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HomeMy WebLinkAboutMiscellaneous - 40 PALOMINO DRIVE 4/30/2018 (2) _Palomin-o r,40 l ap 108C Parcel 103 J Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT i PERMIT NO.: PROJECT:I���bm '-�`� L o?S N DATE:— UNIT ATE:UNIT NO.: FLOOR: WING: BUILDING NO/.: /1©� REMARKS: Excavation-depth and soil conditions Framing- Other: Date: '7— ;F— 00 Date: ��`� so a Date: Inspector (� ��./� Inspector -A 11f 0!2—. Inspector Footings and foundations and drains- Insulation- Other: Date: `'�o a Date: /�� �1' Date: Inspector �� �G"1 Inspector �/�/� ��.� Inspector Electrical-rough- Plumbing and/or gas-rough- Other: Date: / "Z t Date: Z `/Z a Date: Inspector Inspector,* A: "` Inspector Electrical-final Plumbing and/or gas-final Other: Date: `✓�` �� z Date: ,v Date: L Inspector a:A— Inspector Inspector Fire Dept- oil burner,tank,stove,smoke detectors Final inspection Certific to of Use and Occupancy Date: Date: C of O# Inspector Inspector /� "� Inspector Form#995 Action Press,665-7000 N2 2729 Date.....,1...�/. ....�� f 40RT"'1 ° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SgACMUSE� This certifies that "'t C q h A � �_ eCA t ...... .........................................�....................................... has permission to perform ......!.�!. .. }....l�c�W1..ec.................................. wiring in thebuildingof... .. �t..�.. ...... ... .5.................................. o at.... D...!..� t c� W1 t.�O......00 '.....!�v.�. ....... North Andover,,Wass. .. ......... / G6 Fee..... ...7;:0 Lic.Noll.-2 1................ .......... .................... ` LECTRICALINSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer A OtRc♦ Use OnIv, "K. +� The Commonwealth of Massachusetts re�.,lt No. . Occu"Mcv & fee Checked E,, • Department of Public Safety 3/90 (te.v btank) BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:0 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 City or Town of �p, N h1__1->o V CM To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number) �`` /� Owner or Senant�t,31 e i(= t-_t p "L s. S Q g 2 8 Z 'C5 cn- 7— 77 l, C�A Owner's Address Z S l �12 71161. ��7/�> �C7laTl��C>Qd� "A C> Z-12— I Is this permit in conj ction with a building permit: Yes © No ❑ (Check Appropriate Box) Purpose of Building_ Lx.� Utility Authorization NO..!�na — Existing Service , , Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Seryd�ice �C> Amps iZ<;. V Volts Overhead ❑ Undgrd No. of Metes 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Z No. of Lighting Fixtures Above In- i Swimming Pool grnd. ❑ grnd, ❑ Generators KVA r No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting 3 Ba tery Units e No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges i No. of Air Cond. tons Initiating Devices m No. of Disposals No. of Heat Total Iotal J Pumps Tons KW No. of Sounding Devices ¢ No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. ofers ❑ Municipal _ to �Y Heating Devices KW Local Connection❑Other LL No. of Water Heaters KW No, of o. o Low Voltage `1 Signs Ballasts Wiring Ir No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NOE) I have submitted valid proof of same to this office. ;ES[N NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value of ElecCrical Work S (® p�C� WILL CALL (Expirationate Work to Start ll r/Co !y Q Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME _JAMES E. BUCHANAN ELECTRIC INC. LIC. NO.A15616 Licensee JAMES E. BUCHANAN Signature LIC. NO. E32062 Address P.O. BOX 544 SUTTON MA 01590 Bus. Tel. No. 508-865-3335 OWNER'S INSURANCE WAIVER: I am aware that the Licensee de s not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General L s, and that my signature on this permit application waives this requirement. Owner Agent lease check one) Telephone No. PERMIT FEE S Signature of Owner or Agent q CERTIFICATE OF USE & . 00CUPANCY Town of North Andover Building Permit Number Date THIS CERTIFIES fS THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS �m r - IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. %D 'noms ; a�a a,47%s, 02 6kll.,4t ci ,d oq "T",, CERTIFICATE ISSUED TO v��` t m� �v ADDRESS cQSq lurk G° SL,!01 , e atm ''=,CH„SBuilding Inspector N^-RT►y Town of Andover No. ~ 70 over, Mass., 6"'LSD •A D COCMICHE WICK ADRATED pt�C S ` BOARD OF H/E TH Food/Kitchen Septic System BUILDING INSPECTOR PERMI T D THIS CERTIFIES THAT.............. ...... .Ili '......... ... ....... ......... iD . Foundation ;.,�has permission to erect...............I.................... . buildings on . t A..... . �.... �4.�D.IM1 ... .• Rough , / t.�✓ to be occupied as tor. / .` .�A ►s�..a. ..... 1 ...SIN�,� wt'�1 C i provided that the person accepting this permit shall in every respect conform to the terms'6fi the application on file in Final ((� —l� r this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and onstruction of 'CcJ�^^-- Buildings in the Town of North Andover. r^ 1 O S c p io3 ' I &9e Nov PLUMBING INSPECrOA VIOLATION of the Zoning or Building Regulations Voids this Permit. G�y� v PERMIT EXPIRES IN 6 MONTHS 1 �� ELE IC SP BLDG. PERMIT FEEE t LESS CONSTRUCTI ST LESS FDA FEE �C ........ ...... .. ... DUE FRAMc'PERMIT$ UILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Town of North Andover & r10RTy O 11�e0 Building Department �,? y _ M.*6 0 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 co m" Q <oc«o:«cwww 1• p04ATID APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION L / 1 ADDRESS /o PA/Q A'/ycJ' D 11 '�Z_ LOT NUMBER .S A SUBDIVISION Forges'I— k/j'y-. DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION`"'" ��'t��^S DATE �b PLANNING IbIziLDATE D.P.W. —WATER METER 3 dDATE 1 g D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI TO THE INSPECTION QUEST DATE. SIGNATURE/DPW AUTHORIZATION JAN—B8-2001 09:29 AM MARCMIdNDA&ASSOCIATES 781 438 9654 P• H1 Marchlonda 8c Associates,L.P. Eneinserin0 and Plannlrng Consultants January 8,2001 Ms.Heidi griffin North Andover Planning Board 27 Charles Street �J 0 O �"� North,Andover,MA Re:Lot SA Forest view Estates Dear Heidi: The grading and landscaping for the above referenced lot has been completed and is in conformance with the intent of the Definitive Plan Approval and subsequent Modification to the Definitive Plan Approval dated 1/31/00- Should /31/00_Should you require additional infonnation,please do not hesitate to call_ Very Truly Yours MARCl3I0NDA&ASSOCIATES,L.P. Michael J.Rosati Project Manager e2 Montvale Avenue Tel: (781)438-6121 Sults I Fax: (7181)439-9684 wabske:http-//Www.marehiond&*" Stoneham,MA 02160 Emall:mall0marahlonda.com Location �Q t" r A No. In Date 1-5 � NORT++ TOWN OF NORTH ANDOVER f p # Certificate of Occupancy $ �'�b'•••�''t� Building/Frame/Frame Permit Fee $ sJncNuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 4415y &�� M Building Inspector r w L � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH AaOaYaNE OR TWO FAMILY DWELLING ft■ppb BUILDING PERMIT NUMBER: DATE ISSUED: ' O SIGNATURE: Building Commissioner/12ULctor oftuilding Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: q0 PA.10m1wo 0/LI'V-f— /Q$ C. 103 Q�PS i-- Map Number Parcel Number _—/iw 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposeeise -�-- Lot Area( Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided S- S" 30 r 1.7 Water Supply M.GLC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record aJ 4-, �01�C8 7_S'7 7'un_.N�i` � f�r.� S9y looS4 4A- Na P * Address for Service: ` —0 Z4 L S O dr k -4700Z_ �®C S` Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ t -y Licensed onstruction Supervisor: / 3 J� 1 License Number 0 Addre2,1,11�50s— Expiration Date tgnature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number M Address r Expiration Date z Signature Telephone M SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction W- • Existing Building 0 Repair(s) ❑ Alterati s) q :Addition ❑ Accessory Bldg' ❑ ❑ th Sp___Jbify Brief Description of Proposed Work: *II J0 pt:, oecj" 72 0I f,f SECTION 6-ESTIMATED CONSTRUCTION COSTS a; " Item Estimated Cost(Dollar)to be QFFGIAL USE,QNLY Completed by permit applicant 1. Building (a) Building Permit Fee 1.-200, Multiplier 2 Electrical (b) Estimated Total Cost of 1-)Q O Construction 3 Plumbing Building Permit fee te)X (b) / 4 Mechanical(HVAC) C 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property 4 Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. AWL Signature of Owner Date SECTION-.;"WNER/AU30ORIZED AGENT DRUAR TION 1, asOv /Authorized-Agent of subject property - - Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name 1 - 7-00 - O 7 Signature of Oxtner/Agent " Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r 1 � \ I � t \ \ \ \ 1 O s\ \ i vo gF , 156 i IN �O \lD Q _ G� 4 1 A OF ' ' H O� V -- . - �d N 40 s PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN I NA IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR �os�v`�a ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 5A FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 62 ON HA , AVE. SUITE I STOMA- 257 TURNPIKE ROAD - SUITE 200 (617) 438-612012180 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/14/00 OCT-12-2000 09 _ 13 AM MARCHIONDA&ASSOCIATES 781 438 9654 P. 02 • U •s�4 N27110'37"W 71.48' N'B N27-14'37-W 73.30' w oo4,w 5�4QLuq-6J.1' ne13 s.v. ILI 0.27 Ac. ®'� BA �.,Qao3' " TOP FOUNDATION 10,Zfi Aq. e-1 R-a70-00.vo,�' ELEVATION-160.10 Q 27.9' 18.3' a 27.6' -1oa+�' 28.4' 29.8" a-14'4#31' R-370,07 ��108.27' R�375.00' e-10'41'10' -10(LOO' PALOMINO DRIVE A-137/'63' R-425.00' .,•, �tt1 OF Ak'ge.. c, STEPHEN M. t' 1-100.07 pie 2w Q MELES'IllC e-13-28'53" .q N�. S9U49 R-426.09' =foa00' $1 4 -n �-13'2!!'63. N N R-420.07 Iu IZ1C►o WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY_ IT WAS PREPARED TO THE 70NING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED, ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO, 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2`1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE, CERTIFIED FOUNDATION PLAN LOT 5A FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 162 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE:1"=20' DATE: 10/12/00 Oct-12-00 03: 30P P_ 01 GUUt�C. V;It 11-'1' I-VL CERTIFICATE OF INSURANCE ISSUEOATF: 512600a THIS CERTIFICATE IS A MATT Eli OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDCR. THIS CFRTIFICATE DOES NOT AMEND,EXTEND CK ALTFR THE COVERAGE AFFORDED SY THE POLICIES BELOW_ INSURED CCIMPAWFS AFFORDING f.OVERAGE Puhs Home Cwpor>qbn of NL COMPANY A P*d&Emooyan h'wurance Company 257 TURP ICA Rodd,Sulk^700 COMPANY B LeMod Insurance Company 80UdIW009n,MA 01772 COMPANY C r-QMPANY D Ace Anna lean InsLonca Company i COVERAG. T1116 IS TO CERTIFY THAT THE POUCtES Of INSURANCE LIMM AELOW MANE 059M ISSUEO TO THE INSUPED NAMED AROVF.FOR THE PQ)_{CY PERIOD INPICA7EP,NOTWITHSTAwmG ANY REQUIREMENT,TERM OR CONDY110N OF ANY CONTRAr.T Op OT}1GR DOCUMENT WTN RESPECT rte wilcH THIS i CERTIFICATE MAY BE ISSUIv OR MAY PERTAIN, THI<INSURANCE AFFORDED RYTNP POLICES DESCRIBED HEREIN 16 SUSJECT TO ALL 7nE TERMS, E MLT)$IONS AND CONDITIONS Or SUCH POLICIES, LIMITS$40"MAY HAVE REEK REDUCED 8Y PAID CLAIM$. RFPFC" ExPIRAT1PN Co TYPF.OF INSURANCE _ POLICY NUMBEROATI: DATE _•.��..---U ITS GENERAL LIABILITY „T .. _ oEIE AI.AOOREr,ATIE 515,040,000 9 COMM RCIAL GENERAL LIABILITY G1.4,0282042 I 8/1w 511101 PROOIJCt$�-COMPMP AGO. �13,OOO,pOD ON AN OCCURR&4rCf r~Asas _ PeR80NAL III ADV.IN.WRY 416,000,004 EACH=UAAENCE $15,900,000 ADDITIONAL INSURED_ I FIRE DAMAGE(Aoy oro&6) $1,0013,400 MED.mcps"EE(+krrf one porion) 15,000 AUTON40EWLE w� I- - T cvLL48I0N DEGGtc�I81 E COMPREHENSIVF HF.RUCTjKF DOSS PAYEE: _...._. CpM9INf?D SINGLE(_Igl91LITY LIMIT -.... �1,apDpQb CAL HO 7682049 Gr1F00 I 511(01 (0"44,Hired 4 Non-owned) D I ADO)TIONAL INSLIREQ: EXCESS LIABILITY FACN OCCURRENCE AGGREGATE WORKER'S COMPENSATION and WLR C4 301187A 911100 511101 STATUTORY UMITs A EMPLOYERS'LIAPILIl'Y ... . ,... . w......., .........................................w..w...h..w..... ..... F11CH ACCIdFNT ;),OOQIj)00 MA'Nlv{ SCF G}3011881 6111Q0 511101 DIBEASF•POUCY LIMIT 51,000,000 0I16119q»EACH EMPLOYEE $1 pQ0,000 Pf�C11' Y REAL AND P6R80NAL PROPERTY,INCLUDING"ILA LOSS PAYEE-. PAYEE: IN COURS6 OF CnNSTR4CTION; PER OCCURRENCE LIMIT ` MORTGAGEE; 6PSCIAL FORM(INCLupINO F1,000 AND EARTHQUAKE) I)EdUCTIpLE PER OCCURRFKA DESCRI ION OF PCRATTFSILOCATIONSIVEHI(;L. -CIAL I MMg subdlvMelon WrItar Heights,wo►co.kir. CE i I T •R ANCA- RHOULD ANY QR T}41 ABOVE CESCRIF►FP POL4GFR PE Pov,10 cu.Eti BEFORE TH5 F)MIrUTION DATE T'HJ pEOp,WF WA L ENA€-.WR City Of Worcester TO MAIL 40 0AY9 MITTEN NOTICE Tq THE rORTIFIc.ATE 455 M"SlIrtm MOLDER NAMED TO MA Lt*PT. Worcester,MA 01608tl AuTHORE p REF'FtF3FNTAYIVE NORrM Town of over No. ~ '° o .- LA o dower, Mass., COC HICHEWICK 7,9 ADRATED P'Pa,��� S H BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System /�� � ��� �� BUILDING INSPECTOR THISCERTIFIES THAT....... .......................................................... ................................................... .................. Foundation has permission to e�ect.....� .� ........... buildings on......I.I. ....../ *,�eM�'v.�.... .,,... Rough to be occupied as..........�..p��......�� ..K.......0 0 R �.)�.......��I'rr•'��ir.�...... Chimney C .i4................ .............. ' provided that the person accepting this permit shall in every respect conform-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. M 4* 0 8 C #0 103 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................... ........................ ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. • SEE REVERSE SIDE smoke vet. Date.A "3/.'civ N2 4615 ,D':'+ TOWN OF NORTH ANDOVER ° = p PERMIT FOR PLUMBING f • i 7 • o� + I �,SSACNUS� This certifies that . . /./5�. /.�'h. .� . 't t �r. . . . . . . . . . . . . . . . has permission to perform . . . .. . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . at . !/U . 1?/.9`O�'''!"U. . ?' . .��. .�.��`. ., North Andover, Mass. Fee 3�1. Lic. No.. . . . . . . . . )-7 .. . . . . . . . PLUMBING INSPECTOR Check # (� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer livnf+n�fo,` 23 / MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ANaeyE2 Mass. Date -Permitk Building Location yl� BALOA1do D►2 IL07,SA� Owner's Name PULTE NOME �OQP RES/�EAI71ALTvpe of Occupancy New Fmr Renovation ❑ Replaceent ❑ Plans Submitted Yes 21 No ,:D FEATURES (n Z z W w N J } 0 O z V w (0 U cr 0 QZ W co LO 2 Cr Q I rn Y Ct CL U O LL CL U z O w Q W m a w cn cc q¢ -i z o -' W = ~ 3, O z _ a ¢ t- ¢ Y CrW u_ Y W = z Y I Q = a cn _z z_ � Q Q>Q c c_n c_n ¢ O z C Q m Cr X Q O Q F- Y J m cA O 2 F cn u C7 O Q 2 m O SUB-BSMT. BASEMENT I P 1ST FLOOR ( Z 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR r Installing Company Name fRAZ/ER f U)E4 -5 N0014il)/C44— Check one: Certificate Address 1,0 U SOX 9?"Corporation _ 2 r 0_C MI-77Jt)E.y �,1//� O Partnership _ Business Telephone 978- &-t;9-7`77 O Flrm/Co. Name of Licensed Plumber l'_HAI&LS INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes Isb No O It you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ( Other type of indemnity ❑ Bond O OWNERS 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 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 the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 5y _ Sig-nature of LicensedPlumber Title Type of License: Master)< Journeyman O Cfty/Town License Number S 6 8 APPROVED OFFICE USE ONLY) f N° 3036 Date.....`... .... .(/1... 4 f HORTM, "�o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;,SSACHUSE� //-- This certifies that .........�.7.r..�.`�..li.5......� .S, '!'. ...................................... has permission to perform ..... .l..q. .............................................. wiring in the building of..�f�� . P` ....................................................... ,Q 1 .. /. /J at...--.-�,7</..... ... ��.��?`.!l.v,.�.L..........'` .........,North vc , Fee.�.�7..�'.CJ.'.�... Lic.No.C 1 !' .. . ... ........ ................. ... ...... ... -� ELECTRIC INSPECTOR Check # i WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _ ..."ur��nw�rweuCU2 0l tuie//iaijaci ([� mm ^^ O1 ICial U5C Orlly 2J 77777 �1� E 1i. P c rr u t o. (i z�ar nreaf o ere ervictd BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Ci:ecked [Rev. 11r99J (Icaye blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL CORK All wurk to he performed in accordance wills the IvlasscChusclts Gcctric;tl Cock(,\IEC)• 537 Cr\IR 13.00 (PL Ell SE P[?IiVT I,V IIVK OK TYPE 'ILL /V�'O2�7�V) Datc:�/3f 167 City or "mown of: To 1/re Insl�eccor oJl�Yires: By this app(icauon die undersigned _Ives nottc Chis or her intention to perform the elccrrical--ork described below. Location (Street &C Number) (,i I m l O r. Owner or Tenant ay 6�I 1f� Tclepftonc No. �as Owner's Address ' Is this permit in conjunctiol vitll a buildinb permit'. yes No r (Check Appropriatc Bo.e) Purpose of i3uildin; Utility Authorizatiun No. E.eistin , Service t\tl ps / Volts Overhead 1 I Undbrd :No. of,jIcters New Service Amps / Volts Ocerhe."d C r Undad o No. of:llelers Number of Feeders and AntpacitV Locatiutt and Nature of Proposed Electrical Work: • Cunrp(e!fon uI!;re'o(Ln�in�lcro(e nrm-be icercer(oc!/re Grsecc:ar ci-it'ires. N0. of Recessed Fixtures No. of Ccil.-Susp. (Paddle) Falls Ido. of 10 Transformers HVA No. of Lighting Outlets No. of Ilot Tubs Generators KVA No. of Ligittuts Fi�[ures ( Abovei ln Swimming Pool - 1 0. of mergence• lailttti, °rid• C grad. IBattez-v Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARIIIS tio. 0f Zones t ' No. of Switches No. of Gas Burners INo . of Detection and Nu. of Ranges notal Intitiating DeViccs I INo. of Air Cond. Tons INu• of Alerting Devices I I:\'o. of Waste Disposers Vicat Yump ' :dumber i I ons ! _�1V -No. 11,S -Contained Totals ... - - t Detection/Alerting Devices ' !d iNo. of Dishwashers ISpacc/Avea Heating KW Local ltilunicipa! -- , Connection Ll Other i \ No. of Dryers Heating Appliances recur: Systems: +V I:tio. ut +Vater 1 No. oCDe•ic^_s or(No. of 1N'0. oI ._._ . I r,ri[la Iteutcl s Sig,ts Ballusts 0. of Dt­,Ic-s -)- EgLl1%.2;C!iI No. H+dr :::assn %e liathtubs Total HPR :uconlntunlcatlons \Virit;g: o �. 01 ,.iot°r5 No.OTHER: cs r of Dec; E n our-aiet iucir cddi!iancr. _ .,-c^ or rcr I:",SURA,:`(CE C0VER.-\G by the o - E. I,.riCSo '.�atv�d , , no , the li cn • - , _. ... -.. r:.:arce _C, .:Cal won., r: __.„ ...ess c sec proved- s proof o. irbii uurancc n:c!udit: cr.;p! .ed c^�- ;:c;, cove-,___ or :ts sucvantial undersign,.,. ce.tities that st:ch coverage is *'Ii force, ;nd has exhibitedr p Dot o: sar, to tl:,. ::=1at iss,:i:•� of-,._. CHECK O\"E. 1 XS `\\CE DD-ND 1 OTHER ❑ (Specify:) Estimated Vaiuc .0 Electrical Wort: ("When required o, :uaicioa! p0!ic..) `•wort to Mart. lnspcctions to be reauestcd in accorda::cc �a!EC Rule to, an-�� - I cert!f !1,1rlCi-(hej,7ahrs rrnd pc°1117111;c•s urj7e1jr1r;•, tl:ut the ilrlormation nit 1/!is al,plicatiun is true and co,,,70,ele. FIRM :d.\�(E: �Y i �1X-S 1��1�� . u r LIC,1\Q.: `�r�`K� Licensee: C b1r1 L�hu� .�l Si�natur LIC. NO.: CiGl L ((jrUl:plrC,;;;;z, enl,:.' .:•,..•�•�1 .ut ;lac'i�c:Cr�2 rr7r,nC2r(nrC.l Address: c55 Bus.Tcl. No.: "1 �7?r ✓ U,l�! j O\\N'ER'S I:tiSUE:.-\`CE \`'.::\IV"EIZ: am aware that the Alt. Tel. No.:3 I?- '-!}3 -�+i.��l e Licerisee docs ,to:..,..e the nubility insurance orr,.aily re-uired b,. iziw. E., :,i, si,l:alure bei01•V, I iterebv w+ ji•c this reaui,cmr:t. I ... . 1C (c!,ec`.k one) ❑ 0--lic- Si;naturc 1'c!cphur.c \u. PI:R.1HT FLE: S t J_'