HomeMy WebLinkAboutMiscellaneous - 22 PINE RIDGE ROAD 4/30/20185 �
Pt PV'9- Qt:zv
Q p�;
200 Outten 03treet
berth .,Andever NiLA 018-S
9786-81-0003
June 25, 2007
Electric Inspector
Town of North Andover
As of Friday, June 22, 2007, General Contracting Services decided to relieve Thomas
Tombarello of Tombarello Electric from the job at 22 Pine Ridge Rd. North Andover.
A new electrician, Kenneth DiGuilio of DiGuilio Electric will replace the above
mentioned and pull his own permit for the residence.
Thank You,
0 (Z --
Edward
Edward E. Viel Jr.
General Contracting Services
%4
r y+
Date..`.:....
3?;�`'°-,•.:"a,� TOWN OF NORTH ANDOVER
r PERMIT FOR WIRING
{. ,SSACMUSEt
This certifies that ......:1..r +. r ............................................................
has permission to perform ..............................................
wiring in the building of ....... .. e ........................................................
Y
4.
... ...,.. a.✓ . ............... . North Andover, Mass.
`t Fee..... ...... Lic. No.....�...._*.�:..%Lu� .........
_ J ELECTRICALINSPECTOR
'i Check #
7349
A
Commonwealth of Massachusetts Official Use Only
A Department of Fire Services Perm it No..3`��' �y
Occupancy and Fee Checked G�
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical CodeJEC), 527,R' 1 00./�
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z /
City or Town of: NORTH ANDOVER To the Inspector ofWires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address
Telephone No. 0/ 7k' Z6 a730
Is this permit in conjunction with a building permit? Yes 1�1 No ❑ (Check Appropriate Box)
Purpose of Building "i )l ) CA Utility Authorization No.
Existing Service Amps / Volts •Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
s
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool bove ❑In- ❑
rnd. rnd.
o. o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat.Pump
Totals:
um erons
K
o. o Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Vlun'c'pal ❑ Other
Connection
No. of Dryers
Heating Appliances Kir
Security Systems:x
No. of Devices or Equivalent
No. o Water KW
Heaters
o.,o o. o
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value a Elect 'cal Work: (When required by municipal policy.)
Work -to Start: ZF Inspections to be requested in accordance with MEC Rule 10, and upon completion.
r't INSURANCE CO ERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liabilqy insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE M BOND ❑ OTHER ❑ (Specify:)
I certify, under pains and penalti f per' ry, that t e it nation on this a ti ation is true ancomplete.
FIRM NAME: v) IC. NO.: ftJ629
Licensee: S Signature 104YAN09C. NO.:
(If applicable en r "exem " int license number line(" , y Bus. Tel. No.
Address:IF
Alt. Tel. No.:
*Per M.G.L c. 147, s. 57-61, security work requires Department o ublic 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. 1 am the (check one) ❑ owner ❑ owner's agent.
Owner/AgentrPERMIT FEE: $
Signature Telephone No. 0 ��
R�mx alz-
200 03atan 03treet
a arth Andover Nf,-A, 01845
978681-0003
June 25, 2007
Electric Inspector
Town of North Andover
As of Friday, June 22, 2007, General Contracting Services decided to relieve Thomas
Tombarello of Tombarello Electric from the job at 22 Pine Ridge Rd. North Andover.
A new electrician, Kenneth DiGuilio of DiGuilio Electric will replace the above
mentioned and pull his own permit for the residence.
Thank You, _ .
Edward E. Viel Jr.
General Contracting Services
RECEIVED
JUN lot2007
BUILDING DEPT.
Date. .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ..-.� �"?... f...:!• l < <���t .�
has permission to perform .....j�/'1�1!E•?%?�N . .................
plumbing in the buildings of ../--1!e.A........................ .
/(..'�............. . North Andover, Mass.
at ...G�v� ..... !h c. _,
Fee t.<V.Lic.No..10d f;�!/.;, ...........
PLUMBING INSPECTOR
Check # 15 5111
7343
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN
(Type or print)
NORTH ANDOVER, MASSACHUSETTS 6 /A
Building
Building Location p?�,�e /�f�j P
• New Renovation
Name
Type of Occupancy
Replacement
".10011151Q
Date _
Permit
Amount
Plans Submitted YesNo ❑
(Print or type) Check one: Certificate
Installing Company Name +�%9wt� lGG\ 1....1
I 7d
Address c� l.0 P� �l 1.._
T _ ElPartner.
usmess Telephone / Firm/Co.
Name of Licensed Plumber: W/�!`/JYy/ eA" ✓I /iii
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy �/J Other type of indemnity D Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
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 Massach�ts State P bin g a nd pter 142 of the General Laws.
By: Signature o icense um er
Type of Plumbing License
CTTitle
' /' wn icense a Master Joumeyman ❑
APPROVED (O�cE USE ONLY
2
G
CO)
0
CD
0
1
a
m
m
fl
m
0
F
N
a
co
3
�o
0
W
m
d
m
N
MEEB
0 CD
0 C
CD CD 3 a N' > > > D�QFL m My
N
Z Z >
0 0 CD m a 0mo0DD� �l< r;
_ ='o cn GO (n _C�Z�CD 0CA
N N m2) CD W' Cc o W�CD N 3 3557 CD
c CD
o• Q y =r co=� 0 -1 a m cD ,r 3 co
y v>� - m�m0���CD - W
cn 2 � �' -0 > M a) CQ p
am �m x m U) cn cG)0�nm W x h
CD nC�vC� to �-<x50DD o W
CD :3 m o D�Drno�a CD p cWi,
n C V W m � W - -0 CD (D - jV
N �< 7 co_N ��DoZ)y oo Cl
CD CD
� —= m = ��0 = y m r
rn CA CD _ (n m C7 Cp N
CD C
tD �0 y m
Er ma
S2. -0m m 0 d y
CD CD CO D
�% U O
CD CD
N 11 ;o CD II
v t� D �' m
_CD n
CD CD m o
fD r cn 0) ? m =
i co m
x
m CD W
G)
sv
U) A =• r
N v -CD
O oo c =
m = 3
a sv
_r =
t0 CD
Z r-
0
�•
s m
to 4h,
v o
0cnm
lD N
C7 0
O C'
O p
= CD
CL
— r
to
3
N
2 __
W S
A
cn
- N
n 0
m CD sn
3 �
m
m to
G) N P
CD V p N
C fA = ER
< o
=r N.
m :3.
.1 cr J
CA C= W
V O0 0)
to to
cn of
-C/ 0
N CD Q
0
O CD r _N C_
m:E Cil i
m in
O 00 n = 0
CD r
O. C CD
00
N c) CT
C) c X C N N CD
o p CU O
O N CD CD ' CO) = O
d __@ D N n N
-n N C) W
CD = C7 o m �.
Cn2
T -� O fD 7 C q
C) C/ c -
2)
n t� x
m
� T C' � Cl?
m D, _� o0 o o
o =�rM CD 2 0 m
7 T 'm " n copCND
CD 0 N = N .� O
CD = � ra
PL a CD CA r CD
�'
• Ca (D .�. N D
CD
CD = = II O O CL
tDa tp W = v CD
NU)
N OCD CD0
S' 0
O A
0
�v 3
a
-
CD
�, x
o
ami m n �
0) o w W
mJ
N �g D
m rn -t�
c
= D co n
m 0 cL CD o CT
CD
o m m mto 0�-4 < <
CDo N 3 r%) m �'
m m o r- CD
a -4 Q.
0
N C
y r o
v CD
< °:Z7
a p
CD 0 CD
CL = < 0
r CD H ;I.S j.
C �.
R o
0
2.
d
Iv
4ft 0) co
< CD
C
N
V 0
Q1CD
m N O
G) O N
_. df
fD
m
v M ro
CD p
N lD
.. O
-o
° D of
— CD
o CD
'a CO)
? Q
CD
� n m
N N
< to
CL
O
3
CD
0
K
CD
0
fn
O
W
O
a
a
e�
m
C,
x
0
0
f
CD
CL
U2
CD
O
0
O
N
N
N
N
M
ID
d CD
CD
CD
CD tD r N C-
-4 C)
-4w -gym
ODS 00
o to = o
_ r
� � �D c m
3 y O
� o
CL o
N
� W
D O
7 jr
D
3 v
m
J '
D
D O
r
V
Y O >
O d
4 (D
I
U)
CD
O
Q �
O O a
CD CD' O
v
v
m Z
' • 2) D
0.0>w0o 3 a-
0 s a- c CD Cr
> > Q. 5p 5p 3 (D
m Ncc o -4G <
N
U)n O r C
4 0,
0
c
0
CD
�j Z7
CD O
y.
O
R
T
D)
X
V
0
9 .�
Location
No. Date,
TOWN OF NORTH ANDOVER
M544-, $ / 5-. e) 6
JUL 4-1—
Building In'spector
6294 Div. Public Works
Certificate of Occupancy
$
Building/Frame Permit Fee
$
A
mk ep
Foundali & 't'cF
1!
$
i? ',
Fee
$ 15, 0
SdWer Connection Fee
$
Water Connection Fee
$
M544-, $ / 5-. e) 6
JUL 4-1—
Building In'spector
6294 Div. Public Works
P
s
Q
z
to
-i
C
n
..j
0
z
N
a
z
f
�
y
c
m
c
F,
c>
>a
-4l
>
a>
v
-N+
>
v>
�=
o
Z
o
Z
r
0
>
N
Z
3
i
1
-1
Z
0
i
0'n
z
r
n
m
n
m
n
m
N
r
r
r
O
A
m
>
m
2
O
>ARR��
Q
v
0
m
004
mm
x
D
x
O
Z
m
Z
3
m
Z
a
O
A
m
z
>
m
Z
r
N
>
n
Z
O
m
A
1
O
j
Z
F
�
r
O
<
N
-4
m
D
m
N
f1
n
0
0
2
o
0p
qoa
m
r
79
vA
>
Zm
<
x
V
T
N
a
g
�I
Z
m
0
z
1 4
Z
I{7
N
O
w
i
0,
G
0q
n
00
v
0
w
_
$
m
Z
>
0
m
A
z
Q
A
�}
i
s
m
>
G
i
o
x
a
z
f
�
y
c
m
c
F,
c>
>a
-4l
>
v_
i
>
v
-N+
>
v>
�=
o
Z
o
Z
r
0
>
N
Z
3
v
0
m
F
0
i
0
i
0'n
z
r
n
m
n
m
n
m
N
m
1>
y
y
0
m
>
m
2
O
Q
r
Q
v
0
m
004
mm
x
D
x
O
Z
m
Z
3
m
Z
a
O
A
m
z
>
m
Z
r
N
>
n
Z
O
m
A
1
O
j
Z
F
�
r
O
<
N
-4
m
D
m
N
m
;
m
N
N
m
r
N
>
Zm
<
o
m
V
T
N
s'
�•
�I
m
0
z
1 4
Z
I{7
N
O
0,
0q
n
00
m
Z
>
0
m
A
A
�}
m
G
N
c
N
c
N
c
N
c
3
>
m
N
m=
m
0>
N9
z
N
N>
m
m
z
O
9
C
N
O
o
0
0>
r
'0'
m
0
i
0
O
m
m
Z
O
N
O
fN9
ren
n
Q
O
Q
a
0
'�
0
1
m
o
N
0
O
0
A
m
m
0
A
O
Z
m
O
Z
m
O
Z
m
Z
N
o;
n
x
z
O
c
z
>
o
A
vI
n
N
r
0
;
c
>
m
N
C
C
o
0
n
m
n
m
n
m
r<
0
0
o
Z
m
ypj
m
U)
H
m
N
0
v
O
O
O
v
O
N
Z
m
A
*
f
O
I
N
a
r
z
m
f
z
>
r
Z
v
N
Q
O
m
i
a
N
m
v
m
lA
l
x=
I
v
m
f
7�i
Z
I
n
a
o
o
A
v
�
I�
m
��
oa
MIII11
-
c
LL
'
WW
UI
Z,u
a Xl
c
Na
m
O
o .
V
�,
o=
Z�Z
�3a
°0
puha
(��jj7
JOF
u z b
f
0aJ
N
Z=N
Qmw
LL
m
z0I
�U)w
�Z
0�►
U ul I
XWF
W2W
380
Fa.-
U
ij
ISI f-
f' X ij
jWW
�ZU)
Z<.
ON
UW
WZ .
Teo
N '� W
N
N
XO<
��
MIII11
-
illl
�IIIIIII
I
I
IIIIIIIII
`F I IT
.-Hill
ISI f-
Teo
Q
�w
z
O
O
m
00
_
at
z
Z
m
X
W
w
o
m f I I
Z
W
_
Z
o
Z
Oj
u0Z3
Jap
Z
Q
Ow
U
wp�>
y N
a�
mQaoe
V=QS;
Z
G O
4
V
W 0
_�W
W a
O W
N p
N
;?a
d=
d
z
p
zzo
�y LL
p
LL
Of
pa
V
a0�
w 2
U Q
I
Q
jo
N Q ^
QOQQtOQO�
m r
3
Y Z
N r
l
i
I I
Tim
I
o
�TTT
o
U
O
Z
O
O
Z
W
j
G
wz
y
O
'!Qv0}F�Of
Z
Y
W z
'
Q
Q
a Z
2�tn�N
o W
J J
YZ
m
O
<
;
O
O Z O
p i
Q Q?
Q
LL
z
0
7 Z
w Q
Z
O
`W
N
m
J
�Op
QoN�no00Z
Z N
�Ow
Z_
LL
Zu
U
Z
000
Z
=
Z
O
.
OOYo�zZ
J
Zia
N
VuY�
Z ZU
M
a
mo
Q
a
��Oxw
jOp
mo`cj�u
L)
00
It1
�m�ip�p�`0�
0°�
J�OQ°C
1"01
NI
a
pU O
m 2
a
$I T
U
yay
Q Q
1 N
U
m m
O N
t-
Q 7
w a
3 UI
ti O
7�'
Tablets
IASW® Injection
(furosemide) Oral Solution
(For complete prescribing information, please see following pages.)
FORM U - IAT 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*****************
APPLICANT:
APPLICANT : �-- t h M `K,�a n Phone
LOCATION: Assesso
Subdivision
Street G Z-1
p Number Parcel
Lo's )
St. Number 2-7-
,�Vn v
******************"****Official Use Only************************
RECOMMEND ONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector Date
MORT6A6f -INSPECTION PLAN
City/Town N o. A N Do v State---J1/1-
Date:
tateJ1/1Date: 1_1- Scale: 4 U i
----------------------------- ---------------------
Owner:
------------- --
Owner: AA o C o �, �
Deed Ref. -3 I (-3 -' 3 da'n No. 9 <o 4
Drawn per City/Town ofA-----_---Tax-A-ssessors Map.
To: PA "ID bu� 1Z S sA u � V ,I G 5------
1 -}
--------------------------------------------------------
I hereby-- -- -- --= - -- - - --- certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not
intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge , walls or building
lines. No responsibility is extended herein to the land owner or occupant. The location of the original building(s) as shown
herein was in compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal
dimensional requirements, or is exempt from violation enforcement action under Mass G.L. Title VII, Chap. 40A, Sec. 1, unless
otherwise shown herein. Subject building(s) lies in a flood zone designated Tone: _ and hown on FIgM map
Community-PanelsO O 9 Ej Q�-rte- Dated ------- ---- - -
------------------ ---------------- --- ' --� -I�'2 ' Job .No.,. j —1 1 4 7-
JCD, INCORPORATED, LAND USE L DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, "A---
01844 508-683-9932
E
u cD rn L n� o
!!
_
F
r'.
IMMnrD
fl
n
0 ro
0CD
O
m
X01
C_�
.,' r+
CSO
O �•
p
rt
tD
t3
cn
o r;
0 W
m
o
w
w
rn
cn C:
E.
'o > Or�*� 'O ►-3 r7
cn p CD CD �t CO N .w�
rn o O a. c, w N �; O go
O O.Q P 0 CA °
(D O n C rn
rt rf p •� � .+ � rf Q.,
G 'Y n su
QG p� aQ �' O 't3 O O A� 'n .3
O oQ po
O n rn — ar n
'r3 d O Cl) 0. '�O p w — rD
-
cn O. C1
ID p N C w C
n
V
(D
t, k
v
y
C �
CODCD
C'7
Cad Z CO)
CD O 'v
CL r �.
CZ �' y
a� -v
v CD
CD O
O
CL
C7
03 CD
CD O CD
w v 9.
C CD co)
CZ O y
O I
O
CD
F v
CO) O
'v Z
CD
CDo
0
C
CD
d
Q N O Q N
GO CW .O y
ra=tmCD CD m
OCOD
CD O. !9
Z•`°s� H
mCL c T
=r =r aim o m
W O m CO) p
O =` S m m
> > O C C07
^� O N COY
W ' O .
C ? fA • S
r o: P.,
(� o CDC
W O Pat
VJCD
-1Cm •
O
COD
b
o _
cif NCL. Q .1411..
CL
CL
O
t , O
O N
-� H CD
yQ
eoCD
N CO)
� D
O ea
O O a CD
� o:
zC.
CO)
,� •0 0
C A
CD
•
o C
N
+`
CD b
��
a
ZCD
COD��`
7d : C, .
cn
o
0
eD
-
0
c
a
??
°=
o
oGv
H
n
w
C
o
or__
C1
O
7�
nv
w
o
�
r
�
th
�
z
°=
n
o
oGa
o
r
0'
C
►•
CIt
M
�
v^
o
a.
x
�*
to
p
x
a
M
rA
S1
H
0
0
c