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HomeMy WebLinkAboutMiscellaneous - 57 BUCKLIN ROAD 4/30/2018 57 BUCKLIN ROAD 210!025.0-0138-0000.0 �. _ � 4 I r I i i l Office Use Onl� &111111011tuettltlj of + 'u,3r11dju,iettr- Permit No. i9eparttnellf of vublir L4afrty Occupancy,& Fee Checked___ lug BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 112:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 45-0/7 9� City or Town of_ ✓)/ n&au _ To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) it nr &-i&k4ilU golw Owner or Tenant Owner's Address i OgpY Is this permit in conjunction with 4 building permit: Yes ❑ No' 1444' (Check Appropriate Box) Purpose of Building 'RSI r ,Ait-(i Utility Authorization No. Existing Service c2C2 Amps>!s2!2J_C Volts Overhead ©' Undgrnd L! No. of Meters New Service Amps.__/ Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity , l— . Location and Nature of Proposed Electrical Work '. — �l12 - 9- �x,d 7,-6e � � f No.of Lighting Outlets No.of Hot TubsI No. of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above In grnd. ❑ grnd. ❑ J Generators KVA I I No. of Emergency Lighting No.of Receptacle Outlets No.of Oil Burners I Battery Units i No.of Switch Outlets No. of Gas Burners TNlo.ito(tiSounding ARMS No. of Zones No.of Ranges No.of Air Cond. Totaletection and tonsg Devices j No.of Disposals No.of Heat Total Total Pumps Tons KW Devices No.of DishwashersNo. of Self Contained Space/Area Heating KW Detection/Sounding Devices No.of Dryers Heating Devices KWMunicipal Local ❑ Connection El Other 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 Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantiaf equivalent. YES - NO - 1 have submitted valid proof of same to the Office. YES O NO 'I If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE (9 BOND G OTHER C (Please Specify) _General Liability 12/31/98 Estimated Value of Electrical Work S (Expiration Date) Wot$to Start Inspection Date Requested: Rough _ Final /! Signed under the Penalties of perjury: FIRM NAME/ i onneault Electric Co A11823 Licensee �j �- LIC. NO. (±W (Signature + _LIC. NO. �3 S" Address 47 3a]L nr,�.a Dracut, MA us. Tel. No. 78)454-0383 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance Icovera e _.�$)458-9q iv re- quired by Massachusetts General Laws, and that my signature on this permit a is or uir suentantlal equivalent as (Please check one) Pe application waives this requirement. Owner Apert {Signature of CAo,nor or Ayg t) --- Telephone No. _ PERMIT FEE S No 1 8 2 9 Datev�.................................. i* " TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ♦01 y�f ,SSAcIN C c�.� This certifies tha .. .. ..................... ............ .........- � ................................. has permission to perform ........................................................................ 1 wiring in the building of..rY ................................ a7....... ........................... ........................(,/North Andover,Mass. Fee' .................. Lic.No�... .......................................................... ELECTRICAL INSPECTOR 05/13/98 10.45 15.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Tu 2090 Date...... _,//,/) - ` j f pOR7/,, 3:;•' 011 "�O� TOWN OF NORTH ANDOVER O PERMIT FOR WIRING S^cMusf h This certifies that �+...� w - �.... .................... . ......'............`....................... has permission to perform J !;� — in the of 4011.07)wi;in . ....... .. J — at.. ............I',....................................................... l iI North Andover,Mass. '' t Y<74`.. . ............Lic.No.... i ............... ,,//ELECTRICAL INSPECTOR of WHITE: Applicant CANARY: Building Dept. PINK:Treasurer .', Ve Commonwealth of Massachusetts o..,ntt No. Office Uw Oniv lug occur- -v 6 4, Check d Department of Public Safety 3/90 heave bLankl 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 Maet:achusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE AIJ. I�N.,F/`OnR21.dTI0N) Date o/ City or Town of l� dUI L To the Inspector of Wires: REG CPY The undersigned applies for a permit to perform the electrical work described below. RCT ACT Location (Street & Number)_ 5 f� RG,9-- =- Otter or Tenant !& L? e(,ern Q� Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Pur?ose of Building Jb� co4jcd Utility Authorization NO. _- Existing Service Amps / Volts Overhead ❑ Undgrd❑ No, of Neter, New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Yete-s N=ber of Feeders and Ampacity I � Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Iransforners iota! No. of Lighting Fixtures Swimming Pool Above ❑ In-grnd, grnd. ❑ } `Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting IBatte Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No, of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tonsInitiating Devices Heat Total Total No. of Disposals No. of pUDos Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. ,of Self Contained — Detection/Sounding Devices No. of DryersHeating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No, of No, os Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs �No. of Motors Total HP OTHER INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES E] NO C] I have submitted valid proof of same to this office. YES❑ NO [] If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE til BOND ❑ OTHER ❑ (Please Specify) (Expiration Date Estimated Value of Elecrrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIF-1i NAME_B r' kS 13,o SG LIC. N,) L`�S l y Licensee/�ti rk_ J Sy I1resier Signature LIC. NO. C_ $�_ Address IS wits-� $'� S �� gS' 4s��rn.ittia`1.K /', ri Busf Tel. No. 1 fy -(six -04ia/3 Alt. Tel. No. So J'- FrL4, 05k OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial 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 gt;-44A N° 1 6 6 4r Date. °! 40RTH ° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING C �'•O'��T�D♦�y� 1 ,SSACMUS� {I This certifies thatA1! .....r .......................... has permission to perfo {. ..................... ........................ wiring in the building of �.► at.��..... .�-c.. ..... ............................. .North Andover,Mass. 6d Feel�.��......:....... Lic.Nodr 315 n.. .... ....... ELECTRICAL INSPECTOR 05/17/9914:16 M-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only-� �I�e C�ommanwrttlt� of AUSUL411atts Permit No. -e Itparluttut of Public $aftta / Occupancy A Fee Checks�,�_ 0 3190 geave blank) BOARD OF FIRtr PREVENTION REGULATIONS 527 CMR 12:M APPLICATION FOR PEPMIT TO PERFORM ELECTRICAL WORK All work to be performed in acct dance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pate 55/99 City or Town of NORTH ANDOVER To the inspector of Wires: s fo The udersigned appiler a r�,wt.iit to perform the electrical work esscribed below. Location (Street & Number) 57 BUCKLIN ROAD Owner or Tenant MIKE ROBENBERGER (978) 794-3404 Owner's Address Is this permit In conjunction with q building permit: Yes ❑ No ® (Check APptbprlate 80z) Purpose of Building Utility Authulzatioft No. Existing Service .Amps_1_Yolts Overhead ❑ Undgmd ❑ No. of Meters New Service Amps . __!._.---Wits fiverhsad ❑ ::c°.dgrnd ❑ No. of Meters * Number of Feeders and Ampadt y. Location and Nature of Proposed Eloc;U td V*wk_ 1bW No.of Lighting Outlets No.of Hot lift No.of Thinttcmwe KVA No.of Ughttng Fixture Swirnming Pool Rmf Igmd.❑ Generators • KVA No.of Enwrger+cY Lighting No. of Receptacle Outlets No.of ON Sumers Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones lbtal No.of Detection sr+d No.of Ranges No.of Air Cond. tons InNadng Devk,..p No.of Disposals Nod P.... � Kew No.of Sounding oevices Ad No.d Sett Contain y No. of DlshvrasMne t3paee/AnN Heating KWLOe Devices Heating Owlces KW ❑ Cofweation []Other No. of Dryers No.of No.of Low Vbltaa ALARM Bale" tWk BURGLAR Vila Heaton g KW � . .. No.of ter No.Hydro Masaago Tbbe No.of irviotors TbW HP oTHER: INSURANCE COVERAGE:Pursuant to tie requi at ants of Massachusetts general Lawn 1 haw a current UabNhy insurance PbMcy ktdudon bg Completed Operations Coverage of Its substantial equivalent. YES G NO O I have submitted valid proof of sane b tie Office.YES O NO O 1 you have checked YES. please Indicate the type of coverage by checfdng the appropdate bort. INSURANCE O BONO. (3 OTHER O (Pt®sae Spedfy) (Expiration Date) Estimated MAm of Electrical Ubf1t 3 2J9.00 Finial 5/20/99 t to Start 5/17/99 kopeetfon Date Re nested Oh PAL Inten - Signed under the Penalties of per}urv. LIC. FIRM NAME See -Uri SeUrity sarvicon- Ueensee nnna l d A 1; nnka 1_ nature LIC. NO. . 1231G_ Bus.liti.No. 741_ 408 _ Address 111 Morse Street, Norwood, MA Mt.w.No. 211-1131 OWNER'S INSURANCE WAIVER:I am aware that the Ucenseo does neat haw fw Insurance coverage or Its substentisl equivalent as re• quired by Massachusetts General Laws. and thnt my signature on this »malt SWIcauon waives this requirement. Owner Agent Tease chock one) 35 00 �.»Telephone No. _ PERMIT REE S (Signature d owner or Agent) f N2 Dat e�a l.. A.......... i N2 1 714 °ft"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� This certifies that ....... .........U aoi. ........ .. .`�.4 .� ��.... has permission to perform ..-A..�a4. ..!�!'�..... wiring in the building of....... ..t. \: ( I1�' {� �.......�1 fib.C i. .`..k ,North Andover,�M�. at.....J..�...�. ............................ /_ A Fee.... Lic. ^.. .,/ ....... ELECTRICAL INSPECTOR 06/15/99 14:38 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date.. .. . ............. ... .. ..... N2 1713 pORTM TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING CHU This certifies that e., ........—... ....................... .............. has permission to perform ........... ....... . ..... . ...... ....... ..................... wiring in the building of... .................. at. ...... ,North Andover,Mass. .,........... ...................... Fee�O........... Lic.NoIPY- 1�;) .......... CAL INSPECTOR 06/15/99 14:34 50.00 MID WHITE: Applicant CANARY: Building Dept. PINK: easurer The Commonwealth of Massachusetts Per*nit No. Office Uv Onlr Occupants k ter Checked Department of Public Safety 3/90 (leave blank BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All umrk to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date City or Town ofjml--e/' To the Inspector of Wires: REG CRY The undersigned applies for a permit to perform the electrical work described below. RCT ACT Location (Street & Number) J G K '( Owner or Tenant rG` Owner's Address Is this permit in conjunction with a building permit: Yes E] No (Check Appropriate Box) Purpose of Building � 7/U� �./ Utirlity Authorization NO, Existing Service Amps / Volts Overhead ❑ Undgrd.❑ No, of 2"eterz New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Ye to-s 4 Nu✓ber of Feeders and Ampacity CLocation and Nature of Proposed Electrical Work y No. of Lighting Outlets No. of Hot Tubs No. of Transfozners notal kVA No. of Lighting Fixtures Swimming Pool Above El Q grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil.Burners INo...of Emergency Lighting Battery Units ` No. of Switch Outlets No. of Gas Burners FIRE ALARMS -'-No.. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and ` tons Initiating Devices No. of Disposals No. of Punas Total Total No. of Sounding Devices Tons KW g No. of DishwashersSpace/Area Heating KW No. ,of Self Contained �y Detection/Sounding Devic.es�----- -; No. of Dryers 1 No. of Water Heaters KW y No. Hydro Massage Tubs Vic) INSURANCE COVERAGE: Pursuant to , I have a current Liability Insuran equivalent. YES f7 NO I have If you have checked YES, please in 1 i INSURANCE Q BOND f_� OTHER F� (, Estimated Value of Electrical Work Work to Start i Signed under the penalties of perju FIRM NA,-X_a T, Licensee m A ck Address ISS wex Bus Tel. No. ��Y Alt. Tel. No. .50,k- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and Chat my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEES 35 Signature of Owner or Agent BC-44A `- The Commonwealth of Massachusetts p,tt No. CMr1cf U"On le Department of Public Safety occtio.�r & Chocked 3/90 (love blan4) BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Maesachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ,�k--)-&Iq City or Town of A. k'Y)m/-(r To the Inspector of Wires: REG CPY The undersigned applies for a permit to perform the electrical work described below. RCT ACT Location (Street & Number) ( i✓K I( Owner or Tenant e YC Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Pur-pose of Building Fle, 0t- Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Neter, New Service Asps / Volts Overhead ❑ Undgrd❑ No. of Z'z to-s 4 Nu=ber of Feeders and Ampacity I Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total k'VA No. of Lighting Fixtures Swimming Pool Above❑ In- ❑ 1. grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil.Burners (No.. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS '.No.- of Zones No. of Ranges Total No. of Detection"and i 8 No. of Air Cond. tons Initiating Devices No. of Disposals No, of Heat Total Total No. of Sounding Devices Punas Tons KW 8 No. of Dishwashers Space/Area Heating KW No. ,of Self Contained Detection/Sounding Devices _ No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No, of No. os LowVoltage /lt_ "„M Signs Ballasts Wiring ! 11f�� y No. Hydro Massage Tubs INo. of Motors Total HP i INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES C] NO O I have submitted valid proof of same to this office. YES❑ NO F If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE S1 BOND [3 OTHER ❑ (Please Specify) lExpiration Date Estimated Value of Elecuical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NA!*z_� kS �a SG LIC. 1!I.-CI-SALT Licensee/1/�4 f�k a� $y L tS Je_r Signature LIC. NO. C�S Address ISS WCS+ $ 5�,�� �s�1, �r.��tn y Bus Tel. No. T !a r Alt. Tel. No. S G V- 8 l y e 0 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General laws, and that my signature on this permit application waives this requirement. Owner Agent (Please A q g ( ase check one) Telephone No. PERMIT FEE S 3 Signature of Owner or Agent i 8C-a4A Location S-- :2 -�- Ncv' Date �4� MOR,►, TOWN OF NORTH ANDOVER a Certificate of Occupancy $ — ` Building/Frame Permit Fee $ Foundation Permit Fee $ SSACMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector / 07/09/98 09.38 25AM p(ftr� Div. Public Works Location ' { t I� Date ,t f MORTM TOWN OF NORTH ANDOVER p Certificate of Occupancy $ f` Building/Frame Permit Fee $ — CMUFoundation Permit Fee $ sASE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ t TOTAL $ F 1 eH Building Inspector f.17/09/5 M97 i x,00 PAID Div. Public Works f 1 E1 1611"i NO. �7 APPLiCAT10N FOR P � MIT TO 13UILD********N012T11 ANDOVER, MA 7 nl%l•N(l. �Li ` Q�Idh LOT.NO. ; 1. RECORPOFOWNIRSIIIP DATE�t BOOK PAGE II)hL -IIBBIV. I-OU N0. `l. I �Cr ?�"'� .•aF-'7 ;..� . PUH P(1SE OF BI 111 DING NG I.O( A1I(1N (� A 1� 6. /'��GQ�c� W- ���� �vr �@� •°MCS OWNER'S NAME ,M `_ NO,OF STORIES Q �'� SIZE OWNER'S ADDRESS BASEMENT OR SLAB AR(1111 ECI'S NAME 1A SIZE OF FLOOR IIMBERS I�T� K. 2 Z-A 3 RD 2- �o BI IIL.DER'S NAME SPAN DISI ANCF TO NEAREST BUILDING DIMENSIONS Of SiLLS • INS FAN(-EIR(N.IsSTRFEL ) t..+ ,�_l '� DISIL'NSIONSOFI'(ril'S - e DISI ANCE FRCN I I.OT-LiN S-SIDES, i FtEAR .� 1 ! DIMENSIONS OF GIRDERS Cti ,>► . 1 F AREA OF LOT 'FR(NJIAGE IwmirFOFFOIJNDAIION ( THICKNESS:. IS BUILDING NEW �f SIZE OF F(X)FING X f ISBOILDINGADIATI(NJ ® + MATERIAI.OFC'It1f.INEY N{^ IS BUILDING ALTERATION 1��5 IS BUILDING ON SOLID OR rill-ED LAND W1lLBUILDING CONFORM TOREQ(11REMENISOFCODE VC� d ISBI)II.DINGCONNECI'FDI'OTOWNWAFER L, �S BOARD OF APPEALS ACTION, IF ANY �`A r ; IS BUILDING CC)NNECI ED TO 1 OWN SEWER y C IS BUILDING CONNECT ED TONA'IURAL GAS VINE IN$I II(`I IONS 3. PROPER'1'l'INFORNIaI'ION ,._l: _ LANDCOSI. �/� EST. BI.IX;. COST �/Sp P l,"t- I FILLow SECiICNJS 1-3 I` EST. BI.IX;. COST PER SQ. Fl. ,pV 14- - - F S 1. BLDG. COS I PLR RO(X i .v = ry' ELECTRIC t.IE'FERS MUST BE ON(NITSII)EOF Bt)11.1)IN(; SEIq IC PERMLF NO. N1'00'� - A ,>f 1 ACHED GARAGES MUST C(NJFORtiI'fO STATE FIRE REGIII_ATI(NJS w / A d. API'I(O\'ka1 BY: - •�;,^� PI.ANS MUST BE FILED-AND APPROVED BY BUILDING INSPECTOR BI II1.1)I .'IN SI'FCTO.1( "DA IEFIIFD....r�, .<. OWNERSIFLH �y /� �� ` qggO'l C(NJI R.lE1.N r / 'I)j( : WNFR(N2AlrIIHN21Lhl)AGENTCONTR.I.IC# 07x43SI( A - •� II.LC.a It:i. S 1'l IIII T GRAN 11-1) _ 19 1 17 W4 oy Y 3 t ^°-4 ` 1 r 1 1 t r 9 t•, TOWN of NORTH ANDOVER S. �A AFFIDAVIT Eire T pmmmrt Gxtnctor Law y 3 RD1Snevt bo �t u - . c.. 142 A ra#res that, the alis-atiao, remoadcu, ��y���-}• r,,,n.,,,a CiMliticn, Cr =iSturtim of an alffi dra to hAl ;:rrg CatmIIlYg at least are but not mce t� n far da,_ I suits...cr to 4rir are a3 ja=rt to, r' _1 resdd -ne Or b.IllkETg�' be chap- by ZEgStE!09d �' , wLd1 aErt= oaTdcm, alarg wi.tf1 other , / Of Work: t .CASs r. .-Address `of Work . :. Owner Name: VSO ' J ,,Tate OF Permit Application: 9 /7 9 a :hereby certify that: y K } Registration is not required' for the following reasou(s). Rx ofrice Lbe Qziji ` ra Iwo- tided by law . t tb ro under $1,000 Date Building not owner-occupied Q Owner PiLing own pe= t � r Other (specify) fi. ah 1 Notice: is hereby given that: i _t OWNERS "PtTI1.ING Or., PERMrr OR DEALING WITH UNREGISTERED.CONTRA=T S_` FOR APPLICABLE MIE DTROVEMM, WORK DO NOT HAVE ACCESS TO THE ARBI71 A- TION PROGRAM OR GLTARANIY FUND UNDER IBX;, c. 142A_ ` Sim u pemlties of perjury: hereby apply Eor A'.permit as the agent or the owner: s Date Contractor name Registration LNo. OR. 4 IN the above notice, I hereby apply for a permit .as the owner o the above property : Daye er� Na :" yr- NORTjy Tovm of - over No. of *7;1 o - s LAKE dover, Mass., 19 '94_COCHIC"E.' E W ICK �S SAA E DpP`� E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR .........R 5.fFTHIS CERTIFIES THAT .... .. .............................. Foundation has permission to-wect....... ......... . .... .. .... buildings on ,� k ��,.�.. ..................:. ........ Rough to be occupied as � .. /................................................ Chimney provided that the person accepting this permit shall m 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION AR ELECTRICAL INSPECTOR Rough ................... ... .......... Service ... ..... . . ..... . .................... ....................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. LocationUC�GC,t N r No. ~LC Date f NOTh,�` TOWN OF NORTH ANDOVER c?Q ,,:Go ,.s oar � p - Certificate of Occupancy $ 41 w Building/Frame Permit Fee $ �.. Foundation Permit Fee $ s�C USE Other Permit Fee $ u� 4 Sewer Connection Fee $ C Water Connection Fee $ TOTAL A Building Inspector T, rtT` i Diva Public Works 14 Locations t, -z) Not:_ Date 40ttT" TOWN OF NORTH ANDOVER O?0""A. S Certificate of Occupancy Building/Frame Permit Fee $ �.3 cMu5e Foundation Permit Fee $ Other Permit-fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �� � S PrV0Building Inspector = 8663 Div. Public Works _ "��``"�='5-.iti%:. tea-+ .++•r-':K Location o " No. x - Date e�;-19_�r }� N°oT;14, TOWN OF NORTH ANDOVE I Certificate of Occupancy $ � Ln r Building/Frame Permit Fee $ sAC14U Eta Foundation Permit Fee $ cw�s Other Permit Fee $ u C Yl `�-/. • tfy -7Z Sewer Connection Fee $ ®©f o / ,. �{f f Water Connection Fee $ /D77.lop TOTAL $ ZQ co +a { �..-Buildi g Ins_Dator Div. Works PERMIT NOS APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 AP K-4O. I LOT NO. / 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE b - ZONE I\ SUB DIV. LOT NO. ` � F- - a LCEATION C� � e /i L64- 44 PURPOSE OF BUILDING ��,` Le_ / ; I Q A OWNER'S NAME �; /� NO. OF STORIES SIZE 1 -.`_ �/{IL ll cLe /fe-a c'e 9 _ 4 t I C r ,,,Ow1 ER'S ADDRESS 7-35 -rf,s'ne) le-P �.f BASEMENT OR SLAB _ (/ Z G.-G� — r •ARCHITECT'S NAME C �a� , •7 SIZE OF FLOOR TIMBERS IST x'd 2ND 0, � /6 3RD ,pUILDER'S NAME �J1 pyyl�s ` IQn�r SPAN ` 1 4 DISTANCE TO NEAREST BUILDING ��1 �( DIMENSIONS OF SILLS �1 �! G r. DISTANCE FROM STREET itY I POSTS L DISTANCE FROM LOT LINES-SIDES VV REAR " GIRDERS 3- 2 Ir 72C AREA OF LOT ,04 0 sp- 214-fFRONTAGE ^7� G HEIGHT OF FOUNDATION Q♦t "` THICKNESS /4) /( IS BUILDING NEW V �f�s ! SIZE OF FOOTING /6 ?K� 2,2. 1p IS BUILDING ADDITION yMATERIAL OF CHIMNEY !^ IS BUILDING ALTERATION V IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y„es IS BUILDING CONNECTED TO TOWN WATER ��Sf BOARD OF APPEALS ACTION. IF ANY A/14 IS BUILDING CONNECTED TO TOWN SEWER /y IS BUILDING CONNECTED TO NATURAL GAS LINE! 'Y_,eS INSTRUCTIONS PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST 2,0 SEE BOTH BIDES REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST ,.w� ``,p . ` EST. BLDG. COST PER SQ. FTFT��.yF/J/ IJ��IJ PAGE 1 FILL OUT SECTIONS 1 - 3 ? PAGE 2 FILL OUT SECTIONS 1 - 12EST. BLDG. COST PER ROOM DATE � '� �PAID � ((� b�, SEPTIC PERMIT NO. '•ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS q -PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGNATURE OF OVrfNER OR AUTHORIZED AGENT FEE OWNER TEL.# (o D 7 !(�� -^ PERMIT GRANTED PERMIT FOR FRAME/BUILDING . //� CONTR.TEL.# `Z- 19 �`g ob:4 2 3 2 DATE: FEE PAID CONTR.LIC.#. MM. PERMIT FEE c _ X31995 ` ' LESS FDA FES ` Lis E3 l DUE FRAME PER@I�IT I�. BUILDING RECORD 'tOCCUPANC.y 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM OFF MULTI. FAMILY ICES LOT LINES AND EXACT DIMENSIONS,OF BUILDINGS. WITH—PORCHES. GA- APARTMENTS ;s -> "' RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. a CONSTRUCTION 4. " s 'r 2 FOUNDATION _ jI ="$ INTERIOR FINISH - Y CONCRETE G CONCRETE BL K. PINE 4 BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFiN. 3 BASEMENT I '= r AREA FULL FIN. B M AREA '/, '/p '/, FIN. ATTIC AREA- — N_O B M T FIRE PLACES HEAD ROOM MODERN KITCHEN _ 4 WALLS II 9-' FLOORS } CLAPBOARDS V K - B 1 2 3 DROP SIDING ^CONCRETE �— WOOD SHINGLES - EARTH ASPHALT SIDING ' HARDV)D _ ASBESTOS SIDING _ COMMGN _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY - _ STUCCO ON FRAME BRICK ON MASONRY .. ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING _ III 0 STONE ON FRAME _ ^ �` 'l - - J`•,5� SUPERIOR I� POOR — ADEQUATE NONE a 5 ROOF 10 PLUMBING GABLE - HIP BATH 13 FIX.) 7— I— GAMBREL MANSARD TOILET RM. 12 FIX.) - FLAT 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 II 11 HEATING i I r .. ;.WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. ff TIMBER BMS. &COLS. STEAM STEED BMS. 8 COLS. _ HOT W'T'R OR VAPOR _ w WOOD RAFTERS --- AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL � h�R � �f i! j` •��.�r� f` B'M'T 2nd _ ELECTRIC ?f 1st 13rd .I, NO HEATING .-.�...�. :�; ,+ .231 FRAM NO ORT gTO" Of sAndover No- 291 ISO L y C, _ rt dower, Mass., J'0(12 2'1 19%rT O LAKE 5 � COCHICHE WICK I ' %d RATED O'PP\ �Gl 1 BOARD OF HEALTH E' Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ` THIS CERTIFIES THAT A66.1101�.. v. ., .. .. � ........ ... .......... Foundation has permission. slon to erect.W ....�+14►11Y1L buildings on ......... .�UAM Rough t0 be OCCUpiBd 88..5.711 ...TA.ML ,� 1� �/�11�...... .....1.. �. .io1� ,,................................... Chimney provided that the persoft accepting this peri�lt shall In every respe t 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, �r� Y Buildings In the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough DATE FEE PAID Final PERMIT EXPIRE ONTHS ELECTRICAL ft OR UNLESS CONS U O S S _- Rough Service <0 y BUILDING INSP TOR Final Q�`O s 10 lop _ Occupancy Permit Required to Occupy Building SPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Roug p Y P '• 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. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT J y1 r • FORM U - IAT 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 local or state law, regulations or requirements. ****************Appllicant fills out this section***************** APPLICANT: {� S: e R-2a-t . ®1-4 Phone S7 7- H LOCATION: Assessor// ' s Map Number Parcel Subdivision 1&adwddJ -777 Lots) Street c.".ck I -m St. Nu:zber -5 ************************Official Use Only*******************W**** RECOMENDA2IONS OF T AGENTS: Q� Date Aucroved Cons ar-.at_on administrator Date Rejected Cc=er.-_ Date. Approved �S Town Planner Date Rej ec--ed Ccnr„er.:s Date Approved Food I;specs.,_ - ealth Date Rem ected Date Apprcved Sec -c Date Re-Jec ze_ Co- zc Wcr�:s - sewer,'water ccnnec­-ons _%�ZJ -e` -��^ dr_ve�aa,: per-tit �5 Gtr r FG Decar--mer.� Received by Bui`"ding Inspector Date e i M 2 31995 I . s . r 0 $' .O' � � t g • ,2=2.5.00'7 � q�lti 4.40.21, �.�Pa✓�O ve' 1'9GA.c/ Foo 7711 Z-07.— Z A6CCaY CE.c'T/FY TO Tye TITLE 1A1S6MO.r,,WP �L. O T RL Q& TU Ti4�E Bq,t�,!'TNgT THE�h'EGG/.cK/S LOCATED 7,V T//E GOT,!B SifCI►'N AND T.SG4T?pA4S CO.NFGtPi7f /N 077// r%E' 7V&1-1* OFNO, 4 vG,O e ZON/.vG t�E6vLATiC.NS , / �6v/RD/.lg JETe.IC.CS fEOM STREETS�!pT U•uES." /U qN�`�-�� ��'v _rAwmeneCE.�T/FY TiR/.IT T•f�/.S OA►'EGL/�i/6 /S�t/OT LOG4TE0/�{/ THE FEl.1E.PAL ,�CO00 f/•9Z4.Cp A.PE,4. O,PAW/V FO.P SyOIVA!O/V FfM�1' COM.�It/N/Ty P.fNGG '� 4�H 0 Mq q9#38331 Sill Suuv_ 11.4S.S,4el, I-r773 O/8/O a y Q Z-07- (SC6N/C �9 /S 9 -EpSE/h8'AIT� oQ_ 33.06_ .47-ldll� /p B/ �/ �- Zv twice' o,ew6t✓A y � /s�� Eas6,ns�✓! I L=4Z.21, - 4eFGC7S T� �f'�PO✓�D J�E��.v/>/��' �GA.c/ FoC >,C'E"LoT �t //EREBY G'E.CT�FY TO 7We T/TLE A/S!/,PO,f"W0 PL or RL AV TrJ T//E B,4,V e T,Vg7'T.yE OwELL✓,c K/S LGic'ATEO O,V r11,C ZVr,!S S.sCir�.v ANO TiGGOT?OG1�S CO,4/FaleAf /N ,Wlrll "We.7V&111* 0.1-,to eE6vG.4,-xws / /f ,QE6.A,e0/MS JETdNC.t'S F•POM ST�PEETS�LDT L/.✓ES." �(/ f7'i(/L�t/F'.�'� i�� 1 F/irT.s�Ec LE,rT/FY T.Vi�T TN/,�'O.Y�ELL/N6 /S it/OT LOG4TE0/�{/ T.s�E FEGfE,PAG Fi[O�op H•4ZA.�0 A.PE•4, �.Pi9�/(/ fQ� i S�/ONiN ON FEMA' CO�a•I,a/t/N/Ty P.I.tIGL '� zsao9a ova c �i��si�� .PE-.Q�Ty Cae� "OF�A y X995 ��/!�-�` rev..✓��y zo � q4-36331P� 64 /11E.P.P/�t1.4Gf'E'.�/6/.t/EE.P/•l/6 SE.Pf�/G'ES A.1/OOYE, i �Yl.4SS.4G////SETT.S O/8/O i , own y "Cl d0VKAL 0 r O C LA OCHICKE A 'le rAUPa`vCJ Rq TE DM Inn= a '� BOARD OF HEALTH 4S � Food/Kitchen Septic System p BUILDING; INSPECTOR ..... ..... . THIS CERTIFIES THAT..Q�S.t ..... ". .(A ..... �...'.`�.................. ......................................... . ............. Foundation has permission to erect.� .... �� buildings on . .. . .1 .,.. .......... .. .�-.. [tau - to be occupied as..&W&...T4.n(111, �� 11�f�....... �.. d�Z,.... d�i4 .................................... Chimney � `4� provided that the person accepting this p®r�nit shall in every resile i*"**' to the terms of the application on filo in F. ��(� �1 this office, and to the provisions of the Codes and By-Laws relating to the Inspection,AI "WOMM r -Y Buildings In the Town of North Andover. REGULATED BY PARA. ,114.8-S. D.C. PLUMBIN INSSPEE'TO VIOLATION of the Zoning or Building Regulations Voids this Permit. oug 11�3j DATES b9f EEE PAID t®de PERMI F EXl� ON-MS a� �- -- - IBES IN 6�Ivi 'LECTRICAI, INSPECTOR UNLESS CONSTRU TIO S S , �' _��-- _-�► Ro gh -�- Z . GIC. PERMIT FOR FRAME/BUILDING , .....:1. :. ...... .... ............ ..�... nce r� BUILDING INSPECTOR na}=' DATE: Q E-3FEE PAID' � Occupancy Penni.t Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove r h tiLts No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspectr. �' ��` I3urncr I Street No. :r PLANNING SINAI. CONSERVATION _ _ A -��j! ;� � I �� Smoke .� �.�., FINAL DRIVEWAY ENTRY PERMIT-_10 — SEWER/WATER__ — � XERTI t C F� U SE & CCUPA ' YON C y + n. waG+q Town sof North Andover s �,a,.Building Permit Number 291} _ Date October 39 1999 THIS CERTIFIES THAT THE BUILDING LOCATED ON 57 BUCKLIN ROAD (Lot #1) Type D MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/1 CAR IN ACCORDANCE GARAGE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. f MORTq, O CERTIFICATE ISSUED TO Hillside R a l v Corn_ _ 733 Turnpike S t— ADDRESS North AndoyPr ,_ MA '+�� °••..°s''`ue -4CHUS� Building Inspector } i A