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HomeMy WebLinkAboutMiscellaneous - 25 TURTLE LANE 4/30/2018'� N OO N U C �� o m z ���555 m 0 i Date... � �J?...z......... ". TOWN OF NORTH ANDOVER PERMIT FOR WIRING �-�U -, This certifies that �..........: .. r has permission to perform,... ..........- -" - - - �-� �-%'• ...........................:.......................... wiring in the building of. .......... ..:..t 1't-! ......................................... at ....... l- .: l .. ...... v .............. .North Andover, Mass. Fee' .r)C" Lic. No..Y.......... \.,.�a..;./.;,..—.... - %!' s. ELECTRICAL INSPECTOR" Check # /lj _ s 7 10 Lommonweairn or massacnusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS utticial Use unly Permit No. 7/0.3 Occupancy and Fee Checked_© [Rev. 9/05] 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: 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) "Z S Tv, e )-ke—(G n e Owner or Tenant c i- ego Owner's Address ZS 1 1.c e— c t? Telephone No. ,J 6 -22S -Z£ "7 Is this permit in conjunction with a building permit? Yes— No ❑ (Check Appropriate Box) Purpose of Building `cam L Utility Authorization No. v Existing Service ZpQ Amps Volts Overhead ❑ Undgrd New Service 4-0K Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed E No. of Meters No. of Meters No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans —u ue wulveu UY erre Ina ecwr o rrlres. o. o otal Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires�j Swimming Pool ove ❑ n- ❑ 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 an Initiatin Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers eat PumptNumber Totals: ons K No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ IVIunicipal❑ Other Connection No. of Dryers No. o Water KW Heaters Heating Appliances Kms/ o. o o. o Signs Ballasts Security Systems: No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a eco of Device o r Wiring: j No. of Devices or E uivalent ` OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Elec rical Work: (When required by municipal policy.) RIGq Work to Start: C Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VE AGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 71/ 403 6 ZDL I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: �� /C "412 rAZ �D Signature_ C , LIC. NO.• (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: . Address: 17 lg4 ir! : >✓' xllyk 'i l/J91 kAIL9 Alt. Tel. No.: *Security System Contractor I Gnse required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. Bviny signature below, 1 hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. 17-9-5210-0 3:71 PERMIT FEE. $,:3,5" 0-� 9WuA / --� � , /- / /, - , -, P -e -z TL�- VP';—x7—D,5' 4ef—ZP't7—�? t e t 6Le-Z_ A)tZP eor 0 rUKM U - LU 1 KCLCAQC r%jmm 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. i APPLICANT FILLS OUT THIS SECTION APPLICANT �C -� k-ey1 of laa Ie -- OCATION: Assessor's Map Number®� SUBDIVISION STREET I L.c I2 L v�2 ava -?-S _S10 - L OFFICIAL USE ONL TION ADMINISTRATOR DATE APPROVED DATE REJECTED PHONE.� PARCEL 0103 - R�9M LOT (S) ST.NUMBER--Z�, TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT 'ECEIVED BY BUILDING INSPECTOR DATE Revised 9197 JM PE D. Robert Nicetta, Building Commissioner Please print TOWN OF NORTH ANDOVER OFACE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Telephone (978) 688-95454 Fax (978)688-9542 DATE: JOB LOCATION:—Z5- Number OCATION:Z5Number Street Address Map/Lot HOMEOWNER 4 k ee 6jc Aes-�- Name Home PhonV Work Phone PRESENT MAILING ADDRESS 25 J%A<-A e_ r n b f e-(— Town rTown State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to 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 HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances 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 North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL IN).\RDOFA PPF,.\LS 6M-9511 CONSFR\',\TION--688-)530 III -;.\1;111638-)'40 Ill'A`4NIV;bt\:liji Date.. �./;.- ©z- TOWN Z TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING f This certifies that `...... -4-!..%.. ��.:.... �......... . has permission to perform ................. plumbing in the buildings of:..... '�' �'7� v .v at .:� 5... �—* -�- . �/'i ..:......... . orth Andover, Mass. eZ FeIX5,f, ....Lic. No.......... !.. ............ P NG INSPECTOR Check # 533 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) a jUorM Andover, Mass. f /Date %- /2-Q Z City, Town / permit # U 3 Building Owner's / AT: Location ,_;_f� iu.114, lc'nle- Name Type of Occupancy: a,,,;� New Renovation ❑ Replacement ❑ Plans FIXTURES Submitted: Yes ❑ No (Print or Type) Check One: Installing Company Name�(ff ❑ Corp Add � /7-'? %tom ,,, Gl S f ress 2 ❑ Partnership Certificate �GiUerll �� /v%Gf 01C36-61,319 ❑ Firm/Company Business Telephone�%/2�,�_ Name of Licensed Plumber or Gasfitter Z�I 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. S* -t- Of OW-JABM I have a current liability insurance policy to include completed operations coverage. Signature of Li Plumber By Title City/ Town APPROVED (OFFICE USE ONLY) Type of Plumbing License �1-2 ❑ Master iBlfourneymzin License Number 08/09/01 13:02 FAX 9784618651 Monster.com HUNNEMAN VICTOR wrww.hunneman.com 25 Turtle Lane North Andover $419,990 For more tnfo-MeVon, Please contact the listing agent at 978.475.2201 Paulette Zuena www.pautettezu�a.com Q002 Terrific settin- for this terr i is home! This 4 bedaom garrison is se. or, a beautifully landscaped one acre lot and Situated an a cube -sac abutting 40 acres of conservation land, Enjoy your ingrown 1 pool and 3 season porch in the privacy of your own back yard, Title V approved. GENERAL INFORMATION STRUCTUREAPPLIANCESIOPTIONS Style: Garrison Colonial Color: Tan ( Stove; Smooth top range 1999 Lot Sine: 1 acre Exterior: Vinyl (Oct. 2000) J Sink. Stainless App-. St{. Ft.: 1$36 + 250 fin LL wool; Asphalt shingles ..,o,... tea.. Yes Age: 1977 Floors: Vlrt;rl R WW[ ►i51 n,p51 Ser: 1999 Rooms., o Fil6 local: 1 _ fnmil; room P ._ Refrigerator; No Bedrooms: 4 Basement: F.^tshed Microwave: Yes Baths: 1 112 Storms: Yes Trashmasher: NO Garage: 2 car attached Screens: Yes Air Cond• No • Taxes: $3,804 Laundry: Lower level Washer. No Assess.: $255,100 [ Deck: Dryer: Yes ROOM SIZES [ Porch: 3 season Central Vac: Yes Room sizes are approximate. Pool: Inground Security: No Living Rm: 15'x 13112' Other Biding: Sprinkler Sys.:No Dining Rm: 10 1/2'x 11 1/2' Family Rm: 18 1/2'x 12' LISTING INFORMATION Kitchen, 11 1/2'x 14' SERVICESIUTILITE=S Book` 131015 Page: 280 Great Rtn: Electric Service: 200 amp Study/Library; Heat: FHW Title V: Approved Sun Room Fuel: Oil Exclusions: Heat Cost: Master BR: 14'x 13' Hot Water. 2nd BR: 14'x 11 1/2' Sump Pump: Directions: 3rd BR: 13' x 10' Zoning: SF Salem Street to Turtle Lane 4th BR: 12'x 11 1/2' Water: Town 5th BR: Sewer. Private Schools: Call School Dept. Other. 250 sf finished LLquipment !`enite'd MLS#: 30519486 Other 2: Rente /Owned: Owner: Of Record If then: is a private sewer on the premises, the buyer should consult a qualified professional regarding Its condition & compliance with applicable laws. NOTICE TO PROSPECTNE HOME BUYERS' AllEkalmm3allespinsarts will mpm= tha selar, natthe buyer, inthe maiiieft nsg"ng and sale d IanterY,tmimothw*iwttirdosed HoNwAr theS mlaE M-Wasperaanf as an afftal and legdabG a5ontoslowhonestyartdfeirnesstodwbuyerinall b`asacdomRKjub w254offtCedecfVm sadwwftRogulakmsecdm2.03r;17 Except as may be otherWise noted, spedficatiors with m4ard to the property described above were provided solaty by Vhe saller(s) without vmrtiri=U*n Lhc=f by Ole broker(s) anti, thereltm. broker($) 8cce01 no responsibility for the accuracy ttweof. Offering is subject to prior sale, price change, or whhdrewal without notice. COLDWELL 0—"%!!r.ER u11110lEM N VICTOR , 305 NO. MA!N STREET, ANDOVER, MA 01810 08/09/01 13:01 FAX 9784618651 Monster.com 4 002 Lo --r co N �4-C?MMOt1WEP.LY1-i �F ifil�-SSEa.�►.��,15£.T-�� rn\ q1 15S- 20'"W 12�eo- Z 9 L cD �A 4 5,16 IN meg _27'. 3 T � 1 W, -r" Z'► tE Rtsti�`� ANO REGuI A`r 10NS C)F THE 0E-Sr-C34L-) Ont PREPARtt.,ty i HtS vLA� .- tc�o so o too r t SG ALT— IN V E E� 01Ile Toinniontocaltll of Matiottdlusettn Office Use Onl Departfneri of Public Safety ( 2; ?1 Permit No. _ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy &Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) /� Date b1—a"1 -c� City or Town of-!`�1'Z j -1-i A1\; )J C_lZ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) I LLR % C,,�S4 tJ E Owner or Tenant h A i _RP kfki oZ 58 -'Pam Owner's Address 1.1A Is this permit in conjunction with a building permit: Ni - 3975. t- 39/5 Date .....7/4-/--1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .....J. R.:.. �.�.......... �. c,.'2. s.E: a ............................ has permission to perform wiring in the building of ......./72.c.-, j2.�I.!:!,1.......................................... at .........� ........... T !Z91. P ....... ...... , North Andover, M Fee.k,S.-'i: G�.. Lic. No,4 .....a.......z%t�.... ........ .. :. E> ECrtuCAL I PECfOR Check # (Check Appropriate Box) ho((rizza�ation No. Undgrd ❑ ❑ Undgrd ❑ No. of Meters —I No. of Meters 0 V..tn Lxisn t.)(� C��r- TOTAL No. of Transformers KVA Generators KVA No. o Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices. No. of Self Contained Detection/Sounding Devices Municipal Local❑• Connection ❑Other Low Voltage Wiring INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws �{ have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES f'Y NO D : have submitted valid proof of same to this office. YES 00 NO ❑ If you have checked YES, please indicate the type of coverage by che(ckin the appropriate box. INSURANCE ® BOND E]OTHER❑ (Please Specify) LI a'll �I ��� ���Ol d 3 Estimated Value of Electrical Work b Work to Start Signed under the oenaltipr of nnrhery FIRM N Licensee Address Date) Inspection Date Requested: Rough A I r_. C..n L L Final liU L L_i_ l_fJ L-( IC. NO. LIC. NO. -10611? G' Nok,1l73) 7 i6s - 15.��� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement, Owner Agent (Please check one) (Signature of Owner or Agent) Telephone (::�)O PERMIT FEE S t. c Date ..... 7/. ... . VP� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies i that ..... M ................................. �J. ........................ has permission to perform— -1.4Z ......................................... wiring in the building of ........ . A.. .......................................... at ......... .......... -T. --!........ W—. ...... . NorthAndover, M Fee Lic. .. ... .. ..... ELECTRICAL INSPECTOR Check # 46 v ILI tx 01Ile CRolnnlonwettltll of Massalc4uoetto Office Use Onl Deparfrneri of Public Safety ( 271' Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 / Occupanry &Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 ' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) /� Date D4 '-a (4 - 624, City or Town of )cg -r- i Ar j )J c9_ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) L LR % " tJ E Owner or Tenant M Luz P lj CJ -+42) — a 58 -OVF5q Owner's Address Is this permit in conjunction with a building permit: Yes PS No U - (Check Appropriate Box) Phrpose of Building C -S I I7 L=. (-_J T-1%1��L��_ Utility Authorization No. _ A ove In - SwimmingPool rnd. ❑ rnd. ❑ Existing Service '. Amps _, Volts Overhead 21 Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters - I No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work..019C, N 5r(,w—y A b D l n o rJ O Q of L1C 1 S n IAC) r��tZAC7L= No. of Lighting Outlets No. of Hot Tubs TOTAL No. of Transformers KVA No. of Lighting Fixtures A ove In - SwimmingPool rnd. ❑ rnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lig ting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Ranges Tota No. of Air Conditioners Tons Heat Total Total No. of Disposals No. of Pumes Tons KW No. of Sounding Devices. No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal ❑Other No. of Dryers Heatin Devices KEN Local❑ Connection No. of Water Heaters KW No. o No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: GA 2,4 C:l L INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES Af NO 17 ! have submitted valid proof of same to this office. YES X NO ❑ If you have checked YES, please indicate the type of coverage by che(ckin the appropriate box. INSURANCE ® BOND ElOTHER❑ (Please Specify) LI a'Ji 1A Estimated Value of Electrical Work i (Exp ation Date) Work to Start Signed under the nPnaltie of naris in, FIRM N Licensee Address Inspection Date Requested: Rough / y 1 L - L__b LC Final 1/y L f.._C_ l A L- C NO. NO. " Itt✓r&,;? L, )&73)��-f5:3!?- Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement.. Owner Agent (Please check one) -� 0 _ (Signature of Owner or Agent) 0 Telephone No. PERMIT FEE b � E C 6 z y W '•o c 0 ` o cv v a CL ea A CD m C j' E Q y . m c W : m o m _ CL E C r o� y m `Nc �� o 0 3 cm lzi 4=D E �o cm�3p L cm O J N .m O • zip Cc :_� N! 10 W O Em 0 cm �.+ �.. C CM :moa ti •� dCt m 0 0� fA O C Z 0 ` 0 Of � a a m = m :awo ~ $ y m o O CIL— 0O3 oz m WAD 0 (... •t(A dt W C Z C.3 m� �2 H t $cm a4 -m z 0 w w a co O o x co L Z co p. O � o w° a cn �0 .b � w° x 0 a°- U ro w p'' co m W 'E m m v o O i Hco o cn y W '•o c 0 ` o cv v a CL ea A CD m C j' E Q y . m c W : m o m _ CL E C r o� y m `Nc �� o 0 3 cm lzi 4=D E �o cm�3p L cm O J N .m O • zip Cc :_� N! 10 W O Em 0 cm �.+ �.. C CM :moa ti •� dCt m 0 0� fA O C Z 0 ` 0 Of � a a m = m :awo ~ $ y m o O CIL— 0O3 oz m WAD 0 (... •t(A dt W C Z C.3 m� �2 H t $cm a4 -m z 0 w w a LLI U) U) W W 19 ,,Www v/ co O co L Z co p. O � h C ,w O ■� Q co 'E m m v O i Hco CD .moo a �a A., o � c O Vo. 0.2 a. c Z Q2 V CLy O O C �C C C43 LLI U) U) W W 19 ,,Www v/ eJVJ7UUiNlJ*(Jr rE1J KA;aJ N!! T Perndt No. i9 Ba4RDOFFIREPREVFN11IDiIV RBGiIA7TOAfSS27CBR LLIN Otxupmtry & Fees Checked �•�•� APPUCA77ONFOR PERMPTTO PERFORM ELEcnuCAL WORK ALL WORK TO BE FERFORMED IN ACCORDANCE wrrH THE MA3sACHUSST3 ELECTRICAL CODE, 527 Clea 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date__ 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 -5 T-ur -Ne- L A 1,1e Owner or Tenant P7,71- Owner's Address 5 -AW Is this permit in conjunction with a building permit Yeses No [3— (Check Appropriate Box) Purpose of Building N- it 1 I N 0j Utility Authorization No. Existing Service Amps/Z�Volts Overhead U ` end � No. of Meters New Service Am p�� olts Overhead Underground No. of Meter Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work LV i R e V 1 t .., de /-/all Jv o No. of Vgbna outlets No. of Hot Tubs M. ofTraossoeoem Total Na of Ughting Fixtures Swimming Pool AboveKVA Bel=w ground m KVA Na of Receptacle Outlets Na of On Rumors Na of Emerge;; t.ig wng Battery units Na of Switch Outlets No. of am Burma FIRE ALARMS No. of Zones No. of Rangn No. of Air Coad. Tod Taus No. of Detection and -� Na of Disposals Na of Hest Tod Tod PUMP Ton KW Initiating Dem Na at Sounding Devices No. of Dishwashers space Area Hosting KW Na of self Contained Local � Connection •� Other No. of Dryers Hoeing Devices KW No. of Weer Heaters Kw Np, of Na d S eallook No. Hydro Massage Tube No. of Moors Tod His hLm=Gvtetrglt Aarsntbiera 113; afMadasttlsC�lmEM10 Ihmsu n1&dvefdpoafc(==toft0ffitst YM I !T II AN C:F�"V [:3 WC&IDSW o; IrspationDitleRe4sst+d Wtndi Phtallesofpetjuq►. fMMNAM6 A do ayaulmfrede' YE%Ph=i*ft/retyzc{wv=Vb, 0=40* RRao galiaaDlrb FA7*dVa xd&C iWeirS Find LicaueNa . l Z 7 T ?f�- Liamm A f�.) ("e, /'V1!` Sf �t,�} qN ,.� t' % �✓ UnsTa Nn !1! :>// .y�/ 7 AtTI�Na '?1y &'- M,?r'v �OWT,WSMJRANMWAIanawar dutzLs:ee dleireaenae aRar�su6rratsitlegiivsftntasreq�i� tTal.NarfindbCala�ltawtr .,rdthtrrrys�seon�hitpmritappic�wni�ltiuequienett (Please check one) Owner p a Telephone No, PERMIT FEE S Date.. ��v A c?...... . f,oWo;j0RTH—'**, 3?�' •• �� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �. � f' . .... I This certifies that ..,��.r.6:..'� //.... has. permission for gas installation ..(% C: !. L .................. in the buildings of ... t: ey.c. �a -� f ..................... at ............. . North Andover, Mass. Fee. .F .... Lic. No. 2.`! j. �:.'.. ..... !) ....... GAS INSPECTOR Check # 2- 6 7 19 6719 It MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Loqations 2i_;1z K-P,3/%i1 .�/ rle's ame New ❑ Renovation Replacement D G ;U B -BASEM ENT IASEM ENT ST. FLOOR ND. FLOOR RD. FLOOR TH. FLOOR TH. FLOOR TH. FLOOR TH. .FL 0RR TH. FLOOR (Print or type) -re Date Permit # Amount $ Plans Submitted M W w � w W CC z F' z W F -re Date Permit # Amount $ Plans Submitted 4 Name of Licensed Plumber or Gas Fitter .—/, " So L. mA Check one: Certificate Installing Company Corp. 13 Partner. ri Firm/Co. INSURANCE COVERAGE I have a current liability Insurance policy or it's substantial equivalent Check one• If you have checked es please indicate the a cove y Yes No� Liability type �e b checking the appropriate box. insurance policy E3 Other type of indemnity D1 Bond Owner's Insurance Waiver. 1 am aware that the licensee does not the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: er hereby certify that all of the details and information I have submitted (or entered) ed) in � Pgent lication� a and accurate best of my knowledge and that all plumbing work and installations performed under Pe it Issued fort s application will to to in the compliance with all pertinent provisions of the Massachusetts State G od and Chaer#;/of thecal Laws. By:D Signature of Title Plumber City/Town Gas Fitter Master APPRO VED toF��cE usE oNt Y1 Journeyman sed Plumber Or Gas Fitter c_ icense um er w � W x y w o mrA x �. w F w F 3 a e d o o Q 5 4 Name of Licensed Plumber or Gas Fitter .—/, " So L. mA Check one: Certificate Installing Company Corp. 13 Partner. ri Firm/Co. INSURANCE COVERAGE I have a current liability Insurance policy or it's substantial equivalent Check one• If you have checked es please indicate the a cove y Yes No� Liability type �e b checking the appropriate box. insurance policy E3 Other type of indemnity D1 Bond Owner's Insurance Waiver. 1 am aware that the licensee does not the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: er hereby certify that all of the details and information I have submitted (or entered) ed) in � Pgent lication� a and accurate best of my knowledge and that all plumbing work and installations performed under Pe it Issued fort s application will to to in the compliance with all pertinent provisions of the Massachusetts State G od and Chaer#;/of thecal Laws. By:D Signature of Title Plumber City/Town Gas Fitter Master APPRO VED toF��cE usE oNt Y1 Journeyman sed Plumber Or Gas Fitter c_ icense um er Date... 7 c A 5....... O' .,.0 �_ .` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION • SACMUSE�t This certifies that has permission. for gas installation ... ..................... in the buildings of ... ° u L. w q r. --at .. a .��..` . !`. {. t L .`:...... .. , North Andover, Mass. Fee.3U. ?`... Lic. No.?� �. Q . ^.......... . GAS INSPECTOR Check # A) z 67220 u MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N ANDOVER Mass. Date 3/4 2009 Permit # 6-7 Building Location 25 TURTLE LANE Owner Tel# 978-258-2889 Owner's Name PAUL BOULANGER Type of Occupancy COMMERICAL NRenovation❑ Replacement Plan Submitted: Ye[] No[:] � FIXTURES Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Name of Licensed Plumber or Gas Fitter JACK COOMBS LIC GF 3064LP Check one: Certificate ZCorporation Partnership Firm/Co. INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes V No ❑ If you have '''c ecked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy✓❑ Other type 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in b ve appli tions a ue d ac rate the best of my knowledge and that all plumbing work and installations performed under the permit is d fort is ap fic ion I be' co lance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge al L s By Type of License: • *91umber natipr"e of Licensed Plumber or Gas Fitter Title as fitter // / • -Master Q ibense Number GF-3064LP City/Town • -Journeyman APPROVED (OFFICE USE ONLY) Location 6? -5 /4 r- IAQ a, No. G a I Date's `a8 - 0R NORT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $--/--.f/-1o7") Foundation Permit Fee $ Other Permit Fee TOTAL Check # '557, Building Inspector 00 M Z O v n M TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / DATE ISSUED: /'v[ 0-,4� SIGNATURE: Building Commissioner/InEeector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /0/03 Map Number Parcel Number BOOK t3o5 PAG -E 2- 0 1.3 Zoning Information: 1.4 Property Dimensions: SF (l5 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS 11 Front Yard Side Yard Rear Yard Required Provid6 Required Provided Required Provided tet- 3;l-/3 so r 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System Public X Private 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 3_rEPHEN /u �i�TYSuce Name (Print) Address for Service p n Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �kov,-o-s , () • LYo„s Licensed ConstrLetion supe sor: d 7 `i O S License Number �� 92 C��sskt� d7Kf�17�a2D, /"1� Address ' :, � '97237 4/75 Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ / 13 0 64� Company Name Registration Number L?�- ^�D J S ����� Address 9 7 Fr,3 ?,K 7S Expiration Date Si nature Telephone 00 M Z O v n M .i r SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 6 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 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition (K Accessory Bldg. ❑ Demolition 1 Other ❑ Specify Brief Description of Proposed Work: �1n 1 C�1ifS ha it 1L r[?O� t1nd� a�d� PkB CnlVUF_e E4(,5Z7A)G B� S,P�FCc 76 LAt.tN7P4 a BAThlP.GhN� SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed bV permit applicant OFFICIAL USE ONLY 1. Building D (a) Building Permit Fee Multiplier 2 Electrical 9 y (b) Estimated Total Cost of Construction 3 Plumbing 13 Building Permit fee (a) x (b) 4 Mechanical HVAC "? 5 Fire Protection 6 Total 1+2+3+4+5 9 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as 6rvmer/Authorized Agent of subject property Hereby authorize to act on My behalf, in al relativork autho d by this building permit application. Sinate e of er Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 N a. _ 5—/0-4 � Signature of Owner/Aen Date NO. OF STORIES o2 SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TEVIBERS 1 /o 2NU O 3 SPAN 23'-!� " DIMENSIONS OF SILLS 2 x DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS (8" LY t_ HEIGHT OF FOUNDATION nj,+ THICKNESS SIZE OF FOOTING „i A X MATERIAL OF CHIMNEY 3p,(CK IS BUILDING ON SOLID OR FILLED LAND ,va IS BUILDING CONNECTED TO NATURAL GAS LINE /J0 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: Murphy Addition & Renovations CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 5-9-2002 DATE OF PLANS: 4/29/02 Permit # Checked by/Date PROJECT INFORMATION: Add wnd floor above existing garage and remodel a portion of existing 2nd floor to tie into new area. Creat a master suite, den, and laundry room. COMPANY INFORMATION: Willow Enterprises, Inc. COMPLIANCE: Passes Maximum UA = 142 Your Home = 115 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ---------------------------------------------------------------------- CEILINGS 770 30.0 0.0 27 WALLS: Wood Frame, 16" O.C. 680 19.0 0.0 41 GLAZING: Windows or Doors 73 0.350 26 FLOORS: Over Unconditioned Space 624 30.0 0.0 21 --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 ansA J4.4. Builder/Designer - Date /O 62 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*********************** APPLICAN.r-WiL-,Qw -,,,-r 2P(3te5,T-JC PHONE 797_$-37-(-7Y?s LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT (S) _ 7=y� STREET ST. NUMBER 2,5- USE .5USE ONLY********************************* ** RECqMME-JYDATIIOTV�q,, OF TOWN AGENTS: CON6ERVATION ADMINISTRATOR DATE APPROVI=D DATE REJECTED COMME TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH L,�s� SE TIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED 02 DATE REJECTED COMMENTS (f-/ 1-P 5 feN• 5� tied {;�r (� DCS r PUBLIC WORKS - SEWER/WATER CONNECTIONS No -I DRIVEWAY PERMIT -7/ / _ ,M, — �- � —1/% �/ n// FIRE DEPARTMENT RECEIVED BY BUILI TE__ Revised 9197 jm Print = am a homeowner performin work myself. 01 am a sole propri and have no one working in any capacity f am an employer providing workers' compensation for my employees working on this job. Comtaany name ( i t_" ��rrEPPR! SSS �� g.3 YY-OEgy 9 ?6-3 :7 Y- -7yes. CoWAM name: Address City: Phone# Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties. of a fine up to $1, MOM0 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of (atOf).p0) a day against rne. i understand that a copy of this statement may be forwarded to the Office of investigations of the DIA foreOfScoverage verification I do herby cerc i unde�t e pains and;rOies of perjury that the Wormation provided above is true and cont - /6 -- Q ;k - Print nam- 1J.yL�Yo�� Phone# '?7e Official Official use only do not write in this area to be completed by city or town official't ng Dep OGheck if irnmediate response is required Building Dept p Building ingDept Board Contact person: Phone # p Selectman's OfficeEJ Health Department 0 Outer RM WORKMAN'S COMPENSATION "IX 921�o�zvnzo�zrueallii 11-A—adwelta Board of Building Regulations and Standards -- HOME IMPROVEMENT CONTRACTOR _ ` o - Registration: 130664 Expiration: 4/6/04 Type: Private Corporation WILLOW ENTERPRISES, INC. THOMAS LYONS 99 CROSS ROAD l G� WARDHILL, MA 01835 - - Administrator License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 Not valid withouignature .9/-. 6ayzzmzaiuz�atl/ n��G zc�rzaella !�. BOARD OF BUILDING REGULATIONS t.. i License: CONSTRUCTION SUPERVISOR Number: CS 074135 { Birthdate: 09/16/1954 Expires: 09/16/2002 Tr. no: 74135 # Restricted To: 00 THOMAS W LYONS 99 CROSS ROAD BRADFORD, MA 01835 Administrator 4 Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 Building Demolition Affidavit DATE 5-10-0�- �N�RTh O �i4:° ,, 4 SSAC OWNERS NAME & ADDRESS k� L -E E,y MwpHy - v� �T-rrr�E ANE PROPERTY LOCATION DESCRIPTION fnZIP �NTi2E �aoF Anl� R WJE iPa�F�CC1f�ni T oit5 LLIO q? 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