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HomeMy WebLinkAboutMiscellaneous - 41 SKYVIEW TERRACE 4/30/2018 / 41 SKYVIEW TERRACE f 2101098.E-0081-0000.0 i Date. . �. ` ..... . s &ORTOI ,tip TOWN OF NORTH ANDOVER F 9 • X PERMIT FOR GAS INSTALLATION ••`th c SSACHUStt This certifies that . . . . a.. .,.,. . .L . :.. . . . . . . . . . . . has permission for gas installation >: - .�-t-°. . . . . . . . . . . . . . . . . in the buildings f . . . . . . . . . . . . . . . . . . . . . . . . . . at .`... . . . North Andover, Mass. Fee, '.'. . Lic No.. V A.1!. . . . . . . . . . . GAS INSRPCTOR Check# 6361 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING � a Mint or ypel ,9�,J� r-1 AA4rss: Date 20 Permit A Building Location e4 I /� Owner am ,v` %�eofoccupancy Newp Renovation❑ ReplacementPians Submitted: 'Yes p No p 12 W C� 0 m Z o Z Z - 0 o: © ' �i�y 0 O� > µl (n Z 2 cY. � 0 f— _ w 010 1:1 2 2 > W. 0. sus-BSMT BASEMENT 1St FLOOR 2ND FLOOR 3RD FLOOR . 4TH FLOOR STH FLOOR 6TH FLOOR 7tH FLOOR M-H FLOOR -Installing Company Na� P/# -- z)L e44 4, rp;44 r�[ Checkone: Certificate AddEs V,,O D Corporation I ) Lod Al Ff a,f Business Telephone 9 0'! o Partnership rrrl/C o. Name of Licensed Plumber,or Gas Fitter yz INSURANCE COVERAGE: 1 have a current liability Insurance policy or its substantial equivalent, Which meets the requirements of MGL Ch. 142. Yes No p If you have checked yes,please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity a Bond 0 OWNER'S INSURNACE WAIVER: 12M aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on thls perml lcatlon vlydlves this requirement 95re o Owner or Owner's Agen Check one Owner D Agent p I hereby certify that all of the details and information 1 have submitted for entered)in above application are true and accurate to the best of my knovNedge and that all plumbing work and installations performed under Me per s ued for this applicZleMr II be in complia ce with all pertinent provisions of the Massachusetts 5 tate Gas Code and chapter 142 of thla7rle Type of.License: By [IPlumber or Cas Fitter Tide ❑Gtier -15 A { PPR wnOVED(OFFICE USF- aster License Number q43 i PPRONLY} U Journeyman Location 41! .1�/jw l t'rr�« No. 3 � Date o7D ,.ORTy TOWN OF NORTH ANDOVER O?O•,,`•O ,•,hO�i. , Certificate of Occupancy $ Building/Frame Permit Fee $ c-20� Foundation Permit Fee $ 3AcMusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ J/ _ Building Inspector O 08/23/99 13:32 227.00 PAID Div. Public Works n A A A h A A � 1 1r:1-M/F,�T NO. (3 API'g,rCATrON 1�'OC2 T'YJ,1ZI11TT� TO I3 I�PNc). I.OrNo . 2. Iu:c0RDOFOII' ellsnm ISA"1E BOOK P,�GE %c1NE Sllll DIV. 1.01 NO. I OI'-k LION41 S 7 IE—W -r—z7p-aI'Dlll'OSF:UP llUII.DINGO pp� /Q SQ/ ( wmV N , j, /7 R'S .km1F HOD 6Y� �p f�D�e.tq-N f' LC)�l NO.O1: STOitWS 3 V �" � CCI ell D WS OWNI' EWSADarSS 4 s/-�r-YV t-�w tv, 4'v';>ov"=-"/` BASEAIENrORSiAII ARCIII 1'1:(-I'S NAPIL SIZEOFFLOOR IIN1IMIS j I ZND Sap -I ilill.DEAL'S NAME tVI /INJL. A/ .�AJo,A-,, > SPAN I DISNNCL'IO NL.ARESf IMB--DIN,G/7„'/ 'T ( DIM LNSIONS OF SILLS DIS"I-ANCL FRONT SlIkELT / DIMENSIONS OF DOSIS 30l Ad ta0 1)IS'VANCE FROM 1.0 f LINLS-SIDES REAR DIMENSIONS OF GIRDERS o IL EA OF LOT FRONTAGE �-T� .A ILEIGIITOFFOFIND.ATjoN THICKNESS IS IIIJILDING NEW SIZE OF FOOTING )( IS BUILDING ADDII ION NIATERIA1.OF CIIININEV IS UUILDIN .ALTERATION IS BUILDING ON SOLID OR FILLED I.AND WI BUILDING CONFORNI TO ItEQUIII Chi L•'NTS OF CODE Ve75 IS BUILDING CONNECTED TO TOWN WATER BOARD OF A1'1'E.AIS AC'IION, IF ANY 1S BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCI'IONS 3. PROPERTY INI'011NIATION LAND COST EST. BLDG.COST CS / OU"f SLCIIONS 1-3 EST.BLDG. COST PER SQ. FT. i EST. BLDG. COST PER ROONI Fl.r(a RIC NIL'fl'RS NIIIST RE ON OU(SIDE OF BUILDING SEPTIC PERMIT NO. .�fh1C11 F.11 G.112.1CLS NI LIST CON FORM IO STATEFIRE fir IILAI'IONS 4. AI'I'R 01'F.1)Ii1': 01 PLANS MUST IIF.I:ILEO AND.APPROVED BV IIIIII.DING INSPECTOR ISIIILDINC INSPE(A Oil D.�IIC Fli.E1) O11'NERS TE1.01 �"f S j 4C,[S CONT11.1 LLU '77 6?— frj S 1 " 3 +4-'f SII;NA 1*lIRE OF OWNER OR AII'MORMA)AGENT CON"I R.I.IC/f PI:IIAIITc:R)nrl=D -� `"jo Itc�I�ccl S/5/99 AM J/ r NORTH L Town of over No. 37 � - T Z h o L COC Mi EQ dover, Mass., RATED S 5� BOARD OF HEALTH Food/Kitchen i Septic System A 111Ai ® A BUILDING INSPECTOR THIS CERTIFIES THAT.../71............. A 0 ....... ............................................ .... ..................................... Foundation Ahas permission to erect.. .....I& buildings on ... y vI � �/"I�C� .................. .......................... .............. Rough 9 A to be occupied as ...,�, ,Sr ? V r ® +� �C IA/1� 6% Chimney ......................................................................... 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR t Rough ........... . ... ..... .. .. ........................... ................... .............. etvice t00000BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. 1A Q�in�j f Ir�153Q ¢.,� — -L SIV© lvo"hl-v-z / % -:17 ba S- W 3�raUir-7a' .- sJda�� oo ------ - ------- -- - I Cl; 811r I c; i _c•�rvs>9/�0.2/tYL '`)/�17J:7 :1.'�:157iv/� / o j lscd i,�,a� M M ni-�wd7� i gg l 17so1'� 7nsiv� -7 bl?W M a1n �9nj -Z£ /Location ( r7 q�Z— No. DateAl f � � R f V&OR TOWN OF NORTH ANDOVER 1 Certificate of Occupancy $ ` i } Building/Frame Permit Fee $ ~� Foundation Permit Fee $ _ s�CHusE Other Permit Fee $ "" I IIt Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 133 -Z� Building Inspector -p 7910 Div. Public Works k Location Lo�. l2, � 4 Skye(�—TIP No. ©' a Date Z 9� I NORTq TOWN OF NORTH ANDOVERg p Certificate of Occupancy $ 40 Building/Frame Permit Fee $ ! Foundation Permit Fee $ s�cHust Other Permit Fee $ Sewer Connection Fee $ !T Water Connection Fee $ g TOTAL $ t S-b J Building Inspector t 7909 Div. Public Works o� ,Z Location No. Date w . r TOWN OF NORTH ANDOVER NORTq OL Q Certificate of Occupancy_- $ M n +i ; • Building/Frame Permit Fee $ Foundation Permit Fee $ sACMus ` Other Permit Fee $ �Or4 Sewer Connection Fee $ l r� t f / Water Connection Fee $ / 43, TOTAL $ If. it .Ing Insp 'ctof o PAID * s 847 D�". P tic works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i MAP i4O. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE 'tZONE SUB DIV. LOT N0. ♦ LOCATION �� /ZI�Z►�#L PURPOSE OF BUILDING ��/ ^7 OWNER'S NAMEt )�� � /� VYk NO. OF STORIES SIZE 7 `OWNER'S ADDRESS Qf/e 1L' � �l /f-r- BASEMENT OR SLAB .�� i ARCH ITECT'S.NAME -7+/fi/jn{'7��S 11 I'T SIZE OF FLOOR TIMBERS IST ��/'Q 2ND •71 3RD BUILDER'S NAME %161/ '!/2,n,.r/`vo't'fial? y SPAN /U ✓l- • DISTANCE TO NEAREST SPAN � / DIMENSIONS OF SILLS --_ DISTANCE FROM STREET 16 " POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT6 ` 3'1/�. FRONTAGE /03, HEIGHT OF FOUNDATION / G7 THICKNESS /b/t IS BUILDING NEW V A�VV� SIZE OF FOOTING X QIf IS BUILDING ADDITION /QO MATERIAL OF CHIMNEY IS BUILDING ALTERATION NO IS BUILDING ON SOLID OR FILLED LAND � WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY l IS BUILDING CONNECTED TO TOWN SEWER Y�?S IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS3 PROPERTY INFORMATION eftAiz(3stL)c*�- FE LAND COST SEE BOTH SIDES ( 3 461G... ` ���'��� R EST. BLDG. COS L�ql CJ PAGE 1 FILL OUT SECTIONS 1 3 �� EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC XGARAGESMUST .UTSIDE OF BUILDING 4 APPROVED BY ATTACHEDORM TO STATE FIRE REGULATIONPERMIT FORFOUNDATION ONLY PLANS MUOVED BY BUILDING INSPECTOR'EGULATED BY PARA. 114.8-S- B. DATE FILEZI°� DATE BUILDING INSPECTOR SIGNATURE OF OWNER OR AUT ED AGENT FEE OWNER TEL. C1� L" 'C.�2 �Y �I PERMIT GRANTED b PERMIT FOR FRAME/BUILDING CONTR.TEL.11 y� 2 19�5 C7l�zc!(� CONTR.LIC.a DATE....FEE PAID• �S H.I.C.# FEB _ g LM FDA 10© � _ �17 ` t 3 DUE E ' �`'t t® t33 42�zF 1 ��o BUILDING RECORD 1 OCCU ANCY t2 1. • SINGLE FAMILY sroulEs 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 RAGES, ETC. SUPERIMPOSED..THIS REPLACES PLOT PLAN. CONSTRUCTION , 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE W BRICK OR STONE DRY L PIERS PLASTER - _ DRY WALL UNFIN 3 BASEMENT AREA FULL FIN. B M'T' AREA _ '/ 1/2 1/1 FIN-ATTIC AREA NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE — — WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR 1.1 POOR _ I IL ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.I _ j, }1• r.l ; GAMBRELMANSARD TOILET RM. 12 FIX.) I ' FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES w TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE .. s FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR ol WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G ' UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC �r'� . 1st 13rd I NO HEATING _........,...,....... `iii: 3;ikli 31A / Town of N , ®ver North Andover, Mass.,T , °� 19 IRS' LA,F nc�♦i� �i�wig n I F.D 1 BOARD OF HEALTH Food/Kitchen PERMIT T BUILD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.KEASLllt�l� . �. ..... '�'�� 4�tQ.. .... 4?l,�,,. p�,................. oundation has permission to erect 5���1 ..`��gyo. ...... buildings on ..' 1.....S1C,�� 1, 1.... ? ........... �Z� Rough 7-5 to be occupied as. ►�l►.t,U %opit � J......C. . ... �� t►1 3C!d2 ChimneyPprovided that the person accepting this shall in every respect conform to the terms of the application on ile in m•Q' Final _ this office, and to the provisions of the.Codes and By-Laws relating to the Inspection, P&ISP' MURSOVIALY Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough T FEE PAID Ino Final PERMr EXPIRES IN 6 MON-IM- �- Y ELECTRICAL INSPECTOR UNLESS CONST) , c ,.� .��� � ^,? Rough ...................................................... ................................................ Service BUILDING INSPECTOR Final r &C IV 066 �Y Occupancy Permit Required to Occupy Bulk iris; o�� INSPEC • - Premises — Do Not Remove ��� R°ugh ����p�0• Display in a Conspicuous Place on the Prem s 11 � No Lathingor Dr Wall To Be Done . Y A�� FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. i Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT FORM U - LOT RELEASE 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 landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: f o(l 5a . Phone b7�B GaZ-dqY LOCATION: Assessor' s Map Number Parcel Subdivision Majl 4l+/!/4JL52 lki` t5 Lot (s) [L Street S—Tthlir/ leeaot,,o St. Number ************************Official Use Only************************ RECOMMENDATI NS OF WN ENTS:ol t Date Approved �J Conservation Aid/ inistrator Date Rejected Comments �nl'e Civ AvlyJ Date Approved 2&!q,� Town Planner Date Rejected %�:Comments � !� � � !}SstS &7c�ati� Date Approved Food In ector-Health Date Rejected Date Approved �e tic Inspector-Health Date Rejected Comments Public Works - sewer/water connections i�Jr� 2-3-95 - driveway permit F ' re Department 1�e�9%PWI �`� eceived by Building Inspector Date 31 r ry 100, ♦ ;,` %'000350 / 000 Xo 10 ol Loi` j owo � — �Q. 3 0F10 /NilTC'- 359 2p — s GAR^ 35F �` o ./ SNyg_ 355.7 / N k r m doop ti o � � 25W ►DE ►a / �1i1 � ' DRAINAGE EA66MLA"TMLL o crani v ► EW -rERRAcE A 9ND.et�7�pCAR y 1N�/= 353,-7(0 w ►DE Gk�v�1E) NOTE: ALL UllUTY LOCAMNS ARE TO BE MELD VERIM BY THE GRADING / SITE PLAN SITE CONTRACTOR. �,® AT CEDAQBkooK FEDERAL_ LOT 12 5ETgaCKS : F - 20' S- 1c' ,$ •oR- 2a' NORTH ANDOVER HEIEHTS NORTH ANDOVER, 1[A FWAM VW WPM I LAND PLANNING TOLL BROTHERS, INC. W!NNI ENGINEERING & SURVEY 1800 W= PARI{ DRIVE 167 HART'F'ORD AVENUE. BrU NGHAK. MA 02019 WESTBORO, ILA 01581 (508) 966-4130 FAX (508) 946-5054 /_ / 8 - 4$ "_ ¢p" E _ 5 9 TERRAc L 0 T 451 r f r., t L �T •� Z) �• tr Ci sro. q , 't1MATION AS—BUILT � H 1 CERTIFY THAT THE STRUCTu t SHOWN IS LOCATED IAT 54 ON THE LOT AS SHOWN ON THIS PLAN AND THE NORTH ANDOVER ESTATES LOCATION DOES CONFORM WITH THE FRONT, SIDE, NORM ANDOVER, MA AND REAR SETBACK REQUIREMENTS SET FORTH IN P'Am roil THE TOWN'S ZONING pYLAW'S AT THE TIME OF TOU BROTHERS INC. CONSTRUCTION. I FURTHER CERTIFY THAT THE ISM V= PAM( AR Vi STRUCTURE IS NOT LOCATED IN THE SPECIAL. warmRo' VA 01581 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOT RAND PIA.NNING TO RE USED FOR THE ESTABLISHMENT OF PROPERTY ummmwivw « SURM UNES, ERECTION OF FENCES, OR CONSTRUCTION OF ' vzuaqoj"ADDITIONAL STRUCTURES ON THE LOT. '� ° � (i0A) Mi-4te0 ,: (60�) tAb-8084 MAP NO.000*c COM Na. ,zsootf$ DATE: eo -2-?8 4 -1P _ $v ` .v.�� .� ► ) FIELD REPORT MILLER ENGINEERING & TESTING, INC. MANCHESTER,N.H. (603)668-6016 NORTHBOROUGH,MA (508)393-2607 FAX(603)668-8641 FAX(508)393-8490 PROJECT: NORTH ANODVER ESTATES �.� 2 )PROJECT NO: 40076.01 North Andover , MA t s7 CUENT TOLL BROTHERS INC. CONTRACTOR: (SITE) MENINNO CONSTR. WEATHER: Clear , 350 DATE 4i5/95 SOILS FIELD REPORT PURPOSE : Arrived at the above referenced project site for the purpose of performing Field Density tests i using the Nuclear Densometer method. IL EQUIPMENT OPERATING: (1) Wacker BPU3345 Vibratory Plate Compactor (1) Caterpillar 950 Front End Loader (1 ) Komatsu PC90 Excavator WORK ACCOMPLISHED: The site contractor is in the process of bringing the study room and garage area to desired elevation with sand and gravel material, from the Hefforms Pit . A total of sixteen (16) Field Density tests were performed indicating adequate compaction as the measured dry densities were at least 95 percent of the corrected maximum dry density as determined by ASTM 1557. Please refer to the attached Compaction Control Summary for test locations and results. i 3 z Prepared by : Maurice Roberge COMPACTION CONTROL SUMMARY MILLER ENGINEERING & TESTING, INC. MANCHESTER,NH 603-668-6016 NORTHBOROUGH,MA 617-393-2607 AUBURN,ME 207-786-4249 PROJECT: NORTH ANDOVER ESTATES PROJECT N0: 40076 . 01 North Andover , MA TEST CORRECTED OPTIMUM FIELD FIELD SPECIFIED 140. METHDATE ETH TEST LIFT MATERIAL MAXIMUM MOISTURE DRY MOISTURE PERCENT PERCENT OD LOCATION DESCRIPTION DRY DENSITY CONTENT DENSITY CONTENT COMPACTION CON,v:`,' ELLEE V. COMPACTION (LB/FT'I ISI 0.B/FT'I I�1 Iii (�I 100 1/24/95 NDG Lot 24 3' Heffroms Pit 120.7 10.5 119.5 4,8 99.1 95 A K BBF 101 1/24 NDG Lot 24 3' Heffroms Pit 120,7 10.5 115.6 3,9 95.8 95 A BBF a 102 1/25/95 NDG Lot 24 1.5' Heffroms Pit 120,7 10.5 119.8 3.6 99.3 95 A BBF 103 1/25 NDG Lot 24 1.5' Heffroms Pit 120.7 10.5 117.0 3.8 96.9 95 A BBF 104 1/25 NDG Lot 24 BBF Heffroms Pit 120.7 10,5 115.4 4,8 95,6 95 A 105 1/25 NDG Lot 24 BBF Heffroms Pit 120.7 10,5 117,7 5.1 97.6 95 A -17 106 4/5/95 NDG Building 54 study, 6' SA/GR 120,7 10.5 115,9 6.3 9610 95 ^ north corner BSS i 107 4/5 NDG Building 54 study, 10' SA/GR 120.7 10,5 116.4 7.1 96.4 95 A east corner BSS I 108 4/5 NDG Building 54 garage, 7' SAM 120,7 10.5 114,6 6.4 95.0 95 A east BSS 109 4/5 NDG Building 54 • 9 garage,age, 7' SA/GR 120.7 10,5 116.3 7.2 96,3 95 A west BSS 110 4/5 NDG Building 54 garage, 6' SA/GR 120.7 10.5 115 south BSS .9 6.4 96.0 95 A BS =Below Subgrade BBF=Below Base of Footing CRGR =Crushed Gravel SA/GR=Sand and Gravel BSS =Below Slab Subgrade BOF=Bottom of Footing BRGR =Bank Run Gravel SA =Sand BTOW=Below Top of Wall GR =Gravel SLT =Silt GR/SA=Gravel and Sand TR =Trace =IGety Gauge ethod A=IndicatesAdequate Compaction F=Failed to Satisfy Percent Compaction -- COMPACTION CONTROL SUMMARY MILLER ENGINEERING & TESTING, INC. MANCHESTER,NH 603-668-6016 NORTHBOROUGH,MA 617-393-2607 AUBURN,ME 207-786-4249 PROJECT: NORTH ANDOVER ESTATES PROJECT NO: 40076.01 North Andover , MA CORRECTED OPTIMUM FIELD FIELD PERCENT SPECIFIED MATERIAL MAXIMUM MOISTURE DRY MOISTURE COMPACTION PERCENT �pAtµLNI TEST �� TEST TEST LIFT DESCRIPTION DRY DENSITY CONTENT DENSITY CONTENT COMPACTION N0, METHOD LOCATION ELEV. (%) (LB/FTS (%1 (LB/FP) 1%) 1%) 111 4/5/95 NUG Building 54 garage, 6' SA/GR 120.7 10.5 117.2 7.9 97.1 95 A north BSS 112 4/5 ND� Building 54 garage, 5' SAM 120.7 10.5 114.8 6.0 95.1 95 A middle BSS a 113 4/5 ND6 Building 54 garage, 5' SA/GR 120.7 10.5 116.1 7.1 96.1 95 A west BSS 114 4/5 NDG Building 54 garage, 4' SAM 120.7 10.5 115.4 6.2 95.6 95 A middle BSS 115 4/5 NDG Building 54 garage, 4' SA/GR 120.7 10.5 114.9 6.4 95.1 95 A west BSS 116 4/5 NDG Building 54 garage, 3' SA/GR 120.7 10.5 116.2 7.1 96.2 95 A south BSS 117 4/5 NDG Building 54 garage, 3' SA/GR 120.7 10.5 115.4 6.1 95.6 95 A south BSS 118 4/5 NDG Building 54 garage, 2' SA/GR 120.7 10.5 115.9 6.2 96.0 95 A east BSS 119 4/5 NDG Building 54 garage, 2' SA/GR 120.7 10.5 116.6 7.2 96.6 95 A west BSS 120 4/5 NDG Building 54 garage, 1' SA/GR 120.7 10.5 115.3 6.0 95.5 95 R south BSS 121 4/5 NDG Building 54 garage, 1' SA/GR. 120.7 10.5 115.1 5.8 95.3 95 A middle BSS EGR R =Crushed Gravel SA/GR=Sand and Gravel BS =BelowSubgrade BBF=Below Base of Footing R =Bank Run Gravel SA =Sand BSS =Below Slab Subgrade BOF=Bottom of Footing =Gravel SLT =Silt BTOW=Below Top of Wall SA=Gravel and Sand TR =Trace it Gauge i NDG-Nuclear Density A-g -Indicates Adequate Compaction o SC =Sand Cone Method F=Failed to satisfy Percent Compaction CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number SS -O'1 Date ApgusT 31 lggs, THIS CERTIFIES THAT / / THE BUILDING LOCATED ON 4 I �1CY%ZMU3 �'�tzXAC V l � 13/�� MAY BE OCCUPIED AS CAV- QIN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO � WMLAJ ADDRESS 3 � Ids �,PA 0 A nt ;,sACNU i g n -4 I xy i i r ` NORTH Town of � � ,4dover o No. Qq g 1 :^Tort " dover, Mass., o L �. COCHICME WICK �A RATED P`Pa` 1 E BOARD OF HEALTH Food/Kitchen"\ -I_V_2kjH WL PERMIT T y S ptic System 4/ 5' ,j BUILDING INSPECTOR THIS CERTIFIES THAT.KFAC q(c; ...W. ... 'i�� k-ESQ. TQ4'�'a. '................. oundatttin has permission to erect.�..Am. ...... buildings on ......4k.... .�t ....7 .......... to be occupied as.. "L...T.�. M\. . .... .. . . p ���' ...�►.... AA.(?f AA��.. "rP... (ii mQct,imn lie b13oq 5 rovided that the person accepting this peftit shall in every respect conform to the terms of the application on le in 3 this office, and to the provisions of the Codes and By-Laws relating to the Inspection, ���I�P�a����l�1�8�ILY Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-$. B.C. PLUM13ING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ]tough _ S \ �dell���' FEE PAID �� � PERMIT EXPIRES IN 6 MONTWA b (/ ELECT IC L I SPE UNLESS CONS T Rou (a ` PERMIT FOR FRAMUBUILDING � Service ................................................ ��- /�� >S � --" BUILDING INSPECTOR ' DATE: 4 k v FEE PAID: . __�r�____ Occupancy Permit Required to Occupy Building GAS INSPECTOR ' Display in a Conspicuous Place on the Premises — Do Not Remove Rough • No Lathingor Dr Wall To Be Done Y FIRE DEPARTM Until InsVctand Approved by the Building Ins r. , Burner �` Gj_FI/ Street No.CJ y 9 y PLANNING T 9CONSERVATAL Set.SEWER/WATER FINAL DRIVEWAY E TRY PERMIT `lq 10 -- I Ct 1 /6� Date. .. . .. .. .. .. . .... . . .. p WORTIq Of'_tD o� °kak � TOWN OF NORTH ANDOVER f D • PERMIT FOR GAS INSTALLATION h '�s,9S SAC HUSES•( -- This certifies that . .. • .. . . A. . .� . . . . .n . . . . . . I has permission for gas-installation, : . . lt. . . . . . . . . . . in V ,buil`d'ings of : (, - •. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . at . ., orth Andover, Mass. Fee • . Lic. No.. . 3. . Check GAS INSPECTOR # 4 I r 4 3 � l MASSACHUSETTS UNIFORM APPUCATION F R PERMIT TO DO GASFITTIN (Print or Type G 02 Mass. Date (/ IAI Zepi. _ ,�emnft # �J Building Location + rs Nam kv S Type of Occupancy 17t=N 7t r� New ❑ Renovation ❑ eplacement (gam Plans Submitted: Yes❑ No N Y W N N = Q Vf V h- N Q O tl J W f• 0 m ~ = 71 z o < } z = 0 +- d' W m N F y W 0 6 'O z F. W < c r z tl F = J < = Ictl Q W t- W � = Q < C ~ 1- 20- o m z o Z W O fp~A = Q '= O tl = W ; D O J 0 Q > D d FO SUB—BSMT. BASEMENT ISTFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name t- r'r�= Check one: Certificate Address L tilln , C H/vtA Pj i-K( ❑ Corporation 1 r- 7 H :r✓[Q Al A 0 ❑ Partnership Business Telephone_ /,92 _q q-7 f Name of Licensed Plumber or Gas Filter ��/�� INSURANCE COVERAGE: I have a current�abiltty Insurance policy Or Its substantial equivalent which meets the requirem ' No ents of MGL Ch. 142. 1 Yes laC3 have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy Other type of indemnity❑ Bond O 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: Signature of Owner or Owner's Agent Owner❑ Agent ❑ 1 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 rhure for this Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 ofapplication ' be in compliance with all F laws. T%r- f License: C� Title mn u or atter er own 1 ur eyman License Number �33 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. - APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING LOCATION BUILDING PLUMBER OR OASFITTER LIC. NO. I PERMIT GRANTED DATE �O ------------ GASINSPECTOR N2 "i o 5 2 Date..... F?p�a'�,����.°,ryppp TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUS This certifies that ..... ....... ................ has permission to perform ..... ....... .................... wiring in the building of.......& f........................................... CM ............ Andover, ........, /,North d ver,Mass.6-11 at.......... , .............. Lic.No..J.Ll�' ... .............. . ....... ,fee-1............. ELECTRICAL INSACTOR C I I, (f ( WHITE:Applicant CANARY: Building Dept. PINK:Treasurer r1311 _ Common O:Cice use only ealth of Massachusetts �S ---���� Perris No: ^ — Department of Public Safety _ Occupancy 6 Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 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 2:00 (PLEASE PRINT IN INK OR TYPE ALL I R1=ION) Date City or Town of. To the InspectoFPARCEL. a The undersigned applies for a permit to perform the �electrical work ,described be _ Location (Street & Number) / CJ G�rCrJLs �C—JSrC Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: YesNo ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. _ Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters r New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters 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 No. of Lighting Fixtures ❑Swimming Pool Above In- grnd, gr ❑nd. Generators KVA No. of Receptacle Outlets Z- 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 RangesNo. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of Heat s Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local 11 Municipal ❑Other Connection No. of Water Heaters KW SiRnsf Voltage Ballasts Wiring 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❑ NO F] .I have submitted valid proof of same to this office. YES❑ NO If you have chec YES,,please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ r660 Expiration Date Work to Start `—q,' Inspection Date Requested: Rough Final Signed under th�pjpenalties ofperjury: [� FIRM NAME f,� r? r ,- - - /�? .,-7 LIC. NO. % 1� Licensee . 47 `'0 Signature Address c J_(o ,:L'�C ��`� r i� y/'c.� /rC� /'Yl46 el. No. c4=�Z(-;c, Aft. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) �' /) Telephone No. PERMIT FEE S t�- rQ V Signature of Owner or Agent 4123 HORTp TOWN OF NORTH ANDOVER ` Of�"`O •,ti0 p PERMIT FOR PLUMBING SA US i This certifies that . . .��. .[�. �.CA !. L`? . . . . . . . . . . . . . . . . . . . . . . has permission to perform .i *lumbing in the buildings of y.... . . . . . . . . . . . . . . . . . . . . . kt. . .Y. . . . . . . . . . ... . . . . North Andover, Mass. r wee. Lic. No..<--/.c/, ./. .? .. )"-t--- - - - - - - - PLUMBING --- - - - - - - .PLUMBING INSPECTOR I WHITE:Applicant CANARY: Building Dept. PINK:Treasurer =14ANDOVER, SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ( NSETTS- a 9 Date Building Location V 41 /{��IIIEV 78?• Owners Name Permit# „3 Amount 3 7• o Type of Occupancy. New Ef---- RenovationEl Replacement ❑ Plans Submitted Yes ❑ No Imo" FIXTURES > w z un 1A cc - A o An HIM 4IH HA" Sffi FIDQt 6HMAtli _... 7M 1H>l 9M (Print or type) Check one: Certificate. Installing Company Name C,uore� y El.cprp. _ Address LL/ Partner. Business Telephone 7 - F 7 7 3 3 ❑, Firm/Co. - "- Name of Licensed Plumber: Insurance Coverage: Indicate the,type,of insurance coverage by checking the apprWnate-box Liability insurance policy - Other type of irideinnity .® 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 ignature Owner ® 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 wor .and' sta atious rformed,unde Per nit JssuedfoL 1 plica..wr(will,be in.,..; compliance with all pertinent provisions of the assachuse s S e.P b� g d Ch r 14 the eneral.Laws. By: a e o Lcense um er Type of Plumbing License Title m•—�, . City/Town = Laen cse.i.um er 1Vlaster Jo�un APPR-�VED 0FRCE USE ONLY — r � 3 ,NORTH TOWN OF NORTH ANDOVER Of �,,ao ,n1tip O 3? '� a O �r PERMIT FOR GAS INSTALLATION 9 • s s ' ++no✓r`qh �,SSACNUSEt � ' O This certifies that . . t.�.z.. . .. . . . . f / N has permission for gas installation . . . . . . . . . ,. in the buildings of . .�.�. . .�.s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . �! . . . . .1 . . . . . :. .'. . ` . . . . . . . . . . . .. North Andover, Mass. Fee. . . .. . . Lic. No..r . . . . . . . . . f GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer -;;;;I MASSAMAP CA TON FOR PERMIT TO DO GASG ype or print) Date 7c:/, 19 NORTH ANDOVER, MASSACHUSETTS Building Locations l 1 S Ky V/F1'`, T25� Permit# 2 ^� Amount S , Owner's Name Newp Renovation ❑ Replacement ❑ Plans Submitted ❑ h• �n m �' z �_ c vv 1� z V L z.. z i- SUB -BASE .NI ENT BA SEM ENT 1ST. FLOOR 2 D . FLO G R 3RD . FLOOR 4T H . F L O O R 5'r 1i FLOG R 6T If . F'LOO R 7T If . FLOOR Is-r FI . FLOOR (Print or type) /' p Check one: Certificate Installing Company Name Ca Q V�� P—''�"- 1-/ ❑ Corp. Address / / > ( ❑ Partner. L-. v9✓� � Q r �' Y 3 Business Telephone °)"T _ ? ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter (C`l r (j'�� Cc C--AIL/ INSURANCE COVERAGE Check one: I have a current liability, Insurance policy or it's substantial equivalent. Yes — No❑ If you have checked ves, please indicate t_he type coverage by checking the appropriate box. Liability insurance policy 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information &aC tered) in above application are true and accurate to the best of my knowledge and that all plumbing work nd instd under Permit Issued for this application will be in compliance with all pertinent provisions of the �assachuseChapter 14 he en ral Laws. By: Signature of Licensed Plumber Or Gas Fitter Title -n- lumber . / (11 / 7 City/Town ❑ Gas Fitter -cense 7 umner Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Office Use Only �_ -_- uhP �ummttn�u>;ttl�h ttf �tt�a�ttL�ua�P1�5 Permit No. �'vr _ i9epartment of Publtr -afettg Occupancy& Fee Checked 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 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date %o c;" : �* or Town of NORTH ANDOVER To the In ector f Wires: The udersigned applies for a permit to perfo the eiec ricai work described below. Z17- Location (Street & Number) Ude 2 Owner or Tenant Owner's Address _ 75Y Is this permit in conjunction with a uiI i ig permit: es No C (Check Appropriate Box) Purpose of Building / Utility AuthorizatironnI No. Existing Service , s A _� Vols Overh Undgrnd F7 No. of Meters New Service �D Amps/�e� yD Volts 9verhead Undgrnd Z----No. of Meters ;4 4110 `�r 1 Number of Feeders and Ampacity J Location and Nature of Proposed Electrical Work go V e e(f Total No. of Transformers ! No. of Lighting Outlets No. of Hot Tubs � I KVA / No. of Lighting Fixtures Swimming Pool Above— In- --I KVA 9 9 grnd. — grnd. I Generators No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges I No. of Air Conc. / t ns 3 No. f Initiatingection No. of Disposals / I No.of Heat Total Total Pumas Tons KW No. of Sounding Devices r No. of Self Contained No. of Dishwashers / SoaceiArea Heating KW DetectioniSounding Devices (— No. of Dryers 0 I Heating Devices KW Local Muncipal Other Conniection No. of No. of Low Voltage No. of Water Heaters KW I Sicns Ballasts Wirino No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the reduirements of Massachusetts general Laws I have a current Liability Insurance Policy inducing Cambiet Operations Coverage or its substantial equivalent. YES have submitted valid proof of same to the Office. YES 4eNO = If you have checked YES. please indicate the type of coverage by checking the appro ox. INSURANCE BOND = OTHER = (Please Soec:ty) (Expiration Datel Estimated Value of El me�t7rical ork s =-ein0 Work to Start v"� Insoecnon Date Recuested: Rough �T ✓� Final Signed under the It s of erlury: FIRM NAME LIC. NO. Licensee Signatur LIC. NO. 1 Bus. Tel. No. Address o/� Alt. Te1. No. OWNER'S INSURANCE WAIVER: I am aware that the Licen a ges not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Teleonone No. PERMIT FEE S (91 (Signature of Owner or Agent) X-8565 j1 Office Use Onlyo, (,14C C,11mmalliumto of Aasar*I:�+..� Permit No. Q( i 19cpaItment of Public %fietg Occupancy&Fee Checked- 3,1 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:000 (►save blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR t .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (%* or Town of NORTEI ANDOVER To the Ins ecto of Wires: The udersigned applies for a permit to p rform the, electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a buildi perm't: Yes No C (Check Appropriate Box) Purcose of Building Utility Authorization N . Existing Service v A • s _J Vgit Overhead '_ Undgrnd ❑ No. of Meters New Service � /} r- Voits Overhead r . of Neters�90 /^ � Undgrna Number of Feeders and Ampacity Location and Nature of Pr000seo Electrical Werk ✓ �` ✓�C� / of I No. of Transformers Tota: No. of Lignt:ng Outlets i No. Hot ucs i KVA No. of Licht:ng Fixtures i Sw:mm:na Poo: Abogrnve- crud. _ ! Generators KVA No. of Emergency Lighting No. of Recectac!e Outlets ! No. of Cil ourners I Battery Units No. of Switch Outlets i No. or Gas Burners FIRE ALARMS No. of Zones Tota: No. of Detection and No. of Ranges No. of Air Cchc- / tons Inrtiavna Devices No. of Disgosais No.of Heat Total Tota: ?arcs ons KW No. of Sounding Devices fNo. of Self Contained No. of Dishwashers / I SoaceiArea Heating FC'W DetecaoMSounging Devices — Munwioai No. of Dryers Heating Devices KW Lcca: Connecnon _Other No. of No. of Low Voltage No. of Water Heaters KW i Signs Ballasts Winna No. Hyaro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of '.lass- . sers general Laws I have a current Liagiiity Insurance Policy inclucing Comore Operations Coverage or its substantial equivalent. YES = NO = I have suom:ttea valid pr f-Of same to the Office. YES _ NO _ If you nave checKea YES. please indicate the type of coverage by checxing the appro ate box. INSURANCE BOND = OTHER = (Please Scec:fy) (Exb:ration Oatei Esvmated Value f E'ftneal W rk S Wcrx to Stan Inscect:on Date Recuestec: Rough Finai Signeq unser the P ties ofperjury: FIRM NAME LIC. NO./— Licensee Sicnature LIC. NO. O ,� A�Sus. :al. No. Address 1¢ C c/v u���Tet. No. I'd OWNERS INSURANCE WAIVER: I am aware that the Licensee goes not have the insurance coverage or its suostanvai equivalent as re- quirea by Massachusetts General Laws. ano that my signature on ;his permit application waives this requirement. Owner Agent (Please checK one) /+ 1 ') Telecrone No. PERMIT FEE S —59L— (Signature (J (Signature of Owner or Agentt Y-5-�c- Date...{.'tf..... f. l J HORTM TOWN OF NORTH ANDOVER F ` A PERMIT FOR WIRING SACMUSE� G This certifies that ..... .......... .:....... p p lam. .(.. ......../, .%.'P...............................! has permission to perform ......... ... wiring in the building of ...... t1 ' .r - ........... L 1.1......../.....r..fr. .......r......::-.e .............. . r ,l.l.:'•• L /`�,at... ...... .f. .. North Andover,Mass. �. ............Fee . r �....... Lic.No... ' ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Office Use Only of &MML1nWt# of ftt000thuopt's Permit No. f�C}JEiTf12tEIi2 of11111it 'IIfP2U Occupancy A Fee Checked_ - BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 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 5r- Z-�s- City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) (� /� C� U S Owner or Tenant 7-20 Z [L Owner's Address Is this permit in conjunction with a building permit: Yes L7-1No (Check Appropriate Box) Purpose of Building 46Qie Xer Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _1 Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity l Location and Nature of Proposed Electrical Work ?LCu/cy-Et/ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Bumers Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring 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 Comoieted Operations Coverage or its substantial equivalent. YES Q NO C 1 have submitted valid proof of same to the Office. YES = NO C if you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE RL BOND Q OTHER ❑ (Please Specity) �U (Expiration Date) Estimated Value of Electrical Work$ Work to Start J - Z Inspection Date Requested: Rough Final - Signed under the Penalties of perjury: L6s_ FIRM NAMES�? �� ���L'�"'� -y LIC. NO. S- Licensee .�o�E :1 40 Q UCL-`111--2 Signature - LIC. NO. f '� Address O Z S(( Pv— Bus. Tei. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) x-6565 sr r '� Date... ."�... ....l......~..... � 22 3 NORTH `°.;�.',"oo� TOWN OF NORTH ANDOVER ' ` PERMIT FOR WIRING 7SSAcmuSS r This certifies that ...'*e. '...,.4�.:...........;....: f � has permission to perform ......._e..l. e Y..f.r.:. 1....... .... wiring in the building of !..l,'' `..%............................................ at...�%J......................:.....:.....:........... ................ ,North Andover,Mass-- Fee.../._7:. assFee.../._7:."...... Lic.No.-I ............. P � N WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File ' �, Date......��'. ......... ?2 a HORT11 i Ott,�ao .a 1+ TOWN OF NORTH ANDOVER { PERMIT FOR WIRING �,SSACMu`�ES I This certifies that .......r {`'� /fi ?��!. ............ f{ �� ...L ... ........ .......... has permission to perform ......... .: 1 f.......... C.....,............... wiring in the building of........T:11 . ...... at.... ....,,.[.i..�l..,�:..!���...�.c.c. ....�.�.r..'�.?............... ,North Andover,Mass. .............. t.�7t ............. ... ....... ................ c� BLE CTRICA..LIN..SPECTOR.... > f! 05/22/9a 12.04 210.00 P10 WRITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File