HomeMy WebLinkAboutMiscellaneous - 295 BEAR HILL ROAD 4/30/2018N_
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............................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that Q ... . ............... ................... ) ........ I ...............................
has permission to perform ... .. ...........................
........................................
wiring in the building of ..... -.,
"I . ............... .
............. .......................................... North Andover, Mass.
Fee.h:?-I-'.. ... Lic. No&?,�? ......
..........
ELEcrRICAL NSP
Check #
7088
E;ommonwealth Of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
?--7 r- �T
Permit No. / 0 I -f' e.
Occupancy and Fee Checked
[Rev. 9/051 (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 INFORMA TION) Date: 0< �-, 0
City or Town of. NORTH ANDOVER TO the Inspector of Wires:
By this application the undersigned gives notice of his or her intention t erform the electrical work described below.
Location (Street & Number) 2,91; 6m, (,, A , / I W d
Owner or Tenant
Owner's Address
Is this permit in conjunction with a buildi rmit? YesEv
Purpose of Building
Telephone No.
No 0 (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps Volts OverheadEl Undgrd 0 No. of Meters
New Service Amps Volts Overhead [:1 Undgrd E] No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: e-"T;n�j
Co
Estimated Value of Electrical Work: A ttach additional detail if desired, or as required by the Inspector of Wires.
(When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability ins ' urance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such covera , is in force, and has exhibited proof of same to t e permit issuing office.
CHECK ONE: INSURANCE ND F-1 OTHER F
] (Specify:)
Icertify, under the pains and penalties ofperjury, that the information on this application is true and complet.
FIRM NAME:
LIC. NO. -
Licensee: uo A,,, /3,4 Signature
atu A7 LIC. NO.:
(If applicable, enter ex w in the license n
C, ber line.) Bus. Tel. N :I
Address: -ST I r 1�;n /,I,( , W 7 A/d Adw,-,I Alt. Tel. No.:
*Security System Contractor Licen/se 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
requiredbylaw. By my signature below, I hereby waive this requirement. I am the (checkone) Downer D owner's agent.
Owner/Agent ec I
Signature Telephone No. PERMIT FEE. $,?,Cf - , - _J
�ai— f t0110-12
able rrtuy be waived by the i%ec'or oJ Wires.
No. of Recessed Luminaires
No. of Ceill.-Susp. (Paddle) Fans
INO. of otaT
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above [I In-
11
INO. ot Lmergency Lighting
grnd. grnd.
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
INo. of Zones
No. of Switches
No. of Gas Burners
No. of D—etection and
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pu in p
I N.0 in ber
11.1
I Tons
� ....
KW....1.1.
I
No. of Self -Contained
Totals:
� 1.
Detection/Alerting Devices
No. of Dishwashers
-
Space/Area Heating KW
Local 0 Municipal 0 Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. Devices
No. of Water
Heaters KW
No. of No. of
of or Equivalent
Data Wiring:
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
I elecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Estimated Value of Electrical Work: A ttach additional detail if desired, or as required by the Inspector of Wires.
(When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability ins ' urance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such covera , is in force, and has exhibited proof of same to t e permit issuing office.
CHECK ONE: INSURANCE ND F-1 OTHER F
] (Specify:)
Icertify, under the pains and penalties ofperjury, that the information on this application is true and complet.
FIRM NAME:
LIC. NO. -
Licensee: uo A,,, /3,4 Signature
atu A7 LIC. NO.:
(If applicable, enter ex w in the license n
C, ber line.) Bus. Tel. N :I
Address: -ST I r 1�;n /,I,( , W 7 A/d Adw,-,I Alt. Tel. No.:
*Security System Contractor Licen/se 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
requiredbylaw. By my signature below, I hereby waive this requirement. I am the (checkone) Downer D owner's agent.
Owner/Agent ec I
Signature Telephone No. PERMIT FEE. $,?,Cf - , - _J
r�,,a ,�7 < / -,7- -7-,,9G
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 270 (JILly 21, 1987) Date: November 29, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 295 Bear Hill Road
MAY BE OCCUPIED AS Sinde Family Dwelline IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Lothar Fuchs
295 Bear 11iff
North Andover MA 0 1845
Buflding Inspector
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Building- Permit # lz__4b�__
ADDRESS/LOCATION OF PROPERTY: c9,
Map Parcel Lot Number
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY:
FIVE (6) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
SIGNED
ISIS E%_ R 1.1 A T 1. 0 N
PLANNING
I/ DPW - WATER METER
SEWERIWATER CONNECTION
NOTE
ROUTING
[cz
DPW MUST INDICATETHAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST
L/ DPW
Signature
F;le: ()C form revised 2006
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No. — , , ) `� Date
'LONT" TOWN OF NORTH ANDOVER
+
0 - zi mAlk Certificate of Occupancy
$
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Building/Frame Permit Fee
$
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SS C U Foundation Permit Fee
$
FIECEMD PAYME%Ih6r Permit Fee
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NOM COOS COUICT%ewer Connection
Fee
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Water Connection Fee
$
TAIL
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AE6
Building 16spector
Div. Public Works
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BAY STATF FSB 1309 ID:617-734-5185 NOV 27'92 16:05 No.006 P.02
A
F*L.OT PLAN OF Lt-tND
IN
NORTH ANDOVER MAID
RICHARD F. KAMINSKI AND AssocIATES , INC. NORTH ANDOVER, MA.
LOT 34-A
0,
EXIST —
. �ND
LDT 53-A
59,340 S.Ft
11
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1-0771,19&
0461? AlIzz le -L)'
�eZ / YS FC,9k, 6, o e,;W -1 e 94 9e
T�Fc, -3
PREPARED FOR:
LOTHAR FUCHS
Proper Ci;i and -Line Offsets Shown On This
P
Ploopn A e ec ficaiiy rorThe Determination Of Zoning
n1% OnIv.
LOCATION: LOT 33-A BEAR, jjkl-
The irot
JNDATiO Located On Lot 33-A
_ _ROAD
NORTH ANDOVER, MA,
Of
DAVID
A,
Is NOT Located Within Zone "A" (area
of 100yr. flood) As Shown On H.U.D. Firm
Comm. Panel NO, z50098 001.0 a
iL
SCALE . r _980C DATE - 12 14187
PLAN REFERENCE*
WEBBER
Doled- JUNE: 15AR1983
BEING LOT(S) 33 -A ON A PLAN BY
o. 3075?
1 Hereby Certify T - hot The' fOUNDATION
E- NE IS INC.
0
Shown On This Plan Is Loceited OnThe Gnd,
IH!2MAS
DATED: JUNE 1_1981 AND RECORDED IN
As Shown And That Its Location Does
Conform To Tho Zon Ing Laws Of The Town
ESSEX COUNTY No. Dist—
Of North Andover , MaL When Constructed.
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