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Miscellaneous - 58 COBBLESTONE CIRCLE 4/30/2018
J 58 COBBLESTONE CIRCLE 210/059.0-0080-0000.0 I r x I 7066/ Date..... /1�/�f ... .... HOFTM pF Sao ,°1ti0 of TOWN OF NORTH ANDOVER F ... D • - jot PERMIT FOR GAS INSTALLATION . � SACHUSEt This certifies that . . . .K, . . .5. . .Cronk ... . . . . . . . . . . . . . . . has permission for gas installation . . . f /t �. . . . . . . . . . . . . . . . in the buildings of . . `` : �;nom.C . . . . . . . . . . . . . . . . . . . . . . . . at . . .fit" North Andover, Mass. Fee. ��. Lic. No. �(J;� .�. . . . . . � � 4 0. . ✓.Y . Check# GASiNSPECTOR i ��� i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING b City/Town:,QC1Y1 _w`\l.►C�.Ca��►2__. .� . Date: SJy Permit#= .,�. Building Locatio,ag C-O k bL.Q. IQ !rG/ Owners Name::! Type of Occupancy: Commercial `I Educational', * Industrial,I Institutional; Residential Wil/ New:_e_ Alteration:: Renovation:— I Replacement:✓ Plans Submitted: Yes' No( FIXTURES vi W W F- �. N U = Q N 0 ui m O W W 0 U)} a' ~ � O W Lu Z Jcc O z O W O Q IJJ g m O OLu X W fn Q W W Z ~ = H W IW- C = M > V W Z O J H H O Z J 0 LL N Z W W W W z } J a a m W O z 0 ; > z I- _ v 'c o 0 z z g >0 IL �a °� > > > 3 0 SUB BSMT. BASEMENT 1 FLOOR 2 N LFLOOR 3mo FLOOR 4 T H FLOOR 5 FLOOR WH FLOOR VH FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: Stark&Cronk Plumbing, Inc ! Corporation L 24860 Address: 308 Main Street�r City/Town: Groveland State: MA ` " -- ----. r._ ` _ Partnership Business Tel: ,978-372-6981 f Fax: ; 74 0 978.3837 .�..� .. '.... _� w_ rFirm/Company' Name of Licensed Plumber/Gas Fitter: -_M,4—H • INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yesl'„ jNo[, If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy;_t/u Other type of indemnity' i 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 i pP s requirement. Check One Only Ow i ner 1 � Agent �... Signature o Owner or wner's Agent „..� By checking this box❑;1 hereby certify that all of the details and information I have sub i d(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and install ns perforl4eq under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumb g ,od and Ch the General Laws. -- ,Type of License: By, Plumber ✓w Gas Fitter Title ;;+ ign ure of Li Master censed Plumber/Gas Fitter City/Town Journeyman APPROVEDOFFICE USE ONLY LP Installer i License Number 11027 I I { location � No. Date �oRT� TOWN OF NORTH ANDOVER f41 9 i ; ; Certificate of Occupancy $ • o� w 4 4 cMus•E<� Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # f— 18 J ' Building Inspector/ it 1 , I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT ELAM RENOVATE, ORRDEMOLISH A ONE OR TWO FAMILY DWELLING BMDING PERMIT NUMBER T ® DATE ISSUED. LO X XI SIGNATURE: _,IVA (62-�� Building Commissioneffl or of Buildings Date SECTION 1-SITE,INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number 1 38 44U Te��i�C" aem,l & v ya . �� D��S Map Numbs Parcel Number I1.3 Zoning Information: 1.4 Property Dimensions: d 77L Zonin District hoposed Use Lat Area Froita ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided ReqWred Provided 1.7 public Supply ri C.40. 34) Zone 13. Flora Zane Iaf outside Flood zona ❑ Municipal nsfim: 1.8 S o t sr oa Site Mpout Syd m ❑ Pnblic ❑ PrivateaW ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT U i 3tf!Ct: 2.1 Owner of Record ,thwaaoT X LEOWAO -ftaoAme Cac/& 'a1*-0jise Name( ' t) Address for Service: t Signature Telephone 2.2 Owner of Record: VM 1 t A• Name Print Address for Service: �� AAn-ene- 4 *40p a Sa 1 t+l Signature Telephone JECTION 3-CONSTRUCTION SERVICES 3..1 Licensed Construction Supervisor. Not Applicable ❑ 1 Licensed Construction Supervisor: License Number I �i Address Expiration DateI Signature Telephone i I 3.2 Registered Home Improvement Contractor Not Applicable ❑ �I I Company Name Registration Number Address Iz Expiration Date G) Signature Telephone I 4 H r-' /Y.✓ /i1.,f�iG�/inB'n.iT ' !1 t` ��' _ �' a; 50 n 0.0932'4,f ° � r 06 D \. a I I I S more.BY d-eA7'/fY Tb 74-le T/TLE 1A/S!IAVW ANO TtJ ZVICGa•V&TN,g7'TNEO1rE-4415 t If GOCATEO O.c/ MW GOT As'.Jr OMW AND T/G4T?pGiCS e4wIffae1w /N ,wlrl Y.NE ' of,c a 4wovirsAe Z"Iws .ees4,z 4rrwr ,fW4""�lW .fETe�cr.S law"srlreers!DoT 4•ves. LOe4TEO/i{/ THE FEGE.roG FiCA�O .�fiVZA.CO A.PE,4. O.P/q�✓/V fO�P �SyOIvN O/S/iEMA'C ,t,�Mt/N/Ty�D,,�NCL '� �BBGESTd.VE' L��e.S •• 2500 9g 0003 L' S/�/f's .�E"✓EGOPin`rt/� rtH OF M oA r6L ✓uvE z,1993 - �oefbe4 T/dv 4.5.' PATE a9 631 - r �' _ iflEP.P/ill.4Gt'E.t�6.�t�EE.P/•f/6 SE.PI�/G�'•s' BO!/,VO.PY GET BovvOA.PY/.vFORi1f- A7-161W T,4.t'F..S/ F JT/.f/C .�Ez'O.POS. 66 f�q.P,E�,fT,PEET E A.t/OOYE� �J,q��4GYl/SETT,S O/8/O \ r: ,'or• g b O A?, 53 7 s i Z407647 �s ti It f Y ri) 3 � ,� fit. 4, n ♦. .r,• .,. I jsfi 1 1 r£ � svi` r1�: •� t, f if4'� 6 h k:::•...;�;. �� .tidy:. r•w f. JULES A. G01URDEAU, INC. JOB S' ' )CIA' I t iz ARCHITECTURAL WOODWORK SHEETNO. ✓' 94 Corning Street N©R. Ass BEVERLY, MASSACHUSETTS 01915 CALCULATED BY (978) 922-0102( (781) 324-4823 FAX (978) 922-0126 CHECKED BY DATE SCALE f+e i ....._.. ._.< ....... ..... I _......_...:... .............................:...._.._....._................._...;.._.......;..............;. ..... ..... i z ;( ......... ............. .... ....... ........... .... ilk /oB .._._ _. . . C� . t. .... ...........i. . ..... :.............._...__..............;.. ................_...................v. .............. .. "Z. . . .................... s'r "mew ................ ............................. . t V ........ .............. ILIO os� I ,�... .. '. f . .... ...:.... ....:.... ........ ....:.... ......... ... ....:.... . ....:.... .._.... ....:.... I ...... ...... ...... ..... ..... ... .r ............. ...... .... .... ...... ............ lS�f�'�rC� ®SC?=> ...... .. .... ..... ...... .. ..... .... ...... • i 1........... Pr............ ......... .............. .............. 74 ........... .... ........ . ...... ........... t . ': i ...:....... ........... ............. ............. ............. ................ ........... ............. .......................... .......... ...... ...... ...... ...... ...., .... ..........- .......... .......................... i............. ..............i. ............ .. .... .... - .............1 -.1 .......... ...... ..... ...... ..... ...... ...... .......... . .:. ..._._...........__............... :.....................i................. ......_........... ...........4...7. .. .... �.� ... I: is ...... _ ...... _.. ..... ...... ... ..... : . : : : : ... ....... .. .... Ef :. . s ......._....... . . ......... � �4E., " •�• '' 'a 2' I`�, .......... ........................... ....... ...:.... ...:........ JP <............. ._L !....' 3 �... ..._.._._ ......... _.t ...............'.. .� p � t 001 .. � ;i ` Bi I f NO�T11 1 TOWN OF NORTH ANDOVER OFFICE OF A BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: � Ze',/D,cAf C./IQ Number Street Address 44wAre� HIT'"/14 ~� HOMEOWNER Name Home Phone ork P one ~` PRESENT MAILING ADDRESS S 4�bL40S;I42? 6ACAZZ— /Q City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFIMTION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home 1,n a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other, Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/sl--will comply with said procedures and requirements. I HOMEOWNERS SIGNATURE I i APPROVAL OF BUILDING OFFICIAL I I I I i I I I 130.\RDOF.\I'PEALS6FS-9541 CONSI'.R\':\•CION 698-9530 1IKMAI16880540 PLANN1\6098-9535 I x The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 ' y Workers'Compensation Insurance Affidavit Name Please Print Name: VIAAC AAT LC e u! C> i Location: AA CI R— . 40/9<Phone # •T —A-%,^ I am a homeowner performing al work myself. 1 aI am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#' ' Insurance Co. POIIcy# Company name: , Address CRY: Phone# Insurance Co. Poli # ra - cv Failure to secure coverage as required under Section 25A or MGL 152 can lead tothe imposition of criminal penalties af,a fine up to$1,5ll1).00 ll and/or one years'imprisonment_as_weti_as_civil..penalties jn be form d-a.STOP WORK_ORDER.and..a fine 0f.($100..00.).a day against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. Signature Date Print name Phone# + Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensi ❑ ❑Check if immediate response is required Building Dept ❑ Licensing Board C] Selectman's Office Contact person: Phone#.• ❑ Health Department ❑ Other I I + I I JULES A. GO�URDEAU, INC. J0B ARCHITECTURAL WOODWORK SHEET NO. 94 Corning Street ©RE7, ,� � z w BEVERLY, MASSACHUSETTS 0191.5 CALCULATED BY �� (978) 922-0102 (781) 324-4823 FAX (978) 922-0126 CHECF ¢�Y DATE SCALE t a .......................i............i..............;................ ...... <.... ......... ..........................:,........_..;........................_................, ........................_..,..................._ _.... ..... ..... ...... ...._ .._.. ..... ...... .._.. ...... .... 4 ...:........ ; ; ............ ............. .._ .._. .... ..+... ..... .__ ...._ ...... _.. ...... ...... ..... ...... ...... ..... ..... ...... ...... ..... .. i .............:.............i........ i E i ...........................................:..........._............................ i.............i......... ...... _... ...... __.. ...... ._... ............ ; ..... ...... ...... ..... ..... ...... ...... ...... .... ...... ...... ...... _.... ...... ...... ............::......................................,............ .............. ......... ._ .._.....................:..........._t........................... ..... ...... ... 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GOIJI RDEAU, INC., ARCHITECTURAL WOODWORK SHEET NO. xr-a 94 Corning Street BEVERLY, MASSACHUSETTS 01915 CALCULATED BY 4 L07�0 040t*wzeq r (978) 922-0102 1 (781) 324-4823 D TE FAX (978)l 922-0126 SCALE .............. ............ ............ ........................... .......... .............. .......... ........... .................... ...... ............ ........... ........... ............. .......... ............. ........ ...................... ............ ......................... ................ ........... .................. ...................... . .......... ...................... ........... ................. ............ .......... ........... ......................... ........................ .......................... .............. ...................... ........... ... .......... ........ ........... .............. ...... ............. .... ......... ................. ............. ................ ....................................... ...................... ..................................-- ........... .......I....................... .. .........- ...... ...............-...... ... ... ............ ............- ............ .. ........ .. .............. .... .......... ......... .......... ........................ ....... ... ...... ............. ........... .......... . .....: ........ . . ....... ........... . ............... ............. ............. ........... . ... ......... .......... ........ ... ............ . ................. .................. . ... .........i..............:. ................. . ............. ............ ...i........... -.......... .......... ............ ........ ............ ........................................ ..... ............. ......................... ...... ......... .......... . ..... ........... .... .... ........... ... .................. .......... ..... ............ ... .............. ......... ....... .......... F4 .............. . ........ ................... .......... .......... . .................... 1 (J\ .................... .........................- .............. .... ...... ..... ...................... .............. .................... ...................... .............. .......... ...........- ............ ............. ........... .............. .......... ............ i ?7" ............ .......... ........... .......... ......... ........... .......... ............ ........... .... .............. ....... .............. . ....................... .. ..... ....... ......... ............................................. ............ 7.1 .......... ........... ................. 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JULES A. G06,, RDEAU, INC., ZA-rk-k c i A LC. gqZp ARCHITECTURAL WOODWORK SHEETNO. 94 Corni ARCHITECTURAL -XIA0,2 )OWS� BEVERLY, MASSACHUSETTS 01915 CALCULATED BY 7 : (978) 922-0102 (781) 324-4823 CHECKED DATE S-2 J' ` FAX FAX (978) 922-0126 /c-'-4 "'/ 7 - V SCALE ............ ............ ........... .............................. .......... ........... ......................... .......... ........... ............. ............— ................. ............. ............j......................................... .......... .............. .......... ....................... ........... .............. ............... ........... ........... ............ 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A : ........... . ........... ............ ........... ........ ........... .. ............ ...... ............ ...................................... .......... ....... .......... ...... ......... .... ............ ... ........................................ ................................. ........... ................ ..... ................................... iE .................... ......................... ..... .............. ........... ........ ...... ............ ........................ ................................... ......... ......... ..................... ........... .......................... .... ..... ............ ............ ........... 4k ........... .......... .......... .......... ............. .......... ........... ............. P4 ............... ....... .... .......... .......... ............. its .......... ........... ........... ............ ........... ............. .................. ............. ..... 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I....................... ............. .............. ........... .......... ............ ....................... ..........i. .......... ............ ............. ......................... .... ..... ............ . ..... . ............. . .......... . .. ... .... ... ........ ...... ...... .......... ............. ......................... ............... ............. .......... ........... .. .. ............. ............. ........... ............. ....... L4 ........i...........1........... . .. ........... .......... ............... ........... ............. ...... ........ .............. hit .............. ......................... ............ .................................... .......... ............. ........... ...... .......... ............. ..................... ............ .......... n.. i ADT iHIRE ------- -- ISO i I j I I i i I j j I`F % I j sus I j I I I I l— PJ A i JULES A. GOURDEAU, INC. JOB ARCHITECTURAL WOODWORK SHEET NO. OF 94 Corning Street BEVERLY, MASSACHUSETTS 01915 CALCULATED BY DATE (978) 922-0102 (781) 324-4823 CHECKED BY DATE FAX (978) 922-0126 t SCALE . ........... ... . . . ............... 777 77- .......... ......... ........... a ............. -�D ....... ............ —4 ........... . ......... . ..... a ........... ............ .......... ............ ............. ....... .......... p ............ .......... .. .........—......... J1 ...L—...i .......... .... ............... ......... ............ Aq'I .......... ........... N.....—f i .......... ............ .......... P w d ........... .......... ........... ........... ............ t p ............. ........... ........... .............. J i ....... ..... ....... .......... ............. ......... ........... ........................ d ........... .. . ..... ........... ...... . ........... ............. ............— ............ % JULES A. GOURDEAU, INC. JOB ARCHITECTURAL WOODWORK SHEET NO. OF 94 Corning Street BEVERLY, MASSACHUSETTS 01915 CALCULATED BY DATE (978) 922-0102, (781) 324-4823 CHECKED BY DATE FAX (978) 922-0126 SCALE ............ ............... .......... ...... ........... ........... .......... ........ ............... '7T. .... ...... ..... ....... . ............. . .......... . . .... ...........I EE.......... ........ .... .......... ................ ... ....... ........ ........... .......... .......... .... ......... .......... ................... . ..... ............ .... .......... ................. .......... ..... ...... ......... .............. ..........- ...........- .......... ............. ..... ...... .. ............. .................... . . .............. .......... ............ ....... ... .. .......... .......... ............- ..........- ...... ........... . ........ _. .............. .......... ..........I. .......... .......... ........... .......... TT : .............. ........... .......... NORTH ovvin o Andover No. ,� - _ 4100 —---L=A over, Mass.,�!kA3 O COCHICHEWICK C5 BOARD OF HEALTH Food/Kitchen M T Septic System wk A BUILDING INSPECTOR TMS CERTIFIES THAT......... ...... PER I T D Foundation has permission to erect........................................ buildings on.. .............................. Rough to be occupied as.... j dad* A— AwA—a I dL--� A ... %00. 1111 ho Chimney %1W....... .... ... ..... provided that the person Tc�eiimg this perm' all Nall in every respect co m to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to t; 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke-Det.— Date. .. NORTH ?py 3 TOWN OF NORTH ANDOVER i p � D • . PERMIT FOR GAS INSTALLATION SACHUSEt This certifies that . . . MA 0.1`N . .J. P. l has permission for gas installation . .!►!.'` . . . . . . . . . . . in the buildings of�. );�. A 1 c�' 'r at . . ... . . .per. . . . . . . . . . . . . . . . . . . . . . .. North A dover, Mass. Fee. . /7�. Lic. No.. 4� W. .7T-.P'o 7 i .6f.r . GAS INSPEC OR Check# 30710 441) x, i� I , MASSACHUSETTS UNIFORM APPUCATON FOR PERMI r TO DO GAS FTfMG (Type or print) Date /C1 NORTH ANDOVER,MASSACHUSETTS —Q Building Locations O Permit# Amount$ Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ a I, a c a � o O0 zG F w F EA» r� x Q a O O z gi w O w 3 A C7 v w A aO F O S UB-BA SEM ENT BASEMENT ST. FLOOR ND. FLOOR RD. FLOOR TH . FLOOR TH. FLOOR H. FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) CLeck one: Certificate Installing Company Name // i Corp. Address �� ❑ Partner. / o791 Business Telephone 'O -� 3 �' ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance pol' or it's substantial equivalent. Yes No❑ f Ifyou have checked M,please i cate the type coverage by checking the appropriate box. i 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: j Signature of Owner or Owner's Agent Owner ❑ Agent r-3 i I hereby certify that all of the details and information I have submi (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and install ed Permit Issued for is application 114) in compliance with all pertinent provisions of the Massachus State Cod a d Ch 142 s. By: Si ature of Licensed Plumber Or Gas Fitter Title lumber (� City/Town ❑ Gas Fitter IcenseNum5er �` ❑�4 Iter APPROVED(OFFICE USE ONLY) ❑ Journeyman d Z v/ Mw.. � NORTI� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING +r o �• SACMUSEt i This certifies that .......................................°t has permission to perform / wiring in the building of....... .............................................. at.. S .e ... ....: .... ,North Andover,Mass Fee... ... Lic.No41�/ ....................................... ELECTRICAL INSPECTOR Check # � WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts FOR OFFICE USE ONLY Department of Public Safety PennitNo. 33Se(/ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Receipt No. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code.527 CMR 12:00 (PLEASE PRINT IN�INK OR TYPE ALL INFORMATION) Date �O I� City or Town of /v orl-k /�n J Gy e-c— To the Inspector of Wires: i The undersigned applies for a perm itttto perform the electrical work described below: Location(Street and Number) `� 00 CO b k9)C- S40 VILC I CCJ t_' Map: Lot: Owner or Tenant 140L r ki rCA Zone: Owner's Address Is this permit in conjunction with a building permit? Yes 11 No �' (Check Appropriate Box) Purpose of Building ��✓'e ``� °`1 Utility Authorization No. 03 C c rz Existing Service a U Amps I/A O / Volts Overhead❑ Underground 19"'_ No.of Meters i 1`r Service Amps / Volts Overhead❑ Underground ❑ No.of Meters Number of Feeders and Ampacity j� l Lo cation and Nature of Proposed Electrical Work �` 'e P a f�� /� �-(— so C/ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA I No.of Lighting Fixtures Swimming Pool Above grnd.❑ In-grnd.❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emer .Lighting Batter Units P g g g Y No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones No.of Ranges No.of Air Cond. Total Tons No.of Detection and No.of Total Total Initiating Devices ` Jb.of Disposals Heat Pumps Tons Kw No.of Sounding Devices No.of Dishwashers Space/Area Heating KW No.of Self-Contained No.of Dryers Heating Devices KW Detection/Sounding Devices No.of Water Heaters KW No.of Signs No.of Ballasts g Local❑ Muncipal Connection ❑ Other No.of Hydro Massage Tubs No.of Motors Total HP Low Voltage Wiring OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts Gener 1 Laws I have a current Liability Insurance Policy including Com�ppleted Operations Coverage or its substantial equivalent.YES LO 111 have submitted valid proof of same to this. office.YES 3 NO❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE 2'BOND❑ OTHER❑(Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Requested:Rough Final � 11 G Signed under theenalties of perjur FIRM NAME LIC.NO. Licensee _ Signature LIC NO. ! Address Bus.Tel.No. Alt.Tel.No. 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) /L Telephone No. PERMIT FEE$ (Signature of Owner or Agent) Date J..-'.<p.'.o .`.e . NORTI, 1 Of TOWN OF NORTH ANDOVER O F ' PERMIT FOR GAS INSTALLATION SACNUSEt This certifies that . .�'. sf. .1. . ?o ��. . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . in the buildings of . . .`t. . . . . . . . . . . . . . . . . . . . . . . . . . . at �� . . .1 . .("G 5.jr a t4:, North Andover, Mass. Fee.3z..G. . Lic. No. . . . . . .. -- .. . . . . l6AS INSPECTO Check# d-9( 3 E. 8u4 MASSACHUSETTS UNIFORM APPLICATION FOR PE 41T TO DO GASFIT 1NG - ' (Print or Type) r ( Ojj T4- Jt/t_('t Mass. Date cla. 2004 Permit # tJ Y � Building Location 4 •'-11Vr Lner's Name 1114t'1116- a&vmb Type of Occupancy .r ,. I New p Renovation ❑ Replace a Plans Submitted: Yes❑ No ' N W N Y X ¢ Yf N N Q ¢ h x y Q N r. o N = f- v J H• W 0 0 m } W z jo n oil, W W yl h „� ¢ C ¢ W W N ¢ O p. Z J H Y f. W W O > U. l- v J �. W Y < W < C f' } N m Z .0 O N = < ¢ < SUB—SSMT. BASEMENT 1ST FLOOR t 2HO FLOOR I �T 3R0 FLOOR _ s 4TH FLOOR sTHFLOOR 6TH FLOOR ' TTH FLOOR 8TH FLOOR Installing Com ,ny Name f9TARK&CRONK PLUMBING&HEATING Check one: Certificate Address 308 MAIN STREET,GROVELAND MA. ❑ Corporation 2486 C ❑. Partnership Business Telephone 978 372-6981 Firm/Co. Name of Licensed Plumber or Gas Fdter INSURANCE COVERAGE: I have a current,liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes E No 0 If you haver checked yes. please Indicate the type coverage by checking the.appropriate box A liability insurance policy';o Other type of indemnity❑ Bond 0 OWNER'S INSURANCE WAIVER: I 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: Owner❑ Ag ❑ I Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted(or entered)' oho a applirare W nd ccurate to the best of my •knowledge and that all plumbing work and installations performed under the permi ' or this appGcatio a in compliance with a4 pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the Gen Laws. BY. Tof license: Plumber nature df Licensed Plumber or GasFitter Title 9Gasfdter 11027 Of License Number City/Town Journeyman APh40VED( I S N Date. ".O RT:'�a TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that �. . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . at . 1".\. . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. $. �. . . .Lic. No../. �.�: . its . . . . . . . . . . . . . . . . . . PLUMBING IN PECTOR Check # 6135 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING fPrint or Type) lil04T14 f�N �V�=�- Date-, �- (0 2ooa Permit# 3 Ip Mass. � . Building Location :_ t- e'02gesTovuc �(-iv'e own Nam VJ!VAIi1 Ty e of Occupancy A,64,6141 New p Renovation p Replacement Plans Submitted: Yes O NoL^8— FIXTURES: z w , f w w O z f' > W W w z N < _ < z O z Z d = dr- w w w x < w m c a e '3 x v = 0 m c } = o < w ° s ol sr o U. L �. Y a O r < is < as U. Y W Z o vs _ _ W o x m w c a 3 z r w. u, o a < 3 c m o ( sus—gSMT. ' I BASEMENT 1ST FLOOR I I 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR .: 6TH FLOOR 7TH FLOOR 8TH FLOOR • STARK&CRONK PLUMBING&HEATING . Installing company Nam Check one:. Certificate AddfeSS 308 MAIN STREET,GROVELAND MA. L9�c«poration 2486 C 0 Partnership Business Telephon 978 372-6981 p FuTn/CD. Name of licensed Plumber INSURANCE COVERAGE: I have a curreqtliablity Insurance policy or ftsubstantial equivalent which meets the requirements of MGL Ch. 142 Yes No 0 If you have checked IL, please indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER:t 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:. Owner 0 Agent 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and informatkm I have mitted(or in above application are true and accurate to the gest of my knowledge and that all plumbing work and installs' under the rmit' reed for this application will be in compliance with all pertinent provisions of the Massachusetts State A in a and ter 2 e General Laws. BY gnatur f l3censed Plumber Title Type of!;cense:Master X Journeyman p 11027 �PRC M IC f0 US ONL License Number i 1 Location/at 11 `-S 3 do's CSTUNt i No. Date 7116 9 I gORT►r TOWN OF NORTH ANDOVER Certificate of Occupancy $ ,' Building/Frame Permit Fee $ Foundation Permit Fee $ ACMUS c11� Other Permit Fee-�/,� t`Y$ o2s Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building �to`r 25.03 FAIL! e� 033 Div. Public Works Ocation�t G -S'� �� r3rblen hc' 01 �L� No. Vii" Date °"7" TOWN OF NORH ANDOVER t ? s O ° p Certificate of Occupancy $ ID Building/Frame Permit Fee $ /uSk �= AcHuFoundation Permit Fee $ � ss s _ Other Permit Fee $ Sewer Connection Fee $ � Water Connection Fee $ PA TOTAL $ C SDK tr- .2 DDBuilding Inspe or { 7" 7503 Div. Public Works 7 ��c Locafioh -s C�v/3��t"'S 1yiUc No. 6'i?�� Date N°RTM TOWN OF-NORTH ANDOVER 3? •.. L CrIO Certificate of Occupancy $ :0 • � +� Building/Frame Permit Fee $ ua : ::. �s" h Foundation Permit Fee $ /coo sACMUs E t - Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ T, TOTAL $ H d �r Buildln6,1nsp 6r . 1 7448 Div. Public Works r Location r No. o"Z Z Date �RTM 0 , - TOWN OF NORTH ANDOVER n Certificate of 6cupart4 $ i Building(Frame Xrmit Fee $ sACNUS Foundation Permit Fee $ Other Permit Fee $ H Sewer Connection Fee $ Q0.-11-9 „j Water Connection Fee $ J t TOTAL $ 0 d5 y B_ug I Sector - ." 698 Div. Public Works v o APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ` PAGE 1 MAP d-40. LOT NO. V 2 RECORD OF OWNERSHIP jDATE BOOK 'PAGE — ZONEI SUB DIV. LOT NO. I. LOCATIONawF 1 421 PURPOSE OF BUILDING . OWNER'S NAME NO. OF STORIES OWNER'S ADDRESS w�} 1,WEMENT OR SLAB b _i1T `cJ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST } 2ND i, 3RD BUILDER'S NAME c? SPAN DISTANCE TO NEAREST BUILDING `_3l) DIMENSIONS OF SILLS - DISTANCE FROM STREET POSTS POSTS ^ UN DISTANCE FROM LOT LINES-SIDESk REAR a U " GIRDERS m2 . AREA OF LOT i �7 �Li Z� .j FRONTAGE ✓�G� HEIGHT OF FOUNDATION - / Ij THICKNESS IS BUILDING NEW\ SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY 2 ` L IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND i WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER G BOARD OF APPEALS ACTION. IF ANY , IS BUILDING CONNECTED TO TOWN SEWER CG t vu�� IS BUILDING CONNECTED TO NATURAL GAS LINE C 7 s INSTRUCTIONS 3 PROPERTY INF RMATION PERMIT FOR FOUNDATION ONLY LAND COST on.o-,>SEE BOTH SIDES REGULATED BY PARA. 114.8-5. B.C. EST. BLDG. COST 91 g PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST P , vrvv0-9 PAGE 2 FILL OgJT SECTIONS i - 12 -� EST. BLDG. COST PER ROOM DATE � FEE PAID �w SEPTIC PERMIT NO. ELEC1 V METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED G{RRA*dES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST!BE FILED AND APPROVED BY BUILDING INSPECTOR 1� A 44 DATE FILED Fri r j _, ARD!Z HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT ee OWNER TEL.# 'E` +^" (Z€'� PLANNING BOARD PEt4`IT GRANTED CONTR.TEL.#--Ce r 19 CONTR. LIC.41 BLDG. C �e ���'l BLDG. PERMIT FEE '—` BOARD OF SELECTMEN LESS FDA FEE PERMIT FOR FRAME/BUILDING DUE FRAME PERMIT� .._._..� DATE: FEE PAID:...._..,.. A w/rte- axo"14� BUILDING INSPECTOR BUILDING RECORD h 1 OCCUPANCY 12 SINGLE FAMILY S�oRIEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY / QFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETEB 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL UNFIN. 3 BASEMENT I ' AREA FULL IN. B'M'T' AREA _ '/. 1/1 y/. FIN. ATTIC AREA _ N_O B M-T FIRE PLACES-. % _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDSB 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNrJ'D _ ASBESTOS SIDING _ COMMCN r VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME a BRICK ON MASONRY ATTIC STRS. & FLOOR ' BRICK ON FRAME CONC.`OR CINDER BLK. Pf _. STONE ON MASONRY WIRING STONE ON FRAME r' SUPERIOR I I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP ATH (3 FIX.) w GAMBRELMANSARD TOILET RM. (2 FIX.) FL �i AT SHED WATER CLOSET L ASPHALT! LAVATORY ' WOOD SHINGES KITCHEN SINK L SLATE NO PLUMBING ` v TAR & GRAVEL STALL SHOWER n i ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR - WOOD RAFTERS AIR CONDITIONING - `y RADIANT H'T'G .q,; ,,t,,-y .riU UNIT HEATERS •�R� F ` 1� is .�4 7 NO. OF ROOMS GAS �t i OIL + . 3 A"I Z?: B'M'T12nd I� ELECTRIC a,=�yy.• r. t f = a ;..+ y ^ ", t• F 1st { 3rd NO HEATING + �T{.I� � ? .7 1'f e 0 o N"(` )rt, Andover �` `✓ f J�` +''t.�M�.Iyll�y. n L ♦ 292 ? is X � � S. - "Tort dover, Mass. y 19 - �µ > 7�SOPA re o 1 L BOARD OF HEALTH - s PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR ���CS"1'OA,C C2o I N THISCERTIFIES THAT...............00. ........................................................................ '...1 �- ................ Foundation has permission to erect...... itiyic?! o ►........ buildings on 'r.....�! 4061e Rough to be occupied .: as............ ...... .... ........5/..U�!Tli�1�.... �.... ... ......... .......... .-"�.......... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in p Final - this office, and to the provisions of the Codes and By-Laws relating to the InspectioRFRi1ffiTaFOR ADURNMOIjONl# Buildings in the Town of North Andover. REGULATED BY.PARA. 114.8.5 &C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough C DATE 7"lg' FEE PAID0100 a Final PERMIT EMPIRES IN 6 MONTHS UNLESS CC )N S (, RUC ^h1��1`i RTS ELECTRICAL INSPECTOR —muV h er'rta N Rough ................. Service I BUILDING INSPECTOR Final OCc'1(pU11Cy 1 e'vn UC lzegz(11 ecl L(1 Oc c i q)y I3t(ilch l lg GAS INSPECTOR I Display in a Conspicuous Place on the Premises — Do Not Remove Rough ; Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING f FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT t FORM U - LOT RELEASE- FORK 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***************** APPLICANT: S .1-4 1-- 1Phone LOCATION: Assessor's Map Number Parcel Subdivision ���ilta�ar.;. 6?V15,=�_ Lot(s) ♦ ,�q Street St. Number 44- o ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved lZ�� Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments e) -P J , - Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit f 55-VioP12 L12 [ Fire Department G %� s Received by Building Inspector Date tl, TH Town of _ o Andover No 292 ; Tort, .'Andover, Mass., 19N 2, ADRATED S '9 ; ll' �,,. BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System • BUILDING INSPECTOR ' S&R—T iucC�Ss 1 N •�1rL THISCERTIFIES THAT..............00............................................................................�........ ............... ................ Foundation Woo! '" M1...'`.S% rs�C �IIQ�P has permission to erect......................... ........ buildings on Rough to be occupied as.......... .... ........... .ti.......S/! ... ����.... � ...... Chimney .. .. Lt 6 provided that the person acc ting 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 InspectioRFMMEOR E6011161111MG0 Buildings in the Town of North Andover. REGULATED BY PARA. 114.85 5C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Os Rough DATE 7-15 FEE PAI0/00 I Final PERMIT EXPIRES IN 6 MONTI-IS PCI 0(462 ��C,ONSTRUCTION , TS_t,_ ELECTRICAL INSPECTOR P IIT tOR FRAVNINIL1% Rough ...................... . ........................................................... ....... ................. Service DATE: �� g¢-FEE PAID: d SO 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. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT -W' .d_9:P A /_ el 0_'10 11:111.1 HN( ' tiI:11VTION t�•""J� 1,1�'I:.1„N 1 q. (1 i 1 i 11 iN!i.177; (.()NW - . I WAI J'1 IILANNINcI 1'1,.,1NN1NG- Lac ('00AIAILINI1*1' WON I.:1.01'Al1:N'1' ' 11.1 NI.:I.SI )N. 111f(HI( )I t ' CHIMNEY APDL ICA f IO1J ANU VE1311 l' ATE 1�Lltcli r. �SC� )CATION LINER'S NAME: ,7p 1ILDE'R'S NAME: — SON'S AME: ' ' ' .SON'S NAME: a7}Gz kSON'S ADDRESS: 2,, � C�`�'/r/ r/i�� ✓i '&N'S TELEPHONE: ,TERIAL OF CHIMNEY: ITERIOR CHIMNEY: L'XI LRI OR CIMINLY: Ih1BER AND SIZE OF FLUES: IICKNESS OF HEARTIN 14 J� c1Lu1u1ey an OiAepCace ca11(anul to 411e acqu.immen.ts uO .the cute ant have "mcc.3 and .gutatiow been neeebed: -- -- .TE: GNATURE'OF b1ASON: i S�' :Rl,{IT GRANTED: ti�asT � . �-- L•'LL•' 'BERT NICETTA J LDING INSPECTOR — SPECTCU: -- -MARKS: - SOLLU ()UII(L C� 3 THIS PERMIT 1.IUSr. G1= VISPLAYLO 014 111E ITL1,1I SCS CERTIFICATE OF USE4 OCCUPANCY. Town of North Andover Building Permit Number 292 Date SEPTEMBER 30P 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 58 COBBLESTONE CIRCLE - LOT #6 (Type B) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE WITH-THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Cobblestone Crossing Realty 733 Turn ike S t. ADD S o th An ver 01845 Building Inspector t r . .. .. �,,, / ,}: rF'yri4¢ •F' �.iii f• F r r'' .r 4 � � f.•; / ✓ j ,,.rr�'1��.��,��„r.Jf�'�L�i.C'�'t� r.� s �j -1 ' �f � �J. ri. {+!.a nn44Ik , 3'�`,.,'r,�{'y •r;.•6. 'f/r}.ih/..��i�. _.. l + • Tf '0 0 R'r a� JAndover 0 6 ® No. 2,92 o Mort LA dower, Mass., y COCHICHEWICK 4 0)S?ATED FP 'C� r L BOARD OF HEALTH t. Food/Kitchen t^ n Septic System BUILDING IN � �� .� .. BU SPECTOR ERMIT T D tNf CERTIFIES THAT..............MRS................................... . ..... ................ Foundation 06' !3 '7 • y y; Y r G s -5' ie u��le -Ff- L r**s -. a�°'permission to orect......�7/O..... .... buildings on�................................................ ,...... Rough le 9� � r0 X19 aS ..... ........ Chimney a/t- occupied s•l,�r ' provided that the person acc ting 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 InspectioRf lkliflaflOR E NONIMUM ",�t buildings in the Town of North Andover. REGULATED BY PARA. 114.8•S B.C. PL B G INSPECT O VIOLATION of the Zoning or Building Regulations Voids this Permit. 3� DATE 7-/S- FEE PAID /Oo�i k PERMIT EXPIRES IN 6 MONTI-IS 1 d T ELEC , IC INSPE TO Mtt AOR FRA1JA&L("16CONSTRUCTION S RTS Rough i sDBUILDING INSPECTOR ��................. Service ;DATE: �• � ¢FEE PAID- final . Occupancy Permit Required to Occupy Bulldirig GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove i 3v No Lathing or Dry Wall To Be Done FIR DEPARTM N Until Inspected and Approved by the Building Inspector. Burner , - qc� `L NAL CONSERVATION INAL Street No. D PLANNING Smoke D*:,00- _SEWER/WATER - FINAL - DRIVEWAY-^ENTRY PERMIT �,. 1 • s F�/.vbAT"/ON L!oCA 7�d.S/ �iE',ai7? /Y.c/ �.b,s7'.eu.�+,S.vT Jam" � I. •�c. f J_.!_ _ `' ' �' ' i Lar » /2, 772 r, ' 0 tiD y� � O\• .. 66 4� CD88L�STc9.c/� E a o 1 /SIEREBY CE.-T/fY 70 73YE R1. O/ ��/� /V 711E BA.VV MOMT.vEO�rELu.Ht/S LACATEp O•V ryELorgs /N ,WlrN TNETaw.✓ of.�a..avoavaeZovivc .�Eovtgrn.�s iQL�6vI.e0/.tb JET�gC.t'S fxOM sT�PEE7'�S f fpT L/•vEs.�' dery ,Q,�,,�,;� /�,y,ss; . s F//.�7'iYEC CE.rT/fY� TNi/T TA'/S AfWdr / LOG4TEG/,t/ TiYE FEGfE.P.oG FeoIOO %SyawAv 0,V FEiw.j•G' M.yti viTY P.tN�t "r CBBGESrQ.vE G�•eas .• 2500 98 G�o3 C SivY� �E✓EC,Opir��',t/7' •y�t1 of M C D.v TEL cJtivcr Z,/99.3 "' CO.e.�beq T/dam • J� ti PL.S. . A47-45a a9#363 1 P.. s�o�s .vor Fae r �ti /lIFP.P/rlfAG�E.1/G.�dEE.P/.(/6 .SE.P/�/lES B4l/NO.PY GtET BO!/.vpgeY/�f/FOR�sf- .47-I&W TAeC!FS/ F ST/.(/C ,eE'CO,PpS. 11 GG Pq,P,�,SY,rEET A.VOOYE.� X1.4. Gf///SE77-Y I Date../ ....��../. . E NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACNUSE� This certifies that ..... ...........,1............. . .�,....... .... � ........... has permission to pef orm x ... ..1/z f wiring in the b ilding f ... . .�. t at. -�� ,North Vdovr,Mass. �/� _ �. Fee..�............ Lic.No,.: ... .. ...C..r..... ......... .. >--r .. ELECTRICAL INSPECTOR Check # �� 55ilk1) ` Commonwealth of Massachusetts Official Use n y ignPermit No. .— m Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIO S [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PER ORM ELECTRICAL WORK All work to be performed in accordance with the Massach setts Electrical Code(MEC),527 C R 2.0 (PLEASE PRINT IN IN OR AL FO A ON) Date: City or Town of: To the Inspector of Wires: By this application the undersigne Ives not o is r ter nen ion to orm the electrical work described below. Location(Street&Num4q) r I. Owner or Tenant. Telephone No. — Owner's Address j Is this permit in conjunction with a building permit? _ Yes..❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. j Existing Service Amps / Volts Overhead❑ Und rd g ❑ 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 Security system Completion of the followin table may be waived _by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers _ KVA I i No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above o.o Emergency tgmg I grnd. 0 In- ❑Md. Battery Units• No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 o.o Detection and No.of Switches No.of Gas Burners Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices 1 Tons � No.of Waste Disposers . Heat Pump I.Number Tons KW No.of Self-Contained Totals:I Detection/Alerting Devices i Municipal No. of Dishwashers - Space/Area Heating KW Local ❑ Connection ❑ Other 3 No.of Dryers Heating Appliances Kit Security Systems: j No.of Devices or Equivalent ! No. of Water� No.o No.o� Heaters KW Ballasts Data Wiring: I Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent t l� 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:) E (Expiration Date) I Estimated Value of Electrical Work: 4 �2 (When required by municipal policy.) 4 Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. i I certify, under thFpainslundjenalties of perjury,that the information on this application is true and complete. FIRM NAME: Ser%iicasLIC.NO.. l Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.,• 603 594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lic, see 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: $ f 5973 � Date...���"�.�.^........ NoarM °`,"`°:•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� .......... This certifies that .......( ....... . ..................4-d--e has permission to perform '9 wiring in the building of...... at..............�....................nn.-- ...... ..i ,North Andover,Mass. Fee ........... Lic.No.!��-R _ .�..�4-cam .. 'ELECTRICALINSPECTOR Check # - Commonwealth of Massachusetts y �i�Fi�ct�itt�s�o�,i Department of Fire Services Permit No. --1-77a '. 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 INF,ORMATXON) Date: 117—,2(� City or Town of; �,r� � . /� e�.o To the Inspector of Wires: By this application the undersigned gives notice of hi s or her intention to perform the electrical work described below'. Location(Street& Number)_ 0_0 al /e Owner or Tenant .�. Telephone No. Owner's Address �Y1s2s� Is this permit in conjunction with a buildingpermit? p mrt. Yes No ❑ (Check Appropriate Box) Purpose of Building_ Utility Authorization No. Existing � Service Amps _ / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps i Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: IIS ' Completion o the oll wing table may be waived bv the Ins eetor o 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 � 4 No. of Lighting Fixtures �? Swimming Pool Above ❑ In- ❑ o.of Emergency ig mg rnd. grnd. Battery Units No. of Receptacle Outlets j No. of Oil Burners _ FIRE ALARMSM No. of Switches y No. of Gas Burners No,of Detection Initiating D No. of Ranges No.of Air Cond. ToTTons No.of Alerting No.of Waste Disposers eat Pump Number Tons KW No. of Self- ontotals: ..........._.._........ Detection/Alerti , No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances jar ecurity gems: No.o Water No.of Devices or E uivalent Heaters KW o•o o. o Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Tyi es. 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:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: -7-21-Of— 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: LIC.NO.: A 71 0 7 Licensee: Frank F o a t a n 7 n Si nature g LIC.NO.: (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.: 9.78-774--2957 Address: Alt.Tel.No.: A78-774-8446 OWNER'S URANCE WAIVER: I am aware that the Licensee does not have the lia rty 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: ✓��