HomeMy WebLinkAboutMiscellaneous - 40 CEDAR LANE 4/30/2018 (2) r --- ---
��=>� --- 40 CEDAR LANE
210/106.A-0141-0000.0
Date. . . . . . . . . . . . .
e NORTH, TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
j SACHUS�
c
This certifies that . . . .-. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . ;) t.�n . . . . . . . . . . . . . . . . . . . . . . . . . . . .
r,
plumbing in the buildings of . .�`.�.��. . t.�::`. : . . . . . . . . . . . . . . . . . .
at . . :'�U . .Cir. : t�?<-. . . �. ?. . . . . . . . . . . . . . North Andover, Mass.
Fee. .j . . . . .Lic. No..i.)1.. . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
Check # 6^ r
.� :�
9
MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING ��
(Pr i t or T pe)
Mass. Date / 20 P rmit � 0�
Building L cafio / Owner's am ' t
r Type of Occupancy �r6
New❑ Renovation❑ Replacement fir', Plans Submitted: Yes❑ No ❑
FIXTURES
B.P.4 SEWER # SEPTIC # .
z
Z Y
lcU to p Q Z > w
U) Z cn lQ— C1 ~ z O z V) � � cr
N w cn to = N U w N to L_ Z z a lu ���•-
w O � w ¢ to W ¢ w c z a O t u_
LU = E- I-- 5 O _ -+ to• ¢ ,r • 0 •L U o!
F_ U ¢ O = a Z Lo a O z z w w Y w
M cn a n _ to u- (D ¢ m D O
SUB-BSMT
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
ti TMH FLOOR
8TH FLOOR TH
1 , /�
nstalling Company Name 7� 0444 .._ Check ong: Certificate
address ❑ Corporation
i v► �.� vv� Al.i4 7
3usiness TelephoneD Partnership_ lD(�3 K `�
92��c� �rm1Co.
flame of Licensed Plumber or Gas Fitter_
INSURANCE COVERAGE:
I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142.
Yes (�. No .❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy P1__ Other type of indemnity ❑ Bond ❑
OWNER'S INSURNACE 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.
Signature of Owner or Owner's Agent Check one:
Owner ❑ Agent ❑
hereby certify that all of the details and information 1 have submitted entered)In above-application are true and accurate to the best of
.y knowledge and that all plumbing work and installations performe nd r the permit]ss for this application will be in compliance with
.1 pertinent provisions of the Massachusetts State Plumbing Code a t 142 of the eral Laws.
By SI na ure of Licen ed lumber
Title
Cltyffown Type of License: p I'S ter
APPROVE ❑Journeyman
D(OFFICE=USE
License Number
/1 -2 �i
N0- . .� / -� Date../v. ... .............
NORTH
°�<��`°;•'"a TOWN OF NORTH ANDOVER
` PERMIT FOR WIRING
,SS'ACMus
r L
This certifies that l.st,r .. �
has permission to perform ...lt.cx. /:/.............. ..............................................
wiring in the building of......f .................................................
C;r�� G 1 t-^� ..................... .North Andover,Mass.
at....( ��......... ............ .. .........
Fee.... ..1..?.��J Lic.No...`.`....... ...............................................................
ELEcnucALINspECTOR
C �� �t 46
767 10/13/98 08:49 25.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
(� Office Use O my L
U9�\ Permit No_
/ 'rf��et� / -L1T ' SSrG�_775 Occupancy 8 Fee Checked
Dgta�er..s.'e�P�Sa�CCy
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 Cade 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 perm.4 tto�7perform
/the electrical work described below.
Location(Street&Number
Owner or Tenant
Owners Address O C_F0,122
Is this permit in conjunction with a building permit Yes No ❑ (Check Appropriate Box)
Purpose of Building Xit7,0)TGn Utility Authorization No.
East',g Service Amps Voits Overhead ❑ Undgmd C1 No.of Meters
New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work I,fLGG ff- Lit�Gfd�LS /moi�`G �yT�%S .et'Lv�
Total
No.of Light8rig Outlets No.of Hot fuse No.of Transformers KVA
Above ❑ In ❑
No.of Lighting Fixtures Swtmmm Pool qmd ❑ gmd ❑ Generators KVA
No.of Emergency ugnbng
NS of Receptacles Outlets No.of Oil Burners Battery Units
No:of Switch Outlets No of Gas Bumers FIRE ALARMS No.of Zone
Total No.of Detection and
Nei of Ranges No of Air Cond Tons Initiating Devices
Heat Total Total
No.of Diposal No. Pumas Tons KW No.of Sounding Oevices
No.]of Self Contained
No.of Dishwashers Soace/Area Hearing KW DetectiontSounding Devices
❑ Municipal C 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'
INSURANCE COVERAGE. Pursuant to the regwremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Co leted Operations Coverage or its substantial equivalent YES/ NO =
have submitted rd proof of same to the Office YES Cor
= If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE ONO = OTHER = (Please Specify)
(Expiration Date)
Estimated Value of Electrical Works //0 d.o c•
Work to Start/0-/_J- �7! Inspection Date Resquested Rough Final
Signed under the Penaltles of perjury:
FIRM NAME L./ I� -T LIC.NO. P
Licensee 49A � V Sh Signature r G LIC.NO.
L> ' Bus.Te 22 9-J
Address 7 7 f �� <7` �U/y?ZA�, Lj'fI� Alt Tel.No.-
OWNER'S INSURANCE WAIVER: I am aware that the LJCadsses does not have the insurance coverage or its substantial equivalent as requi7�2
aehuseas
General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMIT F
(Signature of Owner or Agent)
Location �YO 4.4 t
a
No. ---� �� Date craw./
NORTIy TOWN OF NORTH ANDOVER
�: � • 009
Certificate of Occupancy $
• ; Building/Frame Permit Fee $
�'�s' Must
•••°' Foundation Permit Fee $
s�c
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
7 r
a -
Building Inspector
Div. Public Works
Location
No. Date
NORTh TOWN OF NORTH ANDOVER
n Certificate of Occupancy $
` Building/Frame Permit Fee $
�'�s''•°''<� Foundation Permit Fee $
JACMUSt
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
Div. Public Works
PERMIT NO. �` APPLICATION FOR PERMIT TO IIUILI)********NORTII ANDOVER, MA
AI\P N0. %Q LOr.NO. / 2. RECORD OF O\\'NER$IIIP DATE BOOK PAGE
1J)hE SIIU1)1%'. LOT NO.
LO( A I ION :gi pCC15 2 / ��L= 1'URI'(1SE OF BIM DING C-�/�OS�c �Y/S 7-1 ll}
h --
(>N'NER S NMIE r/+ / NO.OF STORIES G�/ C- SIZE /a , X 16
�l�
OWNr:RCS ADDRESS O C`G+^A9�Gs BASEMENT OR SLAB
AR('I II I ECI SNA)IE SIZE OF FI.00R TIMBERS 1 x 2 3
f ^/ �G •� � ��
B1I11 DER'S N.4AlE l�i� � G �"G'.7/rj / �G , �/1/�. SPAN
DISI ANCE 10 NEAREST BUILDING O / DIMENSIONSOF SILLS 4;(6//
DIS I'ANCE FROM SFREE F 5-�^ DIMENSIONS OF POST S 8 �(O
UIS I ANCE FROt\1 LOT LINES-SIDES?. REAR /(J�j ' DIMENSIONS OF GIRDERS 4 �/8
AREA OF LOT �� �j FR(N4IAGE ��Q � UEIGIFFOFFOUNDAIION THICKNESS
IS BUILDING NEW SIZE OF I(xrI ING X
IS BUILDING ADDITION
MATERIAL OF CI IIhINEY
IS BUILDING ALTERATION IS BUILDING ON SOI.IDOH FII LED LAND
V.111.BUILDING CONFORM TOREQUIREMENI S OF CODE C- S IS BUILDING CONdNECTEDIOTOWNWAFER
- BOARD O=APPEALS ACTION, IF ANY IS DUII.I)ING CONNECI EU TO 1OWN SEWLR
IS BUII.DING CONNECI ED TO NA F(IRAI.GAS 1.1 NE
%INSIIICTIONS 3. PROPERT1'INFORMATION LAND COST
ESF. BL1x;.a)Sr —
PAGE I FILL OI rr SECTIONS 1-3 EST. BLDG.COS r PLR SQ. FT.
EST. BI.IXi.COSI PER M I01A
ELECTRIC KIETERS MUST BE ON OUTSIDE OF BUILDING SEIrkIC PERf,II I NO.
AFIACIIE1)GAR AGES MUST C(NJFORNIT 0STATEFIRERE(il)1-AIT ONS 4 APPROVED BY:
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPEcroR BUILDING LDING INSPECTOR
DA IE Fit 1:1) S / � y OWNERS IFLa 19 96— z (-7 7
1 COKI'R.1 E 11 C)7(J �(/!1 3z/ Q�'�►`� til Y''J
SI(iNA I URL OF OWNER 0R Al N AGLFIT
w
46
PI: IIT ,RANIL t �Ay
19
s � ¢
•iSJNr✓ 7 771y
�x z -
p �� �.�✓1� �, Off` a
�- 1,
r10RT
Town of t - Andover
No. _. . _ m
°o' Z LAKE A dover, Mass., A 19tsew
COC LAKE
.9S �A r TPP�y
7,E C) r• .(
E BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT � .��I.. It.........../ � BUILDING INSPECTOR
W
.'.IM..............................
"' Foundation
has permission to erect...... .. 4. .......... buildings on ...... Q�i�ii _.... ...... 1 !��.................... Rough
r
t0 be OCCUp18d as �/ .. ft. � .!. ...... ........ *i.. ...... ...�.�. ................. Chimney
s
provided that the person accepting this permit shall in every re [t onform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
pj�r 16 46 1V111 PEREXPMES IN Final
ELECTRICAL INSPECTOR
} �, UNLESS CONS TR Rough
/ .. ...
...... . .. . . . ..... . ........ . .................. Service
SPECTOR
Final
OCCLI ct GAS INSPECTOR
isplay in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
'. No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
Smoke Det.