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HomeMy WebLinkAboutMiscellaneous - 155 DUNCAN DRIVE 4/30/2018 155 DUNCAN DRIVE 210/104.13-0183-0000.0 I N° 3 J Date....... --��....:o� ........ f NORTF,, 3?°.t;�`` ;•;."�o� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING �,SSACHUSE� This certifies that ....... : .............. .................;t,../................... r has permission to perform .......... :.. ...................................................... *iring in the building of..*.....................I..f.r.. ............................................. at.r .......................- .� ..... ......^• .........._.. ,North Andover,Mass. M............ f �YL �— Lic.'No?G .. Tri --— ELECTRICAL INSPECTOR Check # 75' WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Official Use Only Permit No. 3 ID&Co` ` 0WW1E.AGW of W,4SSAC VSEgZ Department of(Pu6Crc Safety Occupancy&Fee Check 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 Codec R 12:00 (Please Print in ink or type all information) Date To the Inspector of fires: j, Town of North Andover t The undersigned applies for a permit to perform the electrical work described below. Location(Street&Numbervt�e�7�, 1 I Owner or Tenant Owner's Addressy A �^ is this permit in conjunat'on with abuilding �permit Y4 No 0 (Check Appropriate Box) { Purpose of Buildingt�li w A l Utility Authorization No. Existing Service_Z).�� Amps �— �Voits Overhead 0 Undgmd 0 No.of Meters t� New Service Amps Voits Overhead 0 Undgmd p No.of Meters +' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work b Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In p No.of Lighting Fixtures Swimming Pool grnd 0 grnd p Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Snitch 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[11 sal No. Pum Tons KW No.of Sounding Devices NoJ of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal p Other No.ofbryers 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 i OTHER: i INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES a NO = have submitted valid proof of same to the Office YES- NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Valpe7pf I c 'cal Work$-7�y Work to Start Inspection Date Resquested RoUjg h Final Signed and n It es of perjury: FIRM NAME _��� a V-119,n LIC.NO�r--y-D_a Licensee,, -,Zl,NX--j,� CLIC.NO. Signature Address Bus.Tel No. �� CA Alt Tel.No. OWNER'S INSURANCWAVER: I am aware that the Licenses doe not have the insurance coverage or its substantial equivalent as required by Massachusetts i General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ ��d� (Signature of Owner or Agent) J / N°- 2 Date..:............................... S' 61 MA NORTH °`<<``°:•1"° TOWN OF NORTH ANDOVER �► p PERMIT FOR WIRING CHU This certifies that has permission to perform - -- - % ............................................................................... wiring in the building of R at.. ... ........../..... ...r....:........................................,North Andover,Mass. Fee. , ........... Lic.No................. .....:..... .... ..... .........1.;1'n............................ ELEcTRicAL INSPECTOR Check # - c./ r WHITE: Applicant CANARY: Building Dept. PINK:Treasurer IREWAMUAWP ILIHU1''MA41iX4(:HUM1IN utnceuseornyy DEPARTA10WOFPUBLICSAFM Permit No. C' 91, BOARD 0FFIREPREVEM70NRWMTI0MS527CMR 12.00 Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ILEO WCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dates_ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address 7`3 Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building \A-O Utility Authorization No. Existing Service AmpsJ� �✓olts Overhead © Underground M No.of Meters New Service Amps moi! Volts Overhead ED Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' \C--- `-e- \t--,\1W O to No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground E3 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hest mnceCo Purathempwna1tsdMasmdxlscftG=WLaws IhaveaamatLiabtkyhnm=PoLyadud'mgC mpkte ComagcritsstecILmvalat YES Pl NO Ihawa ftn&dvjWpludofSa=1DtheOffi=YES rJ NO F-1 If}cutmea,e WYES,Ikmrdc&tbeWCfb9 tc INSURANCE BOND � OTHER F-1 ft%eSpecify) Expir�ion Date Estlm Vahtet fE lwWal Wotk$ WorktoStart hq)echnDtEeRapeted Rough F'mal Signedundam Of, FIRM NAME C ctiky, CA LiomseNQ L+o WT b Btsi1MTel.Na pu AltTeLNa 16 U. rl OWNER'S WAIVFR;Iatrtawacet rttbeLcmw them%rdnccwverWontsaksbrt lecgut>alatas byMmmdmsemG trJLaws aoddratmysigtra cnthispemrt waiwsftm4muyat (Please check one) Owner M Agent a �! Telephone No. PERMIT FEE s- _1 FORM - U - LOT RELEASE FORM 4 ••INSZ RUCTIONS: This form is used to verify that allnecessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the plicant and or landowner from compliance with any applicable requirements. APPLICANT I�l �e VA PHONE ASSESSORS MAP NUMBER lJ LOT NUMBER SUBDIVISION LOT NUMBER STREET �U/� CA�v T J �S STREET NUMBER SSS OFFICIAL USE ONLY ........................................................................... RECONEVENDATIONS OF TOWN AGENTS DATE APPROVED Twooloonowwww000 CONSERVATION ADMINISTRATOR DATE REJECTED coNaviENTs �2c� � {•� DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INS BEG R-HEALTH DATE REJECTED DATE APPROVED S C TOR-HEAL DATE REJECTED COMMENTS // i g PUBLIC WORKS—SE /WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE '� iso 00• .j _ I N� e o a. w CStr � h � 29 a 0 N Deed Reference: BkPg. -3?7 CerL No. Plan Reference: PI.No. 947,/O , - f 4.`.a_-.&-� ELEYA T/d N S IN velk,•.S SEWED au 7'.4a.T 111 '3$ Al A< /N IA/. 67 Y'/JA//X' �_�t T /Z! 7/ 13ox //u /3 a x OL< 7- 041 Tek, 1 I /5 Dp Gig/ SEPT._lc. T Ii V x1sT/NG ,�� ,L>w J�rG MORTGAGE INSPECTION CYR do CURRAN, INC. c©%, SURVEYING ENGINEERING-LAND PLANNING ua MM atner wtwo so ap w�ws74n MORTGAGOR _51G'�¢�LO.[/ �? —_-- �//� ADDRESS OF PRINCIPAL BUILDING - ' ,cl t NOTE THIS MORTGAGE INSPECTION was prepared specifically for mortgage purposes and is not to be r relied upon as a survey. Cyr&Curran accepts no responsibility for damages resulting from said reliance ' by anyone other than the said mortgagee and its - A assigns in connection with its proposed mortgage \Y Z. R �OT. _. . financing to said mortgagor. The information on this mortgage inspection is the 11 exclusive property of Cyr&Curran.Unauthorized use, 1 reproduction or modification of this material is strictly �ry A� �7 prohibited,and may be subject to legal action unless w c9 s< N prior written consent from Cyr&Curran is obtained tiCERTIFICATION TO, N j eThis mortgage inspection was prepared in accordance (� with the Technical Standards for Mortgage Loan In- / 0 N spections as adopted by the Massachusetts Association of Land Surveyors and Civil Engineers,Inc. I STATE THAT IN MY PROFESSIONAL OPINION the principal structure/s and accessory structure/s with the dimensional setback requirements of the �9•� - 2 T zoning ordinances,and that there are no encroachments G G// of major improvements either way across property lines except as shown. ♦ Notes: d 0 ■ Dwelling is not located within a Flood Hazard Zone nD Dwelling is located within Flood Hazard Zone 0 Information is insufficient to determine Flood Hazard. Flood Hazard determined from F.E.MA Flood insurance rate map.^*—c rz zsoo 98 ooio�3 ��$if f ' Deed Reterence: Bk. 2,0/7 Pg. —707M M Cert.No. Date of Inspection Plan Reference: PI.No. !947+1'0 Date of.Pfan 4 Lobation ti C. -� No. Date MORTN TOWN OF NORTH ANDOVER 3? i • O i 1 • i ; , Certificate of Occupancy $ tt�' Building/Frame Permit Fee $ ��' ^' sic Hus Foundation Permit Fee $ Other Permit Fee $ 1 TOTAL Check # �— / Building Inspector v ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER DATE ISSUED: a..c:;2.x C>-? SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /5-5- Dv IAe-am= �C3 193 Map Number Parcel Number 0d fz,4) 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Disi;ic-t Proposed Use Lot Areas Frontage ft 1.6 BUELDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service Sign ce -1 --Telephone Q t O 2.2'Owner of ecord: --� Name Print Address for Service: z M Signature Tele one p� SECTION 3-CONSTRUCTION SERVICES 9� 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Constntction upervisor: -1 � (%3 K , License Number Aa 13 ss PC ` (v e3,033 P p Expiration Dat Ie tgn ure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name (/q qq Registration Number Address Expiration Dat Signature Telephone 4 t SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all a Ucable New Construction ❑ Existing BuildingRepair(s) ❑ Alterations(s) Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description f Proposed Work: ✓VI�' -��/ kS j'v2il SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be tIMCLAL'LiSE Completed bypennit applicant � 3 1. Building (a) Building Permit Fee Q � Multiplier 6 ' V 2 Electrical (b) Estimated Total C st of (� ( / y Construction MI C' 3 1 a`[ 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC C;?-q®� 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION_TO BE COMPLETED WHEN OWNERS AGENT OR-CONTRAC OR APPLIES R BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby,author to act on My =in latter relative to work autl►6rized by this building permit application. Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as 8 /Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief r 1..� . Print Name Si nat u Azar/ ent Date r. NO. OF STORIES SIZE Lag BASEMENT OR SLAB 'Yesr SIZE OF FLOOR TIMBERS 1 2ND 3 — 4 L SPAN — « DIMENSIONS OF SILLS yL DIMENSIONS OF POSTS DD ENSIONS OF GIRDERS Q HEIGHT OF FOUNDATION '7 i—B THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND Q IS BUILDING CONNECTED TO NATURAL GAS LINE �} FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT I h PHONE (� r ASSESSORS MAP NUMBER L/ LOT NUMBER SUBDIVISION LOT NUMBER S STREET �U/� C.4 iv STREET NUMBER SSS OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS 0 go 0 0 won a',16tonf\00-wwwwo woom'now 0 wo 000000000 DATE APPROVED CONSERVATI N TRATOR DATE REJECTED Co S h-i DATE APPROVED TOWN PIrR \\ REJECTED CO OY4�PROVED FOOD INSPEC 61Z-HEALTH DATE REJECTED DATE APPROVED / O SEPTIC IN TOR-HEAL // DATE REJECTED f COMMENTS PUBLIC WORKS—SEV4R/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTN ENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE STATE FARM aKEVIN T. HERRMANN, AGENT INSURANCE Auto-Life-Health-Home and Business 160 PLAISTOW ROAD RT 125 PLAISTOW, NH 03865 PHONE (603) 382-9500 FAX (603) 382-2084 January 08, 2001 CERTIFICATE OF INSURANCE State Farm Fire & Casualty Co. X State Farm General Insurance Co. Name of Policyholder: SHELTER ENTERPRISES, INC. Address of Policyholder: 335 ROUTE #125,BRENTWOOD,NH 03833 Location of Operations: SAME Description of Operations:CONSTRUCTION The policies listed below have been insured to the po is o er for--t-Ke- policy ort epolicy periods shown. Policy Number: 94-BF-8030-6F Type of Insurance: Comprehensive Business Liability Policy Period: Effective Date: 04/01/00 Expiration Date: 04/01/01 Limits of Liability: Each Occurrence: $ 1, 000, 000 General Aggregate: $ 2, 000, 000 Products-Completed Operations Aggregate:$ 2, 000, 000 This Insurance Includes: *Products-Completed Operations *Personal/Advertising Injury Workers Compensation/Employers Liability Effective Date: 04/01/00 Expiration Date: 04/01/01 Each Accident: $ 300, 000 Disease Each Employee: $ 300, 000 Disease-Policy Limit: $ 600, 000 Name & Address of Certificate Holder: MICHAEL & KATHY SCANLON 155 DUNCAN ROAD N.ANDOVER,MA 01845 Sig a ure ofSlhorized Representative Date: 01/08/01 Office of Investigations Boston, Mass. 62111 Workers'Compensation Insurance Affidavit Please Print Na ne: 1 , Location: Ci Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity ( j t am an employer providin workers'compensation for my employees working on this job. Com an name: 7Sf L Address Phone Insurainc- Company ceCom n name: Address Ci Phone Insurance Co Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to mposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' F1 Building Dept ❑Check if immediate response is required Building Dept Licensing Board F-1 Selectman's Office Contact person:_ Phone#: El Health Department Other FORM WORKMAN'S COMPENSATION �4 :� ✓fie t000nirreoousoeal� o���aaeacfucee/�a .¢ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 035631 Birthdate:08/28/1948 Expires:08/28!2001 Tr.no: 3046 i -- .RestrictedTo: 00 DAVID L ROBERTS u 335 ROUTE 125 - �' ' i BRENTWOOD, NH 03833 Administrator I . . ✓fie �arnmaaruueafffi o���aaaacfucae%t6, I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 110994 Expiration: 11/18/2002 Type: PRIVATE CORPORATION SHELTER ENTERPRISESINC i DAVID ROBERTS 335 ROUTE 125 !! BRENTWOOD,NH 03833 Administrator I I JAN-09-01 12 :33 PM DAVID L ROBERTS 60367980662 P. 01 r D A V I D U RO B E RTS David L.Roberts Co. A Desi&LlBuild Corporation FAXTo: r ' Date: f v FROM Project: r-- DAVID L. ROBERTS E Number of additional pages: We are sending you Subject: _ the following: t $—Update J Quote e :1 Changes Sf` ,$ketches D Q For Your 1 Information rV c.) C� U Review&Comment U As requested Action Requested: J For Signature& Return {fie J No Action Required LI Call to Confirm Receipt of Fax Q )(As Indicated David L Roberts Co. 335 Route 125 8nentwnod, NH 03833-6406 603-679-8555 Fax 603.679.8066 r ' �l snoH � f. r r ©' Shelter Er.tyrprises, Inc. C O. A Design/Build Corporation 335 Route 125 t Brentwood, NH 03833.6611 603-679.8555 Fax 603-679-8066 + 1— ------- NANT rT FAmm 1 F1Cu� !A Tj 1 I STI NG- __ 3���� X1A-T 1 NCr Il rl ? � ►� �� r � N e�w�- vorxzwlAy ri __ a ' Shelter i:. `-)rprises, Inc. d is DA V10 y.. x?01JER,rS CO. A Design/Build Corporation `�- 335 Route 1.25 Brentwood, NH 03833-6611 w f N DOw I s. shMker Enterpr"s. Inc. dba DAVW L. ROBERTS CO. , A Design/Build Corporation t ( _ 335 Route 825 ,_ t Brentwood. NH 03833-6611 - � �— -- 603-679-8555 Fax 6034794W66 Shelter Inc. dba DAViO L. x.tiia ER'I'S CO. A Design/Build Corporation 335 Route 125 Brentwood, NN 03833-6611 - 603-679-8555 Fax 603.679-8066 s7RiEET IQ ( t DEt o 1Z,r= E'N4L0 EOt Tie ."T --- - __ rr% .TSE!_DuD FLo02__ - •.`-- �r�-'"r---' N a=w Doo T t�0 D f?^S TTIL r- J PPOFOSI-1) A , JL- Shelter Enf.►rprisos, Inc. L. ROBERTS • r~v IC A Design/Build Corporation i �t 335 Route 125 Brentwood,*H 03833.6611 __ ,. 603.679.8555 1 Fax 603.679.8066 SAV 1<06E 6-10Aa8 74 ISD �r v y i s Gam" DN \\ pow GAvE-S ` F ' RAMShelter Ent.^.rprises, Inc. _ dba DAVID L. ROBERTS CO. A Design/Build Corporation 335 Route 125 Brentwood, NN 03833-6611 603-679.8555 Fax 603.679-8066 f � JT I I tie IvEwAI-- De-OP y__-DeOP 7-o 3 G KNEE b-ML.L_ W j P eo.Tr FOOT 1 N6- �it -- -`��"'dpi C • ( t c k1 oke VENT r/ SMlttr Enterprises. Inc., dbe DAVID L. ROBERTS CO. A Design/Build Corporation 335 Route 125 Brentwood, NN 03833.6611 603-679.8555 Fax 503-679.8066 Nt ' ti Mr'TI G a7 ANS o J� �� ry v em dW IS T�rsn b'_-o" L-4 I?! r � � W R►.l DooMl 19 -ay��Y DJ4 . -Z ,�- FA tit I L11 �M C7- (f'2of os��� • • i S 701 •- - TYPE -x L-TORA66 ( 57'�6- t c�NpEf� NEW r(2! ` JAN-09-01 12 :33 PM DAVID L ROBERTS 60367980662 P. 03 OTE TO LSF TH-e- HAS LLa)4Y TO Tilt r• � � is RrgRi�4T-rU N THE ArT T _ 4J OAIA. th N Lj, �A # � ISE A),D F,x o� ff� IT1_14OI t �M 1 cy JAM-09-01 12 :33 PM DAVID L ROBERTS 60367980662 P. 02 I UA tiAL L - � �N 0.4 into IA 3 .. Q ZSV i NCr - Gt" V a As m Ce -- i NORTH Town of Andover 0 N Al 4 o. o L A o dover, Mass., COCHICMEWICK %p AORATED P'Pa,`�5 S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System SCA40 BUILDING INSPECTOR THIS CERTIFIES THAT.... .��'........a.f. ....�... � Y... /d . .................... ................................................... Foundation has permission to erect...F� .� .�'!............. buildings on..../.S .....VWAOVAA�......6.. ............... Rough to be occupied as............4. �. ......*5.0A c L �O 4�c*' S P44r.E 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 In action, Alteration and Construction of Buildings in the Town of North Andover. m to y a18 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S-jAF ELECTRICAL INSPECTOR TS Rough .................... ............................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 3 r - PAfJTR --F - - - 1 i N r- NOW NIP ipp a :k C IC h'TS E - 5 Y �� GAs vEN7- ___ S�_ p_ f , - -"v. ' ' •_ •. a _ -_...:.. �•� .;' �^ � �.� .e.... .4� �"�a�^. �,r ��. ,-fir. : �;�-. e�^-�. :•_,ti,�s:. �: c Date. .z1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . h 1.permission to perform . .:�. . . -".`. .�.!:. f°.�:•'•'•`•'• • , .�''�`"" plumbing in the buildings of . . . . . . . . . . . . . . . . at. .�' `' ��`' , North Andover, Mass. Fee///'. .'. . .Lic. No%l. . . . . . . . . . . . A!�. . . . . . . . . . . . . PLUMBING INSPECTOR Check WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASA �SEM / U h/ Date U , Building Location 1 (�6Owners Name C �/�D �'lf Permit y7 qj Amount Type of Occupancy r New ❑ Renovation Replacement s Submitted Yes No FIXTURES z z a ww a W A a sREM BASEVHrn' M IMM zsn FLOCK 3MRUR 4M FIat 5MFLOCR sM HDM gIH lmm (Print or type) � " /j� � � j y� Check Corp.: Certificate Installing Company Name Address �� Partner. Business Telephone Q 0 Firm/Co. Name of Licensed Plumber: (TI09—In L Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F Other type of indemnity M 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 applicatio true and accurate to the best of my knowledge and that all plumbing work and ins tions performed under Permi�apte ued f anon will be in compliance with all pertinent provisions of the Massac tQtfi6ing Code C f the Genera s. By: icensea riumner Type of Plumbing License Title /i 'L 9FI/ City/Town License Number Master Journeyman APPROVED(OFFICE USE ONLY Location /35- Doveo-V �o, � Date s �oRTN TOWN OF NORTH ANDOVER AL Certificate of Occupancy $ Building/Frame Permit Fee $ ' Foundation Permit Fee $ SSA�MUSE Other Permit Fee $ _-- Sewer Connection Fee $ Water Connection Fee $ TOTAL $ – — • Udv 114 Building Inspector 12 n 01 11/20/% 09:21 25.00 PAID Div. Public Works Location No. Date NORTh TOWN OF NORTH ANDOVER Oft.Jo ,•1h Certificate of Occupancy $ Building/Frame Permit Fee $ ;fib'••"''�t�' cNuFoundation Permit Fee $ sswst Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ i I Building Inspector Div. Public Works i PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NOR'I'II ANDOVER, MA NI%P NO. l L.()T.N(). 3 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUR DIV. LOINo . LO( ATI()N _ �UYtCA PURK)SE OF B011 DING OWNER'S NA S1E NO.O STO2IES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCMII ELF'S NAME SIZE Of FLOOR 1 IMBERS 1 ST 2 HD 3 RD 131111 DE R'S NAME V�o ; SPAN DISI"ANCE TO NEAREST BUILDING; DIMENSIONS OF SILLS DISI"ANCE FRO M S-I RLE F DIMENSIONS O POS IS DISTANCE FROM 1.01-LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF IAT FRONTAGE IIEIGIIT(N=FOUNDATION THICKNESS IS BUILDING NEW SIZE OF I OOJI ING X IS BUILDING ADDI"IION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FII LED LAND Wil 1-BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED-10 l OWN WATER BOARD OF APPEALS ACTION!, IF ANY IS BUILDING CCNJNECIED TO"TOWN SEWER IS BUILDING CONJNECI"ED TO NATURAL GAS LINE INSI-IIC"PIONS 3. PROPERTY INFORNIATION LAND COST EST. BLIxi.COST Q PA41E 1 FII L CN IT SECH(NJS 1-3 s I EST. BLPKI.COS I PER SQ. FT. ES 1 BLDG.COS I PER ROOM EI FC-TRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. AI-IACIIEDGARAGESMUSTC(NJFORMTOSTATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECFOt BUILDING INSPECTOR DATE FILED `\ \ZO\� 01AINERSTE1.4 AFF—��1 C(NJI*R.I"E-I,h C 1 (NJTR.I R'N 1 c)-I. SIGNA H IRE OP OWNER OIi ALAI IORIZHiD A(11:NI' LII: I'I RNIIT(iR.AN11]) 19 F OR Town of �tAndover r 0 imma No. _ * Z - dover, Mass., A;�_C_19 O s .-ANE 10 '9A_COCNI CHEWICN`s-�'�` S BOARD OF HEALTH Food/Kitchen PER T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ................ .... ... ..... ................... Foundation .......... has permission to erect..... .......�................. buildings on....� .. ... .,. N.. rQ.0. Rough • vveX Chimney tobe occupied as......... .................................................................................................................................................... ... 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 A Final ELECTRICAL e` _� PERMIT EXPIRES IN 6 MO THS L INSPECTOR J L E �qol UNLESS CONSTRU N ART Rough 6(04� ........ . . ......... ... .... ................................................. Service BUILDING 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 t Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. N� t Date...��...................��... ... 'r NORT!{ °`<�``°;•�+ TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 �SS�cHusf� Thiscertifies that ...................................................�......................................... has permission to perform ........�v:....... wiring in the building of..... ........ Cj J - ............—� !y'L...�............ .North Andover,Mass. Fee.�.t..:.. ....... Lic.No:.:........ ............ ..p �J.......... ...........:................. ELECTRICAL INSPECTOR Check # �6y(D WHITE:Applicant CANARY: Building Dept. PINK:Treasurer C,ommonwea[l�o�///a9dacliudelLl Official Usc Only JJcc� c�'�] Permit No. eParfnleal o`�}ire �erviced ' BOARD OF FIRE PREVENTION REVELATION REGlJLAT10Pd33 Occupancy and Fee Checked [Rev. 11!991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Cotte(\IEC),527 COIR 12.00 (PL Ell SE PRINT IN INK ORTYPE.IL IM ORjtL I TION) Date:_ City or To1VII of: �- ov�� By this application the undersigned gives once of his or her intention on to performs he,electrical or of k described below. Location (Street SC Number) a_ - ,w,✓l Owner or Tenant ��K /O/c/ Telephone No. Owner's Address /SC oe 0 Is this peruhit in conjunction with a building permit? Yes ❑ No Inj (Check Appropriate Bos) 1'urposc of Buildingo�s� Utility Authorization No. Existing Set-vice Amps J Volts Overhead ❑ Undgrd ❑ No. oCAlctcrs New Service Amps _ / Volts Overhead ❑ Und-rd ❑ b No. of Meters Number of Feeders and Ampacily Location and Nature of//Proposed Electrical!York: lot,, f Completion of the table mai,be u•aiti•ed by the las cctor of wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Lighting Outlets No.of Ilot"Tubs Generators KVA bFixtures AboIll- hergeIcy lghtlllgNo. of Lighting Shtiiming PooEJ ❑ . n rnd rn . Battery Units ' a No.of Receptacle Outlets INo.of Oil Burners -. FIRE ALARIMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges Total w g No.of Cond. To 3I No,of Alerting Devices No.of Waste Disposers Hcat Pump Number j Tons KW No.ofSelf-Contained -- "Totals: I Detectiotl/Alertino Devices No. of DisliNvashers Space/Area Heating KW Local ❑ Municipal Connection Q Other No. of Drvers Heating:Appliances I(\V Security Systems: No. of\Vater No-„r „ �r No.of Devices or Equivalent Heaters KW Sins Ballasts iiaia V iring: No.of&*vices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: OTHER: No.of Devices or E uivalent Altace additional detail if desired,or as required by the Inspector of wires. INSUR.4"NCE 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: 1NSURj\NCE 0 BOND ❑ 0-I'IIER ❑ (Specify:) /<� � �yy (Expiration Date) Estimated Value of Electrical Work• off-P 9 (When required by municipal policy.) Work to Start: _9 O/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pants and penal tes of perjury,that they i�a/f°rntaliott nit this application is tette grid complete. FIRIM NAME: e ����� r C'i tic/ LIC.NO.: Licensee: Si;nature LIC.NO.: (If applicable, enter "c.rcnrp "in he iccn.ve nunrber line;) Bus.Tel.No. G -G3/1 Address: 3 ��1 /[lo � �w� �r�D/��� Alt.Tel.No.: 4 • OWNER'S INSURANCE WAIVER: I am aware thaYtTie Licensee does trelIt have the liability insurance coverage normally required by law. B)•nhy signature below, 1 hereby waive this requirement. I all,the(check one) ❑owner ❑ owner's agent. Owner/Agent Signature 'Telephone No. PERMIT TEE: S Date.S%.. `.�.y... .. c "ORT# F?Ory.t.,io ,e 1ti Op TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �,Ss^CMUSEt / f This certifies that . . . :. . . . ' --�- . . !'.�. : =.`�^ : .. . . . . . . . . ti has permission for gas installation . . . . . :. . . . . . . . ". . . . . . . . . . . . in the buildings of . . :. . . . . . - !. . . : . . at . . .`.S. . . . .�.. . . . . . . . { .' .�. . ., North Andover, Mass. Fee: 3 . `. . Lic. No.. . !.'Y. f � z, t.. . . . . . . . . . . . . i GAS INSPECTOR � - v Check# 0 e� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF=NG (Print or Type) CR �(lC7o/jy��UP�L MA Date_k�20 0;L,Receipt# Permit# &9-3c-) h, 1 Building Location Owner'sName/1i;aa,BL Map: Lot: Zone: Type of- New ❑ Renovation C Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: m N ¢ ui Yw ¢ y V GU) U) en Q Z H S W Q N ¢ O w ¢ O U — N C7 w m W F- > Q O w a ¢ ¢ _ O z w C ¢ m (n w w O O a W m ¢ O w Q = Z ~ y O > w Y� LU m c V W Uf � � � Q = ¢ S � Q W ~ W V � y Q a H z J z F- w W O > LL — W w �. w Z Q LU — Q 2 f.. > U7 m 2 O Z m O y Q W > 2 W O z Q 2 Q Q O O W — O W ¢ — O c7 w z 3 m 10 .j Q ¢ > c a F- o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 8TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EASTERN PROPANE & OIL, INC . Checkone: Certificate Address 131 MATER ST DANVERS MA 01923 Corporation Estimate Value of Work: ❑ Partnership ' Business Telephone 800-322-6628 l ❑ Firm/Co. Name of Licensed Plumber orGas Fitter 4V,4 1 INSURANCE COVERAGE: I have a current li y insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked ves,—please/indicate the type coverage by checking the appropriate box. LEI A liability insurance policy S Other type of Indemnity Cl 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. Checkone: i 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 knowiedae and that all plumbing work and installations Performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. /� By Type of License: ✓� > iW— Plumber SigndEre-ol Licensed Plumber or Gas Fitter Titre Gasfitter ��� ? q g Master License Number J l City/Town Joumeyman APPROVED (OFFICE USE ONLY) Revised CV17= A BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME 3 TYPE OF BULIDING LOCATION OF BULIDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GASINSPECTOR