Loading...
HomeMy WebLinkAboutMiscellaneous - 40 OXBOW CIRCLE 4/30/2018 / 40 OXBOW CIRCLE 210/107.13-0145-0000.0 nrC5J Date......2, :.................. ,4ORTM ° t"`°:•Iq TOWN OF NORTH ANDOVER H P PERMIT FOR WIRING . -- ,SSACl/USE� This certifies that .............:1........... ......................................................... ..... ` has permission to perform,....,.x.:.f:..`�": j wiring in the building of ..:tI ............... ............................................................... at./r................:..:...... ...... ../...........North Andover,Mass. Fee.76 �...... Lic.No ........................ '--ELECTRICAL INSPECTOR Check # Commonwealth of Massachusetts ort-i�l Usc o, ly Department of Fire Services Pcrmic No. 0115-"' BOARD OF FIRE PREVENTION REGULATIONS Occu nttc p y and l=ee Checked ---��1 Rcv. 1 1/99J It.:lvc blank) �---- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wurk 10 t><pertitnned in accordance with the Mass.•tcltusctts Elceu•ic:,l (.'Ode(1\413(:), 527 CMR I Z.00 (PI,E.ASE PR1AtT hV INK OR TYPE A L INF RM,4TION) Date: ,F— 1�—QZ City or Town of: To the Inspector 0/ Wire.%-: By this application the undersigne gives notice of liis or her intention to perform the electrical work described below.. Location (Street & Number) Owncr or Tenant Tel Nt�l tJ Owucr's Address Is this permit in conjunction with a building permit? yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service AInps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amos / Volts Ovurlecad ❑ L'ndgrd ❑ — No. of Meters Number of Feeders and Ampacity —"— Location and Nature of Proposed Electrical Work: Completion of tl,e allowing table n7ay be waived by the inspector u�Wiras. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle) Fans o. o ota! Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators t(VA No. of Lighting FixturesSwimming Pool o ave ❑ tt- ❑ o. o mergency tg cling rod. rtld. I Battery Units No. of Receptacle Outlets No. of Oil Burners 4.1 RE ALARMS No. of Zones No. of S%vitcltcs No. of Gas Burners ::: 1 of Detection and Initiating Dcviccs No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Dis osers cat uinp um er ons E, —___.___ o. o Sc f- ontatncd Totals: - -. ....__..._.._ .._........._._.. .. Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ unicipa tlOtt Other No. of Dryers Heating Appliances KW y Ste f No. of Watereyiccs or E uivalcttt - Heaters KW o l o. Of Data Wiring: — Signs fStgus Ballasts Data Wiring: i No. of Devices or Equivalent 1 No. Hydromassage Bathtubs No. of Motors Total HP elecorninuntcationsWiring: f No. of Device or Equiv�rP::r OTHER: Attach additional detail of desired, or as required by the/nspectosof Wires, INSURANCE COVERALL:: Unless waived by the owner, no permit for the performance of electrical work may issue unless :he licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivaletu. The indersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing oflicc. HECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) stin,ated Value of I ectrical Work: (lixpintiort Data) (When required by inunic;pal policy ) Nork to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 'certify, under rlte crins and penalties of perjury, that the information on this ap cr ian 4r trite and c•untplete. FIRM NAME: //(i ;chis iP LIC. NO.: ��.icensee: /��ji SigLIC. NO.: —2Ifapplicable, enter ••exempt'•in the licen enumberline.) BuY. Tcl. No.: 7fGSWdrcss: Ze-1—S,7 44 lt. Tcl_No.: oer trot have rite liabil,ty ntsuractcc coverage norma yrquircd by law. By lily signature bctow. I hereby waivent. I am the lc`teclk onC) ❑ owner El owner's at eel. twner/Agent ignaturc Telenbonc lio. Pl=RWTT F-FF• e / Location '+� Cw �� la No. Date O:AOR*h TOWN OF NORTH ANDOVER tt�to a'�.y0 R O Z •..., a OR �• n i A Certificate of Occupancy $ Building/Frame Permit Fee $ OS Hustt� Foundation Permit Fee $ f a Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ } TOTAL $ I 7 r 7�5,f � 09:04 Bu�J�tn ns Div. PAwlvorks a Location E No:�► -z T; t Date - r ,10RT#1 TOWN OF NORTH ANDOVER A Certificate of Occupancy $ + ; ; Building/Frame Permit Fee $ Foundation Permit Fee $ / E s�cHust Other Permit Fee $ ~A Sewer Connection Fee $ j Water Connection Fee $ TOTAL $ Building Inspector -it".. ,7,t3� ?��..�"_ r.•� _ ,t� G Div. Public Works PERlfrr NO. L� PAGE 1 APPLICATION FOR HERMIT T� �UIL�y— NORTH ANDOVER, MASS. MAP KaO���� LOT NO. _�J,:! RECORD OF OWNERSHIP DATE BOOK -'PAGE ZONE I SUB DIV. LOT NO. Id a� �' i LOCATION A/ ese 141& PURPOSE OF BUILDING 1� Z)9mlAs/ �L[JI�,LC/175 OWNER'S NAME /l , NO. OF STORIES _// SIZE ���[7 Am /J�fG✓ y OWNER'S ADDRE%!44� �7�/�� BASEMENT OR SLAB ARCHITECT'S NAME /�/ /C!d ee �{��,[/✓ .tY SIZE OF FLOOR TIMBERS 1ST .� �//� 2ND /1�//ii 3RDAy BUILDER'S NAME u,-G e 4rn-,,a SPAN o%/�- OlI' DISTANCE TO NEAREST BUILDING IV ._ y DIMENSIONS OF SIEVES DISTANCE FROM STREET 9D ..O t� POSTS `e j DISTANCE FROM LOT LINES-SIDES /J!� ..^O t� REAR /76 '-0� " GIRDERSCl/ AREA OF LOT q9 Z/,5- FRONTAGE/a-'- C`,1 HEIGHT OF FOUNDATION �) _U THICKNESS JO IS BUILDING NEW Je�S o SIZE OF FOOTING D J/Q X IS BUILDING ADDITION 7 �O MATERIAL OF CHIMNEY J� V�r�r IS BUILDING ALTERATION A.)O IS BUILDING ON SOLID OR FILLED LAND / WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER �PCSj BOARD OF APPEALS ACTION. IF ANY L IS BUILDING CONNECTED TO TOWN SEWER 00 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST /�/1�) SEE BOTH SIDES _EST. BLDG. COST (Irj�l�C�iLJCJ I PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 R SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED /40 , " /W / O7 ? V NUILDINO INSPtCTOR SIG R F O ER OR RIZED AGENT F E E OWNER TEL. PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# /a w IBilwlw H.I.C.# mommamms BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY1r s;ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d I 2 I3 CONCRETE BL K. PINE � — BRICK OR STONE HARDW D _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. BM'T' AREA _ FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD141'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I .1 POOR A ADEQUATE l NONE 5 ROOF 10 PLUMBING GABLE I BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &CoLS. STEAM 4 STEEL BMS. d COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS AS 7 NO. OF ROOMS GOILr t7 K B'M'T 2nd ELECTRIC r� 1 st 13rd — I NO HEATING ,�_^'i o f 1 Ol V (� O LOT 26 N 28,231 S.F. _ o rstl 8-A.,-,--26,JOO-b S.F. F. v • 1 N88 418 £ L 1 N 188.80 �0 00 0 9'48 �' S) Z LOT 25 N=52.1.9'48" 26,945 S.F. TOTAL ,- � — � — • �' R=30.00 C.B.A.=23,6001- S.F. L=27.40 � h A=4T22'11" / R=30.00 I L-24-80 ���oo� ENrq�,� op EgSE�E A� 7. 0 00 29 R=300 0. j0� ¢,8O Q'A� 298 10 44 .100 L=3o.13 L a6- d Rvf�� NORT Town of over O No. /C;, L /C m .3 * _ s dover, Mass. 21,�W01 'e O - - LAKE '9A_COC N[CHEWIC K '�• BRATED Al BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �, BUILDING INSPECTOR THISCERTIFIES THAT.................................�-�.. ..4.......:i�clt..(.... ..U.IIS....5.................................................. Foundation has permission to erect......................(................ buildings on.....1.0............0.;�..�..0. ............. Rough t0 be OCCUpled as.............................................. ./ ✓.. ..............Z�/9k!IC...(.. ............................................. Chimney provided that the person accepting this permit shall in every respect conform to the ter s 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 PERMEXPIRES IN 6 MONTHS Final IT UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR Rough ............................... ..... ........ ... .......... ........................... Service L ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. i MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-29-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 390 Your Home = 331 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1258 38. 0 0. 0 38 WALLS: Wood Frame, 16" O.C. 2175 15. 0 3 . 0 145 GLAZING: Windows or Doors 152 0. 350 53 DOORS 14 0. 350 5 FLOORS: Over Unconditioned Space 1258 19. 0 60 BSMT: 8. 0' ht/7. 0' bg/0. 0' insul. 136 0. 0 30 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4. Builder/Designer Date [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE: 7-29-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0. 35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0. 35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location BASEMENT WALLS: [ J 1. 8 . 0' ht/7. 0' bg/0. 0' insul. , R-0 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0. 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ J Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8 . 0. DUCT CONSTRUCTION: FORM U - LOQ` RELEASE FORD INSTRUCTIONS: This fora 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. ****************Applic ant fills out this section***************** APPLICANT: A • C, Inc, Phone A5-8350 LOCATION: Asse ssor's Map Number Parcel Subdivision 10AJ Es f Luft5 Lot(s) riZ S Street St. Number ************************Official Use Only************************ =sea I S OF WN AGENTS: Date Approved n Administrator Date Rejected Comments Date Approved I - Q _ Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected , Li Date Approved r z Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections eD/�/a7 - driveway permit Fire Department �44 // 1?7 Received by Building Inspector Date 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 Applicant on Building Permit(below) Address of Property for Permit/ elow) ��l• /�f-s ou�J� a�� DX b©GJ Com, Map and Parcel : Purposeof Application (check below) Phone Number of Applicant: ✓�jngle Family Two Family 6, e,s- 83 v — I 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 Zyisa' e as of the effective date of this by-law,provided that no additional residential unit is created. elots)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly 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 reduction 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 permits,(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 the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate i ation, or the the 1 off of an above item which does not comply,whether done to my knowled t, is gr ds for of I by the,-Building Department to issue a Building Permit. nature of Owner or Auth zed Agent who signed the Attached Building Permit Date This form must be attach4d to the Building Permit upon application for such permit. j ti _ IITIe.., A-.>PHAL*r 3Ni LCrj _ _ : . .... cmae e a 2• IIX7°O..H 9 r;OArx WOODLAND ESTATES "SPECIAL" t t.. a CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number 3)a Date a�I THIS CERTIFIES THAT THE BUILDING LOCATED ON q0 MAY BE OCCUPIED AS '�rdr-, e as71�1J1 � �h PRDANCE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. MORTq CERTIFICATE ISSUED TO i t �Uil W ex s O� . Sh . ADDRESS 33 /M"ve,ss^`H Building Inspector OR Town of _ over No. -3/&L ® m 41- dower, Mass., 19 O =v LAKE DA_COCHICHEWICK ggTED p,P (G BOARD OF HEALTH Food/Kitchen f PERMIT TSeptic System� � BUIL)INGINSPECTOR THISCERTIFIES THAT................................. ..,... ..i.......` .. ..(..... ................................................. Foundation,J.441,(_ has permission to erect......................(................ buildings on .....�.6............0..'x,j..C).4-v.............c�.�� Rough �/���i'�(s'�M 1­41JI 8 '' Chimney to be occupied as.............................................. .//+.�.. ./. 4ff.............. r... ........................................... provided that the person accepting this permit shall in every respect conform to the ter sof the application on file in Final �A this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of /V I 6C4"— ` la)* Buildings in the Town of North Andover. PLUMBIN9 INS EC �oR , R VIOLATION of the Zoning or Building Regulations Voids this Permit. �gw! ', t Y. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION START js� %� � Servic /b//// $ L ING INSPECTOR G� Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final 4W FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street N11 ,y, . vw No. Smoke Det. r1ORTy EO �6 O Q - LAKE \0 QA coctilcncwcx '1 R"4TE0 ' 'ACHUSE APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY :gip o iz C, DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 14 1 30 199 FIVE (5) DAYS NOTICE PRIOR TO closing DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED � f A A) r1 O R Tiy '9 /6 LAKI 'QA COCMiCMEWICK �Sof?A TE o i`P��.`Gj SgCHUs� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY :-AD G X o L, t Lk 1 nTdir �S DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 4 1 30 )99 FIVE (5) DAYS NOTICE PRIOR TO closing DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNEDL-� () h N5 %. VLk-e � i Date 1. = 3872 / TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMus� t This certifies that . . . Gti�l!E?!r't .j!. . . . . . . . . . . . . . . . has permission to perform . . .pa ! . .gp.A v.e . . . . . . . . . . . . . . . plumbing in the buildings of . .AC. . .RC,.r. L c t I? f- . . . . . . . . . . . . . . . . . . . at . �p Yin . . . . . . . . . . . . . . . . . .. North Anpxer, Mass. Feer y.).,. .:Lic. No.. . . . . . . ' . . . . PLUMBING INSPECTOR i 11/23/98 08:32 245.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Typelrf Mass. Date /rr /? lg 9f� Permit tf 7 2-- Building Building Loutlon y�T .Z 5 `f0 Owner's Name A !'— A, X Oe/A) e— , l2 Type of Occupancy S /'w'2 1 o- 00— New,!R- Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z N J W Y J M t L: OU. Z a 4 O N N N Z Q ~ ` W N = C p V < <0. C x = 0 p >: W O p7 Z Y W U O ZU I O = OO O N W < O < F- 3 Y J m N O p J 3 = F N W V p O < 3 ¢ ail O SUB-BSMT. BASEMENT t 15T FLOOR ` IND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR ATH FLOOR Installing Company Name �l CLQ !:!:f,/sa ts_ Check one: Certificate Address P 6 8,1 k 7 � � ❑ Corporation ❑ Partnership Business Telephone �?.s` 7- /V S- '7 'Firm/Co. Name of Ucensed Plumber /ref I er to /f.<n V C Oct P INSURANCE COVERAGE: I have a current Ilabllfty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes' No O j it you have checked Yn. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ice+- 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 Owner's Agent I hereby tardy that all of the details and information I have submitted(o(entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfotmed under the permit issued lot this application will be in compliance with all pertinent provisions of Ute Massachusetts Slate Plumbinganwd Chapter 14 f the Laws. By gnalute of Licen.-Ad-Mufnbw Title Type of license:Master`a:' Journeyman❑ Qly/Town L License Number �4 / �Z_ Date.Y/ 3995 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING j ,SS.IGMUSEt A .f7 This certifies that �. . . . . . . . . . . . . . . . . . . . has permission to perform . t3.3.C, k. -�6 '-V. . .V r• plumbing in the buildings of A:0 S. i /. . nn at. �.?�.U.V`�. . . . . . . . . . . . .. North Andover, Mass. i / l � Fee-?t. .t' . . . .Lic. No.10.3.� . PLUMBING INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TOO PLUMBING V///'(Type or print) NORTH ANDOVER,MASSACHUSETTS �n � Date Building Location 6(0 �� �� U wJ Owners Name FT , Permit# Amount Type of Occupancy -e C1/- New Or Renovation 1:1 Replacement Plans Submitted Yes No FIXTURES z �Ww �'Z Cr a W ,�''d �a-1 d U E, � x �U p„z a a d H A 0. fZ w Cn �: CG d A W A cTo C4 x Q Ho a z d z o o Q a a °oma �' a � A A a x F cai2 w c7 A d C CC O SCBM &��IT IST:FLDOR I 2M FU= IM FLOOR 4IH FLOOR 5M FLDOR M RDOR 7IH FIDOit SIH RDOR (Print or type) C �t Check one: Certificate Installing Company Name - i , /��� ��Zf' �1 Corp. Address } u �� 5` Partner. v Business Telephone 4. aFirm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent F1 I hereby certify that all of the details and information I have s itted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and insya�liations 'q—Abrined under Permit I ued for this application will be in compliance with all pertinent provisions of the Massa �fse�ts S e`P�1 'bing 2e and C ter of the General Laws. By: 7i—gnature ot LIcenseau e Type of Plumbing Li se Titled' City/Town License i um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY N° 2 , 45 Date.....0J��� ° <�``°;• "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING A ,SSACHUSEt This certifies that �.` , � .�'r'.�........l.d.�. �`/ ......... .. .............. ....... ................ has permission to perform ' �' Via....... �U ( .�'� � wiring in the building of.A.........�✓4 ..................� ...................................... at......7.0.......O.X.�.r.�..w.................................. .North Andover,Mas f Fee...�.7...... Lic.No !............ ............................................................ ELECTRICAL INSPECTOR C � a�-C. 3 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer P The Cornmonweolth of Mossochusetts Dcparfmcn! of Public Safcfy OccvN ncI t F., O.eek rt BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:W )/90 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK A11 wrk b be periorvned In accordance w{eh the Maa chvscru EJeetacal Code. S27 CMR 12:00 (PLEASE PRINT IN nTK OR TIPE ALL INFORHATION) Date City or Toch of '/i)• T „/��`� To the Inspector of Wires: the undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) //001 Owner or Tenant /1-. C. Owner's Address 33 (AI,4i-hf/1 Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building f S/t Utility Authorization NO. C/]L (g kel Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters 4 New Ser*ice Oy Amps _/010 /�yV Volts Overhead ❑ Undgrd No. of Keters—/— i� Hunber of Feeders and Ampacity Location and Nature of Proposed Electrical Mork (,y/,4e No. of Lighting Outlets No. of Hot Iubs No. of Transformers -Total KVA No. of Lighting Fixtures Swimming Pool Above In- d gtnd. ❑grnd. ❑ Generators KVA No. of Receptacle Outlets Q No, of Oil Burners No. of Emergency Lighting Ba _r Units No. of Switch outlets No. of Cas Burners FIRE ALARMS No, of Zones No, of RangesKo. of Air Cond. TCtS L Ho. of Detection and Initiating Devices !. No. of Disposals No. of Heat Total Iotal P s T ns No. of Sounding Devices No. of Dishwashers No. of Self Contained Space/Area Heating Detection/Sounding Devices No. of Dryers J Heating Devices KW Local❑Municipal Other Connection[]No. of Hater Heaters til Si�nsf Ballasts go. of Low Voltage Kirin No. Hydro Massage Tubs ! No. of Motors Total HP 01KEP: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts Ceneral Laws I have a current Liabillt Insurance Policy including Completed Operation* Coverage or its substantial equivalent. YESE] NO[ I have submitted valid proof of same to this office. YES❑ NO C If you have checked YES, please indicate the type of,'coversge by checking the appropriate box. INSURANCE ® BOND ❑ OIW❑ (Please Specify) Estimated Value of Electrical Work S _6)O "_'.— c irstion ate Work to Start Inspection Date Requested: Rough ce'fL 1- Final Signed under the`penalties of perjury: �� y s IRM NAME o/S i,�.�-✓Au`� �ftr7Yli� /t .LIC. No../-9,Ws- License ���j n, �r. f SL J /-� [nature LIC. NO._ Address_ Y? .TALE_ /I/. �ie.o., /YJ IIus. rel. Ko. �/S�/-03F; _ Alt. Tel. No. OWNER'S LISURAHCE WAIVER: I an aware that the Licensee does not have the insurance coverage or its su stantial equivalent as required by Massachusetts Ceneral wsT�,and that >ty signature on this peruit Owner 55 application waives this requirement. Oer Agent (Please check one) y7 Telephone No. PERMIT FEES tom( �/ Signature of Owner or Agent N° Z 15 1 Date.... .�.. .....!.��. .P NORTH °f<��`°:•'"° TOWN OF NORTH ANDOVER ° F p PERMIT FOR WIRING ,SSACMUSE� This certifies that ........S.t..q..lJ.t.�.rm..... .1!I.. .PIj .a/. ...'�......f:.JJ.FA/ `2 has permission to perform .....,,a¢.. q/z.ay..........S11.. .( .. ................ wiring in the building of A. C..:......��. (��f1 S ......A. .................................................. at........�r`/�U.....C1. CJ!-t�.... ............. .North Andover,Mass. ..�� Lic.No... 7� Fee....� .. ........ ... . ... ............................................................... ELECTRICAL INSPECTOR C `t 3(01,078 09:40 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ThEC0AM0A'�l 4LTH0FAf4Y 4C USE77 S' Office Use only/S l J DEPARTMENTOFPVB1JC& FM Permit No. I BOARD OF FIRE PREYEM70NREGUTA77ONS 527 CMR4i2:(XI Occupancy&Fees Checked UAPPUCATION FOR PERMIT TO PERFORM ELECTRICAL Wml —,ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, S27 CMR 12:00(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �0 TJX/5 a&VJ I Owner or Tenant /Z Owner's Address Is this permit in conjunction with a building permit: Yes Eallo r7 (Check Appropriate Box) Purpose of Building /&0 /�ioh Az I Utility Authorization No. Existing Service Amps / Volts Overhead Underground r7 No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work u r f,i Lei No of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA lNo of Lighting Fixtures Swimming Pool Above 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 No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW initiating Devices No of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No of Dryers Heating Devices KW Local a Municipal a Other Connections No of Water Heaters KW No.of No.of Signs Bailasis No Hydro Massage Tubs No.of Motors Total HP OTHER- -e c u r',4!:i Irmrx=Coaage Ptasuattlathe raau;eTxmot`Masmd�CeiaalLaws I have a arras Liabilnyy Inst m=Policy mducinng Carplt�e� ' CaAraWor As std mFtilert YES I NO IhaeahTi DdVdWRCofafSarMiDdVO�YES U NO F-J If)ouhaw chedWYES,PimeardEAethe Weofoo4Wbydad ng the INSURANCE ® BOND a OTHER a ftaseSpeafy) ValuedEkftical Wak S 9O Pi.tJ O WakIDStat "2 h�edtimDaiRued Ra1gh Final Signed uxia�ie ' oI FIRM NAME Lic W No. Licensee �l Y-(' 0 SV L.O VAAlSwrne ,✓I'_---- lyseNo X01 D rr BusinessTet N07 9'4 �/ Aditss—� !O L�► �d S Ll f t/� F dL'l f—i Alt Tel.% OWNER'S INSURANCE WAVER;IamawarethattheLi=wdoesnottheaksw legrrdie tasrrx4irdbyMassad><mmGa�aalLaws and that my si�rern this parrnit apphcabon wain this m4wanent (Please check one) Owner Agent v iJ, 1 Telephone No, PERMIT FEE (��J �.W ::'.. {rJ 1 ! i• :. .: '�,�' ':'i�:��:Q:"'i.i:r;,• . 1 � I •"�' tt���•r1��It�:rll.atlr,�•r;::. � :,j:.: J�ii.:.'i;•• , �' rrr���•••rrr t.a�{•r.,o•" r, ��},�. :,�,,,;,1,•'}`tr,•,,t Y VER MA$ .: ,"'.'.:':....'.� ;.•,.. :p A SSA �N�r,t��y `l'.1.,, V � }11: r)`t�/,�'j,�"}';lr,l•,,,: .'y,.',i� ntil,�',b• ,l ,: •: ''.•.:,', �� • ti; t.Ihhlfi�.,s1t,.,.D tl,,,r,lr',H a"1•:•J�ar�r(:l:yt•.�,:'.; EP•.has proJlded 01i form for use b ',g �,, • ��• `' y local Boards of Health, /7' ba subtnl�tad to ttle.local'Board ofHealth or othe r system Pum�lfi'g)Recorc rr._. r•;< ':u,:•:::,:a' :' ld,;:,:;.:.,;;'•:',:, r approving a thIP Facll .Info. �LT I Ity rri'� tlon --J . .:�ti�,Wnen•falinp�ovt ,t�;�:; System Location;� � ' Y . only the lab key Address to move your ',l;: htUm•v: ;r; tY. State 7' '` '•L. �, i 1•�i r''�ar�t:1:,'•tf r,l;i. ',�'i/.�•.::;t�::'�.i!: -. �l �,�J r7 J,C p! :;.''',r:�' •. ' P Code' ik'rl•' `,t11,yi•,•(��.�•,'• stern Ownar,;� '�J�.`•:, Jr,��G' r i rJl7r Y'yr dpr' ,, a.l,r,n ,1;r,wti !H.L' ,1.t•,. `'!• y' �,s?{!,,;•ar��.'.t,?I•,1'''�"'r'�C:iWir;14)�:,i'i,.;.:i.a�;,'1'�,i�,,., ------------- :.r,Ti•: i'i• ..fir�`,S??j';r,,,:r•t;,r;�• ••r,4•:10 .tii;Y.,,.•,'. ' 'i .r'/'Address(IIdlNerenl from to"Uon) ,,.::. Stete� . . . ... ,!;. •r.;1i .' :��i •, DCode -Z- a4-�� Telephone Number R,egord r..: 'iJ!' ,�.�+1'. ...rri:,��j;,S>,�/:/'G�.k'':`•J t/,7 Itr r� f h 1 •.'..•. .r• "� t' trr.l'" r �r:•11i[• 11?rl•Ir ,• .DaW!of Pumping'Ir•' oat 2.'Quantity Pumped; ':,'.',;'.,1111. ;'• .,•,. G3 QN 31.: 'TY P:a 9 .systerh:, ' ❑ CesSpG°I(S� ptic Tank r ''';.,:.. ...,,•:•...; ' 'r ❑ Tight Tank �1�Other(deso�ibe ' .. .•1, �'��ji;�1/lh'::�{t'r'ey riyl�ir'r.q'n;�:Y''•�•,� :•"'j,. 1'.,i G,.,r x�,.,y�J�1��'a'•.itJ 'a. 4ri'";Efflueri�T' FIIte Ir.�.y a'.;;, !� :;,,;t. ,,,,t1;; Ir,r.•, rr ;.,.;�:. .C.P.:t3s n,•t? .❑ 'Ye Q,. C'0 If yes, was It�cIeaned? . "❑ h ,:• c:J.; r r +l'tYes ❑ o :il,.',', ��:•: .��',�r..,�a`�J•r�tr�:•,:it'�.'Ss�r; lI P, .;•.; !•;. ,�:�i�l"';'• . .Jaw 1 ,t.. Q , . `'•;i,r'r..IF'i1!(,•',Aj t;,6111'�QG�dI``II cn (,; i 7,••"'_••,.. .. .�1-. •'a.�,.y;;:',,!th,�q(q'Y' J1'li ISL Jr itt1 Lr..',L,,t� , r•,.; �:„ ' �i''.�'. I ,r ••,' �1Y.4���liJ•I!il',�r.Y,'i]t�r;,l.'Gj�t:'I��i� 'pi}l. � �, '�',.•i,.�ir J,d�l(!�,• 4./'�it: ":, ,' rf',�j .�. •.I.• •iiia% �:�,,( r � r:t' .11lf:la•='(f/N l,�%,;•,`,f, � .. pt • •• ,j' ' 'l•':•'ia:i(iY'• ,.T•il�r !•r�t;'Ir'1. :':' Cj ,:. :.,•,, aG,;'r:9�r'r;, % Iftj yY�,,••, ;;.t '. 4!%J"'T, '�`��''''',, VehlGo lkenfe Numb .�7tX';. 9:C:. ,y ,.,ys r;�.,; Y�tf�lru�i +� t ''1ff0 >t•�Y,a'7!+;•: / ����` ,�i,•i,.Y''�y)J+rtl:i�i�i�;r.��%�'�°H'iI�J1�! ('.�r7„�rr��f ��I �[�y�[���1��'' v;�;'fr I,,:. . .. ;,r '':+ ,•,,.,,,•!'.,•�:l I 1'.i:' { 11•' t<lt•J,;.r.'l'1•;.,5',<;'I: .. r .. •:.;>:;::;1�;,:;: . a coptbnrs 'Oposed: t ';,:' :i.i1r, ci '`'^t,i'��di:a:1'•ty°Yq� '�:,ti.' r.. .. •,;.. -•;;,;t= •;: it .;;� • x, . ,�' ;,:j/ ;r,,••�f,•',} :,.• , i{i fir:rt:'i i11�/It11•,'., it !,:I•ii`i:, i I ,• r ••'! .I•"` ' /. '•,• . .,`,i'%.'�J.'�."' '�'r y�^fa:'•.+it`SIQr�elUre"G iU10 ,, .. . %Y,'•',.J:•• i}' y,•, ..l; ell htip//tivtiv�v.massrsoftep6vafor,appro.YaJs/t6(orms,hfm#Inspect ` Systom P4imDln9 Record Pepe i . .