HomeMy WebLinkAboutMiscellaneous - 183 WEYLAND CIRCLE 4/30/2018i
khl
The Commonwealth of Massachusetts Office Use On
ttS hf
_ �= r --�—
n_ �'Qrarr•sterr, cf r"ublic Safety Permit tto.
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 occupancy s Fee Checked
3M (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRIC
All work to be pedamned In accordance with me Massecnuaetts Eleemcal Code. u7 CMR t� AL WORK
(PLEASE: PgINT IN INK OR TYPE ALL INFORMATION DatL�� City or To% . of A/aR r/f , d A//J G f/Ek
The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires:
l.ocatian (Street & Number)gi,ane
Owner or Tenant --Fox timo ll R04 / 7',,/
C)wner's Address. � D 0 /��r k
Is this permit in conjunction with a building permit r
es ❑ no � (Ch'•;k Appropriate Box)
Purpose of Bufldin t+`r�� Utility Authorizatior No.
Existing Service Amps J _Volts
Overhead (] Undgrd ❑ Na. of Meters
New Service —,limps----_. _/._ Volts
Overhead ❑Undgrd ❑ No. of Meters_
Number of Feeders and Ampacity
Location and Nat-, of Proposed Electrical Work J,?ri41Ze1,7 �V . P \./. (7
No. of Ilohting Outlets
No. of Lighting Fxtures
No. of Receotacle Outlets
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dishwashers
No. of Hot Tubs
Above In
Pool grnd. ❑ grnd ❑
No. of Off Burners
No, of Gas Burners
No. of Air Conditioners
HEAT TOTAI
No. of Purnos TONS
No. of Dryers IHeatin Devices
No. of Water Heaters No. of No. of
Si ns Ballasts
No. of Hydro Massage Tubs No. of Motors Tota! HP
OTHER:
TONS
TOT,
KW
KW
No. of
)TAL
KVA
No. of Emergency Lighting KVA
Battery Units
FIRE ALARMS No. of Zones
No, of Detection and ""---
Initiating Devices
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Municipal
Local ❑ Connection ❑ Other
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I heave submitted
valid proof of same to this office. YES C3 NO C1
If you have checked YES, please indicate the ��ty--p7Ie of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ CL_I
THER (Please Specify)
Estimated Value of Electrical Work. $ _ (Expiration Date)
Work to Start Inspection Datu flIquested: Rough_
Signed under the penalties of perjury: Final
r
t'lF.n� NAME �C�RRM..f 1�.�' ;rjf - ..O t
LIC. N
Lk i, see O.
_�F Sigm tur
Address
LIC. NO.
Bus. tel. No. 4y 2; 7�Y fJ
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by
Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent (Please check one
.Telephone No. PEHMIT F== s v
(Signature of Owner or Aaentt
Date ........�........ �.J.�.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that E..(n « t( lit( t, (c, 1, l ;1 1
........................
has permission to perform ............. � = t^'
wiring in the building of .....1....o.}. A.t—V.P.4....4jf
at ...... ..�..... F.. �.�.�.I.
... o�rt!h A� n..d.%o.fvelr..,..
Fee.�i..V.0 Lic. No..q.�F.. .......................
ECTRICALINSPECTOR
..
C # tj {� 08/14/97 11: 9 35.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
011e ( MIlluuwealfil of ttu�ttcllu�ett�
i[lcparttucttt of Vubtic eafetU
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No. — &V
Occupancy A Fee Checked
3/90 (leave blank)
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 9-/_ 1 2
City or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for apermit to perform the electrical work
/described
�below.
Location (Street & Numbar) Laf _# c3l _A4/973IA-)e,c t IGLt 2
Owner or Tenant
Owner's Address
Is this permit in conjunction with q building permit: Yes ,a] No ❑ (Check Appropriate Box) l
Purpose of Building �lal o , dtl W A -i k3,-- Utility Authorization No. tri %cif
Existing Service Amps —_J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Z,Z Amps ZrUo Volts Overhead ❑ Undgrnd Z No. of Meters /
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No. of Lighting Fixtures
Swimming Pool Above In-
grnd. ❑ grnd. ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets
No. of Oil Burners
Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
No. of Ranges
No. of Air Cond. Total
tons
Initiating Devices
No. of Disposals
No.of Heat Total Total
Pumps Tons KW
No. of Sounding Devices
No. of Self Contained
No. of Dishwashers
Space/Area Heating KW
Detection/Sounding Devices
LocalMunicipal F-1Other❑ Connection
No. of Dryers
Heating Devices KW
No. of No. of
Low Voltage
No. of Water Heaters KW
Signs Ballasts
Wiring
No. Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Com leted Operations Coverage or its substantial equivalent. YES IQ NO ❑ 1
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 app priate box.
INSURANCE BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Valuennof Electrical Work $
Work to Start 0 - I -I ,%
Signed under the Penalties of perjury
FIRM NAM G.Q.
Licensee /7rS �nraretic�
Inspection Date Requested
Rough 1pL� r _43( Final
LIC. NO. //997A
nature LIC. NO.
Bus. Tel. No. �c4 44 P- � V y�
Address°"/o` 4*2&yl-546 U lktAr,(moi/C T/'[(iG(�iL[_ Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owned Agent
(Please check one)
Telephone No. PERMIT FEE $ �0
(Signature of Owner or Agent)
x-6565
Date ........ 91,ql� 7
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... 4c?..,v?,,e.,e ........ f:7 tle
.4%..........** 40me"
has permission to perform ....... ******* .... -*-**---*-** ... *-,
wiring in the building of ..... ).0. ... � .......... 40ti') .... (Q.q ....................
at ... .3 ............. t..tz ................ . North Andover ass.
Fee..�.M!q Lic. No. .... ......
240-� .... ,,, P �T
/ ELDCTRICAL
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
a �Ia _
Y n
0
m �
7
W ..
H
Q
f
vNi a 9J
a
w
W Z
0 0 z
0 0
X it m
O u
IL0
Z O
I LL
rc'�
N 0
m •
O
H
W
d
2
2
O
v
CL
a 0 >
Z O
0 N
V J
Z
0
O W
zu
`z N 0
it
w
a
N
W
I
Ir 0
M
N
W
rr
i
V +
O
M
N
L
l7 Z
r`y'nJU
o
V
o
J
i
V
0
H
J
30
LL
0
o
V
0
0 Z I
N
N
OZ
0 =
'I I I I I-,.
I I I P*- 14
I r
qI Y
� C 0
a a
0
LL
Ul
o r'
f
Z a
4 m
6:L
d
w F H
W
a
0 u uu
IL c o
U m m
z 1-:
e1 J W W
N
Z
0
u
a
z
8
m
t•1 N i
i
N N
z z
0 0
W W
a N �
f F
0 0 0
N _J J_
F L 4 !
0 N
m W W j
W< <
N L L
m
M
rr
V +
e• i
r`y'nJU
V
� `
J
J
uj
V
H
H
J
3
0
o
0
o
V
S
m
0
O
O
H
M
O
O
T
r
D
o 4
n
n
rin
RII„0
m r
nDmr
V x
>0>
O
v-
T
N O
mx
m
D '"AZ
OOx;A()A
lnc0y
Z
N
�H ZO0
N Z 7c
O O
A
m O
m N
"'3
r;
m
x
O
-.
ZD-+;
O
D
cm
0"
N
c
m
ti
D
n
T�n 3:IZ DQA N N
W Pzm�
n
n
rin
mxo,m o,D xn
D
000000
Z A
Z Z
00
0- A;y Om
O N x O A
v-
N O
m
A
ZZA;m
N
�H ZO0
N Z 7c
mmz
IIII-LN
SON N
NrN
Zm
�m-
0
NzZ f
*CC
MDi
n
010
Nvg
mim
mx
1Lp0
,U) 0
;uZC
m ul
�OZ C
�N
mW0 r.
OCZ
.UrO.
ro0: Z
Ommr
"D U)
z "'
A
io 0
H v
nz .
X0
Nm
D
D n
x m
n
;
m m
m
c o
c a
v-
m
A
y
N
Z
—
Z
O
-.
ZD-+;
DA
N
m
N D
I I I Ia
D
D
Z
O
00
Z
IIIIiII
Ir��i�i
SON N
NrN
Zm
�m-
0
NzZ f
*CC
MDi
n
010
Nvg
mim
mx
1Lp0
,U) 0
;uZC
m ul
�OZ C
�N
mW0 r.
OCZ
.UrO.
ro0: Z
Ommr
"D U)
z "'
A
io 0
H v
nz .
X0
Nm
FORM U - VERIFICATION FORM
INSTRUCTIONS: This form is used to
verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve thea applicant ant and or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out
this section*****************
' APPLICANT: L2
Phone U
LOCATION: Assessor's Map Number
Parcel
Subdivision F
Lot (S)
Street
St. Number
************** * *****Official Use
Only************************
RECO DA N TOWN AGENTS:
Date Approved
Conservation Administrator
Date Rejected
i
Comments
Town Planner
Date Approved172
Date Rejected
Comments
Date Approved
Food Inspector-Health
Date Rejected
�
Date Approved
Septic Inspector-Health
Date Rejected
Comments
.� Public Works - sewer/water connections
- driveway permit
—f-z7-(")
"el /dlrr.�„/g.��.;
Fire Department ,rPy1yAZr o.r iii l�o�,o,�,an�
�„� p,(�,y„ fir, c
Received by Building Inspector
Date
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit (below) Address of Propertyf r Permit (below)
Pt9AH-'V (WV��'` A,�.rc�
Map and Parcel : Purp se of Ap lication (check below)
Phone Number of Applicant: _ Single Family _ Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in
existence as of the effective date of this by-law, provided that no additional residential unit is created.
The iot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this 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.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section "senior' shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40% permanent
reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the
environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland. The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e. 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
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply, whether done to my
knowledge or not, isr ds for eE sal by the Building Department to issue a Building Permit.
Signatu of Owner or Authori7tdWnt who signed the ttached Building Permit Date PZ_
This form must be attached o thd Building Permit u on application for such permit
.:y
1
N
/fiOOSEjj Nallse L--4 r/40"G/
/N
/VO.eTN �.vOG vE,�2 �AeSS,
.IIIE.I.d.NGIG�' E,�,dr,�E,twfi sE.rrice�s
.�,voorE,C , y,�ss�.cvvsEr�' ois�v
_C2
y
CA CM3
O
CD
5, Z y
CD
O n•
d C
C
CL Co
)*to
CD
o p
CDCL
o
Cr*
%C 2L CD
C O
—• co
CO y
CD
� v
CD z
y O
o �
0
Cn
Cn
n
0
z
Cn0
z
Cn
AV
z
0
v
W
W
CL
O
C
z
o :"^
do
J?o
R
v
W
W
CL
O
C
z
R
°
r
n
o
Poo
-
-op
CL
d
x
y
ro
v
ro
�
x
�
o
v
W
W
CL
O
C
R
.
v
51
ti
4.
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 185
THIS CERTIFIES THAT
Date October 14, 1997
THE BUILDING LOCATED ON 183 Wayland Ci rel
MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Foxwood Realty Corp
ADDRESS 2004a'rkt,16,W0i��,0064
`Ki i '
uj
am
}�v
w
O 0
•Q
c
a cc eo ►
m C
!� moo J
A C.I.
O CL
EcZ cl)
Gl l t; t„
aG E
3
N +"
C m
Gcc"C '^
�• m � vJ
C N
a .z c
1.Lm U
cc
E� �
CD
cp
o
cc O
d C
CL
�0+ N O O Q�
t
LJJ CO O * . .r.
r G
I—.- •N CL,C O G 2
LAJ� r
•E 5 � c�
C.3
a m��� g
H z 8 CL=4- o0
O
v
E
O i
m O
ts
CD
z o.
O h
� C
I =cm
WON
m m
CD
�3
O
O G L
CL
cna
Cc
o c
v �'o
.0 ' 5
(.� ` CO)03
0 CL
� C
C
C
0.
CO2
ot
0
j�
a
w cii
w° o U
(
cm
a�' r35•�
oo cn cn
uj
am
}�v
w
O 0
•Q
c
a cc eo ►
m C
!� moo J
A C.I.
O CL
EcZ cl)
Gl l t; t„
aG E
3
N +"
C m
Gcc"C '^
�• m � vJ
C N
a .z c
1.Lm U
cc
E� �
CD
cp
o
cc O
d C
CL
�0+ N O O Q�
t
LJJ CO O * . .r.
r G
I—.- •N CL,C O G 2
LAJ� r
•E 5 � c�
C.3
a m��� g
H z 8 CL=4- o0
O
v
E
O i
m O
ts
CD
z o.
O h
� C
I =cm
WON
m m
CD
�3
O
O G L
CL
cna
Cc
o c
v �'o
.0 ' 5
(.� ` CO)03
0 CL
� C
C
C
0.
CO2
10/14/1997 10:53 5086648415 EVERGREEN MANAGEMENT PAGE 02
Evergreen Management Corp.
200 Park Street • Suite 2 • North Reading, MA 01864
Phone (508) 664-3674
October 10, 1997
Building Department
Town of North Andover
120 Main Street
North Andover, MA 01845
RE: Foxwood, Lot 31 (183 Weyland Circle)
To whom this may concern,
rax (509) 664-9415
Construction Site Trailer (508)682.8795
Model Norm Sales Office (508)')75.0655
Foxwood Realty Corp. is the owner of the above referenced property. Please be advised
that the basement in this home is a finished storage space and recreation area.
Sincerely,
Thomas Hurley,
for Fm woa Reah
Foxwood • Meadowood 0 Pinewood
Cunningham Lindsey U.S., Inc.
P.O. Box 703689
Dallas, TX 75370-3689
Telephone(888)738-8714
CLCAT@CL-NA.COM
Facsimile (214) 488-6766
***********************AUTO**3-DIGIT 018
812 T3 P1 95000059002
Building Commissioner or
Inspector of Buildings
120 MAIN STREET
North Andover, MA 01845
Cunnin fiham
�%
l�Lindsey
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS Ch. 139, Sec 3B
3074034
3074034 00
BAY STATE INSURANCE COMPANY
WATER/PLUMBING
2/1/2015
Sun/Zheng Hongdan/Fangquing
183 Weyland Circle
Claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it
to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss
and claim number.
Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destructions to a building or
other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or
destruction of any amount, which causes the condition of a building or other structure to render section
six of chapter one hundred and forty-three applicable, without having at least ten days previously given
written notice to the building commissioner or inspector of buildings appointed pursuant to the state
building code, to the fire department or arson squad of the city or town and to the board of health or
board of selectmen of the city or town in which the same is located. If at any time prior to the payment
the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to
perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or
section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not
be made while the said proceedings are pending; provided, however, that said proceedings are initiated
within thirty days of receipt of such notification.
Claim Number:
Policy Number:
N
Company Name:
0
0
Cause of Loss:
L
0
Date of Loss:
Insured:
0
Property Location
Cunnin fiham
�%
l�Lindsey
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS Ch. 139, Sec 3B
3074034
3074034 00
BAY STATE INSURANCE COMPANY
WATER/PLUMBING
2/1/2015
Sun/Zheng Hongdan/Fangquing
183 Weyland Circle
Claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it
to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss
and claim number.
Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destructions to a building or
other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or
destruction of any amount, which causes the condition of a building or other structure to render section
six of chapter one hundred and forty-three applicable, without having at least ten days previously given
written notice to the building commissioner or inspector of buildings appointed pursuant to the state
building code, to the fire department or arson squad of the city or town and to the board of health or
board of selectmen of the city or town in which the same is located. If at any time prior to the payment
the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to
perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or
section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not
be made while the said proceedings are pending; provided, however, that said proceedings are initiated
within thirty days of receipt of such notification.
Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and
forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall
extend to and may be enforced by the city or town against any casualty insurance policy or policies
covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were
initiated.
No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested
party for amounts disbursed to a city or town under the provisions of this section, or for amounts not
disbursed to a city or town under the provisions of this section.
On this date, I caused copies of this Notice to be sent to the persons named above at the addresses
indicated above by First Class Mail.
Cunningham Lindsey
Catastrophe Department
cicat@cl-na.com
800-867-3885