HomeMy WebLinkAboutMiscellaneous - 28 CHATHAM CIRCLE 4/30/2018Town of North Andover Of tkORTH
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Bijilding Department 0
4.
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
0
O,ATE D
SSA�u ISS
APPLICATION FOR CERTIT41CATE OF OCCUPANCY i IXSPECJJON
30 C4<:?14CJ�� C r
tl,,C
ADDRESS
LOT NUMBER SUBDIVISION
DATEREQU EST FILED
DATE READY FOR INSPECTION
FIEVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOLTIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN TIES TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT NMET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
D.P.W. — WATER METFO����DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
,PFd-G,R TO JIJE INSPECTION REQUEST DATE.
SrfGlIiATTRE_'��T AUTHO
le No 3546
0
$3 CHUS
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
— t -el" '4 , , " 'L
This certifies that ........... -'�) ��
.................................................
has permission to perform ...... ............................... ......
f wiring in the building of ........ (��1111 Z-1—
............. 0 .................................... 0 ........................
at North Andover, Mass.
........................ 0 ....... ........
Fee.......... Lic. No."). ............ ...... ...............................................
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
DAPARMYTOMAUUMMY Pamit NA
sauDOFAWPRkVnBMVIMMVREGVL4nVMS7OR nffl
CY
&Fen Ckchd
FAAMUCATIONFORPERART70 FORMELECIRICAL WORK
Au waRKTo BE Pmoom iN AccoRDANm wrmTm mAwAamm wzcmim CWF, 527 04R 12*0
(PLEASE PRINT IN INK OR TYPE ALL INFORMAMON) Do
Town of North Andover
T eter nf Wires:
The undersigned applies for a permit to pe&m the eleMcal work de=1W below.
Location (Stred & Number) -i*ld -"-d-6 + 30 - (fAlf7-)qlftV
Owner or Town . &
Owner's Address
Is.this permit in conjunction with a building permit: YcsC3N* ED (amckApproirriste Box)
Purpm ofiluilding Utility Authorization NoO*y
ExistingSavice Amps
...�..Vofts Ovatead Undergrmind No. of Meters
New *2-OCI Amps(?V 17-t- Valtsa-0, Ovmfmd CZ3 UndeWwnd IM No. ofM eters A
Number offeetlers and Ampeft
I.,ocation and Nature of Proposed Ekcftd work =7 —1)xe777,,= 69AZbS
No. ofti*dft Otdds
No. ofHot Tubs
Na ofTmWomm
TOW
KVA
NO. of L" FbMm
8 mmbg Pool Abm
Bdow
GCOM4M
KVA
crRecepmde OWW
Now
ft GrOd 8
aodfid
No. ofEmapacy Li0ft BMM Units
Switob Oudeu
NOL Of On swnm
FM ALARMS Na ofzmn
-
No. of Ddedion Md
Wda*g DqWCU
No. GrS04004 Dmko
NM orsdrCoutdaed
No. of Rvirs
Na of Air Cond.' 4� ToW
TOM / L/)
Na ofD*uds
No. of Host Totid ToW
Raw Tow KW
No. of Didmabom
Spa= Am Math* KW
DetectionfSouadinom Devkes
LOCO munic4w rl
No. of Dryea
Hafiq DM= KW
[21 Cautdions
Na of Wsftt Hedm KW
No. of ft Of
sign
"Wo
No. Hydm Mamp TWx
NcL of Maim
Tod HP
IkMamithbay pAWb&ft n h" YES NO
NMI 66 nebteodbLym *M ND UMUUU*=
faMNCE worl am raw**
I I RIP41 rob -P Of]
%Vak1D FW
FWNAW
Li.. AVD,,?�
-Z-Z -
Ikd='UNm 6
AM% �47 f --C 6-, 6
0WNM'Sf6URANCEWATVK-
SIVE&MMIft L
and---- 1100*01036—m
(Please check one) Owner Agent
ri 1:3
i amplulle 1-4%X . A
Im
4 -q
t*10
X2!""� n
1. 17. n. 0 1. no a 1 All
"' " . . i,
Location C�8-30 Ckk4kkL,, Cjvc-[,_
No. 3 () 9 (14 1 B) Date I A 1/6
j0*Th TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
AcHust
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ c?
Check # -) D D ()
15 4 L 3
,0 ( &-.-
building Inspector
LOT / /I 3r) q (A't �)
8 3 c c h'Okp'
CHA THA Af CIR CL E
(50' WIDE) bi
Q /-/0//- �_
LOT 19
10 . WIDE NO CUT ZONE
VF
110WIR0 & JOAN)Vf
BROWN
�o
CN
CN 0
.7'
8.0, "cl -C-4
22,0'
5.5'
o in -in EXISTING FOUNDATION
I
ri u� C -4i TOP Of FOUINDATION=237.54' 4.3 7.2'
3 r7.2 -
Co 80.5' 4.3
LOT / 10
ARZA=13,607 i S.F
k '%Jl- 130.00,
NIF
our p & MIcillUr Y.
RIfNDEAll
7Z�
�5.�
I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 10
IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS
0 �F�jj.
TO THE SETBACK REQUIREMENTS OF THE ZONING BY-LAW A A OF
OF THE To N OF NORTH OVER.
4A I
GREGORY
R.
'CORCORAN
E iyA� NO.38034
10
S Z','N SURVEYOR
2
/ I
DATE: ...... ..z4lq ......... SUP I
C-)
CERT)F)ED PLO T DANA F. PERKINS, line.
ConsulUng ftineers & Land Suneyors
1215 MAIN ST EET - UNIT III
PLAN OF LAND IN TEWKSBURY, KARSSACHUSETTS 01876
N.ANDOVER, MASSACHUSETTS PREPARED FOR:
CORMIER-ANDOVER CONSTRUCTION CORP.
CHA THAAf CROSSINC 59 CHANDLER CIRCLE
A VER. MASSACHUSETTS
NOO
SCALE: 1"=40' IDATE: JANUARY 18, 2002 JOB NO.51165-10 I SHEET I OF I COPYRIGHT 0 EME BY DANA F. PERKINS. Inc
'A
Z,- 3 - 0 )--
Date.....................
'40RTH
0 &
TOWN OF NORTH ANDOVER
41
4
PERMIT FOR GAS INSTALLATION
11— -jtifies that ..
Rt C
......................................
has permission for
gas installation . ................
in the buildings of.Am
at �0 10 *'aF-3 C)
C � A �.hA.K.. C I North Andover, Mass.
Fee. . . Lic. No. ... ..... k) ...... .............
Check# 0 Cf
GAS INSPECTOR
4 (A 9-
MASSACHUSETIS UNIFORM APPLICATON FOR PERM TO DO GAS Ffrr]NG
Qype or print)
NORTH ANDOVER, mAssACHUSETTS
Date--S—
Building Lomflons 164 10
t�o
Permit #
Ownees Name
ArJavt�,
Amount $
�Ij
Newo,"
Renovation
[:]
Replacement
Plans Submitted
Pit 12 i W; WWI
2ND. FLOOR
3RD. FLOOR
(Print
N.aine officerised Plumber or Gas Fitter
j=k one: Certificate Installing Company
L1 Corp.
Partner.
13-Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent Yes E3 Noo
Ifyou have checked m pleasc iridicate the type coverage by cheddng the appropriate box
Liability insurance policy [Er Other type of W=mty Bond [3
Owner's Insurance Waiver:. I am aware that the licensee does not have the Instw4noe coverage required by Chapter 142 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signa& of Owner of Owner's Agent Owner Agent
Xy � �j um� M& W1 UAV UU44M dim Humnauun I navc suounucu kor cnu=) in Move application are bw and accurate, to the
0.
best o 'my knowledge and that all plumbing work and installations performed under Permit Issued for this application Will be in
compliance with all pertinent provisions ofthe.Massachusetts State Gas Code andChapter-142 ofthe General laws.
(OFFICE USE ONLY)
Signature of Licen,;W Plumber Or Gas Fitter
Plumber Hly.49
Gas Fiftff License Number
[3 -Master
[:] Joumeyman
Date. .4.— 4. —. 11 -�-
.4, TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
SACHUS
;Whis certifies that . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform ..... .................
pLmbing in the buildings of of\ V4 1 ke V, CO A— 1�b+-
i L) .0 ;;Z 3 C A 1h A
at ............... �j .. 0 ................ Noi ndover, Mass.
Fee. 198. Lic. No..
Check # PLUMBING INSPECTOR
5252
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
L...' Date C)
Building Lo )0 (1 c6AAW\ cms-�)'kiq Permit #
Ownefx�o'-"-f" CloryViref, COOS,+; Amount
New Renovation Replacement Plans Submitted Yes 13 No
FIXTURES
(Print or type) Check one: Certificate
Installing Company Name -IA n U4 ri Corp.
Partner.
Firm/Co.
Name of Licensed Plumber: A'Aa4 aro,-A zf�
In.surance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 11� Other type of indemnity E3 Bond
Iniurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 1:1 Agent 1:1 -
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 t . his application will be in
compliance with all pertinent provisions of the MassaG*ejt
_t� Stat lum ing Code and Chapter 142 of the General Laws.
By:
Slynature or uicenseqA-lumDer
Title Type of Plumbing License
City/Town IN Y 9 —
APPROVED (omcE usE oNLY -LIL;eli . Se IN U1110ur Master 0� Journeyman
11