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HomeMy WebLinkAboutMiscellaneous - 360 WAVERLY ROAD 4/30/2018N N2 2707 Date... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 4L This certifies that ........ T ....... to. tz .......................... has permission to perform ..... ........................................ wiring in the building of ....... P. .. . ........................................... Ir at ....... d ....... -h Andover, Mass" --41 Fee-SI-�1".,.6)() 111c. No. . ........ ELECTRicAL INSPECTOR Check # (/-,7 0 Z WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 00 V 7MC0AM01vff4LTH0F 14&"CHU&= DEPARTiVMW OFPUBLIMFE1Y BOARD OFF7REPREVE7M0NREGUL4TIOAN5270M 12:00 Office Use l"y Permit No. /4 Occupancy & Fees Checked 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�,�,� (iL� Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street Owner or Tenant To the Inspector of Wires: Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 6Q Amps W)- Volts Overhead MITUnderground M No. of Meters I .' New Service Amps / Volts Overhead Underground r --J No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1V e& f 4VU(1 C No. of Lighting Outlets No. of Hot Tubs No. of Transformers ° r KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 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 Torts KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local = Municipal Other F7 No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP C3alaw Laws 19 ✓ Ihr�eaaxrent1-dilityhwza=Policymck&ECor #Ak Opa2bions ComaWaits skkirmale#yaie t YES L�J NO IhaNest.hniWdvalidpmofofmr1otheOffix YES =NO M If)ouhasedvdWYES,plemmdiatethrNxofoowWbydcdcrrgthe 1N� BOND [� OTHER Q ftmSpe*) ZL3LO Fwd Vahreocaectrical walk $ wodctDSW InspecticnD*Rapeseed Iicgh Final lR.f& U/ SiglmdMdX,&5A 40E,y FIRM NAME UcaseNa �, r^ /W n liomsae�G !signahae Iioel>seNo56 7 k, b"' /t -1 _ P— Lai n 111, Bt>SinessTelNa AiTel.Nta OWNER'S INSURANC EWAIVER;IammNwed9t rLi md=not heit>straroecomVaritssk0tWecghWattasw*imdby&bwhB&GaraalLam andthatmysigrr�taeon� pam6.appbcatiarw�itffi taqusalr� (Please check one) Owner Agent a Telephone No. PERMIT FEE v Location 12 4 0 uuez,�,/ AO, No. Date /v TOWN OF NORTH ANDOVER 6 0 AL Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ e - Building Inspectofo'- 3 4 6 8 k //, Div. Public Works C— C C C 7t 5 O o — O d ❑ O F O O O O w i z z Za za y � W � in in y = �. � Q z � w❑ n. Z m m � ❑ ❑ ❑ cn c cn rn � cn .,i U G=� 0 N z F� O A Z w e Q� EF ti94 E V ! n 12 k ❑ j W Q R7 w C Z G z C G w O O .0 w � G w ` 4^ 6 U U 6 F F• f I y G 0 U 0 U 0 U = t.] cel Lr F V) p Z F Z w U ❑ U U F G C N �^ 0 ❑ = a O n. U a Z U = O Z Z Z Z Z Z U Z ,, n , n ,, n < L „ar = �p w ..d W C ' a c�. O Ls O (. O O O z u L. z o o V O U O U e -� F cn w F (n w F � w c. w Lo v F z w F C C C 7t 5 O o — O d ❑ O F O O O O i z z Za za y � W � in in y = �. � Q .pa- � w❑ n. Z m m � ❑ ❑ ❑ cn c cn rn � cn F� O E V ! n R7 w C Z G z C G w ❑ .-7 .0 w � G w ` U U C C O y G E O G C ncn cl) ^ W . F z w F C C C 7t 5 O o — O F z w F BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with.the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: e4 Location of Facility SignatuWof Pertitit Applicant Y Y/9 iate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I I Town of North Andover f HORTN . � OFFICE OF A,3a ,�` L�e °L COMMUNITY DEVELOPMENT AND SERVICES �0 p 27 Charles Street >< a x North Andover, Massachusetts 01845Xis '"•l° � °Pr`�5 WILLIAM J. SCOTT SSACHUSE Director (978) 688-9531 Fax (978) 688-9542 HOMEO�V_NER LICENSE EXEMPTION Please print. DATE JOB LOCATION wj Lt� y R04 Number Street address Section of town „1 "HONIEMVv"ER” L Oil ng '{' I O (Dd PerfZ- � 0r OY— 3 63 97e (OF/ Jq9 ©V Name Home phone �Vork phone PRESENT iv1AILING ADDRESS 360 Wo L) City/Town S tate f 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 that the owner acts as supervisor. (State Building Code Sec- tion 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 sic family divelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-vear period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building 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 and regulations. The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and r( �cuirements and that he/she will comply with said procedures and equir�ements. K---\1 \ HOMEOWNER'S SIGNATURE APPROVAL OF BUILDIi`iG OFFICL-�L Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. BOARD OF .42PEALS 683-9541 BUILDING 683-9545 CONSERVATION 688-9530 HEALTH 688-95.10 PLANNING 683-9535 McCabe Uemc elina & Ucme Impmvements 1 Poor Farm Rd (603) 421-2774 ` Derry, NH 03038 Sub - Contract Agreement THIS AGREElii, male this day.of �d A.D. 199 by and between AV> ereinafter called the ? Contractor, andmei e X fAle!' 8 /i✓6 Aya 16"/hereinafter called the Sub -contractor.. For the consideration hereinafter named, the Sub -contractor agrees with the Contractor, as follows: ARTICLE"R..,WORK: The Sub -contractor agrees to furnish all material and perform all work necessary to complete— At:-4&,0 omplete_ At:-S&A A. 1191fg/,V XV /V 4,V V00 Zf< M714b J 4/ 7& i < CITY COUNTY STATE For:, OWNER OR OWNERS according to the general conditions of the contract, as per the drawings and specifications, and amendments and/or changes o either (details thereof to be supplied as needed) prepared and identified ,by , Architect, and to the full satisfaction of said Architect. ARTICLE 2. TIME: TheSu -contractor agrees to promptly be m work s soon as notified by the Contractor, and to completethe workas follows, VC -7 471-+-7.' CV—I-e W/ CONQRE% /1 /Z GoNC rL� � e � LS/o c� o .sem/ 2T` z " S's'" .sT>✓ e � CAU �iy5%A/' � too ' ►1'� � S% dt.� ��T/Y�� ��'✓'L �DU�yUAjoN . ARTICLE. 3. EXTRAS: No deviations from the work specified .in.. the contract will be permitted or paid for unless a written extra work or change order is first agreed upon and signed as required. ARTICLE 4. ASSIGNMENT: No assignment of this sub -contract agreement is permitted without prior written permission from the Contractor. ARTICLES. INSURANCE: The Sub -contractor agrees to obtain and pay for the following insurance coverages: Workmen's Compensation, Public Liability, Property Damage, and any other insurance coverage which may be necessary as required by the Owner, Contractor, or State Law. ARTICLE 6. TAXES: The Sub -contractor agrees to pay any and all Federal, State, or Local Taxes which are, or may be, assessed upon the material and labor which he furnishes under this contract.w O IN CONSIDERATION WHEREOF, the Contractor agrees that he will pay the ub-contractor., in payments, the sum of % wU T/ifUdSAi�l.� �*t/CU�✓�i�©��/1 for materials -'and work, saidamount to be paid as follows: '—�" S per cent ( �� %) of all labor and material which has been fixed in place by the Sub -contractor, the paid on or about they �s7 of the following month, except the final payment, which the Contractor shall pay to the Sub -contractor within days after the Sub -contractor shall have completed his work to the full satisfaction of the Architect or Owner. The Contractor and the Sub -contractor for themselves, their successors, executors, administrators and assigns, hereby agree to the full performance of the covenants herein contained. IN WITNESS WHEREOF, they have .executed this agreement the day and year first above written. WITNESS - SUBBC/jfJS/�(�T ACTOR, STATE LICENSE NO. WITNESS CONTRACTOR BY STATE LICENSE NO. 0H c� d u o w° v cY o a A c z WE C4, U w `� a c�° w x Cf) U U w°' c1 fb ii a C7 c�° cC w Ca cA d Z y GJ cit v ° i O cn ► FC51,� H00 � LLJ z Ell N O O co O O V9 a� .E L CD C 0 C Q m M CO) C O C. y C O O .0 _cc �. CO) W L O V O C. H C CD CM C 0.— C '0 co m cc 0 co o co C 0 o C- C. Qm Q C � C Cc M J .® o CO CO CLa CO) C Lij 0 LU U) crw w crw LLJ U) c r- o �ac CD C H O C o u •ate ac w o as :o E a �: J 'D O ts .. CD .r mc o.•a E.�: : m N m Ca O N E� CS) O cm acs m c m �• cc M.- ' oao cm c Q m m c c = mco :arc N m C4 L •p m •N O LLJ V 0.0� O O C VD a O� O aC2 N •� _ aa�mIwo Ell N O O co O O V9 a� .E L CD C 0 C Q m M CO) C O C. y C O O .0 _cc �. CO) W L O V O C. H C CD CM C 0.— C '0 co m cc 0 co o co C 0 o C- C. Qm Q C � C Cc M J .® o CO CO CLa CO) C Lij 0 LU U) crw w crw LLJ U) ;j office Use Only go ullP C:Qmmoumfulth of scZ effs Permit No. �`� JJcVm-tmrnt of JItihlic q Oc=pancy & Fee Checked . •mow BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) 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 Q* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform tthhe� electrical work described below. Location (Street & Nllq-cyl—L ber) d ✓�' V ` Owner or Tenant �- Owner's Address Is this permit in conjunction with a building permit Purpose of Building Existing Service Amos _J Vpits New Service Amps _J Voits Number of Feeders and Ampacity Location and Nature of Preoosed Electrical Work Yes Na ❑ (Check Appropriate Box) Utility Authorization No. Overhead Undgrnd No. of Meters Overhead _ Uncgrnc (` No. of Meters Totai No. of Lignting Outlets i No. of Hct -.lbs No. of Transformers KVA No. of Lighting Fixtures C9- i Swimming Pool gma e- crnc I Generators KVA No. of Emergency Lighting No. of Recectac:e Cutlets I No. of Oil turners I Battery Units No. Switch Outlets I No. of Gas turners FIRE ALARMS No. of Zones of No. of Detection and Initiating Devices No. of Ranges Totat I No. of Air Cor.c. .ons Devices No. Disposals No.of year total Total ! of Purs-cs :ons K'.'J No. of Bouncing of Beit Contained No. of Oishwasners iNo. SCacetArea r•+eatiro !C.V Detac::oniSounging Devices Municmai Local _ Connec:on _Other No. of Dryers Heating Devices IC.Y No. of No. ct Low Vc:tage No. of Water Heaters KW Signs tatlasts ng No. Hvaro Massage Tubs No. of Motors Tota: HP w OTHER: INSURANCE CCVERAGE'Pursuant to the requirements --t %Iassac-user:s general Laws I have a current Liao:iity Insurance Policy inducing Com^:erec Cceranens Coverage or its substantial equivalent. YES NO = I have suomittec valid proof of same to the Office. YES ;&_NC = It you `save checxea YES. please indicate the type of overage ey cnecxing the a procriate Cox. INSURANCE - BOND = OTHER = (Please Scec:`�) �� c,(Exciration Datei Estimateo Value of Eiec:ncai Work S Worx to Start Inspec^on Cate Recues:ec: Rough Final Signed unser :he Penaittels at perjury: FIRM NAME G 'C' _ LIC. NO. _yam—K Licensee t7 i, f s Sig -azure LIC. NO. � - Bus. Tel. No. �6S - 6 y3 �� 3 Address ' Alt. Tet. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee tees not nave the insurance coverage or its suostantial eeuivale t as onto quirea oy Massachusetts General laws. and :hat my signature on :h:s =ermit application waives this requirement. Owner 9 jP!ease checx phot Tetecrone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 �7 Date.3 To J- tAORT" TOWN OF NORTH ANDOVER 0 PERMIT,FOR WIRING u This certijr . ................. I .. ...... les that..; .... ........ k ... has per mi'ission to perform ... �D. ...... i."* --******:7: ... I ...... �%riringl jof ....... ........... n the buildinj ....................... . at . ........ ............. ........... . North Andover, Mass. Fee. Lic. No. ....... E L cr�i �;AL NSPEcrm 'U" WHITE: Applicant CANARY:.Buildin c) Location No. -,'Date 40RT" 0 "'. 1, TOWN OF NORTH ANDOVER 16 I-mim&MIL S Certificate of Occupancy $ Building/Frame Permit Fee $ 'emu $ A Foundation Permit Fee Other Permit, Fee $ Sewer Connection Fee $ 5 - Water Connection Fee $ TOTAL I TO 10732 $ Building Inspector Div. 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I � IIHII1- 1111 >01 N yr U) Zn �mi n, DO NZ2 °� �X-Nj D 0�n 0 Lo O:E mim mX -izD IN_n N0� i { m U) "a0m �mN I c i NFN i BOO 0Z Z { Jnr C1 1 r- DiD m =v Ao I 04 nz In mm N� • 00 D0 3 r iI I I i � 1 wi: I1p I I I : I I I I i i I I I j_.H....... . �. - - - - ._ _- . -.. -—..,,.l.j • � � I I i I I �^j o.1• I I 1/ i ; I y I I I j I iW4 a I i I I ! __• i I � i Ir- I Y ! I _I. 1 I I : I L I ! : I : 1 I e it 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: J2 I C44,Zlz,�> pi -VE --t Phone f— %o I o LOCATION: Assessor's Map Number op I Parcel�C? Subdivision Lot(s) Street 3G(z� moi- ?L-(7 t2,o St. Number 3 Lb ************************Official Use Only************************ RECOMMEN,�TId!ONSjj /%OAF TOWN AGENTS: AGENTS : A !/ Z���C� Wl� Date Approved �� [ Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected Date Approved eptic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date A 7 7 Y: 'r n V IV 4d op; t. IL I I I _ . 75 L13 -~ V VAV6CLY I CERTIFY THAT THIS LOT IS NOT W THE F.I.A. FLOOD HAZARD ZONE. THIS CERTIFICATION IS BASED ON THE SURVEY MARKERS OF OTHERS, AND IS NOT A PROPERTY SURVEY, FOR MORTGAGE PURPOSES ONLY. I CERTIFY THAT THE BUILDINGS ARE LOCATED AS SHOWN, AM OF THEA/TOWNT THEY OOF ORMEpDOfV'N ✓� qty WHEN CONSTRUCTED. ��UU O THE :fl SCALE I" _ D DEED BOOKPAGE �4r AREA %U / -�� �N OF M,U PLAN "(f_� ��� ROBERT ya,, ASSESSOR MAPS M0. 22150 BLOCK LOT CERTIFIED PLOT PLAN OF LAND IN �� AS DRAWP FOR -LOCATED A7 —~-° �a ,7, i R.A.M. ENGINEERING 160 MAIN STREET HAVERHILL, MA. 5.08-372-0449