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HomeMy WebLinkAboutMiscellaneous - 27 SAWYER ROAD 4/30/2018W 90 U, 4e &MMOnwato of fuggar4atfts lepartment af Vuhetc'%�tV 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 0 P U w 0 Lu u U. LL. 0 cc 0 0 .j ul 0 l U Y. u) 7 LL' twu. LU cc 0 U. z 0 P z ul 0. LU A. l U Y. u) 7 LL' LU z lu 9c ca 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# �� iM 5 . . . . . . . . . . . . . .... 04 G v 0 d �31kmvs ,6 L :31VOS cloom A N Ol S 101 lz Q ? V Go *OT vi 101 C*q iol k'I[11'7— NOLL03dSNI JO MVC1 VVI '�IHAOLNV *N *UH HakAVS L9 RoLt. -438 NVId owning 3-1r.410NIHcJ -40 SS-i)4nnw 0 d 'J38 a33a U Hdflzo �IOOVOINON ML-gL6 909 '101 3,PLO *VVJ '],ON38MV-1 '133aS IVA08 Li �\ ]A �A (I S A -� NVId JLOld 3!DVDJL80W z CN >- t -- cc C) CL 14 Z) cr) z LL < w �- CC cc -it Z (o > CC w 00 �— �— w CO CO) QUO 0 z LLJ cc LU w cc im �— 4 CO _j LU W Z -Y- 0 0 cc Z cn w Ne x LO I CV -J Z6 to ,q a cm CV] pv. t CA CL cl, tj z CN >- t -- cc C) CL 14 Z) cr) z LL < w �- CC cc -it Z (o > CC w 00 �— �— w CO CO) QUO 0 z LLJ cc LU w cc im �— 4 CO _j LU W Z -Y- 0 0 cc Z cn w Ne x LO I CV -J Z6 to ,q a cm CV] I 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 mu M X z 0 W (A) 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% 77 -Z fA IL r Ln Ic A e- I;F C/) m m x m m M Cl) m Cl) 0 m :3 CO) CD a z CD 0 CL CL cc) CL cr CD 0 CA CD Cl) cm rW Cl) CA 0 CD CD CD CO2 CD CO) 0 CD a 0 CD 0 Ott I n 0 x cn 0 cn CA cr 'A So ECO a C40 =t co ci -1 m 0 CL C2 =r -5 ca w cu — cO) =n P.0 0 — CL CL * m CD =r go CD CD CA = CD CD r CD -00 . cl Vj w CCD, =r CA S. gr 0 CD CL a) cl) C43 tA 0 . a S cr < 0 (loss CD '*41,.= j :E C', CA CD CD to C 4b A 4rri j C'N b C*) Ike CD 0 . . . CO) CD C.) '64.5 g, CS CA Cl) Cm 0 0 rA It M "t 0 C) �v n P� z M Cl) 0 0 ;;, rD C) > ITI w I 0 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� - -