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HomeMy WebLinkAboutMiscellaneous - 211 ROSEMONT DRIVE 4/30/2018Date. 'e)� . t4ORTH TOWN OF NO T ANDOVER C J, /NST A PERMIT FOR GAt /INSTALLATION S'q u This certifies has permission for gag installation ��tfy'.k. 44.-f.. in the buildin s f . at ...... I North Andover, Mass. Fee. MV. Lic. NoXr.,� D 7 F� ....... GASINSPECTOR Check 4 MASSACHUSE.M UNIFORM APPUCATON FOR PERMIT TO DO GAS (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Locations nn Permit # Amount (Q' Owner's Name $ C) c✓ New 0 Renovation D Replacement Plans Submitted C c W W W d o C � x w,. C h Fw. v w w U w x O O v� O O C tZs: F G7 CC F Z (:. x cc C C F F w dF y+ ca w z F w rQ fw y 5 SU B-BASEM ENT S p w �' ; O C z > w O x 1 _ BASEM ENT 2K F O 1ST. FLOOR —2K 2N D. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH..FL00R ............ 8TH.' FLOOR1 (Print or type) - Name - 1t� _. - G4, r Check one: Certificate Installing Company Corp. Address 1 !!D LA-% --LJ ElPartner. Business Teiepnone S 7�r _ E]Firm/Co. Name of.Licensed Plumber'or Gas Fitter IAA 12— /1 INSURANCE COVERAGE 1 have a current liability insurance'poiicy or it's substantial equivalent. Check one: Yes [IIf you have checked es please indicate the type coverage by checking the appropriate box No� Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver. lArn 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. Signatureof Owner or Owner's Agent Check one: er t hereby certify that all of the details and information 1 have submitted (or enOte ed) in � applicationAgent s a and accurate t 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 Gas Code and Chapter .142 of the General Laws. By: Title City/Town, JAYPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter lumber Gas Fitter (cense Num er 8 Master Journeyman r2 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... . ... has permission to perform .......... ..................... ................................ wiring in the building of ......... North Andover, Mass. at .......................................................................... .......... ... ..... Fee...31:T�.. Lic. No. )L�4 .............. .. e�; .. i� .... �M .. ......... ..... /LE CAL INSPECMi' '7 Check # 8607 e � Commonwealth of Va8sachueeth Official Use Only cc�� CJ � � 2eparfinent~ of gire Service9 Permit No. BOARD OF FIRE PREVENTION REGULATIONS [Rev. Occupancy and Fee Checked 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (M Q, 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City City or Town of: IVO. 14,,���/� 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) /1 D S 6_ An o , 7 - Owner Owner or Tenant /../A n .f N C If -o 7? A W 4 L/1 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 4J; (Check Appropriate Box) Purpose of Building t,, ,c Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd _ g ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �—e No. of Recessed Luminaires __... ".._.. .. ..... ....., ..... No. of Ceil: Susp. (Paddle) Fans ..-..... ..... ..c ..".vcu u "I uw cuw u rruCJ. 0. o ota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- E] rnd. 2rnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No ­.67 Detection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: .._umber ............................................................ Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑unicipa El Other Connection No. of Dryers No. o Water Heating Appliances KW No.KW o. o o. o Signs Ballasts Security stems: No. of Devices or Equivalent Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications irin : No. of Devices or Equivalent OTHER: Attacn aaartionat detad iJ desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: U 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. CHECKONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) General Liability 12/31/09 1 certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: Boissonneault Electric Corp. LIC. NO.: 11 823A Licensee:. Jl/u2,, , / o / o...�. u� Signature A�s LIC. NO.: eZ i/L JO (Ifapplicable, enter "exempt " in the license number line.) Bus. Tel. No.: 9 7 8 4 5 4 - 0383 Address: 36 Chuck Drive - Dracut, MA 01826 Alt. Tel. No.: 458-9977 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 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. I am the (check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No.PERMIT FEE: $ Da"./O ....................... ORTH A 0* .14, 0 TOWN OF NORI/THNDOVER ST L PERMIT FOR.,�A NSTALLATION SACHUS This certifies that .......... ... ......... has permission for gas installation .a - in the buildings of-';� .. ......... at ................ North Andover, Mass. 4 ........... Fee C7:'�q . Lic. No.�� IN, fiP_ CT�� Check# 6645 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS Frr-nNG (Type or print) Date ,� Q NORTH ANDOVER, MASSACHUSETTS '6-5 Building Locations 15,7// Permit # Owner's Name Amount $ �zc New D Renovation D Replacement T Plans SubmittedEl G (Print or type) Name_ SUB - BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR m 8TH. FLOOR. (Print or type) Name_ Check one: Certificate Installing Company ❑ Corp' ❑ Partner. ��. ❑ Firm/Co. 14 Name of Licensed Plumber'or Gas Fitter t [INSURANCE COVERAGEri have a current liability Insurance, policy or it's substantial equivalent. Yesck on you have checked es please indicate the a cove 07 No[3 typ rage by checking the appropriaability insurance policy Other type of indemnity E3 Bond 13 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. Signature ofOwner or Owner's Agent Check one: Owner13Agent 1 t hereby certify that all of the details and information 1 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 StateA Gas Code and Chapter 142 of the General Laws. By: Title I (APPROVED (OFFICE USE ONLY) ESignature of Licensed Plumber Or Gas Plumber /� Gas Fitter (cense Number rMaster /�� Journeyman w.. w a w a C U m z z z o b o a z H z I�- z w t e x a z w ® a F w a d c z o x� z o®Z 5 Check one: Certificate Installing Company ❑ Corp' ❑ Partner. ��. ❑ Firm/Co. 14 Name of Licensed Plumber'or Gas Fitter t [INSURANCE COVERAGEri have a current liability Insurance, policy or it's substantial equivalent. Yesck on you have checked es please indicate the a cove 07 No[3 typ rage by checking the appropriaability insurance policy Other type of indemnity E3 Bond 13 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. Signature ofOwner or Owner's Agent Check one: Owner13Agent 1 t hereby certify that all of the details and information 1 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 StateA Gas Code and Chapter 142 of the General Laws. By: Title I (APPROVED (OFFICE USE ONLY) ESignature of Licensed Plumber Or Gas Plumber /� Gas Fitter (cense Number rMaster /�� Journeyman ............. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING I 6 SACHU This certi i e s I h�, . . . . . . . . . . . . . . . . . . has permission to perform .................................... plumbing in the buildings of., ......... at ........ ... ............. North Andover, Mass. Feet�� ...... L i c. N o 4? e�ll ............. P ,�JW16NG INSPECTOR Check # 7940 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location ,-��&�Qlif�1Q^c�j�,(� Owners Name/�j�{``� Date !�-��'Z%_ Permit # y d Type of Occupancy �j p��-�G `'mount /Y/- 13 New Renovation Replacement , r�m Plans Submitted Yes❑ No it'TYTT TD t�c� (rnnt or type) Installing Company Name, Check one: Certificate Corp. ❑ Partner. �j Lj Firm/Co. Name of Licensed Plumber: 1'2surance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy �/ Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned, have been made aware that the license three insurance e of this application does not have any one of the above 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 Massachu is State Plumbing By: an deC pter 142 of th Gener S. —t—s ign re ol ticens um er Title Type of Plum bi License City/Town i ense umber APPROVED (orcE usE orri Master9 Journeyman ❑ No. of Switch Outlets No. of Gas Evrners No. of Ranges I No. of Air Ccrc. Totai :cns Heat Twat -otat No. of Disposals No'ol Pur.. -s :ons KW No. of Dishwasners I SoaceiArea r4eatir.a KVJ No. of Dryers I Heating Cev ces KW No. of VO. Ji No. Of Water Heaters KW I Signs ?ail'asis NO. Hyaro Massage Tubs I No. of Motcrs Totai HP FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal •—Other Connection Low Voltage / Wiring OTHER: ( ,moi e 1 CEJ 1 z° t Nsr� �.. s' INSURANCE COVERAGE. Pursuant to the reouirements at .-Jassacr.users ;eneral Laws Lt.: 1 have a current Liaoiiity Insurance Policy including Cam--:etec Ocerations Coverage or its substantial eauivaient. YES = NO = 1 have suomittea valid proof of same to the Office. YES = NO = If you nave checked YES. piece indicate the type of coverage cy �'' Checking the a prop ate pox. INSURANCE BOND = OTHER = (Please Sccec:�/) Estimated value of Electrical Work S Work to Start �L2�� lnsoec:ton Oats Facues:ec: Rough Signed under the P nail es of pe ury: FIRM NAME O Sc,r 2a4..,- LicensesS;gr.a:ure Address CJS./ Vlt�'4 A--11 J lc - i OWNER'S INSURANCE WAIVER: I am aware that the L:censee c ouirea by Massacnusetts General Laws. and that my signature o (Please check ones' (signature of Owner or Agents (Exaltation Oates Final LIC. NO. p_ .LIC. NO. 1s Bus. Til. No. LO e-- — )O` // on Alt. Tel. No, not nave Ins insurance coverage or its suostanual equivalent as re - ::is cermit aopiicauon waives this requirement. Owner Agent Teieonone No. PERMIT FEE S ><bS86; f �.._. OMa Use Only 01 4t `iIIIIIIII inwr Xli., of 8,6adiustm Permit No. Erparttntttt of Vublic $afttg Ocmipancy A Fee Checked ; BOARD OF FIRE PREVENTION REGULATIONS 527 Ch1R 12:00 3190 Peeve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12:00 .f (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date %* or Town of NORTH ANDOVER To the Inspector of Wires: y The udersigned applies for a permit to perform the electrical work a ribed below. i Location (Street & Numbed Owner or Tenant f Owner's Address t: , Is this permit in conjunction with a building permit: Ye No ❑ (Check Appropriate Box) Purpose of Building Q Utility Authorization No. Existing Service Amps 12-01 2 Volts Overhead '-1 Undgrnd No. of Meters New Service Amps _1 Volts Overhead _ Unogrna No. of Meters Number of Feeders and Ampacity d �/ Location and Nature of Proposed Electrical Work ►�5 .t � 5 cA&pe"\to A No. of Lignting Outlets !A I No. of Hct acs ( No. of Transformers Total KVA No. of Lignting Fixtures I Swimming Pcoi Above.— in- r- grr.o. _ grno. Generators KVA No. o1 Receotacis Outlets I No. of Oil curners No. of Emergency Lighting, I Battery Units No. of Switch Outlets No. of Gas Evrners No. of Ranges I No. of Air Ccrc. Totai :cns Heat Twat -otat No. of Disposals No'ol Pur.. -s :ons KW No. of Dishwasners I SoaceiArea r4eatir.a KVJ No. of Dryers I Heating Cev ces KW No. of VO. Ji No. Of Water Heaters KW I Signs ?ail'asis NO. Hyaro Massage Tubs I No. of Motcrs Totai HP FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal •—Other Connection Low Voltage / Wiring OTHER: ( ,moi e 1 CEJ 1 z° t Nsr� �.. s' INSURANCE COVERAGE. Pursuant to the reouirements at .-Jassacr.users ;eneral Laws Lt.: 1 have a current Liaoiiity Insurance Policy including Cam--:etec Ocerations Coverage or its substantial eauivaient. YES = NO = 1 have suomittea valid proof of same to the Office. YES = NO = If you nave checked YES. piece indicate the type of coverage cy �'' Checking the a prop ate pox. INSURANCE BOND = OTHER = (Please Sccec:�/) Estimated value of Electrical Work S Work to Start �L2�� lnsoec:ton Oats Facues:ec: Rough Signed under the P nail es of pe ury: FIRM NAME O Sc,r 2a4..,- LicensesS;gr.a:ure Address CJS./ Vlt�'4 A--11 J lc - i OWNER'S INSURANCE WAIVER: I am aware that the L:censee c ouirea by Massacnusetts General Laws. and that my signature o (Please check ones' (signature of Owner or Agents (Exaltation Oates Final LIC. NO. p_ .LIC. NO. 1s Bus. Til. No. LO e-- — )O` // on Alt. Tel. No, not nave Ins insurance coverage or its suostanual equivalent as re - ::is cermit aopiicauon waives this requirement. Owner Agent Teieonone No. PERMIT FEE S ><bS86; COM c SE -s -s . ,a.� .<, AS A REGOF E j. cFcr ISSJOLJRNLivtj' IAI S ROB:: ECTRICI ERT A BUREAU �N 80 PERKINS RD v LONDONDERRY h 1305jR Ny 03141, 053_24 1 �V 0713119 38 26 J2 1183 0 s4cm Date.. /97. /�7�. FF ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING :8 LA 17, a c -XT - This certifies that ................................. -A ....... 6eK4� . ......... .. has permission to perform ..... .. .................. cc wiring in the building of ...... ........................................ CU at ... 9.Z-11 ..... ... ...... . North Andover, Mass. Fee257..e-':F.. Lic. NoA.0GZ-R ............................................................. Z; ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept PINK: Treasurer tj r, m o i a m li s I I I{ itJ L1 I of . _ 0 74 m> Z0 _a �6�RR Q f(�l 0 n v 0 m r O Ii�� I r i1.{ rr I•�.��: �'1 ':�.I i),I Ir j, i r t O A Z o z s 2 i O � 2 N > 111 t > G1 L1 G1 Oi 2 �Q m O z i 0 20 > i.� { C fa c Z>> n r 0 0 2 m F 00 3 3 > ; m j oz n w N A 0 z O -i II w> a z rl Z V i. ' > N i 0 O Z r Z rAi i uAi m ' G C 0 o ? z 1 0 2 O •� I w o Z O I rA 0 1 2 Z °c � f � m I , tj r, m o i a m li s I I I{ itJ L1 I >` . _ 0 74 m> Z0 > �6�RR Q f(�l 0 n v 0 m r O Ii�� I r i1.{ rr I•�.��: �'1 ':�.I i),I Ir j, i r t O A Z o z s 2 i O � 2 N > 111 t > G1 L1 G1 Oi 2 �Q m O z i 0 20 > Z n > Z>> n r 0 0 2 m F 00 3 3 > ; m j oz n w N A 0 z n A > -i r 0 w> a z rl w T > 1'I p r^ s N + 0 w 1 x r r n C C VI n n i i 2 z N w z IA c A i 0 z N w G S . x (� ob �. ti` 0 ;4 > 0 1 m o i a m li s w m >` o 0 74 m> Z0 > �6�RR Q f(�l 0 n v 0 m r O A A 0 O A Z o z s 2 i � A w � 2 N > 111 t > G1 L1 G1 Oi 2 A m O z A 0 0 20 > z IA c A i 0 z N w G S . x (� ob �. ti` 0 ;4 > 0 1 m o i a m li s w m >` o 0 o m> A f i Q f(�l 0 v 0 m r O 1= O r O* 0 z m z n z N Z 2 i � A w � 2 N > 111 t > G1 L1 G1 Oi 2 A m O z A 0 0 20 > Z n > Z>> n r 0 0 2 m F 00 3 3 > ; m j oz n w N A 0 z n A > -i r 0 w> a z rl w ' > 0 x i 0 O Z r Z rAi i uAi m ' G C 0 o ? z 0 2 I w o Z O I rA 0 1 2 Z °c m © 0 m Q s z z CA 0 � A 0 w A 0 z fl in A ry \ i w 2 O N z _w N • w Z O x A N c O c O c O c n > 0 1 i , z „ 0= Z 0 w m 111 0 a r 0 w g w Z w r g i 0 s 0 w 0 0 0 Z 0 0' Oz A 2 z OC n o A N S w 0 0 N z N z n N Or Z v i O N i w M •� N c z O 0 O O i O O A < O Z A A 0 0 0 M � 4 i f i E r o i VI A O Q) p i 0 5 N rr w m z > r _ x i 0 -i m rl w w w p O R .,\ m Qx ii CA �s I ll C . c i i 64� :,I- C5 osgg,:;;', 5 46p VMR619(5>� `1 \ Office Use Only _ The Commonwealth of Massachusetts `t-� Permit No. t� _ % Department of Public Safety V ` a Occupancy b Fee check ��:_� . BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to t» oedomieci In accardana +^114 ale Massacnus*es Eecncat Cods. 527 CMR 12..00 (PLEASE PRINT IN INK OR TYPE ALL INFO/R�MATi N Date I ) t \ _ 1 5.v , ^I /,-w _ To the Inspector of Wires: City or Town of -The undersigned applies for a permit to perform the elec'n�al work d Location (Street S Number) �- Owner or Tenant Owner's Address v Is this permit in conjunction with a building p it es ❑ no (Chi -:k Appropriate Box) Purpose of Buiidin Utility Authorization No. Existing Service �}lmps_J `!alts Overhead ❑ Undgrd ❑ No. of Meters ad El Undgrd ❑ No. of Meters New Service temps Vcits Overhe Number of Feeders and Ampacity-----XVA�z Location and Nature of Proposed Electrical War TOTAL INo. cf Hot Tubs I No. of Transformers KVA No. cf fichtinc Outlets i Above In ! I Generators KVA Swimming Pool gmd. crnd No. of Lighting Fixtures No of Emergenc/ Lighting No. of Receptacle Outlets No. of Cil Bumers I Battery Units FIRE ALARMS No. of Zones No. at Gas Burners No. of Switch Outlets TOTAL No. of Detection and No. of Air Conditioners TCNS Initiating Devices No. of .Ran es HEAT TOTAL TOTAL No. of Sounding Devices No. of Self Contained No. of Pumas TONS KW No. of Disposals Detection/Sounding Devices No. of Dishwashers Space/Area Heatine KW Municipal F7Connection ❑ Other Devices KW Local No. of Dryers No. Na. of No. of at ISions Low Voltage Wirina No. of Water Heaters K1N Ballasts No. of Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the uirements of Massacrusetts General Laws Coverage or its substantial equivalent. YES O ❑ I heave submitted 1 have a current Liability Insurance Policy. ciuding Completed Cperations of same to this office. YF-S71NO ❑ box. valid roof a rcorate P ' If you have checked YES, please indicate the type of coverage by checking .he pp INSURANCE 1:1 BOND ❑ OTHER 11(Please Sperry (Expiration Date) Estimated Value at E .ri Work S Inspection Date Requested: Rou 9 h . Final Work to Sta Signed under the p iti perjury: LIC. NO _ FIRM NAM / UC..r r ignature Licensee Bus. tel. No l Address/r AIL Tel. No. a on this saco canon waves to s insurance does not have the equiirementt. Owne or itsAsubstantialgePfease checklheck ent s req aired by !tam OWNER'S INSects Massae General Laws. and hat myas gnaau �EAMtT Fc= S -eieoncne No. Date ..... . ....... .... 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING '7SAC14 S Thi t* th't .............. s a,.., s cer ie ...... ................ .................... has permission to perform .................... ........ . .. ....................... f wiripg'in'the building 0 ............................................................... ................... at................................................................... . NorthUclover, Mass. Fee...... Li�. No . . ... ...... ................... CTOR' 4� K0 - 0 L4 WHITE- -'A�pplicant R OW-I&AR9 Dept. 35 "NINI(PRsurer GOLD: Pile Location No. Date A r 02/09/95 1406, 7716 TOWN OF NORTH ANDOVER Certl�i6ate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 1 "A -17 1,544.00 Building Inspector MAID Div. Public Works Lo6ation 3f No.' Date 5. M TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee s Water Connection Fee $ Mo -311�0 TOTAL $ Build I ctor Dip*jrblic W6r s Location Date d ((,0(Cg I IL . a ACHUS TOWN_ ­OF NORTH ANDdVER Certificate of Occupancy $ - '�;b Building/Frame Permit Fee $ Foundation Permit Fee 0 ther Permit Fee $ Sewer Connection Fee $ Water -Connection Fee $ TOTAL Building Inspector Div. Public Works PERMIT NO. S741 � - of TYP4c- p APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. &A# LOCATION PURPOSE OF BUILDING OWNER'S NAME _012,_OF STORIES v SIZE v OWNER'S ADDRESS pia Wa,& MT W."Wri kW L#410 ASE�� OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST ?Iqb 2ND 3RD BUILDER'S NAME T6a 5/m7&&kA- SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES .26 REAR -20 GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x A IS BUILDING ADDITION Ato MATER:AL OF CHIMNEY goid� IS BUILDING ALTERATION do IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Ylo IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE ye INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 12 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST REGULATED BY PAPA 114.8-S. B.C. EST. SLOG. COST EST. BLDG. COST PER SQ. FT. DATE —,U te FEE PAID ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFDR�STATE FIRE REGULATIONS PLANS MUST BE FILED 7POROVED BY BUILDING INSPEC9991"IT FOR FRAMUBUILDING DATE FILED DATE: 4B�qg- FE E PA I D---1 z I SIGNATURE OF OV6CCWTIlr`AUTHORIZEb AGEN 30.00:':� F E E PERMIT GRANTED Lai OWNER TEL. 9 CONTR. TEL. # al 1(" 19 9, Cr-11TR. Ll,". # -Lt "z'- 254 2,, zo BLDG. PERMIT M LESS FDA MM FRAME PERMIT S EST. BLDG. COST PER ROOM -ftEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH Z' U&4P— eb, . PLANNING BOARD BOARD OF SELECTMEN I t-VILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY Si ORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION CONCRETE CONCRETE BL'K. BRICK OR STONE PIERS _ 8 INTERIOR 3 PINE HARDW D —_ PLASTER '+ DRY WALL UNFIN. V FINISH 1 _ 2 13 — — a. 3 BASEMENT,,,, AREA FULL .FIN. B M AREA '/, 1/1 1/. FIN. ATTIC AREA _ NO B M'T . .FIRE ,PLACES'.. _ v HEAD ROOM '- MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B — 1 2 3 �_ _ _ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH HARDw'D COMtACN ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME . BRICK N,MAS NRY•- BRICK ON -FRAME - ATTIC STRS. & FLOOR _ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE O FRAME SUPERIOR POOR _ ADEQUATE I NONE 5 R 10 PLUMBING GABLE GAMBREL FLAT ' HIP BATH (3 FIX.) MANSARD TOILET RM. (2 FIX.( SHED WATER CLOSET a ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. 74, TIMBER BMS. & COLS. STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING vr _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2n ELECTRIC THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM . 1,LOT LINES AND EXACT DIMENSIONS OF BUIL`D[NGS: 'WITH^:PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. f' v. .Na1, 31P 10-34 • � ('1 r « .I ..r "rte I „�� t•Y/nr � /... �s{�r �1 r v .w.rnw++.. x...r+.., �. ... .�i1 A i e� ,` ( M ♦, r - . d _ - t � -.1 t �✓Z."t {;r=�';a4'vs ���'' y� W, 3, 11 d I NO HEATING ;X� ��r•�r, i�� - .Air i Z z z � CA C � T Co Cl) 10 O CD n Z CO) CCD O 'O ar F c CO)CL O v CD CDCL O Q CD �F n CD O CD U)W w m C• CD Va Qv y o coCDI z v CO) O 1 Z CD o CD T O z C D CD r O O Cc co OC C C �*,o rO —'Hcc- yr a »m CL 0 m O Cop c Z = NOm o ..0 a m �omG $ H O �m O O 'fl G C-3 t� ~` O O 00 ci ��� C a y0 O m CL .. r �_ cl ® g S CL CD CA O. ;�. cr H C �O ...� m co N H � O So 7 O CO3 n m T m CO3 M* m O !'! ..r O fo O O (� 39� CD =m• co CL -S: : �► Z � = r92 • cc Z Co W cn cn tp �n cn a o a o o e o z =; HT1 0 Crrf r m W to x tz otz El ro z d a c o VI Z � x CA z H 0 0 c O O Cc co OC C C �*,o rO —'Hcc- yr a »m CL 0 m O Cop c Z = NOm o ..0 a m �omG $ H O �m O O 'fl G C-3 t� ~` O O 00 ci ��� C a y0 O m CL .. r �_ cl ® g S CL CD CA O. ;�. cr H C �O ...� m co N H � O So 7 O CO3 n m T m CO3 M* m O !'! ..r O fo O O (� 39� CD =m• co CL -S: : �► Z � = r92 • cc Z Co W cn cn tp �n cn a o a o o e o z =; HT1 0 Crrf r m W to x tz otz El ro z d a c o VI Z � x CA z H 0 0 c CO3 n m T m CO3 M* m O !'! ..r O fo O O (� 39� CD =m• co CL -S: : �► Z � = r92 • cc Z Co W cn cn tp �n cn a o a o o e o z =; HT1 0 Crrf r m W to x tz otz El ro z d a c o VI Z � x CA z H 0 0 c CA z H 0 0 c FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. *************-***Applicant fills out this section****************** I( APPLICANT: Z� em&s Z- 1 �C Phone . LOCATION: Assessor's Map Number Parcel Subdivision &WVL944d L/T> t4TAF5 Lot(S) a Street `l U/LcP St. Number a� l ************************Official Use Only************************ RECOMMENDATIONS TOWN AGENTS: zZlil-'e— Z_ 4 Conse vation Administrator Comments Yh ,moo Town Planner Comments Food Inspector -Health - zz A_X_"1U Septic Inspector -Health Comments Date Approved lJ 2 �_ell Date Rejected Date Approved q Date Rejected Date Approved Date Rejected Date Approved %J Z Date Rejected Public Works - sewer/water connections�GJ - driveway permit J-Iw) Fire Deartment Received by uilding Inspector Date s a n � CC) AOTr 3,g), 3 ,7 ��'�° a = `;cd Z �,-; 7 .ate I 35 oLOr Lar �3 �w 362 A , / C7 /0 JV9 CIS. r � 6 a t. w NOTE: ALL UTILITY LOCA710N$ ARE TO BE FIELD VERIFIED 6Y THE Gl I NG / SrM PLAN $ITL CONTRACTOR. WAM AT t•..�qLOT Z 4 SE re AOKM ANDOVER ESTATES NORTH AM50VER, MA .� .� LAND PLANNING 'BOLL BROTHERS, INC. WQLNELmrj do *U Kvty 1800 WWT PARK DRIVE WA irA.S.. P F- N S -PA ' e 0. L_ 0-F 2q 2t , 85 s.F. � P FoUNDAT;orJ b T -c 9 X09 . +,,.9) m L OT Z 3 �° N rto 0 © iv0. Oc ROSIE I i VA i E — 5G u'1DE L 0-r 25 BERNARD; . E: ; MUNRO'SR. ' �LNo: 9448 GQ 0 FOUNDATION AS -BUILT IMCAMR I CERTIFY THAT THE STRUCTURE SHOWN IS LOCATED LOT 2 4 ON THE LOT AS SHOWN ON THIS PLAN AND THE NORTH ANDOVER ESTATES LOCATION DOES CONFORM WITH THE FRONT, SIDE, NORTH ANDOVER, MA AND REAR SETBACK REQUIREMENTS SET FORTH IN nWAM FOR THE TOWN'S ZONING BYLAWS AT THE TIME OF TOLL BROTHERS, INC. CONSTRUCTION. I FURTHER CERTIFY THAT THE 1800 w1s.4T PARK DRIVE STRUCTURE IS NOT LOCATED IN THE SPECIAL 11OTBOR0. ILA 01581 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOTmmvzffi LAND PLANNING TO BE USED FOR THE ESTABLISHMENT OF PROPERTY XNGDnMRM « SURM LINES, ERECTION OF FENCES, OR CONSTRUCTION OF ADDITIONAL STRUCTURES ON THE LOT. W7 URM= AVIA RniMHAK lU OMa (ON) "0-41W » (6N) • 6-W4 MAP NO.0006c COM N0. Zsoo98 DATE: 6 -Z-93 ; _. - 9 c I _ q p ` NA 2� m O Z cn m D O Z T z D r 3 H C � y Cl) CD n Z y CD O �. r � O � C CL y o C-3 CD v CD O CL cr CD CSD O CCD W w a. C CD y CD O CA CC CD F v y O � Z CD oCD 0 G CD 0 m cnn O. c v m m m n ,�. v ccFOC •c �� $ _ O -• fA o Q' H aoKm .� y O C=D n � � J • o Cop 3 z - CL 0 o aim y CD 0 0 N p o C°/ CD _ O O O N m 0 CS :O •m ay � m CLCD CD c am CD I COO p ai a = c^ Q oo — .� �• ' H C ,... c v, C42? c o m CD 11.. m CD N 1� .Z' tG .00► : 4K !c o �' �• . xO ' I co r, GOco o~A C.) 9 co O O rn :; d Sco StCO) � 0o d ax CD N n Cn CR y G OPZI cD 0 0 O O w OGG �G O O C OGG n n7 O O a= OGG r' 'm n Poo G O O p= OGG � C Cn 'z7 t9 O �. a. y h CA9 r- y 0 9 I CJ V/ v s O C CD K q -541 MILLER ENGINEERING, INC. GEOTECHNICAL / SOIL BORINGS / ENVIRONMENTAL / CONCRETE / STEEL / ROOFING / ASPHALT INSPECTION Mail all correspondence Co: 100 SHEFFIELD ROAD • P.O. BOX 4776 • MANCHESTER, NEW HAMPSHIRE 03108 • TELEPHONE (603) 668-6016 • FAX (603) 668-8641 February 1, 1995 Mr. James Bagley TOLL BROTHERS, INC. 55 Rosemont Drive North Andover, MA 01845 RE: North Andover Estates, Lot #24 North Andover, MA Dear Mr. Bagley: Project No. 40076.01 As you requested, on January 24, 1995 an engineering site visit was made to North Andover Estates to address concerns relative to an earth fill slope at Lot #24. A technician from Miller Engineering & Testing Inc. was present to monitor placement and' test relative compaction levels of the borrow fill material being used to elevate the proposed house area to grade. Site Description Lot #24 is located north of the Rosemont Drive cul-de-sac in North Andover Estates. The topography of the lot dips at a slope of 5 to 1 from Rosemont Drive towards the north. The southern portion of the dwelling requires an approximate 4 foot cut through naturally occurring glacial soils to achieve grade while in the northwestern portion about 10 feet of fill will be placed to reach a proposed slab elevation of ±360. The ground surface immediately north of the house will be brought up to elevation ±359 for a distance of 15 feet from the north foundation wall of the house; then be sloped at about 2 to 1 to meet original grade at the property boundary. CORPORATE OFFICE: 100 SHEFFIELD ROAD • P.O. BOX 4776 • MANCHESTER, NH 03108 • TEL (603) 668-6016 • FAX (603) 668-8641 130 EAST MAIN ST. • P.O. BOX 11 • NORTHBOROUGH, MASSACHUSETTS 01532 • TEL (508) 393-2607 • FAX (5081393-8490 21 MARKARLYN STREET • P.O. BOX 1087 • AUBURN, MAINE 04210 . TEL (207) 786-4249 • FAX (207) 777-1822 Engineering Analysis This engineering study specifically addresses the stability of the fill and naturally occurring soil beneath the dwelling on Lot #24. Slope stability analyses were performed considering the nature of subsurface soil conditions as observed by a Miller Engineering & Testing, Inc. representative prior to placing any fill; as indicated by field density test results during placement of fill; and as the writer observed through a test pit excavation. Field density test results and proctor -gradation analyses are attached to this letter. Based upon observations made by Miller Engineering & Testing, Inc., naturally occurring, dense glacial deposit exist beneath the dwelling footprint area. Fill material consisting of fine to medium sand, little gravel and trace amounts of silt was used above these deposits to elevate the structure area and zone of stress influence of the perimeter wall footings. The fill was distributed in 12 -inch thick lifts and compacted to at least '%5 percent of its maximum dry density as determined by ASTM Designation D-1557. The test pit, excavated north of the foundation location (beyond the zone of influence of footings), encountered wet organic fill material. These soils are unstable at the pitch of the northern- most slope; however, they provide a berm effect to increase stability of the structural fill beneath the dwelling. The computer program "Geoslope-version 5.0", developed by Geocomp Corporation, was used to analyze potential failure surfaces through the embankment fill slope. Soil parameters for use in the analyses were selected based upon our observations of subsurface conditions, field density test results and experience with similar projects. Based upon the slope geometry and estimated soil parameters, Geoslope analyzed 1000 potential failure surfaces. The minimum factor of safety identified using circular slip surfaces was 1.58. The minimum factor of safety identified in the analyses, exceeds the typically considered minimum value of 1.30. Therefore, the long-term stability of the soils beneath the dwelling should be adequate. This engineering study was performed using generally accepted geotechnical engineering principles offered at the time and in the locality of the project. No warranty, expressed or implied, is made in connection with these services. Should you have any questions with regard to this letter report, please do not hesitate to contact us. Very truly yours, ��IH OF M9 9 � yc MILLER ENGINEERING, INC. Co FRANK K. MILLER !n RANK ;... CIVIL ,o N0.36606 % TE Frank Frank K. Miller, P.E. �SS��PNAL Vice President FKM:pam . Attachments FIELD REPORT MILLER ENGINEERING &TESTING, INC. MANCHESTER, N.H. (603) 668-6016 NORTHBOROUGH, MA (508) 393-2607 AUBURN, ME (207) 786-4249 FAX (603) 668-8641 FAX (508) 393-8490 FAX (207) 777-1822 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 North Andover, MA CLIENT TOLL BROTHERS INC. CONTRACTOR: MENINO CONSTRUCTION WEATHER: Cloudy DATE 1/23/95 SOILS FIELD REPORT PURPOSE: The purpose of today's site visit was to perform Field Density tests via the Nuclear Densometer Gauge. WORK ACCOMPLISHED: Three (3) Field Density tests were performed on this date. All of today's tests indicated adequate compaction was attained as compared with the ASTM 1557-C test method. Please see the attached Compaction Control Summary for today's test locations and results. Prepared by: Scott Hazelton FIELD REPORT ® MILLER ENGINEERING & TESTING, INC. MANCHESTER, N.H. (603) 668-6016 NORTHBOROUGH, MA (508) 393-2607 AUBURN, ME (207) 786-4249 FAX (603) 668-8641 FAX (508) 393-8490 FAX (207) 777-1822 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 North Andover, MA CLIENT TOLL BROTHERS INC. CONTRACTOR: MENINO CONSTRUCTION WEATHER: Cloudy DATE 1/24/95 SOILS FIELD REPORT PURPOSE: The purpose of today's site visit was to perform Field Density tests via the Nuclear Densometer Gauge. WORK ACCOMPLISHED: Six (6) Field Density tests were performed on this date. All of today's tests indicated adequate compaction was attained as compared with the ASTM 1557-C test method. Please see the attached Compaction Control Summary for today's test locations and results. Prepared by: Scott Hazelton �/j • FIELD REPORT . MILLER ENGINEERING &TESTING, INC. MANCHESTER N.H. (603) 668-6016 NORTHBOROUGH, MA (508) 393-2607 AUBURN, ME (207) 786-4249 FAX (603) 668-8641 FAX (508) 393-8490 FAX (207) 777-1822 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 North Andover, MA CLIENT TOLL BROTHERS INC. CONTRACTOR: MENINO CONSTRUCTION WEATHER Cloudy DATE 1/25/95 SOILS FIELD REPORT PURPOSE: The purpose of today's site visit was to perform Field Density tests via the Nuclear Densometer Gauge. WORK ACCOMPLISHED: Four (4) Field Density tests were performed on this date. All of today`s tests indicated adequate compaction was attained as compared with the ASTM 1557-C test method. Please see the attached Compaction Control Summary for today's test locations and results. Prepared by: Scott Hazelton z f+nw1"r0f%1 CI IRAIIAARY MANCHESTER, NH 603-668-6016 NORTHBOROUGH, MA 617-393-2607 AUBURN, ME 207-766-4249 10.5 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 95 A North Andover, MA 10.5 121.8 3.4 100+ 95 A 92 12/2 NDG West footing BOF SA/GR 120.7 10.5 121.1 MATERIAL CORRECTED MAXIMUM OPTIMUM MOISTURE HELD DRY FIELD MOISTURE PERCENT COMPACTION SPECIFLIFT PERCENT PERCENT COMMENT i 4.7 98.9 95 TEST DATE METHOD LOCAl10N 119.0 OR DESCRIPTION DRY DENSITY CONTENT DENSITY CONTENT COMPACTION N0. 95 1/23 NDG Lot 24 8' Heffroms Pit 120.7 ELEV. 114.7 (LB/FPI (%) (LB/FP) N BBF 1°bl i North footing 80F SA/GR 120.1 10.5 120.0 3.1 99.4 95 A 99 12/2/94 NDG 90 12/2 NDG South footing 80F SA/GR 120.7 10.5 120.1 3.9 99.5 95 A 91 12/2 NDG East footing BOF SA/GR 120.7 10.5 121.8 3.4 100+ 95 A 92 12/2 NDG West footing BOF SA/GR 120.7 10.5 121.1 3.7 100+ 95 A 93 1/23/95 NDG Lot 24 8' HeffT=S Pit BBF 120.7 10.5 119.3 4.7 98.9 95 A 94 1/23 NDG Lot 24 7' Heffrms Pit 120.7 10.5 119.0 5.0 98.6 95 A BBF 95 1/23 NDG Lot 24 8' Heffroms Pit 120.7 10.5 114.7 6.6 95.0 95 A BBF 96 1/24/95 NDG lot 24 5' , Heffroms Pit 120.7 10.5 117.7 4.0 97.6 95 A BBF 97 1/24 NDG Lot 24 5' Heffroms Pit BBF 120.7 10.5 115.5 4.4 95.7 95 A 98 1/24 NDG Lot 24 4' Heffroms Pit 86F 120.7 10.5 116.6 3.5 96.6 95 A 99 1/24 NDG Lot 24 4' Heffroms Pit 120.7 10.5 119.1 2.9 98.7 95 A BBF BS=BelowSubgrade BBF =Below Base of Footing BSS = Below Stab Subgrade BOF =Bottom of Footing BTOW =Below Top of Wall CRGR =Crushed Gravel SA/GR BRGR =Bank Run Gravel SA GR =Gravel SLT GR/SA =Gravel and Sand TR and Gravel =Sand =Sand =Sift =Trace [fNDG:=Nuclear Density Gauge =Sand Cone Method A =Indicates Adequate f = Failed to Satisfy Percent Compaction Compaction 4 . r_nMPACTION CONTROL SUMMARY MANCHESTER, NH 603-668-6016 NORTHBOROUGH, MA 617-393-2607 AUBURN, ME 207-786-4249 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 North Andover, MA TEST NO. DATE TEST METHOD TEST LOCATION OR ELEV. 100 1/24/95 NDG lot 24 3' DRY MOISTURE COMPACTION COMPACTION 88F 101 1/24 NDG lot 24 3' 86f 102 1/25/95 NDG Lot 24 1.5' teff ours Pit 120.7 10.5 BBF 103 1/25 NDG Lot 24 1.5' BBf 104 1/25 NDG tot 24 BBF 105 1/25 NDG lot 24 BBF BS =Below Subgrade BBF =Below Base of Footing BSS =Below Slab Subgrade BOF=Bottom of Footing BTOW =Below Top of Wall NDG = Nuclear Density Gauge SC = Sand Cone Method lef f Toms Pit 1120.7 1 10.5 1115.6 1 3.9 195.8 1 95 1 A ieffroms Pit 1120.7 1 10.5 1119.8 1 3.6 1 99.3 1 95 I A ief f TOMS Pit 1120.7 1 10.5 1117.0 1 3.8 196.9 1 95 1 A 4effroms Pit 1120.7 1 10.5 1115.4 1 4.8 1 95.6 1 95 I A 4effroms Pit 1120.7 1 10.5 1117.7 1 5.1 197.6 1 95 1 A CRGR =Crushed Gravel SA/GR =Sand and Gravel BRGR =Bank Run Gravel SA =Sand GR =Gravel SLT =Silt GR/SA =Gravel and Sand TR =Trace A = Indicates Adequate Compaction F = Failed to Satisfy Percent Compaction CORRECTED OPTIMUM FIELD FIELD SPECIFIED PERCENT MATERIAL MAXIMUM MOISTURE DRY MOISTURE COMPACTION COMPACTION COMMS DESCRIPTION DRY DENSITY CONTENT tl w4TY CONTENT (LB/FTS IN ILB/FTj N N teff ours Pit 120.7 10.5 119.5 4.8 99.1 95 A lef f Toms Pit 1120.7 1 10.5 1115.6 1 3.9 195.8 1 95 1 A ieffroms Pit 1120.7 1 10.5 1119.8 1 3.6 1 99.3 1 95 I A ief f TOMS Pit 1120.7 1 10.5 1117.0 1 3.8 196.9 1 95 1 A 4effroms Pit 1120.7 1 10.5 1115.4 1 4.8 1 95.6 1 95 I A 4effroms Pit 1120.7 1 10.5 1117.7 1 5.1 197.6 1 95 1 A CRGR =Crushed Gravel SA/GR =Sand and Gravel BRGR =Bank Run Gravel SA =Sand GR =Gravel SLT =Silt GR/SA =Gravel and Sand TR =Trace A = Indicates Adequate Compaction F = Failed to Satisfy Percent Compaction a PROCTOR -GRADATION TEST RESULTS Boring No.: N\A Project: NO.ANDOVER ESTATES , Sample No: L94518 Project No.: 40076.01 1 EmliR ENONEERRIG & TESTING, INC. Tested by : DG Location: HEFFRONS WILLINGTON PIT AA Filename L94518 Dote : Fri Sep 02 1994 120.0 118.0 112.0 ow 100 90 80 r �E 70 60 w 50 Z 40 c� yl 30 CL 20 10 0 "Oo 500 COMPACTION C Sample Description : SAMPLE FROM GARAGE SLAB LOT # 13 Compaction Test Designation : ASTM D1557—B Maximum Dry Density : 115.1 PCF Optimum Moisture Content : 12.5 SI: Corrected Maximum Dry Density: 120.7 PCF Corrected Optimum Moisture Content: 10.5% Bulk Specific Gravity: 2.60 MOISTURE CONTENT GRAIN SIZE DISTRIBUTION U.S. STANDARD SIEVE SIZE 4- r• 1- 0.5- h 1110 1120 HO Iso 11100 11200 Hoo 100 50 O 10 20 30 0 40 Z 50 � UJ W 60 W CL 70 80 90 100 10 5 1 0.5 0.1 0.05 O a t 0.005 0.001 GRAIN SIZE IN MILLIMETERS cw.vEL sw+u COBBLES SILT OR CLAY COJ�RSE nNE COARSE YmIUM FINE UNIFIED SOIL CLASSIFICATION SYSTEM Figure 1 (n $.0 T.,ya+� pq O Tr S ., m .r d x 4 44. 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PRFVEN l HN RFC;I.11 A -I IONS 527 C111R 12:00 red Occupancy & Fee Checked -Z5UU 3/90 (leave blank) 4�6";t y APPLICATION FOR PERMIT TO I-'ERFORM ELECTRICAL WORK All work to hr ptvfG,nnrd in areo!dancr wilh the hLrscat:h !<rlrs E:Irerrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE AL1. INfORMATI(N) s.- � r Date City or Town of lV The undersigned. applies for a pernni( to perfo,,n the r lr•t lric.;tl work rlescrihed below. Inspector of Wires> Location (Street & Number) -- G-z-aj'—; Owner or Tenant e)- .c-� _— LL r-..tom.-�----- Owner's Address Is this permit in conjunction with a building prnnit: Yes LJ No l -XJ — --(Check Appropriate Box) Purpose of BuildingUtility Authorization No. Existing Service Amps .__._-_-_J.._____...__._.. Volfs Overhead ❑ Undgrd ❑ No. of Meters New Service ----___----Amp; .----------J- - - ...... Volls Overhead ❑ Und rd g ❑ No. of Meters Number of Feeders end Ampacily Location and .Nature of Proposed Electrical Work No. of Lighting Outlets No. of liot TubsA xpvTOTAL No. of 1 ransformers KVA P7 ht - No. of Lighting Fixtures Swimming Poul good. ❑ rod. ❑ Generators — KVA No. of Receptacle OutletsNo. of Oil Burners o nc Emergey Lig ling _No. Battery Units No, of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones — Iota No, of Ranges No. of Air Conditioners Tons No. of Detection and Initiating Devices No. of Sounding Devices. No. of Self Contained No. of Dis ,osals I Iral -- Tofi Tota No, of Purls Tons KW No. of Dishwashers S pace/Area IllKW "—'Municipal Detection/Sounding Devices Local[ Connection ❑Other No. of Dryers I leatin Devices KW No. of Water Healers KW No. n No. 7— Si Ballasts Low Voltage �- ,ns -_ Wirin No, Hydro Massage Tubs No. of Motor.: Total til' �vrY INSURANCE COVERAGE: Pursuant to the requirements of Massachu>ttes General I aws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES El NO Cl 1 have submitted valid proof of same to this office. YES I I NO I j If you have chjecckked YES, please indicalejh (Ile type of cover.tge by checking the appropriate box. INSURANCE LIIJ-BOND �J OTHER I -J ll'Icase_ specify) -------------- ---------- ----- / Estimated Value of Electrical Work $ L-04LO (Expiration Date) Work to Start S/ ----- Inspection Date Requested: Rough Signed under th ee penalties of perjury: _ Final Ir, FIRM NAME Ci �6�7t` �V C p�l;l����'►lL/IC - �A LIC. NO. Licensee Signature AddressLIC. NO. j �/� Bus. Tei. No - D o. OWNER'S INSURANCE WAIVER: I am aware Thal file I-icensee does not have the insurance coverage or its substantial equ Tel.Ivalent t. as required by Massachusetts General Laws, and that my signature on Ibis Permit application waives this rerluirement. Owner Agent (Please check one) -- --- -- - - ._ Te6"ldrone No. (Siananire of Owner nr Auonn ----- ----._..._.._._------..--._-- -- — PERMIT FEE S Date ...... ... ..... .. FA 2293 0 0 TOWN OF NORTH ANDOVER & lose). 0 Ek- % PERMIT FOR WIRING mn This certifies that ................... has permission to perform ...... ............ wiring in the building .. ............. j.� ................................. o' . , ............... orth Andover, Mass. Fee... Lic. No.� ;A!� ............. N�PECTOR WHITE: Applicant CANARY: 4ilding Dept. PINK: Treasurer GOLD: File Date .... 4�.. 4� ,ORTH 0 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ACHUS This certifies that has permission for gas installation in the buildings o,f ........... at North Andover, Mass. .. .... .... Fee./.-. .... Lic. No. AO .. .......................... GASINSPECTOR -7 Check # 4919 . MASSACHUSETTS-UNIFORM-APPUCATION`.FO PERP TO DO GA FrTiNC�. InstaiHng Company Name- �4c C__ Address__ 5 H 4 0 Business Teleohone —rxi- -s c 4- o s Name of Ucensed Plumber or Gas. Fitter. Check,one;= O Corporation - 0 PartrxIship INSURANCE= COVERAGEc i have a � reA liability kwxanm •po& y ; of fts's equ��,wtddh-meetsNo E3. the requirements, ot:MGL;Ch 1 42. 1t you. have:dmcksdan"* aJ Wkdit *e3ype=coven by, dwckkV Vw I C 1,box, A liabiity insuranoe, vo ft)( Otheetype�[ inde-mI ft EL Bond- 0 OWNER'S INSURANCE WAIVER: i wwawam'tat:theikwaftxdoes.not=have. _the kmArancecoverage required by. Chapter 142 of the 4AasL Generd-LAWa, and mat.my signature -on Vfti permit -application wahres this requirement Check one: Signature of owaer_oryOW4s AW&., OwnerO Agent;p I hereby certify that ap of the details and information 1. hm submitted (or enterod) in. application an true and accurate.to.the best of my. knowledge and that all plumbing work and installationsWWmed under the permit for .this MR be in compliance with al. pertinent Provisions of the Massachusetts State Gas. Cods and au ptw 142 of the T_ of License: _ s Plumber Idle Gasfitter signature of license lum er o_ rtter City/Town Master License Number 31OCa. 1 W < O WI ad a W _ W W . O d � O t O a . � la W - l�i. IOI. W Z m 1 W < O WI ad a W _ W W Y V F! W ° Y N S-1 -4 Date.�O�/���� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ;0 1-7 This certifies that ............ .. ..... has permission to perform plumbing -in the buila-ings of<��. at Fee./b�. Lic. No./ . .............................. Check # 6234 PLUMBING INSPECTOR MASSACHUSETTS UNIFORM APPUCA 04W or Typo IN Mass. Building Location New O Renovation D FOR PERMIT TO DO PLUMBING ft plot o� L_sName� ��'��T�.rcT ,ryw of Occupancy -- ��/ ✓C� Replacement p Plans Submitted: Yes Q No G TURES Check am O Corp O Partnership FmWC.o. Name Of Licensed Plumber DMIRANCE ZOVERAM 1 have a current liability policy st or its tantial equivalent which rr�� s the uirerrtents of MGL M 142 if You haveVes�[ checked yes, Please indicate the type Coverage by qng the appropriate box. A liability insurance polity g OMei type of kderrrnity p saw G OWNER'S INSLIRMCE WAIVm l am awarethat the licensee does not have the in=aarnee acreage mired by C ap2er 142 of the Mass. General Laws, and that my signal me an this pemtit appy waives this retitrirerrternt Check one; erre of Owner or Owrners Agent Owner Agent p 1 hweW oertlfy that all of the details and Wdormaticn l hm,=Awd ted (or entm" in abprg a abcm are true and to the bM of ay bwwMdge and that ap pMurftV work Aft' Deformed the Derntit issued io Vw W a=tm w o be in somDuanoe with an pertinent povisions of rvft the State aZi nd 762 of the Gerreal laws of Licensed Pl 0ftbw Type of flasto xJourneynm i License Number .. Y • r • • • • A Check am O Corp O Partnership FmWC.o. Name Of Licensed Plumber DMIRANCE ZOVERAM 1 have a current liability policy st or its tantial equivalent which rr�� s the uirerrtents of MGL M 142 if You haveVes�[ checked yes, Please indicate the type Coverage by qng the appropriate box. A liability insurance polity g OMei type of kderrrnity p saw G OWNER'S INSLIRMCE WAIVm l am awarethat the licensee does not have the in=aarnee acreage mired by C ap2er 142 of the Mass. General Laws, and that my signal me an this pemtit appy waives this retitrirerrternt Check one; erre of Owner or Owrners Agent Owner Agent p 1 hweW oertlfy that all of the details and Wdormaticn l hm,=Awd ted (or entm" in abprg a abcm are true and to the bM of ay bwwMdge and that ap pMurftV work Aft' Deformed the Derntit issued io Vw W a=tm w o be in somDuanoe with an pertinent povisions of rvft the State aZi nd 762 of the Gerreal laws of Licensed Pl 0ftbw Type of flasto xJourneynm i License Number IZ � I 9 Z O � I A Z'. Z ' A A . A 2 � A 2 ffE A � I A 2 A 0 C 'w O A m C Z O O � w O � � S ; m p C A O O C O 2 O � I 9 O � I A Z'. Ys A A . O 2 � A ffE Office Use Only a 11 / 04P TiammDumaltll of tts5*usetts Permit No. ti 13pa tmEAt of puhlir—AafktV occupancy & Fee Check - / BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 13/90 (leave bunk)/61K APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 9'r (%* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) a I 1 120 --1-, vK o ""' � Z 1-1 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Ap J —� t Purecse of Buildino Utility Authorization o. Existing Service v Amos _J Glts GVerhead '7 Undgrnd ❑ No. of Meters New Service 7— &0— Amps LLO—J LAO vojts Overhead Undgrnd al No. of Meters Number of Feeders and Ampacity Location and Nature of Pr000sed Electrical Work No. of Hot Tubs I No. of Transformers Total No. of Lighting Outlets ii KVA I � No. of Lighting Fixtures Swimming Pool Above In - 9 9 grno. — crnd. - Generators KVA j No. of Emergency Lighting No of Receotacie Outlets / ! No. of Cil Burners j Battery Units V ,No. of Switch Outlets No. of Gas Burners No. of Air Conc. otai O� of Ranges tons - 1 rl ao. of Disoosals j No of Peat 1oni 0 Pumps Tons KV,/ N. o. of Dishwashers I Scace/Area Heating KW o. of Dryers I Heating Devices t� No. of No. of Water Heaters KW Signs Baiasts No. Hvdro MassaTubs No. of Motors Totai HP OTHER: FIRE .ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Municipal Local i i Connection _Other Low Voltage Wiring INSURANCE COVERAGE: Pursuant to the reauirements of %1assac-uset s _general Laws i have a current Liability Insurance Policy inc!uaina Comne:etecc-�'ceraticns Coverage or its substantial equivaient. YES _ NO = I have submitted valid proof of same to the Office. YES �lyU _ If you nave checked YES. please indicate the type of coverage by checking the aropI ate box. INSURANCE , OND = OTHER = (Please Scecli.i) 3(,190 (Expiration Date Estimated Value of ' ct c I orK 5 Work to Start �l ^l Inspection Date Recuestec: Rough b Finai � Signed uncer the P ai es of p rlury FiRL1 N ME e�- Q'.c— LIC. NO.Y Licensee o" -J Signature LIC. NO. 2102 Bus. Te I. No. `> ZT— Address ` 1 I f /u Alt. Tel. No. OWNER'S iNSURANCE WAIVER: I am aware that ne Licensee aces not have the insurance coverage or its substantial equivalent as re- cwrea by Massachusetts General Laws, ana that my signature on :h:s cermn application waives this regwrement. Owner Aeent (Please check one) Teiechone No. PERMIT FEE 3 !Signature of Owner or Agent) X-6565 Date ........ Y. -./. .......... fl.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING S 4C"U SACMU�X' ... .... ...... ... . ................... C This certifies that ....... has permission to perform le, 411 :-4- ....................... j .... wiring in the building of ....... ....... ....................... North Andover, Mass<> at ...... f 2- x 3<Q Fee� ............. Lic. NO) ......... X. CTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File