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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#
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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
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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_