Loading...
HomeMy WebLinkAboutMiscellaneous - 16 OGUNQUIT ROAD 4/30/2018 X16(gun quit MaP_.91A Parcel 16 1 I I I CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number a Date THIS CERTIFIES THAT THE BUILDING LOCATED ON 0i( * IL © uu �I+ MAY BE OCCUPIED AS �- �� ��"����'� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. GI Pe*-o + s, 3 (3 AA s; a )fat I u NcJe r— ,. CERTIFICATE ISSUED TO ��`a U c 5 �-T wt ca N bA�^ �'t�c� ADDRESS 3 U)- 'ort it ,An;c�over� ''''CHU Building Inspector NORTFI i Town . of 4 over No. a© o tplass., GOC MIC WI V p ORATED S H ` BOARD OF HEALTH PERMIT T Food/Kitchen / Septic Syste THIS CERTIFIES THAT. . ��'V�s............ 1r1 /► DING INSPECTOR T ..................... �................ o. .............. ....................... . Foundation / �� - has permission to erect.......... buildings on �.......................... g ,t.a �l .... �L..... yftw.ttovo. .......... ........... Rough%� .464�..t � 4r' r� �N �� � Chimney to be occupied as�r�.....I... .... .!w..lr.........�s..........�..��.�............�.......,�.. ..........�....................� provided that the person accepting this permit shall in every respect conform to the terms'fff the application on file in Finalq� , this office, and to the provisions of the Codes and By-laws relating to the Inspection, Alteration and Construction of ;,u �� - Buildings in the Town of North Andover. 9POA P )14 PLUMBING INSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. r1 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI N T ECTRIC T ♦ ou / .. ... ... ........................ ........ ... .... .. e .. .................. ............. BUILDING INSPECTOR � v Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 4xk��— No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. FSEE REVERSE SIDE Smoke Det. 11 Town of North Andover NORTH q Building Department 3�Ot�t�eo 'a�6NOL 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Plb 4 -SACHUS APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION r ADDRESS A ` < -�/ V' k LOT NUMBER SUBDIVISION A0 k 4� DATE REQUEST FILED DATE READY FOR INSPECTION�,�AAoe FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE SUC DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE .� ,r FICIAL USE ONLY ROUTING CONSERVATION DATE PLANNING _-r` 7 DATE D.P.W. —WATER;4;TER DATE (v D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR INSPECTIO UE T DATE. SIG TURE/DPW AUTHORIZATION Location No. a Date HORTFi TOWN OF NORTH ANDOVER i 9 Certificate of Occupancy $ S� �SSACMUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �s Check # f / Building Inspector I I �!',A 1 FORM - U - LOT RELEASEFORM 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 �� e. Jr, PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER �f STREET STREET NUMBER �OFFICIAL USE ONLY ............................................................................ RE MAIENDATIONS OF TOWN AGENTS . ...�.....K:w .T��Nn .................................... ........ ■..■ �" DATE APPROVED 2 d CONSERVATION ADMINISTRATOR t DATE REJECTED COMMENTS4 & - DATE APPROVED P4 ARL,-V DATE REJECTED CONUVIENTS DATE APPROVED FOOD INSP OR- TH DATE REJECTED DATE APPROVED /SE E TOR-HEALTH f DATE REJECTED COMMENTS n.- /� k%r-..v,.� a a s v . ! 3 PUBLIC WORKS-SEWER/WATER CONNECTIONS / 7004 DRIVE Y PERNIlT DATE APPROVED FIRE DEPARTM7 DATE REJECTED CON54ENTS RECEIVED BY BUILDING INSPECTOR DATE j Town of North Andover 4 NORTH o �TL£U a 31� h�:d 1'•• tb O Building Department o 27 Charles Street North Andover, Massachusetts 01845 4 ?, 978 688-9545 Fax 978 688- 4A ( ) ( ) 9542 , �q�rlo rPo-y.(5. 9SSACS IL) DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at_ Facility location ignat e of Applicant 77, 2. i? Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. The Commonwealth of Massachusetts Department of lndustrial-Acc,dents OF, of Investigations Boston, Mass. 0-I I I Workers' Compensation Insurance,4,1davit Flame PleZzse Print Flame ,.� Y� `� /o bba�, G Lccaticn: ! o v J Citi Z/, �� J g &ee f Phcre 12m a hcmecwrer performing all work myself. j I am a sole proprietor and have no one working in any c. parity I am an employer prcvidina workers' compensation for my employees working on this job. � � � Comoanv name /,1 .� Address CihN. Phone 0 c- Insurance Co V v �� `-°�^'SLP/i>vPP �R6U 70 PclicJ 3 i Comoanv name: Address CN: Phone Y Insurance Co. FoIICJ T Failure to secure c:verage as,ecairer under Se.-ion 2aA or iMGL 152 can lead to the impcsiiion cr cnmirsl penalties cf a rine up to s1.5C0.00 andlor one years'imprscrment as .ve:!as c:vii penalties in the norm cr"a STCP'/I/CRK ORCE:cc and a rine cf(s100.00) a day against me. I understand that a clay of this statement may to fcrvarced to the Office d Investigations of:he GIA for coverage verincatien. I do hereby cerriry under the;ains and renalties of pe.jury that:he information Frevided accve is:rue and ccrrec:. Signature L ' CateL/i 2 o e Print name ��i,r K,�iv �iP Zf e-it/ Phcne# LY OTrc:al use only do not wrrte in this area to to completed by c:rl crown cr�:c:af City or Town P=rmit/Ucensirc ❑ Building Dept ❑Che_.k f immediate resccnse s required ❑ Lcensing card Selectman's officio. C rnac: .erscn: Phc,^e T Health Department Other GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. J �b Permit Applicant Property address Map/Parcel Applicant's Phone Number 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 Growth Management Bylaw.I also understand providingthis 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 ofthe effective date ofthis bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6,1996 and are exempt from the provisions of 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 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens 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 part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density 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 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 and 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 a building permit(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 submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER 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 OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APPLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION 4 � 002 APPLICATION FOR WATER SERVICE CONNECTION i Zrx�r� North Andover, Mass. Z 1EY Application by the undersigned is hereby made to connect with the town water main in Sireet, subject to the rules and regulations of the Division of Public Works. The premises are known as No. ' ved V I Strut or subdivision lot no. I-eq 0 E;, -7 Oo)c-4 re/ Owner Address �kwr r 9 Contractor Address Applicant's gnature y yr ��-er PERMIT TO CONNED WITH WATER MAIN' The Board of Public Works hereby grants permission to V �' Z1 , to make a connection with the water main at 69a U V e4 U Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By 1 Inspected by i Date i See back for rules and regulations 1 DPW 257 Date .. .........Z6•-q D p►ORT/� I OF ��•, •�4,Q 3a.� -�.; .'• o� TOWN OF NORTH ANDOVER O y ' ~ d J.WILLIAM HMURCI. RECEIPT * :phone(978)685-0950 DIRECTOR ,:o,sr�' Fax(978)688-9573 ,s`SACHUS�t This certifies that....... ........ ...................... has paid ......i.�. QC>. ............................... .... /fto for ..... . �. �, tN.6 ... .. ................................. Received by....................... . ........ ... . . .... �t .... l�r�•:•• .......................... Department ............. WHITE: Applicant CANARY:Department PINK:Treasurer DATE 2 2000 LOCATION BUILDER phone OWNER �erl� e-fzf✓ fce� hone T_ S-d(� THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY, FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. I f r ✓hf' L'UllL77L4ltlCjPZI�� p f �({�,;j�C/u� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 009544 Birthdate: 03/30/1948 ` Expires: 03/30/2002 Tr,no: 19008 Q Restricted To: 00 r STEPHEN C BREEN t 345 STEVENS N ANDOVER, MA l 01$45 Administrator I t !R t i r Town of North Andover Building Permit Review/Inspection Report Map C1414 Parcel ��/ Address 16 ©9°y^J Date 8—(d Builders Name and Phone I raU's,(- rt« Cv-vs¢ , .0 -a aaIAQ ha x 3_a 3 �n� rro a x y g _ 3 9 S- i�c��oP t SLS O e- /leo ( 13A-t h TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING w .dint BUILDING PERMIT NUMBER. DATE ISSUED. /O C SIGNATURE: Building Commissioneffl for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 7L- Zoning District Proposed Lot Area Frontage ft 1.6 BIJU DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required I Provided Required Provided 1.7 Water Pupply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System.> SECTION 2-PROPERTY OWNERSHMAUTHORIZED AGENT rn 2.1 Owner of Record n N ma e( nni) Address for Service LlO Signature Telephone (Q 2.2 Owne f Record: Name Print Address for Service: O M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Lccen's onstruction Supervisor. �� 9X f o License Number Address( /� Expi on Date Signa re Telephone < 3.2 Re rstered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address r Expiration Date Signature Telephone 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.......❑ SECTION 5 Description of Proposed Work(check all applicable New Construction 5e Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l L U�u � SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFVICIA L'USE ONILY' Completed by permit applicant 1. Building O (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ _T 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/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 Print Name Si ature of Owner/Agent Date NO. OF STORIES - SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIvlNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ORTH own o Andover No. 0 ndover, Mass.,, g `�� COC LAKE H' 'HECK TE D C SSACHU IT FOR EXCAVATION AND FOUNDATION 7.0 THIS CERTIFIES THAT ...... M&AM*% C& �QdMtjc4/oA) .... ................................................. ............. has permission to excavate and pour foundation at lof ...... .......... for the purpose of...a Ado . ....45 The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT FEES • LESS FDA FEE DUE FRAME PERMIT $ • saw BIJIL,DFN(; INSPECTOR NORTH Town of _ 4dover o ■/y�■ dower, Mass. �J COC_CM WIl � 1 1 ADRA7ED P`P� 5 1 S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....1... . �s........ .�►.�1M........ �. M Y........ �.:J.......... Foundation has permission to erect........../.......................... buildings on�. .... I.L.....Q. .�w.. . .........t Rough to be occupied as COO. 0.3.464..&da 414) r ''.VJVJ0. ..... i,. ........................... ...... Chimney provided that the person accepting this permit shall in every respect conform to the termsf 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. . m qd A P ,14 41swpm, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Fina' PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION T ELECTRICAL INSPECTOR • 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 � P 7 p �/ ,,/ T BeFinal No Lathing or Dry Wall 1 o DDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. U•M�orM 1y Ci Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT � /SSv� PERMIT NO.: PROJECT: ('�l /I— �` t%&R 8XKW DATE: 0-10-00 UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: U N C Excavation-depth and soilonditions Framing- Other: � �- Date: '^/5 —L-O Date: 00 Date: I`( �'"Co Inspector Inspector_N v69U rInspector 5 Footings and foundations and drains- Insulation- Other: Date: �°' Date: Y-9 - 00 Date: Inspector Inspector A At ( Inspector Electrical-rough- Plumbing and/or gas-rough- Other: Date: (� Date: 11-9 Date: Inspector Inspector Inspector Electrical-final Plumbing and/or gas-final Other: Date: I `a`�� Date: I -q' Date: Inspector Inspector Inspector `ire Dept- "il burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: f" B—b/ Date: "!8_'b C of O# ( f G.� Inspector Inspector Inspector Form#995 Action Press,685-7000 { �/-*" 7 No L / 2 8 Date./ ................... ' ,aORTry � °`t"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �Ss�cHusf� dd This certifies that .....�:r....G........ . .....!............r..� .................... has permission to perform .........a....4:.....: ............. ..................................... wiring in the building of.....L a..C...Pty..................................................... at......�. .....U.��.��.::.�F.. s,:... ......k?................... .N6rth Ankdoveer�, yass. Fee. .,�../......... Lic.No...... �� t C................. ..tr..^.. . //..G��..1......... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer �z The Commonwealth of Massachusetts Office ua.only FA No Department of PUblld Safety F•"nit r� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy i Fee Ch• kod� 3190 peaty blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK AN w&%b is O,fernrd N aeeoraana wi•1•w Yw4dW80 a V*Cft*Cods.UT CUR 1200 (PLEASE PRINT IN INK OR TYPE A�� tt LLINFORMATION Date— a t � City or Town of .o(--A � l- r\A -The undersigned applies for a permit to perform the electrical work described below. the Inspector of Wtrea: Location (Street b Number)- C) k K nQ k 1 OGA Owner or Tenant Owners Address_,_ Is this permit In conjunction with a building permit yes ❑ no J9 (Ch••;k Appropriate Box) Purpose of BuildingJY4� , d,d 9116XAICI,E Utility Authorization No. Existing Service Amps_J Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Imp. 1 Volts Overhead ❑ Und rd ❑ S No. of Meters Number of Feeders and Ampacity r1 Location and Nar•,e of Proposed Electrical Work Lp'r lit!/rZ r1✓ i No. of lighting Outlets No. of Hot TubsNo.of Transformers TOTAL Above In KVA No. of Ughting Fixtures Swimminq Pool gmd.❑ rnd❑ Generators KVA Na. of Recaotacfe Outlets No. of Oil Burners No.of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners TOTAL FiRE ALARMS No.of Zones No. of Ra esNo.of Air Conditioners TONS No.of Detection and Initiating Devices No.of OlsoosalsHEAT TOTAL TOTAL No.of Sounding Devices No. of Pumps TONS KW No. of Self Contained -No. of Dishwashers Soace/Area Heating KW Detecdon/Sounding Devices S No. of Dryers Heating DevicesK1N Local Municipal ❑Other ❑ Connection No. of Water Heaters KW No.of No.of Low Voltage r Signs Ballasts yylrin No.of H Massae Hydro Tubs No.of Motors Total HP op OTHER INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy Including Completed Operations CCvrage Cr its substantial equivalent.YES NO O 1 heave submitted valid proof oUsame to this office. YES ONO O If you have checked YES.please,indicatethe type of,coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Pleas. Specify) (Expiratleon Date) Estimated Value of Electrical Work i Work to Stan Inspection Date Requested: Rough Signed under the penalties of perjur 7Final FIRM NAME Lkeneee UC. NO C Signatur Address • 0644 UC. NO F mit M/V'/-4 :. Y !-s/• .A �T Co Bus.. toll. NO.&C.'�p.Z' �!/� Aft. Til, No OWNER'S INSURANCE WAIVER: I am awiie that the Licensee does not have the Insurance coverage or Its substantial equivalent as required by MassachusertS General Laws, and that my signature on this application waives this requirement. Owner Agent (Pp�e chick Telephone No (Signature of Owner or Agent) PERMIT FEE N° 2701 Date./f... ..../ ...... NORTIi TOWN OF NORTH ANDOVER PERMIT FOR WIRING cwus � This certifies that /-A.,.... ........ has permission to perform ( ..... wiring in the building of.......( �i t.f.�.: �.:.�f......if o t7 -f / ..................................... at..... 1�...........................fNorth Andover,Mass. Fee., '..5.:Aq... Lic.No. ...... .. ............... .. .. ....:tea... .. ....................... � /ELECTRICAL INSPECTOR Check # � 7� WHITE:Applicant CANARY: Building Dept. PINK:Treasurer THE COMMONWEALTH 0FAL4&"C UUSETIS Office Use only /j �OFPVB0CSA= Permit No. O C/ BOARD OFFMPREIVEN'170NREGUTAHONS527C M 12.W Occupancy&Fees Checked APPLICA TTONFOR PERA�flT TO PERFORMELE=(R 'AL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 C'viR 12:00 / l (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date V V Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. AP PARCEL Location(Street&Number) / LA-I-Jq t,r,�� Owner or Tenant Owner's Address ' if, Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building 'j kj �- ckodu, Utility Authorization No.008-Z46 Existing Service Amps Volts Overhead ❑ Underground No. of Meters New Service7 v p Amps12l!y/ ZKo Volts Overhead ❑ Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work A 1 ak,,J inn- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground stround 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 ALARNIS 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 Cormcetions Nd.of Water Heaters KW No.of No.of Siam Bailasis Ne.Hydro Massage Tubs No.of Motors Total HP OTHER hrnir =Co=T Plash#mtheiagtmana�safMass�tas�lsGalaallaws IbawaaaeaLmhiy maatr PchL mdu&gCcn-lete Cowrag!crit ai legtnvaia2 YES F41 NO ❑ Iha%estibmr vihdgafOfmwtothe0ffice YES LO NO ❑ Yyoulmedlad®dYES,pkaseir .aL-dr}peofwmWbyd=kirlgthe INK CSE ® BOND ❑ C71I3Qt ❑ Se SPAY) E#ationDate wakw chart `�-�U r�i�( c�.�Fvattaroftwade$ Fmal SigledunckrT&Pankm ofpajtay F110ANAME Lioa>9eNa Li xngwY�s� �a o r rl�t c�t'e N CR- Signat reAk-Z.I,,A LimneNo 11 I c t BtEi m;TeLNa �7k p_ AItTeLNa OWNER'SINSURANCEW Iamawate11-9 dr L=m dmnot taw the itotaa=cuAWcritsskslartelegtnvalartasregmedbyMissadaisetlsGamolLavrS and d-Amysi AncnthispumiapplicAmwaiustbisie#kmat (Please check one) Owner ❑ Agent ❑ ` Q Telephone No. PERMIT FEE$ tgna e ot Owner or Agent Date. N2 46 ` 7 4, TOWN OF NORTH ANDOVER o ° PERMIT FOR PLUMBING +D++n°•I�`49 SACNUS� p This certifies that . .!.-.'7. . .. F �� . . ,`,� I has permission to perform . . . . .Ne. J. . . .��. ✓!^ —. . . .`,. . . . . . . plumbing in the buildings of at(-�-o.t. o./}. .�G. . .(�'�r�r�`.!'.l.F:. • . , North Andover, Mass. Feeya./U �.`.Lic. No.. �!/.���. . . . . . .itn�. . . .J�.�!1 ;,-PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS _Date — 1011-5Building Location G-07' !/A . A4, 1G Owners Name)'11A1"/% -,V- 7-14 (�oN/ Permit# 9-7 ount Type of Occupancy New M Renovation Replacement Plans Su tted Yes No El FIXTURES wCn x Cr CC Z 4 1 z cc w a ZZ w 4 = d a a s a w A &00 aZ w w d d q S01B3Vl)C BA9 "M ISE HJOCR 3M iLDat anH[>F>r oat 5M HJO R 6M FIa R 7M FLOCIR 8M HJDCIR (Print or type) Check one: Certificate Installing Company Name /���y/=TTF /aLG t h�TG Corp. V Address y! lt�Od.t� Partner. Business Telephone 6'1 41Z S p El Firm/Co. Name of.Licensed Plumber. GrD/�G/�= f� /�iqF a/_F TTiF Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy IL I Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and ChNter 142 of the General Laws. By: Signa o ice / um er Type of Plumbing License Title s S10� City/Town icense Numoer Master ❑ Journeyman APPROVED(OFFICE USE ONLY N° 2575 Date... // v ..... t NORT/� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUSE� / This certifies that ,�^�.w/��Ul .... ....... . ....................................................................... has permission to perform .....�..� �"` ��`Jr ........... ........ ....................../....................... wiring in the building of..........!....G.../!...:........r....�.�.�.'.�........ .�.:tS............. ht... 4.....o/.r, .....,North Andov r, ass. ........................ :............ . Fee.... ted'!.(!� Lic.No. . ../ .... . . . 4 V 7ys RI ELECTCAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Utticlai use uniy Permit No. ac#W,-4 Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number � �� 00(''� t, L6 ` Owner or Tenant "V -S L /� Owners Address � d O )31 4 �7 ' f /`14Vv-(A Is this permit in conjunction with a building permit Yes ❑ N!/ ,q (Check Appropriate Box) f Purpose of Building Utility Authorization .�v Exis`fng Service Amps Voits Overhead ❑ Undgrnd ❑. No.of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �r(� Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above.❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No/of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained Ndl of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have nt Liability Insurance Policy including C pleted Ope bale- Coverage or its substantial equivalen E NO = submi d valid proof of same to the Offs NO = If you have checked YES please indicate the coverage by checking the appropriate box INSURA = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value ofFJpctrical Work$ Work to Start 13--e" Inspection Date Resquested Rough C,_ Final Signed under the Penalties of perjury: /,, FIRM NAME � 0 4 �-Q` LIC.NO. p L ,gnsee l!/� /`1 1l�1ti'1 t Q C-2— Signature LIC.NO. J� / 7 �f L/ /�L Bus.Tel No. Address �`� / '� 'A/ J�f /[-r7�1 s � Alt Tel.No. OWNER'S INSURANCE WAJVER-.0 I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as requireTbMassachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) //1 Telephone No. PERMITfEE $ (Signature of Owner or Agent) Location i1 l6 r,.w U/U No. //C91 '?` J f Date TOWN OF NORTH ANDOVER 9 • �, ;a Certificate of Occupancy $ MU <� Building/Frame Permit Fee $ /C;?y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ` WYr �J Building Inspector