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HomeMy WebLinkAboutMiscellaneous - 51 SURREY DRIVE 4/30/2018 T ::�� -M 51-SURREY DRIVE 210/074.0-004&0000.0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town:A)OA &&&—r , MA. Date: Permit# r Building Location: r � e Owners Name: eor Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential Ni New:❑ Alteration:❑ Renovation:❑ Replacement:r5r Plans Submitted: Yes❑ No FIXTURES DEDICATED Cr z SYSTEMS W Z H /1 VUj t N N Q CA �' V W OC Z of o, CC Cr Z r' Y oQC v� Z Q Q thy' Z u�i u°Ci LU Z to 2 V1 Q W Z ~ W N (A O a t- Q �O[( LU m W 0 ~ Z } O Q W Z W U a LL = J 03 0 W '� W lJ F = a O 3 ' O O a Z Z H W = LU � } F- Q O N iA SUB BSMT. BASEMENT I'FLOOR °FLOOR °FLOOR FLOOR 57 FLOOR 6 FLOOR 7"FLOOR 8 FLOOR _ / /' ,�/ Check One Only Certificate# Installing Company Name:� h i'1 L POdI Ct l Cy ❑Corporation Address: City/Town: z -/-7Stater o3d�� El Partnership Business Tel:60-?-3CO-!?O -1 Fax: ❑Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ❑ No❑ If you have checked Yes. please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: 110 01 Title ❑❑�'";eP�n'lumber S' t Licensed umber APPROVED OFFICE USE ONLY) uiour eyman License Number: AFS y f TOWN OF NORTH ANDOVER o��,..o ,•1tio PERMIT FOR PLUMBING 40 i ,sSACHUSf This certifies that . . .. . . . . .. . [..a has permission to perform . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . ....S. .�. . . . . . . . . . . . . . . . . . . . . . . . at. . .S. �. . .S1.n"�/ 13 !^. . . . . . . . . . . . . North "10dver, Mass. Fee. .?�.. .Lic. No./. . .z.`!. . . . . . . . . . . . . . . . . �� Z PLUMBING INSPECTOR Check # 8456 W11C U1UL1I11IMULLICULL11 ►11 UniceUseuniy f Department of Public Safety Permit NO. �/ I BOARD OF FIRE PREVENTION REGULATIONS 527 SMR 12:00 Occupancy d fee Otecked 3M Ikave blank) APPLICATION FOR PERMIT TO P� CF ELECTRICAL WORK � All work to be performed in accordance with the Ma chusetts Electrical Code, 521 CMR 11:1X1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datp City or Town of ll&\ r ovc To the Inspector of Wires) The undersigned•applies for a permit to perform the electrical w4 descri below. f Location (Street & Numbed SI)Q ` 17i &13, Oq V Owner or Tenant G-com e e A Owner's Addressflt'�t� Is this permit in conjunction with a building permit: Yes No (Check Appropriates Booz) Purpose of Building lbwe�k�!:n Utility AuthoEKridgirdEl No. ao d -� 17 Existing Service 100 Amps 13-d / ,a4 Volts Overhead No.of Meters 0oa.o p New Service Amps 1 / a4 Volts Overhead 9 Undgrd ❑ No.of Meters Number of Feeders and Ampacity location and Nature of Proposed Electrical Work ��'`�c�Ck� V iUng And Alp, H.P.Jev.S TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above In- No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No.ot Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Defection and No. of Ranges No. of Air Conditioners Tons i IInitiating Devices Heat Total totalNo.of Sounding Devices. No. of Disoosals No. of Pumps Tons KW No.of Self Contained No. of Dishwashers S ce/Area Heatini KW Detectior6ounding Devices LocalMunicipal Connection ❑Other No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachustles General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES O NO O 1 have submitted valid proof of same to this office. YES 0 NO U If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE 50 90ND ❑ OTHER❑ (Please Specify) AZIXA (Expiration Date) Estimated Value of Electrical Work $ 1646fO If Work to Start 5�+? ` Inspection Date Requested: Rough Final Signed under the penalties of perjury: / FIRM NAME /tnQs �i/V�✓ !GG rGId LIC. NO. Licensee Signature LIC NO. Ad,`*ss Bus. Tei. NoK Alt. Tel. No� S OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) Date... ........ 1' pORTp TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4K C u HU This certifies that hr C- . ...................................................................... has permission to perform .... ........................................................................... wiring in the building of...... ....... ('k.......................... S........................... ..................................... ,North Andover,Mass. Olt) "-- A138SB Fee..... Olt) Lic.No........7�... ................ ... ........ .. 'i��;�A-L**I*N-S'PACTOR Check # '=v Commonwealth of Massachu tts Official Use Only Permit No. �7 L/S' x Department of Fire Se ices Occupancy and Fee Checked :. � 7;, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERM T TO PERFORM ELECTRICAL WORK All work to be pe formed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TY ALL INFOTATION) Date: 10/27/2004 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gi es notice his or her intention to perform the electrical work described below. Location(Street&Number) 51 S rre Dr ve Job#21327 Owner or Tenant George Festa Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead❑ Und rd No.of Meters ❑ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a burglar alarm system Completion of thefollouing table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ElBatte 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. Total No.of Alerting Devices Tons 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 Security Systems: No.of Devices or Equivalent No.o Water KW No.of No.of Data Wiring: Heaters Signs Ballasts I No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent ? OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: B&T Security fe LIC.NO.: 1599 C Licensee: John H. Beckwith Signatu —ILLIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.,• 781-935-6665 Address: 18 North Maple Street,Wobur . MA 01801 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' agent. Owner/AgentJ, ( Signature Telephone No. PERMIT FEE: $ j QU Date..f�.1�..31..�.!........... s NORTp TOWN OF NORTH ANDOVER �~ p PERMIT FOR WIRING 2�,SSACMU This certifies that ..... i� .r.. ..� I1. f. ........ has permission to perfdrm . .. 1 -f...! ;1.. 1.... �. .P.�. .r�%.... wiring in the building of. ' ... ..................... at. �. 1/,� ! ..e. �.�1.Ja:�.: ...... .NortOAAndover,Mass. Fee...!�,.6; Lic.No.. i...0 fi................. .. :�--..f ...... IECTRICALINSPECTOR Y� Check # 54L5 PER31IT NO. S � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE t MAP h40. I LOT NO. 12 RECORD OF OWNERSHIP JDATE (BOOK -'PAGE — ZONE SUB DIV. LOT NO. i LOCATION ,, S� Poe0, OF BUILDING OWNER'S NAME /f�a�/G!!;,tr ����.�' NO. OF STORIES SIZE OWNER'S ADDRESS /' to � J]'1/�� BASEMENT ARCHITECT'S NAME J V w SIZE OF FLOOR TIMBERS IST 2ND 3RD ` BUILDER'S NAME of wwz E. 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 ALTERATIONA/ew IS BUILDING ON SOLID OR FILLED LAND lee WILL BUILDING CONFORM TO REQUIREMENTS OF CODE `'� IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 7� IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COSTup an PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 ND APPROVED BY BUILDING INSPECTOR % .00- DATE FILED �O I s SIGNAT 7ER O RIZED AGENT �. BUILDING INSPECTOR 1 F E E 2-1:57 ^ OWNER TEL.# " PERMIT GRANTED CONTR.TEL.# tole to -6"718 I9 # G'S2 +1 CONTR.LIC. H.I.C.# x-14 C��*24 tq- BUILDING RECORD 1 OCCUPANCY 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 i 2 FOUNDATION 8 INTERIOR FINISH ! CONCRETE _ 3 I 2 I g y CONCRETE SL K. --II PINE _ BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL N. 8'M'TAREA _ I Y. 16 '/. FIN. ATTIC AREA _ N_O 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN G 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDII✓'O ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY �_ p STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME t SUPERIOR I_— 1 POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13BATH FIXE GAMBREL MANSARD TOILET RM. 12TOILET RM. 12 FIXE FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK i SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO t �' 6 FRAMING 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 OIL Bsf T 1 d I NOELECTRIC 3HE TING Location No. 5 Date 6174 a M NORTH TOWN OF NORTH ANDOVER G: 0. 8 Certificate of Occupancy $ _ s : Building/Frame Permit Fee $ Foundation Permi ee $ s�cNusE � �.- Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector j 9292 Div. Public Works VAORTFI ToVM of over V 534 NO. , o rt dover, Mass., ncyoriexL 194 0RATED P'? BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........+ .................................. Foundation .. ........... has permission to 9wA—....1.Q . ............... buildings on ..................................... ............ ... ............................... Rough to be occupied as ....4�o6* ....coyr.9...... .. .wr.......4.4;:6 . VtA............................... Chimney provided that the person accepting this permit shal�lnaetKreiAu.pect conform to the terms of the application on file In Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough LOS 40 PERMIT EXPIRE q.j_jNj 6 MONTHS Final UNLESS CONS T ELECTRICAL INSPECTOR Rough .......... Service BUILDING IN CTOR 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. 'zY2,q 2_