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Home My WebLink AboutMiscellaneous - 3 PEMBROOK ROAD 4/30/2018C" p )> Date. I P.-3, -.4. 2-. . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that Q. r kc ................... j has pennission for gas installation ... ............. in the buildings of .... ................... at. .......... , North Andover, Mass, Fee ::�Pv�q . . Lic. No. GASINSPECTOR Check# t Lto(I 8352 I G TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE F7 L _ �72 'Z7 PERMIT# JOBSITE ADDRESS OWN ER'S NAME OWNER ADDRESS TEQ::::::�=FAX OCCUPANCY TYPE COMMERCIALE] EDUCATIONALE] RESIDENTIAL NEW: M RENOVATION: M REPLACEMENT: [':] FIL_ APPLIANCES 1 OORS, BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATE—R DRYER FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY —COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATERHEATER BSM 1 2 1 3 1 4—T 5 PLANS SUBMITTED: YES Fj NO [9� 6 1 7 9 10 INSURANCE COVERAGE I have a current 1!4�insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES 1� No I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE 13Y CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICYE� -OTHER TYPE INDEMNITY r-1 BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee �Loes not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application AqjM this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 0 AGENT El I hereby certify that all of the details -!:I I J 1111:1111:011:111 � havesubmitted or M1, 11111 regarding this application are true and accurate to the ;i1i:1'()—�myknovAedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pert t Sion of the- ine Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A pro s PLUMBER-GASFITTER NAME LICENSE SIGNATURE MP MGF 0 JP F_� JGF 0 LPGIE] CORPORATION D�# PARTNERSHIP 071#[= LLC f -l#= COMPANY NAME:E9 In, Cr': I �jz H-rx c ADDRESS CITY STATE =ZIP[:?j�TEL FAX CELL[:=EMAIL V I AU "J ui \T cn, Of 1-0- w ..Co U) z f4 Lu w LL C) U) -W < > 0 Z < Lu , ui Ln CD M: w LU w z CO LU -i 0 nz �JLU 0-0 ui j: —;Z!4 Town of North Andover �, ;�-7 Page I of I i.... ................ - I ........................ ........... 0-09rcel.s . . ............ . ............. . ... - ........... ............ ... ..... . ...................... . .. ... ................... 11 (show all) ........... . - --- .. ..... .... ..... .. .. .. . .... ............................. .............. .............. . ......... .. I Owner ------TProp—ID _�Aciclress I NAFF�H, ALLEN 3 1021.0-0044-0000.013 PE�113P�101( ROARj___� 1 selected To Mailing Labels To Spreadsheet Property 1[ Building Permits Septic Puffl Print Ownerl NAFFAH, ALLEN 3 Owner2 FRANCOISE B NAFFAH Address 3 PEMBROOK ROAD PropertylD 021.0-0044-0000.0 Lot Size 9583.2S Fiscal Year 2013 Land Use 101 Code r"I =n* ny IN sm� ft cwv. 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I NAFFAH, ALL I )OKROADI 1. �7 I selected To Mailing Labels To Spreadsheet Property 1[ Buildinjiern�1_1171____]j Septic Puj� Print Ownerl NAFFAH, ALLEN 3 Owner2 FRANCOISE B NAFFAH Address 3 PEMBROOK ROAD PropertylD 021.0-0044-0000.0 Lot Size 9583.2S Fiscal Year 2013 Land Use 101 Code w,,�k ,w* q.&M C.*.�. d. 0." ..y, w UnpW. � emr* my legm U�Ift or w4mmbtly for m �rwy, mrowamm a uWd�wm & the G�W=tk Vdumat� %-I� Mq Data �any Cew dxZ pfovtd---.d ftw". Tt� data does mt tmett*pme of a prafemlofW �__andr�m Mg.1 be3mg m Me Nue SMM SLB,., bmti"N � eAsm�ve d a qemrapW� teatcm pfcoemy ImHUcad mpesentMm M-K�k VmlEy PunroV Carmlwon mqvms Mal MW m kd&magm be ac=ypaded by to ft smme m -d re Mjentnwk VAW Pbnr&V Ccnmlss�Ws ca�M Mat R niakeS no wa�-v!� 0! epM5Vftab= ES to U� aMWJ.y 01 SM N*nlata� Any �af M Warroldn fS M http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 10/2/2012 Datelok TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... �Ypv� r�. has permission to perform. wiring in the building of ....................... at. . NQ h Andover, Mas Feet--s!�—Lic.NoJ041P.. .1-10 .... . P CT ELECPTRICAL INSPECT 'R Check 4 &6zi 11135 4 10 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Of ficial Use Only Permit No. Occupancy and Fee Checked [Rev- 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonmed in accordance with the Massachusetts Electrical Code WC), 527 CMR 12.00 (PLEASE PRLNTrjVIAW OR., MEALLBff0RAQTI0N) Date: JD City or Town of: 6 V144 �,djqdq V,� To the Inspector of Wiles. By this application the undersigned gives notice othis or her intention to perform the electrical work- described below. wbrK 9)*- T q./ 4 Location (Street & Number) _d . _� (.2, Owner or Tenant Owner's Address Telephone No-9tt_4 8, ')q, S7: a Is this permit in conjunction with a building permit? Yes F-1 No H BLDG PERMIT # Purpose of Bujld!iig_6e_50e�N+ja,1 Utility Authorization NO. Existing Service AOO A -nips jA0 1,141 t -.>volts Overhead R' Undgrd No. of Meters New Service Amps volts Number of Feeders and Ampatity Location and Nature of Proposed Electrical Work: J,) V- _94-a "A — ),�, OverheadF1 Undgrd n No. of Meters sti, 4eA e�r c u� 4+-,- 4yo I f V �110 91 eo e Y�Aj-a �r g -s �?mpletion of thefollowin t le may be walved bj,, the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp, (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above In- grrid. grnd. Nb� of Emergency Lighting Battea Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS _F No. of Zones No. of Switches No. of Gas Burners of Detection and Initiating Devices No. of Ranges Tiital No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump I.NWber,. Tons 1.11- . .... . .... No. of Self -Contained Totals: 1 DeteLtion/Alerting Devices No. of Dishwashers SpacelArea Heating KW Local El Muriic'Pal EJ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent N —5 -of- W —at e r KW NO. Of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wi - No. of Devices or Equivaient OTHER: Attach additional detail ff desired or as required �y the kapector of Mies. Estimated Value of Electric?,] A (When required by municipal policy.) Work to Start: Jblq inspections to be Teques�ted in accordancewith MEC Rule 10, and upon completion. INSURANCE COVET&GE: 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 operation7' coverage or its substantial equivalent, The undersigned certifies that such cove e is in force, and has exbibited proof of same to the permit issuing office. CBECK ONE: INSURANCE ;�=D n OTBER 1771 (Specify:) I cerfoT, under thepains andpenallies ofterjury, that the Information on this, appReation is true and coftwiete. FIRM NAME: -TokA A doWns Ekdrk, 4 4; LIC. NO.: 16A!7C) Licensee: 'Trlh M cc 8 1116 5 Signature �'h. d4%1� LIC. NO.. F_ 0 1 ) (?t5 (If applicable enter "exeinpt" in the license 7jumber line.) Bus. Tel. No..I� Address: 4a eente_l�-_ A+rep—t rrV-,dvP_ L kiAl &(A 6 I'm Lf Alt. Tel. 'Per __ -6 , j kl.61. c. 147, s, 57 1 secdnt-3- work requires Del n)blir.'Safe-ty"S" Licen LIC. NO. - OWNER'S INSURANCE WAIVER- I am aware that the Licensee does not have the liability insuranc e coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) 0 owner E] owner's agent. Owner/Agent V-7 Signature . Telephone No. FPE WT FEE.-$ 5/,93- / A_�4 Date/1'�.-.2/11-. ��' .? ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... pl� ..................... has permission for gas installation .... () . �� . ....... in the'buildings of .......................... at / 15' C-- /I /� ............ Nort Andover, Mass. Fee. ?C) 7... Lic. No -72) Check# ? PAS INSPECTOR 4224 30 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ,&-/Z� AAlclo Mass. oate Building Location 3 V11, �:� Permit OW Owner's Name Type of Occupancy --e&/ je-141 C P New A Renovation C] Replacement C] Plans Submitted: YesC] No C3 Installing Company Name Boule's Gas Address j9 -Oxford Avenue Haverhill, MA 01835 Business Telephone 978-372-6783 Name of Licensed Plumber or Gas Fitter Charles H. Boulel Check one: 0 Corporation 0 Partnership ii Firm/Co. Certificate INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0 No 0 If you have. checked Yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy A Other typo; of indemnity 0 Bond 0 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: Signature of Owner of Owner's- Agent OwnerO Agent C3 I hereby certity that all of the details and information I have submitted (or entered) in above application.afe true and accurate to the best of my knowiedge and that all plumbing work and installations performed under the permit issued for this ap ' �l tion will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the BY pu! Ucepse: Title Gastitter 5ignature of Ucensed Plumber or T�Iasitter� Master UcenseNumbir�j�c/ J3558- Cityfrown TlJourn I syman mbe Elm MENNEN 0 WFA-1:11 zl!Zlk Installing Company Name Boule's Gas Address j9 -Oxford Avenue Haverhill, MA 01835 Business Telephone 978-372-6783 Name of Licensed Plumber or Gas Fitter Charles H. Boulel Check one: 0 Corporation 0 Partnership ii Firm/Co. Certificate INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0 No 0 If you have. checked Yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy A Other typo; of indemnity 0 Bond 0 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: Signature of Owner of Owner's- Agent OwnerO Agent C3 I hereby certity that all of the details and information I have submitted (or entered) in above application.afe true and accurate to the best of my knowiedge and that all plumbing work and installations performed under the permit issued for this ap ' �l tion will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the BY pu! Ucepse: Title Gastitter 5ignature of Ucensed Plumber or T�Iasitter� Master UcenseNumbir�j�c/ J3558- Cityfrown TlJourn I syman mbe Date ... ........ Q:e- , , , . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..... 4 - W� .... �/ .............. has permission for gas installation,-.. . �.. in the buildings of .......... . ... ......................... at ......... North Andover, Mass. Fee ..... Lic. No/-�,�.v�- ' 're -P .......... Check# \,52) MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) IJAVCLI�e-, Mass. Date Permit # r Building Location -I loe"Iede /�qd Owner's Name 1 --la IV YW-4j�,4 A/ New C:] Renovation C] Type of Occupancy- eejl cle,�7 if Q ,g ", Replacement C] Plans Su mitted: YesC] No C] Insta.11ing Company Name Boule's Gas i4:idress J9 Oxford Avenue Haverhill, MA 01835 business Telephone 978-372-u'783 Name of Ucensed Plumber or Gas Fitter Charles H. Boulel Check one: C Corporation 0 Partnership :a Firm/Co. Certificate INSURANCE COVERAGE: I have a -:%jr-�erit 11abi-Ifty, Insurancer PC.'ICYL a" equivalzrii. w.-Jcih I rviecis iihe requirements of MGL Ch. 142. Yes No C] If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of'indemnity 0 Bond 0 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: Signature of Owner at Owner's Agent OwnerO AgentO I hereby certify that ail of the details and information I have submitted (or enteredf.in. above application are true and.accurate to the best of my knowledge and that all Plumbing work and installabons Performed under the pe ad th ica with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 0, it ' n ws-'s By Tj of License: I Plumber ture of U um gna ned b Title Gastitter M I aster License Number �1;372Q-/ J3555- City[Town j ourneyman Ir La V) ic 01 Uj .4 z 0 lu 0 L9 1- W tu = 0 ; -K LU Uj 0 0 W (a -C = cc LU 12 W ku = fA 0 1- o > U W -j i,. z 4 > 4 Uj 4 to -4 am 4 Z 0 0 0 0 1A Im i- 0 01 01-1 U 'A- 0 SUB—aSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR GTH FLOOR 7TH FLOOR STH FLOOR Insta.11ing Company Name Boule's Gas i4:idress J9 Oxford Avenue Haverhill, MA 01835 business Telephone 978-372-u'783 Name of Ucensed Plumber or Gas Fitter Charles H. Boulel Check one: C Corporation 0 Partnership :a Firm/Co. Certificate INSURANCE COVERAGE: I have a -:%jr-�erit 11abi-Ifty, Insurancer PC.'ICYL a" equivalzrii. w.-Jcih I rviecis iihe requirements of MGL Ch. 142. Yes No C] If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of'indemnity 0 Bond 0 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: Signature of Owner at Owner's Agent OwnerO AgentO I hereby certify that ail of the details and information I have submitted (or enteredf.in. above application are true and.accurate to the best of my knowledge and that all Plumbing work and installabons Performed under the pe ad th ica with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 0, it ' n ws-'s By Tj of License: I Plumber ture of U um gna ned b Title Gastitter M I aster License Number �1;372Q-/ J3555- City[Town j ourneyman Location %3 P-64iooi� 1-<)d No. 083 Date 11-cpL-ol TOWN OF NORTH ANDOVER Check # 961� b t &) - 7 8 bdilding inspector Certificate of Occupancy $ ACHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 961� b t &) - 7 8 bdilding inspector Aw I SECTION 1- SITE INFORMATION I 1. 1 Pr Address- ppa�v TOWN OF NORTH ANDOVER 1.2 Assc&soprfAap and Parcel Number: BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 12 +(QA BUILDING PERMIT NUMBER: DATE ISSUED: I Ct SIGNATURE: Address for Service Building Commissioner/lEEntor of Buildings Date I SECTION 1- SITE INFORMATION I 1. 1 Pr Address- ppa�v 1.2 Assc&soprfAap and Parcel Number: 2.1 Owner of Record 4LL/A/1-) GL6,-3 12 +(QA KPPROVA L (Z A� J6v Address for Service Map Number um Signature Telephone 1.4 Property Dimensions: A vk)�e-.. -,AA ARA f 2.2 Owner of Record: 1.3, Zoning Information: IN P--%C-Jjj Gqw Name Print I <�-Oc> Zoning Distfict Proposed Use —z -j Lot Area (sf) Frontage (fi) SECTION 3 - CONSTRUCTION SERVICES 1.6 B U11,I)ING SETBACKS 00 3.1 Licensed Construction Supervisor: Front Yard Side Yard Rear Yard teqH!red Provide tew Provided Required Provided .,±ed 13,8, ::5 -C> �LWat%� MG.L.C.40. § 54) 1.5. Flood Zone Information: li. pri"'. 0- Zone Outside Flood Zone 0 1.8 Sewo.Me Disposal System: Municipal VL- On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSEIIP/AUTHORIZED AGENT 2.1 Owner of Record 4LL/A/1-) GL6,-3 12 +(QA (Z Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Te ep one SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: License Number V\\I\ 9L AddrIts, Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Addr Expiration date Sign Telephone I 'i SECTION 4 - WORXERS COMPENSATION (MG.L. C 152 § 25c(6) I 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 .... IZ>< No ....... 0 SECTION 5 Desctiption o Proposed Work (check applicable) ition New Construction 0 Existing Building 0 Repair(s) 0 terations(s) Accessory Bldg. 0 Demolition Ml�,, Other 0 Specify A .� I I I Brief Description of Proposed Work: 9 / I qRVT10N 6 - F.STYMATF.n r0NqTR1TCT10N COqT.q Item Estimated Cost (Dollar) to be C Si Sture of Owner/Azent Date Completed by 2Lnm t �t applic "'Ft I Building 0 (a) Building Permit Fee 2 ND 3-D SPAN � 5 w Multiplier DINENSIONS OF SILLS 2 Electrical DINENSIONS OF POSTS (b) Estimated Total Cost of DII�IENSIONS OF GIRDERS I Z, 0 Construction THICKNESS 3 Plumbing --A ; 6zs C� Building Permit fee (a) x (b) MATERIAL OF CHRVINEY 4 Mechanical (HVAC) 5 Fire Protection 6 Total ( +2+3+4+5) o�D Q) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OW GENT -OR CONTRACTOR APKIES FORAUHDING PERMIT 1, A A as Owner/Authorized Agent of subject property Hereby atoho�ze to act on My beh A all matterl relative,* bY&s buil application. r, \"' � &_� Signature of Owner Date SECTION 71b OWNER/AUTHORIZED AGENT DECLARATION 1, 1 '-� As Owner/Authorized Agent of subject property Hereby declare that the statements and informatiori on the foregoing application are true and accurate, to the best of my knowledge and belief rint e LU—�� <� —6� Si Sture of Owner/Azent Date NO. OF STORIES SIZE Zq BASENIENT OR SLAB SIZE OF FLOOR TRVIBERS 2 ND 3-D SPAN � 5 w DINENSIONS OF SILLS DINENSIONS OF POSTS DII�IENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING '2–'w X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAW IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT, RELEASE FORM 0- �z 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 applica le�or r C), equire7ents. 4 '"'APPLICANT FILLS OUT THIS SECTION*********************; -*-I APPLICANT. -e T9 G PHONE LOCATION: Assessor's Map Number PARCE SUBDIVISION LOT (S) STREET71P!� Z �t� 0 �X ST. NUMBER 3 USE CONSERVAtION ADMIN COMMENTS -- TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH Comm DATEAPPROV913 DATE REJECTED— I / 0 - DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIO DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECT Revised 9\97 im DATE_ RECEIVED JOYCE BRADSHAW TOWtq CLERK NORTH A DOVER 2001 OCIT 2� P 2: 1 Any appeal shall be filed Notice of Decision within (20) days after the Year 2001 date of filing of this notice in the office of the Town Clerk. Property at: 3 Pembrook Road NAME: Allen & Francoise Naffah DATE: 10/17/01 ADDRESS: 3 Pembrook Road PETITION: 031-2001 North Andover, MA 0 1845 HEARING: 10/9/01& 10/16/01 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, October 16, 2001 at 7:30 PM upon the application of AHen & Francoise Naffah, 3 Pembrook Road, North Andover, MA 01845 as to allow for a Variance from the requirements of Section 7, Paragraph 7.3 of Table 2 for relief of a side and rear setback in order to extend the existing'garage and construct a master bedroom and bath, and farmers porch. They are requesting a Special Permit from Section 9, Paragraph 9.1 & 9.2 to extend a pre-existing non -conforming structure on a pre-existing non- conforming lot. The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Robert Ford, George Earley, Ellen McIntyre and John Pallone. Upon a motion made by Walter Soule and 2 d by John Pallone the Board voted to GRANT the Special Permit and Variance to allow to extend the existing garage and construct a master bedroom and bath, and farmer's porch. . Voting in favor: WJS/WFS/RV/JP/RF The dimensional variances were granted 1.2 feet on- the south side of the lot and a dimensional variance of 21.95 feet on the rear of lot per plan of land dated, August 29, 2001 for Allan Naffah, Merrimack Engineering Services, 60 Park Street, Andover, MA 01810. The Special Permit was granted -to allow 1026 SF of new residential -space and 320 SF for a farmer's porch. Per plan of Proposed Renovations for Alan & Fran Naffah Dated, 4/12/01 Pages 1-5 By Guy Messier Residential Design 148 Park Street, North Reading, MA. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraphs 9.1 & 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse; and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of Appeals, Willial J. Sullivan Registry of Deeds Northern.District of Essex County Lawrence, MA 01840 11/14101 'A ..FFAH ic *-/ / q1, �lp 30 Rec- Type PLAN 25.00 Inst 4 19 '2 3 C. P. 20.00 Copies 2.25 # 31, Rec: Type NOTC 10.00 T Inst 41924 C. P. 20.00 Total 77.25 # 32 Pavment Check 77.25 THANK YOU' Thomas J. Burke ReS-ister of Deeds CD 4) Lj LL tp aj 3 4- 0 c �U-1 'r 4:r IL -0 m rol 0 c L- o CD 0) V) cm m r Lim CL aj Ln O.L Ox6". . . '. �: 0 0 m m 0 0 u ON Ln 2 'o cu ai u c L C3. - u E -0 x L- CU ai U- 0 0 0 C)� 0 c a) U� 0 .0 2 wo m '2 'o CL L. CM c E 3 S :3 b- CLI 0 I -M N Uc- LU 201-- o m 0 z a) 0 ai u 'o c 0 r6 C aj z m ui ts e-: CD Aw CCD cl 5- CS �P, CD In E C.3 KC4 V, W... EEL co to i dQt: low cf) cts 40: 0 ca co u C/) ma C/) C=m on �d 0 u go cz -a -a bo :J r- E - -a u w 0 t -a 00 z 0 C4 X. ce 0 F-4 u w 0-4 x z C2 cm —C, r. x 'o 0 C4 co U� ow P -W W4 , 6 z 0 V) ui ts e-: CD Aw CCD cl 5- CS �P, CD In E C.3 KC4 V, W... EEL co to i dQt: low cf) cts 40: 0 ca co u C/) ma C/) C=m on u 0 s co CD E co cm ca co ca CD CD CD Q .m CL CO) Q CO2 C.) m cc 'a CO2 I�lw ts co CL CO) CD tm 0 Co cc W 0 CD CD b b.. CL CD = cm< cc .510 C) co Z co CL CO) LU 0 U) Lij C/) Cc LLJ LLJ cr LLI LLJ C/) ci 'o 0 E C=L.C- W CD rb 43 LU C-3 a- CD 5 Q = CD sm A a CO CL 5 :5 I-- ca m = M I... cc CD 0- u 0 s co CD E co cm ca co ca CD CD CD Q .m CL CO) Q CO2 C.) m cc 'a CO2 I�lw ts co CL CO) CD tm 0 Co cc W 0 CD CD b b.. CL CD = cm< cc .510 C) co Z co CL CO) LU 0 U) Lij C/) Cc LLJ LLJ cr LLI LLJ C/) RALPH DELLATTO CONSTRUCTION 24 MARIE DRIVE ANDOVER, MA 01810 978-475-5306 MR. AND MRS.ALLEN NAFTAH 3 PEMBROOK ROAD NORTH ANDOVER, MA 01845 SUPPL Y ALL MA TERIALS & LABOR, IN A CCORDANCE WITH DRA WING & SPECS.FOR. 1. FOUNDATION WORK (GARAGE AREA) Z ALL FRAMING PERFORMED PER DRAWING 3. ROOFING fNEWAND.EXISTING HOUSEJ0 YEAR SHINGLES) t INSTALL ALL DOORS AND MNDOWS AND ONE SKYLIGHT 5. 200 AMP PANEL RECESSED LIGHTING110) ... ALL RECEPTACLES AND SWITCHES PER CODE .. HOOK UP ALL APPLIANCES 6. PLUMBING-- -SUPPLYALLFIXTURESAND CONNECTALLFIXTURES 7. INSTALL AND SHEETROCK .. READY FOR PAINTING & NEW SfflNGLE TO MATCH -EXISTING 9. REPLACE WOODWORK TRIM TO MATCH NEW 10. RELOCATE KJTCHEN CABINETS, ADDITIONAL CABINETS SUPPLIED BY OTHERS 11. SUPPLY AND INSTALL GRANITE COUNTER IN KJTCHEN 1Z VANITYAND TOP AND FAUCETSBY-OWNER—P-RICEDATA LATERDATE 13. SUPPLYNEW HOT-WATER TANK NEW BASEBOARD HEATING FOR ADDITION lt SUPPLYALL MATERIALS AND LABOR .. TILE KITCHEN FLOOR, NEWBATHROOM FLOOR, TUB AREA PLATFORM, EXISTING 2ND FLOOR BATHROOM FLOOR AREA 15. RELOCATE-EX7STING GARAGE -DOOR 16. INSTALL GUTTERS ON NEWAREAS 17. NEW SUSPENDED CEILINGINBASEMENT I& PROWDE AND INSTALL WINDOW GRILLS WHERE REQUIRED 19. PORCHWDjOD-FRAMED.MTWRWSH-WOO-D-DECKING TOTAL: $125,000.00 PAYMENTS MADE AS FOLLOWS: -$75,000 PAYMENT AT CONTRACT SIGNING RAMING AND ROOFING 1�� Date Date ,rl) - j � - ej / w BOARD OF BUILDING REGULATIONS ILIcense: CONSTRUCTION SUPERVISOR Number: CS 022332 Birt ate: 09114/1939 Expiroi: 09/1412003 Tr.no: 5342 Restricted: 60 RALPH G DELLATTO 24 MARIE DR ANDOVER, MA 01810 Administrator w Town of lNorth Andover Building Department -Street 27 Charles North Andover, Massachusetts 0 1845' (978) 688-9545 Fax. (978) 688-9542 DEBFJS DISPOSAL FORM tAORT" 0 In accordance with the provisions. of MGL c 40 s 54, and. a condition of Building-perinit-# the debris resulting from the work shall.be -disposed of in a properly licensed so -lid waste disposal facility as defin ed by MGL c 11, s 1 56a. The debris will be disposed of in /at: � *-+ <L? — — [ < �; a. , (;Z� , ity location 1 0- & r S S i ature, of Applicant Date NOTE: A demolition por,114t &orn the Town of North Andover must be obtained for t." project through the, Office of the Building Inspector. his The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit '7 - Please Print Name: Location: Ci!Y Phone am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 117�911 am an employer employees working on this job. 2.9 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 DLA for coverage verification. I do herby certifyA(ider the4ains and genpities of b4ijuiM that provided above is true and correct. Date Print name I <-,�- �- (7AJ� \ Official use only do not write in this area to be completed by city or town official' FlCheck if immediate response is required Building Dept Contact FORM WORKMAN'S COMPENSATION E] Building Dept E] Licensing Board E] Selectman's Office Health Department Other N . bi -------------- IV. ------------ TO THE ITS, TITLE 1w-suTzCpz_S- 1 HEREBY CERTIFY T Sul AT I HAVE EXAMINED THE PREMISES AND ALL EASEMENTS ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN. I FURTHER CERTIFY THAT THE BUILDINGS SHOWN CONFORMED TO THE ZONING LAWS AND AMENDMENTS OF WHEN CONSTRUCTED. I FURTHER CERTIFY THAT TH-13 PROPERTY_:Ij; LOCATED IN THE ESTABLISH - ..ED FLOOD HAZARD AREA. N�E- THIS CERTIFICATION IS BASED ON T*HE LOCATION OF SURVEY MARKERS OF 0 . THERS, AND DOES NOT REPRESENT 'A PROPERTY SURVEY. 1�0) ��BE U�SED FOR MORTGAGE Ilkil v 110�k OF 4#,j'S, BRADFORD ENGINEERING CO. tp JAMES W. -4 6 EMERSON 51-REET 13OUGIO — u HAVERHILL, MA. 01830 9529 JAMEW. 150oyoov* R.LS. 0 TEL. 373-2396 'o s u V A I PLAN OF LAND L r LOCATED IN� :4z ot-7-1160 NO. ANDOVE R m ASS 1987 7 SCALE -2a., A r 3 7 ....... . .... ... . -typ "yp 101 Fo o moo"] r Y' Nt +,.A, wov'o ..... ... . , it 0 for, e it Twmes's �Scock t�A N . bi -------------- IV. ------------ TO THE ITS, TITLE 1w-suTzCpz_S- 1 HEREBY CERTIFY T Sul AT I HAVE EXAMINED THE PREMISES AND ALL EASEMENTS ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN. I FURTHER CERTIFY THAT THE BUILDINGS SHOWN CONFORMED TO THE ZONING LAWS AND AMENDMENTS OF WHEN CONSTRUCTED. I FURTHER CERTIFY THAT TH-13 PROPERTY_:Ij; LOCATED IN THE ESTABLISH - ..ED FLOOD HAZARD AREA. N�E- THIS CERTIFICATION IS BASED ON T*HE LOCATION OF SURVEY MARKERS OF 0 . THERS, AND DOES NOT REPRESENT 'A PROPERTY SURVEY. 1�0) ��BE U�SED FOR MORTGAGE Ilkil v 110�k OF 4#,j'S, BRADFORD ENGINEERING CO. tp JAMES W. -4 6 EMERSON 51-REET 13OUGIO — u HAVERHILL, MA. 01830 9529 JAMEW. 150oyoov* R.LS. 0 TEL. 373-2396 'o s u V A I Vh0ftTFJ ,,,to '. - 0-0 Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-:688-9545 Fax 978-698- 9542 Street: P 0 Map/Lot: C_ Setback Variance Applicant: 141114v -4.T_PAV Request: ,mei)s Pbtc A 16D XQ,3 Date: F Please we auviseu inat arter review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw -reasons: Zoning Remedy for the above is checked hallow Item # Special Permits Planning Board --i—tem# Item Notes C_ Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign I Lot area Insufficient 1 Frontage Insufficient, 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B use 5 No access over Frontage I Allowed G Contiguous Building Area 2 Not Allowed I Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required �j -C.s 3 Preexisting CBA 5 Insufficient Information 4 1 Insufficient Information C Setback H Building Height I All setbacks corInply I eight Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient '1 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient Li _S I Building Coverage 6 Preexisting setback(s) 1 coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting I Not in Watershed '-1 4 Insufficient In—formation 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed - 4 Zone to be Determined 2 -Sign Complies 5 Insufficient Information 3 Insufficient Information -- E I Historic District In District review required K —1--M—ore Parking Parking Required 2 Not in district I �r '5 2 Parking Complies 3 Insufficient Information —Insufficient Information 4 Pre-existing Parking Remedy for the above is checked hallow Item # Special Permits Planning Board --i—tem# ariance Site Plan Review Special -Permit C_ Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregat Housing Special Permit Variance for Sign Continuing Qare Retirement Special PerRR7— Independent Elderly Housing Special Permit Larqe Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Densitv Special Permit Watershed Special Permit Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permi for Sign Special Permit preexisting nonconforming L The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be, grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit application form and begin the permitting process. cia6ilding DepartmenrOfficial Signature Application Received Application Deni ed Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the . reasons for denial for the applicationi permit for the property indicated on the reverse side: . Referred To: Fire Police Hea —fo—n Conservation Planning Dep Other His,t BUI un ing Board ortment of PubliCW�orks orical Cnmmi-zQinn LLAINKj UtIl I Location '3) No. Date L11 A of TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CH Other'Permit Fee ' $ a I�n F $ S&FerCUnnrecoltion ee Water Connection Fee $ 3'46TAU i , -) $ ,0. Building Insi5eictor Div. 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Ou) u Z-5 < z x w w ci w 0 0 1 u x W W IL :3 Z W 0 U w w w 0 10< �- J (r a A� -T -IFT-1-IT J I F -IF E - 0 0 00 � Z 1 0 z 0 Z 0 Y < 'W () z FIT T F1 -11 -TF 17TTT I T 2 -2 LK T zg 2 <� u - 0- u 'WO :E m: 00 0 20 z u I u 0 0. < Z < 0 z u < 0 t, D z i z 1. 0 0) z 0 0 D 0 - > t 0 < 0 0 0 < 0 0 D ZZ: 1 < < . - 0 Z� z I I TTT I I I I I I F I I F TF T - I I I*A I I I I I I I I I 1� z _u C, 0 u :E z 0 < 3 6 0 0 < o z 0 z 0 z O:E 0 z 2 4 u 0 z m 0 Z z < < < 0 OZ z M M .6 U 0 :E 0 10 0 0 0 z z z , 0 z 0 '0 00 - 6 m :, , z 0 0 M-00000 Z < z z u i 0 0 0 U u U U L u z LO x 0 ii -l' 0 0 :E,O 0 0 0 u u F. 0;� M,O�Dp�.UOO m &011 A� (Please print) DATE JOB LOCATION "HOMEOWNER" Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption Ae-k��. mber Name PRESENT MAII,�ING,ADDRESS St��__et Address Home Phone 606 1 b06 X I � 6ection ot town Work -Phone k t � --./ NA -Q A State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided othat the owner acts as supervisor. (State Building Code, Section 109.1-1) 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 to six family dwell- ing, attached or detached structures accessory to such use arid/or farm ,,,.structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit ,to the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the ,.*..,building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules arid regulations. . The* undersigned "homeowner" certifies that he/she understands tile Town of ...North Andover Building Department minimum inspection procedures arid .requirements and that he/sh will comp �y w'th said procedures arid requirements. HOMEOWNER'S SIGNATURE ;.APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. 4 Typ 0 ViT --EYIST a -,116 ST I i-�� r;>ee- W, - FLejo R P4�� gct,� L E . Yq %� , -T t F � \ATO - EA I ST. OTC- Xq OR Yxf. �)OST xi 9T- t li.cl -ti.ows: sec-�10'-4 btA'> S;tr-')F- VtE\\1 -OF 7RO?oSe;�N -ROOF Y'e -0-0� [Lx-rr� N PLAN OF LAND.. LOCATE Jo NOP ANDOVER' MA SS.0 N PLAN OF LAND.. LOCATE lu "I C.cs 1_2�2 rN" ti ------------- TO THE. ITS T1 TLE. -1visulz L --Ps; I HEREBY CERTIFY THAT I HAVE EXAMINED THE PREMISES AND ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN. I FURTHER CERTIFY THAT THE BUILDINGS SHOWN CONFORMED TO THE ZONING LAWS AND AMENDMENTS.OF� , - WHEN CONSTRUCTED. I FURTHER CERTIFY THAT THIS PROPERTY-15;�� LOCATED IN THE ESTABLISH - ...ED FLOOD HAZARD AREA. NOTE: THIS CERTIFICATION IS BASED ON 'THE LOCATION OF SURVEY I MARKERS OF OTHERS, AND DOES NOT REPRESENT A PROPERTY SURVEY. TO BE USED FOR MnPTr_,ftr_9' PURPOSES ONLY ��T �1:6 R. & S. 59 �:_ 57 BRADFORD, ENGINEERING CO. ro EMERSON STREET HAVERHILL, MA. 01830 TEL. 37.3-2396 NOP ANDOVER' MA SS.0 1987 SCALE: I _20 - j-07 U, �rwt) All C-4 10 1 1 o //.e err lu "I C.cs 1_2�2 rN" ti ------------- TO THE. ITS T1 TLE. -1visulz L --Ps; I HEREBY CERTIFY THAT I HAVE EXAMINED THE PREMISES AND ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN. I FURTHER CERTIFY THAT THE BUILDINGS SHOWN CONFORMED TO THE ZONING LAWS AND AMENDMENTS.OF� , - WHEN CONSTRUCTED. I FURTHER CERTIFY THAT THIS PROPERTY-15;�� LOCATED IN THE ESTABLISH - ...ED FLOOD HAZARD AREA. NOTE: THIS CERTIFICATION IS BASED ON 'THE LOCATION OF SURVEY I MARKERS OF OTHERS, AND DOES NOT REPRESENT A PROPERTY SURVEY. TO BE USED FOR MnPTr_,ftr_9' PURPOSES ONLY ��T �1:6 R. & S. 59 �:_ 57 BRADFORD, ENGINEERING CO. ro EMERSON STREET HAVERHILL, MA. 01830 TEL. 37.3-2396 r, .- k -C tv I tz MELO\\/ T:tZc�;rr eC- 0 Q7 e LE V, Pro u --I—' ET X I c U, 0 Y tAORTH A 4. 0 C:=) .7 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Allen & Francoise Petition: #147-90 Naffah 3 Pembrooke Road DEICSION N. Andover, MA 01845 The Board of Appeals held a public hearing on Tuesday evening, April 9, 1991, continued to May 14, 1991 upon the application of Allen & Francoise Naffah requesting a variation of Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw so as to permit relief of side setback for open structure roof on the premises located at 3 Pembrooke Road. The following members were present and voting: Frank Serio , Jr. , Chairman , William Sullivan , Vice -Chairman Walter Soule, Clerk, and Anna O'Connor. The hearing was advertised in the North Andover "Citizen" on March 27 and April 3, 1991. Upon.a motion by Mr. Sullivan and seconded by Anna O'Connor, the Board voted to GRANT the variance as requested. Voting in favor were Mr. Serio, Mr. Sullivan, Mr. Soule and Mrs. O'Connor. Mr. Vivenzio was absent. The Board finds that granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning By -Law. Dated this 24th day of May 1991. BOARD OF APPEALS Frank Serio, Jr., Chairman FS: gb Petition No.. . .. 14 7 -.9.0 ............ Date of Hearing. . . Apr�U . 9,. 19.�! . May 14, 1991 Petition of . AIIPR A Premises affected .... 3. Fembr.o.Qk. Road Referring to the above petition for a variation from the requirements of tbw. Seic.tion. 7 ...... . - Paragraph. 7. 3. and. Table .2 . of . the Ioning. Bylaw .................................... so as to permit - re-li e f - o f - aid e - s e t back - f o r.. o pen - s t ructu r e. roo.f. ..................... After a public hearing given on the above date, the Board of Appeals voted to . GRART ... : the V.a r i.a 13 c..e . a.s. . rp� q u 12�,q t 12�(j ....... and hereby authorize the Building Inspector to issue a permit to ...... �LLFN. .&. FFANQQ1U NAFFAH .......................................... for the construction of the above work, based upon the following conditions: SignVe Fi nk Serio airrman ................. ................ William Sullivan, Vicq-Chairman ................... I ...................... Walter Soule, Clerk ......................................... Anna O'Connor ................... I ................... .................................. Board of Appeals 4 r-".OeV. .7 4 0:% ACHU TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Allen & Francoise Naffah 3 Pembrooke Road .North Andover, MA 01845 Date .... Mqy..24, 1.9.91 ........ Petition No.. . .. 14 7 -.9.0 ............ Date of Hearing. . . Apr�U . 9,. 19.�! . May 14, 1991 Petition of . AIIPR A Premises affected .... 3. Fembr.o.Qk. Road Referring to the above petition for a variation from the requirements of tbw. Seic.tion. 7 ...... . - Paragraph. 7. 3. and. Table .2 . of . the Ioning. Bylaw .................................... so as to permit - re-li e f - o f - aid e - s e t back - f o r.. o pen - s t ructu r e. roo.f. ..................... After a public hearing given on the above date, the Board of Appeals voted to . GRART ... : the V.a r i.a 13 c..e . a.s. . rp� q u 12�,q t 12�(j ....... and hereby authorize the Building Inspector to issue a permit to ...... �LLFN. .&. FFANQQ1U NAFFAH .......................................... for the construction of the above work, based upon the following conditions: SignVe Fi nk Serio airrman ................. ................ William Sullivan, Vicq-Chairman ................... I ...................... Walter Soule, Clerk ......................................... Anna O'Connor ................... I ................... .................................. 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"y Date ..... �7- / Z/. a TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that 6z PI ...... .. . . . .. ................................................................... has permission to perform ON ......................................... .... .. ........ wiring in the building of ...... ........................................ at ........ ...... d . ....... ......... �N o-rth Andoy. r M Fee ... 7 Lic. NoA/-�� .......... Check# TBE C0iW0AffE4L2H0FMASS4CHVS= Office Use only kIJ4DEFARTA0W0FPUBL1CS4F= Pennit No. BO,4RD 0FMEPREYEVH0NREGU47Y0M-V7GVR 12-00 Occupancy & Fees Checked APPLICATIONFOR PERNff TO PEUORM ELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITHTHE MASSACHUSsTS ELECTRICAL CODE, 527 CMR 12-00 (PLEASE PRINT IN INKOR TYPE ALL. INFORMAT10N) Dat -g -Z Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) e) Owner or Tenant Owner's Address F; Is this permit in conjunction with a building permit: Yes r7f N. M Purpose of Building Existing Service t, 0 Amps ZjLLZC L _,JQVolts New Service ?—C) Amps f Zp / olts Overhead Overhead To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. 0 59 09S Underground M No. of Meters Underground =1 No. of Meters Number of Feeders and Ampacity Locetion and Nature of Proposed Electrical Work' 7=77EL2 iT 77---�571,5- in -TJ N4. of Lighting Outlets No. ofHot Tubs No. ofTransformers Total KVA Nk oEightiog Fixtures Swimming Pool Above 1:1 Below Generators KVA ground ground No. of Receptacle Outlets No. of0il Burners No. ofErnergency Lighting Battery Units No. of Switch Outlets L3No. of Gas Burners FIRE ALARMS No. of'Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Puraos Tons KW Initiating Devices No. ofSounding Devices No. of Dishwashers Space Area Heating KW No. ofSelfContained Detection/Sounding Devices Local Municipal M 117 Ot No. of Dryers Heating Devices KW Connections $No. of Water Heaters KW No. of No. of Signs Bailasis A No. Hydro Massage Tubs No. of Motors Total HP OTHER Ih,l-�ea=atLmbkft==Pcky=b*gCarO,�eOp;af�mCo&a YES NO IhENesimtedvaidpcdofsmxiothr.OT= YES ff�cuhr�edrdwdYES�Dk=,rdc3etctmcfcomaWbycbmkirgitc 171 ,-bcx D-SURANCE BO ND r7 OM -ER ?kweSpc*) E*admDaW '357 D'O Esdm&dVa1wdEecftnlWc& S Z hpecdonD*Regx� Roigh C) 'Z, Firml W01klDStMt 3 Sigrxd UAMTV %Mhks FRMNAME UA U;L—� A -1-A M ilaa� b.9 Z�-A EAZ— A &==TeLNh q-7 G — 7 A&j m S.. LJ F--, J V F- t I A - A I Te L Nih OWMR'Sks&JRANMWAIVEP,Iamaw=dutcI rdhTmirmw=amWa-zsi*swWe4mdat:sm#edbyNb%adisemCcxdLa%s (Pie -ase check one) Owner M Agent F7 TF Telephone No. PERMI EE $ 7� Date... -e) TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING '11Z This certifies that ...... .. I., ................................... has permission to rn 7 ......... perfor plumbing in -t -he buildings of .................. at . ..... North Andover, Mass. Fee ..... Lic. No./Y.-O&./�*. ........... L U M B I SPECTOR Check # ,4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date -dl Building Lo '-O�'Pernt#—rcr Amount Owner New Renovation (Print or type) Installing Company Name Replacement 1:1 FIXTURES Plans Submitted Yes 11 No 1:1 Check one: Certificate -.W J&J-� El Corp. E] Partner. 25- f-' Firm/Co. 'r? El Name of Licensed Plumber: Insurance Coverage: Indicate the >-� insurance coverage by checking the appropriate box: Liability insurance policy r-711 Other type of indemnity Bond L 1-13 11 El ---�lver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above InsurA'ce W tree insur c ,Sfghaturd' Owner Agent rl I hereby certify that all of the details and information I �hau (or entered) in aibove lication a"e and accurate to the tW1 v st pp best of my knowledge and that all plumbing work and staII;q erformed under Pe u( d for * application will be in �c I A g rw compliance with all pertinent provisions of the M chuset e Plumbing Cod _ 6 apter 142,940he Peneral Laws. By: N4gWgL1fe01 �Eicen�seuritumuere- Type of Plumbing License Title & City/Town umoer Master Journeyman APPROVED (OFFICE USE ONLY