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HomeMy WebLinkAboutMiscellaneous - 48 SUNSET ROCK ROAD 4/30/2018 (2) 48 SUNSET ROCK ROAD 210/106.A-0244-0000.0 I Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee CheckedIF [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 08-10-2005 City or Town of. NORTH ANDOVER to the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 48 SUNSET ROCK RD Owner or Tenant THOMAS PAGE Telephone No. 978-683-7895 Owner's Address 48 SUNSET ROCK RD i Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters 1 New Service Amps Volts Overhead❑ Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ADD 6 RECEPTACLES TO BASEMENT AREA No.of Recessed Fixtures 3 No.of Ceil.-Susp.(Paddle)Fans No.o Tota Transformers KVA No.of Lighting Outlets No. of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool 7—AFd. ❑ In- El No. Batto mergency i mg d. d. e Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No�ofZon�es � No.of Switches No.o Detection an`No.of Gas Burners Initiating Devices i of Ranges No.of Air Cond. Tons Total No.of Alerting Devices of Waste Disposers Heat Pump Number Tons KW No.oSelf-Contained Totals: Detection/AlertingDevices of Dishwashers Space/Area Heating KW Local ❑ Mumcipa ❑ Other Connection � of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent o Water , KW No.o No.o Data Wiring: Heaters Si s Ballasts No.of Devices or Equivalent Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent R: SURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licen- provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certi- s that such coverage is in force,and has exhibited proof of same to the permit issuing office. CK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) i stimated Value of Electrical Work: $ (When required by municipal policy.) (Expiration Date) ork to Start: 08-10-2005 Inspections to be requested in accordance with MEC Rule 10,and upon completion. certify, under the pains and penalties of perjury, that the information on this application is true and complete. IRM NAME: WILLIAM J.IANNAZZI,INC. LIC.NO.: 13592A icensee: WILLIAM J.IANNAZZI Signature_h LIC.NO.: 13592A Bus.Tel.No.: 978-686-7300 Address: 191 CHANDLER ROAD ANDOVER,MA 01810 Alt.Tel.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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ � Commonwealth of aisachuse& Official Use Only cc�� c�77 Permit No. elJePartmenf o�.}ire�ervice9 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ Rev. 1!07) ()eave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORI All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: --_ /Q _ � -ar Town of: 1 Z2&& 6/ : To the Inspector of Wires.- By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street &Number) Owner or TenantASMO _ _ Telephone No. Owner's Address --- ►�irrz p �th' Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) Purpose of Building 2,.;-D ,� Utility Authorization No. Existing Service Amps / VoltsIZA 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: O O Completion of the olloxin table may be waned br,the hu ector of G. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers IKV,e, No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool A °YQ ❑ In- ❑ o.o mergency rg ng rnd. rnd. Batte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No, of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers eat Pump um er Tons KW _ No.of Self-Containe Totals: -- ""- Detection/AlertingDevices No,of Dishwashers Space/Area Heating KW Local❑ unicipal . Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* ► leo. of Water No.of Devices or Equivalent Si Heaters KW No.Si o.Ballasts Data Wiring: Signs BallasNo.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin OTHER: g: No.of Devices or E trivalent C D aG Attach odditionol detail if desired.or as required by the Inspector of ii'i Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: _ / p_ 0 !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 unl, the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:•.INSURANCE [g"o BOND ❑ OTHER ❑ (Specify:) I certify, tinder the pains and penalties of perjury,that the information on this application is trite and complete. FIRM NAME: , l LIC.NO_ Licensee: 13 Signature Signature LIC.NO.: (Ijapplicable,enter "exemptin the license number line) Address: / s Bus.Tel.11 03/�S J��LL�.�I?'�im/YJ ���_3r _ Alt.Tel.No.: . Per M.G. . c. 147,s. 57-61, security work requu•es Department ort Public Safety"S"License: Lic.No. L OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law_ By my ciannn,rP l , Date........... ........ ..o. ... 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING tsSACHU ...... ..... This certifies that ..........D/ . ... ......Al ........................ has permission to perform .......... ... ........................ wiring in the building of.................... ............................................... at..Y�... 12!)................. North Andover,Mass. Fee.!;i.................. Lic.No. ICAL MP;�i;W* Check # 7LI80 8631 MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS FPI MG (Type or print) Date NORTH ANDOVER, MASSACHUSETTS — Building Locations LI )Zoc(L to Permit Owner's Name - Amount$ 01 e�e� 0Q I C;,P p New Renovation Replacement Plans Submitted ❑ " a w vi rA 5 m F Z � � Z p Z a OU W w z z Q x a h w > W z Q w Q z F w w w u C cg SU B -BASEM ENT J U C > p a FW C _ BAS E MM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR �- 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . .FLOOR 8TH . FLOOR (Print or type) Name Check one: Certificate Installing Company A 0 Corp. Address 00?3 Partner. Business a ep one 79- q72- D Firm/Co. Name of Licensed Plumber'or Gas Fitter !� INSURANCE COVERAGE 1 have a current liability Insurancrpolicy or it's substantial equivalent Check one: If you have checked Lqs.please indicate the a cove Yes . N0❑ Ty P cY I Ty Other type of indemnity the appropriate box. Liability insurance policy Bond 13 Owner's Insurance Waiver.- I am aware that the licensee does not have the Insurance coverage required by Chapter]the Mass. General Laws,and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner I hereby certify that all of the details and information I have submitted(or entered)in above Agent .13n are e and ac best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application w be in the compliance with all pertinent provisions of the Massachusetts S G Code and Chapter.142 of the General Laws, 01 z.91 V11007 BY: Signature of Licensed Plumber Or Gas Fitter Title Plumber I33d'� City/Town, 0 Gas Fitter License umber ® Master APPROVED(OFFICE USE ONLY) Journeyman Date..�j 1C)A.o. ...... . �f NORTH Of - 3? o TOWN OF NORTH ANDOVER t • PERMIT FOR GAS INSTALLATION c.•'�th �9SS'ICHUSE� This certifies that . . . .... .`.. . . . .f. yr. . ." has permission for gas installation . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . :t . . . . . . . . . . . . . . . . .. . . . . . . r at . . . . .... . .`. . . . . . . `. .... . . ., North Andover, Mass. Fee. ?.-�` Lic. No.. . . . . . . . . . . . . GAS INSPECTOR Check# c`1(, " 6791 thrintor Type) iv uv tiAZWI1 1 INN NORTH ANDOVER , Maas. Date 4 n_ 19 7 Buffdln ny Permit # 2 2 Ownerluz�7eA� Name New Renovation O Replacement p Pians Submitted:. Yes p No El INC " W n 2 M' X s C r; n se tl J h 0 V a! 2 M zo 11C z NO Id 0 z 01 F , t J w ; s 116 o q w ` �l i o 0 S 06 5 0. u eoe y s •ASKMEHT i IST FLOOR 21410FLOOR l SADFLOOR 1TH FLOOR dTH FLOOR 4TH FLOOR i 7TH FLOOR t ITH FLOOR //' Check one: Certificate Installing Company Name c)5 4it C �l p� Addre s G l a� Q Corp. Ei Partnership v-,- ❑ Firm/Co. Business Telephone '73—Co t Name of Licensed Plumber or Gas Fitter—L7:�,,eeu v`} L INSURANCE COVERAGE: Check one I have a current liability Insurance policy or its substantial equivalent. Ye�\ No ❑ If you have checked�Les, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy � Other type of IndemnMy O Bond ❑ OWNER'S INSURANCE WAIVER: 1 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: S,Ignalure of Owner or Owners ant 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 an plumbing work and installations performed under the perm ued Ior that ap kation be M compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of a)Le rtiT of License: TRIO mb�nlar na ure of LicensedPlumber or Gas Fitter Gasfllter Master License Number .4 f V�- Ctty/'To` n : oumeyman AfTnOVED (OFFICE USE ONLY) Date.. . �. �1.1. � C�. g 2277 NORTH TOWN OF NORTH ANDOVER OF «to a gtiO ' PERMIT FOR GAS INSTALLATION 9 ' 9SSACHuSES O. .. f• i This certifies that . . �L. I.C�!YJ. . . . . . . has permission for gas msta11at'on--4 ,1. 4 in th uildings of .CJ. .j Z. l.� ,. . . at . .. . . . . . . . . . . . . . .. North Andover, Mas Fee.7%.�. . Lic. No.c.,ell. � . . . �i�-. �uf.d.g A�A�r` *R-1 6 F SAS INSPECTOR WHITE:App' ant CANARY: Building Dept. PINK:Treasurer GOLD:Flle C-\ Commonwealth of Massachusetts Official Use Only NEW Department of Fire Services Permit No. -5-?S 5 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 08-10-2005 City or Town of. NORTH ANDOVER to the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 48 SUNSET ROCK RD Owner or Tenant THOMAS PAGE Telephone No. 978-683-7895 Owner's Address 48 SUNSET ROCK RD Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters 1 New Service Amps Volts Overhead❑ Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ADD 6 RECEPTACLES TO BASEMENT AREA No.of Recessed Fixtures 1.3 No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- E] No.o Emergency Lighting d. d. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection an Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Num er Tons KW No.o Self-Contained Totals: ......... Detection/Alertina Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water , KW No.of No.of Data Wiring: Heaters Sips Ballasts No.of Devices or Equivalent No.Hydro massage Bathtubs No.of Motors Total HP Te ecommuntcattons Wtrmg: No.of Devices or Equivalent OTHER: , •INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licen- see provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certi- fies that such coverage is in force,and has exhibited proof of same to the permit issuing office. j CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify :) (Expiration Date) Estimated Value of Electrical Work: $ (When required by municipal policy.) Work to Start: 08-10-2005 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certijy, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: WILLIAM J.IANNAZZI,INC. I LIC.NO.: 13592A Licensee: WILLIAM J.IANNAZZI SignaturesA,- LIC.NO.: 13592A Bus.Tel.No.: 978-686-7300 Address: 191 CHANDLER ROAD ANDOVER,MA 01810 Alt.Tel.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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ �J 5988 A Date............../................. to TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� r q '] z This certifies that ............. ...... ... ........:..".. ...... ............ ,.:.................... J has permission to perform ....................... :.......... ........................................... y. wiring in the building of `-=- 7 at... ................................. `? '. ..... ,North Andover,Mass. Fee.�-........... Lic.No/ ................. ELECTRICAL IAPECTOR (� K Check # /N g !ii ((�� �� Ottice Use Only u4E &mmun� math, Iff MugElt��+} Permit No. Be;Tm1mist of ITu131u 2ufttg Occupancy Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 3M (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) Date6INK 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) Owner or Tenant Owner's Address Is this permit in conjunction with a ding permit: Yes No l_ (Check Appropriate Box) Purpose of Building /`�-6`^" Utility Authorization No. �--- Existing Service r Amps _J VdIts Overhead Undgrnd r No. of Meters New Service 000 Amps Lo L`'-o Voits Overhead _ Uncgrno No. of Meters Number of Feeders and Amoacity Location and Nature of Proposed Electricai Work ` -4 Total No. of L,gn ing Ouuets i No. of Hct '.:bs No. of Transformer KVA Arove— !n- No. of Lighting Fixtures j Swimming Pco: grno — arnc. _ Generators KVA No. of Emergency Lighting No. of Recectacie Cutlets i No. of Oil Burners I Bacery Units No. of Switch Outlets I No. of Gas Burners FIRE At-ARMS No. of Zones Total No. of Detection and No. of Ranges I No. of Air Ccrc. tans Initiating Devices Heat Total Total No. of Disposals No.of Purncs Tons KWNo. of Bouncing Devices' iVo. of Sart Contained No. of Dishwashers SoaceiArea -!eatino KW Detect:oniSounc:ng Devices Municicai --Other I No. of Dryers Heating Dev,ces KW Local Connect:cn No. at No. of Low vc:tage No. of Water Heaters KW I Sicns Baiiasts Wirfnc No. Hyaro Massage Tubs f No. of Motors Tatat HP OTHER: INSURANCE CCVERAGc Pursuant to the requirements of Massacnuseas general Laws I have a current Liaoiiity Insurance Policy inclucmg Comc:etec Cceranons Coverage or its suostanual equivalent. YES = NO — have suomittea valid proof of same to the Office. YES = NO _ If you nave checxee YES. -lease inaicate the type at coverage by cnecxing the aoproonate box. _ INSURANCE _ BOND _ OTHER _ (Please Scec.a,) (Exol4a,,LA)atel Esumatea Value of E'.ec;ncai Work s _27—C-2 Worx to Start Inscec;:on Date Recuestec: Rough F,nai Signea under the Penalties of perlury- n v LIC. NO. riRM NAME _ Licensee %—t e Signature UC. NO. �— Bus. Tel. No. ��— Alt. —el. No. Address OWNERS INSURANCE WAIVER: I am aware that the L:censee Coes not nave the insurance coverage or its suostanual equ:valenA[ ente quirea by Massachusetts General Laws. 3no that my signature on :his oermit abOlicatton waives this requirement. Owner 9 ` (P!ease cnecx one) Telecnone No. PERMIT FE. t Signature of Owner or Agenn x"O' Ottice Use Only 42� T 01 4C Cfam uluraltt of Ma17a mM Permit No. le;ta tmart of Vuhlic *afetq Occupancy,& Fee Checked Q 3/go (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 521 MR 12:00k, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 Ae (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 9 (Xx or Town of NORTH ANDOVER To the Inspector of wires: The udersigned aAbe lies for a permit to perform the electrical work described below. _ -ad h1af- Location (Street & Owner or Tenant ALM �4m, Owner's Address Is this permit in conjunction with a b it ing permit: Yes _ No L (Check Appropriate Box) Purpose of Building ^" Q— Utility Authorization No. /.O Existing Service V Amos —J Volts Overhead ' Undgrnd No. of Meters New Service I 0 0 Amps /J J l (Lo Volts Overhead _ Uncgrna No. of Meter Number of Feeders ana Ampacity Location and Nature of Proposed Electricai `Norio 7 \ i Total No. of Lignting Outlets i No. cf Hot ubs I No. of ransformers KVA I At:cve— In- — ! No. of Lichung Fixtures i Swimming Pcoi gree. — gm _ I GeneratorsK i No. of Emergency Lighting No. of Recectacie Cutlets I No. of Cil turners Barery Units No of Switch Outlets I No. of Gas Burners I FIRE ALARMS No. of Zones Total No. iDetection ant No of Ranges No. of Air Conc. to initiating ev cos Meat Totai Totai No. of Disoosals No.of Purps Tors KW No. of Sounding Devices iVo. of Self Contained No. of Dishwashers ScaceiArea Heatira tC1N Oetect:oniSounding Devices KW Local 77 Municioai —Other ` No. of Dryers Heating Devices Connec::on No. of No. of Low voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hyaro Massage Tubs No. of Motors Tota, HP � f OTHER: ` A.� INSURANCE CCVERAGE: Pursuant :o the reduirements of Massac-users ;eneral Laws _ I have a current Liaciiity Insurance Policy inciucing Camo:etec Oeerations Coverage or its sues:antral eduivaient. YES _ NO = ! have suomirtea valid proof of same to the Office. YES _ NO = if you nave checxed YES. please indicate the type of coverage cy cher King the approoriate Dox. INSURANCE = BONO = OTHER = (Please Scec:~;r) /(E.�..,a= Date, Estimated Value of E!ec:ncal WorK 5 y O 3 Worx to Start e,/.,A_- S h inseec:ion Date Racues:ec: Rdugn F nal 41 - Signed under:he Penalties of er vry - 11 LIC. No. FIRM NAME - Licensee r e e ;gnatue Qn Sus. lei. No. fir! (/Zy� AIt. -el. "lo. 41 Address OWNER'S INSURANCE WAIVER: I am aware that the Licensee toes not nave the insurance coverage or its suostantial ecvivaien',t as re- nis by Massachusetts Genera, Laws. and that my signature on ^.is cermet application waives this reduuement. Own ��O � (P!ease cnecx one) Te,eonone No. PERMIT FEE S Signature of Owner or Agenti ti'9cO° fj Gj/ }^ *i,!), , nj /�f¢(/j Date.. .rF.. ...... {.�?.. n 26 ■ i NORTiy €. 3��,..' ,,'tia� TOWN 0F NOR�T�H ANDOVER PERMIT FOR QU INSTALLATION CHUS This certifies that'cj: ul: &tt!et'v . . . . . . . . . . . . - has permission four �in salla in the bui rags of j . .* /'. . . . . . . . . . . . . . . at . . . 7.! , North Andover, Mass. 445- `3� c No .. . . . . . . . . . . . . . . . . . . . . . . . . . . �v 5D0 ,-RAID Ms INSPECTOR .1.+`614WIftf.Applicant CANARY:Buildi g Dept. PINK:Treasurer GOLD:File 71 2692 Date..6 a NQRTiy d TOWN OF NORnT, ANDOVER El-ccra PERMIT FOR 'INSTALLATION # q _ • M •n o p. Sy .. 'ti9SS4C NUSEt This certifies that Nf.t. . . . . . . +Qti io has permission for g w installation . . .w}t.t j v.04,.e m in the buildings of . . .i.'.v y�.'�. .�,t '. . . . . . .. . . . . . . k at . . . .tr!hd .s' , North Andover, Mass. Fee.:3A7. Lic. No.. . . . . . .s. . . . . . . . . . . . . . . . . . . . . . . . . . . . IMINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File s PEaJtrr NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE �- E� MAP 4q0./06 C I LOT NO. 2 2 RECORD OF OWNERSHIP IDATIE BOOK PAGE — ZONE SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING (l ..... .. _ OCATION � �/J✓✓S�.• /LOG //?s y /.t rv►/ 1� i�Y�P_ JC'Z,�,n OWNER'S NAME � � NO OF STORIES ` SIZE � • /�7Y' 2 OWNER'S ADDRESS f�p� le / �Ya �,� BASEMENT OR SLAB j��s0� �t. ARCHITECT'S NAME /� y ✓,JV���/N� SIZE OF FLOOR TIMBERS v IST 2ND jo 3RD BUILDER'S NAME Cg?�-�,Qacc, SPAN 140, E•• DISTANCE TO NEAREST BUILDING .�/ DIMENSIONS OF SILLS �/'-^X DISTANCE FROM STREET G�� J POSTS '1�� /, I DISTANCE FROM LOT LINES - SIDES (i3j ✓fl REAR GIRDERS AREA OF LOT 40, FRONTAGE / HEIGHT OF FOUNDATION .1 THICKNESS IS BUILDING NEW (O(t'�7s_ SIZE OF FOOTING O �7�>/ X IS BUILDING ADDITION 'o'v0 MATERIAL OF CHIMNEY /�� IS BUILDING ALTERATION `/© 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 j' �I IS BUILDING CONNECTED TO TOWN SEWER /r �J IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS �/'�',� [ 3 PROPERTY INFORMATION / � LAND COST rj 0 EST BLDG COST ,... :..'.-..'.... _ SEE BOTH SIDES `,000, PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 7 U� • EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 12 SEPTIC PERMIT NO. Q QI ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY E� /! �l ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 6- 2- 96 ' �• �1 NUILDING INSP[CTOI SIGNATURE OF OWNER OR AUTHORIZED AGENT 7 F E E w zs;Q- OWNER TEL# PERMIT GRANTED ' HJ CONTR.TEL#LJ5 / 19 CONTR.LIC.# C99 / H.I.C.# • n•a ,� �T BUILDING RECORD OCCUPANCY 12 — — SINGLE FAMILY srowlES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFlcl:s 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 �I 3 1 ?I3 CONCRETE BIL K. PINE _ BRICK OR STONE HARDW D — PIERS PLASTER Y DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA Q 1/ +/t 1/ FIN. ATTIC AREA NO B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HAROW'D V �_ ASBESTOS SIDING COMtACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY- STUCCO ON FRAME BRICK--UN MASONRY ATTIC STIRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE $ ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.( _ GAMB4EL MANSARD TOILET RM. (2 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES V LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING ` '.I HEATING WOOD JOIST PIPELESS FURNACE + FORCED HOT AIR FURN. iz TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS �_ AIR CONDITIONING i RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OI L _.. B'M'T 12nd I ELECTRIC 1st 3rd I NO HEATING a a Location 7G No. - c7t; Date �pRT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ • _ • } Building/Frame Permit Fee $ a b+"rev Foundation Permit Fee $ SSAC" Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ 4 TOTAL $ / Building Inspector 06/13/% 13:11 1,437.6 PAID 9785 Div. Public Works Location f r -9",V 5, E10CA:. No. Date ;r �pllTM TOWN OF NORTH ANDOVER pt4t�so 1k° ' } Certificate of Occupancy $ y Building/Frame Permit Fee $ 8 sACHU`+ES Foundation Permit Fee $ Other Permit Fee $ r Sewer Connection Fee $ a Water Connection Fee $ TOTAL $ 1 din6 inspector C' s a 9786 Div. Public Works I 7� - Location J`JA/ KhC No. Date D TOWN OF NORTH ANDOVER p Certificate of Occupancy $ A Building/Frame Permit Fee $ CH„sE` Foundation Permit Fee $ T 0 Other Permit Fee $ Sewer Connection Fee $ �'' /VD 47� Water Connection Fee $ TOTAL $ /U 7?' <C 13 87 4DIvP- ns . E ,=. 9064 c Works FORM u - LOT RELEASE FORM 4 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 law, regulations or requirements. ****************Applicant fills out this section***************** 'PLICANT: )� Lie- Phone LOCATION: Assessor's Map Number © Parcel Subdivision e/G _ A Lot(s) StreetL 401 St. Number ************************Official Use Only************************ RECOMMENDAT0 S O TO AGENTS: 21 Conservation Administrator Date Rejected Date Rejected Comments 2 C?Town Planner Date Approved Date Rejected Comments Food Inspector-HealthDate Approved Date Rejected S D Date Approved eptic Inspector-Health Date Rejected `Comments III Public Works - sewer/water connections �_1�} - driveway permits J 7_2cj_c Fire% Received by Building Inspector / Date 0 m r f � -�:•._p4,. r_ 14 SC0 i !� LC !L� S F; JA -�FRAY,,< S C� i-qNORTH AN LOT 2 40 664 U.F t� 1 �/� 41p �4 `40 r U) LLJk Qca a 1 Lu CO DU fn a ' O rL ?r, 2: Lli 49 7� p pRIVW AY �RppG\S - `��---- S 58 44' $1 14'51 ^� 15 � 'Sb 154 OT �r+r� NORTH Town of OL dover VIA o J . �- K rt dower, Mass., 19 COC NiC NE wiCK � �-1 A0RATEo P19 C? 7 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT....................... BUILDING INSPECTOR C.0/0... Y.. .. .............Z)..�..U..�............ C3. .. .................................. Foundation has permission to erect.......77=.................... buildings on ......... ........., 1�(..I .. '. .....Rc0/C....ko, Rough to be occupied as........................................... 1. .l�� . ............. "l/!' .. ... .�so'fi6' ................................... Chimney provided that the person accepting this permit shall in every respect conform to the term application onfile in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Ap ffigPao WON ONLY Buildings in the Town of North Andover. REGULATED BY PARA, 114.$-$. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTM-'� �--FEE PA►D b — Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ................................. �... ........................... Service DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Rough Not Remove Rough Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. - CERTIFICATE OF USE & OCCUPANCY Town of North Andover 4. Building Permit Number 193 Date SFPTEMRFR 13 1996 _ THIS CERTIFIES THAT THE BUILDING LOCATED ON 48 SUNSET ROCK ROAD (lot #2) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGEIN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Copley Development Co CERTIFICATE ISSUED TO p r`P• 50 Copley Dr j ADDRESS Methuen 0 :SACHUS BiWlding Inspector NORTH a ® Of dover o _ ori lover,;Mass., 19 COCHICHEwICK ADRA TED BOARD OF HEALTH Food/Kitchen P KMIT. T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........................ .. /2=�y .. ..C� 03.1R.F1................................../ .............. ...t........... Foundation has permission to erect......7:-.................... buildings on ......... ..8............. . ...$'. .... fogh to be occupied as..................................I..........T. .4 �..............1.�/" ..(...�... . Chimney ............................................ provided that the person accepting this permit shall in every respect conform to the ter sof the application on file in Ziqa�this office, and to the provisions of the Codes and By-Laws relating to the Inspection, tion of Buildings in the Town of North Andover. UTION ONLY g REGULATED BY PARA, 114." B.C. PLUMBING INSPECT R VIOLATION of the Zoning or Building Regulations Voids this Permit. ough RE ,1MON tjh7 `� PERMIT EXPIRES I b Tv ON rE 7-1�a' in FEE PAID r� UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough LOA, 7-24 7-16 A l0 ............................... .... ... ...... .. ........................................ Service DING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR- Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done IRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �[ Street No. 4�2,>N i J `p�f Smoke Dec. c,��►- II'`, TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT EE!M&RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,: . � S+ ,fff�s O#�">�sI I�ie_ r.{s.. _•, �,; 1'I'� BUILDING PERMIT NUMBER: 3DATE ISSUED. � 3 3 SIGNATURE: Building Commissioner/Inswtor of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: y0&U-�s-er �6CK � X16 17 AVIN-CR Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonis District Proposed Use Lot Areas Frontage ft V' 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Reqwred Provided 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 1.7 Water SupplyM.G.L.C.40. 54) Public 0 Private 1) Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT triCt: m 2.1 Owner of Record PA6�L vs-r-/- Name(Print) Address for Service: R Q. Signature Telephone G, 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licrsed Construction Supervisor: 0 License Number III A'd4ress > Expiration Date r Signature Telephone '` r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address z Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Descri tion of Pro osed Work check as a llcabte New Construction ❑ Existing Building ❑ Repair(s) ❑ P,erations(s) � Addition ❑ r Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant , 1. Building df (a) Building Permit Fee Multiplier 2 Electrical ' (b) Estimated Total Cost of C, Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 15.'0(O, Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date —SECTION 'j7�bj�OWNER/AUTHORIZED AGENT DECLARATION I, T`�,t :� ?66L as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are True and accurate,to the best of my knowledge and belief Print N Signature of Owner/A ent Date �7 NO. OF STORIES SIZE r BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS 1' 2' 3 SPAN DIIVIENSIONS OF SILLS DINIENSIONS OF POSTS DUvIENSIONS OF MDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Location �� -�-�-- ' No. x.33 Date --C 40RTh TOWN OF NORTH ANDOVER y Certificate of Occupancy $ • sACMus�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �2`.-C-114 18680 ``guilding Inspector r 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/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT-71 T 1 G� PHONE - / � J LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET _S vNsC;1- 16C.< ST. NUMBER Z/ OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED ' DATE REJECTED , COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED SCOMMENTS FOOD INSPECTOR-HFALT DATE APPROVED ` n DATE REJECTED P INSPECTOR- EAL H DATE APPROVED S DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. I, Type of Work: //w/fiy �d9 � 2��?� Est. Cost6�`OJ Address of Work 't E,,MS-_`>—Jd .I< (� Owner Name: �omAs -t-- 7L Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under$1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) e Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: L(13- Date Owner Name The Commonwealth of Massachusetts > Department of Indusbial Accidents Office of Investigations Boston, Mass. 02111 Workers'Qw pemdm Insurance Affldavlt Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in'any capacity F7 I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone# I Insurance.Co. PoiICv Comoany now Address City: Phone# irlsurartce Co. PokV 9 Fd re to secure coverage er required under Section 26A or MGL 152 can lead to lbs lmpo klon of aWnsl pwwM t d.a Ane up to$1,500.00 andlor one years'imprisarxnent.at Meal.at.chdLpanaltlesJn.lba.}mn�,.STlJP]!yDRK_ORLtERand.aflot d.(;1110.���ay agatnstme. I understand that a copy of this statement may be forwarded to the Of ere of Invedgedons of the DIA for coverage Vermcadon. I do hereby cw*under ft pakrb and penalties of penury that the Inf0m OM provided above Its true and correct. Signature pa Print name phwe# Offkal use only do not write In this area to be completed by dty or town offidar City or Town Pem Ina l ❑ Building Dept []Check F immediate response b requked ❑ L.I erWrq Boa/d Conted person: C] Selectman's Office ►�e ❑ Health Department ❑ Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM in accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: c (� C& (Location of Facility) PC44 Y SignatuffegiTermit Alfpli t OS' Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I I Lu W Q DOdHdE) m L=J I �Q �oSer w_ P UNFINISHED STORAGE AREA ° e�l u° D FF ai 'Dow — 0 co0 LEVEL -FW(D FOY E R Z 31 KITCHEN D I KISS WORK ROOM I NORTH '9 Y Town of No. D now ;4_ +� . o dover, Mass. 3-146 m4A *40 Vol T O - LA I� COCMICMEWICK A. � 1 7,ps RATED PkV �5 1 ` BOARD OF HEALTH PER MIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... 0.!45.........poI j. ........................................................................................... Foundationhas permission to erect..... �......... buildings on "� �oa�L t�IV S � oa ................................. Rough to be occupied as R. r �.� . S � 404 Chimney •? r �o � 3 p ...�.....�...... �............................ ...... 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. *#m46 A/ 07 f/f/ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ........1,�� ... ...... ....... Service . .. .. ........... ..... . . .................. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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.