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HomeMy WebLinkAboutMiscellaneous - 33 WOODLEA ROAD 4/30/2018 (3)U, qt Q.12 II1 UMalm eat filuEIoI sfm P.mw Nam w r y Ecgttl->Yttrtn of public L tq Ocmpwwy A Fee Cescmd f.� W BOARD OF FIRE PREVENTION REGULATIONS 521 C1111 12:00 ISO Pam 611" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, S27 CM (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 12.00 Date T& or Town of NORTH ANDOYFR �� �f8 To the I P of Wlree: The udam ned applies for a permit to perform the electrical workdescribed below. Location (Slroet b Number) 33 J0)Q,404 Owner or Tenant Owner's- Address d o Cay t / 13 this permit in conjunction with a building permit: Yes _ No (Check Appropriate box) Purpose of Building Utility Authorization No. o Existing Service Amps Voits Overhead `� �I�--tI Uridgrnd t_: No, of Meters New ServiceAmps �/ �V �0 C / Notts Overhead _ Unagrno No, of Helen Number of Feeders and Ampacuy, _ _ i - Location and Nature of Proposed j 1. lNo. of Ugnting Outlets I No. of Hot -_cs No. of Transformers Total I KVA No. of U nnn Fixtures i Aacve-- ,n- g 9 I Swimming P=a, r-' Srra — Srna _ Generators KVA No. of Receolacte Outlets I No. of Od curners I No. of Emergency Lighting 1 Banery Units No. of Switch Outlets I No. of Gas=_rrers FIRE ALARMS No. Of Zones No. of Ranges I No. Cl A,r C.;r.c. otat No. of Oatecoon and chs , Intnaung Oevtcea No. of Oisbostlls I No.o1 Meat 701al aurn::S -ons '(W No. of Sounling Oevtcea NO. 01 OiMwslneSaaCerArea •+@x1,10 K:/ No. of Self Containedr7 Ost.cuoruSounoing Qewces No. of Oryers I Healing Cev,ces KW Lrocal '- Muntcloel Cannecuon :-Other No. at - vu „ No. of Water Heaters KW Signs 3adas:s Low voltage 1 Wiring No. Hyaro Massage %all I No. of yfotcrs -o,al HP OTHER. INSURANCE COVERAGE. Pursuant :o the reowrements or '.tassac:%sars ;@neral Laws ouivnt. Ytfi3 -=---No 1 I have a current Liability Insurance Policy ncluoing C;,m„- a cceralions Coverage or FIs substantial ew have _ suomtaeo valid .11001 or same to the Office. YES 140 _ it 1 g you nave cnecxe0 YES. please tnbtcste the type at cOtreriQe ey cnecxtn the aoo nate box. INSURANCE aONO = OTHER = tPtease Scec.`:I t j Estunatea Value of f!sctncw Works Work �� a , 9 l ttuon til to Start Insoecnon Oate :.ac6as:ec: Rougn Fir1e1 Signeo unser the Pe ties of perjury: FIRM NAME WA C efp UC. NO. i 4 Ucansee /`r S•cra: rs ,I� ) UC. No. - AA <� Butt. Tel. No.--K#K#Addreaa aSO / 10 _q e-- --//1► t/N/ All. Tat. Na. OWNER'S INSUAANCE WAIVER: 1 am aware tnat the t_:cenave ^ces int nave ,ns insurance coverage or its substantial equlvalant as qo aWrep by Massacnuseus General Law.. aha Inst my stSnature on 7nis _ermrt 4100"C39'on IPleaee checx anal - ; waives this reautreMertt. Owner AgNtt i - lSpnature of Owner or �genn aleanone No. PERMIT ft3S = � aMM. Date.. No 1 477 NORTH{00 TOWN OF NORTH ANDOVER (-ro" ; . PERMIT FOR WIRING This certifies that .... . .......... . ............ 7 has permission to perform .... �.— I ......... ........ ... wiring in the building of ..Lat'-f ........... at .... C. C)� P ............ . North Andover, Mass. ........... Fee ..,..3-6..,.W Lic. No./�`� ..................... EC ...rR ...... ICAL . INsp . .EcrOR ................. CO�'/1498AI\ 50.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �'� ._. .. b,. :. y,,,,'+-�'+,l�,J•n.ti..,.+i^..rpt-fvv�`�j./C/2'......�::,rr v .. 3! VE. L'ocatio.n t , N'b Date /O r f NORTIy "? TOWN OF NORTH ANDOVER Certificate of Occupancy $ -S rte_ � Building/Frame Permit Fee $ °."�<� Foundation Permit Fee $ *,y SACMUSE Q414er Permit Fee $-- ,' Sewer Connection Fee $ Vflate.r Connection Fee $ /d0Z•ioD v. TOTAL $ o ' Buildi g Inspector q E3.18 11400.44 Div/Fub is Works ... 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Ii EOGE dF 0SLINEA-MD WETtwNp S O b � N N � Q. /,60DLaw .e0A0 �r Al"46Bf' CECT/FY 7V T. le T/TL61AlSe,,eV AA,O 1-V 7We B.O.V,r T.V47 7he-- ~eZ4AW /S LACATEO O.V THE ZOr ft.5 :roWjVM AMO ;F1W47'/7-OUE'S CLWFAPA/ IY/TM IW,- 7v&q✓ " OA' .4/. AA,,Vdwe& ZQN/.v6 ACdOZ-4rW -f ,e��4.toi w aen"corr Az4W .sT.e&-ers / ooT a vEs.Iv Z,044TE0 /.t/ TME FEAE.EAG Atd".P ff.4Z440 .4.PE.4. S�/aw�/ O/V FEM.f ' COMM�/•�//TY P.'fitlGL '� 2SA�98 4�6 G da7�a 6/z�5t3 PL.S O.4TE NOFMANN w s ��3s3s�_.► /pL or RL.4A/ /N �661-65S Tdv—1All �6 ✓E GO.��» E c�?' /NE�.P/�N.4Gt' E.V6.GdEE.P/.f/6 9E.P/�/G'ES 66 f'.4�P.� sT.rEET A.VOO/'E,� �1AS.£vG�//SEFTS oi8i0 ►_- x FORM U - VERIFICAT'ION 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: C-47, L� � �-f�t YLI� Phone �, y - 0 y_ LOCATION: Assessor's Map Number Subdivision �Q O �J Street kz,--o ©V e eq- REECO DATI S GENTS: Conservation Adm'nistrator Comments ��� __ Town Planner Comments /Food Ins ector-Health V5_ Inspector -Health Comments Parcel Lot (s) St. Number 33 Use Only************************ Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Workssewer/wat�nnections � "o 7 - driveway permit �o ?7 Fire Departm t id' Received by Building Ins ectof Date ul Ln --I p �in 1 iP\'m _I ^UN i OUB o. cr o- cn : -- f O I p o 1 ��� .,_,a 582'09' 0"W I r- o tnvcn Ciz II C)„ f� t 1 4 — .121.6 7' 6 S 85 '� L%- 'r5 tr l 0. 0 j, 6 I �L cp 00 `n omwN cn Uj o s, O1ll it ooti (_l 0 o toa vin ti. /N883? 9 6 G on o o 7, n n OD ,47'37" ~ iI r t f A. 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(�% 1� ', }ItD f`Lr � F j is4r� aJ� I., C 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 8.7.6 of the Town of North Andover Growth'Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of A plicant on Building Permit (below) Address of Property for Permit (below) . n � Y o C" r(, ex-_ Map and Parcel: Purp e of Appl tion (c eck below) Phone -Number of A`ppplicant: • �1Single Family _ Two Family 6 -0 41I the undersigned applicant for 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 from 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 Department and is only officially accepted when the Building Permit iq issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied 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 reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning yl This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.c -are met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40% permanent Te—duction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this 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 application represents a lot which is ready for building perrnits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to allowed an EXEMPTION a! inaccurate information, or knowledge or not, is grouni or the accuracy of the information provided and that the attached building permit cited above. Further I understand that the submittal of misleading and or h hecking off of an above item which does not comply, whether done to my I or refusal by the Building Department to issue a Building Permit. ea e—r ­hCXAKnA Attar•h ri Rmlrlino Permit Date the ication for such permit I Building Permit Num6r 62 Date July 29, 1998 , THIS CERTIFIES ..THAT THE BUILDING LOCATED ON 33 Woodlea Rd ' MAY BE OCCUPIED AS .9 i n gl P FAm i 11Z flwp l 1 i n g IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Cobblestone Dev 240 Can esticl No. Andover.. 01845 ADDRESS %uilding Inspector' is w C2 i/I 9 o I o �v I ` ca m •.c a : c CSI m y CD CA �., m� NCl _- o a m �' 3 :m CZ m �l h C co E.@ 0 o av m o � Z ev ' c o _ 1- o a-0 W CO .0 N C F.. dt 0 �-. H LLJ ID cm 8-a C� a m-0 _H S A a o e0 F- t S CL 0. m MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING`; (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations � V&ge-00t-;aX 8,,o Owner's Name New0/ Renovation F1 Replacement 0 Plans Submitted FIXTURES Date ;. Permit # Amount (Print or type) Check one: Certificate f, Installing Company Name jt:i: .wt ;, .f: t �.� � lsAla—, �.R ian�r■ �� � Corp. " .: �`��" 1 UTOPIA RD.i Address 1"N LF—:b?10'tA AAA g400 j�'' a"fter. � L,.� 94 Business Telephone Firm/Co. P t�111IIgA �IAARFS r,awr�u -- .-%,Ah0 Name of Licensed Plumber: Insurance Coverage: Indicate the tyo of insurance coverage by checking the appropriate box: Bond ❑ Liability insurance policy n Other type of indemnityEl "`'' Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above k, three insurance Signature Owner Agentri 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 performed under Pe ed fo; this application will be in ;. ,compliance with all pertinent provisions of the Massachusetts State Plumbing Code d Cha r 1 2 of the Gen By: dicensea Signature or riumoer Type of Aumbi icense . Title S _ City/Town ucense lNumoer Master Journeyman ❑' iT, APPROVED (OFFICE USE ONLY 4'. :1, I .-..m-..m ............... :: • D„ D,l Mnnnnnnmnnnnmnnnnnnnn■ MM ,_.�©nonnoonnnnnnnnnnnnnnmmm .. l ©nnnnnnnnnnnn■■nnnnnnnnnn .., . S . nnnnnnnnmnnomnnnnMMMMMMO e ,. ��■inonnn�n�nnn�nnn�nn�n® ., nnnn■in�nnni■nnnnnn�nn�n�� (Print or type) Check one: Certificate f, Installing Company Name jt:i: .wt ;, .f: t �.� � lsAla—, �.R ian�r■ �� � Corp. " .: �`��" 1 UTOPIA RD.i Address 1"N LF—:b?10'tA AAA g400 j�'' a"fter. � L,.� 94 Business Telephone Firm/Co. P t�111IIgA �IAARFS r,awr�u -- .-%,Ah0 Name of Licensed Plumber: Insurance Coverage: Indicate the tyo of insurance coverage by checking the appropriate box: Bond ❑ Liability insurance policy n Other type of indemnityEl "`'' Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above k, three insurance Signature Owner Agentri 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 performed under Pe ed fo; this application will be in ;. ,compliance with all pertinent provisions of the Massachusetts State Plumbing Code d Cha r 1 2 of the Gen By: dicensea Signature or riumoer Type of Aumbi icense . Title S _ City/Town ucense lNumoer Master Journeyman ❑' iT, APPROVED (OFFICE USE ONLY 4'. Date.. y' ........ _A N' 3678 EE TbWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING s o+ _ � •' a SSACMUS c� This certifies that Z ....... ....... ............� . has permission to perform ...... / ..... ............. plumbing in the buildings of . ............ ............ . at. . r j........... , North Andover, Mass. Fella .. Lic. N....................... . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �r v MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) Date L% 19 Ivvic CH ANDOVER, MASSACHUSETTS Building Locations ?)1)*L 19A Permit # 4/2 Amount $ �J � , Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) Check one: Certificate Installing Company Name ❑Corp. WILMINGTON PLUMBING & HEATING Address 1 UTOPIA RI;. b/Partner. ��-�>c►r�c:H, MA 01821 Business Telephone MA. MASTER PLL mm ❑ Firm/Co. R I l ;Ju w INS CANN Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked y_es please indi a the type coverage by checking the appropriate box. Liability insurance policy MlIr 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. Check one: Signature of Owner or Owner's Agent 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and pter 142 fthe General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of 1 ❑ Plumber ❑s Fittet� El ❑ Journeyman sed P er Or Gas Fitter License umber U w � � zz O W Q dE x zp O z x w x z a p x > w W z C7 Z E- d z w d F" > m ca > Z O z O m x W > W > SUB-BASEM ENT BASEM ENT / 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6 T H. F L O O R 7TH. FLOOR 8TH. FLOOR (Print or type) Check one: Certificate Installing Company Name ❑Corp. WILMINGTON PLUMBING & HEATING Address 1 UTOPIA RI;. b/Partner. ��-�>c►r�c:H, MA 01821 Business Telephone MA. MASTER PLL mm ❑ Firm/Co. R I l ;Ju w INS CANN Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked y_es please indi a the type coverage by checking the appropriate box. Liability insurance policy MlIr 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. Check one: Signature of Owner or Owner's Agent 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and pter 142 fthe General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of 1 ❑ Plumber ❑s Fittet� El ❑ Journeyman sed P er Or Gas Fitter License umber c 2842 . Date .. .. x5 9�. - 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 1SSA�H�<� iQQ�7yy i O This certifies that � :`..... • .. • ..... • •' �. has permission for gasnstallati ((n/ .......................... S. . in the buildings of - �!�Q_ �. �.:,1.� �..- • .. • ...... . at.�� : �• • • • , North Andover, Mass. Fee........ Lic. No/ /.�... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer