HomeMy WebLinkAboutMiscellaneous - 500 BOXFORD STREET 4/30/2018 500 BOXFORD STREET
210/105.C-0042-0000.0
7 4 5 ( Date.....
{ NORTI{
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
SSACMusE�
This certifies that ......... ......(, .:....... �..........................................
!has permission to perform ..........�,L./.F.r7.:!.....,/,C,.f..a�........� .........
wiring in the building of.........A/../..jx L(y.t;,enf..:.j................................................
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at..........4 1)n..../�!�.�L/. �>. �/ ...,a............. .,,North Andover;�,Mass.
...........
Fee.... 5.,.h�d.... Lic.No. ..l.l��................ .... ...�.... !:..: ...........
f ELECTRICAL ITVSPECTOR
Check # �.
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
7hEC0A 10AWE4LTHUFA//4.]"GWSE ' Office Use only
DER1R23fi�%T0FPUBLJCSV:E7Y Permit No.
_ a BOARI)OFFIREPREYEMONREGUL4H0NSS270,M12-00
Occupancy dt Fees Checked
•
AFPLICATIONFORFEST TOFERFORMELE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover. To the Inspector of wires:
The undersigned applies for a permit to perform the electrical work described below. AP PARCEL
Location(Street&Number) 3 OU
Owner or Tenant �'y ��r h �ds n t/�C -7
Owner's Address
Is this permit in conjunction with a building permit: Yes F-1 No (Check Appropriate Box)
Purpose of Building /< /y�ti , 4, Utility Authorization No.
Existing Service Amps / Volts Overhead Underground No.of Meters
New Service Amps / Volts Overhead Underground No of Meters
Number of Feeders and Ampacity
Lgeation and Nature of Proposed Electrical Work
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
Ao.of Lighting Fixtures Swimming Pool Above Below Generators KVA
ground ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
f Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal a Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OITMR
h a==Cb, a P xmnttothem m ailed tsG wal laws
Iha�caa>Qatlialx�tyhm�anoel�liCyirrhrdaECon Qalac}>ivala>t YES NO a
Iha es thtr>iwd,aWpudcfsarrtetotheOfCe YES =NO Ifjwlra�edlad�aYESyplr seirr thetypeofoaaagelry dle
1NSURANLT p-1BOND p anim p pgwesp* y —
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IRMutANEiePertalti6
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OWNERS INSURANCE WAIVER;Iamawarethai ttz Lac dotty tnt ht�+e thcit�amreo�Qits st �l ec}mohYasra}modb��lvi•�sdlsGtitaal Laws
aQdthaarrn�aeonthisp�applic�ticnwa�tsthisr�mana,Z
(Please check one) Owner El Agent a .1
Telephone No. PERMIT FEE$ 0V
tgrtature ot Owner or Agent
MINI
The Commonwealth Of Massachusetts Office Use
Only
X�
Deparnncnt of Public Sajcty ' rv'"'` s°, if
r BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200Occuilancv & roe
owcmd A (J
/90 (leave blank) Ti
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
41 work to be performed In accordance w(lh the Mesaachusens Eleclacal code. sy CMR ly;00 L WORK
(PLEASE PRINT IN INR OR E ALL INFOR2SdT10N) Date �D
City or Town of —A 1 %� . /� �
U To the Inspector of Wires:
The undersigned applies for a permit to perform the To
work described below.
Location (Street b Numbers Soo �j � J
Owner or Tenant
Or+ner's Address '*
Is this permit In conjunction.with a building Permit: Yea ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization N0.
Existing Service Amps / Volts
Overhead [3Undgrd❑ No. of Meters
New Service �Ps / Volts ❑ --�—
Overhead ❑ Undgrd No. of Meters
Number of Feeders and Ampatity,
Location and Nature of Proposed Electrical Work
.A
No. of Lighting Outlets No. of Hot. Tubs T`�/r ''',
al
N -
No. of S
Lighting Fixtures Above❑ In. No. of Transformers TotKVA
Swimming Pool rnd.
No. of Receptacle. Outletsrnd• ❑ Generators KVA
No. of Oil Burners No. of Emergency Lighting
No. of Switch Outlets Battery Units
No. of Cas Burners FIRS ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
cons Initiating Devices
No. of Disposals No. of Neat Iotal Total
Pu=ffs KW No. of Sounding Devices
No. of Dishwashers Space/Asea Heating KW No. of Self Contained
No. ofDetection/Sounding Devices
Dryers Heating Devices KW Local❑ Municipal
No. of 0. o Connection❑ Other
No. of Wates Heaters KW Low Voltage
Si ns Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts Ceneral Laws
I have a current Llabillt Insurance Policy including Completed Operatiops, Coverage or its substantial
equivalent. YES� NO L I have submitted valid proof of same to this office. YES Q NO
If you have checked YES, please indicate the type of coverage bcheck
INSURANCE t BOND ❑ OTFi8R ("1 (Please Specify) ing the appropriate box.
_ //��j� p�
Estimated Value of Electrical Work Sn ace)
Z
pi sti
Work to Start
Inspection Date Requesteds Rau
Signed under the enalties of perjury: Final
FIRM NAM
L LIC. N0. .S_y3�
Licensee s, �'/. .f�Q � Signature
Address �//j � ya LIC: N0.
�� us. Te 1. No. l��r3— c3
OWNER'S INSURANCE WAI am Alt. Tel. No.�
stantlal equivalent aaequlred OyahlasaschusettsLicensee
CeneraldoeYs'�t�v�a`hmytaignatureconethia permit su
application waives this requirement. Owner Agent (Please check one) �(`
Signature of Owner or Agent Telephone No. .
OwPERMIT FEE S�(/id O
�1
I r
Date......... ..°/O .../... .
Q 875
TOWN OF NORTH ANDOVER 9
4 PERMIT FOR WIRING 8
4 # Y
L r' `ale _ N
Ui
II +D��TaD
L S$,�CHUSEt
This certifies that ........J.. t. ...........�-. ..........................
Z
has permission to perform ....... g
wiring in the building of ....................
,� ...................... .North Andover,Mass.
Fee.X/' ....O1�... Lic.Noj. �0..............................................................
ELECTRICAL INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Location
.XS
No. l t`^4°' Date
ca
Q
NORTH TOWN OF NORTH ANDOVER a
o: �' • oma
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Ss�CHU
Other Permit Feetp(vL $ 3 Z
Sewer Connection Fee ��ll $
Water Connection Fee $
TOTAL $ ��Z•S
Building Inspector
TQ
8009 Div. Public Works
PERMIT NO. I APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP d40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK iPAGE
1 ZONE SUB DIV. LOT NO.
�-
1 LOCATION 6 �� n.TT- PURPOSE OF BUILDING
OWNER'S NAME NO. OF STORIES SIZE W
OWNER'S ADDRESS - G O BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME �f/,�A/f / SPAN
DISTANCE TO NEAREST BUILDING Y1��V UXsifr 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 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. COSTf
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
DATLED
c _
DUILDINO INSPECTOR
TURF OF O NER OR AIITHOFKZED AGENT
IF E E OWNER TEL.11
PERMIT GRANTED CONTR.TEL.M7,a 7
onz_
5 19 CONTR.LIC.# y�� S-y
H.I.C.# 7-3J D
t
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY I ISTORIES 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 3 1 2 13
CONCRETE BL'K. PINE _
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
1/1 v, FIN. ATTIC AREA _
N_O B M 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 HARD\IJ'D _
ASBESTOS SIDING COMIAGN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR (� POOR
UATE N
ADEQONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.(
GAMBREL MANSARD TOILET RM. 12 FIX.I
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR 8 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
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OI l
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
NORTH
Town of over
No. 114
( -¢ .�P4i
p .' LA E dower, Mass.,
COCMICMEWICK
ADRATED P"
H BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
�s ClT<'tM �o�aV aJ BUILDING INSPECTOR
THIS CERTIFIES THAT.. Foundation
has permission to at...AI' - -................... buildings on.5.Cka................ ............... ........................................ Rough
t0 be OCCUpled a8.. 1>i►1. �.....S.;e,tAl�at. 1.tu*. ox.,..................
cat.I...........ile in Chimney .
provided that the person a�cepting this permit shall In every respect corfform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings In the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXP 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CO STR T
— - 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
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL street No.
Smoke Det.
s SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT