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Home My WebLink AboutMiscellaneous - 435 CHESTNUT STREET 4/30/2018 2101098.0-00840000.0 � � 7 Date.................................. NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING Y �,SS�cHus� This certifies that ....�:: /..j�.a.-.....I'f............................................................ has permission to perfoi �*�>-.-%..-... -� ........... wiring in the building ofd,,,�. ................................. ........................................ C 2i--- at ...... ..........,North Andover,Mass. r Fee- ......... Lic. .............. ............... ELECTRICALINSPECfO Check # 756U Commonwealth of Massachusetts otcial Use Only Department of Fire Services Permit No. `�� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checkecj- [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEY),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice o his or er inte ion t erform the electrical work described below. Location(Street&Nmber)u • Owner or Tenant Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes ❑ NoA Check Purpose of Building ( Appropriate Box) Utility Authorization No. Existing Service I`C)3 Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Und rd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Prosed^Electrical Wo k: III � lt�l��—.1�. � ` \. �. \�\�. y,�• Completion oft ollowin table ma be waived b the Inspector o Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency Ig Ing rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners F IRE ALARMS No.of Zones No.of Switches No.of Gas Burners Detection and � No,of Ranges No.of Air Cond. Total Initiating Devices Tons No.of Alerting Devices No,of Waste Disposers HffT Pump Number Tons K No.of Self-Contained otals: Detection/Alert'na,Devices No.of Dishwashers Space/Area Heating KW Local El Connection Connection E] Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of&cAttach additional detail if desired,or as required by the Inspector of Wires. i ical Work: (When required by municipal.policy.) Work to Start: V Ci Inspections to be requested in accordance with MEC Rule 10 and u on completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical wok may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov,er a is in force,and has exhibited proof of same to the permit issuing'office. � CHECK ONE: INSURANCE �' BOND ❑ OTHER ❑ (Specify:) I certify,under th&Rains and penal 'es o erjury,that the information on this application is true and complete. FIRM NAME: G LIC.NO.. Z Licensee: Signature ,,� ' (/fnpplicable, enter" xempt"in the lic nse nu ber lie.) LIC.NO.: Ml��Address: ` .r ` � Bus.Tel.No.: *Per M.G.L c. 147,s.57 61,security work requires Department of Public Safety"�I i�c n's�e: Alt Licl.No. ' OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ R 7 ® �C��z h �� C M�� o��. w 4 � The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Y Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apiplicant Information Name(Business/Organization/Individual): Please Print Le ibl Address: City/State/Zip: �C\ Phone#: Are employer?Check the appropriate box: 1•U i am a employer with 1 4. ❑ I am a general contractorand I Type of project(required) employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' 8. Demolition [No workers'comp.insurance comp.insurancl 9• ❑Building addition 3.❑ required.] 5. ❑ We arc a corporation and its 10.❑Electrical repairs or additions 1 am a homeowner doing all work officers have exercised their myself[No workers'compright1 L❑Plumbing repairs or additions of exemption per MGL insurance required.]t c. 152,§1(4),and we have no 12.❑Roof repairs employees.[No workers' 13.❑Other P.insurance required.] Any applicant that checks box#1 must abo fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workeis'comp.policy number. I am an employer that is providing workers'co enation Insurance for my employees. Below is the policy and job site information, Insurance Company Name: Policy#or Self-ins.Lic.#: ` Expiration Date: Job Site Address: t Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of ) fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK criminal and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuran a covers a verification. I do hereby ertify u er th a rrs a penalties ofperjury that the information provided abo is t e and correct Si tore: Date: Phone#: — FPerson: use only. Do not write in this area,to a completed by city or town 0 claL Town: Permit/License# Authority(circle one): d of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Phone#: � Date... 7.................... a 1 NORTH °f• ��"a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SS�cHusE� This certifies that ....�-��- ,� ..�.... ... ............................................................ '. has permission to perfo j :�.. = ........................................................' c wiring in the building of . . ......................................................... ..::...................................................... .....................North Andover,Mass. crr Lic.No% '�`��..............�� `�` ELECTRICAL INSP'ECT01Ef Check # �� V 7318 Commonwealth of Massachusetts Official use only Permit No. 73/1 Department of Fire Services < Occupancy and Fee Checked A— BOARD � r OF FIRE PREVENTION REGULATIONS .[Rev. 1/071 j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �0_7 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives not e of 's or h r intntion to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No a' q Owner's Address Is this permit in conjunction with a bu'dinV�li Yes ® No ❑ (Check Appropriate Box) Purpose of Building ��—ems Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:�^ ` c- Completion of the following table may be waived by the Inspector of Wires. s} No.of Recessed LuminairesNo.of Ceil.-Susp.(Paddle)Fans o.o Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets J No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o,o etect�on and Initiating Devices No.of Ranges No.of Air Cond. Totals Tons No.of AlertingDevices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Securityystems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 1 Attach additional detail if desired, or as required by the Inspector of Wires. ' Estimated Valu �Elrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Z BOND ❑ OTHER ❑ (Specify:) I certify,under 7ains and pe Itieof perjury drat the Information on tris application is true and complete.FIRMNAME: � � ��,�, LIC. NO.: ic�A Licensee: Signature LIC.NO.: (/fapplicable, ter " .xem�("in the(i�epse umber "� Bus.Tel. No '� 2 Address: (^ �`c�c?�L-Xc�t� �\� �Cr�. �`�E�� C�\'��Z Alt.Tel.No.C ?� *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S" License: Lic.No. �— OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normallyr required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent: Owner/Agent Signature Telephone No. PERMIT FEE: $ , :t 4/c� Li Shawn & Laura Phai r Basement 435 Chestnut Street - N. Andover (iF --- � i z /-6 3 / cxa rV �UINIO � fi STRUCTURAL — rd . 31"S � Yl i Y c•..Ir> MAL J 7 Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSMC MUSE This certifies that . . . . . .� `� . . . . . ' /cCQ. . . . . . . . . . . . . . . . . has permission to perform . . . . �! !/2t�iri t . . . . ! . . . . .` . plumbing in the buildings of . . . . .AA . . . . . . . . . . . . . . . . . . . . at. . . . .V. . . . . . �! .S .n.�. . . . . . . . . . ., North Andover, Mass. n f Fee (1:,.). Lic. No.. . . . . . j�.f/. .�. . . :t . . . . . . . . . . PLUMBING INSPECTOR Check # /l 3 7303 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location y3�Z/Ye5 /)r�V— f/ Owners Name 1::x-'gj"-2 At V Permit# Q Amount Type of Occupancy I\CS i D Ck)C 5 New Renovation 0 Replacement 0 Plans Submitted Yes No FIXTURES s�agv>� M FUM ra FDXR �Flmt 4IH HM 5M FLOM 613 FUM 7IA Fant SII FIDOt (Print or type) P Check one: ertificate Installing Company Name � �!C ❑ Address �� 0K qq� 4 Partner. Business Telephone ��j _q�-3_ c��f c� iim/Co. Name of Licensed Plumber TbSep H tl so Dl Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11 Bond insurance Waiver. 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 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 installs') s performed under it Is u for this application will be in compliance with all pertinent provisions of the Massachusetts to Plumb' Ci! 42 of the General Laws. By: Signature o ens Plumber )) r Type ofPlumbing License Title gc� City/Town License Number Master Journeyman APPROVED(OFFICE USE ONLY MAY-31-2006 WED 0159 PM FAX NO, P. 02 Certificate of Liability Insurance Date oflssu 0513112006 -- ----. . Producer This Certificate is issued as a matter of information ASSOCIATION BENEFITS INSURANCE AGENCY only and confers no rights upon the certificate holder. THE SCHRAFFT CENTER This certificate does not amend,extend or alter the 529 MAIN STREET SUITE 606 coverage afforded by the policies below. BOSTON,MA 021291121 Companies Affording Coverage 617 456-7800 Company ONE BEACON AMERICA INS CO Insured SODI,JOSEPH P iCompany JOSEPH P.SOD[,JR. i_._ --------_-. .. _ !Company i. C--- ._ _ 6 CARLTON ST Company — – PEABODY, MA 01960- _--.- Company _. Company -- Coverages - - --- This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement,term or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies decribed herein is subject to all the terms,exclusions and conditions of such policies,limits show may have been reduced by paid claims. Co Type of Insurance Policy Number Policy Effective Policy Expiration l Limits Ltr Date _ Date General Liability General Aggregate $2,000,000 A ] Commercial General Liability FBlU12894 0412812006 04/28/2007 Prod ucts-ComprOpAgg $2,000,000 Claims Mad [I Occurrence Per I Personal&Adv Injury ,$1,000,000' 000 00- L_] Owners&Contractor's Prat Each occurrence $1 ,000 n Fire Damage(any one fire $300,000 Med Exp(Any one person $5,000 I Automobile Liability B Ii I Any Auto Combined Single Limit IF-! All owned Autos Bodily Injury h Scheduled Autos (Per Person) Boo_. . . __ _.... dily Injury Hired Autos -.... --- Non-Owned Autos (Per Accident) l_ Property Damage C Garage Liability Auto Only Ea Accident Any Auto Other Than Auto Only -J Each Aggregate Excess Liability D Each Occurrence Umbrella Form Aggregate Other Than Umbrella Form --- Workers Compensation F-- WC Statu- [.l other E and tory Limits- - EL Each Accident —— _ .... The Proprietor/Partners/ �] Incl EL Disease Policy Limit Executive Officers are: ❑ Excl E_Disease Ea Employee -- ---- - - Othe Description of Operations?LocationsNehicles!Special Items Certificate Holder Cancellation Should any of the above described policies be cancelled before the expiration thereof,the issuing company will endeavor to mail 10 days written notice to the certificate holder named to the left,but failure to mail such notice shall impose no obligation or liability of any I kind upon the company,its agents or representatives. Authorized Representative 't Location No. �� Date roR7M TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ 1S-2 CMU5Et . Foundation Permit Fee $ �. s� �',_t. -/(,� +tq ltiOr Permit Fee $ � Sewer Connection Fee $ Water Connection Fee $ TOTAL $ tiwQ ,TL ov Building Inspector Div. Public Works PER311T NO. V APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE . ONE I SUB DIV. LOT NO. —I �I`.'6CATION F 3r„ ._ �t I, ' ) PURPOSE 71 1 q A WNER'S NAME W LLL(IYA m \ II`r rIv R NO. OF STORIES Y SIZE Ki90 L-OW'NER'S ADDRESS " ice+ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD 9C11LDER'S NAME A.I (� u55` 1, y� SPAN DISTANCE TO 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 ✓t BUILDING ALTERATION T(5e. IS BUILDING ON SOLID OR FILLED LAND , \ ILLL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER / ARD OF APPEALS ACTION, IF ANY b IS BUILDING CONNECTED TO TOWN SEWER ✓ oOIS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES BLDG. COST 5 J0l:)0- (7 PAGE 1 FILL OUT SECTIONS i - 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 AT FILEDLlf"i BOARD OF HEALTH SIGNAT OF OWNER OR AUTHOAIZkteAGENT d FEE 41 q'l CONTR.TEL.#_.. 'T CONTR.LIC.# PLANNING BOARD PERMIT GRANTED 19 - r BOARD OF SELECTMEN BUILDING INSPECTOR I w BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY sfoRIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OP BUILDINGS. WITH PORCHES. GA- , APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 12 13 - - CONCRETE BL K. PINE BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M T AREA _ 11, /r 1/1 FIN. ATTIC AREA _ N_O 8 M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I J FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ - WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY - STUCCO ON FRAME BRICK ON MASONRY -ATTIC STRS.8 FLOOR I_ BRICK ON FRAME CONC.OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE I--i ONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. I2 FIX.I _ FLAT I 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 11 HEATING � I WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rdJI NO HEATING OFFICES OF: . Town Of 120 Mi)in Street ---! APPEALS :+ NORTH ANDOVER North Andover, I3UIla71NC; t,' :i?:��;o MFlsti;u'hu5(',Ils0184 i CONSERVATION ION SS'°"" 1AVISION(W 1 7)685-477r) HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIREC-FOR i l 1 7 a In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit NumberApro'pe'rly is that the debris resulting from this work shall be disposed ofilicensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of F lity) Signature of Permit Applicant , Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. >� NORTH Town of No. 270 � .,,rye: f- �o Wi Ery er, Mass., 1992 AoR P�� WICK SS BOARD OF HEALTH PERMIT T LD• THIS CERTIFIES THAT... . .... ... . .. .... ................. BUILDING INSPECTOR has permission buil ' gs on ... .............. � ... ..... .. Rough to be occupied as.......... Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough Service Final BUILDING INSPECTOR# GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. ,� Building Inspector !location / L--- No. `-! Date 1 22-5V' A NORTH TOWN OF NORTH ANDOVEFF O?••'t`•O I.1 hO A A Certificate of Occupancy $ " Building/Frame Permit Fee $ �'�s" •'<�' Foundation Permit Fee $ s,�cHust Other Permit Fee $ 0 Sewer Connection Fee $ Water Connection Fee $ .� TOTAL i $ ? Building Inspector 12804 Div. Public Works b,,ocation No. Date M�RTM TOWN OF NORTH ANDOVER o p Certificate of Occupancy $ ` Building/Frame Permit Fee $ • i , # ,SSACNUSEt'�' Foundation Permit Fee $ n Other Permit Fee $ Sewer Connection Fee $ co M Water Connection Fee $ TOTAL $ Building Inspector I Div. Public Works 1'1?RMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA 4hLu'No. 11)f.Nl). G 2. RecoNo OF O%%'NFRSIIIP DATE BOOK PACE ZONE: SUR BIV. LO'F NO. ) LOCA IION G- PURPOSE OF BUILDING O\4NER'SNAMI- j' NO.OF STORIES SIZE - OWNER'S ADDRESS : <.�' '� s,f BASEMENT OR SLAB ST HD .ARCI IITECI'S NAME SIZE OF FLOOR TIMBERS I 2 3 BI 111.DER'S NAME o Ld L I).,Zi ✓ -�c SPAN DISI ANCI:I o NEAREST BUI ILII NG DIMENSIONS OF SILLS INS I'ANCL FROM STREET DIMENSIONS OF 1106"I S DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE 1IEIGI IT 01--FOUNDATION THICKNESS IS BUILDING NEW SIZE Of:I O(YI ING X IS BUILDING ADD[IICN! MAI ERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND "kIl L BUILDING CONFORM TO RECK 11RE=MENTS OF CODE IS HUILDING CONNECTED 1"0 TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECIED TO TOWN SEWER IS BUILDING CONNECIED TO NATURAL GAS LINE INSTl1CT10NS 3. PROPER'F1'INFORI%lA'IION LAND COSI' c�c� ESE. BLDG.COST o0 PAGE: I FILL cu r SEC7lONS 1-3 EST.BLDG.COSI PER SQ.FT. EST.BLIX;.CO)S'I PER ROOM ELECTRIC MET ERS MUST BE ON OIIFSIDE OF BUILDING SEPTIC PERh11T NO. Al'TACIIEDGARAGESMUST CONFORM TOS'TATEFIRE REGULATIONS $. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DA I E FILED � 0 OWNERS TELL 278. - 6 -7 -7 -!7F .j?9i 6 C(N1TR.TEI N CONTR. -ICN SIGNA FllRI:OF OV.' 1 R U AlFI'I ORI" :D A _NT Z�2 PI'.RMIT GRANII=D 19 � NOR7- f Town of over O 5 No. yD - * dover, Mass. O Z LANE '9 COC"ICHEWICK y�1' '9S �Aq ED BOARD OF HEALTH E Food/Kitchen PERMIT T Septic System • BUILDING INSPECTOR THISCERTIFIES THA ....... ........................ ........................................................... .... ........................................................ Foundation has permission toe buildings on..` 3a......................... --!rT.._..... Rough to be occupied as. Chimney provided that the person accepting this permit shall in a respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-La s relating to the Inspection, Alteration and Construction of )3uildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S .00 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. Smoke Det. �a o7rv�narzurealdi a� a�uaP� I Y DEPARifIHi OF PUBLIC SAFETY CONSiRUCION` UPRVISOR LICENSE � � �EPPires: Birthdate: rb%16/?000 06/16/1958 _ RESi� KEMNEfiN� {`AROSE S3 POR.,t. f.. FEfiD'u" ANDOVER, MA 01810 3843 & - (0- C),>- Date.................................. NORTp o:°;,�``°„�_�"o° TOWN OF NORTH ANDOVER aiswim PERMIT FOR WIRING CHUS Thiscertifies that ............................................................................................. has permission to perform .. ...........P.e—A.A.tr ......................... ... . .. ......... �Ad � AOA.J � wiringin the building ofA....... ........................................................................ .......135 C�es� N S � N rth And verMass. .........................................................................I , Fee....I..-S........... Lic.NJA-3 ....7T��(AIA AA (PL, ELECTRICAL INSPECTOR Check # Official Use Onl Permit No. -D y�, �p/�,� /� w,�I [1 :�•�� Xz?W 09 voww—W 4 P_&4 5414 Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 5-7 9M 12:00 (Please Print in ink or type all information) Date � /V o Z To the Inipedor of Wires: Town of North Andover The undersigned applies for a perrnit to perform the electrical wo described below. ` Location(Street&Number ! 3J ,J ✓1' � �\- Owner or Tenant �� N �A 4 �Cm+ Owner's Address Is this permit in conjunction with a building permit Yes ❑ No Ick (Check Appropriate Box) Purpose of Building �/ h C I Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Vcits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No_of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local. Connection No.of No.of Low Voltage No.of Water Heaters KIN Signs Bailases Wiring No.Hydro Massa ge Tuds No.of Motors Total HP OTHER: , I /L IVVL- INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a curr€art Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you havichecked YES pipAcaf the type of age by checking the appropriate box INSURANCE = BOND = OTHER = -(PieaseSpe;fi,` —![ ✓ G�( `� (Expirati n Date) Estimated Value of Electrical Work e___ Work to Start Inspection Date Resquested _ Rough Final Signed under the Penalties of perj �� LIC.NO. 3 FIRM NAME (J _ Lkensee lJ Signature / LIC.NO. us.Tel No. Address l "1) -,Alt Tel.No. OWNER'S INSURANCE WAIY)rR: I am aware ttat the Licens6s doe§not have the insurance coverage or its substantial equivalent as required by Massachuset� General Laws.And that my;signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ ! v (Signature of Owner or Agent)