic. No.� .......... ...... ^LECT ............... C- �J� t1 7 _7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer u4e Crawnwnwfulth of +` sfi tm Pam0"'cou" o°h, &P1111mettt of Public gafttq Occupttrtty A Fie Choc ted BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:000 We* l APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMA 12, (PLEASE PAINT IN INK OR TYPE ALL INFORMATION) Date /0 �y °I %* or Town of To the Inspector of Wlree: The udersigned applies for a permit to perform the electrical work described below. Location (Street 3 Number) Owner or Tenant kvi,t/ Owner's Address ; Is this permit. in conjunction with a building permit: Yes L' No C (Check Appropriate Box) Purpose of Building{ Utility Authorization No. Existing Service Amps _J Volts Overhead ! Undgrnd 0 No. of Meters �% New Service Amps _1 Volts Overhead _ Undgrno C No. of Meters Number of Feeders ano Ampacity Location and Nature of Proposed Electrical Worts D✓t�1. No. Of Lignnng Outlets I No. of Hot 7-rs I No. of Transformers Total KVA NO. Of Lighting Fixtures i Swimming P^oi Abcve.— ` gyro. _ In. r-- grna. '_ I Generators KVA No. of Receotacu OutletsNo. I No. of Oil corners of Emergency Lighting, I Battery Units No. Of Switch Outlets I No. of Gas=urr.ers FIRE ALARMS No. of Zones No. of detection and Initialing Devices No. of Sounding Oevtces No. of Sail Contained OelectlorVSounbing Oeviees Local , Municibal .— _ Connection Other No. of Ranges I No. Cf Air C_r,c. iOta' Cns No. of 0isoossis ( No.of Heat To -at ,otai Rumcs :ons KW No. Of Oishwasnom I SoacerArea r♦eatiro Kti'/ t No. of Oryers I Healing Cevices KW No. of Water Heaters KW I No. Of No at Signs -3ailas;s Low voltage i Wiring No. Hydro Massage Tubs � i I No. of Moicrs -,oiai F-iP .r I OTHER: (poulZ 0-1 INSURANCE COVERAGE. Pursuant to the reouiremenis at %Iassac-Lsers ;eneral Laws 1 have a current Liaottity Insurance Policy inducing Comc:eiec Ocerations Coverage or its substantial equivalent. YES "0 = 1 have suOrnineo valid proof of same to the Office. YES �O = It you nave checxea YES. posse inoicate the typeof Cove irage Dy Checking the ap�propriate box. INSURANCE ! 80NO = OTHER = (Please Scec:^�j Eanfrtatea value of E!sctncal Work S 'dpi IEltbtrabon Oatet Work to Stan .16 ' y-4 _L_ Insoecnon Dau Adcues;ec: Rough Final Signea under Me Pen sties of perjury: FIRM NAME YL) / r/ q %n i • '-( 1 -ma LIC. NO. t3 ✓��s Licensee X 77 T ��' S gca:lie UC. NO. 2_ y� Address �� �� f�} InJ,Qf`iJ� %a Bus. Tel. No. F Alt. el. NO. OWNER'S INSURANCE WAIVER: I am aware that the Licensee Coes not nave the insurance coverage or its substantial equivalent as rw gturea by Massachusetts General laws. ano that my signature an :.^.is aermit abpucation waives this reaW►ement. Owner Agent (Please cnectt aner / 'eteonone No. PERMIT FEE S `� (Signature of Owner or Ageno� .exec : e 1224 N TH F 9 •D•1TfD r�'"� SSA HUS Date/J..% M .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......5q ... v.G`` ... ... has permission to perform .......4.. k x.12.1......... . . 5 ............... wiring in the building of ......b. A.11....... �J4!Q f ° ...................................... at ...../J........ ...` ............................. . North Andover, Mass. Fee. ..... Lic. No.LffJ..C............................................................... ELECYRICALINSPECTOR WHITE: Applicant C� NA�Y:� 11Ai;ng Dept. _PINK: Treasurer CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number THIS CERTIFIES THAT Date -- THE BUILDING LOCATED ON MAY BE OCCUPIED AS f�;( IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. t CERTIFICATE ISSUED TO ADDRE§S w O O EM4 c O � . C � C.3 •a -o env C S •�. 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C � y O G tj d� v) v w d� .w Y/ d G A O GO o luw D J F2 rl •Pd I cm .LA as ._ h O O 'E m m CD cc CL1.r'C•+ �3 di O Q O O d O E: C oc to 0 CDCA V C Z � V y m C C • C c oaV3 0 cc C �t . C � y O G tj d� .w Y/ d G A O GO ,4 Mo Vj �•�ma \ o O R r O CL E� m ,o G r=.. O o CD (� o c E "An m O CO �y N �.: cm :N3 y G ♦♦♦ C `gym A O O � y O O CO E= m O aV m y O CM c Oa y ' m O O r. V yZ � O A C d cac � to yOG = O O_,, p CQCS N � $ y CLO, o� m .y CD c •- C P cc _ ��C Z ci m CL m�0 g H 0 32 = w M `'E p a�m� F2 rl •Pd I cm .LA as ._ h O O 'E m m CD cc CL1.r'C•+ �3 di O Q O O d O E: C oc to 0 CDCA V C Z � V y m C C • C c oaV3 0 a FORM U - VERIFICATION 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: L���e Phone LOCATION: Assessor's Map Number Parcel Subdivision �J���i�� �i'�13 Lot(s) / Street ************ .Conservation Administrator Comments St. Number e Only************ *********** Date�PA/ Approved Date Rejected Date Approved lC own •planner o� Date_ Rejected Commentsti�` Food Inspector -Health t'c I spector-Health Comments Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector J. Date Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form 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) Wvqt?LE�7 a Map and Parcel : Purpose of,,,Application (check below) Ph nc} e Number_of ;Iicant: 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 is 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. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning ylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.c are 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. ail 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 grounds for refusal by the Building Department to issue a Building Permit. Signature of Owner or Authorized Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit W. L • o =�umu �aiuu �aiuu �M smi nau on 4D v a 4 17--.] db 4 4w L-A J C Q �M I-V 4 4 « . A . , 41 II 9,0• 10 8�4�,I�� 1/4. 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