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HomeMy WebLinkAboutMiscellaneous - 362 SHARPNERS POND ROAD 4/30/2018Commonwealth of Massachusetts Massachusetts 5 System Pumping Record System Owner 1F,vs�� Date of Pumping: t 0 — a a. '� Cesspool: No i-. Yes ❑ System Location Quantity Pumped: C15 -C4" gallons Septic Tank: No ❑ Yes System Pumped by: Vetee&w 45((&O'tida License # Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector: 4 '4 N2 U- 3 Date .....'f / ............................. FE TOWN OF NORTH ANDOVER 8 PERMIT FOR WIRING r - CU This certifies that . . .......... .............. ........................ has permission to perform . .............................. wiring in the building of ...... ....................... ..... ....... .... ......... at..: ............................ NorCfi Andover, Mass. F e e �-IA ... '':! .... Lic. No&n!�Z? . ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r�E �jtJ /Z//�lJ /GK/�il71: / fr• � �ss��>�us��s BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit Na. l ?F,3 occupancy & Fee Checked d � 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 jV /ted' 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 6 Z S'h.4 �, o e Owner or Tenant �` ����,f/��/,C�/ !'� ,�5 / ,P/G► Owner's Address Is this permit in conjunction with a building permit Purpose of Existing Yes No ❑ (Check Appropriate Box) New Service Amps Voits Utility Authorization No. Undgmd ❑ No. of Meters Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacityp_/� + Location and Nature of Proposed Electrical Work ���lAOf�GI�//-fC_vG/ /�(�� !,2'T^��:(�` P%l/%dc' OTHER: r INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Wodri Work to Start e- lInspection Date Signed under the gaes of pe ury: FIRM NAME _ _ I--, T/1 S %—� % G Address / — / �—� Jse// A4 OWNER'S INSURANC WAIVER: I am aware that the Licenses does not have General Laws. And that my signature on this permit application waives this re (Signature of Owner or Agent) LIC. NO. O NO. Tel No. L 5735- 62,b (� W. No. nsurance coverage or its substantial equivalent as required by Massachusetts ment. Owner Agent (Please Check one) Telephone No. PERMIT FEE $--� Total No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures ID Swimminq Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ran es No of Air Cond Tons Initiating Devices Heat Total Total No. of Di 1 No. Pumps Tons KW No. of Sounding Devices Nod of Self Contained No. of Dishwashers Soace/Area Heating KW Detector/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heatinq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Winn NoEHyam Massage Tuds No. of Motors Total HP OTHER: r INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Wodri Work to Start e- lInspection Date Signed under the gaes of pe ury: FIRM NAME _ _ I--, T/1 S %—� % G Address / — / �—� Jse// A4 OWNER'S INSURANC WAIVER: I am aware that the Licenses does not have General Laws. And that my signature on this permit application waives this re (Signature of Owner or Agent) LIC. NO. O NO. Tel No. L 5735- 62,b (� W. No. nsurance coverage or its substantial equivalent as required by Massachusetts ment. Owner Agent (Please Check one) Telephone No. PERMIT FEE $--� OOW 5 P S-A 0 z sR.•.; ado v� u w a cn C4ZWa A w CG a o w o w v x U c w w a o c� G w a w w o w u c w" R U d `� w w w w w' z V) c 0 C/) E i cm m C: cm C m O CD C 'c N CD Z O Z c BE W a W O Q L V Z co Q. O N � C I C=_ N G � Q N O O m m 0 CD co O � �3 .0 O � CD CD Q i.. a �Q CO) C o � Q .CL. O CD CO)C Z ts CO CL V CO) Q C •C C Q. CO) is x 0 uw w P-4 �\ 0-4 (j) o ZW M-4 co :3 Z 0-4 MoD W u tz CO O C: 0 Y Location No.__ Date01� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ E� 1 ,;1300:59 247.00 PAID Building Inspector Div. Public Works Loca;ion r' No. % • Date TOWN OF NORTH ANDOVER p Certificate of Occupancy $ • � ; ; Building/Frame Permit Fee $ �'�b',•° •'<� ss�cMust Foundation Permit Fee $ Other Permit Fee $ d Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector bf4. Public Works V a rMl Som" 0 z - rr A ti z z m z m a +^ z z z m r to z ;, N r n Z z � Z � m r0 T v, rj w a z z Z r� [—n m r O m Oy m ;c m z w W z O Z N c Ln Am rn > m Ln �J rri © z 0 ^ mm M z �n LF 7 Z Z; Z n - Z n - Z o A X NLn Z W 'L N "h �6 z ^ I� 0-0 V. z Ln m C T m n n y o 0 0 - rr A ti z > a k, v a k, v FORM U - LOT RELEASE FORM ' r 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 or requirements. ****************APPLICANT FILLS OUT THIS SECTION******* ** q7b°�y'63� APPLICANT��fh/u✓ L � PHONE �Qi'1%Y'aG70� r ^ fS f `l ry LOCATION: Assessors Map Number 490 ' 'fir f' i ;PARCEL SUBDIVISION LOT LOT (S) Oo 5 STREET 36a- "LZ nerY ST. NUMBER 36a - *****************************************OFFICIAL USE ONLY*********'�`***` i RECOMMENDATIONS OF TON AGENTS: OdJN3ERVATION,ADMINI§TRAT0i2 DATE APPROVED DATE REJECTED_ TOWN PLANNER DATE 4PPROVED DATE EJECTED I,4 ` COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED .- tP:KC fNSPECTOR-HEALTH DATE APPROVED 411-2,1?z " DATE REJECTED —T COMMENTS /7Gdi�.'v�- �i�� /ate_ , /SLG c7G� v�.a►-�a (1d4-• 1eGL�d s^ F� f�"! Ute' ti 3 --,K ;-P, -- e-, jP e "16 l o s" PUBLIC WORKS - SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Ael& 4,)o is �r1d Goh v� �r tit a�U'�; JiJ5 k N" oh _ �h_-e. rOolyl w►�� ije. � Svnt'o0�'1 tnl+�h win�o�S 0ti OA .eJ fide - SU4raakli w,l- _ � f� , —, ; • CA IS 1-= 4 6 F -r. m o ® t� V#3T^oacw—' A5 i1CTP.'j, OeJ I. I�L.�At �ty.LOh- Dr ,JoH�a Or ��!` STEPnN1AK n LJ- A *e,.j Del �O 93 M 0 ®I I5-O.ou Shat-pnct-s•ra T- . CAMERON BISHOP ENGINEERING CORP. �?� 125 MAIN ST., ST'ONEHAM, MA 02180 Di -.e i G • 14 - 98 (617) 279-0733 1 No. ( 2S �orrower: Akz(-,,I,- -&- Addressr 362S�,�cror,er5 Porcl (2d, tii, �„ ek-• hnN55. Book 21U Pace iTa Plan r oarr Certif. '7 Si o -4 OF Mgssa�yG 2 The location of property lines shown Hereon is based on planu by others and on information from various sources and is to be used for rnort(:nge purposes only and not for establishing lo: lines, location of ferlce!J, or con. -;traction. The preci:;ion of field measurements con - :o_ -=s to the technical standards of the Mass. Assn. o1' L.-ind Surveyors and Civil Engineers. ,kn instrunent survey i:; advisable if sCrucWt-es are .localud within one foot of a lo: line. 'LITLE o CHARLES s\� i 0 f5c -, �-% F jyig AND INSURERS : SA. MASOra C f I hereby certify that, based on an inspection of the premises, all No. 953G 'r buildings. known easements and observable encroachments are located approxi;.ately as shown hereon, Mat according to the F.I.R.M. dated No SURI� G - IT. 63 the premises do n,oA-fall within a flood hazard zono �►t�.r.� and ;hat in my professi nal opinion zoning requirements of o�c �'� the premicos conform to tho applicable at the time o: construction. 'Reg. Land Surveyor The location of property lines shown Hereon is based on planu by others and on information from various sources and is to be used for rnort(:nge purposes only and not for establishing lo: lines, location of ferlce!J, or con. -;traction. The preci:;ion of field measurements con - :o_ -=s to the technical standards of the Mass. Assn. o1' L.-ind Surveyors and Civil Engineers. ,kn instrunent survey i:; advisable if sCrucWt-es are .localud within one foot of a lo: line. 0 ijv�e -ku, s \ s a"--t-e- 5- 'Avg Gv\ M SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM + PART C SYSTEM INFORMATION (confined? Property Address: Owner: Date of Inspection: � S SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent referenc locate all wells within 100' (Locate where pub 3 = i 10 n��ose o'l \-4 t rJcc 4 3 _ 3016 u D .S"9` = S�?)' 10, 1 (revised 0{/25/97) 'ISO -V'5 i" 3706 Date/�O .. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING NS� This certifies that ......IV7.:. * ��... . has permission to perform ............... _ plumbing in the buil 'ngs of .:�'` '" '�^�'" ...... ..... F�........ orth Andover, Mass. ...... Lic. No. .�c . ............................. . PLUMBING INSPECTOR 08/11/98 09:38 40.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer FOR PERMIT TO D LUMBING MASSACHUSETTS UNIFORM APPLICATION (Print or Type) �/J -CtVe-A , Mass. Date 1g Permit # C3� Building Location � i(��k' `� k Owners Name EY l5 C x Map: Lot: Zone: Type of Occupancy7S ! New ❑ Renovation ❑ Replacement W Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Comp an Name. ` Po iCJ4// i5 1 ��,- Address I C) Estimate Value of Work: Business Telephone�� ®d Name of Licensed Plumber or Gas Fitter Check one: Certificate Corporation ❑ Partnership ❑ Firm / Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes I* No ❑ If you have checked ides, please indicate the type coverage by checking the appropriate box. A liability insurance policy I' 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: Owner ❑ Agent ❑ Signature of Owner or Owners 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 j my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapt 142 of the General LawBy "/& 11 — — 11 s l Signature cf Licensed mber Title City / Town APPROVED OFFICE USE ONLY Type of License: Master Wf Journeyman ❑ License Number / ® / S- i Revised 5/27/92 z 0 u m m IN m