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Home My WebLink AboutMiscellaneous - 42 NADINE LANE 4/30/2018 42 NADINE LANE 210/025.0-0023-0000.0 _-- Location ±Z No. { Date °RT" TOWN OF NORTH ANDOVER Certificate of Occupancy $ C a Building/Frame Permit Fee $ 'ss�INU Foundation Permit Fee , Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ M" TOTAL $ .SCI S uilding Inspector 'f' 9.0735 Div. Public Works PERJIIT NO. L I �� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /� PAGE 1 MAP KBO. � � LOT NO. d®�'� 2 RECORD OF OWNERSHIP �DAT�IBOOK PAGE — ZONE I SUB DIV. LOT NO. LOCATION ^ fI JI/lJG V PURPOSE OF BUILDING �w1� 1,7 'l�(// G�"/ UT G✓I /T/� OWNER'S NAME 14tt .4 NO. OF STORIES SIZE OWNER'S ADDRESS �9 �,J �,/JF 2'a i 0 A� BASEMENT OR SLAB - ARCHITECT'S NAME i" V �1•'y _fl/' �7f SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Cie- SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY /IS BUILDING ALTERATION X)o 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 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 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 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 lJ BUILDING INSPECTOR SIGNATURE OF OWNER OR'AUTHORIZED T F E E 5 Iti OWNER TEL.# IJ�� / Sb PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# Mu-.2% ` � y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES 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 _ 3 l 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ V. 1/1 % FIN. ATTIC AREA _ N_O BM'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 HARDIN 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 I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING i GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 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 \ STEEL BMS. & COLS. HOT W'T'R OR VAPOR s WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ~ B'M'T 2nd _ ELECTRIC _ Isf 13rd 1I NO HEATINGr7 '� i , �6b 4 wl x s uP 8Y ' VPNIY.D , Ow , - Ci T67 VM 1 1997 'Town of North Andover .caTH OFFICE OF COMMUNITY DEVELOPMET � -D SERVICES: Nr 146 N� Street -.. h KENNETH it MAHONY Nor=Andover, Massachusetts 01845 t Director (508) 688-9SS P'.ease- pant F ,r �JoB LocAiloN: Numoer, S`set;address Sec'soa of,tow-n--: O } x' lame - prone _ �Vor :phone: P4ESnv NI AILING ADDRESS.. C.,tv/Towr_. State: Zoo code Wit, a r The'cur ent e.KemDtion,for "homeowme.s ':VRS et".��-�G:`.i0 InC113ce owner-occupied-d�vellia;s ' -f SIX Units'or less and to dllcw'S',.:c- m0*..1' eo:v,-.e:s .t).en—a= an individual for hire who dOeS K -tot possess:a Iicense:rprovided.that`the owner ac's as supervisor. (S ate Building.Code .Sec tiorl.4109.1.1) _ f , .. IDEZ INITIOv OF HOMEOW.N ° Parson(S) who.'owns a parcel 0: la=d onVniic1 :e:sH -esides 'or intends to res ide:<'oa.Vhic1 i t fere is . or;is intended, to be-a one :o si?C a Lii�' u:�3'_1 ?, attached or detached s ructure8 ac s ,. - cessorr to such use and/or fa�� s�:c^�:res. person .v no cons,zc`s more than one home in `I f, tcvo-,;ear period snail not be cons.dered a.homed nee ..Suca "homec:vaer"_ shall submit to, r A' the-Building Official. on a for= acaeptab a to the Building Official...'�'tdt he/she shallbe t a resvonsible for.all such work per-or=ed under the building permit.:(Section late undersigned "homeowne ` ass',1::�� Ies�02's 011itT' for comnlianc3.:VItl1 the-St Buil ding, 9 Code and-other aoplicable codes ` _is.. _ aS a=C ,,,,.a ons t max. 4 h � r �; r � r=a '•'. -' - c ,•., .-• t ",-. Ii-ie undersigned "homeowner C�..s._?S �.'2dt' �9.S.:e �I GeIstandS Gt:e TGx�Z1 0O. 110 er 4+°' F F uilding Depar'u-neni minims i= e��on prcced;::es and requirements and that. iersne:will =damply with said procedures an 4 . 1 rt 4z � " HO', OWNERS,SIGNATL� ' ADDROVAL OF BMLDIPrG 0FF7 I- r nka Y.. ° kT. i �,ote Three'farniiv dwellin;s 35.000 cubic feet, or larpr:.will be required to comp.iy,with p t State.Building Code Section L?0ozis—,uC,ion Control .- 8 aPP°�aLS b88-9541 . B(JI 1NG-688-9545 CONSERVAMON 688-9530 HEALTH,689-9540, PLANNING 688-9535 a D.Robot.NM=Ma Jiic'ssei Howard: Sandra Start K=Wmn Bradley CaIweil Julie Panmio . F �4ORT Town of _ Andover No. / 12 - * ? dover, Mass. 1 9 > 0 '9A_COCHICHEWICK ~Y'�•t OqA E D S BOARD OF HEALTH PERMIT T D Food/Kitchen i Septic System M.A. BUILDING INSPECTOR THIS CERTIFIES THAT........................................../ A ..+....................Es... ............................................. Foundation has permission to erect .....1.4.L7-r.f.Z........... buildings on ........121....../1� .a. ..........:;L.dl._ .......... •••• Rough to be occupied as..........F-maS..t •.sf se..1.`OAO'T................52 v.g.A.��........6.9.f.�40 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. #EA-t 6 S S TC- m N ZOD S PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. K S l .f l� Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR Rough ......:............................... ............ ... .................................. Service UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove R Rounal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT ' Burner Street No. Smoke Det. . 'tet-�.fi � , -��-r-_r•r.�� i [ �'; ,r.,.,��....�.--�trx.<.x.:: -•r.. Location_ '�- Aleee No. Date !P ZQ et� of 14°aT;1,, TOWN OF NORTH ANDOVER w 'Ru; p Certificate of Occupancy $ t • * ; ' Building/Frame Permit Fee $ .,r. �SSAC UsEt� Foundation Permit Fee $ $ Other Permit Fee $ 0 f �t0 90 Sewer Connection Fee $ /COQ.40 U d Al (; Water Connection Fee $ TOTAL $ 7A77, �Z) M . �� 'N"0-00 �.,,,,Buildira0 Insp ctor _ 4.55 .00 PAID Div. blit Works .i.r •7.1�. -„• '1 ... ',yr+T:T'. '�`.:8'I.a..'-'._... 'r.�yy.y...,y..�--.—.�..•vs..t,.y --� �" ��...i+....e.t•. Location 3 'y. No. 7A to Date F f` RT h O Of &O o A TOWN OF NORTH ANDOVER f" ° p Certificate of Occupancy $ :v fi }}�, Building/Frame Permit Fee $ cMuSEt Foundation Permit Fee $ .. Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ .... TOTAL $ "... Fi 5 Building Inspector 8670 Div. Public Works AA + � ,l Location Z AN ME `..AUL No. 2 Date 2 o�.N°"T etio TOWN OF NORTH ANDOVER CJi p Certificate of Occupancy $ y C. v ,�, :"; Building/Frame Permit Fee $ .„ Foundation Permit Fee Other Permit Fee $ S Sewer Connection Fee $ Water Connection Fee $ TOTAL $fv 'Building Inspector I � 06'T;- Div. Public Works 71 PER_itIT *0! .C-� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP -NO. a LOT NO. ;?. -a,� 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. LqCATION 4 Z /1 kZ- A)/ PURPOSE OF BUILDING `ov `f OWNER'S NAME C�► l k`/! fi V r-f/� NO. OF STORIES cn• SIZE 2 Sr- OW NER'S r- OWNER'S ADDRESS �J__ n ( r BASEMENT OR SLAB 9! ,�-r AW---HITECT'S NAME �'V (' r SIZE OF FLOOR TIMBERS 1'STT „'1��V2ND �y�O_ 3RD 'g�•� _r BUILDER'S NAME e^.a[, - co s 7- C'4 SPAN DISTANCE TO NEAREST BUILDING tot./- L DIMENSIONS OF SILLLS(// b -- DISTANCE FROM STREET �0 POSTS �j 1 its DISTANCE FROM LOT LINES - SIDES y REAR '" GIRDERS O/ �i AREA OF LOT '.5,000 S L FRONTAGE �� HEIGHT OF FOUNDATION ff THICKNESS IT.,I I IS BUILDING NEW Y SIZE OF FOOTING %o er X (�r V IS BUILDING ADDITION r h Lil MATERIAL OF CHIMNEY It �_ u IS BUILDING ALTERATION �v IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y�!G IS BUILDING CONNECTED TO TOWN WATER .-S BOARD OF APPEALS ACTION. IF ANY d T JJ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE a- INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST or SEE BOTH SIDES REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST -A�C '�t'7(_.Opn� PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. ��..OQ PAGE 2 FILL OUT SECTIONS i - 12 4-- � � EST. BLDG. COST PER ROOM DATE FEE PAID 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 c+ S 50ez Co�(SO �d -BUILDING INfPRCTOR SIGNATURE OF OWN9K OR AUTriOR17rug AGENT F E E OWNER TEL.# � PERMIT GRANTED _ PERMIT FOR FRAMUBUIL G CONTR.TEL.# 32 Y ooh/ 19 _ ATE 4q,CFEE PAI CONTR.LIC.# H.I.C.# ,W 2 3 1995 PMT fm FSE `2-� ��o .� � BUILDING RECORD ' 1 OCC PANCY 12 SINGLE FAMILY STORIES 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 d k3 - CONCRETE 81.K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ 1/1 1/1 1/ FIN. ATTIC AREA _ N_O B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN _ 4 WALLS 9 FLOORS CLAPBOARDS 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY r~ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR ,Y ,C.-C• +. •? !� i •I --+�' I J, BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME 1 •' SUPERIOR --yl POOR ► -�T•�p ""�'�` - 3• >. ADEQUATE I I NONE I� 5 V,ROOF 10 PLUMBING 2 ` GABLE HIP BATH 13 FIX.) . GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK J ' SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER , ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING tl1FURNACE g -� tPJ } WOOD JOIST PIPELESS FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. te HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING t ,•„_�•,,,^„ ,J� t°-. RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS _ Z OIL 8'M'T 2nd _ ELECTRIC yet y� 111 `+� 13rd I NO HEATING ,.A;. TIMM 3 • ORT j F oVM Of over N6. 296 O `. yy �, -i--- _ rt �( dover, Mass.,ZwY 28 19� T 0 LAK E T 1 'p COCHICHEWICK TED PPS` BOARD OF HEALTH P E, RM11T T D Food/Kitchen Septic System -- BUILDING INSPECTOR THIS CERTIFIES THAT...UIV,,kOAR ...... . ...... ... ... 8.0PA G►�i ............................................................................. Foundation has permission to erect..UIQ......%IUMrc.. buildings on .4.Z..... .1.A......�f!}. ............Q! . .4....� ........ Rough to be occupied as 2l .. ir.LL....�79M ~I 1 ,l,l�.f1C�....c..t0 .,..I..... Q...... n1 � .e............................ Chimney provided that the person accepting this per It shall in every respe t 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 Inspectio � rfa �� 18�LY 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 Y DATE L 4 FEE PAID Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 9 UNLESS CONS TSR Rough ......................................................BUILDIN................ ..... .......................SPECTOR Service IIf Final ccupancy IN Permit Required to Occupy Building GAB Display in a Conspicuous Place on the Premises — Do Not Remove � 1 '�Ra • PE Ypl No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. �A'��: E DEPARTMENT Burner. i PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 8370 —e&(4q-86?0 - --FOli U LOT RF.LASE FORK INSTRUCTIONS This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state lav, regulations or r irements. - �l .. . ****************Applicant 'filis out -this section***************** APPLICANT: Phone �7Y o® Y_ LOCATION: Assessor's :fan Number °g3 Parcel as r 3 a L.4 Subdivision �//t/E" H� Lot(s) - Street St. Number �Z * tx,kit**u*�irirt�ttie�t�e�e -t�it�e*i(`�L�C' 3� Sa Qnl y•k�te�ie�e*ie 7e 7i�i�e�kieir�iir�i�feieie�t�ir�fr�fr RECOMMENDATIONS C71-<7'S:Z/ / Date annroved 6 �(�� Xd-:l,=====___ Dat_ Roto== `l td l.lebA Oat a ppro'v ed (n ISY _cwn Planner Data Rejected Date approved Fcod I^specter- esl=.: Date Rejected Date Ancroved I.UiZ22 . zt,c L^spector-"r__a��_ Date Rejected Cort.,�entsi1 Public Worcs - sewer/water connections - driveway per-mit -Fize De..a_tm�j.�tJ-"r,s W �c /(lei ec �jcl- Received by Bulking Inspec=o_ Date ,i 2 1995 The Commonwealth of!Massachusetts Department of Industrial Accidents -- II�rC�d16rI�S 600 Washington Street Boston,Mass 02111 Workers'Compensation Insurance Affidavit name: location: I A city /`L ttl-,J O�f=�z rti� phone# M I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees ng on tyees workithis job. comoany name. , . address. ' Si : phone 9: 3 `f- insurance co. _.:. . 120fiag I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: �^ ��.:. company name 4 S''`u-ol,-�L� address. city. phone#. insurance co. 12olia# company name: address. city "phone#. insurance co. poles# ora' ee •i$nei:essa Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepa4'ns and penalties of perjury that the inforneation provided above is trueandcorrect Signature /'� C-- Date -)Ii C—,(r (T Print name 4 � Phone# otriC use only do not write in this area to be completed by city or town official �7 city or town: permit/titense ^�l>' uilding Department OLieensing Board O cheek if immediate response is required E3Selectmen's Office 0Iiealth Department contact person: phoaK#; nOther (avUed 2/95 PIA) 1 M1� LOT 1 6' 30. 53 N 'w 0 it 1g. 9, FOUNDATION LOCATION PLAN THE HO,�T�L THE PRIMARY EQ�CENTS £CONFORMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCI£D. (THIS CERITFIGAON DOES NOT cDNS/DER ANY O1HER RESTRICTIONS SUCN AS COVENANTS.WETLANDS.EASEUDM CLIENT: SCOTT CONSTRUCTION ORDERS OF CW=0NS.ETC.) THIS DRAWING SHALL NOT BE USED BY THE CUENT FOR ANY THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT WITH THE WRITTEN PERMISSION Of CHMS71ANSIN R SERGI /Nc. TO THE ABOVE CUENT. FURTHERMORE THIS DRAWING 5 THE COPYRIGHTED PROPERTY OF CHRISMNSEN d SERGI INC. AND ANY UNAUINORIZED USE IS PROf WIMCHMSflANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INfOR- MATION CONTAINED HEREON. LOCATION.-NADINE LANE N NORTH ANDOVER SH OF Mq�J 9 MICHAEL cyc SCALE. 1"=30' DATE.7/11/95 5 J I No. 191 r J 0 CHRI S TIA NSEN &SERGI PRO`�O A RVEYORS 160 SUMMER ST. HAVERNIU..MA. 01830 TEL 508-373-0310 0 Im BY cumf7 ANSEN # SERGI /NQ DWG.NO.: 94015014 (4P - � NADINE LANE North Andover ca.rmi Designs 10058 EM 1B "I 13 00 0 \ OD o0 00 24 X 28 SPLIT COLONIAL aw 2 31995 3 BEDROOMS — 21/2 BATHS — GARAGE "° , �m w EmNEI 11 MEN ■■■ ■■■ = ■� _ ■■■ ■■■ _ _- ■■■ ■■■ -_ '�� __ ■■■ ■■■ _ _ _ _ ■� _ NINE Noon �� -MUM _ ■■■ ■■■ — —. ■■■ FEE IMMMWm W" A■ _ loonWIN ■■■ ■■■ _ -I1WNWIN NNNIIIIINNIN - l�� I Now MOM Won �■ mNoomn ■■� M IMM ■ 1 � - MEIN ■■■ �■■■■ ■ �■ I�■ ■ � MOM 1■■�E ■ � 1■■ ■ 1 ■ ■■■ ■ I■■ ■mol Non ONE NEE ■■■ = 1■ ■■■ - ■siii _ - �� ► � 1I Lei► Carroll Designs PABox 1957 ® ® ® Andover,MA 01810033 RESDENTIAL DES& 508-475-1486 Fax 508-474-9354 ® Drawn Alan Carroll MARCH 1995 Q RIGHT ELEVATION REAR ELEVATION zo 1/8" = 1'0" 1/8n = 1.0" 7W W _I L ` O General Notes: 4 U 1. All dimensions are to be field verified by the Contractor and any z adjustments made accordingly. 2. All work shall be completed in compliance with all applicable Bulding, z = 0- Plumbing, Electrical codes. Any other local, state and/or federal codes that may apply to this project shall be considered as part of the Q 00 construction documents. Q O N 3. All waste materials and debris shall be removed and disposed of properly Z z x 4. All structural materials shall be void of any defects that may diminish their capacity to function in an adequate manner. Structural Engineering d" or any other professional services that may be required shall be N .. provided by others under separate contract and terms. 5. All penetrations (Plumbing, Electrical, Heating, etc.) thru floors shall be completely Fire Caulked. Job No. 6. All walls adjacent to stairs shall have Fie Blocking installed adjacent 10058 to the stringers. aw91lo. LEFT ELEVATION 7. Any liability by Carroll Designs either assumed or rnplied shall be limited to the cost of the Design/Drafting Fee for this project only. A - 2 1/8" = 1'0" If these drawings are copied and used for any project other than that listed in the title block shall remove Carroll Designs of all liability. rH—S2OF9 2381/2" 4'13/4" 12'13/4" j r 7,011 ;9'8" L 7'0 2" 2'10" 3'5" 28 5'9112" X 5'5" ' T -----' II uY-'------I I - _ ' C w I � DINING ROOM KITCHEN 06 N o z `� LO C o `r' _ P �I N x N GARAGE FINISH All wood constructed walls and o ceiling to have 5/8" type 'X' fre 2'4" rated Wallboard installed - - - - - - - - - - - CL. 2'0" 10'0" r CO 00 O N . ca co � LO cD C-4N 0 x � � N N CD r, � CV — — — — LIVING ROOM0 . �'6" 4" 4'°3�4" 1 U-) GARAGE U --------------I 3'0" lit---1! 69Y' X 5'5" PORCH 9b" x A� Overhead door 7'0" 9'0" 1690" 6'13/4" 6'13/4" Igo 27'81/" 12'Am FIRSTLOR 1/4" = 1'0"' 10058 3-9 } . 16'13/4" 21 6" 9,41/4" 12,0" Y �•0» 9,134» 5,4,4„ 4,0„ ` 5'A" X 4'5" 2'10" S5" ti 0 L BEDROOM #2 z W BATH cf) In CO V Oq2'6" 3 )N x � aN CL. M� " ' ~ M BATH x0 24 20 O t - - - - - - I cv i N ,6„ 3'21/2„ � i i T - - - - - CLOSET 214" LOFTO I 5'0" SLDNG 710" 5,13/ " 4 o � ._ a x _ to a _ O Cp O CN C> ?C 1-4 lV N C-4 L 1- 46 o Z L.LJ N 0 r ^ O __j v ' s BEDROOM 3 4'6" 4'434" _ To 5'9 1'2 X 4'5" M BEDROOM #1 2'10" X 4'5" �,0" 6, 3/4„ 2,4/4" 6,0„ 5,81/2„ 6,134„ 6,13/4Log „ 16'0” 11'8 2" 12'31/2" O-ND FLOOR PLAN 1/4": 1'0" • v 10058 4 —9 Bulkhead ti ' size & location 1 ' by bulder 40'0" T0" 9'8" 17'4" 6'0" r ------------- ------ ---- -------------------- ------------------------------------------------ ----------------Fi 37 2'10" X 3'5" 2'10" X ST I ' I CD ; FOUNDATION o cn 10" Concrete Wall / 4'0' Pour 10" Dp x 1'8" W Cont Footing ' I ----------------- : ' C-4i ; O 1 e a a e - a � 1 1 N 3 — 2 x 12 Center Beam ;--------------------------; � GARAGE FINISH � r " t � 6r 0" 6 0 6'0" 4'61'2 1 All wood constructed walls and ' ►� ; celing to have 5/8" type 'X' fire ; ___J___ _ _J___ ___ ___ __ 1 ' rated Wallboard installed 1 i N , 1 1 1 1 ' --- '--- --- ' - - rr- -j- --- ' It , 1 31/2" Dia.Lally Columns With 2'6" Sq.x 1b" Dp. I ; .►, ; Footing (4 req'd) 1 ' ' 1 ' +• ' 1 O I ' �► 1 O 1 ' N O t 1 t7 t ►' 1 N a' N W 1 •'► 1 I I j 1 O0 1 I 1 N 1 I t ►► 1 U a 1 ►► 1 O 1 1 En 1 1 1 I I 1 ''► 1 1 �► 1 i I1 1 159Y` X 3'5" 1 1 --------------------------------------- ---- ----------------------- - -------------------- ------------------------ ' 1 1 ' 1 1 1 1 ' 1 1 ''► � s 1 1 1 t t 1 O t 1 t '► t 1 'P 1 :�- 1 ► IL--------------------------- IL---------------------------J ►► ---------------------------- �► 1 — — — — — — — — — — — — - 1 1 a - ------- a 1 '33/ " 9 80 1,31/40 �. 16'0" 11'8%" 12'3112" ft i Limits: 10" Rased Foundation FOUNDATION PLAN. 1/4" = 110" ' 10058 5-9 li Continuous Baffled Ridge Vent Continuous Baffled Ridge Vent i 2 x 10 Ridge Board 2 x 10 Ridge Board 4 12 12 - --- ROOFING Comosite Roofing 8 2 x 6 Collar Ties ® 4'0" OC. 2 x 6 Collar Ties 0 4'0" O.C. . � P 9 Building Paper 1-4 1/2" Plywood 2x8016" O.C. r` CEILING CEILING 2x6016" O.C. 2x6016" 0.C. 10" Overhanging Soffit R30 Fberglass Insulation R30 Fber lass Insulation F with Venting Vapor Barrier Vapor Barrier �� 1/2" Wallboard 1/2' Wauboard r` FLOOR FLOOR 3/4" Plywood 3/4" Plywood 2X801600.C. 2X8016" 0.C. 00 WALL �N Siding,AF Barrier , Sheathng,2x4 ® 16" 0.C. 2x6 ® 16 O.C. N Insulation,Vapor Barrier 00 1/2" Wallboard Li I FLOOR -'r' FLOOR 3/4" Sheathing 3/4" Sheathing 2X10 ® 16" OL. 2X10 ® 16" OL. 0 Porch post �N SILL 3 — 2 x 12 Center Beam 3 — 2 x 12 Center Beam 1 - 2x6KD1 - 2x6PT Continuous Sif Gasket 1/2" Dia.x 12" L . Anchor Bolts 3 1/2" Dia. Lally Columns 31/2" Dia.Lally Columns 00 ® 8'0" O.C.(max With 2'6" Sq x 10" Dp Footing F With 2'6" Sq x 10" Dp Footing r-_ (see foundation plan for locations) - (see foundation plan for locations) FOUNDATION 10" Concrete Wall / 4'0" Pour 10 Dp x 1'8" W Cont.Footing 4" Concrete Slab 4" Concrete Slob _ a s Al SECTION � s - SECTION - FOYER 1/4" = 1'0" 1/4" = 1'0" 10058 6-9 � r Continuous Baffled Ridge Vent 2 x 10 Ridge Board 2 x 6 Collor Ties ® 4'0" OD. R 0 0 F1NG Asphalt/Fiberglass Roofing Building Paper 1/2" Plywood 2x8016" O.C. CEILING 2x8016" 0JC. R30 Fiberglass insulation Vapor Barrier 1/2" Wallboard. 2 x 10 Plate 0o NOON FLOOR 3/4" Sheathing �N „ 2 X 8 ® 16" O.C. 10 Overhanging Soffit w/vents R19 insulation re) WALL Siding, S'd'ng,A"r Barrier • GARAGE FINISH Sheathing,2 x 4 ® 16" O.C. Al wood constructed walls and FLOOR Insulation,Vapor Barrier ceiling to have 5/8' type 'X' fre3/4" Sheathing 1/2" Wallboard � rated Wanboard installed 2 X 10 ® 16" O.C. CCD WALL 00 Siding,Air Barrier Sheathing,2 x 6 ® 16" O.C. N Insulation, Vapor Barrier 1/2" Wallboard 0 4" Concrete Slab SILL e 1 - 2x6PJ,1 - 2x6KD. Continuous Sill Gasket 1/2" Dim x 12" LAnchor Bolts ® 8'0" O.C. (m ax" FOUNDATION 10" Concrete Wall 10" Dp x 1'8 W Cont Footing SECTION M BEDRQOM/G F 1/4" = 1'0" 10058 7-9 ,. , a s I Lower Platform Framing Ali members are 2 x 10 ® 16. O.C.(UN.0) All members are 2 x 8 0 16' O:C.(UNA) Lower Master Bedroom Framing FIRST FLOOR FRAMING SECOND FLOOR FRAMIN 1/8• = 1'0' 1/8• = 1b' Flush Framed Beam 2 x 10 Ridge Board 2 x 10 R' a Board Flush Framed Beam JL— All members are 2 x 8 ® 16' O.C.(UNA) All members are 2 x 8 ® 16. O.C.(UNA) ATTIC FLOOR FRAMING ROOF FRAMING 10058 8 -9 3/4 Plywood - - ` ontinuous Baffled oor Joist Ridge Board Ridge Vent " A'r Space LiCL Roof Sheathing �min.S 1-2x6 P.T, 1-2x6 KD. s Continuous Sill Gasket 2X Fire Blocking 1/2" Dia. x 12- L Anchor Bolts a 3 — 2 x 12 Center Beam Roof Rafters A FIRE BLOCKING , 2- = 1,o,. OB RIDGE VENT . „ 1 / 1/2" = 10 0 1/2" Plywood o r Sll Gasket aintain 2" (min.) AV space or Caulk e 12 1 — 2 x 4 Bottom Platej--3/4" plywood o �8 Alum. Dip Edge 2 x 8 Rim Joist / - x 8 Fascia i 2 — 2 x 4 Top Plate with Gutters o 2x 8 16" O.C. 2 x 3 Nailer Floor Joists Soffit w/vents e e 10" e C INTERM. FLOOR 1/2' ro" Do SOFFIT 1/2" = 1'0" 4" Concrete Slab - / _ _ i Gasket or Caulk 1 — 2 x 4 Bottom Plate 3/4" Plywood with Sill Gasket or Caulk FOUNDATION 2 x 10 ® 16" O.C. 3/4, plywood 10" Concrete Wall / 50" Pour 10" D 1'8" WCont.p xFooting 1-2x6 P.T, 1-2x6 KD. 2 x 8 @ 16" O.C. o Continuous S11 Gasket 2 — 2 x 8 RH Joist 1/2" Dia x 12" L . Anchor Bolts ® 8'0" O.C. (max 2 — 2 x 4 Top Plate 10" Conc. Fdn E SILL y = F INTERM. FLOOR9-91/2 ,o ,/2� — ,.o„ G 10 CONC. FDN. , 2�. _ ,.o.. 10058 oz�� Tt�eL: —:� Q R T own of over Q Poo. 296 y ti port l[ dower, Mass., Jt� �3 19` Ks T O -^�- LAE q. T _ GOCHICHE WICK � ��A�RATED i BOARD OF H TH Food/Kitchen I' � r l Septic System , IT T jai l ' } PMa E BUILDING INSPECTOR; M' THIS CERTIFIES THAT V-�k".w gam- P ............................................. .. . ..... ..... ound o , has permission to erect...V=. ........R&A.P.. buildings on Az..... .t.Nrc...... 1m.............t,� "... . ........ o� to be occupied as.�t. . ial.F..... fT&,m1 ��CA404....c.� 4..... .Q... Q - :.,............................ C imney f t '� } provided that the ersoh acre tin this er it shall In eve reset conform to the terms of the application on file in a' p p p 9 P every P pp Fina 1 21Z Z this offlce, and to the provisions of the Codes and By-Laws relating to the Inspectiopp Buildings In the Town of North Andover. PLUMBIN IN OR= REGULATED BY PARA. 114.8-S. B.C. , , VIOLATION of the Zoning or u g g B Ildln Regulations Voids this Permit. U LI` cif, � DATE FEE PAID PERINIT:.FOR FRAME/B"W.91IT EXPIRES 6 MONTHS 9 ELECTR C ,INSPECTO , � r _ M' r FEE PA CONS T Rougj p� / .. .... ...................... BUILDIN SPECTOR 1 04 GAS INSPECTOR �xpancy Permit Required to Occupy Building e , Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Final No Lathingor Dr Wall To Be Done Y FIRE DEPARTM NT `; Until Inspected and Approved by the Building Inspe tor. ,�, � Burner C CONSERVATI FINA Street No. FINAL PLANNING �I ISmoke Det. SEWER/WATER • 77J FINAL DRIVEWAY EN RY PERMIT 1 ` ?0 r � RTIFI:CATE OF USE & OCCUPANCY :. Town of North Andover ,X°Y�.,Wr��+?L � s�{#};;'��,, ;.� .�! @r Rd `_i;��,Buiiding:P,,ermit Number; 2Y96 Date i�czr-[-mhPr 22� 1995_ ; ` 'E f t. ff €M 3 r,. -a • t }ks�..t.ir+sM ;. - c i '. SSS F r.k ,'�' i��•p t°� � � � �"Ir'�N /j:"_; y7y{a `# f �j} .t ppf� p. i y �� '.��. �.� � E� r� � rAh:ji7 a '�t ty -•i�� :r�} �•�.�..� }; + ! d.i pp i ,y� ,ti 4se- *- ;; �F ,P ,Y. ku`t 'D i; r �• lip .; ! t �::,► }� 7 .�,.tJ .a�Y,C _ ,..3. e-P.,tr ,r 1 (, ' •� i'.* , r+f $k.# � , 1P ap3` 7i.� §J-I HIS CERTIFIES THAT ttbt(}} [¢ ' 4 t= h {.. p yy is}S• { ` =x:. 4 =',x} ^yl ` i' s• r i.f}• i r { z i . 33 { - j( fr t..� {. 5• *" s M .#z L1E I,: .. i,. 3.- �� it.-jp i ' ''.; # e 42 NADINE LANE Lot. #1 t ; } THE BUILDING LOCATED,ON � �' Gktl;t' `' # ra d' -r i•is. ` f 1a* -. 1 d �i7�.ys )tt'�S ke. p�.:°Ii•Iks jr ,4� ' �' Single Family Dwelling w/1 Car IN ACCORDANCE`" r ' _ [ y# MAY BE.00CUPIED AS •' a i �= lx ! a C'r£ dE# r`3 *a + + - r'r�l e;Itrl .M { .t?i 1. ' Y �'c I +� s � �., i, s•' t4�..'� }`Fl }-.9#q�s� - DEA * .THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CO ND SUCH:OTHER REGULATIONS AS MAY APPLY. ? • MORTCERTIFICATE ISSUED TO t ` 1. p�E O°� w w ao S Wl (1W Tri-0 fl�#V26� g!* 3• f,r �+ ♦.� '° OL .':€ '. #tr'!i#it� t f r :•ri k ;- _ , Y "Y W d Hil�lys— Havehrill t 9. r'k= ,a+_Et q�r `< iE f} `'7 1 #;•. FO1 rYk{ ;; 1S rs` .. ADD S �' fS t w�i • • {, +s f z: ' - pp Jn •w 'ij = jr'r1 ;[[r Pi#� "'9n :`� Tac p °�'.rifSaw.f• i"�,s* rr.. 1 s y' rl e4 ,�'�J{{p {j�•'#;a E`.x!;.S.. , Fia`- '��-,.�fr$of �+.�:r�.(i':'}�}�} .rf a.�K.`�.i'isP Tdr y b:i�'i l-.1.�.:�Y�',�s`$yRd��{1'skVR�!i�ti i 7� °,yliciiide i.�°✓�.'��4.a�'�r f"'� �„e��b ft�� +-nsa # � `h,” #(� A 1p Na dcn J. 4,6.: �� !•f��'.,"a,{i� 1`+�'i ��.., i. -i �. i4t 9 �Ej , fr,.� t �..•!-,r:ijj .:". r s1 }x q# ,`}wyf :? s r I �1 t *•«' � r 7d�n` 4+ J �is.�'{ y P�"1 .'•isir: r �.� , . �.i; 'F�. ',:�k � +,•:E��+9iS•�:�`� bkv�*}�` ri+ }r#Yg�'y ��'•��.�� _� f�fr �rY�ftq'.L}• :, l� .i ;' (. � � ii• . i�,.: ' r>'�f III,. s i� .r t APs..i' r� ,•� �� 1� �S�r" ,,a..Ek �.} C [Ra •Pr� '?'. C`s��l,�:s, *v� r t� ' !`�` it isa� h Fi $ (a�f7 $q{ gg` s k€ r' f tial.f! t # .+f k. 3 } }} •it wh e" Sq; t • �f ia8° '#,``' C'} i �k$ .� _ 4. SL v k } ' g4fy€ t't.7,� `j��•:g@ P ~ st + ..! - - I t -. { ��A,,,#'#'#'' 7 9 r A �t{. l� �4. I�t.,,A tIf j�ii 'k 4 ♦. 1,4 fp }! a:'r zR .i r G yi t rY ,•'q' �; ' ! e x t J1» `sa 1 Jr f 111 : 'y $ t P a � j d• Fix `� i I x yy 04 } �t1{Jr.. $#p'SrtG'�sw ! ' �#'If?�"8r'1'r,,i.iliFPj„rv,'},1.}_ 4.r�.a A.:.�f.� . ' � (� �� Office Use Only ulll: Crommunwralth If flomfiar#Ifts Permit No. lt;}tIIrimrnt of 1111b11t —Aitftiq Occupancy&Fee checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK t. All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:0JO (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date R/ (XK 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' ! Z 1JAPAC7 Uy, Owner or Tenant �� Owner's Address 94 4wxe zw Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) ` i bl� Purpose of Buiidina �lIMs51A(mg Utility Authorization No. Existing Service Amps _J Voits Overhead Undgrnd L-1 No. of Meters New Service Amps Voits Overhead ^ Uncgrnc r No. of Meters Number of Feeders and Ampacity SIT Location and Nature of Pr000sed Electrical Wori< � r/�! No. of Lighting Outlets may, �ju t �j No. of Hct pTotai s I No. of:ranstormers KVA No. of Lighting Fixtures Y��V � r/ I I Swimming Pcct Move.— In- tti} grric. _ cmc. _ I Generators KVA No. of Emergency Lighting No. of Recectacie Cutlets No. of Oil comers Battery Units No. of Switch Outlets No. of Gas _urr.ers FIRE ALARMS No. of Zones No. of Ranges I No. of Air Ccnc. Totat No. of Detection and [ons Initiating Cevices TctTotal at No. of Oisoosais I No•of Hear r 'cal K:'J No. of Bouncing Devices No. of Sett Con[aineo No. of Dishwashers ! SoaceiArea Heaur.o K`.•! DetacaoniSounaing Devices i — Munlcical No. of Orvers Heating Devices KvY Local -Other — Connec::on No. of Vo. cr Low Vcitage No. of Water Heaters KW I Signs Ba lasts Wirinc No. Hvaro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE CCVErR'AGE: Pursuant to the recuirements ct %lassac-sers ;eneral Laws I have a current Liaoiiity Insurance Policy including Ccmc:e[ec Oceraticns Coverage or its substantial eauivaient. YES = NO = I have sucmtttec valid orcof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage cy cnecxtng the aoprocriate box. INSURANCE = SCNO = OTHER = (Please Scec:'y) (Exbtranon Datel Estimated Value of E:ec:ncal Work S Work tb Start Insoec;:on Cate Recuestec: Rouget Final Signet unser the Penalties at perjury: FIRM NAM� UC. NO. Licensee full►V`�� Signature LIC. NO. ifs N ��ri G� s. :et. No. Sl>�— 463-64,71 Aocress Alt. Tel. No. < ! O OWNER'S INSURANCE`NAIVE. 1 a war hat the Licensee aces not nave the insurance coverage or its suostantial ecuivalent as re- QWret7 by Ma55aCt7use[ts Gen 1 l.a s. an ; at my Signature On ^,:5 ❑ermit dbpliC3tlOn waives this rebWrement. Ow Agent (Please�iecx I � � :eiecrone No. PERMIT FEES r (Signature of owner or A4&I - - qq qq Date... (?` .1....� :.3 826 N°RTM TOWN OF NORTH ANDOVER E 3 s°a Z. PERMIT FOR WIRING SSAcHUS This certifies that ..h�1.a .�, ` 5. . 5 ��{ W 4 !\..�. J.............. has permission to perform ..........� ...!#�........ wiring in the building of....`...�.wt. ,.......................................................... at....... �L.....Q J.��e....W..................... .North Andover,Mass. ' FeeA.K�. 0... Lic.Noll1.!#fbTI�...................................................... y CAL INSPECTOR 35 40.00 PAID / WHITE: Applicant CANARY:ai?a(,`�7 i D F, PINK:Treasurer A �\ Office Use Onl>; 01 Cf ommnnwr# of Magoot4uoetto Permit No. 1 ' - 31 ep rtmtnt of Public —Aafttq Occupancy& Fee Checked ,a BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 3190 (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 r or Town of NORTHANDOVER To the sped r of Wires: The udersigned applies for a permit toerform the elacArical wor/L sc ibe belowr' Location (Street & Number) A 7,! Owner or Tenant Owner's Address Is this permit in conjuncwith a building per it: Yes 7�No ❑ (Check Appropriate Box) tio c� Purpose of Building Utility Authorization No. �0 S Existing Service Amps I, Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service 40_ Amps/ (LVolts Overhead ❑ Undgrnd ®'" 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 1 No. of Lighting Fixtures / Swimming PoolAbove In- No. 9 Siigrnd. ❑ grnd. ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Out No. of Gas Burners FIRE ALARMS No. of Zones Ranges No. of Air Cond. Total No. s Detection and No. of Ran 9 � I tons Initiating Devices No. of Disposals / No.of Heat Total Total l� Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I' Space/Area Heating KW Detection/Sounding Devices No. of Dryershe Heating Devices KW Local ❑ Municipal Connection [:1 Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I 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 C NO - I have submitted valid proof of same to the Office. YES NO 7- If you have checked YES. please indicate the type of coverage by checking the appropriate box. INSURANCE — _BOND OTHER (Please Specify) (Expiration Date) Estimated Value of y1ectrijal or s Work to Start Inspection Date Requested: Rough Final Signed under th fm ties of perjury: FIRM NAME LIC. NO. Licensee e S CL Signature LIC. NO. e1� BX. Tel. No. � �, t h� s Address Alt. Tel. No. OWNER'S INSURANCE W VEA: 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) /�,�/J\' Telephone No. PERMIT FEES V (Signature of Owner or Agent) x-6565 a � � J ., Date....... 475 ..... ........... ....:f °t No°T.�°14,o TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING CU SACNUSEt ' F ` This certifies that _ f �' '••••••• M has permission to perform ..... .1.:...r....... ............�:.............. ..:......!......... 0 wiring in the building of ......... f + ' ,North Andover,Mass. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Office Use Only .�5 Permit No. l'� � �QttirilIIltUl # l �t 111 �f OccuparM a Fee Checked . .. . 3/90 .:;' .. (leave blank) 1 �CmItltiCttt of"pub(ic �fetU BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 Ward Area n n APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527uCMR r1�2:/0�0, I (PLEASE PRINT IN INK OR TYPE ALL INFOR �A31�ON) .� Date - City or Town of 0&�E Q��Imo.---- To the Inspector of Wires: m n The undersigned applies for a permit to perform the electr al work described below. o a i/ Location (Street & Number) �• � Owner or Tenant _,MARK q-- k) i-� a a_A /1,/ Owner's Address z Is thisermit in conjunction with a building permit: Yes ❑ No El (Check Appropriate Box) l P z Purpose of Building - Utility Authorization No. m Existing Service Amps I Volts Overhead ❑ Undgmd ❑ No.of Meters o Now Amps_J Volts Overhead El Undgmd ❑ No. of Meters 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Installation of alarm system I _ � Total = No.of Lighting Outlets No.of Hot Tubs No.of Transformers KVA -t M I No.of Lighting Fixtures Swimming Poon Above In- gmd ❑ grnd. ❑ Generators KVA o No.of Emergency Lighting Z No.of Receptacle Outlets No.of Oil Burners Battery Units n O No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones -< No. of Ranges No.of Air Cond. Total No.of Detection and tons Initiating Devices G7 O Heat Total Total No. of Disposals No.of Pr umps Tons KW No.of Sounding Devices No.of Self Contained z No.of Dishwashers Space/Area Heating KW DetectkxvSounding Devices v M C'> (I No.of Dryers Heating Devices KW Local Municipal Other —r yu\ ❑ Connection ❑ � No.of No.of ow Voltage ` No.of Water Heaters KW Signs Ballasts Wiring \\�l No. Hydro Massage Tubs No.of Motors Total HP O j OTHER: A I 9 Iq 7O APR m (�D M z I INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability Insurance Policy includ- r— ing Completed Operations Coverage or its substantial equivalent.YES O NO O 1 have submitted valid proof of same to the Office. n YES O NO O If you,have checked YES,please Indicate the type of coverage by checking the appropriate box. INSURANCE X% BOND O OTHER O (Please Specify) S2 / �' O� (Expiration Date) Di- Estimated Estimated Value of Electrical Work S , C7 Work to Stan q"13Ab Inspection Date Requested: Rough Final `7 f3 Signed under the Penalties of Perjury: FIRM NAME LIC. NO.-1237C Licensee Signature LIC.NO. Bus.Tet.No.617-431-5800 60 William 8t /We11PR1Pyr, MA 02181 Art.Tel.No.61 7-431-5837 OWNER'S INSURANCE WAIVER:t am aware tha!the Licensee does rwt have the&tsuranoe coverage of its substantial equivalent as re- ?�.iY-�.aquMad bt►M>r�adN Qefleraf awl and tltet�irty a>3g�rs on,UtEs Pemtit appRcatbn valves Ws,!e9uirertteriL Owner. _ Ott! �� (Pfea.,e check one)•.""'�, ; g � r � 1 •�:�, ^ `; � k .a. - �,r��t�t.�.�+:c h't�Ft i .�;,."�< 49��,`�1� rlt',�Q q�,��hir x�76`,�, .�+�Q'�� r}�{. t:,4 :'•. .. `O- .f„ <*^.+'xil4GT�'Y�.dC�"''..,,,q•"'"`'"`-...-....,.�..,,_ ...y,�m.{�,�'Y�„y+�°Yz'?1�"•i�"�.+'rt+....-...i-•f'+,+�i•,,.`�}.*+.�1P '� €t Date. A ot ,ORTN TOWN OF N�+OwRT-rigHyAANDOVER S PERMIT FOR INSTALLATIO0 y° -4 � �9SS4CNUSES r 4 This certifies that . . . .X.D. . has permission for En installation . . A. ct l? w. . . �€ in the buildings of . . J=.' .`/ . . . . . . . . . . . . . . . . . . . . . . . at Ll.?: .Aq cf!✓t e J No Andover, Maw. Lic. No../.�. INSPECTOR jr WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:Pile