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HomeMy WebLinkAboutMiscellaneous - 30 SHERWOOD DRIVE 4/30/2018 (3)Location I)r 10 No. Date Of TOWN OF NORTH ANDOVER Certificate of Occupancy $ .000 0- Building/Frame Permit Fee $ C2 -Foundation Permit Fee $ CHU Other Permit Fee $ ro Sewer Connection Fee $ A/n 852 Water Connection Fee $ /�2G (JOT-� $ L 7, C Y, Ccg:�__ tv Building inspector 01/12109 14-41 11082-00 1 2524 Div. Pu-b-1-ic horks PERMIT NO. (:57W APPLICATION FOR PERMIT TO BUILD -NORTH ANDOVER, MASS. ,+ / PAGE 1 3 MAP 440.%05 G LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ( ZONE Q P (L p SUB DIV. LOT NO._ i LOCATION 3o 5herwoCp k p\re, PURPOSE OF BUILDING eAl4 Alm a - U (ffetkeC• OWNER'S NAME 5Aee%�my,:a= SSV / + /�2,yp NO. OF STORIES � SIZE OWNER'S ADDRESS`7Jip IV 7 --y/a—:!twe i'eei� BASEMENT OR SLAB 1b4&MOoa.%— ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST j)C/Z1 2ND A'(lO 3RD�JO C� BUILDER'S NAME �� SPAN !4/ ' DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS yx DISTANCE DISTANCE FROM STREET / D D / " POSTS DISTANCE FROM LOT LINES - SIDES V)5 -,t REAR ,S ✓ GIRDERS G AREA OF LOT L FRONTAGE HEIGHT OF FOUNDATION / THICKNESS /0,0, IS BUILDING NEW G Y LQ i 7 SIZE OF FOOTING X l Z_ IS BUILDING ADDITI MATERIAL OF CHIMNEY T�r►� `� IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND J i WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y'JS i IS BUILDING CONNECTED TO TOWN WATER Yes BOARD OF APPEALS ACTION. IF ANY ��� IS BUILDING CONNECTED TO TOWN SEWER �L/) IS BUILDING CONNECTED TO NATURAL GAS LINE �S INSTRUCTIONS SEE BOTH SIDES","`-� PAGE 1 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 i 11 Ll 111 DATE FILED 2 -AZ// OF OWNER OR AUTHORIZED FEE 1 PERMIT GRANTED r 19 3 PROPER'T`Y INFORMATION LAND COST ! YT�'Qc::::rD EST. BLDG. COST EST. BLDG. COST PER SQ. FT. S,S EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 7. 4 APPROVED BY t BUILDING INSPECTOR OWNER TEL. # �/ I CONTR. TEL. # CONTR. LIC. # H.I.C. # L BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY 1 OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE P _ PIERS PLASTER -� DRY WALL _ UNFIN. 3 BASEMENT y AREA FULL FIN. B'M'TAREA 14 V2 °h FIN. ATTIC AREA NO BMT FIRE PLACES_ HEAD ROOM MODERN KITCHEN 4 WAILS jf I 9 FLOORS CLAPBOARDS 'rB 1 2 3 �_ _ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME CONCRETE EARTH HARD\w'D COMMC:N ASPH. TILE- BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR Ij POOR ADEQUATE NONE 5 ROOF 10 PLUMBING 't GABLE HIP BATH (3 FIX.) GAMBRELMANSARD I TOILET RM. 12 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 FRAMING y l 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM - STEEL BMS. &: COLS. s. HOT W'T'R OR VAPOR 77 WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL 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. i •1 1 r I B'M'T 12nd I ELECTRIC -- 1st �1 3rd NO HEATING _ PER111T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. r PAGE 1 MAP 4-40. 106-C LOT NO. >L/ 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE�I, ���1 SUB DIV. LOT NO. rl LOCATION ?O C h erwao.D GI PURPOSE OF BUILDING OWNER'S NAME C he r, tv�,O _ NO. OF STORIES SIZE : OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN , DISTANCE TO NEAREST BUILDING - DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES i REAR •i GIRDERS AREA OF LOT I FRONTAGE - HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW �� SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY , j 1 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE •� INSTRUCTIONS SEE BOTH SIDES PAGE 1 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 FEE PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST f , EST. BLDG. COST f EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # CONTR. TEL. # '1 CONTR. LIC. # ` H.I.C. # 1 OCCUPANCY SINGLE FAMILY [OFO RIES MULTI. FAMILY ICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 7G1 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ (7NFIN, 3 BASEMENT AREA FULL FIN. B'M'TAREA 1/1 1/7 1/. FIN. ATTIC AREA _ NO B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN I 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �I WOOD SHINGLES EARTH ASPHALT SIDING HARDN✓'D _ ASBESTOS SIDING _ COMIdCN_ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I IP BATH (3 FIX.) GAMBREL I MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING ODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 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 JhQ AIR CONDITIONING RADIANT H'T'G _ UNIT HEATERS NO. OF ROOMS GAS OIL _ B'M'T _I 2nd I ELECTRIC Is} 3rd I NO HEATING BUILDING RECORD 12 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. 1 31 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 �s/ection***********.******* APPLICANT: .5*A2✓W"S V0-e.ye�jOme•✓f !IC Phone 60 Z';UZC) LOCATION: Assessor's Map Number C Parcel _ Subdivision ,gn r,,CL 71-V Lot(s) Street c�0 �hes�Cc/Dol�-- �(� I U� St. Number ************************Official Use Only************************ I/ O,NS OF TOWN AGENTS: �NDAT� "�"-�"`-''" Date Approved 6 Conservation Administrator Date Rejected Comments Date Approved Z own Planner Date Rejected Comments Food Inspector -Health Septic Inspector -Health Date Approved Date Rejected Date Approved 9� Date Rejected Comments ot-, of5- Public Works - sewer/water connections_ (z - 30-- gd - driveway permit �12--,20-98 a Fire Department Received by Building Inspector. Date,3% N2 852 APPLICATION- FOR WATER SERVICUCONNECTION North Andover, Mass.�C J� 19 Application by the undersigned is hereby made to connect with the town water main in �et���l ✓ (J� Street, subject to the rules and regulations of the Division of Public Works. / The premises are known as No. Ja ��'[��i cJ0,9 �li(1 P Street or subdivision lot no.� 5Cervjmj Deve173 )121G .f LLC— 1001*14ir�D�— Owner I Address Contractor �(-A 5A k� 8 Address IV Mtj pplicant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �✓C[��wu�G� D/ to make a connection with the water main at / subject to the rules and regulations of the Division of Public Works. Inspected by Date r i'de Street B��q f Public W ks By See back for rules and regulations GEORGE PERNA DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET. 01845 vb 9 • i � y 9 .or..<.e..K DRIVEWAY PERMIT . I i Telephone (508) 685-0950 Fax (508) 688-9573 Date: (c `�o LOCATION: Q BUILDER: phone: OWNER: ���W����,/ 1_L_� phone: The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set—back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: 03/13/98 1:27 FAX 508 6889556 i NORTH ANDOVER Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section a.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant an Building Permit (below) Addres3 of Property for Permit (below) Map and Parcel: Purpose of Application (check below) Phone, mber of Applicant: Single Family Two Family I the undersigned applicant far the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit tram the requirements of obtaining other permits required prior to the issuance of the Building Permit.' Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building' OcPaltment and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as appliad for on the above lot. in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration, or recanumcben of a dwelling in exisienoa as of the tifecdve data of this by-law, provided that no additional residential unit ni created. ,; % Tho lofts) werelwas created prior to May 5. 1996 are exempt from the provisions of this Section 8.7 of the Zoning' /taw, This applle2flon is for dwelling units for low andfor rnodenle income families or individuals. where all of the canditioma of 4,7.0 -c -ere mat and/or represents Dwelling units for Senior residents. where occupancy of bre units is ,nstrictnq to senior persons through a property executed and retarded deed restnctidn running with the land, For Purmmayes of this Secban 'senior" anal! mean parsons aver the age of 55. This application is a part of a development protect which voluntarily agreed to a minimum 60% permanent reaucdon in density. (buildable Iota), below the donsity. (buildable lots), permitted under coning and feasible given the environmental Conditions of the tract, with the surplus land equal to at least ten buildable acnes and permanandy designated as open soave and/or farmland. The land to be preserved shall be protected from development by an +gnrultural Preseroatlon Restriction, Conservation Restriction• dedication to the Town, car otnet Similar mechanism .1prove l by the Planning Board that will ensure its protection. _ Thu appliptlan represents a tract of land eststin9 and not held oy a Ddvelapet in Common ownership with an -ulaccnr p;drr.Cl on the effective date of MiS Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the Parcel. This appllUt(on represents a tit which is ready for building penmrt9.li.e. all other permits tram aft other boards and commissions have been received and the prolfCl is in Compliance with those permits), and the Development Sctledule does not accommodate issuing rt building permit in that Year. one building permit will be issued per Year per Development urrdl such rime as the Development Schedule accommodates issuing building Permits. Applicant must supply approved farm U wiM this EXEMPTION. Please provide any and all information that would assist the Budding Department in making s letermination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Fuller I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply. whether done to my knowledge or not, is grounds for refusal by the Builoing Oepartment to issue a Building Permit. ignature at wri�01honZed Age signed t e Attached But ing ernmrt e This tone must be attached to the Building Permit upon applicauan for such perfmilL [a o01 .�_`�•� , �/Z„ •'moi '''` �• u �j• . � J.. ��-✓, ., i SECTYOJVti / 2rced oxo• '� % I /'/ de � �K/ // / �.'/ •,1 Use Requir oil each / ' .'476� 1.0 / / / I 001/ ko AZI .47 10, 71 •---rte , � t '/ /� � �� i ��. � , � � •i � '� / �`y Rom. ~G 'vr�-r .Clpn % zo"�%/..,+b / �� �{ • 1 •� k10� / / G � •� yd � 0 n �l x 5 .r: •; . �� NCH . / s 1 R � J � ..:,Noes e'9 (See . 1�) _ / P 9 L r 4 -Tr F St /CA (92-24 y t4 M �!re W / Re 1 • a � yt � _ _19 W/ � �N � servo 14-8 0 4 S• � vr� � / •� .`mac` ' S' P Sidt wa/4 I _ -rs scaler , y .p CD C« Z CD Q. d}`�w, CL ato O o p CL Q CD O a: C= to CD CO2 d d O CA d C7 CD 0 �F CD CO)CD ICD CO) O CCD O CD W z r m cn V J n O V J d S CD=yaQ to O.0 co = y m m Cl) C5 y�' c 9 M=Z �- C, .�m 0 T m mom rn Ho N b I ?m m 2 0 N O y Cf CA Cym n O r IC O CD m y co Cn � 0 CD 06 m� h CO) O : H 0 �Q ca CL CA m t0 Alit, CCD y CAQ:GoCD CD O 00 i3C 0 0 H -0 CD �. oo CD O Cc - CD 0 0 nom: � o c o CD ME M ii 0 °o' w tz w Cr1 �Z CIO �'' G ro w oKc Za. ro M 4 'd y rt $ PTI x y 0 c __ .__.. 0 0 7,0 0 g :r CD x . .0 0 co (D 0 m I/ oi. 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I I o I i f L -J I I I I I o I I " 20'-6112" s 10'-91211- I I I I L_� F L_ L J L_J L_—J I�7 Z I I I � I 11'_211 Z1 -211 I '— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -J �I �v WI I. ilI A/!/1 E3 a2� �'�" r�o crm1 �: 5HwwoOn b�11/� 1.01' -I j g 11 = I X011 PAT: �_ , rnr1: vzAv�rta.�v; 13L91 L br 12 OF I N� NOME 5 FOUNPA110N FLAMING PLAN TObb HOOPF pNo Al� GO � d I 0 1 O 1 � � � M •O W) 4 Ll i Wrrkio-4 T;4r to yijw. A.*oo O.Aw �1" `� rv►�ii. �bOl �0 rrA 1 �oZPI I 60 D s� o *4, -7 o544 fit > "Ur !>w D !� Ad =OiX AM IWWW I . AN VDAMM 111iN. "fiwwla/� !w. Amy MMMMM amm an, j !fir DI•jLEM iv 111w it � Al FAIIA 0ARMAN l noon& owl&, y • � of � i FMINf �/1�111f�lfON w PILOT PIAN Ail "o, c rip OVE2 H,Kh�r 1049 'ruck p1" !Fficg Wd A�OovEa, as.OlMIs JOAMMAcAr AM a a IO s -, t CERTIFICATE OF USE & OCCUPANCY`/ Town of North Andover Building Permit Number "-r6 D Date CJQ-3)--9£3 THIS CERTIFIES THAT THE BUILDING LOCATED ON /o -/'L--/ #30 S le -r- GU600C/ Z�eI UE MAY BE OCCUPIED AS SlNq)e- ��mi�/ 3 34 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. o� "° "7 ;,, CERTIFICATE ISSUED TO J�/per' w y C U! 0 p ADDRESS 7/ C S CHU$ Building Inspector MAP /DS e PARCEL S^ 6 _ r� _a o cm CD CO) 'C CD ,0.f. 0 ' n1 O O m d O O _ M. C O C CA _7 Cl) CD 0 _ CD v CD y. CD CO) I C li A 5; CD QJ Z s O C O Im N k, N y mmc ® Cl) N .t c J • �-C to --4 °..o N •n Cc, a?d c m •-i O m N ® y O �m O = O O N. R O �I�VII O N C079 Of� _OC? O ON C36 � N d N U O to •� � N m N � ; b CD CD o co, O 0 CD o c : . CD .Moto� CD0 m CD lb ate• � 5&: CO)_ ):k C. t S. C. C/) C/) OV o O O m r� O r� � c a cn cn ^ --.r-� ^ C o zc Cn c N / ^ y O n CA C c J 1�^� � O c z OtTjol. cn GC : DD 3 MV n C O Im N k, N y mmc ® Cl) N .t c J • �-C to --4 °..o N •n Cc, a?d c m •-i O m N ® y O �m O = O O N. R O �I�VII O N C079 Of� _OC? O ON C36 � N d N U O to •� � N m N � ; b CD CD o co, O 0 CD o c : . CD .Moto� CD0 m CD lb ate• � 5&: CO)_ ):k C. t S. C. C/) C/) OV o PO r� x o o f1 o cn n ^ --.r-� wCk V" OtTjol. z 0 c� O c� 05/06/99 THU 09:51 FAX 978 688 9573 NORTH ANDOVER DPW I7j001 9-16-1995 1:31AM FROM P.2 � to i ;mss:`••'•`' TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/1"SPECTION ADDRESS&OCATION OF PROPERTY: -30, 5 h e r Lo 61l' A - DATE REQUESTED I:iLED/READY FOR INSPECTION I(A CLOSING DATE ON PFtOPERTYa_w� c igg FIVE 5, ( ) DAYS NOTICE PRIOR TO CLOSING -DATE IS REQUIRED WORK AND PERMIT SIGN -OFFS MUST BE COMPLETLD WITHIN THIS FRAME. PECTION FEE OF TWENTY DOLLARD $20.00) WILL BE IF THF- STRUCTURE DOE$ NOT MEET ALL APPLICABLE CODES_ CONSERVATION ❑ . PLANNING L --J DPVH - WATER METER NOTE: DPW MUST INDICATE THAT WATER METER HAS SEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST r N2 1564 Date .... :�f/.",?12A,9 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 17.. t-� � , -1 - -- � -1 1 This certifies that ....... ............ ............. .......... has permission to perform ........ ..... . "k 1vz1vL .......... wiring in the building of ....... 3.a ..... ....... 0 R ....................... \7 at .... (A.( ...... .. ........................... /... , North �W, ddV�r­, Mass. Fee.1.5 .... Lic. No. ............ / ELECTRICAL INSPECTOR 03/26/99 08:45 35-ilt', DAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0 Office Use Only Permit No, ?�C e0'iJCyJt072Z�ifr�c'T*� �i �1lr�SS�e"rt�Zt5�775 Dya oeu+a.c q� P�61lc S44 Occupancy 8 Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 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) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number -� n 9 -P,r LA-io© e;,0- ed ` `� Y , Owner or Tenant l D 10 n 1 V;Ikc,, (.au. Owners Address Is this permit in conjunction with abBuilding permit Yes tell, No C3 (Check Appropriate Box) Purpose of Building S ((/P P C0 �� G`f� Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters Nlew Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work <�C t 1 r ,—kA l=n K OTHER: Se L luY i-14 1--T INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws '// I have a cu., en Liability Insurance Policy including Com feted Operations Coverage or its substantial equivalent YES #/NO = have submitted lid proof of same to the Office YES �NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE V BOND = OTHER = (Please Specify) Estimated Value of ElectriI W q i'/ ®o o (Expiration Date) Work to Start - Inspection Date Resquested Rough Final (� Signed under the Rena of perjury: fj ,/1 _ LIC. NO. CS q S C FIRM NAME �A), S T %� Llcansee & r �� --� t J� Signature gip' r D �(Q/� LIC. NO. ` � Bus. Tel No.T12, 72, v �� 7 7�( Address027 Z11.�1 �—✓ / Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses d es not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE LL2)— (Signature of Owner or Agent) Total - No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimmin Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Bumers Battery Units Jo. of Switch Outlets No of Gas Bumers FIRE ALARMS No. of Zone �1 Total No. of Detection and No. of Ranges No of Air Cond Tons Initiating Devices aF Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Soace/Area Heating KW OetectiorUSounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Badases Winn No. Hydro Massage Tuds No. of Motors Total HP OTHER: Se L luY i-14 1--T INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws '// I have a cu., en Liability Insurance Policy including Com feted Operations Coverage or its substantial equivalent YES #/NO = have submitted lid proof of same to the Office YES �NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE V BOND = OTHER = (Please Specify) Estimated Value of ElectriI W q i'/ ®o o (Expiration Date) Work to Start - Inspection Date Resquested Rough Final (� Signed under the Rena of perjury: fj ,/1 _ LIC. NO. CS q S C FIRM NAME �A), S T %� Llcansee & r �� --� t J� Signature gip' r D �(Q/� LIC. NO. ` � Bus. Tel No.T12, 72, v �� 7 7�( Address027 Z11.�1 �—✓ / Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses d es not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE LL2)— (Signature of Owner or Agent) N2 2301 Date ... ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING -7 , 6 �, ........... This certifies that ... .......... ................................... has permission to perform ...... . .... . ...................................................................... ............... wiring in the building of .......................................... at..* ............................................. . ... ..... . North Andover, Mass. Fee�IAC�� .... Lic. NoMfv ..... .......... LECTRICAL SPECTOR 031�2199 15..58 465, (10 P%p WHITE: Applicant CANARY: Building pt. PINK: Treasurer' \ Th C0MU0 'E+ L271Qj+A CHVS= Office Use only DEPARTAIDVTOFPUBLICSAFETY Permit No. t7, 3 O� BOARD 0FMREPREYEM70NREGUT4TI0A S527OM 12:()0 94 - Occupancy &Fees Checked iy 9APPLICATION FOR PERMT TO PERFORM ELECTRICAL STORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 U i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) L6— 41 J gw'yi f h t//&U'V Owner or Tenant C c31 6&, if7 0[ , 1_ C,46,P 9 L (% e lkf Sflf Owner's,Address �14 -7-C11 A) /J k'� Is this permit in conjunction with a building permit: YNo r7 (Check Appropriate Box) Purpose of Building `-�� Utility Authorization No. JO / '2� Existing Service Amps / Volts Overhead r7 Underground No. of Meters New Service c2c)D — Amps 6PL,,L&LVolts Overhead r-7 Underground No. of Meters y tuber of Feeders and Ampacity LQ,-ation and Nature of Proposed Electrical Work '::7 AA1 rA� W1 e-/" GY' A4" i" o4/4' Ao. of Lighting Outlets No. of Hot Tubs fha,,eacmutLobkkn==PobcymdudngCuT#A�L-OpuaborisCoymaWartssksortde4rvaiat No. of Transformers Total F1 NU lf�w havechedzd YES, pi= n6clethetypeofcovaaggebycheclag the 4TMpriae •m 1 `t • BOND • ial• WL -:Specify) KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground •r i1 uxkrTr •: ab • .e' FIRMNAME A AS 'i No. of Receptacle Outlets No. of Oil Burners 1 No. of Emergency Lighting Battery Units No. of Switch Outlets o-si:.. Tel. Na1 1 •.:1:.. '� . � _ �_ �. !tel _..--- No. 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 Pumps Tons KW Initiating Devices No. of Sounding Devices o. of Dishwashers Space Area Heating KW No. of Self Contained f Detection/Sounding Devices Local � Municipal Other No. of Dryers qConnections Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - • . ai :. ,r .a.• .•:I:Cerrai Laws YES fha,,eacmutLobkkn==PobcymdudngCuT#A�L-OpuaborisCoymaWartssksortde4rvaiat Iha%e%6na2dNehdpccfofsamlotheOffim YES F1 NU lf�w havechedzd YES, pi= n6clethetypeofcovaaggebycheclag the 4TMpriae •m 1 `t • BOND • ial• WL -:Specify) ExpiraticnDate •r i1 uxkrTr •: ab • .e' FIRMNAME A AS 'i • • 1 o-si:.. Tel. Na1 1 •.:1:.. '� . � _ �_ �. !tel _..--- OWNER'S IINEURANCEWAVER;Iamawatethatthel tinesnot [wyethe reqmed by Mas e GexrJLaws andd7atrnysiwaernthispt app5c�atwanes tegt rterrt (Please check one) Owner F-1 Agent Telephone No. L'16)' PERMIT FEE S Date. 5�. N2 4054 + TOWN OF NORTH ANDOVER 'A PERMIT FOR PLUMBING )M4 This certifies that ... le. 4-f4'e'tw. if .................. has permission to perform .... ........................... plumbing in the buildings of .... .. .............. at. ....... Z�olrth Andover,.Mass. Lic N Fee. o.. . ....... PL61VIBING INSPECT%R WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MAS l�� ._._. FORWARD PARCEL C) TTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 7 /�c Date Building Location 30 ��L'e'W-C- � � � Owners Name fL %� -¢= Permit #-460s—'y Amount Type of Occupancy New �' Renovation ® Replacement ® Plans Submitted Yes ❑ No FIXTURES (Print or type) p ��j / O Check one: Certificate Installing Company Name Corp. Address ✓� ��� r�' Partner. Business Telephone x G i�. Z �Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy u Other type of indemnity E] Bond Insurance 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 ❑ 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 m lla ' s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the sac s .State umbing ode and Chap t 142 of e'General Laws. By: Signature or Mcense u e Type of Plumbing Li se Title City/Town ice e i um erg Master ra Journeyman APPROVED (OFFICE USE ONLY • OWN (Print or type) p ��j / O Check one: Certificate Installing Company Name Corp. Address ✓� ��� r�' Partner. Business Telephone x G i�. Z �Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy u Other type of indemnity E] Bond Insurance 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 ❑ 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 m lla ' s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the sac s .State umbing ode and Chap t 142 of e'General Laws. By: Signature or Mcense u e Type of Plumbing Li se Title City/Town ice e i um erg Master ra Journeyman APPROVED (OFFICE USE ONLY N2 2193 40RTOI 0 I- 41 Date./.--,, - '1511P ............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ......... has permission to perform ...... �el ...... ........... < ........................ wiring in the building of -e-e- T.. .................... 57-0 .... ........ "h at ........... . North Andover, Mass. Tee ..... Lic. Nor--2.0�� . ...... r.- .... ii�*cAL MpEc-roR �71 ...... �z 12/28/98 14:29 50. 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i� 771E09MM0NWE4L7H0FhfAMCHU5ETTS Office Use/only DEPARTARYNIOMBUCSAFM Permit No. s B0ARD0FFIREPREVFVI70NRWNATI0NS5r MR ��� Occupancy & Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 9 8 a (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat P' Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant�_1— 0 vV Irl r L�i6 GF �3 /f 7— Owner's Address /h 00AlP/ef q J c Is this permit in conjunction with a building permit: Yes ® No ® (Check Appropriate Box) 86 / %% Purpose of Building r RM " Utility Authorization No. Existing Service (ice— Amps /JD"1±2L—Volts Overhead r --J Underground No. of Meters New Service Ampsfp / Volts Overhead ® Underground No. of Meters Number of Feeders and Ampacity ; ration and Nature of Proposed Electrical Work IV) d}t L T�iM®o12-./{R c//LE No. of Lighting Outlets No. of Rot Tubs No. of Transformers Total I KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. 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 Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other o. of Dryers Heating Devices KW Connections ® N�. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER hstrarceCotiera� Ptasuat>tkrthetegtmerra>1s�CiaraalLaws Iha-,eaa=tLrabkhstm=Pobcym&dngCor�m cowr4rcritsakkgtialmoydlag YES 17 NO Iha%eskniodvalid}xoofafsaMiDthe0ffim YES r—Z�l NO ® IfyouhmedradWYES, pime thetAxcfwmaWbyduicitgthe aPP� NSURANC.E M BOND F OTHER Wotk oStmt h pecticnD*Re*xsted signed t nixTra ofpow. FIRMNAME 016 A &L Li --Td—N A/ e JO�V Signature ftesespeffy) - EViratimDAe EValueical Werk $ ORT Fimal BusinessTeLNa _��^� _ ,±, _ I DL 0 -T -1D o,� I,Uetii&A/ AILTeLNa ! (r % ` 1S T Jam_ OWNER'SNSURANCEWANER;LamawatethattheLitmwC01aalIaws andthatmysigcra mcnitisperm.Wpfi odmwaintt>ismgRi anal (Please check one) Owner Q Agent Telephone No. PERMIT FEE $ Roti -two of Ttic dhTz I-%, I J 1'PH 1,-1 "r; -+C I AaYw. t t.«oo OLAi r1 a: ! Tiwa7f�e.!'PYC� j�a n �9 9 ,36 /MW Al M&1 .iv LOOM am M/ 1/llYf •'rs+.ae.Ir>s/' lay. sb,Irtvcl =AM LOQd INi0 !�T aMLM li i' Alo!' wo ON jl� MUM ARM AN owr� ,,i1,►.�t:1414ti dA I tso�o A�1a, r y Ql lllOif MW PLOT PLAN w AU, WN �R 1019 Tutw1 fl" "WeZrS f x.10 gna00Vflt, !-k�il. O►W�s JA.J. m Air% � n mwl asRrtrJ� AMOM^�offilo [2 10 A�1D�0 ' :l:A; .•,.. RT VER MJAS �.1.y: record y 57.1 •t1'1' 'r l.,:,,1 �;,;:�.�; SAC(HUSETTS . .r 1% v 1 t ! ..,.^ .-•):Y',Y 'i'1irr1 (� 1: � , , ��#�I'rl` ��i�•fr{tA�9 i;r,•;;;; .•y,.„�) fi;,; �.I,rlr.4:', i• ^(DER .hai p(oJlded 04 form for use by local Boards of Health. The System Pumping Recorc T:, be submitted to tha.local'Board of Health or other approvin t T•a sl:b' / ;':r;).'X;S.,..,, 8 aU horlty. A; Facility ,Inf9h4ation J,';,Wr>an' filllri9 out .1; . System Location;` onty the tab key Address LO move Yourr:,' ' ; •��,�LU a• :�'''k04!i4�'w.1��;,i,lid,�:!('!',.'•t��i!t,'4)i��e•rr! :''• rfarr'�' l'::; .:�':r;' ..., Up Coda - i, •'04r;�, 2, ,,S stem Owner-,'.;•F„r 'r. ,: , y;(�i;1; arl,'��I':'�• 'n:n�lie 1j ll ./•' J: 1• Name �it`r• I".,.•J,r,l / rr,.. �. v.. l.. :::r ;i•: �h•'(i�:: � r •'t 1;r;1''r•'.�!•It 'A': •:i;L,to-,,; .i, r S Address (If dlXerenC remrr bcrztlon) state Up Coda Telephone NUmbe( Ire'Pum.p111g;.Re,�;ord•.. ' ,•� �.;:r;11.. Date of Pum pin' Dale 2r Quantity Pumped:` i .;.r";;'• Gallon :Type pf.system, , ❑ cesspool($) Septic Tank :r.; ❑ Tlght Tank Tee Fllte . [. as ❑ No If yes, was It cleaned? CD Yes ❑ N 04dr`r o> r71'��/Ol1dlpon,Q1;�7 y `` m,,•'x ..... ,IJ„�y,,,.,.r;rit��t:{j�hr< rl+il!�Ii, tr•� t.� �Jj (r., ��Irr,.•,��•, +. I�r,t►)'.;•r'al�jl',t:.t:'���t)J�'�%i'iJ'yP�;1/ti'Y.'li`'t_�.."'' • ''i `'.::'ri?';,dr' lj, J�.i t3`, , !q'• I iit5 .t tr —� ' '_ '•'i,' �5, •:'i'!.,'"• �':i tvtYal+u:�'i•o,•;..'�}r.'ly �a71t11,\,I,y,; +' ii; •,'f,i'';1 .lj��i E),f:..� y'I / Int} , , ;. r 1•,}v l ,Ct; '„•;:-,. Vehicle LlCen+ a Nunt '•,. ”, ,,. ;., •,��� , a��' a.�;. � �, '�,� , .lr)'�.f''' ,,1,, <,�1. er ': :C::, y.:;. �r' i' ,\••' 'I,�q,y it' r1' .t�}' S t'��4/:.i.1'lil li:,.. - ... '•t`•�'`,Yr.,�1S`Y'�r,1N'�M�iy�iiJlY4it�.� � •i,;r•tf,ll'J����;j'1'.S''r v•...'; cont'entse � ;,.' , .r� .�;,`;,. .?.•.7;'. , on. where• • .'1it.1;!.:�•;. �•;p'�,•, ".,:.•. ..7, l..lj'�t.•.•�l.r..j)r1�V •�}�.�)i (," 1� i. !� - ,��., .,'',- ,. r��r�•c(!.` 1:;'v:�';: :�!;: �'r••i', {�: r, r4 � ///jjj � .1:. i�' "tl,! 1. �'.�:'�Jir dir 1 ,' �S "'r•'��i'• •'f•°t l'M.1� b;i}' ',' .)fC. .i3'•y .,�•: :'i tri.. ititj jt ►ivy .!:,..,1�.: f'•r—A, `•,• t:�•�::rs>:�..,;��:,.�;r�'.:'r•glpnalLreo(Haula ,. ��� .:� .:: ,,. ,• (;Yi,:,yrr,r.•;,.:.;.,,...: Dale httpJJ/wtivw,mass.goV/dapN✓afe�/appr.ovaJs/t6forms,htm#Inspect tSfarM,dov•ONQ3 .,� . �. � � . Sytlem Pumpin9 Record Paye 4 .. . No Andover 1600 Osgood St Building 20 Suite 2-36 No. Andover, Ma 01845 Date Name & Address 2 -Jul Bake N Joy Willow St✓ �5 3- ul Coltin 316 Rolwey Tavern Lane -Jul Bake N joy Willow Ave i/ 3� , 2 -Jul Mukherjee 30 Sherwood Dry 18 -Jul Hanny 45 Innis street\/ 19 -Jul Butcher Rte 125v�--- 19 -Jul Chipolte 93 turnpike-\/ 26 -Jul Driscoll 110 Forest street 26 -Jul Hudson 1850 Salem street 27 -Jul Ferragamo 1112 Tnpk streetv 27 -Jul Perry 303 Berry street V- 30 -Jul Barry 62 Stone cleave road T D5 &mmec- �f J&S Development dba Stewart's Septic Andover Septic 58 South Kimball Street Bradford, MA 01835 Gallons Comments 4800 Grease 1000 Xsolids HG 5000 Grease & ** 2 inside grease traps 1000 Good , 1000 good r 200 grease 3000 grease 1500 good 1500 good 1500 good 1500 good 1000 good j3oo God. ic U()a0 Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out forms 1. on the computer, use only the tab key to move your cursor - do not `use the return " key N - Hf U t Ma - City/Town State +Zip Code 2. System Owner: Name Address (if different from location) City/Town State Telephone Number B. Pumping Record I r 1. Date of Pumping ! (C. D to 2. Quantity Pumped: Zip Code /'6c) C) l� l r�� Gallons 3. Type of system: ❑ Cesspool(s) [—Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes n No If yes, was it cleaned? ❑ Yes ❑ No It 5. Condition of System: 6. System Pumped By: 7 Name Stewart's Septic Service Company Vehicle License Number Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signatur of H e Date r Signature of R cei ing Facility Date 03/06 System Pumping Record • Page 1 of 1