HomeMy WebLinkAboutMiscellaneous - 27 SAWYER ROAD 4/30/2018W
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BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No. — 901
Occupancy & Fee Checked-_324t-2!�
3190 (leave blank)
01 q A
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - v
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 0 - C/
Q* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) -2-7
Owner or Tenant 40- �A gn,(L �J tA
0
Owner's Address A'A_
Is this permit in conjunction with 4 building permit: Yes El N o El (Check Appropriate Box)
Purpose of Building f& E ( ',J -c , + �J Utility Authorization No.
Existing Service Amps Nolts Overhead [I Undgrnd 7
New Service Amps —Volts Overhead El Undgmd El
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
k
No. of Meters
No. of Meters
No. of Lighting Outlets
No. of Hot Tubs
Total
No. of Transformers KVA
No. of Lighting Fixtures
Above In -
Swimming Pool grnd. 0 grnd. 11
Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets
No. of Oil Burners
Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Devices
No. of Ranges
Total
No. of Air Cond.
%
tons
Initiating
No. of Sounding Devices
No. of Self Contained
No. of Disposals
No.of Heat Total Total
Pumps Tons KW
No. of Dishwashers
Space/Area Heating KW
Detection/Sounding Devices
Local Municipal 71 Other
E Connection
No. of Dryers
Heating Devices KW
No. of No. of
Low Voltage
N o. of Water Heaters KW
Signs Ballasts
Wiring
No. Hydro Massage Tubs
No. of Motors Total HP
OTHER: �2- -1-- A un I'
le 0 Als yk,.4 I �i A 6C,
INSURANCE COVERAGE: Pursuant to the requiremenIts of Ma�pachusetts general Laws
I have a current Liability Insurance Policy including Cc M 4Erd Operations Coverage or its substantial equivalent. YES M --NC r- I
have submitted valid proof of same to the Office. YES I�VNO -_ If you have checked YES, please indicate the type of coverage by
checking the ap r r�ate box. / 31-1
INSURANCE 117,BOND -_ OTHER -_ (Please Specify) /_
V (Expiration 5ate)
Estimated Value of Electrical Work S
Work to Start - Inspection Date Requested: Rough Final
Signed under the Penalties of perjury: C ' R
FIRM NANJE A)PS S't, a a Pa LIC. NO.
Licensee,/�ke e Signature _L(,:=A _LIC. NO.
Bus. Tel. No.
Address 1/, 7 2- ed ff.4 L v Mo. �)b 00,1(, - Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I 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. Owner A g 061
(Please check one)
Telephone No. PERMIT FEE S
(Signature of Owner or Agent) x-6565
.1 N
901
Date .....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .... CIA
has permission to perform ...... ...... (y .....
wiring in the building of ... ..
- )...7 ..............
.... .... .... Rorth Andover, Mass.
Fee.-3-n��,Lic. ............... .. ...................................
L C�) oz
................ Lic.
RICAL INSP-1
a:,A- 3o.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Jo A
4 A
,,,,4 - X
MORTGAGE PLOT PLAN
EK SURVEY
17 ROYAL STREET, LAWRENCE. MA. 01841 Tel. 508-975-1413
MORTGAGOR CZIJPRY.Ni DEED REF. 3002 PG. 6'
ADDRESS OF PRINCIPLE BUILDING PLAN REF. 1708
27 SAWYER RD.
DATE OF INSPECTION JULY 1, 19(.1")
N. ANDOVE1, MA. Z.—
LOT 5
I !Ln
,6!
LOT M
SCALE: 1"= 20'
100.00
LOT 4
12,150 S. f. ?/I
LO
C-�
r
STORY
WOOD
SAWYER ROAD
LOT 3
or- This M 9 go Inspection was prepared
mKiflowly, fo=9a96
,a
I FURTHER SATE THAT IN MY PROMsSIONAL
Purposes and to not to
0 roned upon GO 4 survey. EK SURVEY accepts
0 responsibility for damages
OPINION the prIrjCL1P016Nfttre/s and accessory
outbuildings.
resulting. *-am sold
milance by anyone other than the said mortgages
e
ko S with the ssil�ack �mq.h-m-t. of the local
id its assigns in connection with its proposed
lartgag@ financing to sold mortgagor.
URV zoning OrftOnces, and that no onchroachments
Of mO)*r Improvements either way
ERTIFICA71ON TO-
across
Property linss except as shown.
---------- M-INUTEMAN FUNDING
ALSO-
El. Property In not In a Flood Hazard Area,
,I- 00"Incation In based on the location Of survey rncmw*em 2- Property Is in Q Flood Hazard AreL
Others. and does not represent r*perty a- Information 'a insufficient
p to determine Flood Hazard.
survey' therefore Flood Hazard dot -mined from the latest Fed F1
'festo shown are not to. be used foor the establishment of
'operty line& Insurance Rate Map panel# Oral ood
4,ec, bill'-
N2 Date .... .........
TOWN OF NORTH ANDOVER
0
0 -
PERMIT FOR WIRING
This certifies that ....... /
.......................................................................................
has permission to perform ............... ...........................................
........ .........
wiring in the building of ..... ........................................
at.... r; � 22? ... . ............. ............ ............. North, Andover, Mass.
Lic. NoF��/'
Fee-�57 ...... ...... e ...........................
ELEcTRiCAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
C0W0NWFALTH0FAf4M4CqUS=
DEPARTAMATOFPUBLIMMY
BOARD OFFD?EPREVEN77ONREGULATIOASS27CMR 12-00
Office Use only
Permit No.
Occupancy & Fees Checked
-"� A-PPUTrATWINTMI? VPPAA7TTn TAInl2V
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 4 � 220. 1 2
Town of North Andover
The undersigned applies for a permit to perfbrm the electrical work described below.
Location (Street & Number) a-7 (�� C�, W Y -e- C �� Z)
OwnerorTenant fy)Cf,�K`,) 2
Owner's Address
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes F4 No [—] (Check Appropriate Box)
Utility Authorization No.
Purpose of Building r\5k-f- yav-,�
Existing Service Amps Volts Overhead Underground No. of Meters
New Service Amps volts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electical Work Gavc�5e 7, 7 T 17, 7
No. ofLighting Outlets
No. ofHot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
E3
around
No. of Receptacle Outlets
No. ofOil Burners
No. ofEmergency Lighting Battery Units
No. of Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. ofZones
No. owt Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. ofDisposa)s
No. of Heat Total Total
)d
Pumps
Tons
KW
Wtiating Devices
No. ofSounding Devices
No. ofDishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
OthJr-
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
i gas
Bailasis
No. Hydro Massage Tubs
No. of M Dtors
Tot a] HP
OTHER
hmnceCo�a� RrsLatlothem4mnrr#sc(Masmdus&GffxrJ Laws
I ha-veacmatLnbkkmm=PoiLymdudingCaTpktOpaafi*cmCu&rdWcritsabqmtiaieqivalat YES F-1 NO
I haxst.&iftdvandplaof6fsameiotleOffm YES M NO If�wha%edx6WYE�*mmk&tet)Wcfw&aWbydrdmgthe
q,pLprkbCK r--11 - - .
11\13�E I -,<-I BOND r7 OTHEP, F1 ftmspm&y)
Emmakd VakXdaeMXaI Wo[k S
WO&IDSM hWecticnD*R4xsWd Rzugh Fmal
signcdunkTrRmhiescfpe�w,
FIRM NAME
Signan
Bus�mTdNh Q 'D�,�-
Adicss— d Lm Alt. Td NbL :j�Ll Ll- 6 LZ;
OWNIER'SN&JRANCEWAIVER,IamawmhtdxLjommdamrd &'Mmm=omeqporilsWAKIdegivakttasm*iredbyMmadmg&GaimaiLTAs
(Please check one) Owner Agent
Telephone No. PERMIT FEE $
N2 4. 4 7 7
4,
0
'tSACHUS
Date. !�� . ---Z)
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ...................
has permission to perform ..................
f� ............
plumbing in the buildings -of ... 1. _ile
at'. ............. ��orth Andover, Mass.
Fec�� ...... Lic. No..
Check # PLU MIBING -INSPECTOR
WHITE� Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
IN
NO(ETL4 61VM%le-tr . Mass. Date— _,tt��Permft
Building Location '2 ? LQ � Ere- 44'_�) —Owners
Wj Jr#jNMrAMff%T0jr
New C] Renovation 0 Replacement 2""
FIXTURES
F
Installing Company Name M A T A e Q, Check one: Certificate
Address I
A) 0 Corporation
qj"C-7 AJ AIA 0 [3 Partnership
Business Telephone ( ,42 -r/q7 2-6�/Co.
N,arne of Licensed Plumber 1-eqoo
INSURANCE COVERAGE:
I have a current jiability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes [-:r No [3 .1
If you have checked Yes. please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of Indemnity 0 Bond 11
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:
Sianatijramf0wnarnr?=A,'.A_# Owner 0 Agent 0
I nereDy certily 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 the permit i his application will be in compliance with all
Laws
pertinent provisions of the Massachusetts State Plum g e and Coapter of t'shre"!:rrat
7AA-,,l ,V �, 7""
t
Titl e SLOMre of Licensed
2�lTown Type of license: Master Joumeyma'b E]
FO �ICE US�ONL�� license Number �33 I
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Location
No. Z (0 Q Date
TOWN OF NORTH ANDOVER
orw. Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
7
Other Permit Fee
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
6��u'ilding Inspector
Div. Public Works
PERAfff NO. Z (�7 ()
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP 4qO. S�>
LOT NO.
2 RECORD OF OWNERSHIP jDATE
BOOK ;PAGE
ZONE
SUB DIV. LOT NO.
LOCATION 66 Ul 6t k -D
PURPOSE OF BUILDING
OWNER'S NAME
MRr-*TA
NO. OF STORIES IZE
OWNFR'S ADDRESS Q -f W
BASEMENT OR SLAB I
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET Fr
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT 2, FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION 10 cte-C&
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
mill
/1 �3- e-19 02
OWNERTELJ (0 �
CONTR. TEL. #
CONTR. LIC. #
H.I.C. #
BUILDING RECORD
OCCUPANCY 12
SINGLE FAMILY S-ORIES
5
—
MULTI. FAMILY ------ [_�FFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
___ 3 1 2 13
PINE
CONCRETE
CONCRETE BL*K.
BRICK OR STONE
HARDW D
PIERS
�LASTER
_�RY WALL
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M'T' AREA
1/1 1/2 V.
FIN. ATTIC AREA
NO BMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
B
1
2 3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
CONCRETE
EARTH
HARDW D
COMfACN
AiPH TILE
STUCCO ON MASONRY
STUCCO ON FRAME
9_RTC_K_6R MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
DEQUATE NONE
5 ROOF -7
10 PLUMBING
GABLE
G,AMBqEL
I
A
±LI P
BATH 13 FIX.)
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FM71ING
11 HEATING
WOOD JOIST
PIPELESS, FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd
ELECTRIC
,d
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
LOT
5
71
LOT 4
12,150 s.f.
�r 16
STORY
WOOD
19
Loll
100.00
SAWYER ROAD
OF
117) LO T 3
CN
Ty- This mortgage Inspection was prepared fiAAMS 1'(-'A 1� I FUR-rHER SATE 7HAT IN MY PROFESSIONAL
$C111cally, for mortgage purposes and is not to No. OPINION the princ acceasory,
'rolled upon as 0 survey. EK SURVEY accepts outbuildings, * CMUMure/s 'and
responsibility for damages resulting from sold with the setback requirements of the local
once by any -one other than the sold mortgagee
I its 0931 S U R%q zoning ordlnanccm and that no anchroochments
figanscin connection with its proposed
rtgage n Ing to sold mortgagor. of ma)or Improvernents either way across
UnFICKnON To- ALSO. property lines exc"t as shown.
- MINUTENAN FUNDING U1. Property Is not In a Flood Hazard Aroo.
v now+ - - , --7, --, -- 132. Property is in Haxcrd
'' '- "' " �ll Lola IV,-Uziull Ui ourvoy (1101kars
others. and does not represent a property survey, therefore 03. info'rmcitlon Is Insufficient to determine Flood Hazard.
lots shown are not to. be used for the establishment of Flood Hazard determined from the latest Federal Flood
;�erty, llnm insurance Rate Map panel#
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Location o27 �Aq) e)c
v
No. Date 4
RT01 TOWN OF NORTH ANDOVER
�,% 1,
0
AL
Certificate of Occupancy $
Building/Frame Permit Fee
CHU
Foundation Permit Fee $
Other Permit Fee zi-5 OJ
TOTAL $
6-4 *-
Check # 610 7
3
3'. 5 S Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUELDING PERNUT NUMBER: DATE ISSUED:
S-13 z sn", 7, L3 .0
SIGNATURE: M /n
-tor of
Building Commissioner/IRE�E Buildings Date
SECTION 1- SITE INFORMATION
1. 1 Property Address:
1.2 Assessors Map and Parcel Number:
e.
0"3 -�== C)o
A"J'
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning Dk;ict Proposed Use
Lot Area (sf) Front -g, -(fl)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Re -red Provided
qw
3L) -3 5 -al I '�-
?-)
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
—
1.8 Sewprage Disposal System:
Public '-J, private D Zone Outside Flood Zone ?—rS
M...Ipal On Site Disposal System 0
SECT16N 2 - iROPERTY OWNERS111P/AUTHORIZED AGENT
2.1 Owner of Record
C2.1
,kA A L- 1P V\1 k-1
me (Prij,4l;�— Address for Service:
S.gn.ture
2.2 Owner of Record:
S - 1� /V--,
Name Xnnt Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3"1 Licensed Construction Supervisor:
Not Applicable
/kA
Licensed Construction Supe. Sor:
053
� 101-
License Number
Address(
CL 3 -3
Expiration ate
D
Signature \I(elep]
'Tone
3.2 Registered Home Improvement Contractor
Not Applicable 0
( ��
D I �1
Company Name
i\j R
Registration Number
ess
7 bp - s n<
Expiration Date
I
Signat�-re elevhone
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11
FORM — U — LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all -necessary ap,roval / permits from
p
Boards and Departments havm'gjun'sdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
1. 14
a 8 0 a a a a a a a a 0 a a a 9 a a a a a 0 a 0 a a a a a 0 a a 4 0 a a a a a a A a a 4 8 a a 0 a a a a 0 a a a 0 0 a 0 a a WE 0 0 a a 0 a
APPLICANT CL�,R,,RHONE
ASSESSORS MAP NUMBER 03',D, LOT NUMBER 0038
SUBDIVISION ROL LOTNUMBER
STREET �16 �,_ 14 17� STREET NUMBER 2,�
Ina 8 ad a am a me a a B-3 a 0 a a am a a 0 2 a a a ad a ANN ANN 0 am am am a a an a an a a a a a am am a a a an MEN 0 a a a 0 0 a
OFFICIAL USE ONLY
REC NOvIENTI)ATIONS OF TOWN AGENTS z;2 0 � 5--Z 0
,a* a a a a a a 0 a a a 0 a a a a a a a a a a a a a a a a a a 2 a a 2 a a a a 0 a a a a a a a a a a 0 a a 0 0 0 a 0 a 0 0 0 9 4 A
020 0 0
(- �n, — U DATE APPROVED
CONStRVATION ADMINISTRATOR
DATE REJECTED
Comm
DATE APPROVED
TOWN PLANNER
DATE REJECTED
COMMENTS
DATE APPROVED
FOOD INSPECTOR - HEALTH
DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE
The Commonwealth of Massachusett�
Department of Industrial Accidents
Office of Investigations J.
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Please Print
A. �av
& ( IOQ-f Phone lL� ib—
F7am a homeowner performing all work myself.
F7I am a sole proprietor and have no one working in any capacity
--",sI am an employer providing workers' compensation for my employees working on this job.
� I I A I
v
Address
city: �Jo V--t� Phone #:
6"4.�
Company name:
Address
City: Phone #:
Insurance Co. Policv #
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 $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the OLA for coverage verification.
I do herbv49t-W under the Daft(and
Signature.
Print
of pefiva( that the
above is true and correct.
Official use only do not write in this area to be completed by city or town official'
OCheck if immediate response is required Building Dept
Contact person. Phone #.
FORM WORKMAN'S COMPEWSATION
RIA,
hone # 6i�L 5 3 3 <-
E]
Building Dept
Licensing Board
Selectman's Office
Health Department
Other
Town of North Andover
IN
6 40 1
Building Department 1 0
27 Charles Street V
North Andover, Massachusetts 0 1845
P lb
(978) 688-9545 Fax (978) 688-9542
"SA
C14US
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, s I 50a.
The debris will be disposed of in /at:
mi.
Facility
Signature of Applicant
-- L ( 1-1 � �) 0
Date
NOTE- A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
V%
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THE ZONING DIST IS R-4.
ASSESSORS MAP 32 PARCEL 38
DEED BOOK 3516 PAGE 64.
PLAN #1708 N.E.R.D.
NIF SHAPLEY
#21
WF TROIA
PLAN OF LAND
IN
NORTH ANDOVER, MASS.
OMVED BY
MARTA CZUPRYN
SCALE. 1"=20' DATE.6116)2000
00 20' 40' 60'
Scott L. Giles R.P.L.S.
Frank. S. Giles
50 Deer Meadow Road
North AndDver, Mass.
SA"ER
N 6400020" E
#27
zi 00ST I STY. WOOD
DECK LE
W
N
LOT 4 BLOCK M
PLAN #1708 N.E.R.D.
12,217 S.F.
g -6e0-5'40- W
NIF 13ONELLI
THE PROPERTY LINES SHOWN ARE THE
LINES DIVIDING EXISTING OWNERSHIPS, AND
THE LINES OF STREETS AND WAYS SHOWN
ARE THOSE OF PUBLIC OR PRIVATE STREETS
OR WAYS ALREADY ESTABLISHED, AND NO
NEW LINES FOR DIVISION OF EXISTING
OWNERSHIP OR NEW WAYS ARE SHOWN.
PROP.
ADD.
100. 00f
W
C�
20'+1-
TO MIDDLESEX STREET
NIF TORRISI
m
NIF SOLOMON
#35
THISIS TO CERTIFY THATIHAVE CONFORMED
WITH THE RULES AND REGULA 77ONS OF THE
REGISTERS OF DEEDS IN PREPARING THIS PLAN
D e
TO...............
0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
u
This certifies that ...... �..v ... Le% ...... Lzon..!� .................................................
has permission to perform ......
.................... .......................
wiring in the building 'of ...... ...........................................
at._, 7
?
.... ............................................... . North Andover, Mass.
Fee.... �. �?.-c .......... Lic. Nok.).-.5-3 3 ..............................................................
ELECTRICAL INSPECTOR
04/29/97 15:20 35.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
7 ;;1,
-(L\ ne Commonwealth of Massachusetts office too . Only
Depertment of Public Scfcty 1"IfeltNo.
Occyi-ancv 4 roe owcked
BOARD OF FIRE PREVENTION REGULATIO Ns S27 CMR 1= 1 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All "rk to bq periormed In accordance with the ma",chuscru EIccirIcal Code. $27 12z -m
(PLEASE PRna IN nM OR ME INFORMLTION) Date 7f-7
CitY -or Towu of )VI To the I
n f/Wires;
The undersigned applies for a permit. to perform che electric I k described . below.
Location (Street & Number) Z— -7
Owner -or Tenant
— M
Owner's Address
Is this permit in conjunction. with, a building permit: Yes No (Check Appropriate Box)
Purpose of Building_-- utili A orization NO. 702S-57
tj�rUndgrd No. of Haters
Existing Service —LOL�Amps Volts Overhead
New Serrice 10() Amps volts Overhead 2/ Undgrd 0 No. of Haters—
Number of Feeders and Amp4cit
Location and Nature of Proposed Electrical Work A) X01 -M 0
--- !S7�,)/
OTHER:
I
INSURANCE COVERAGE: Pursuant to the requirements of MassachUetts Ce -neral Laws
-I have a current Liabili8t In 'u rance Policy including Completed Operations Coverage or
I _.�ts subsCantial
equivalent. YES ff NO have submitted valid proof of same to this office. YES E] NO (]
If you have checked YES, please indicate the type of cove�rW by chec�,ing the appropriate box.
INSURANCE t BOND*[] OnMR C3 (Please Specify)
Estimated Value of Electrical Work S (Mp- rat �ona
Work to Start Inspection Date Requested: Rough Final
Signed under the nalties of perju�y:
FIRM N.&ME. 77217!_ zz- ct--�2 7-1,--f1(--
LIC. No.
Licensee Signature
LIC. No.
Addressim
1)1ar-Bus,.' Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage—or its sub-
stantial equivalent,g3 required by Massachusetts Ceneral-Uws, -'and t� t y ignature on this permit
Application waives is requirement. Owner Agent (Please check mries I ----
(Signature of Owner—or AgentT— Telephone No.. PERMIT FEE S 3� - -
No. of Transformers TOM &-1—
KVA
No. of Lighting Outlets
No. of Hot Tubs
No. of Lighting Fixtures
Above In-
Swimming Pool grnd. 11 grnd .
Generators KVA
No. of Receptacle Ourlers
No. of Switch Outlets
No. of Oil Burners
No. of Gas Burners
No. of Emergency Lighting-�
Battery Units
FIRE ALARMS No. of Zones
No. of Ranges
No. of Disposals
No.' of Air Cond. Total
tons
No. of Heat Total Total
Pu=os Tons KW
No. of Detection and
Initiating Devices
NO. of Sounding Devices
0
ND. of Self Contained
Detection/Sounding Devices
Munic al
Local(] Other
No. of Dishwashers
No. of Dryers
Space/Area Heating Y1W
Heating Devices KW
No. of Water Heaters KW
No, of No. of
signs Ballasts
Conne!pt ion[D
Low Voltage
lWiring
No. Hydro Massage Tubs
No. of Motors Totil HP ---F
OTHER:
I
INSURANCE COVERAGE: Pursuant to the requirements of MassachUetts Ce -neral Laws
-I have a current Liabili8t In 'u rance Policy including Completed Operations Coverage or
I _.�ts subsCantial
equivalent. YES ff NO have submitted valid proof of same to this office. YES E] NO (]
If you have checked YES, please indicate the type of cove�rW by chec�,ing the appropriate box.
INSURANCE t BOND*[] OnMR C3 (Please Specify)
Estimated Value of Electrical Work S (Mp- rat �ona
Work to Start Inspection Date Requested: Rough Final
Signed under the nalties of perju�y:
FIRM N.&ME. 77217!_ zz- ct--�2 7-1,--f1(--
LIC. No.
Licensee Signature
LIC. No.
Addressim
1)1ar-Bus,.' Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage—or its sub-
stantial equivalent,g3 required by Massachusetts Ceneral-Uws, -'and t� t y ignature on this permit
Application waives is requirement. Owner Agent (Please check mries I ----
(Signature of Owner—or AgentT— Telephone No.. PERMIT FEE S 3� - -