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BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No_ /6
Occupancy & Fee
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information)
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number 3a St- L 66 e'-- et —
Owner or
Owner's
14C-(-(-
&_ I C --O"
✓-"
Date
To the In pector of Wires:
Is this permit in conjunction with a building permit' Yes t9--- No ❑ (Check Appropriate Box)
Purpose of Building pt e—, ;-Z) C- �L,-, 6-t-_ IUtility Authorization No.
Existing Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters
New Service ?—QQ Amps �� 2 Voits Overhead ❑ Undgmd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work l N r M ���—� //LO ✓ C (—
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy includin ompleted Operations Coverage or its substantial equivalen YES - NO =
ed valid proof of same to the Offic Y NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURAN = BOND = OTHER = (Please Specify)
0%D (Expiration Date)
Estimated Val a of Electrical Work$ U o ca
Work to Start Inspection Date Resquested_ iRough Final
Signed under a Penalties of perjury:
FIRM NAME`—nl Lvr�S LIC. NO. �SZ
Licensee V -u fi C�O -'� Signature /f l LIC. NO. -2 L2
Bus. Tel No. AY) 3 �� L' 2-0el
Address �y ✓y �� S PLA -L STVI�4 -u Alt Tel. No.
OWNER'S IPURAN E WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
G@neral La And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMIT FEE
(Slgnatureof Owner or Agent)
Total
No. of Lightling Outlets J
No. of Hot fuse
No. of Transformers KVA
Above ❑
In ❑
2
No. of Lighting Fixtures 0
Swimming Pool gmd ❑
gmd ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets 6o
No. of Oil Bumers
Battery Units
1
No. of Switch Outlets I D
No of Gas Burners Z,
FIRE ALARMS No. of Zone
No. of Detection and
T
No. of Ranges
No of Air Cond
T 's
Initiating Devices
Heat Total' Total
No. of Di 1
No. Pumps
Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
❑ Municipal ❑ Other
No. of Dryers
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
Signs
Bailases
Wiring
No. Hydro Massage Tuds 1
No. of Motors
Total HP
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy includin ompleted Operations Coverage or its substantial equivalen YES - NO =
ed valid proof of same to the Offic Y NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURAN = BOND = OTHER = (Please Specify)
0%D (Expiration Date)
Estimated Val a of Electrical Work$ U o ca
Work to Start Inspection Date Resquested_ iRough Final
Signed under a Penalties of perjury:
FIRM NAME`—nl Lvr�S LIC. NO. �SZ
Licensee V -u fi C�O -'� Signature /f l LIC. NO. -2 L2
Bus. Tel No. AY) 3 �� L' 2-0el
Address �y ✓y �� S PLA -L STVI�4 -u Alt Tel. No.
OWNER'S IPURAN E WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
G@neral La And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMIT FEE
(Slgnatureof Owner or Agent)
zei3 Date . ..................................
PROFIVRO PAYMEN7
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
LXXLECT0fi
r7 -
V
This certifies that 7
............ .... ........... ....................... ...........................
has permission to perform ........
..................
wiring in the building of 'z .... .........................
.................... t�rth Andover, Mass.
Fee7,� ... . ..... Lic. Nd!Rzl'�� ...............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
� CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Numper_571 Date—June u, isiv.
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 30 Settlers Ridge
MAY BE OCCUPIED AS 4i nn1 a �; �,.K ;
IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Tara TPi ohm`
c
s
ADDRESS 185 Hi 11 do. dcver MA01845
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FORM U - VERIFICATION FORM
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 applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: ( Phone
LOCATION: Assessor's Map Number fin/ Parcel
e �r
Subdivision fS l Lot(s)
Street St. Number
************************Official Use Only************************\
RECO DATIO OF �)AIENTS:
Date Approved 1 G ✓ f
Conservation Admi n_ i tjrat� o�jr� Date Rejected
Comments
Date Approved
Food Inspector -Health y�� Date Rejected.;
Date Approved
Septic Inspector -Health Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
a-�
eceived b Building Inspector
W
_(-TW -7 1�4 4f ?
vl4
Date
FORM U - VERIFICATION FORM
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 applicable local or 'state law,
regulations or requirements.
****************Applicant fills out this section****************
APPLICANT: LetA Phone
LOCATION: Assessor's Map Number CSI Parcel
SubdivisionLot (
s)
Street is kie `' St. Number 30
************************Official Use
RECO DA T -,,, IO OF /A ENTS:
1�7,
Date A roved ` G 3
PP
Conservation Admini trator Date Rejected
Comments —IIA -1
,
Town Planner
Comments
Date Approved
Date Rejected
Date Approved
Food Inspector -Health Date Rejected,
Date Approved
Septic Inspector -Health Date Rejected
,-Comments
Public Works - sewer/water connections
- driveway pe/rmit
Fire Department �IL�
'eceived b Building Inspector
ol
Date
FORM U - VE)RIFICATION FORM
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 applicable local or'state law,
regulations or requirements.
*************.***Applicant-11���� fills out this section**'***************
APPLICANT: ! LP L� (d 4,,,,6 Phone $
.LOCATION: Assessor's Map Number (�/ Parcel
Subdivision �Q tt�e fs Kt Lot (s)
� Street t1 ty, (s2-0
St. Number 2-0
************************Official Use
77,
DATIOOF W'A(3ENTS:
• � Date Approved
Conservation Admini trator Date Rejected
Comments (� '
Date Approved
Z:
Town Planner Date Rejected
Comments _, -� ,� - t
Date Approved
Food -Inspector -Health ;D cryL� V-\ Date Rejected
Date Approved q �"
Septic Inspector -Health. Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
eclived by/Buil
c
pector
Date
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SEWISR
Tara Leigh' Development corp.
1'85 Hickory Hill R&
N. Andover, MA 01845
_ �� •`t(♦ 1.•'10
o RECE11 E;
JOYCE BRAD`', AW
TOWN CLLRK
NORTH ANDOVER
cmuSE�(`� ,
OCT 16 Z21 zi AN '97
TOWN OF NORTH ANDO'VILR
Any appeal shall be filed MASSACHUSETTS
within (20) days -after the .
date of filing of this Notice _.._-
in the DfficP of the Town BOARD OF APPEALS ATTEST;
A Zue Copy
Clark,
Th;is to cert±iy that iwent;. (2c�
l �:. NOTICE OF/DECISION Town Clerk
lava elapsed from date; of decisio ;_*z:;
Without filing of an •i.
Dated/e ✓ l /�%%7
Joyce A. Brad:hatr! `Property: 75 & 30 Settlers Ridge Rd., Lot 5 and 11
TOM Clerk
NAME: Tara Leigh Development Corp. DATE: 10/15/97
ADDRESS: 75 & 30 Settlers Ridge . PETITION: 027-97
Porth Andover- MA 01845 HEARING: 10/14/97
The Board of appeals held. a regular meeting on Tuesday evening, October .) 4, 1997 upon the
application of Tara Leigh Development Corp., (Thomas Zahoruiko), requesting a Variance from the
requirements of 'Section 4.2, paragraph 1, from the Phase Development Bylaw as a party aggrieved.
Said premises are lots 5 and 11, which is in the R-2 Zoning District.
The following members were present; William Sullivan, Raymond Vivenzio, Robert Ford, John Pallone.
The hearing was advertised in the Lawrence Tribune on 8/26/97 and -9/2/97, and all abutters were
notified, by regular mail.
_ y _
The party aggrieved section of this petition is as follows: Robert Ford made a motion to sustain the
_decision of the Building Commissioner with respect to 4.2 and 8.7 to Tara Leigh Development
Corp. a$ its 2 provisions currently exist in the by-laws Raymond Vivenzio seconded'the motion.
Voting was unanimous, William J. Sullivan, Raymond Vivenzio, Robert Ford, John Palione..
Upon a motion made by Raymond Vivenzio, and seconded by John Pallone, the Board of Appeals NOV
unanimously voted to GRANT the petition for a Variance from the terms of section 4.2 of the North
Andover Zoning By-law as it applies to the requirement to schedule building permits using the
"anniversary date'. As such the petitioner shall be entitled to a development schedule that will be
controlled by section 8.7 of the -North Andover Zoning By-law. This variance'shalLin noway exempt the
petitioner from any other sections of section 8.7 of the North Andover Zoning By -Law. The petitioner is
caused undue hardship by the application of both of the sections of the Zoning By-law 4.2 and 8.7. Such
hardship is directly related to the soils and slope of the land as the petitioner is required to maintain the
sloping site with wetlands over a longer period of time than originally planned by the petitioner. The
Board further finds that the petitioners case is unique. This is the first case under which both by-laws are
required to apply. Voting in favor: William J. Sullivan, Raymond Vivenzio, Robert Ford, John Pallone.
Note: The granting of the Variance *and/or Special Permit as requested -by the applicant does not
necessarily ensure the granting of a Building Permit as the applicant must abide by all applicable
local, state an federal building codes and regulations, prior to the issuance of a building permit
as requested by the Building- Commission.
BOARD OF PP l_ ,
/decision William J j 411i Chairman
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ESSEX NORTH REGI TRY G5
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A;TRUE COPY: ATTEST:
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Date ................ ......
40RT" TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that
.............. ............ ..........
has permission for gas installation ..........................
in the buildings of . I .......................................
at .....
:; * * — — * * ' * * * * " — * * — * ..... I North Andover, Mass.
Fee ....... Lic. No ............ ............. ........
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSA I (3 APP CATON FOR PERMIT TO DO GAS FITTING (j
or print) _PARCEL /ate 19 l
tvvx i H ANDD
Building Locations ` ��'`'e�s `\t�G1 rPermit
Rob,4 T Q-=� rc 13 r z i Owner's Name
New ❑ Renovation a Replacement ❑
Plans Submitted ❑
Amount S 777
(Print or type) Check one: Certificate Installing Company
Name `:Dex^ G. F� Corp.
Business
Telephoner -Z74 ) -7-7t
❑ Partner.
Flrm/Co. �'"" 4zexexo
Name of Licensed Plumber or Gas Fitter <�P� G,
INSURANCE COVERAGE Checkone•
1 have a current liability Insurance policy or it's substantial equivalent. Yes Nom
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability ;ynsurance policy Other type of indemnity ❑ Bond ❑
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.
Signature of Owner or Owner's Agent
Check one:
Owner ❑ Agent ❑
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 rforme under Prmit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts St Gas de andoaZ
5 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signatee of Licensed Plumber Or Gas Fitter
Plumber 'Zo 2 g, —
❑ Gas Fitter License iNumoer
Nlaster
Joumeyman