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HomeMy WebLinkAboutMiscellaneous - 1818 SALEM STREET 4/30/2018has permission to perform / o /��/ Date......................... �.......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING C.�/-PSj P%........l...::�........... . �c........t..� . " N...12.1.i U�1.....�#........................ e. wiring in the building,.pf........ ................. ........... North Andover, Mass. at .................. .... .................................................................... F,eee. .�"�.......... Lic. Nol . ...... ..r V .... bLEANSPECTOR Check # i C 1� e) r}wnerssAddrss Is this permit in conjnn�6ng-nth a hui se of wilding2� Purpo-77777 Eiitsttng Service '. Ams Vons Ovefieaa undgra Ne►v service ,�,ps Volts Uverheaa YIndgil Npmber':.0 Meeders and Ampac ly tiocatioa and Nahtre of �'hroposed Eteeti ical w >. Conf :letwn o: the Jowitt ON filo of itecassedatres No.ofGe.-S o {Peddie) Faris ... Th No of Lutntttaire Outlets No of 3iotu[is Gea No of Luminaires Ssvmeroeg Pool Aiwye [� ;. fl a No of Receptsete 4ttiiets : No ofQil BtuTeers No of �vv�tches To. �f +Gas $timers 0. No. Of Ranges No ofAar Conti. l�io. �8I1S'. r s iVo. bf Waste Disposers'. Tosats.. _. ei filo. of Dishwashers Spacel rea all . IVo of Dryers Hea#Ing Appiiances ICW eia No o titer KW ; Heaters No of o of Dat i : 's gallas#s 'l No. Hydromassage BI P..vfi Neo, of Ivtowrs .: ota3Ir P *Wv,evMred by'LIris" ....4 afWrres ftcY:)- [e to --d. aIIcompletion of electrical work may issue unless . or its.si�istan�a[ equivalent. T#ie ►ertt:issuingofitce t is true attd romple7� OF MA55ACHUSETT E.i. �sk ON s ISSUES THE.:.:.:FOLLOWING L,1 CENSE A .... .3A 7'he Com mnwealth ofMassachuseas �,• - "Vw*MW oflndus&NAcddents Office ofInmdgadons ' 600 Washington Street` B000H, Masi 02111 www=mas&gov/fila WorkersCompensation Insurance ABdaft BuffderslContractors/E1eeMck dp�mbers ApIpUcant Information V Name (B�sn�o�nd'ivido�' . ART�S`E�LECTRICAI. SERiTICE AND CON�ItOLS LLC ' Address: 290 TtgnADMAv snTTF City/Statz0p: Nsathl"an Ma ni Rdd Fb011e#--97R 687 0544 Ar yon an employer9 CL— . -a- ��p r4 p I. I am an employer with _ employees (fiill and/or part time).* I am a gmend conbacaor and I - have hired the Snb-cmn 2 =_ . ; am a sole pry or partner Alp and have im eployees s listed on ulna attached sliest wori ft for Die in any capacity- [No workers' comp. haumaca lltese � have emgioyees and have wadwe camp.instnar►ce 3.0 1 am a homeowner doing all work 5.0 We am on and its We eaerrased their Myself, [No ince �P- n&ofmremptionpemn MGL t c. 15% § 1(4), and we have no employes [no workers' comp- in%=c:erequfiv&] "A7 Bet ditk fnomearrnasvft Type of project: (required): 6.0 New construction 7.0 Remodeling B. 0 Demolition 9.0 Building addition 10-%pectricalrePahsoradditi. TL 11 -Plumbing emirs or additions 12.13 Roofrepaim 13.0 borer Bazmmt� �oamgauworkaadtLmhireo>mide ____r --...,•••••••,awn. oo�actms oast Beet feeaemeafsaadsta�a nave if In#bnmzd �� �'c-agon jw MY employees Below is meportcy job sFte Insurance Company Name` - . . Traveltersi —ans. Policy # or Self -ins. Lia 5B36.R�W— ExPiration DatFZ/Z2 -% _r = Job Site Address: �%/p� �'�' � I,,v��� s City/3p. Attach a copy of fhe workers' eompMation pow, declaration/ I (showing the policy -number and expiration (date). Failure to secure MvMW as required under Section 25a of M(3L 152 can lead to l e im up to $1,500-00 and/or one year ent as wen as civil Position of criminal penalties of a fine $250.00 a penalties in the form of a STOP WORK ORDER and a fine of DIA for co veaificth'on. Bar a copy of this statement maybe forwarded to the Office Of Imrestigupons of the 1 do herby coofy undwtke paim and ofpajwythat the mfornmtion provided above is hue and correct Prim fmne: - Normand Michaud A978 687 0544 Oficial use only Do rat write in this area to be co - mPleteul by or -town ofizdffl City or Town: PermiMicxnse #: Lwaing Authority (circle one): 1.902rd of Heath 2. BoAdmg DkVsrtment 3 C�frown Clerk 4. CL Other i inspector S. Plambing Inspector Contact person: Phone #.- .4^'g% : Date .... �.—J' .-.49.7 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... �JA 7- TV ........ 54 .. R ...................................... has permission to perform .......... 5 .... 6 ... C ... & .... g. ./. - N ...... .......... wiring in the building of 4� ...... ... tc.a ........................................ at ............ /.&� .................. 507— ..... . North Andover, Mass. aep Y?.j.e .. Fee Y- Lic. No..�&).-W6 .......... ELECTRICAL INSPEC'1�OR Check # 7586 Ci <Lx clmmonwaa& o f MaaaacL44a#J Official Use Only '0"41f+r1 Permit No. ..CJaPar�nsanf o�}ira �arvicad Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK , All work to be performed in accordance with the Massachusetts Electrical Code (M C), 27 CMR 12160 (PLEASE PRINT IN INK OR TYPEALL INFORMATION) - Date: (/ /�C' �� City or Town of: ,[i0ei�- AV49v) ✓ _ To the Inspector 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 dCL.Z-P122 37 Telephone No.%� h ; Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Existing Service New Service Utility Authorization No. Amps / Volts Overhead ❑ Undgrd 0 No. of Meters Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature. of Proposed Electrical Work:y7 � � Q `- t urs o + S �STPm Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o ota Transformers KVA Tr No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above ❑ n- ❑ Swimming Pool rnd. arnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches - No. of Gas Burners o. o Initiating e ing n an Devices No. of Ran es g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers p eat ump Totals: um er .... ons .. o. o - e ontatne Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ unicipal ❑ Other Connection No. of Dryers Heating Appliances KW Secuotyof Devices s or Equivalent atPr ,t "`' 0.0 No. of ,Data Wiring: 1 beaters S: ns Ballasts No. of Devices or E uivalent _ No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications Wiring: No. of Devices. or Equivalent OTHER: 0 �1q A U 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 thepains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: Se_curl-r Sc-rUCCeS LIC. NO.: S3 3 Licensee: (/,//,q rl 7-;4 4X,17. Signature LIC. NO.: f DD V.l b (Ifopplicable, enter "exempt" in the license number line.) Bus. Tel. Address: 19 0— L I kJ FM be - ;7 o /%t5 , ,(JH °3049 Alt. Tel. No.- *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. S C 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. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. S , E� O \ O c U) U) O N T O O 0 /'{`�Q � d fC O A ^` W z Q N U o Co EL 0 _ /y i¢ Ll C C / W C) U r O n CN LO =Q 6 co W U N CD o' Q T U) U U U z E� O \ O o U) U) O N T O O y al C /'{`�Q � d fC O t ^` W z Q N ,a R o Co EL d _ /y i¢ Ll v co C / W C) U r O n CN LO =Q 6 co W U N CD o' Q U) U U U z 0r- CO W . Cn N. 0 .0 U E� O O U) U) O N /'{`�Q � LL, T ^` W z Q fil N ^11, W O or EL ^ i¢ Ll C) U Q r J n CN LO 0 0 W U N CD o' Q U) U U U z W . Cn N. .0 U c E' O 3°�x F• - Z 0 r Z N m Cli �•.,' � �-t ���ui (Ili - ►1► SII � l .� o �,� �:__.. F o 0 (gym gZ Z y 04 C w Q O 0 E r .o G ' 0 C 0 J U) F•- Z � E.2 a r a p >. a s E •- c6 N Q J u) X 0.2: o w U o m O. Z N Om C Q r J M N n Nr v co co co W F• - Z W U J , J Q U W LL Q N U } 0 to LL N O O LL Lo o O U o r- no Z a) N . . U)U Cl)N ..N .. :cILu CL S O yE Q = x—L O' Q O) 2 Z �.•W v } o J m ~ C) O a 9' 20Z Z 2~ vi t� J .� J JJ_ `i O y 0 Date.f• 2/T./3— � � ....... WORTH ° TOWN OF�N013 HANDOVER PERMIT FO; ,GAS INSTALLATION This certifies that ... . 4_. C !' .......................... has permission for gas installation ...�'' .col ................... in the buildings of ... ............................. at ..l!ql t...5A. f� �^ ........... �j , North Andover, Mass, Fee. j..� . Lic. No./ ".... Y�.1J'. . )!........ C GAS INSPECTOR Check # 6251 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) _ �f,(�yj�' mass. Date Z6 U7 2007 Permit # L- i Building Location ! v Jii��G� .s %� Owner's Name �u/�✓ �,Ue f- �'��� Owner's Tel # '76?' 614P 3�43dType of Occupency New ❑ Renovation 1:1 Replacement Plan Submitted: Yes No Installing Company Name Addario's Plumbing & Heating LLC. Address 20 Cooper Street Lynn, MA. 01905 Business Telephone 339-440-8100 Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Check one: Certificate x Corporation 2720 Partnership Firm/Co. Insurance Coverage : I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ex No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Ex 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 Owner's Agent I hearby 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 permit issued for this application will in com of with all p Rment provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title X Plumber vP� City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) X Master Journeyman License Number 13106 ■��■■■■�■t■moi■i■■it■■■■t■ ■e■�■■■■■■ems■■■■�■■�■�■�■ Installing Company Name Addario's Plumbing & Heating LLC. Address 20 Cooper Street Lynn, MA. 01905 Business Telephone 339-440-8100 Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Check one: Certificate x Corporation 2720 Partnership Firm/Co. Insurance Coverage : I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ex No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Ex 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 Owner's Agent I hearby 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 permit issued for this application will in com of with all p Rment provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title X Plumber vP� City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) X Master Journeyman License Number 13106 C0 z O H U LU CL U) z_ 0 cn w O O w a z O H U w a U) z a z M O z W w LL z 0 J m LL O W a F- 08 w a z O z 0 J_ m LL O z O F- a U O J w LU m J IL a w z I CD F- w CL w F- a 0 w 0 F- 0 W a z_ a c� Date... ....... NORTH TOWN OF NORT , ANDO PERMIT FOR PL BING This certifies that ... el ^......................... . has permission to perform ........ �...r ................... plumbing in the buildings of .... �.A /I /.(. ��................. at. f "...r� � ..............l� . -North Andover, Mass. Fee.. .7. Lic. No...%31 �c . ......�........ . _ PLUMBING IN PECTOR Check y 5 ord 7590 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) A(Vf J7 CA)010'r- Mass. Date % j Z - 0 % 2007 Permit # Building Location /'f / �( J A. C,B,&L, Owner's Namedn n A q rl -e— Owner's Tel # qj 7 r G i l 32-30 New 1:1 Renovation 1:1 Replacement Type of Occupency Re Plan Submitted: Yes El No El Installing Company Name Addario's Plumbing & Heating LLC. Check one: Certificate Address 20 Cooper Streetx Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑x No M If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy [Z] 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 F-1 Agent Signature of Owner or Owner's Agent I hearby 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 permit issued for this application will be in co pliance with al ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title x Plumber City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) x Master Journeyman License Number 13106 • Installing Company Name Addario's Plumbing & Heating LLC. Check one: Certificate Address 20 Cooper Streetx Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑x No M If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy [Z] 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 F-1 Agent Signature of Owner or Owner's Agent I hearby 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 permit issued for this application will be in co pliance with al ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title x Plumber City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) x Master Journeyman License Number 13106 J z O w w U CL LL O w O LL O J w m U) z O F- L) w CL z_ w O O m CL N LU 2 V F- LU Y co z O F- u LU a z_ J a z LL. LU LU LL O z 0 z 00 J CL O 0 O F- F- LU - Fw a a U., z O F - ,a U J a a a 0 z 0 J_ m LL O LU a F- ad LU a z 0 z_ D J_ M m LL O z O p Q U O J w w m J CL a w F - z C9 F- w a LU F - Q O w 0 F- U w IL N z_ 0 z m J a Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING .7,4cmus This certifies that has permission to perform .................. plumbing n the buildings of--.-\-, .... ... ...................... at . /1� ... i . .. .......... North Andover, Mass. . . Fee....... Lic. No .......... .... ...... . ............ -77� PLU I 'INSPECTOR Check # �ePJO 5290 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type Mass. Date� 2 Pe it # v Building Location 1 Q le-fW L� Owner's Name �f /V . A9 4ZQ LAf-4 lua Type of Occupancyi 51 D New ❑ Renovation ❑ Replacement M Plans Submitted: Yes ❑ No ❑ ,Installing Company Name A0t36e"i g • w TAe'0 Check one: Certificate Address �� r ? C'D /�C N /)7An) <->` ❑ Corporation it E % N i ' E�--A), &1 0 t ff VL/ ❑ Partnership Business Telephone /�f?-ri-q71 a'1=irrn/Co. Name of Licensed Plumber '& v3 F e T 1q SA,�vIaM`9 �Kl �c� INSURANCE COVERAGE: 1 have a currentfiability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes a No ❑ 11 , If you have checked Vis, please /indicate the type coverage by checking the appropriate box. A liability insurance policy Ad 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 ❑ I hereby car* 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 pOormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum' g e andapter of the eral Laws. By. Title re of Licensed Plum er Type of License: Master % Journeymaih ❑ City/Town APPROVED OFFICE USE ONL License Number 3 5 FIXTURES Z N J 0 Z 0 Y Z > W FN- W N ]C J N :0-V Q N O O W N O Z � N W Q F rt W N ¢ S~ rt N Z H O W Z Z H z p. O . J N N m N x C: P V Q W N (a Z Q G a Q ¢ d. a C � X W = O O Q W d N O Q Q W N 1� J Q Z Y . C G U. W F- U < > S F- O = fi Z O S N F- NL Z d O' C o (a Z Zs < W W F- W O Y V W Z 3 x S r- Y J rn N G C J 3 H N W t9 G Q m O SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR ,Installing Company Name A0t36e"i g • w TAe'0 Check one: Certificate Address �� r ? C'D /�C N /)7An) <->` ❑ Corporation it E % N i ' E�--A), &1 0 t ff VL/ ❑ Partnership Business Telephone /�f?-ri-q71 a'1=irrn/Co. Name of Licensed Plumber '& v3 F e T 1q SA,�vIaM`9 �Kl �c� INSURANCE COVERAGE: 1 have a currentfiability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes a No ❑ 11 , If you have checked Vis, please /indicate the type coverage by checking the appropriate box. A liability insurance policy Ad 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 ❑ I hereby car* 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 pOormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum' g e andapter of the eral Laws. By. Title re of Licensed Plum er Type of License: Master % Journeymaih ❑ City/Town APPROVED OFFICE USE ONL License Number 3 5 V m s -a a 9 D z -4 m a r O s 0 z O m c r v z 0 ,I z a m to -4 m O m c 0 z O z a r z N V m A O z N N A M 19 m r n O z m O s T z m � O 0 O O V r c ao z �- a O m r O m O O m A m c N m O z r ,N° 3 .- 31 0 Date .... l— jV ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING � ... This certifies that ... �*-�.V.t.f�.t.R. �.......�._.-'. C �dC it ............................................. has permission to perform ..�?.. G n................Co .............. wiring in the building of /7-%A r r ' 0 ..................................................... at ........ .. 1?......R.................................. orth Andover, ass: Fee ...f •r. w. Lic. No.1��............... �r ......Y// Check # ELECTRICAL INSPECTOR I d.: L� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �\ • The Commonweaith of Massachusetts attic* too O.Ir g j r.,.:e s,.���� 3 �I} j Department of Public Safety ' jjoct.p..cr S r.. omdea COMM OF FiRE PREVENTION REGULATIONS S27 CMR IM 1/90 i:,,.. ►:..r) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORD M Dark w k Peelormed in aeeerdrnce %Mla:he Mrtc.chwerts Elktrical Code. S21 CMR 12:00 (PLEASE MUM 111 IIIX OR ME ATL INFORIIA.T1011) • Date- 60-3r—el 12'3—el City or ?own of /f/ff To the Inspector of uiress The undersigned applies for a permit to perform the electrical work des ribed belov. Location (Street L Ilunber) / � � I X. O-Trer or Tenant /% Owner's Address. 7oO_ 6 ?Y-31736 Is this permit in conjunction with a building permits Yes ❑ Ifo ❑ (Check Appropriate Box) Tlu"se of Building yQej , �Q �'f (d, C Utility Authorization 110. [� D) /, Existing Servict Amps /�� / `7j �� Volts7A erhead DY Und6rd 1:1 Ila. of ileters__ / Rev Ser*ice Anps_ / Volts % Overhead ❑ Undgrd ❑ No. of tieters dumber of Feeders and Ampscity , location and Nature of Proposebiiectrical Work No. of Lighting Outlets V No. of Lighting Fixtures No. of Receptacle Outlets ito. of Switch Outlets No, of Ranges 110. of Disposals No. of Dishwashers No. of Dryers j No. of Water heaters ito. Hydro Massage Tubs OTitERt KW Ila, of clot Tubs ovIn- Swimming Pool gr ❑ grnd. ❑ ila. of Oil Burners No. of Cas Burners Total No. of�Air Cond. tons 110. of licat Iotal Iotal PUMPS' Tops KW Space/Area Beating KW Ila. of Transformers Total KvA Generators KVA ila. of Emergency Lighting Battery Units FIRE ALARiIS ila. of tones No. of Detection and Initiating Devices Ito. of Sounding Devices 110. of Sel( Contained Detectlon Sounding Devices Heating Devices KW Local ❑ tiunlclpal ❑ Other Connection ila, of No. of Low Voltage Signs Ballasts Wiring No. of tlotors Total IIP 111SURAIiCB COVERAGE: Pursuant to the requirements of Massachusetts General Laos I have a current L1 Alit insurance Policy Including Completed Operations Coverage or i eubstrntial e9ulvaient. YES- 110 [� I have submitted valid proof of sane to Oils office. YES(et10 If you have checked YES, please Indicate the type of coverage by checking the appropriate box. iNSURMICE BOND n 0111ER 1r1 (Please Sneclfv) Estimated Value of El ctrical Work S Work to Start Inspection Date Requestedt eit;-ed. FIRM NA xp t(a�t onate Rough - Final b J 16 _1.IC. t10. S �• �-- Licensee 1111 iA,4/ - 0 G ¢f,. A6$-, Slgnaturey4,±f�91 P'41� 464( - ~LIC. 110. S_j "Addtetsd� 14f-0/ Bus. Iel. No. 9 7 g f 1 S �o��' Alt. Tet. ito. OWNER'S INSURAIICE WAIVERS I an aware that the Licensee does not have the insurance coverage or is to - stantial equivalent as required by IiasanchusettaGeneral laws, and—tlu t my signature on tilts permit appitcation valves this requirement. Owner Anent (Please check one) Telephone No. Signature of Omer or gent .. 4 ...1 . . .. ..e J PERiIIt FEE S / M2 Location No. x'14— Date SM Buildingi ctor Div. Public Works TOWN OF FORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee w $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ` TOTAL $ Buildingi ctor Div. Public Works W W1 Z LL i 0 F U a J J < W a L < LL 0 a C 0 i fa It L u u J I0 WIWI f 8 C w W L 0 0 J f0 w W a © W W Z \1• Z 0 0 ` OC W W Z ~J 00 c � U I 1 W I i 0 L ^ E 0 p 0 z 3 QO Z I Z_ O J C i m i Z I J N to IL < Z I t i .CO _ m m W Q F Z < 0 W. O Z O Z ILL V t oc 0 o 0° W O g O z < F- O LL F o0 LL O t O Z U W _Z N 1. W LL LL0 W w i U U U O F LL LL J ' < f I r W < i o W 0 Z Y I G O L Z Z } 0 L O Z < i N N a L O N -j I N E LL _J LL l y F 0N I 1 L m W W f m � W l7 l7 v W < < 4W. 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C A m ti p;410 2000 ; N Omm C aN zC)- > �^ Z Ci L < n I� m I III _ I -J IA- N 0 Z �_ cv�xv �1 pN C �oApZ Oa mZZ T<Dn Z' � C ToD y�° m mayw z`p�m -{ ^m Z Z O z y r O i N N n ^a > 2 _LLLLL A Z D D I I I" A LULL I1 I I I I IN IIIIIII� IIII IIIII" II C)ON N Mr Zm 14 DO NZ2 M°c MXN Dm 0�0 Nrq PmX -1 ZD xN(1 u►oo �z- mN3 '0m �N C m°0 r- i1C arm v g2 0 Z �c)r r -1 ZED n+ -i Z A xo 0 0l v MD n x0 mm �M D0 3 • F w O A GAG 2 O v C/)] C1 0 z A o to a°' S U C x R O W4 2 z m m rLp°' C u x U W to u G [% a U) z 7 rL G ii w C -W w Q a `G ° u cn Q O cn Cz C o o 0 O Cl) C O p 73 A�cc c m c i r. o co ci Vr D O y ' EE F° o CD C C C.3 CM .:. �•: _ �: i m C �Atgocc C m • �' C J c � ' _O 'p y CD L.. y 0> E� 03 L y ' �► • :at 0 0c� • � C, v�Z ea cm c o = NmLo••o H O O. p H ui AB cc � •y •dC- E O C o «. ,W E C3 •O CD v •Of CD rc U3 r�O y p. m� CD :5CLO- d a y t CO2 a O a CA C O R cm 6i C: IM c CID CD` c .E 0 N m L y.. 0 Z O 0 r '. G� O E O O J Q z O v GD CL CO) C raw CO2 O O V •Q y C O V Gd Q CO) C 0 co R � L ' 0 Q L L Q O Q. tmQ C � C O O J 'G O O Z CD CL y C 4 FORM U - IAT REIZME 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. ****************Apolint fil tout thisVV _ Ic APPLICANT: M hone (05;-q LOCATION: A_sa_sor's Man Nu-nber Parcel Subdivi=_ion Lot(s) TJ g��ee� JCL lc'W _S - St. Number 1C /. Use Cnl�'t*ic �t*fie*�c yc is*�c is**�c is �cx�c**ic �c A COMY-ENDATIONS OF TOWN AGENTS: 1) Date Annroved Czn_ar-. at_on Ad::_nistratcr Data Re ecta_ CC= antS Date Approved Tewn Planner Date Relecta^ • Date Annrove Fcoa =n=_, est.._- ie=lth Date Re-jecta_ /t1 SCJ �CL Date Apprcvec Sect_c 1nsnact„_-:ea_t Dat_ Re-�ecte_ C =- -Z f `'POI'V G f3 MiG Y 'TZoo-M WcrL:s - se:rer,'wat=_r connections - driveway permit vl�re Depa=me_^.t Received by Building Insrector Data SPP 16 1994 !r f r: f� SPP 16 1994 co CA O Z- iD Dx 61 swr m mr)m wrn z 7� a; M � •a EXTEND 2X8'S THROUGH WALL TO PICK UP END RAFTERS 4X4 POST CONTINUOUS FROM 2X4 SOLE PLATE TO DOUBLE 2X8'S —-—————-———————————————————————————-——————————— I_ _ _ _ _ _ _ _ _ _ _ _ _ _ITI- _ _ - _ _ _I4I-------------- ______-_____- III III III n BOT. OF R.O. ----III -- - -----------III ------ II II I I I � INTERIOR ELEVATION 1 (EAST) A 8'- 0" NEW DECK 1 4'- 1 1/2- T.O. 2X4 PLATE ON 2-2X8'S O ;D z ao co iD T.O. SUB �S CUT INTO AND BEARING ON EXISTING STUD WALL TO CARRY END OF RIDGE BEAM 2-2X8'S LINTEL OVER DOOR OPENING FWH5068PA (FRENCHWOOD HINGED PATIO DOOR) / 4'- 1/8' ---_--------i- - ,I --- - ----- -------- ----------- j-- ON I I CW25 CW15 (FIXED) PS 5R (GLIDING PATIO DOOR)- _ I R.O. 4'-81/2' R.O. 2'-43/8' R.O. 4'- 11 1/4' BASEBOARD , - I" SRYLIGHT RADIATION — ABOVE _ 9— NJ (IF NEEDED) r- d �- U u -r- ----- -- --- ---- --------- m. ------- .- I - " NEW R I I — —c�+v —r— — — - - _ -_ -CEILING FAN -_ _I-= £ - - - -ao • _I c~ica�c� -�---- 4"STRUIITURAL -- ABOVE -----I--- ----- 04-1 1— MULLION BETWEEN / _ "� 1 8 NEW ROOM FIRST FLOOR PLAN / ELEVATIONS DATE: SEPT 21, 1994 SCALE: 1/4"=l' -O" , 1 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579- �.! WINDgw/DOOR UNITS,/ ��, 11 I I d I 1 I II zo , CW25 I CW15 I 11 I ui I. SKYLIGHT � (FIXED) DINING ABOVE PS 511 � M 5 I I i (GLIDING PATIO DOOR) n BOT. OF R.O. ----III -- - -----------III ------ II II I I I � INTERIOR ELEVATION 1 (EAST) A 8'- 0" NEW DECK 1 4'- 1 1/2- T.O. 2X4 PLATE ON 2-2X8'S O ;D z ao co iD T.O. SUB �S CUT INTO AND BEARING ON EXISTING STUD WALL TO CARRY END OF RIDGE BEAM 2-2X8'S LINTEL OVER DOOR OPENING FWH5068PA (FRENCHWOOD HINGED PATIO DOOR) / 4'- 1/8' ---_--------i- - ,I --- - ----- -------- ----------- j-- ON I I CW25 CW15 (FIXED) PS 5R (GLIDING PATIO DOOR)- _ I R.O. 4'-81/2' R.O. 2'-43/8' R.O. 4'- 11 1/4' BASEBOARD , - I" SRYLIGHT RADIATION — ABOVE _ 9— NJ (IF NEEDED) r- d �- U u -r- ----- -- --- ---- --------- m. ------- .- I - " NEW R I I — —c�+v —r— — — - - _ -_ -CEILING FAN -_ _I-= £ - - - -ao • _I c~ica�c� -�---- 4"STRUIITURAL -- ABOVE -----I--- ----- 04-1 1— MULLION BETWEEN / _ "� 1 8 4'- 1 1/2' 8.-0. 16'- 0" 4'- 1 1/2* io 0 NORTH 1818 SALEM ST NORTH ANDOVER, MA OWNER: DIXON NEW ROOM FIRST FLOOR PLAN / ELEVATIONS DATE: SEPT 21, 1994 SCALE: 1/4"=l' -O" , 1 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579- �.! WINDgw/DOOR UNITS,/ ��, 11 I I d I 1 (TYPICAL)EXISTING SKYLIGHT � v� DINING ABOVE � M 5 , I I BASEBOARD !.]lI]. RADIATION CW25 CW15 (FIXED) CW25 L ----------- R.0'. 4'-8 1/2'------ I R.O._2' 4 3/8"_ _ _ _ R.O. 4'-8 1/2" I I 4'- 1 1/2' 8.-0. 16'- 0" 4'- 1 1/2* io 0 NORTH 1818 SALEM ST NORTH ANDOVER, MA OWNER: DIXON NEW ROOM FIRST FLOOR PLAN / ELEVATIONS DATE: SEPT 21, 1994 SCALE: 1/4"=l' -O" 1 OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579- . -a 2-2X8'S BEAM IN THICKNESS OF END WALL TO CARRY END OF RIDGE BEAM 4X4 POST CONTINUOUS FROM SOLE PLATE TO \ DOUBLE 2X8'S , / INTERIOR ELEVATION 3(.WEST1 EXTENSION OF RIDGE BEAM AND 2X8'S @ SIDE WALA BOXED IN 1 X PINE NEW STAIR AND DECK / SKYLIGHTS ELEVATION ROTO #S2V-15 --"r--- ----- " i I, I I CTC2 , 1 CTQC1 i ' , CTQC1 FOR INFORMATION i I � I CW25 , \ CP26 ; C14i1i i�, C14` . SII SII i i A21 A41 ,,A21\" A21\" -- L -- REMOVE EXISTING CORNER BOARD MATCH NEW CLAPBOARDS WITH EXISTING SIDING , (T1-11 SIDING ON NORTH AND EAST SIDES) _ _ - _ _ _ _ _ _ � I I I I I I I I I � I I I I I I I NEW METAL NEW DOUBLE HUNG WINDOW DOOR TO SHED (ANDERSEN 2446) LOWER LEVEL - h 3'-0"X6'-8" q I, - - - 1818 SALEM ST. NEW ROOM DATE: SEPT 21, 1994 2 NORTH ANDOVER, MA OWNER: ELEVATIONS SCALE: 1/4"=l' -O" OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579 ELEVATION SEE INTERIOR 3 FOR INFORMATION REGARDING CW25 THESE WINDOWS REMOVE EXISTING CORNER BOARD MATCH NEW CLAPBOARDS WITH EXISTING SIDING , (T1-11 SIDING ON NORTH AND EAST SIDES) _ _ - _ _ _ _ _ _ � I I I I I I I I I � I I I I I I I NEW METAL NEW DOUBLE HUNG WINDOW DOOR TO SHED (ANDERSEN 2446) LOWER LEVEL - h 3'-0"X6'-8" q I, - - - 1818 SALEM ST. NEW ROOM DATE: SEPT 21, 1994 2 NORTH ANDOVER, MA OWNER: ELEVATIONS SCALE: 1/4"=l' -O" OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579 I . M NEW SHED FIN. FLOOR SLAB ELEV. -8'-7 1/2" (SAME AS EXISTING GARAGE FLOOR) I NEW DOUBLE -HUNG WINDOW UNIT (ANDERSEN 2446 I NEW DOOR — -R.0. 2'-6 1/8" 3'-0"X 6'-8" -- - - - - - --- - - -- --GFI - - -- � 1 � `ALIGN FRONT OF NEW FOUNDATION WALL I 5 WITH FRONT OF EXISTING GARAGE FOUNDATION WALL 5-8 PARTIAL PLAN @ LOWER LEVEL 16'- 5' 3'- 4" EXISTING FOUNDATION WALL NORTH 1818 SALEM ST. NORTH ANDOVER, MA OWNER: DIXON NEW ROOM LOWER LEVEL PLAN, FRAMING PLAN DATE: SEPT 21, 1994 SCALE: 1/4"=V-0" 3 OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579 FRAMING 2X1 —1 X3 BRIDGING OF FLOOR OF NEW ROOM O'S ®16" O.C. NEW SHED FIN. FLOOR SLAB ELEV. -8'-7 1/2" (SAME AS EXISTING GARAGE FLOOR) I NEW DOUBLE -HUNG WINDOW UNIT (ANDERSEN 2446 I NEW DOOR — -R.0. 2'-6 1/8" 3'-0"X 6'-8" -- - - - - - --- - - -- --GFI - - -- � 1 � `ALIGN FRONT OF NEW FOUNDATION WALL I 5 WITH FRONT OF EXISTING GARAGE FOUNDATION WALL 5-8 PARTIAL PLAN @ LOWER LEVEL 16'- 5' 3'- 4" EXISTING FOUNDATION WALL NORTH 1818 SALEM ST. NORTH ANDOVER, MA OWNER: DIXON NEW ROOM LOWER LEVEL PLAN, FRAMING PLAN DATE: SEPT 21, 1994 SCALE: 1/4"=V-0" 3 OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579 2-2X8'S TO CARI END OF RIDGE BE I ROOF FRAMING PLAN 2 I 5 ----------------------------- ----- � I I I � � I 1 NEW FOUNDATION WALLS I I T.O.W. ELEV. -6'-6- I I I I I I EXISTING I I FOUNDATION WALL I I ;o-".O.F. ELEV. -12'-8- in ' I I I I FIN. FLOOR SLAB ELEV. -8'-7 1/2' 2 I (SAME AS EXISTING GARAGE FLOOR) EXISTING GARAGE 5 ' I I I I NEW FOUNDATION WALL UP i 8' , T.O.W.-8'-7 1/2' T.O.W.-9'-1 1/2' � IN I I _ _ _ - _ _ - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' -------------------------------------------------------------- (ALIGN FRONT OF NEW FOUNDATION WALL � 1 WITH FRONT OF EXISTING GARAGE FOUNDATION WALL N 5 FOUNDATION PLAN 16'- s• /r 4 NORTH 1818 SALEM ST. NORTH ANDOVER, MA OWNER: DIXON NEW ROOM FIOUNDATION PLAN, ROOF FRAMING DATE: SEPT 21, 1994 SCALE: 1/4"=l' -O" 4 OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579 GENERAL NOTES: ALL MEASUREMENIS MUST BE FIELD VERIFIED. ACTUAL FIELD CONDITIONS MAY CAUSE DETAILS TO BE MODIFIED. ALL FRAMING LUMBER TO BE KILN DRIED ALL CONCRETE TO BE 3,000 P.S.I. V-8. 12'x6'x 1/2' THICK PLYWOOD GUSSET n NAIL TO BOTH SIDES OF EACH PAIR OF RAFTER: W/ 4-6# NAILS EACH RAFTER END EACH SIDE CONTINUOUS RIDGE VENT ASPHALT SHINGLES TO MATCH EXISTING 5/8' COX ROOF SHEATHING FIBERGLASS BATT ROOF INSULATION (R-30 MIN.) 2X8 RAFTERS @ 16" O.C. -3 MIL POLY VAPOR BARRIER 1/2' GYP. BLUE BOARD W/ SKIM COAT PLASTER FINISH NOTE: SOFFIT/FASCIA/GUTTER DESIGN TO MATCH CHARACTER OF EXISTING CONDITION SOFFIT VENT W/ BUG SCREEN TEXTURE 1-11 PLYWOOD SIDING NORTH & EASI 2X4 WD STUD WALL FRAMING FIBERGLASS BATT WALL INSULATION (R-12.5 MIN.) (DATUM 0'-0" IS THE EXISTING FIN. FLR. @ DINING FINISH FLOOR TO MATCH EXISTING @ DINING R� 3/4' T&G PLYWOOD SUBFLOOR 2X10 HEADER & FLOOR JOISTS @ 16' O.C. 4X6 P.T. SILL ON SILL SEAL ANCHOR BOLTS @ 6'0' O.C. MAX. 6' MIN. ABOVE FIN.GRADE �#4 REBARS 12" E.W. DAMPROOFING BELOW GRADE 2' RIGID FOAM INSULATION BOARD 8' POURED CONCRETE FOUNDATION WALL & FOOTING FOUNDATION DRAIN AS REQUIRED _ 3- #5 REBARS CONT. B.O.F. ELEV.-12WB1g• MIN. GRADE) DETAIL SECTION 2 1 818 SALEM ST. NORTH ANDOVER, MA OWNER: DIXON NEW ROOM DETAIL WALL SECTIONS DATE: SEPT 21, 1994 SCALE: 3/4"=1'-0" 5 OF 5 HOWARD VAN VLECK - ARCHITECT 11 SHADY HILL SQUARE CAMBRIDGE MA 02138-2035 (617) 354-3579