HomeMy WebLinkAboutMiscellaneous - 31 WOODBRIDGE ROAD 4/30/2018i
Date...... ...... ......N° 3'1 7 /v
NORT/,
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACMUS�
This certifies that ....
has permission to perform .. ? .. ` .P. !� -'. r.. ... . ........../� // ..
�i/% C�� r° /mac f'
wiring in the building of ..... . _,�...�.....(. �.J.�.��..........r....�.r................:......
Vt .......... . C" ....!.......................... , North Andover, Mass:
Fee ... ./..s"�.. Lic.No..P�.\``%*'-...
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
!� �+1111111
7HP-'WA MUAWPAL1H UP A14-N."t HVa 11J' Umce Use only ✓J�%
DEPARTAMNTOFPUBLIMFM Permit No.
BOARD OF ME PREVEV770NRWU ATIOASS2701R 12.-00
Occupancy & Fees Checked
PPLICATIONFOR PERMIT TO PERFORM ELECIT2ICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 - ��/
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date J 7 r
Town of North Andover
The undersigned applies for a permit to perform the
Location (Street & Number)
Owner or Tenant .A//V 7
Owner's Address _ _ -0 iA
Is this permit in conjunction with a building p rmit: r
Purpose of Building
d
Existing Service Amps / Volts
New Service
Amns
Number of Feeders and Ampacity
Location and Nature of Proposed Etc
Volts
To the Inspector of Wires:
work described below.
t
Yes M No [a (Check Appropriate Box)
Utility Authorization No.
Overhead Underground
Overhead i-� Undereround r�
No. of Meters
No. of Meters
;�. of Lighting Outlets
No. of Hot Tubs
No. ofTransfermers
1,0tal
KVA
No. of Lighting Fixtures
Swimming Pool Above M
Below
Generators
KVA
ground
ground
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
Wnating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
No. of Dryers
Heating Devices KW
Connections
Nd" f Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
IrtsuranoeCvaage Ptltsuatbthelagtaarla��G�L�
Ihawao.>rzatLiibildykst==PobcymduckgCatpide Coeageoritssi bnfdeWinalad YES [� NO
Iha%caditnE vabdptoofofsa lothrOtomYES n NO If}cuhawdx&WYES,plemndc*theNxofwmageby&.cd�gthe
oa--'BM o Mum o ftme)
Fstgnatcd VahtedEJeC l Wak S
work 1) Smit % – Z ell hpeMw DWRequesed Ra* — 111111
signadlaxler�ie P�laltiesofpt�tay �''
FIRMNAME LioaiseNa� % �–
Liaa>sm 7),' z; lJSi 1e ��" .", ; , �(� �. LiOenseNo .
Business a Na /
Add,, 40,12'14 9417L 4:�L e ZVa I AIL Tel Na
OWNER'SWSLIRANCEWAPJFR;Ia mmellAtheLiomse thert>,straneev oriC&kswrtidcgzvalatasm*mcdbyNimmdudts -al
afld tlrat my sigrlatlaeallhis pem>$ appbt:aba� wanes this Iacg �rern
(Please check one) Owner a Agent )� )
Telephone No. PERMIT FEE � '�/
Location
No. V Date
TOWN OF NORTH ANDOVER
9 Certificate of Occupancy $
Buildin /Me Permit Fee $
ra 1
'ss t Ion Permit Fee $
OtOmit Fee // $ :3
Sewer Connection Fee $
wd "Pihection Fee $
® TOTAL $
Building Inspector
Div. Public Works
:R1tIT . TO. e
l./
FPA
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
JPAGE. i
MAP 4-40.
LOT NO.
I
2 RECORD OF OWNERSHIP JDATE
BOOK PAGE
ZONE
/(L
SUB DIV. LOT NO.I
CATION ' '
�'
PURPOSE OF BUILDINGn�
OWNER'S NAME'/%f
NO. OF STORIES S
OWNER'S ADDRESS �,!
BASEMENT OR SLAB
A HITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME lZ��%�
SPAN
DISTANCE TO NEAREST BUILDING �..
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT 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
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 - 3
j 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
DA
FILED 9 ✓/�� a�
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE
�lER TEL.
PERMIT GRANTED INTR. TEL. � 1_gL&
to �,6B TR. L!C. YD2g_�;�
i
Ll
up
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COS
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
C1�c&
wwl WlmY INEVILUTOR
1 OCCUPANCY
INGLE FAMILY
I I STORIES
MULTI. FAMILY
_
OFFICES
PARTMENTS
CONSTRUCTION
2 FOUNDATION
ONCRETE
_
8 INTERIOR FINISH
PINE
a
112
_
ONCRETE BL'K.
TICK OR STONE
HARDW D
_
__
_
IERS
PLASTER
DRY WALL
_
_
_
UNFIN.
3 BASEMENT
N A
O BMT
EAD ROOM
4 WALLS
LAPBOARDS
ROP SIDING
IOOD SHINGLES
SPHALT SIDING
SBESTOS SIDING
ERT. SIDING
FUCCO ON MASON
TUCCO ON FRAME
UCK ONMAS N
PICK ON FRAME
DNC. OR CINDER I
TONE ON MASONF
TONE ON FRAME
5 ROOF
MODERN KITCHEN
9 FLOORS
B 1 2 3
CONCRETE �_
EARTH
HARDIN D
COMMON _
ASPH. TILE
ATTIC STRS.6 FLOOR I_
WIRING
SUPE IOR POOR
ADEQUATE I—] ONE
10 PLUMBING
g FRAMING 11 11 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.
TEEL BMS. d COLS. Hui W i K UK vMrvK
IOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UN17 HEATERS
GAS
y NO. OF ROOMS OIL
'M'T 2nd _ ELECTRIC
st 13rd. I NO HEATING
i
'W-
Page of
We Pmpose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ 2)
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or Authorized
deviation from above specifications involving extra costs will be executed Signature
only upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents or delays beyond NOTE: This proposal may be
our control. Owner to carry fire, tornado and other necessary insurance. withdrawn b if not accepted within days.
Our workers are fully covered by Workmen's Compensation Insurance. Y us P
Acceptance o f Pmpoi —The above prices,
specifications and conditions are satisfactory and are hereby
accepted. YOU are authorized to do the work as specified. Payment
will be made as outlined above.
Date of Acceptance:
Signature
Signature
M
• `�r�'��
105 Haverhill Street
Free
estimates
Methuen, MA 01844
ully
Insurod
(508) 689-2191
Anderson Aoofl im, & CatFe�iry
Shingles - Tar and (gravel - Slate
Rubber Red - Single Ply - Copper Work
PROPOSAL
SUBMITTED TO
PHONE DATE
hiaebh
Rea:ffeEstate
9-29-92
STREET
31
4•';oodbridge
JOB NAME
-
CITY, STATE
_
and ZIP CODE
0 ' u
�� � �lA `
JOB LOCATION
LwOr
ARCHITECT
�Il :�n::J'V
DATE OF PLANS
JOB PHONE
We hereby submit estimates for:
1.
Stip encira house of all shine les
2.
Ren3i.L all '_Oose
? .
Apply 15 noun'' rei � q•ap' 2 " o, ellt:lre di _.
4.
^
install 8 inch aluini—nuiTt '• .r _� e -31-e arOun:�_ JLc_i1.1_S,3
5.
1aply a Bird Seai t<in4 sningleYour �171
6.
Cut in a rid.�4e vent across to;P
7.
Flash around all soil pipes . n; cni an�ey
8.
Remove all debbis
5
year On il`2te=ia_I-
..I,
year quEtran,.,--e on Labor
We Pmpose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ 2)
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or Authorized
deviation from above specifications involving extra costs will be executed Signature
only upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents or delays beyond NOTE: This proposal may be
our control. Owner to carry fire, tornado and other necessary insurance. withdrawn b if not accepted within days.
Our workers are fully covered by Workmen's Compensation Insurance. Y us P
Acceptance o f Pmpoi —The above prices,
specifications and conditions are satisfactory and are hereby
accepted. YOU are authorized to do the work as specified. Payment
will be made as outlined above.
Date of Acceptance:
Signature
Signature
M
Suggested Affidavit for Home Improvement Contractor Permit Application
For omce Use only NAME OF CITY/TOWN
Permit No.
Date
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c.142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal, demolition.
or construction of an addition to.any pre-existing owner -occupied building containing at least one but not more than four dwelling units or
to structures which are adiacent to such residence or building" be done by registered contractors, with certain exceptions, along with other
requirements.
Type of Work:
Address of Work
Owner Name:
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law
_Job under $1,000
�w
B ilding not owner -occupied
ner pulling own permit
_Other (specify)
Notice is hereby given that:
Est. Cost
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I hereby apply for a perm'itt as the agent of the owner:
Date Contracto Name Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property:
/D- /- 92 b .,d W, R
Date Owncr Name
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' OFFICES OF.. a °, Town of
APPEALS - NORTH ANDOVER
BUILDING ,s
C ONSERVA'1'10N ""'°` DIVISION Of -
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 Main Street
North A11(iover,
MiINSM-11USC115 U 1 M4!-,
(617)68S -4i7 i
In accordance with the provisions of MGL a 40, S 54, a condition of Building Permit
Number is that the dcbris resulting from this work shall be
disposal of in a properly licensed solid waste disposal facility as dcfincd by MGL c 111, S
150A"
The debris will be disposed of in:
(Eo catiof Facility)
J
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
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