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Miscellaneous - 22 CAMDEN STREET 4/30/2018
N O � N � D g� v o m z o z o m o � 0 o TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING �y�lz"� q°�*z--¢-� �«"t '` ',� vE :.: {`' _ .3;�' �n�sk` f` ♦✓' � x �%k .�c..S=• k: BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/12T for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: SIT -- 1.2 Assessors Map and Parcel Number: o- 41-- Map Number Parcel Number 1.3 Zoning Information: Zoning Did6d Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R redProvided Reqwred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public IX Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal X On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSE IPIAUTHORIZED AGENT 2.1 Owner of Record _ ArAlwr Name (Pri Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Uipensed Constru 'on Supervisor: Licensed Construction-Supervisor: Address q78~,51© S03D Signature Telephone Not Applicable A� License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone z M 90 O M r Z G) SECTION 4 - WORKERS COMPENSATION (MLG.L. C 152 4 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify r¢tr 7 h lC Brief Description of Proposed Work: ay\- ejb� ti� cc9r1 Q fes, t fr-e SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to beC,U-{j}y„ Completed bypennit applicant 1. Building 000. O0 (a) Building Permit Fee Multiplier 2 Electrical �( (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUn DING PERMIT I, & t as Owner/Authorized Agent of subject property Hereby authorize Kto act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, � I���'NS ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Signaof O er/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TDiMERS 1 sr 2 ND 3 SPAN DaIENSIONS OF SILLS DMffiNSIONS OF POSTS DRVMNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9! DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of Facility) S gnature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this projec through the Office of the Building Inspector Tel: 978-688-9545 Please print. DATE 2 JOB LOCA Town of North Andover Building Department 27 Charles Street North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Number Street Address Section of Tc "HOMEOWNER 98' A—e6yy Number Home Phone - Work Pho PRESENT MAILING ADDRESS jL- l (M kjO /kf r - State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of 1 or 2 units and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section (108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures , HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form Nor+rk Zoning Bylaw Review.Form Town Of North Andover Building Depart .t* i I LD I N G FILE - q,..° �•�g 27 Charles St. North Andover, MA. 01845 .1 CRUSY� Phone 978-688-9545 Fax 978-688-9542 Street:. Al Ma /Lot: Setback Variance Applicant: oc0 1"-� a .... "t' m.IA.Kt'�_S..... " Re uest: r G� /� pd 4/<<-' ,j Date: — J-2 - o �ene Me auviseu that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning R-.�41 Remedy for the above is checked below Item # S ecial.Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing special Permit Large Estate Condo Special Permit 1 Frontage Insufficient Special Permit Use not Listed but Similar Special Permit for Sign 2 Lot Area Preexisting E S 2 Frontage Complies 3 4 Lot Area Complies Insufficient Information 3 4 Preexisting frontage Insufficient Information 5 B Use 5 No access over Frontage 1 Allowed G Contiguous Building. Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 5 Special Permit Required Insufficient Information y e S 3 4 Preexisting CBA Insufficient Information i C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 4 Left Side Insufficient Right Side Insufficient 1t Ls • mk 3 4 Preexisting Height Insufficient Information 5 5 Rear Insufficient Building Coverage 6 Preexisting setback(s) ? 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage. Complies . D 1 Watershed Not in Watershed >° S 3 4 Coverage. Preexisting Insufficient Information 4, s 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E 1 Historic District In District review required K 1 Parking More Parking Required 2 Not in district S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 1 Pre-existing Parkin Remedy for the above is checked below Item # S ecial.Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing special Permit Large Estate Condo Special Permit Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Planned Development District Special Permit Planned Residential Special Permit Special Permit Use not Listed but Similar Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconformin Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and. documentation for the above file. You must file anew permit application form and begin the permitting process. wilding Department Official Signatj" Application Received Application Denied C r j t , _�; j plata R.lkv_ew, Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: zz I', 4 S p --c j a i Pe /I M I a. Police Zoning Board Conservation Department of Public Works Planning Sec e L 91 r9'c Q-) Other Building Department -/ u�� 1/'�i� r���� 6 Xl6' cDP�=ti (-V,PG k fi(/h,C ti WAS LL; C�� ��- z3E 62„,�1�;�ti.;� �4 Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other Building Department w 0 J LOCATED IN MORTHANDO-VEI? /MIA. OWNED SY t-IA114ES W MOnqT dR 8 AD- MEL 01 ORP. SCALE 20' MA . L. GILESR.L. SR 13. / 987 S. NORMANDOP" A -M. 0 20 40 60 L I c- / __ (F (2- LE 2.C- :07 \A -j ="J� A-117- Kj All -FAR, 11110 DA TE: P�. A /I/ III -PRO I IED. I S. DA7FL_ wCkvLocation C)d No. /7 Date 40RT#q TOWN OF NORTH ANDOVER AL Certificate of Occupancy $ Building/Frame Permit Fee $ C ju Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 0/ r r 6 . 141, ./ I I � /Building Inspector k I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATf2 OR DEMj�OaLISH A ONE OR TWO FAMILY DWELLING dk k ZZg'uxtddF. -•i,W 5 r 4f .�iS a E BUILDING PERMIT NUMBER: DATE ISSUED: - SIGNATURE: L Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 operty Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number —))i a (9'4 b 1.3 Zoning Information: Zoning District Proposed Use 1.4 - Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided Regiured Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private 0 Zona Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal. System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2. ner of Record J Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Andress d Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone MU M 0 z V r X /X x SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Prouosed Work (check all aonlicable ) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alteration. ). ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify $rief--E�escription of Proposed Work: WINELVV�AWAF 11 �Awl - NIM a Item Estimated Cost (Dollar) to be C2Tpleted by permit applicant OFFICAI.':USE {lNLY 1.. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) x (b) QZ �-- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SE TION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNfRS AGENT OR CONT CTOR APPLIES FOR BUILDING PERMIT I, ✓ as Owner/Authorized Agent of subject property alfiithorIze to act on , ' A1 matte rel tive to work authorized by this tuilding permit application, , Sign ture of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature ofOwner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRABERS 1 2 ND SPAN DIN ENSIONS OF SILLS DINIENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 3 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or 1 owner from compliance with any applicable requirements. Iwas .........■ .. ........... .........,..........................J........)... APPLICANT E � ASSESSORS MAP NUMBER �/ LOT NUMBER SUBDIVI LOT NUMBER STREET , . STREET NUMBER' OFFICIAL USE ONLY IMENNENNER ftVATI0N!A2DMMSTRE'X7 AGENTS ............................... . ■ ■ ............................. ■ ... ... EEO" .. ■ ■ DATE APPROVED 2 U(?, qvj-5 DATE REJECTED c11 [a / DATE APPROVED TOWN PLANNER DATE REJECTED CONViENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE DAN/- Petition of: . rSSACHUs� _ . TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD ` OF APPEALS * Petition #: 57-87 1\ be e Sba s . aft eC ore dao{ -\N,L No�� fatthe0W%ce o ' iC`e�K James W. Wright, Jr. & AD -MEL, Corp 20-22 Camden St. DECISION The Board of Appeals held.a public hearing on April 14, 1987 on the application 'z of James W. Wright,,,, Jr. & AD -MEL,. Corp. requesting a variance from the require- ments of Section 7.- Paragraph 7.19 7.2 and ,7.3 and Table 2 of the Zoning ByLaws so as to permit variance of area, frontage, side setback and front setback on premises located at 20-22 Camden Street. The following members were present and voting:. Frank Serio, Jr., Chairman, Alfred Frizelle, Vice-chairman,. Augustine Nickerson, Clerk, Walter Soule and Anna O'Connor. The hearing was advertised in'the Lawrence Eagle.Tribune on March 28 and April 4, 1987.and all abutters were notified by.regular mail. 'l The petitioner stated that the premises currently consist of`two (2)`lots, one of about 2,800 sq. ft. and one:of about 9,200 sq. ft. -They want to create two lots, one of 5,600 sq. ft and one of 6,400 sq. ft, k Upon a motion made by Mr. Frizelle and seconded.by Mr. Soule, the Board VOTED to GRANT the variance as requested,subject to the following condition:.. 1. Only a single family dwelling allowed on the 5,600 sq. ft. lot.'' The Board finds that the petitioner has satisfied the provisions of.Sectiori 10, Paragraph 10.4 of the Zoning ByLaws and, the granting of this variance will.not derogate from the intent and purpose of the Zoning ByLaw nor will it adversely affect the neighborhood. Dated this 21st dayof April, 1987. BOARD OF,APPEALS Frank Serio Jr. Chairman /awt 5 James W. Wright, Jr. & AD -MEL, Corp 20-22 Camden St. DECISION The Board of Appeals held.a public hearing on April 14, 1987 on the application 'z of James W. Wright,,,, Jr. & AD -MEL,. Corp. requesting a variance from the require- ments of Section 7.- Paragraph 7.19 7.2 and ,7.3 and Table 2 of the Zoning ByLaws so as to permit variance of area, frontage, side setback and front setback on premises located at 20-22 Camden Street. The following members were present and voting:. Frank Serio, Jr., Chairman, Alfred Frizelle, Vice-chairman,. Augustine Nickerson, Clerk, Walter Soule and Anna O'Connor. The hearing was advertised in'the Lawrence Eagle.Tribune on March 28 and April 4, 1987.and all abutters were notified by.regular mail. 'l The petitioner stated that the premises currently consist of`two (2)`lots, one of about 2,800 sq. ft. and one:of about 9,200 sq. ft. -They want to create two lots, one of 5,600 sq. ft and one of 6,400 sq. ft, k Upon a motion made by Mr. Frizelle and seconded.by Mr. Soule, the Board VOTED to GRANT the variance as requested,subject to the following condition:.. 1. Only a single family dwelling allowed on the 5,600 sq. ft. lot.'' The Board finds that the petitioner has satisfied the provisions of.Sectiori 10, Paragraph 10.4 of the Zoning ByLaws and, the granting of this variance will.not derogate from the intent and purpose of the Zoning ByLaw nor will it adversely affect the neighborhood. Dated this 21st dayof April, 1987. BOARD OF,APPEALS Frank Serio Jr. Chairman /awt Y .. Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 '(978) 688-9542 Fax Please prin�t. d DATE ( (� 0 JOB LOCATION "HOMEOWNER Number b" n Name PRESENT MAILING ADDRES: "�_l City Town HOMEOWNER LICENSE EXEMPTION Address Home Phone State 85-16 Map / lot 1,,A /, 7 Work Phone Zip Code The current exemption for "homeowners" was extended to include owner-0ccupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or fame structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules a4 regulations, The undersigned "homeowner" Building Department minimum i comply with said procedures ar HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL' that he/she understands the Town of No. Andover n procedures and requirements and that he/she will Robert D. Murphy Associates, Inc. File No. D0112159 APPRAISAL OF 2 -family dwelling LOCATED AT: 22 Camden Street North Andover, MA 01845 FOR: Salem Five Cents Savings Bank Salem, MA BORROWER: Bonita Tompkins C/) m m m cn 0 CO) .0 co Cl) Z CD O CL r d o � n� � O CD0 0 C� c��C CD O .. N .. CA 10 CD .O� 0 CO) .0 d O O CA 'O CD C7 0 c d 0 CD y CD CO) cn cn n . O cn O O z o G 0 m _ O —•NOQ' y CL 0a y CL O n O OH C7 d C.) f71 Z ?= CO) --I o, ._► ,dr m C=3 . TI ... =r ca = m (30 m oCD W 001) oCD coo c o f gym: m C to o = o Z CA o�+eD) a = �= CL eo o C Z" CD CD m y Z 11� p y � w_ AN y cm: G � o 00 CL. y y CO) m�. O m d N 3 m♦r T p H N\ CD CDA CDCA r•► : .1 m Z D �r i� Gi A CD s ' Cf) O rD C/) o oj d �o w oGa x CA E `° oGa �- M C"' n w o� A ar "� rCD � t� n R � aCn x o 0 a G7 r 0 �o b y Or x x tz O o y ©Mi t1. O C (D ►Y w w 'Ti VA RIA NCE PLAN LOCATED IN NOR TH A NDO VER MA. OWNED BY SCALE I'---20' MAF 13.1.987 S. L. GILES R.L. S. NORTHANDOVER /M. 0 20 40 60 L E k i GT.= .-A - - — -P -g L- I c- - - - - M -r t Cdv4-==p s. 3131 e,7 F H Q-1 ki H Y. t-sm-. W.P. = c--- k C-0KJt=C;'7-A-lF-=> \A-) Cr -H =HlE� -T- H e I?- E-<.- =>..j F- U- cw I k3 -Plv- -T- I lit e-7, tot -5 !E APPROVAL UNDER THE SUBDIVISION CONTROL LAWA10TPEQUIRE-D PLAIV.471LED: AEARI VG 9,4TE,' PLA A/ 4Pc?�'O VED: I DA7FL- 0 Lpcation No. Date TOWN OF NORTH ANDOVER 0 0 Certificate of Occupancy $ Building/Frame Permit Fee $ 14U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14, , 8 Building Inspector TOWN OF NORT i ANT MOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: ATE ISSUED: % D —/ 6_aoQ SIGNATURE: Building Commissioner/InErEtor of Buildings Date �r.a.iavn i-�i>,� u�rvxln.�►111it\ 1.1Pr etto� Y Address: � � Ofl(�(�Y11iljeln 1.2 Assessors Number Map and Parcel Number: Parcel Number• NI }�j�h�y,IryMap /"'j h�I b1nP� U (5 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fromm e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Rapired Provided Re 'red Provided 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ Zone 1.5. Flood Zone Information: Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record (Print Address for Service /� q7 g � 0p j yjq4 Si ature Telephone 2.2 wner of Record: Name Print L Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone IV, ., SECTION 4 - WORKERS COMPENSATION (XG.L C 152 fs' 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Aherations(s) ❑ Addition ❑ Accessory Bldg. ❑ ( Demolition ❑ 1 Other ❑ Specify I - of Proposed Work: 8�48 1 SECTION 6 - F.STTMATF,D CONSTRUrTION COSTS 1 Item Estimated Cost (Dollar) to be Completed b permit applicant ;Ai+F1fCA�IISE ONLY 1. Building nDQ �— ' / (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Own/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 A . 6 K8 s � pJ . FORM U - LOT RELEASE FORM Ltd 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION************r************ APPLICANT ON� �� ��" i wg PHONE T)8 LOCATION: Assessor's Map Number PARCEL SU STREET C ST. NUMBER *****************************************OFFICIAL USE CO ONLY*********************************** OF TOWN AGENTS: AYION ADMINISTRATOR DATE APPROVED DATE REJECTED C.) L) I., - TOWN TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMME PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm 0 z y .TZV P 2 co 0 O �7 v Z aL Q. O y G C CD- W Cm i O co .y co m0 co m � H t O O i Ol CM4 co O � C co ca z� V y O C C C cc CL. CO) 0 w W W o CD a O o a o a H W z W aha O w cn Cd w rx U —co r-4 is W �� U is bD O id C w �, o .TZV P 2 co 0 O �7 v Z aL Q. O y G C CD- W Cm i O co .y co m0 co m � H t O O i Ol CM4 co O � C co ca z� V y O C C C cc CL. CO) 0 w W W CD o C H O C V V dJ ; ; : evo• oc m c 1t o �lu �• Ea L • = v c�a cwN C ow c'"' v w +o+�� O. i O IE o ig. MA 0 ; N 01 � N 0.3 . -m zip Cc C E o CR CLC_ cm smo� mor m O:nNz 0 v•� orm: .. coo EC O . 'V tOA moC . O COL. O NO m •fNA •E C.ZO C w •N Z o LU Um CD 0. COD O. ®� o� Not 46 00.,o® cm H- s $ .TZV P 2 co 0 O �7 v Z aL Q. O y G C CD- W Cm i O co .y co m0 co m � H t O O i Ol CM4 co O � C co ca z� V y O C C C cc CL. CO) 0 w W W w pw F= , 90" Pz,A/! LOCArED /N NOR %HAA00VER , MA. OWNED BY JAMES W WPIGHT cJR 8 AD—MEL COR SCALE /'°-20' MAR /,3, /987 S. L. G/LES R.L. S: NORMANDOVER MA. 0 20 40 60 r ► � � g^Q� S Q� � .7 A i I �-3 IF LE.0-LE 2.G L4 M E!� �4oC . r f'' ►i I f= H V Y t•! H /F— AR�/ 1t7 Cad TE:'�- Q Q: 0 xuor. W.F. #:22. f'' ►i I f= H V Y t•! H /F— AR�/ 1t7 Cad TE:'�- Location No. Date s;�-;> -9c i _TP,,,,-/Puilding ln4ector 9 A --- 00 PAID Div. Public Works TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ _TP,,,,-/Puilding ln4ector 9 A --- 00 PAID Div. Public Works 7��PERMIT ITO. , Z' IV v NO f APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 1 MAP 4-40. LO NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. I) LOCATION /LI PURPOSE Ct�oFNe _ PFJ Sulo �r ,�uP_'a"Y) , OWNER'S NAM NO. OF STORIES SIZE OWNER'S ADDRESS Camd.4 BASEMENT OR SLAB rrr-ir% ARCHITECT'S NAME o /a- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME )� SPAN DIMENSIONS OF SILLS "' POSTS DISTANCE TO NEAREST BLOLDING DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES �,, REAR "' GIRDERS AREA OF LOT IS BUILDING NEW FRONTAGE HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X IS BUILDING ADDITION r MATERIAL OF CHIMNEY IS BUILDING ALTERATION eS IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM CREQUIREMENTS OF CODE �� IS BUILDING CONNECTED TO TOWN WATER !des IdOARD OF APPEALS ACTION. IF ANY N A V IS BUILDING CONNECTED TO TOWN SEWER ez IS BUILDING CONNECTED TO NATURAL GAeJANE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR /D�nB ILED Q /pd �q6 SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE \ 1cl + % vim. � PERMIT GRANTED 19 AUG -1 1996 f i I 3 PROPERTY INFORMATION LAND COST a EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY /OWNERTEL.JJS-y9`aq 64/4 CONTR. TEL. N CONTR. LIC. # H.I.C. # PI BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL '14 1/2 1/1 FIN. B M AREA FIN. ATTIC AREA _ _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ DROP SIDING CONCRETE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING EARTH HARD\!J'D COMI.AON ASPH. TILE VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BLK. ATTIC STRS. & FLOOR _ WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD I I TOILET RM. (2 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL BM'T I2nd I_ ELECTRIC THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. isf 3rd NO HEATING r'+ i TOWN of NORTH ANDOVER .•n- m• • alcp laws !t•: u •• onar 1• unl • •• ✓.I■ • �• 1 / :1 1 ■�•• � t• ■ • /mil■ •/ � ••:I■ • .t.l II••.•11 �1■ • •• �wY • III• • .11. I .11• •.11• ■ • • •• �• • •/ •' .• .••1 ■ •/11/• • J• ■1 _ • ••• •1 �• • 1 t _ •• YI 1 _ .1 • • I 1•' 1!t • • • 11• 11 A • 1• t• M/ 1 • .1 .• .•� 1 /• �• 1 .11. I Type of Woi Address of Owner Name: Date of Permit Application: 9/A.1 q & I hereby certify that: Registration is not required for the following reason(s): Work excluded by law -Job under $1,000 Building not owner -occupied --Owner pulling own permit Other (specify) Notice is hereby given that: FaMLt Iib. Date OWNERS PULIJNG T= OWN PER= • • DEALING r. UNREGISTERED C• r• • . ARBITRA- TIONPROGRAM OR GUARAM FUND UNDER MGL Sigoad u -d--- pa-alties of perjury: I hereby apply for a permit as the agent of the owner: Dae Contractor Name Registration No. OR: Notwithstanding the a owner of the above pr sd� /q Dafte notice, I hereby apply for a permit as the ty: - er N AUG - 21996 )0 N cz i -i L IAcc o z CL Cc z CO A 5 0 :CA Q Com, N QC f� o a3 C3 Q rn 4D C N lC CL m ALVCAm 3 L � •• m O -0 L N a W Q E mco U (V • J. N � CM N m �/ J L O cm J acs :mo -E m V O L cc N O r C C` O H Q .0O = m CMDL0 N co N O.tLij O C Z L •� B, COi •N O L) m y d m .? O O _ CNv o cn O �CL,m • LJ O 0 E L 0 o � Z o O y o C ti CD LA O .O �E m m co O w O L � O � O m O Q 13— ca ca = 'p O Co V .Q O CO c Z cm V w C y Q OU zz O U a O H w z a O 4 P4 w N O Q P4 � °o V. C v cn z Q o u. a ro c z tow o C4 c w a u U c v cn c 4. On ' o C4 c w Q W cry cu t; co E cn L IAcc o z CL Cc z CO A 5 0 :CA Q Com, N QC f� o a3 C3 Q rn 4D C N lC CL m ALVCAm 3 L � •• m O -0 L N a W Q E mco U (V • J. N � CM N m �/ J L O cm J acs :mo -E m V O L cc N O r C C` O H Q .0O = m CMDL0 N co N O.tLij O C Z L •� B, COi •N O L) m y d m .? O O _ CNv o cn O �CL,m • LJ O 0 E L 0 o � Z o O y o C ti CD LA O .O �E m m co O w O L � O � O m O Q 13— ca ca = 'p O Co V .Q O CO c Z cm V w C y Q Location C,,,i1kvc,4,0 c� No. 62 Date -0- 1, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # (A C, -4- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIJ RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: ZOF SIGNATURE: zm Lu,6�� Building Commissioner/IEEQEctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Prop .Address: 1.2 Assessors Map and Parcel,Number: Arp Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Re aired Provided 1:7 Water Supply M.G.L.C.40. 54) Public 0 Private ❑ Zone 1.5. Flood Zone Information: Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record rl�sh ;,)*I a (Print) Address for Service: 0 Si& tore Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Copstruction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone SECTION 4 - WORKERS COMPENSATION (NVLG.L. C 152 § 25c(6) f .. Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 7dition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: a-. V�L'-4± LSAA��Ld) nr SECTION 6 - ESTIMATE CONSTRUCTION COSTS Item Estimated Cost (Dollar) to beE)IFICIALUSE Completed b ermit a licant EiNL1'. 1. Building 7� d D (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Q Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPILETED WHEN OWNE GENT OR CONLPLACTOR APPLIES FOR BUILDING PERMIT I, v as Owner/Authorized Agent of subject property' Hereby ithorize °-'' to act on My bel a in ill na relati to wor thon ed by this building permit application. Si natur of Owner Date SECTIO 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name r Si ahue of Owner/A ent Date NO. OF STORIES SIZE ~ BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DINIENSIONS OF SILLS DM ENSIONS OF POSTS M ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978)688-9531 CHIMNEY APPLICATION AND PERMIT DATE • F1,14 -4 To 10, �1rn1l�i.W-, -6 My • Ii ►��. • . _,. MASON'S NAME PERMIT # Fax(978)688-9542 61 Y4,t MASON'S ADDRESS rt� 1 4 MASON'S TELEPHONE 9 1-' MATERIAL OF CHIMNEY INTERIOR CHIMNEY EXTERIOR CHIMNEY_ X> NUMBER AND SIZE OF FLUES— THICKNESS OF HEARTH Will chimney or fireplace conform to requirements of the code and have rules and regulations been received: y� DATE 5- o'l SIGNATURE OF MASON a CONTR. LIC. # -44EST. CONSTRUCTION COST/CONT CT PRICE ,5-0 (j R b PERMIT GRANTED FEE ROBERT NICETTA, BUILDING INSPECTOR INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 S C/) m C m cnm 0 m C43 'O Cz, CD O CL r d m CL n� -v .o 0 o p dc CL Q CD O S CD av O to CD CO) CD 0 • CD A, d O y Cf• c 0 c CA Ma O �rt CD CO2 CD CO) 0 C• CA OO• f�A _ao5m y mm n mcvnC2 m =rlo H r CL O rnEr CD T CD -4O m ca p y ti � O m m : = N a O m .•w N. . no y o m_ mss=r _ CO) r a a O= 1CW cc c =..: c CA cn cn c7�: S m n Go =:t: O> ti D. d N C cn C IC ` 1 J 9 m iA cn — Q �ffi CD VA O g� Og O . z fO� 7� , CDcn c " n o C '� ■� o � d b C O d F z 0 0 H 0 9 cncnwOld o K r x n tom" ' ro p _ r ro p 0 O p x a+ a GJ d CA O M b a W F t NORTFf Town of North Andover °� ° . Building Department , 27 Charles Street t 00 North Andover, MA. 01845 �;'•.,., .:0'g' AA D. D. Robert Nicetta Building Commissioner (978) 688-9545 '978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE / 1Blol JOB LOCATION J--'�— Number "HOMEOWNER ITZt--, Name PRESENT MAILING ADDRESS 14 City Town Street Address Map / lot �Scl(01 9 87b Home Phone Work Phone State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Bdilding Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' cs that he/she understands the Town of No. Andover Building Department minimum inipectiqp procedures and requirements and that he/she will comply with said procedures and requirimentd HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFICIAL 4 • , 'own of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax, (978) 688-9542 DEBRIS DISPOSAL FORM f �Q Ft'r O �t��o O O L 0 -C<Z K. s�A"rn) !•PayJ(5 In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit. # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 6 N2 3002 a Date..q — /? --dl ............................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ...................... .................................................. has permission to perform ..... .... A.. ...... ............................ wiring in the building of .. -77! ............ ................................................. ......... . .............. at ...................... ............. ............................ . North Andover, Mass. ......... ....... A- Fee.� ...... .............. Lic. No. ............................. : ................................ ELECTRICAL INSPECTOR Check # 2 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer •� Office use only ThF09 M0NWE4LTHOFA SN4CH(I,SESII.S' DEPARTAfVTOFPUBLICSAFM Permit No. )Gz BOARD OFMEPREYEMONRWMTIOAN527CM12.0 � UVAA Occupancy&Fees Checked ��PPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work Location (Street & Number) 2,,2 Com,_ —/ ` r_ Owner or Tenant below. To the Inspector of Wires: Owner's Address :>' ,2 cele -cam )'Y - Is this permit in conjunction with a building permit: Yes rJ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 2 CSU Amps 7--/olts Overhead Underground No. of Meters New Service Amps /� Volts Overhead Underground 1:3 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 Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets / No. of Gas Buers rn FIRE ALARMS No. of Detection and No. of Zones _ No. of Ranges No. of Air Cond. T a No. of Disposals No. of Heat . Total Total I Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP lrum=Com� Rasuart1D&re pwia lsdMamd sGauWLaws Iha%eaamatLiblityh>,st>ia=PbtryidxkgCanpke Covwdwcrtssi 4i4kr# YES [Er NO Ill esutxnittedvatidptoorrofsa<nefotheOffirx YES M NO r7 IfjcuhmedvckWYES,pkmmdc*thetAxofwvaaWbydi,,,tgthe � 5:T BOND OTHER ftwespeffy) / l Expiar►Drate 17—c % Esft r Vaiuec Smt id Wait $ waktDslatt _O ... hrsp MonD&RegtresW Roto Feral alldANUNVA Lioa� l S � 5, �- I f Btsux�sTeLNa �'('�Q` 0)3 Adde,S_, �.,�_... �s iM t^ v�� 1 ✓�C i A 1, A.— Al T& Na OWNER'S INSURANCEWAIVER;I.amm= batth 1k= theirwdrroewymr"aksb tolepwlatasracimedbyNi%m uemGenalLaws and dig mysignateernthis pwnitWpkEtimV iNesthisregmiaw . (Please check one) Owner Q Agent a Telephone No. PERMIT FEE $ i 6 .N2 3017 Date ...... � //.: �9 -: /7 . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... 5i --f - �?.t!2 ...... ................. has permission to perform ..... 12 le 0 zdcxe ......................................................................... wiring in the building of .... ... 7 ... .......................................... at ....... 19 t'7 ............ ....... . . . . . . ......... . N41ith Andover, Mass Fee .. .. .. Lic. No./ . ....... .... . .............. . .. C� Z -i ......... . ........ .. IUCAL NS IS R Check # -7-3 >L OWN WHITE: Applicant CANARY: Building Dept. PINK: Treasurer (f tonweaR al Ma9dac1Lu9etb Official Use Only 17 _ 2eparlmenl ,I Jim Service3 Pernut No. 36 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he perfornied in accordance with the Massachusetts Electrical Code (11EC), 527 ChiR 12.00 (PLEASE PRINT IN INK OR TYPE .ILL INI.•ORiIL I TION) Date: y - 6 -O City or 1 own of: /j . A."C U x To the Inspector of R`ires: By this application the undersigned givvee�s notice of his or heerr+in[tention to perform the electrical work described below. Location (Street & Number) �oC �tN1CJOV1 O'1 Owner or Tenantrti. pp,, �'G1t +c f'o p k r s Telephone N� Owner's Address Is this permit in conjunction with a buildinn permit' Yes No ❑ (Ghees: Appropriate Bos) ;y /o&Purpose of Building; . nal P � ; I y Utility Authorization No. Existing Service20 Anirs /;�o OV'olts Overhead Undgrd ❑ No. of Meters New Service Amps / Vults Overhead ❑ Undgrd ❑ No. oCiVleters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ad� �7-S -C.)e S'^t Old - 5 Can lesion of the folluiving table ma v be n•aived be the ins ccio orll'ires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans tN0' °t total Transformers KVA No. of Lighting Outlets No. of blot Tubs Generators KVA No. of Lighting Fixtures Above ln- Sivimnting Pool grnd. ❑ rnd. ❑ o. o Emergency tg tang Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners of Detection and No. Initiating Devices No. of Ranges No. of Air Cond. TotalTons No. of Alerting Devices No. of Waste Disposers heat Pump Nup!ber cons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishivasliers ace/Area Heating p g KW Municipal Local ❑ Connection Other El No. of Dryers Heating Appliances pp K��' Security Systems: No. of Devices or Eg uivalent No. of Nater KW No. of No. of Dain Wiriu Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total IiP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such overage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSUPJ\NCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 41 -Z J -o Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifj•, under the pains and penallies of petjug, that the information on this application is trite and co» tplete. FI101 NA11IE: S&e ,e n - 1 �a�r"^� rc.." 4 �((?C LIC. N0.:377 3R Licensee: Signatures (If applicable, enter "crenrpt " in the license number line.) Address: // O I V� `j`�• Ar+kutA Mcs 01 &YL/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee doe. required by law. By my signature below, I hereby waive this requirement Owner/Agent Signature Telephone No. LIC. NO.:Sct_—C �t�� G i .a 520 5_0 Bus. Tel. No.• Alt. Tel. No.97k _? 7 / c•(! 6 / not have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's a"ent. PL'RMIT FEE: S r1_j PLEASE FILL OUT BACK SIDE U) w 0 0 Q Z _Q U U LU J w w CL \M¥U#WE4LTM OF MASSACHUSETTS© 3 OR LECTRII-C A§S <d.- ƒS RE JOURNEYMAN ELECTRIC{AN� • . . gm%$TRs� t EmET d ; ^ � y /y/g. >c {EV�!<4 \A#I�AA§E ., » . : . . % \ : SYS £§ƒf2 k\REk\\'ƒ .' W £NCE § 'MA 6`1843-3644, t \ .RZK3lZ§l ^�82 A0 < , \ �■ / u .. ^ � . % ~ \ , A053 f '/ Date ........ .. .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ........................ This certifies that ........ ....... \ .............. has permission to perform-,. wiring in the building of ...... ............. ...... .......................... . North Andover, Mass. Fee.�- 1 11 L "� -eO� ........... Lic. No/1/4?1� . ....... CAL INSPECTOR Check # Officiam e,,On ( ! mom, Permit No. ryeW �V / 6i=X0%'�l5i1rZ?W t9%iXS'.S,4k?;1*S'9?7S 1004v- e 4 ;vd&� S100 Occupancy & Fee Checked_ _ _ BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 YR 12:00 (Please Print in ink or type all information) Date !/�` J o To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number �� �-� ✓h �_� - Owner or Tenant t (� .� D ►� f�y� Owner's Address Is this permit in conjunction with a building permit Yes ❑ Purpose of i,f— Existing Service vet l2: Amps / oZ tl b Vats New Service 0% 00 Amps _Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Overhead Overhead (Check Appropriate Box) Authorization No. ~ W7 Undgmd ❑ No. of Meters Undgmd ❑ No. of Meters OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includi mpleted Operations Coverage or its substantial equivalentE = NO = have submitted valid proof of same to the Offi YE = NO = If you have checked YES please indicate the type coverage by checking the appropriate box INSURANCE = BOND = OTHER _(Plea pecify) (Expiration Date) r Estimated Value of Electrical Works1 �C�-1 Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: F v� ) ��; s C)`� �� 1 LIC, NO.�i 15 FIRM NAME _ �j — j L ( k, /01 q , 001 -Bus. Tel No. AIt Tel. No. Address,1 1 ,' i�'ii 57` /yic ---� OWNER'S INSURANCE WAIV)=R: I am aware that the Licenses does not have the insurance covl General Laws. And that my signature on this permit application waives this (>?<grilrement Owner (Signature of Owner or Agent) NO. :7�77 32--E go orifs subitantial equivalent as required by Massachusetts Agent (Please Check one) No. PERMIT --PEE $ Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool qmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Spa celArea Healing KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of-Dryqrs Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs .Bailases Wiring No.. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includi mpleted Operations Coverage or its substantial equivalentE = NO = have submitted valid proof of same to the Offi YE = NO = If you have checked YES please indicate the type coverage by checking the appropriate box INSURANCE = BOND = OTHER _(Plea pecify) (Expiration Date) r Estimated Value of Electrical Works1 �C�-1 Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: F v� ) ��; s C)`� �� 1 LIC, NO.�i 15 FIRM NAME _ �j — j L ( k, /01 q , 001 -Bus. Tel No. AIt Tel. No. Address,1 1 ,' i�'ii 57` /yic ---� OWNER'S INSURANCE WAIV)=R: I am aware that the Licenses does not have the insurance covl General Laws. And that my signature on this permit application waives this (>?<grilrement Owner (Signature of Owner or Agent) NO. :7�77 32--E go orifs subitantial equivalent as required by Massachusetts Agent (Please Check one) No. PERMIT --PEE $ Date 5: ....... / ........... N2 2 111 5 2 ..... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING Thiscertifies that,,..; . * ...... '..4 .... . . ............................................................ has permission to perform wiring in the building of .................................................. ........... ........... ................. . North Andover, Mass. Fee,-'.. ................... Lic. ......... ................... '? le)S � I I ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ThEC0A MONWFALTHOFM4MCNL1SE77S Office Use only/ - DEPARTADNlOFPUBLICS4= Permit No. == BOARDOFF7REPREYEN770NREGULAT10ASW0ffl12-(10 ' Occupancy &Fees Checked APPUCATTONFOR PERMIT TO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat v2 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) --2 Owner or Tenant Owner's Address i' 2 Z pe-,, j -4e e e--�- Is this permit in conjunction with a building permit: Yes a No (Check Appropriate Box) Purpose of Building eer(Je A -j t Utility Authorization No. Existing Service Amps / Volts Overhead a Underground F-1 No, of Meters New Service Amps 1 Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work s s'C • `-�<%!c Com; r H ,� olg-lle-ll No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 0 Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total - Total Pum s Tons KW GtitiatingDevices No. of Sounding Devices No. of Dishwashers Space Area Heating KW _. No. of Self Contained Detection/Sounding Devices Locala Municipal Other No. of Dryers Heating Devices KW Connections a No. or,Water Heaters KW No. of No. of Signs Bailasis No. Eiydro Massage Tubs No. of Motors Total HP OTHE>:r' �9w (. 2 /A se, /�ICG'7<• .!�/i 2 t' % NNIJ��►�_ . 1 .. Lica= l r)' S <7- e Signmic �bp RRIJ 1212 Z40 194% 1V 9 A FaseSpeafy) EViratim Dar Estm sled ValueofBecft%2l Wdk $ Ma andtAffysigikmcntltspmnitappfica6mwai.mtismw'm ai<. (Please check one) Owner Agent n Ftiial Lioa>,seNa �1��``J� 7- RocarccTH Ni / A?..- G/7 7.. 4/l t-? 3e"3 AlTel.Na the it nuailre m�aage tzil� sll�ta>ual ec�ivdigtas te�tmad byMassadttsetts Gaal Iaws Telephone No. PERMIT FEE $$ __ &223uO Date ...... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ACHUS This certifies that ...... A.D.] ...... �.,esm�.!Jy ....... ........ has permission to perform . / a. ...... �.,Y�Xzz. � ......................... wiring in the building of ......... 7D��1-1,-)A, .......................................... at ....... ...... ................... . North Andover,,Mass. Fee..2� ............. Lic. No . ...... z ......... IV. ...................... 1, ( SP CTOR (- � JA -7 / �, � WHITE: Applicant CANARY: Building Dept. PINK: Treasurer e Co. nwnwaaR of P17a33ac1twalll Official Usc Only ki cc� cc77 Permit No. 0 o 1JaPart`ntarsrs o�.}ira �arvicas BOARD OF FIRE PREVENTION REGULATIONS ( Occupancy and Fee Checked Rev. 11i99j llcn�•e hi,t i -------- APPLICATION ------- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ail work to be perrormed in accordance with the Massachusetts Elt ctrical Code (NIEC), 527 CNIR 12.00 (PL Ell SE PRINT LV INK OR TYPE :ILL I-ORI.1.•1770N) Datc: Apr i 1 14, 2000 City or Town d: tJo f 4-k Q oj-(,ue-r To the Inspector of WD -es: By this application the undersigned gives notice orhis or her intention to perform the electrical work described below. Location (Street S Number) ), aau� C-1eo S -I, - r`�Ccl— Owner or Tenant Owner's Address ��r, C'�'yn D Telephone No. 31? -6 8-7- 7d(of� Is this permit in conjunction with n buildint, permit? Yes ❑ No © (Check Appropriate Box) I'urliose or Building Utility Authorization No. Existing Service Anips / Volts Ovcrltcad ❑ New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity Uttdgrd ❑ No. ofineters'. Undgrd ❑ _ . No. of 1•Ieters. Location and Nature of Proposed Electrical Work: Burglar Alarm + (l) Smoke Detectors No. of Recessed Fixtures --•••-----•• -• •••� , •• .•• ,� ."✓,c "J"y uc warren o1•• tine /its color of it Cres. No. orceil: Susp. (Paddle) Fans ��0• ° Total . Transformers KVA No. of Lighting Outlets No. or Hot Tubs Generators ' L'VA No. of Lighting Fixtures Stv'muning Pool o bone ❑ In- ❑ rid. ernd. t o. o mergency ig lung BatteryUnits No. of Receptacle Outlets No, of 01 Burner FIRE ALARiIIS No. of Zoiies ,. ,.;.. . No. of Switches No. of Gas Burner t 0. o 'Detection and Initiating Devices No. of Ranges No. of Air Cond. Tuns No. oCAlerting Devices. No. of Waste Disposers f-icat Pump Totals: I Number Tons I No. ofel% ontained Detectio"ertine Devices No. of Disiiivasliers Space/Area Heating KSV Heating Appliances K%V Local ❑ bluninnection cip. [3-&r ` urity Systems•• s or E uivalent � d No. of Dryers No. or Nater KW Heaters No. of iVo. of Signs Ballasts Data ►tiring: i\'o-of Devices orEquivalent No. Hydromassage Bathtubs No. of liotor .. Total HP hcleconimunications Wfiring• No. of Devices or E uivaleni OTHER: - Attach additional detail irdesired, oras required by the Inspector of {Vires. INSURANCE COVMkGE: Unless tivaived by the oumer, 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.) (Expiration Date) Estimated Value of Elcctri cal Work: g (Mien required by municipal policy.) Work to Start:. /I r/66 Inspections to be requested in accordance with MEC Rule 10, and upon completion. D I certif S tin tier the pains and penalties of perjurr, that the information on this application is trite mid complete. i�• S FIWNI NAME: ADT SECURITY SERVICES, INC. LIC. NO.: C1533 Licetisce: o l'W S . /3 A S S ,*6/ l Signatur LIC. NO.:C1533 (if applicable. cuter "euntpt" in the license nuntber title.) Bus. Tel. No.0M) 278-1169 Address: '111 .MORSE STREET; NORAOOD, MA 0 0 Alt. Tel. No.i781) 278-1131 OWNER'S INSURANCE WAIVER: I am aware that the Licenses dors 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 acent. Owner/Agent (30 Signature Telephone No. Pi:RAIIT F£� E: S Jr N2 2301 Date ...... // ��/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that 5,�ao,-(-y Toc- ............................................... has permission to perform ..... A.(..c,.A..,,v1 ......... . ............. wiring in the building of ....... 0. Q.Vui.. .. e ......... T.o.ph,�2.S ....................... at ........ �..L'l ..... SI: ......................... North Andover, Mass. Fee.. C.1 ..�2:.!)�... Lic. No . ....... ... ) . ............... ...... L E RICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Cornmonwealdt of ftj�acltu3alb Official USC Only `I c� Permit V0. 3 1.JcParintanl o�,}ira �arvica3 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev.l 1l99j (,=,.e blank) ---- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Codc (\•IEC), 527 CbIR 12.00 (PLEASE PR1VT I,V INK OR TYPE : ILL INF'01W,-1710iV) Date: April 14, 2000 City or Town of: 4\-+Ab6 V1e e To the Inspector of 6Y7res: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street S Number) V,:, 6t e A) Owner or Tenant ] 0Y, Y , e t 05 YVI 1z „as Telephone NO. I? F` Owner's Address Is this permit in conjunctioli ivith n building permit? Yes ❑ No © (Check Appropriate Box) 1'urliose of Building Utility Autinorizatiotl No. Existing Service Amps / Potts Overhead ❑ Undgrd ❑ No. of itIeters'. New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of meters. ' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Burglar Alarm + Smoke Detectors r .a r No. of Recessed Fixtures No. orcca Susp. (Paddle) Fans ,utr,c may ac ivatreu ov Arc ttts cctor o%fires. ='Wansformers Total . KIA No. of Lighting Outlets No. or Hot Tubs Generators IGVA No. of Lighting Fixtures Stirimming Pool Above d.❑ In- ❑ id. rnd. t o. o mergency tg lung Battery Units No. of Receptacle Outlets No. of Oil Burners FI_ RE ALARIIIS Pio. of Zones_:, No. of switches, No. of Gas Burners - No. o 'Detection and Initiating Devices -" No. of Ranges No. of Air Coad. Total • Tons No. of Alerting Devices o No. of iVaste Disposers Eieai Pump Totals: number "Tons i�\Y _ No. of elf- ontained Detection/Alerting Devices No. of Dishirashers Space/Area Heating KAY Local blumcfpal ❑. Other nection No. of Dryers Heating Appliances My urity Svste% oDevices or Equiva'le'nt No. of Water h�V Heaters No. of No. of Sins Ballasts Data ,+'iriug: INC. of Devices or'E uivalent No. Hydromassage Bathtubs No. of niotors -. Total HP . Telecommunications Wfiring: .. No. of Devices or E uivalent OTHER: - arracn aaamoaat aetatt tI desired, or as required by the Inspector of Mres. INSURANCE NCE COVERAGE: Unless mraived 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 c:tlu'bited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify.) �J �r p (Expiration Date) Estimated Value of Electrical Work-• (When required by municipal policy.) Work to Start: `V// i�)" Inspections to be requested in accordance with MEC Rule 10, and upon completion. D I certify, un der the paints and penalties ojperjur}•, that the inforatation on this application is true and complete. P• S • It FIILNI NAME: ADT SECURITY SERVICES, INC. LIC. NO.: C1533 Lidensce: o f S• /3A S S E/ I Signatur L1C. 1-j0.•C1533 (if applicable. enter "eccatpt"in the licence number line.) Bus. Tel. No.(7) -1169 Address: 111 -MORSE STREET; NORWOOD, KA 0261S Alt. Tel. No.Q81) 278-1131 0\YNER'S INSURANCE NVAIVER: 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 acrnt. Owner/A;cnt � Sienaturc Telephone No. PI-RttiIIT i -. S &,j