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Miscellaneous - 230 JOHNSON STREET 4/30/2018 (2)
/ 230 JOHNSON STREET 210/097.0-0008-0000.0 i I Commonwealth of Massachusetts Offici e Only Department of Fire Services Permit No. UV BOARD OF FIRE PREVENTION REGULATIONS Occupancy and'Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6-10-05 City or Town of. NORTH ANDOVER 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) 230 JOHNSON STREET Owner or Tenant RANDALL LILLY Telephone No. 978-689-0549 Owner's Address SAME Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. '?4%14 Existing Service 200 Amps 120/240 Volts Overhead ® Undgrd❑ No.of Meters 1 New Service 200 Amps 120/240 Volts Overhead❑ Undgrd ® No.of Meters 1 Number of Feeders and Ampacity 3 -4/OAL 205A Location and Nature of Proposed Electrical Work: CHANGE FROM OVERHEAD TO SIPHON FEED No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA - No.of Lighting Fixtures Swimming Pool d.Above ❑ Ind. ❑ o.o mergencyi mg Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pum Num er Tons Kn Totals: ........................... ....................... ............W........... No.o Se -ContaiDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of WaterKW No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER:REFEED TELEPHONE&CALE TV INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licen- see provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certi- fies 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 Electrical Work:$2,500.00 (When required by municipal policy.) Work to Start: 6-8-05 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify, under the pains and penalties ofperjury, that the information on this application is true and complete. IRM NAME: WILLIAM J.IANNAZZI,INC. LIC.NO.: 13592A icensee: WILLIAM J.IANNAZZI Signature LIC.NO.: 13592A Bus.Tel.No.: 978-686-7300 ddress: 191 CHANDLER ROAD ANDOVER MA 01810 Alt.Tel.No.: WNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. y my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. ignarture ent Telephone No. PERMIT FEE: $ �f 5 car Me-,w -t�) WcPy� � 1 Date.<���. - -G?9. ... . i WORTh TOWN OF NORH ANDOVER PERMIT FOR GAS INSTALLATION �,SSACHU$ This certifies that . . .. . ..... . . .^. . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . �1 -.. - . . .. . . . . . . . . . . v' in the buildings of . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . at .42 23.0. .t�"�' �.""?-`�..�`. . . . . . . , North Andover, Mass. Fees��. .:'' Lic. No/': ,c5y� �,� . �r� - !.. . . . . . . GAS INSPECTOR Check# A- ;13 69 } r MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Q (Type or print) Date -Q / NORTH ANDOVER,MASSACHUSETTS Building Locations (d Permit# 14 ) Amount$ Owner's Name New n Renovation Replacement Plans Submitted � w �a w w m x H 0 z z o H w w d x 0 0 w a > d H z d x a w o w 1.- W x x z ¢ w d H > V o z o N U H w w > w z d x �¢ o o w o x x o x w 3 9z U U x > SUB-BASEM ENT BASEM ENT - 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR. STH . FLOOR 'rint or type) Check one: Certificate Installing Company t ; un e Corp. Address 17 Partner. usmess Telephone ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance olicy or it's substantial equivalent. Yes 13 No 1:1 If you have checked yes,please' dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 11 Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent 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 performA under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass asetts tate Gasrand h er 142 of the General Laws. B Signature Licensed umber Or Gas Fitter Title By: Plumber FG ./� /9 City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) Journeyman � . ._. _. 1 .•..c a..oir�rlpgW�Q,(Y`f j O,f�IISSIICfL![Se1�` T f. D�partmerzt of Indres&W Accidents L •:�R�. ���1, � �LCe Of'.1II�P.S�Ia Ot10ltS 6II0 lMhhTton Street BOsfan c� , 1kN 02111 Workers, Compeesatioa IsRrance. W� r». SS gvv/dire . A 'cant Liformadon �4$davit: anfiders/Coati'ac£orslEiec ricianslPiQmbers Please Print L N8II2e (Stisicsc /p �:mioMridividual); eQibl Address: v CitylStafe/ ' Phone Are you an a apioyer?Cbeek.the aPPrnPte box.. I:Q hem a employer . em 1 P oyer with 4. Q I am a gonerW costtractor end I Type of Project(required):. P oY (fuA and/or pa * lave himd the s& 6. Q New co 2•� I am.e.Bole . catttsaciurs n�ciion . Proprietor or Pie'- listed on the attached shed,I 7. ship and have no employees A ❑Ranodeling working forme in es- sub-eontrachom have any��ty. workers' cam i 8 QnoEitiom [No wo�ii= comp,ince 5. Q We: azt a cotpo�a#aa 9• I]Build n.-addition 3 ofCicars have exarctsed their•❑ I am a homeowner doing ail work T'ft 10•Q.Eieect•ical repairs or additions myself[No•wmi =' ft Of axem.00n par MOL I Igprlumh• ic-'required.]t comp. •G lj� §!(4�'.amd we have no mB TePmm or additions °mPjoye cs.[No workam! 12.I7 Raafr�paira T/"'3 aPaE►antlher cheeks bob#1 nwcc sten riu ourthe isisuzanco required.] I3.Q.pt K01"QO�s who eabmit iia seaEion blow tihovuing thoir'workart'ooritpao Poi�y infom�e(ion, _ =Carhscfors that check vtt i�g a1Oy a= atl . tills box roustada sn adr£.iaasf sho end than him outside c"Mmtm Ruben a new I E�:.t�Jt efYFpfo w+ tkre+mme of the mb. � , B davit india�iag auc#t Y� gf���utg:wnrkea'�r `�"p PCV�i�tion. 4fornrciin_m �+rsaraRce or my. jam, B aw.b.*x ...ee�te�.tma•ob s . insurance Company Name: Polite#or Self--ins. Lie.#: Sob Site Addz ass: E'tpu$ii°t`Date. Arfatlt a copy of the workers' rom CtiylStairr2tP Faiira c t4 Per2sation Policy d=Earatiou showiu. seMre coverage as Pap( e the policy number and e g required under Section 25A of MCiL c. I M can lead to the' xpit�tioa date}, . fine up to$1,500 DO and/or one-year imprisonment;as wail imposition of ct;minal Of Up to$250.00 a as civil pmm im in the form of a Pees of a EnvesEi against the violator. Be advised that a c S71�P WUR1(ORDER and a fine gabons of the DIA for insurance CoverageoPy of this statmnent forwarded to the ptfi of veriiicon. I do herelry u der the pains a p .lP tYiat the in St .fRrnsadoa provided o��h.�e ana'ao B �Z Datc: Q -Phone#: O� official ase onEy. Do not write ift this arms,la be cuntptet=d by ahY or town.a City or Town: Issuing Autho . P 'mit/Licanse# 3'(circle one): er 1. Board of fieaftb Z. Suuiit#irtg Department 3.City/Taw.n Clerk 4. Electrical Ias C Other peator 5. Plumbing ittapectur Contact Person: Phone#; inrormation a. nd. ingtructlons � Massaehusetfs Genoa!Laws chaptrr I S2 requires all emp 10Y=to provide world m, eompencation for their employees. Pursuant tr this statute,an eatppiayee is defined as"..:ever-y person in the service of another under my contract of hire:, ' expr=ss or implied,oral or writtrL" An enFlayer is defined as"an individual partnership,association,corporation or other legal entity,or arty two or more of tlne'famping engaged in a joint enterprise,and incluc;'"g-the{egad representffiycs of a 3nceased employer,orthe receiver ortn oze-of an individual,partnership,associatic>m or other legal entity,employing employees. 'Aowewthe owner-of a dwelling house having not more that$rix apa r-tmerb and who resides therein, or the ocxupmt,of the dwelling house of another who employs persons to do maimtenance,•construction or repair work on such dwelhngho= or on the grounds or building appurtenem thereto shall not ,b=ause of m=b employmm t be d,,=ned to be an employger," MGL chapter 152,§25C(6)also stales that"every state a=-focal iiceu'Mi q ageaey sham withhold the issuanwor renewal of a lice ese or permit to operate a busmess or *v construct buiidMF in the commonwealth for any applicant who has not produced acceptable evirieuce-air cumprance wi&the.iusnrance covera„oe required." Addition k,MOL ahaptor 152, §25C(7)sites"Neither tbt'commnenwealfh nor my of its polificgl subdivisions Shat] enter*any eontrad for the perFormmece of public wmi,- urm7-ale evidence of rotnphsa'=with the incur = r:qui=emir.of this*Iter have been pr=Mt!d to.tiM=:jmtrzzfing aWho*," Appr=ufa Please frit out the workers'.compensatim of rdavit compi,—_teIy,by chocking the boxes that apply tn.your situation and,if necessary, supply sulrcoftxdor(s)name(s),addtt Kea):erred phone number(s)along with their rartiflmtew of insurance. Limitzd'Liahility Companies (LLC)or Limim Liability Parhrerships(LLP)with no.cmploy=otherdum the members or.parbms,are notregrared,to carry work='=no-Tnpazmation hWIZW� Ifan LLC or-LLP does have amply yees,a policy is required, Bo advised first this aff d.-L*t may be submtund to the Departmard of lndustrW Acciderts far confirmation of insurance coverage. Ain Eve sum to sign and'date the affidavit The affidavit should be retrarred to the city or town that the apprm cm fprtbm P eim;f or Incense is being rsgpested,netti�Dcparhnam of Industrial Accidents. Should you have airy questions. g the law or if you arc required to obtain a workers' aampmmt ion policy,please-call the Dgmrtrnent at the•mumbesr.listed below. Self-insured ownpaaics should env their selfinsrz�i�cc'licrmsc rrufnoer an tltes appropriate iifsr, � . City or Town Oficial; Please be sere that the affidavit is complete and printed le:g-bly, 7hc Department hes provided a space at the botmm of the affidavit for you to fill out in tiro event the.Office of Investigations has to contactyou rzgardMg Iffi; apphcartt. Please be arae to fill in the permMic:M=numb=which w-jil be used as a m6rencc number. in addition, an applicant that must submit multiple Pmmit$3 ensc appiir.atibns in any givem year,need only submit ono affidavit indicating•cuarerrt policy'information(if necessary)and under"lob Site Ad$r-gess"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been.officially stumped or marked by the city or fawn may be provided to the applicant as proof that a valid affidavit is on file far future perms or licenses. A new affidavit must be fled out arch year. Where a home owner or citizen is obtai . a lie;.-ns- or p=itnot related to any business or commeraw vent ae (i.e. a dog license or permit to bum Ieav--s mtc.)said pMVDn is NOT.requircd to.complete this armcintL The Oft"rce;of Investigations would dike to tizar►k you in advance fur your c opbratim and should you have:any questions, please do not.hesitate to give us a call. . The Dapmtmont's address,tzlephone and fax number:. The Commomr MMIth of Nlassaah sem Dapartrnt=ret of Indu9 iW Accrd=ts office off ins iwk-moons _ 600 Wasbungton St est Basfaa, MA 02111 TeL#617-72-74900 6 ct 406 or 1-977-MASSAFB R+-vised 5-26-x15 Fax Tr 61 7-727-774 www.raass.govi is x ' 3 Location �• O Jo �1 ti�� S No. - D / / Date -3 131 y 'rot TOWN OF NORTH ANDOVER f � 0 a Certificate of Occupancy $ _ Building/Frame Permit Fee $ a Is AJ�CMUcHuSE t Foundation Permit Fee $ I 'Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ � Building Inspector j 3 u b4/75/99 12:58 25.00 PAID Div. Public Works tn�n t Lc�t Pin'RM !T NO. APPIA CATION FOR PERMIT TO BUILD********NORT ANDOVER, IYfA nl11'NO. - Lt)-LNO, 2. RECORD OFOWNLRSI111' I)A7•E I30nK PACE - c % IN SUR 1)11'. LOTNI). Ltf(:,{Il(1N Q e �� PURPOSE,Of Bull DING x Re OWNER'S NAME \"\�\ ,r NO"OI Sfl>riILS SI � uWNGR S ADDRESS \ V BASEMENT Oft SLAB Alt(lfITECI'S NAME vl SIZE Of FLOOR I IMUERS I ZHD 3 _ Bi Ill DL•R'S NAME MsC-hYeASPAN DIS I ANCE TO NEARES I BUILDING DIMENSIONS(N=SILLS ' DIS I"ANCE I ROM S REE I' DIMENSIONS Old 11061'S DIS LANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDEILS AREA OF LOT FRONTAGE I IEIG1 IT(N:FCAINOATI(NJ TI 1ICKNI'SS IS BI111.DIN<i NEW SIZE OF.I(XII ING 11 X IS BUILDING ADDI I ION MAT ERIAL CF CI IIhINL•Y IS BUILDING ALTERATION IS BUILDING ON SOLID C*(TII LED LAND Wit 1.BUILDING CONFORM TO REQUIREMENT'S OF CODE IS BUILDING CONNECT ED*1 O TOWN WATER BOARD OF APPEALS ACT ION, IF ANY ISBUILDIN(iC(NJNECIEDToTOWN SEWER a IS BUILDING CONNECT ED TO NA I URAL GAS LINE INS.HICF1ONS 3. PROPER FY INFORMATION LAND COS] r ES F. BLIXi.COST l .�00 no PAGIi I FR I.O(Tf SEcric)NS 1-3 EST. BLDG. COST PER SQ. FT. EST. BI IX"i. Ctril 1'LltltOOM El E(--TRIC METERS MUST BE ON OUTSIDE(N'BUILDING SEPI IC}'EItMI F NO. 1IACI IED(iARA(iESMUST C<NJF(XiM'(()STATEFIRE RE(il1LA'flc)r7S a. A1'1'I10VE1) BV: rLam/� �_ `' PLANS MUST BE FILED AND APPROVED BY BUILDINGMSPECTO It 11lIII.DINC INSPECFOR ()ATI:1:11 1:1) _ OWNERS"TE11ICn� a �� � CON I'll.IHR / 7321�L SIGNAIUthOI'l)WNLItuItANI1kN21Y1[I)AGI:NF CtN ill.1.1('N .� S III: C2 S�' �- ILLC.I! © ) �l`Z V ,- _.•,_ - - v I'I Itn1Tf(MAN111) 19 L tk �AORTtq 0 Town of over No. J*o � o _ L rt dover, Mass., ja I A LA T10 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... o.. .. .........��!T!V*.rl..................... ................................................ Foundation has permission to eo9ct..1>.9.M.®......, buildings on ...... >�.®,. .�► .......% ..... Rough to be occupied as... .om 140. .......................C'A', .....AA....�!................................................................................................. chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �\ et 1 ERMT .i.:XPTR ESS 1_l`J 6 MON-11-HS Final UNLESS CONSTRUJ'CAIN , � � ELECTRICAL INSPECTOR Rough ...... .............. ................................................... ................................ Service BUILDING INSPECTOR Final Occupancy Permit: Requircci to Ocoupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 327 , Date..:.!....:�.. ........ NORTH TOWN OF NORTH ANDOVER 4, PERMIT FOR GAS INSTALLATION O � m H D � , +. o✓ ll SnSAGNUSEt This certifies that . . . . . . . . . . . . . ../.. . . .. .. . . has permission for gas installation . . . . .. . . . . . . . . . . . . in the buildings of . . . . . . .... . . . . . t. . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .'. .. . . . . . .. . .�. . . . . . . . . . . . . . .:. . .. North Andover, Mass. Fee. . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP r 1 MASSA ATON FOR PERMIT TO DO GAS FITTING ype or print) Date 1016 19 / NORTH ANDOVER, MASSACHUSETTS l Building Locations '2 �-1 u��"��U S Permit 4 3 of ? 2~ Amount S h L Owner's Name 5'f-g t,e2 t New❑ Renovation ❑ Replacement �/^` Plans SubmittedCj ❑ Le y v1 C Z C Z W tt ^ Z z C Z k U ;_ z > z W .—.. rte., ^ Z' C (n w W Z sus -BASE ,NI ENT - - - - BASEM EN7' ST. FLUOR rD . FLOGR 3 R D . F L O O R 4T 1i . FLOG R 5'r ii FLUU R 6T 11 FLUOR 7T If FLOGR 3T H F L O O R i (Print or type) �-2./� '� �� Check one: Certificate installing Company Name ❑ Corp. Address .S-1) L34( X rd/L el ❑ partner. —V7. O y CA U✓-CSL . /Lt'ti'l Business Telephone V 6'1 J) fZv 'Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate_ the type coverage by checking the appropriate box. Liability insurance policy0� Other tvpe of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent 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 Derfo ed under Perna issued For is appli tion will be in compliance with all pertinent provisions of the Massachusetts S• t as ode d Chap r 142 of th Gene aws. Bv: Signature of Licensed Plu ber Or Gas Fitter Tide Plumber City/Town ❑ Gas Fitter L tcense N umoer aMaster APPROVED(oFFlct usE om-y) ❑ Journeyman No Date..... c: /...1�� — NOR7M TOWN OF NORTH ANDOVER PERMIT FOR WIRING ACMus�� This certifies that i`f rl......... ......... !............C.................................... has permission to perform ....44..U,-,lr...... .......................... wiring in the building of...... ..............�` T ............................................................. i at......7.. -. �....., ..... �..... .... ,North Andover,-Mass. Fee....��)............ Lic.No. 5.a S . A ...... ELECTRICALINSPECTOR � `d �-9 ` . WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ThE(9Mj 10AWE4LTH0FA CHLSE77S'_ Office Use oonlly DEPARTi4 EVT0FPUBLICSAFM Permit No. U<V BOARDOFMEPREVEMONREGLEMOAND7(3212-M �— UVA4 Occupancy&Fees Checked PPLICATIONFOR PERMIT TO PIWORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 n L n (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -1 `t Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. MAP - , Location(Street&Number) �j p �, Owner or Tenant Q ` .e 0 -� Owner's Address Is this permit in conjunction with a building permit: Yes[::] No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 900 Amps ZG/,f L Cyolts Overhead © Underground No.of Meters y New Service Amps Volts Overhead r--J Underground Q 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 Nn,of Switch Outlets 1 No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones • Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local - a Municipal a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis- No.Hydro Massage Tubs No.of Motors Total HP 1-2 QTHER, 4a hfitrarreCaaage Ptirstrantbthetagtmana��GataalLaws Iha%eaomentLbbtdkyh>sxmwPoiiyi dudirtgCcmpi* Co►aaWcrilssbstti de4ivalat YES NO IhmeWxnittedvalidptoofafsatrebthe0ffi=YES rJ NO F-1 r)Doha,,etdmioedYFS,plemmdc&theWcfw&aWby&cckirgthe NRRANCE a BOND a °UIER a ftwe ) 1,?--O,-OL OI , Edd ValirdElecincal Wcsk WcdctoSUt U- 7- 0�9�. hpectiwD*RegtxsWd Rojo Frial Signed utxkr"fiRnahim FIRM NAME k ` JJ 1'X A-n :r^ ��,,,�_ n,n� ��2 rc�I l'1 4 41 L'+oaW\V lessee- _ ern l P Sigr>attre ;may--� Lioa>T b 15 5 P r Alt TeL Na OWNER'S INSURANCEWAIVER;IammatethattheLi m theinstra=Dareorits%bWrtialegciMalatasregtmWbyMassadu ttsG=rALaws a dilnwwi ttaecn taspamitappficationwai�mthismw* - (Please check one) Owner Agent ® Telephone No. PERMIT FEE$ (/ Date..` ... .N°N2 S. ................. o:;•�;�``°-�';."°off TOWN OF NORTH ANDOVER A, PERMIT FOR WIRING A— Mus This certifies that .........../\ .................................................................................. has permission to perform .. ............................. ......... .. ..... ...... wiring in the building of................ .......... .....:..... ................... ........................... at........�)-� ,-- -� - '1'1r�............... . J- ................... .................................. North Andover,Mass. Fee..................... Lic.No. ........... ....... ........................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer o5w/99 14-56 35.00 PAID lit !t file Cornmoriwealth of Massachusetts 1.•11, t_ i / Department of Public Sofcty / (..Money 4 Fee Clleekod- � BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 —3� (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. All work to be performed In accordance with the Ma"achusetu Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 5/21/99 City or 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) 230 Johnson Street, North Andover, MA 01845 Owner or Tenant Drs. Roger & Marilyn. Steinert Owner's Address 83 Sandra Lane, North Andover, MA 01845 Is this permit in conjunction with a building permit: Yes ❑ No ® (Check Appropriate Box) Purpose of Building residential Utility Authorization NO. _ Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Seivice Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity a '— Location and Nature of Proposed Electrical Work install security system (low voltage) No. 'of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimmin Pool Above In-. -- 8 Rrnd. 1:1Rrnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Batter•l Units No. o: Switch Outlets No. of Gas Burners FIRE ALAR:3 No. of Zones No. of Ranges Total No. of Detection and 8 No. of Air Cond. torts Initiating Devices _ No. of Disposals No. of Heat Total Total p Pum s Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating K1.4 No. of Self Contained Detection/Sounding Devices _ No. if Dryers Heating Devices KW Local❑ PStnicipal ❑Other Connection _ No. of No. of Water Heaters KW ow V Siensf Ballasts Wirinoltage XX install security_ system No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 29 NO I have submitted valid proof of same to this office. YESl3 NO on file If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE � BOND ❑ OTHER ❑ (Please Specify) xpiratiott D.:tc S Estimated Value of Electrical Work S approx. approx. Work to Start 5/21/99 T.nspection Date Required: Rough 6/l/99—Final 6/8/99 Signed under the penalties of perjury: FIRM NAME P R C Security Systems, Inc. LIC. NO.1187C sec. clearance Licensee Joseph Nugent Signature0 G go-'87D #SS CO 000102 Address P. 0. Box 1345, Littleton, MA 014 Bus. Tei. No. 8-486-4511 _ Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Lice see does not.have the insurance coverage or its sue:__ stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S 35.00 Signature of Owner or Agent N° 1 921 Date... ..� ..� f NORTH 1 � ?°.<;�`".:•�."a0 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING sAcHus� � This certifies that ....... C.A.,t..t2 i C. 1........�6..0...l,! . C( " has permission to perform ..... wiring in the building of.... .....................c... at....... C .r ...... orth Andovef�kh s.5� Fee..7/.;.5....!A Lic.No.. .... .................. ...,,1....1_...._ .�1. ...... LECTRICALINspEcf R 10/12/99 12:26 15.04 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TMCOILRf0AWEALTHOFNL4SS4aJU.S= Office Use my DE MRZ7P 7'OFPUMCSA= Permit No. / BOARD OFF7RRE"PREVE MONREGU A770NS527Cti.Ql1?-00 Occupancy&Fees Checked APPLICATTONFOR PERI tIETTO PERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE AL Date CS MAP Town of North Andover To th nspe or of Wires: The undersigned applies for a permit to p r ORelec ' descri d below. KIAP 7 PARCEL Location(Street&Number) 6 ,53A1 Owner or Tenant /t`" Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building 6Z/�J(a�' `�yyfx y Utility Authorization No. Existing Service Amps/ D/ Oolts Overhead EaUndergound ❑ No. of Meters New Service Amps / Volts Overhead ❑ Underground ❑ No.of Meters Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work C i Ce I l opo /pLw& XJ A-1,4w No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above. Below Generators KV A ground ground No.of Receptacle Cutlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumcrs No.of Ranges "No.of Air Cond. Total FIRE ALARMS No,of Zones Tons No.of Disposals ?No.of. Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashtm Space Area Heating KW No,of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local ❑ Municipal ❑ Other Conncctiona No.of Water Heaters KW No.of No,of Siam Bailasis No.Hydra Massage Tubs No.,of Motors Total HP -51-11 OTHER' ' InAuameCo�a�Aust�ar2mt6eiagmamis�C�a-all.aws �� IbareaamatLnbtlyh PciLym 5xhogCanp� Co�erageaitsatso ialeg ivalat YES !�� NO ❑ Ihmst>i validp�od,cfsametodmOfce YES r-�""❑ Ifyouha<zdrdTdYFS,pleasemci�thetyFofco<aaWbyd�Igto TgcpJatebcx 1NS[JRANCE __ND ❑ OMIR ❑ (LeaseSpeffY) \.\•\ Eml , Esfi>�dValt�ofIlectnralWc�c$ WcalctoStatt )tI�iel2egd Reugh Final S*P-dmJcrTie of FIf21vINAME % �/ 4 LiarseNa BtsirlessTeLNo. LP p '7� A]tTel.Na OWNER'SINSURANIZEWAIVER;Iamaw&edigiheLicasedosnotImetheas�ncecraau�a'iisstistntimleqxvdatastegWDdby1Vb-18_h!�m Laws aodttrtmysig 3Amcndmpe iATphmb nwa'r,rs iieCPir rant (Please check one) Owner ❑ Agent ❑ Telephone No. PERMIT FEE$ 61panfre of 1 wner or Agent N° �� U'-' 7 11 Date....... :!../.T/..� . r NORTH °�, ;•'"� TOWN OF NORTH ANDOVER OL p PERMIT FOR WIRING . �l °•ten°^��qh �ssAcHusE� This certifies that ........ . J ��.t ............................................................................................. has permission to perform :.... ...r.... a ... . ............ .............................................. wiring in the building of......... [ [ �^. +,s o ....I.t..:. ....... North Andoer,;Mass. Fee.-Z%.:CX%.... Lic.N � 7�......... ' .t ........ .& .!��.......... ELEcmicALINSPECTOR 7 69ho/99 11:26 Moo WHITE: Applicant CANARY: Building Dept. PINK` %asurer F RW RD1 =^� Office Use Only ITfc�55c�C�ilI5P5 Permit No. _ Erparttnrttt of Publir �Eafrtg Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR T P ALL INFORMATION) Date 14, -� S City or Town of To the Inspector of Wires: The udersigned applies fora permit to 'R—7 p perform the electrical work described below. MAP q� Location (Street & Number) 2- Owner or Tenant a PARCELO OF Owner's Address ,y Z Is this permit in conjunction with a building permit: Yes E----No ❑ (Check Appropriate Box) Purpose of Buildings'7 tr �—L? /,. rhorization No. Existing Service Amps7 Volts Overhead ©�'`Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Grp r /! No. of Lighting Outlets Total No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures Swimming Pool Above In- rr�� grnd. ❑ grnd l—� Generators KVA Receptacle Outlets G I No. of Emergency Lighting No. of Rece p No. of Oil Burners Battery Units No. of Switch Outlets 3 U No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges I No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals � I No.of Heat Total Total r Pumps Tons KW No. of Sounding Devices No. of Dishwashers 7 _ No. of Self Contained i Space/Area Heating KW Detection/Sounding Devices ,. No. of Dryers I Heating Devices KW Municipal Local Other Connection 11!0 'nf KW . LOW VoitaGe 1 Signs ballasts Wiring , No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts genera; Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES --htp—` I have submitted valid proof of same to the Office. YES %+-� C If you have checked YES,.please indicate the type of coverage by checking the appropriate box. INSURANCE C;.�ND ❑ OTHER ❑ (Please Specify) 9— 1 Estimated Value of Electrical Work S (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the P nalties of perju : FIRM NAME / �� c Licensee uv r /-i LIC.Signature �. LIC. NO. Address Bus. Tel. No _ `r0 2 Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own Agent (Please check one) J (Signature of Owner or a.cent} Telephone No. PERMIT FEE S x65E5 Location No. Date t +i �oRTh TOWN OF NORTH ANDOVER oit,..c , ,h•C Certificate of Occupancy $ Building/Frame Permit Fee $ Lo! �SSAGMUSE� Foundation Permit Fee $ L F Other Permit Fee $ Ifo / ?9d Sewer Connection Fee $ � •o0 Water Connection Fee $ TOTAL $ A (C, ` Buildiinn9�41ns,e for r r7 -37 ''�G� , 5 3 ;� , Mviv. PAH.6 Works 03/26199 08:43 130,OE 1M IT NO. APPLICATION FOR PERMIT TO I3UILI)********NORTII ANDOVER, MA Vv ntu'No . ►) rip Lt) NNl). V�V ° 2. RECORI)oFOWIvERSIIII' DATE BOOK PAGE ZONE �3 SIIBDIN. I.O"1,NO. �' " wxj eons vdLOCA I ION 1715= , PURPOSE c)F BIM DING (� (A4NEK'SNAh1E - NO.OFST(M(IES SIZE ()WNER'S ADDRESS BASEMENT OR SLAB RD AK('111TE('F S NAME" SIZE OF FI.CXN(TIMBERS 2 3 lion DEK'S NAME SPAN I)ISIANCETONEARESTBUILDING DIMENSIONSSILLS DIS FANCL I:R(M.1 5I REE 1' 3 0 VL(' DIMENSIONS Of POST S DISTANCE FROM I.Or LINES SIDES )" REAR 3G Le DIMENSIONS OF GIRDERS AREA OF Lor 2"5 OL 4 ` FRONTAGE 1�ey I '� IIEIGIIT OF FOk)NDATION Tl IICEiNrSS IS 13111LDIN(i NEW SIZE OF.F(X7FING X MATERIAL OF CI BMNEY IS BUILDING ADDI I ION \�IS BUILDING ALTERATION 1 IS BUILDING ON SOLID(Salt LED LAND WILL BUILDING CONFORM TO REQ 11REMEN'FS OF CODE IS BUILDING CONNECT ED TO TOWN WATER GC � C BOAR!)OF APPEALS ACTION, IF ANY IS BUILDING CCNNNECI'ED TO'rOWN SEWER T 1 IS BUILDI NG CONNECI ED TO NA FURAL GAS LINE C NSOICTIONS 3. PROPERTY INFORMATION C� LAND COST C .C( sT 1 PAGE FILL V t) 1 V` EST. BI.IXi.COST PER SQ.FT. \ I 1 Sa v � t7L ES'F. B1 1)(1.MS 1*PER R(XN.-1 EI E�TRIC ME-1 ERS MUST BE ON(N)TSIDE OF BUILDING SEPI-IC PEKMI F NO. A 1-1 ACI IED GARA('.ES MUST C(NJFoRm TO STATE FIRE REGULA IT(NJS a. APPROVED HY: - - .UING PLANS MUST BE FILED AND APPROVED BY Bl11LDING INSPECr(N2 BUIIINSPECI'OR OWNERS'I'tl.a: ��, fir_._._.,•.. p DATE MED ` t ----------—I ) CtNJ'I'4.1oal I LI i SI(7NAFl1KLl)I t)V'NEIiuKAlflTk)RIZ1iDA(IiN1' � T I'1 KKIII'l RAN'I11) 19 -- • 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 or requirements. *****************************APPLICANT fiLLS OUT THIS SECTION'"`***********"�`*'c'""`�'`*'` APPLICANT fIz- +e1PUe4 PHONE � ` LOCATION: Assessor's Map Number I PARCEL— 8 i�r��Fl����ve Y�S Ca u sp p+ic NOW SUBDIVISION LOT (S) FL}v Pti r(e I-, -_� 'pm r` wkloti STREET tV SD ly S ST. N-UMBER **** * ****** *********** **OFFICIAL USE ONLY ****, * * **, * *** ItiINA6 g 1 REC NDATIONS OF TOWN AGENTS: CO RV)kTION ADMINISTRATOR DATE APPROVED {SATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPEC R-HEALTH DATE APPROVED l� DATE REJECTED SFrK11261NSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS C� -T�T� -3 -2 DRIVEWAY PERMIT 1A j W 22 FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jim A 1394 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 22 19 Application by the undersigned is hereby made to connect with the town sewer main in \© J-(l(�SO Street, subject to the rules and regulations of the Division of Public Works. ,1 The premises are known as No. 2 3 d Street or subdivision lot no. Owner U Address Contractor Address al Applicant's Signature _e- tom Bey PERMIT TO CONNECT WITH SEWER MAIN[[ The Division of Public Works hereby grants permission to 2 e/ �1 (f i&1 E'l�- to make a connection with the sewer main at -9 Street subject to the rules and regulations of the Division of Public Works.. l' Di ision of Public Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). ✓11G U/ry/77q?7.007•(!/P,Q�I� Op✓�''Q�JJC7,P67,CCJG�� � . DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: l CS 028538 09/05/1999 09/05/1948 Restricted To: 00 MICHAEL V RODDEN 47 PRESCOTT ST r, a N ANDOVER, MA 01845 ✓�ie�omvn,oarureci/.l�e.o�✓�aaaaclruarlld HOME IMPROVEMENT CONTRACTOR Registration 105903 a Type - INDIVIDUAL Expiration 07/21/00 MICHAEL V. RODDEN 7 rescott Street � eAndover MA 01645 ADMINISTRATOR The Commonwealth of Massachusetts Department of Industrial Accidents aNce o/loves#92110os 600 Washington Street Boston, Mass. 0 111 Workers' Compensation Insurance Affidavit itame- locationo cites phone 1! I am a homeowner performing all work myself. C] I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employee work' g on this ob. LS \�`� phone#: 4,j : f-I I am a•sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company namer address: cttvr phone#: insurance•co; policy#. comnany:name: city:- phone#: insurance co. &3LSrY ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby u der th at anff- Ifiesiolpury hat the information provided above is true and correct� IDSignature r Date Print name--�nl�� C�- UCl1 l Phone# 1 Ccheck ly do not write in this area to be completed by city or town official permit/license# fl Building Department C]Licensing Board mediate response is required ciSelectmen's Office C]Health Department n: phone q; nOther trru<d 3195 PtAl S.B. FND. CERTIFIED PLOT PLAN N 85°32'50"E LOCATED IN NORTH ANDOVER, MASS. SCALE.I"=40' DATE 2/4/99 S.B. jFND.J 2,71'EAST OF PROP. COR. 443.15' REV.-2/8/99 Scott L. Giles R.P.L.S. cn . Frank. S. Giles � o Cn 50 Deer Meadow Road o 0 0 0 North Andover, Mass. - _ LOT `Ar m 2.23 ACRES+/- GARAGE PLAN#6162 N.E.R.D. aa�P�ZH OF O C C6 L S s! C.. _ No. 13972 �_ C/) s/,�FCIST E�F� O wo T L LAWS�'��� Z N� - � 135 kl- a X S 89°26'50"W 138.86' -�1 0, D.H.[FND.] i I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE N 0 THE OFFSETS OF THE BUILDING INSPECTOR ONLY ��, X.- SHOWN SHOWN COMPLY AND SUCH USE IS FOR THE �o WITH THE ZONING DETERMINATION OF ZONING `L BYLAWS OF CONFORMITY OR NON-CONFORMITY NORTHANDOVER WHEN CONSTRUCTED. WHEN BUILT 1 'ERM IT NO. © � APPLICATION FOIZ I)EIZMIT TO IIUILI)********NORTII ANDOVER, MA niu'NO. �C II)T.Nt). �CJ 2. HECORUOFON'NLKSIIII' DATE BOOK PAGE ZONE 3 SUB DIV. LOl'N(>. e'rj 'PGi •17i�` IO( A 110N`a C� G Z Pl1HFOSE()F Bl)II DING Y l� c)��r)ER'sNAn1E NO.aE. :SFORIES SIZE ()WNER'S ADDRESS `r BASFAtErIf OR SLAB ND AKCI IIl'ECT'S NAME" ® SIZE OF FI.("TIMBERS 1 2 3 BIM DL•R S NAME `, SPAN I)ISI ANC E TONEAKES I BUILDING DIMENSIONS Of SILLS DIS FANCE FROIA S I KEEP 3 o r-py DIMENSIONS 01:POSTS DISTANCE FROM LOT LINES-SIDES �" � REAR _-3o r-Ile DIMENSIONS OF GIRDERS ARTA OF LOT R`� ,:}a( � FRONTAGE 1�rcJ ( S IIEIGIFT of:FCRINDATI(NJ Ti HICKNr_SS IS BIIILDIN(i NEW SIZE OF.I(X71lX NG a IS Bt J I LDI NG ADDI ll ON MA JE R I Al.OF CI EI NINE Y IS BUILDING ALTERATION 1 ` IS BUILDING ON SOLID OR FILLED LAND 'WILL BUILDING CONFORM TO REQt 11REMEN"IS OF CODE IS BUILDING CONNECT-ED 10 TOWN WATER Gt C BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECI ED TO NA IURAL GAS LINE \ V :NSf(1('I'IONS 3. PROPERTN' INFO RRIA'CION f r I.ANDCOST 7�- 1 J EST. BITX;.COS f P.4GI: I FILL OIFF SECTIONS I-3 EST. BLE)C.COST PER SQ.FT. EST. BLIx;.c(nT PER HC X)M EI ECFRIC METERS N41)S'TBE ON O(JTSIDE OF BUILDING SEPTIC PERMIT NO. "A TIONS 3• APPROVED Hl': A I-I ACI IED GARAGES mus'F C( FORM To STATE FIRE RE(;tll PIANS MUST BE FILED AND APPROVED BY Bt11LDING INSPECTOR BI NJIII.DINC INSPECTOR L 1' OWNERSI'EI/1. . DAFE 111 ED v 1 ) CAR SIGNAI'IIHLI)I�t)VdNI{HUItAEFIII(KtiZIiDA(iliNi 7j� --" '' ci t PI RKIIT(;RANI11) 19 -- 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 or requirements. ► ` 4 I *APPLICANT fiLLS OUT THIS SECTION*********************** APPLICANT �G'�f E'Z eIN��� PHONE 6,8a-�3`f� rv�c,�QP LOCATION: Assessor's Map Number i 1 PARCEL 1,3 u 4 SUBDIVISION LOT (S)'* Ft,f u t-, T oe STREET --J 0 0 ST. N1JAABER O r� 5� w ' A�cQ,fdN ct *************OFFICIAL USE NfgfERS� REC NDATIONS OF TOWN AGENTS: COI4S9 RV TION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPEC R-HEALTH DATE APPROVED DATE REJECTED 40 I INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS 1 �. PUBLIC WORKS -SEWER/WATER CONNECTIONS C) -T`T� -3 -2 DRIVEWAY PERMIT -2- FIRE FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE N°_ 1394 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. f C t 22 19 � I Application by the undersigned is hereby made to connect with the town sewer main in Q0 4AI5��t1 Street, subject to the rules and regulations of the Division of Public Works. �O ►JS��/ The premises are known as No. Z 3 0 Street or subdivision lot no. es �eruc Owner U Address Contractor Address Applicant's Signature _ �- I000 PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to 29 'el e to make a connection with the sewer main at -9 Street subject to the rules and regulations of the Division of Public Works.. Di ision of Public Works By Inspected by Date See back for rules and regulations I a ✓/ze �n�no�rr.�uaea.�/. ��.//� DEPARTMENT OF C SAFE CONSTRUCTION SUPEb-AOR LICWE Number: Expires: Birthdate; CS 028538 09/05/1999 09/05/1948 Restricted To: 00 MICHAEL V RODDEN 47 PRESCOTT ST s. N ANDOVER, MA 01845 HOME IMPROVEMENT CONTRACTOR Registration 105903 z Type - INDIVIDUAL Expiration 07/21/00 MICHAEL V. RODDEN a7 rescott Street Andover MA 01845 ADMINISTRATOR The Commonwealth of Massachusetts t' Department of Industrial Accidents ' Mice a"Iffestlgat/ons 600 Washington Street Boston, Mass 02111 Workers' Compensation Insurance Affidavit I i location: ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees work' g on this job. I A c , 27 l C 1 ❑ I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: commix name- address:, city.. ohone d imuransm co: policy# comQSnY.name: <' address. :. ..city.-phone# insaraice;cu. r,af!c # Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal Penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby under th pains an !ties of pe�ryghaI the infbrmatiort provided above is true and correct Sigtu nare -� Date Print name Phone# T official use only do not write in this area to be completed by city or town official city or town: permit/license q nBuilding Department C]Licensing Board M check if immediate response is required C]Seleetmen's Office Health Department contact person: phone q:_ nOther _ .. own of !� ` ' Q s - rb'h:M'n: �� Over O �... ,,;;. ,: ; �. ,� to -K c_,.I, �o dower , Mass., TED rV X\ H PERM BOARD OF HEALTH Food/Kitchen IT T Septic System THIS CERTIFIES THAT �/ BUILD ......ze��to................. BUILDING INSPECTOR ................................... [Final dation has permission to erect .... .�.... a..... ...... buildings on ....... , �O Aft................................. .........�•�� �... h ........... to be occupied as....... $A1-.........�Od.N/.. . �� RIrJ I��L provided that the pars n accepting this permit shall in 0...............................................f.......v...ss.................. ney this office, and to the provisions of the Codes and By-Laws elatingtto the Inspection, Alterat on aconform to the terms of the ndConst ication on file in Buildings in the Town of North Andover. Construction of VIOLATION of the Zoning or Building Regulations Voids this Permit. LUMBING INSPECTOR cc 11�77 ��, //{ rr r ` r� ' r { T r h 12 01*0 PE[Uff'J" .�;�"�. D[[_ ES I `IT l 1�"lO.l`JT l UNLESS1 , r C S ONST���...CTJ.� .-N S r, ELECTRICAL INSPECTOR Rough ......... ... ......... Service .. .. . ...... BUILDING INSPECTOR Occuj)ancy Permit T?cquired to Qc.CuPy Building Final -— GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. Town of North Andover f NORTF OFFICE OF O?O•'s`" +OOm COMMUNITY DEVELOPMENT AND SERVICES .: 27 Charles Street `.^° •"; North Andover, Massachusetts 01845 WILLIAM J.SCOTT SSAcmus'- Director (978)688-9531 Fax(978)688-9542 In accordance with the provisions 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 a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: waw, ( ocation of Facility) Signature of Permit-Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through-the-Office-of thek30dingJnspector )OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 f , S.B. FND. CERTIFIED PLOT PLAN N 85032'50"E LOCATED IN NORTH ANDOVER, MASS. SCALE.1"=40' DATE.2/4/99 S.B. [FND.]2.71'EAST OF PROP. COR. 443.95' REV.2099 REV. 4/7/99 00 c.n o cn cn 00 o_o Scott L. Giles R.P.L.S. 1 O T A m L Frank. S. Giles / 50 Deer Meadow Road 2.23 ACRES+/- Non`h Andover, Mass. GARAGE PLAN#6162 N.E.R.D. A ! � NOTE. THERE ARE NO WETLANDS WITHIN 400' �-- N X OF THIS PROPOSED ADDITION. 0 W rn o z Z o x S 89026'50"W 138.86' ti D.H.[FND.] Z o 3972 �4 {. ^I it'U� I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USETER N <^ - THE OFFSETS OF THE BUILDING INSPECTOR ONLY w o °�f LAIM SHOWN COMPLY AND SUCH USE IS FOR THE o WITH THE ZONING DETERMINATION OF ZONING BYLAWS OF CONFORMITY OR NON-CONFORMITY ---- NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT i II ' Date.k....?- -01.-, t NOR7M TOWN OF NORTH ANDOVER PERMIT FOR WIRING •D'•�TID��"� �,SSACMUS� This certifies thad,, Y ,.............................. .................................... has permission to perform...., r' s.c. �� '...: :.: ... wiring in the building of � ........................�..Q...................................................... j ':"�......:''�'................ .North Andover,Mass. o w C /� Fee .. ....... Lic.No.!` ?,���,�................. �..... '` �- p ELECTRICA:INSPECW0k Check # 537 IrN Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. � •V t _�,..,.,.._ BOARD OF FIRE PREVENTION R Occupancy p Y and'Fee Checked r [Rev. 11/991 leave blank APPLICATION FOR PE IT TO PERFORM ELECTRICAL WORK All work to be performed in accor ance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL F RMATION) Date: 6-10-05 City or Town of. NORTH VER to the Inspector of Wires: By this application the undersigned gives notichis or her intention to perform the electrical work described below. Location(Street&Number) 230 JOHNSON VREET Owner or Tenant RANDALL LILL Telephone No. 978-689-0549 Owner's Address SAME Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. ,�t-� Existing Service 200 Amps 120/240 Volts Overhead ® Undgrd❑ No.of Meters 1 New Service 200 Amps 120/240 Volts Overhead❑ Undgrd ® No.of Meters 1 Number of Feeders and Ampacity 3 -4/OAL 205A Location and Nature of Proposed Electrical Work: CHANGE FROM OVERHEAD TO SIPHON FEED No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA o.omergency i mg In- No.of Lighting Fixtures Swimming Pool Above d. ❑ d. 11 Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o -Detection an d Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.o Self-Contained p Totals: ................ Detection/Alertft Devices No.of Dishwashers Space/Area Heating KW Local ❑ Co n Connection El Other yConnection No.of Dryers Heating Appliances KW Sec No of Devices or Equivalent No.of Water KW No.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent massa No.Hydro a Bathtubs No.of Motors Total HP Telecommunications Wn-ng: t Y g No.of Devices or Equivalent OTHER:REFEED TELEPHONE&CALE TV t INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licen- see provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certi- fies 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 Electrical Work: $2,500.00 (When required by municipal policy.) Work to Start: 6-8-05 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: WILLIAM J.IANNAZZI,INC. LIC.NO.: 13592A Licensee: WILLIAM J.IANNAZZI Signature LIC.NO.: 13592A Bus.Tel.No.: 978-686-7300 Address: 191 CHANDLER ROAD ANDOVER MA 01810 Alt.Tel.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 PERMIT FEE: $ � Signature Telephone No. �� � U r� -- -- Location �3 "J SO No. Date �L(ICI �oRTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ 41 I` $� BuildipgtFrame Permit Fee $ P AYMQ1on Permit Fee $ ~ Other Permit Fee $o / Sewer Connection Fee $ e -�HRi11 EBection Fee $ �Pc �OTAL Building Inspector : Div. Public Works PERMIT NO. 079 APPIACATION FOR PERMIT TO 13U1 1 ********NORTH ANDOVER, MA h%I'NO. \ LOLNO. ( 2. HlCORD OF O\1'NlR51IIP DATE BOOK PAGE ZONE _ SUB DIV. LO'f NO. I.O( AIION (a {� PURPOSE OF B11111)ING 1� i • i OWNER'S NAE �' 4 NO.OF S TORIES / i SIZE NAME 'OWNER'S ADDRESS BASFMEI(f OR SLAB AR('I IITECT'S NAME SIKE OF FI.CX)R UMBERS 1 ,� 2 ND 3 RD IiUll DEN'S NAME 1 SPAN ,a DISIANCETONEARESI BUILDING ( �- l DIMENSI(NNSOFSILLS DIS TANCE PROM S TREEI- '?j DIMENSIONS OF I'OS'I S ai DISTANCE FROM LOT LINES-SIDESj 4 REAR O k DIMENSIONS OF GIRDERS AREA OF LOT �,�� c11��t2� FRONTAGE I IEIGI IT 01:FO()NDATI(Nd �.1�� C L° TI IICKNESS IS dl11LDIN(i NEW `J 1 X SIZE OF_F(X71lNG IS BUILDING ADDI 11014 MAIERIALOFCIIIhINEY IS BUILDING ALTERATION IS BUILDING ON SOLID OITT11 LED LAND iA Ll.BUILDING CON FOR M TO RFQ(11REMEN"I S OF CODE IS BUILDING CONNECTED'1'0 TOWN WATER ` BOARD OF APPEALS ACTION, IF ANY IS BUILDING CCNNNECfED TO TOWN SEWER Is BUILDING CONNECT ED TO NA FURAL GAS LINE INSI'11('TIONS 3. PROPER'n,INFORMATION LAND COST C / 3 U EST. BI.fXi.COST 1 PAGE I FILL OIff SECTIONS 1-3 EST..BLDG. COS f PER So .FT. ES"f. dl.lX'i.C't1S"IPER R(XNvt +El E(-TRIC METERS ML1S I"BE 014 O(JTSIDE OF BUILDING SEP IC PERMIT NO. A 1-1 ACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: v - 4 PIANS MUST BE FILED AND APPROVED BY BI)ILDING INSPECUOR BUII'DING INSPEC"1'011 + OWNERS-I-EI M-: DA lIc FILED CON .FR.ILl.b1 J \ �) y11GNAIME(N:M1,11,1ZORALIIH RIZIJ)A(II.NI" r 14R1.IITGRANII I) Y 19 -- r' i i Town of North Andover NORTH OFFICE OF 3?Oy seo ,e,tiOC COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street o" `�. North Andover Massachusetts 01845 '� `°q,r °• ty VaLLIAM J. SCOTT 9SSACHUS�� Director (978)688-9531 Fax (978)688-9542 i In accordance with the provisions 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 a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: Location of Facility) CIS_ Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 a .4 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 or requirements. *****************************APPLICA-NT f#LLS(WT THIS SECTtON****************''"",**** APPLICANT �� e� Tet PHONE 1P `3(4 LOCATION: Assessor's Map Number I . I PARCEL 8 SUBDIVISION LOT (S) STREET -�r� h S©Jl7 ST. NUMBER `�30 USE ONLY***********a ,i Acte o2NcQ (,1100r- S-- AN RECOMMENDATIONS OF TOWN AGENTS: 04 INS D£ W ate R S CON E ATION ADMI ISTRATOR DATE APPROVED DATE REJECTED COMMENTS GLJ (/►tip � TOW>F16ANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECT-QR-HEALTH DATE APPROVED DATE REJECTED SEPA.I IN TOR- EALTH DATE APPROVED �� DATE REJECTED / COMMENTS a ;�. �� �t ux� �S s�t�-- +�Josr`• 4� PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT WA EA15T-11UC FIRE DEPARTMENTV/, RECEIVED BY BUILDMG 4ISPECTOR DATE Revised 9197 jm NORTH ° over Town of No. 10 '''L7 o =- dover, Mass-,_4W_V � ADRATED P`9�S BOARD OF HEALTH Food/Kitchen PERMIT Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... .....!r.. r........ . ...I..N.... ................................ .......................................... Foundation YI N��p.....SX Rough has permission to erect..*?5*i4,3.�..... ...... buildings on .................... ...................... .................. • K��� �f��V�V� TO St��.l?�.......����.�......�..�..�........... Chimney to be occupied as............... ...... ... ....................'......................... e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this-office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of PLUMBING INSPECTOR Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final 'Ike t PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST RUCTI N T • • � Rough Service ............................................ ......... .. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE S.B. FND. MERTIFIED PLOT PLAN N 85.32'50"E DCATED IN NORTH ANDOVER, MASS. 443.15' �CALE:1"=40' DATF:2/4i99 S B [END.]2.71'EAST OF PROP COR. _ REV.'21"9 n j L o0 = Scott L. Giles R.P.L.S. �„ o - Frank. S. Giles a' 0 0 50 Deer Meadow Road q North Andover, Mass. LOT `A I m 2.23 ACRES+/- GARAGE PLAN#6162 N.E.R.D. c L S _ _� ��►� I � N No. 13972 0 N rn - L LAMS SJQ Z O 0 Z. CO _ 135 r1, x -- S 89"26'50"W 138.86' -A ti P 0 D.H.fFND.] ==Y THAT OFFSETS SHOWN ARE FOR THE USE SETS OF THE BUILDING INSPECTOR ONLY w -COMPLY AND SUCH USE IS FOR THE �E ZONING DETERMINATION OF ZONING ms OF CONFORMITY OR NON-CONFORMITY - 44NDOVER WHEN CONSTRUCTED. -OWILT S.B. FND. CERTIFIED PLOT PLAN N 85"32'50"E LOCATED IN NORTH ANDOVER, MASS. 443.15' SCALE.1"=40' DATE.214/99 S.B. [FND.]2.71'EAST OF PROP COR. REV.-21"9 Scott L. Giles R.P.L.S. . L —� o0 (31 Cli Frank. S. Giles + "r4 �E � I �"0 0 o 50 Deer Meadow Road = North Andover Mass. m LOT 'A' 2.23 ACRES+/- GARAGE PLAN#6162 N.E.R.D. 0 y \ i u i ti No. 13972 CV - sio�AL O "z .� C � 135k1- x S 89°26'50"W 138.86' Z., 3 --A 01,x.,G o S�3ti�GP 0 D.H.[FND.] �1a I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE o 1 THE OFFSETS OF THE BUILDING INSPECTOR ONLY w o\ SHOWN COMPLY AND SUCH USE IS FOR THE `.n o WITH THE ZONING DETERMINATION OF ZONING BYLAWS OF CONFORMITY OR NON-CONFORMITY NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT