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HomeMy WebLinkAboutMiscellaneous - 582 SHARPNERS POND ROAD 4/30/2018 582 SHARPNERS POND ROAD 210/090.8-0037-0000.0 i i i Date.1 Z l ............ f p s &ORT�y,hO - 3i;• c� TOWN OF NORTH ANDOVER o 9 PERMIT FOR WIRING $s�cMus� r This certifies that ...R../..1+ l 5 .... ....................................................... has permission to perform . C�.. ,! ...: ........... ........................................................ wiring in the building of...... .... ,�st�"�11�--- ".....:...:............... V . ....................... ``at ................. .. ..:: .... .. � ......rNorth Andover,Mass. Fee... ........Lic.NAtoz.... . r i EL CICAL INSPECTOR TRi - Check# � L 12055 FJ C.ommonweaol///addachuaef Official ,U�Only Permit No. 2 aL Jepa,tment o f aim Serviced Occupancy and Fee Checked r' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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 INFORMATION) Date: City or Town of: &. zln;uir/? To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) _6-g2 f ,,� /?P, Owner or Tenant z22/,2,Z -- lf'ml f 12fn,,? 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. I *"��� Existing Service a7`L�O Amps / Volts Overhead� Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��S/��J f/j-lrf Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA z No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. ❑ rnd. El 0. Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No;of Gas Burners, No.of Detection and Initiating Devices Total No.of Ranges No.of Air Condi, Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Nuritber Tons K' 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 ut No.of Water KW No.of No.of Data Wiring: -1 Heaters Signs Ballasts 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. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start.�fe , P-,!3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete. � FIRM NAME: LIC.NO.: IrJ Licensee:'Z �ID 5IP/Ifjr,7 Signature - LIC.NO.: (If applicable,enter "exempt"in the license number line) Bus.Tel.No.: 710, 7 fc 9,A?S,2 Address: Alt.Tel.No.: *Per M.G.L.c. 147, . 7-61,security work requires Department of Public Safety"S"License: . Lie.No. OWNER'S INS NCE WAIVER: Iare that the Licensee:does not have the liability insurance coverage normally required b my sig e bel pheebyw aive.this requirement. I am the(check one ❑owner ❑owner's ".Owner/A "signature Telephone No. 17�,Z�i 33� PERMIT FEE: $ w ::,wCOMMONWEALTH OF MASSA6USETTS • s • � • • MIMI i Bt?AF�fS t�� LECTR:ICIANS , ISSUES TME FOLLOW" LICENSE k ---� AS A REG JOURNEYh1AN 1:LECrT,R`IGI ' €}AVID SARGENT Po BOx 76 <.W.ILM.INGTQN h1A 01887 0076 32002 1 : 07/ 11; 695636 s a 4 GENERATOR DATE: LOCATION: OWNERS NAME: My7) w- rel r£ ;`fn i- GENERATOR kw 11 NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: PHONE NUMBER: 2J 79-77 ,5 ELECTRICAL GAS RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: *ZONING DISTRICT: *PLANNING APPROVAL (IF IN WATERSHED) *CONSERVATION APPROVAL �;'�� dale. .�•' o0VER PN �jxON of �N �GSje?d � ,,•° OSI• QG � �49 •�..�� � �� fie'-•,.......• ,Q S `*~°°"°:•"�,,,e�~ �. ver, a S tiles ghat as��s�a>> r-...• ,�°fir eet� dot � .:. ras 4el�ai��s°{ rA�..• APs tile. Fee ga�� ` -` MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK _ CITY NORTH ANDOVER MA DATE DEC.4 2013 PERMIT#96 JOBSITE ADDRESS IARPNERS POND RD. OWNER'S NAME I MATTHEW PENNY G - OWNER OWNER ADDRESS MATTHEW PENNY I TE 508-423-0348 FAX TYPE OR OCCUPANCYTYPE COMMERCIAL® EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:® REPLACEMENT:® PLANS SUBMITTED: YES® NO® �= APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR 1 GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER _ ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER —J WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F-71 OTHER TYPE INDEMNITY BOND ® cq 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 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 compli ape yvith all Perlin en vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER-GASFITTER NAME ROBERT WHITE LICENSE# SIGNATURE MP�GF® JP❑ JGF® LPGI® CORPORATION®# PARTNERSHIP®#� LLC®# COMPANY NAME: EASTERN PROPANE GAS 7771 ADDRESS 1131 WATER ST. ' CITY I DANVERS STATE=ZIPI 01923 TEL 1-800-322-6628 FAXI CELL EMAIL _ The Commonwealth of Massachusettsr'r' 0 ,3 Department of Industrial Accidents . , Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant lnfor-mation -- - — 'w , Please Print Legibly Name (Business/Organization/Individual): EASTERN PROPANE&OIL Address: 131 WATER STREET DANVERS, MA 01923 . 978-750-6500. .: City/State/Zip: Phone #: p Are you an employer? Check the appropriate box: . Type of project(required): 1'.Q 1 am a em to er with' 45 4.. 0 I am a general contractor.and I p y 6: F-1 New construction employees(full and/or part-time). * have hired the sub-contractors listed on the:..attached sheet 7. Remodeling 2.E I am a sole proprietorbr partner ship and have no employees These sub_contractors have g,. Demolition employees have workers" working for me in an capacity. 9. Building addition ' [No workers comp. insurance comp. insurance.1 required.] 5. E] We are a.corporation and its 10. Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or.additions myself. [No workers'comp. right of exemption per MGL 12.F1 Roof repairs insurance required.]req ] 13 t c. 152, §1(4), and we have no GAS FITTING : ✓ Other employees. [No workers comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional:sheet showing the name of the sub-contractors and state whether or not those entities.have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. . I I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ENERGI Policy# or Self-ins.Lic. #: EWGCD000080613 Expiration Date: 03/15/2014.: Job Site.Address:_U �2 P✓S �o nc l �cJ . City/State/Zip: Oo,,4, At,,J eii V/hC', 06y5 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine, of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the eains and eenalties o erju that the in ormation provided above is true and.correct Signature: __._ Late] I Phone#: 978-750-6500 Official use only. Do not write in this area, to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): F<. 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact-Per-son t� pw� NHH177156 ® CERTIFICATE OF LIABILITY INSURA3/14 NCE DAT /DD/YYYY) _ .4CQR� 3/14/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the ; certificate holder in lieu of such endorsement(s). . 60Ts4G -_._.. PRODUCER .-_- "-`. ME:PIOMa e5 arnal5 ' - � NA Commercial Lines—(800)990-7465 PHONEfAl t); 603-559-1361 ac'No), 855-529 7684 Wells Fargo Special Risks,Inc. E-MAIL ADDRESS: @ g donna.desharnais wellsfar o.com P - 230.,Commerce Way,Suite 230- INSURERS AFFORDING COVERAGE NAIC# Portsmouth, NH 03801irtsuRerxn:- HDI-Gerling.America Insurance Company 41343 INSURED - INSURER B .. . .. Eastern Propane Gas, Inc.. INSURER c 28 Industrial Way wsuReR D INSURER E: .. Rochester,NH 03867 . INSURER F COVERAGES CERTIFICATE NUMBER 573.618.0.1 REVISION NUMBER( See below THISr-IS.T.O CERTIFY THAT.THE POLI CIES:OF.IN SU PAN CE LST.ED BELOW HAVE,BEEN ISSUED TO_THE INSURED.:NAMED-ABOVE FOR THE POLICY PERIOD, - INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE:ISSUED:OR::MAY:PERTAIN,•THE INSURANCE AF.FORDED BY:>SHE.POLICIES DESCRIBED.HEREIN•IS>.,SUBJECT'TO ALL•.,THE TERMS; •:.. EXCLUSIONS AND'CONDI TiONS OF'-SUCH POLICIES::LIMITS SHOWN=MAY HAVE BEEN REDUCED BY PAID CL'AIMS...-.:. INSR -- -- ADDL SUBR POLICY EFF POLICY.EXP ..:.LIMITS. .._;.LTR TYP EOF INSURANCE - POLIGYNUMBER _ MMIDDIYYYY MMIDD/YYYY. LIABILITY - EACH OCCURRENCE $ - . 1,000,000 GENERAL LIABI _ A EGGCD0000806:13 .03/15/2013 0311.5/2014 DAMAGE TO RENTED X. COMMERCIAL GENERAL LIABILITY. ' .PREMISES.(Ea occurrence. $ 250,000 CLAIMS-MADE OCCUR MED EXP(Any one person) :$ -Excluded - - PERSONAL B ADV INJURY - $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS=COMP/OP AGG $ 2,000,000 POLICY 7 PRO- LOC � AUTOMOBILE LIABILITY EAGCD000080613 03/15/2013 03/15/2014 COMBINED SINGLE LIMIT 100,000 AEa accident - $ X ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED - PROPERTY DAMAGE $ HIRED AUTOS - AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- 4ER A AND EMPLOYERS'LIABILITY EWGCD000080613 03/15/2013 03/15/2014 T_ I IY/N 1,000,000ANY PROPRIETOR/PARTNER/EXECUTIVE F E.L.EACH ACCIDENT07FICERIMEMBER EXCLUDED? N N/A 1,000,000f (Mandatory in NH) _ - - - E.L.DISEASE-EA EIf yes,describe under 1,000,000DESCRIPTION OF OPERATIONS below ELDISEASE-POLIC III A Excess Auto EXAGD000080713 3/15/2013 3/15/2014 1,§00,000 excess of$100,000 DESCRIPTION OF OPERATIONS/LOCATIONS[VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required). - Evidence of coverage CERTIFICATE HOLDER CANCELLATION Any city/town in Massachusetts SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) .(7Ms.cetlifim�e-replaces.ceNfirateY.5736Za ' an4>n;I_ .._.__.._... R' `C4MIV1 }NWEALTH OF MASSAC'r UgEFt AS ANS G ��FI1 s : ' AGI M9D AS A I A&T- R ,M� t I$6UES;THEtABQ1 'LICE ISE O�wZ ° —MA 01�4� r Q79. ' 05/01/14 130x g r r • r. . i v . GENERATOR APPLICATION DATE: 17,-1 41 � ) LOCATION: OWNERS NAME: `r2 in `n V GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: ry-� Pa Py-o V142 PHONE NUMBER: 2"2- (e62 ELECTRICAL GAS RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: *ZONING DISTRICT: �- *PLANNING APPROVAL (IF IN WATERSHED) *CONSERVATION APPROVAL )`5 V�avk ham' North Andover MIMAP December 4, 2013 ?kltc'_,::''•:::�.::.:_:�3�,K�,r`..• _:_:�._:� �:::::-�3J.u':''••__ 105 r�•..: _.- :-:.^`':, lOS.D-0121 :._:",,; .:_:::'-;, lue :_.I; _: ...._..._: D 0185., ., i .._.. #672 •}1b5.D-0004' .•..^' e _•• 105.D-0186 165 D;0%4 #660 :::.?�' .'".•:-•;:.._--••:':'off. •:::•...;.._� ..��,_•: #548 - - I "`_';`_:'31,1(.`�;:::��ltc'`-•i_c : ::=: _: .105:D-0085': V. , -'::: :aJ{r. 090.11-0009 #645 090.B-0019 s #617 090.11-0058 L -35�G1. •-•::::: g'J ,�.>`•;:_•� #61'4 - l rr ,090:11-0035 •ffj ,'`�..- A, .1, •:_:.:_:- 090.11-0.059 #544 090.B-0036 axlcr #582 � •••090.13-0060 \'✓ 105.D-0125 #540 R1 09o:B=0037,_:- �. f #585 090.11-0039 #542 '' 090.11-0038 _ 1u ? _.::' r 09.0.11-0062 W/ 'W #157 _ 090.11-0066 090.B-0063 #571 090.11-0043 ,�...•s #557 ; �_... :::: �, .._: :_., :. _._. ._. . 090.13-0042 ??fir ..•:,.: #520 a 105.D-0124 �o� 090.11-0040 #545 090.13- 0064 090:11 0014 105.D-0122 -.7ktu ._:_.••:.' :_: 090.13-0012 #484 r ailir:i:_=::',T' ;`:; •::::=' ':::_=r•:' i �'::.•: \1\05.D-0113 5 f, ` 090.13-0041 #515 '.•i1: f� ";L 090 B Middleton #488 fl90:11-0061 —Rail Line -.Wetlands Zoning - -- Interstates 0 Exempt Lands 0 Busine s 1 Disrct Interstate a Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD63, —Major Roads C..sine s 3 District -- Meters Data Sources:The data for this map was produced by Merrimack IN Busine s 4 District NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads M Gener Business District Of to q� North Andover.Additional data provided by the Executive Office of [r Easements W Planne Commercial Dev ? $���� '��°00 Environmental Affairs/MassGIS.The information depicted on this map is Corrido Development Dist 3 _ L for planning purposes only.It may not be adequate for legal boundary Q MVPC Boundary - O Corrido Development Dist O definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER C3 Municipal Boundary - 0 Co id Development Dist F p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING I',Indusia 1 District Zoning Overlay # :♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY PA Industri 12 District G3 Adult Entedainmenl • i e' i OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT B Industri 13 District 0 Downtown Overlay District o o�m...- >� i - ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Historic District O IndusM 1 S District 9q =Reside ce 1 District THIS INFORMATION ®Water Protection C1 Reside ce 2 District `rS^�NpS� - - �Parcels .3,—,d.ce 3 District CI Hydrographic Featuresde ce 4 Distract --Streams - "=264 ft de ce s Distract _ ��Rde ce 6 District age esidential District ELI• ` •• - " �- - •- 1 a a! .., ,7F� *� y:. �j ��•k X41 " "g Er ..� y�� q�i' �, i V ,:,• '� o�'.''Y t #^#�" <.. �+. t � � � ; �' �� �{� y�G. �:.� � .�a�" S2k 'fi���$•#' A"f,:�/� �Cf�(J y} �� " y�a� �• �.(P �k�6 .� }� :7. .: ra 1,rt✓ �1` ��`� j4��' .�r's�. g�.r�}�sS $"� 'e A��r' .i � `".fit D ��t�' � �t. rfnt�`T :ir ,r, r sr. �'�{� 4 �`f � � I � �..c�.�.> °H k wok.:? k+,. � .+•+s��"�:Stt� ��^$ " ���,t" • �` +4? ,f t • yNitin �,'�+' •�, Ltd .�tt� �tj.�r�' y�S ��'•� � 'al r 1�.* .° �G� �^i3��,✓�,�„3,r � ����s�` '��! ^�g"� ° �4� r� '��` 4��g�' i .. �� Ft �.+�k��"4'4 � +� " rc. ..y�S,r f� 9,X -� �'�•�pp syY� ' } T s 3 hr,.� q''�' � � � ��} ��M y}s. .,� •�'i :r ,✓ a,l�. .+� l�r���6k�.f�� g1 L* f". D .r ��� H �+t��� 4- '�ir'$f eol tG ^e'II7 i 4 Z.SF. „, t� u�✓"" +1 Mhy',"'x .�7' _ a ! r +a�� ��,,.: 'sem H, h $sa, .?s' +*r`�f"� ^$ .�'�'"C� / £y":� �... ,y,; � y;�i•,a �„�y.A; rr "tiy .-� ��g+rk .�A�„. �.1., ws ,� ' a w ,},r 'c � '�.. '�}.g� � #�,•��6'+*��� ��' i '6.rq .,.�Y ,� � ,�t � r� �AT � �� A '9� ,.C�x+'fMr�� .•.y�' � .y,.�F'�"��(*.q �^' .G`�`4 f1\ ""4 WYt4.d .""s°'' •£,7? °"^„d. ' � �`�� t ` Y t a�'•q' Y }' �� �I- � `� r.y� �� I Tr � w 5 �� �A� TAR,,�� Fgi'� fib. a ter" i " r3tv6 , M1� fi ^ " hF t ��♦ v � • /4 � it � ` 1 ##g. 'S,. �b t t � - a✓ s ' North Andover Board of Assessors Public Access Page 1 of 1 w , NORTH North Andover Bard of Assessors 4�llu C 3 - c � R 9 K rt 9SSAcNUSEt Sroperty Record Card Click Seal To Return Parcel ID :210/090.B-0037-0000.0 FY:2013 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary - - Residence _ - uu Detached Structure Condo 582 SHARPNERS POND ROAD ohm. Commercial Location: 582 SHARPNERS POND ROAD Owner Name: TECCA JR,LAURENCE LAURA A TECCA Owner Address: 582 SHARPNERS POND ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 2.29 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2800 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 491,000 488,900 Building Value: 285,900 281,800 Land Value: 205,100 207,100 Market Land Value: 205,100 Chapter Land Value: LATEST SALE Sale Price: 321,000 Sale Date: 08/18/1999 Arms Length Sale Code: Y-YES-VALID Grantor: NIC ESSEX NORTH R T Cert Doc: Book:. 05528 Page: 011.1 http://csc-ma.us/PROPAPP/display.do?linkId=2255678&amp;town=NandoverPubAcc 12/4/2013 ���� ` �d� 1 ��� ���QN ������'� ,� �� � � i �� G i • �S �a�S� � � I � ��' ', , � . �� � � �. � ��d do-�,�' aja���v�s�"� ���)�-�11 .rI--II-�l1 7 I Date. ........ NORT1y TOWN OF NORTH ANDOVER O � p • . PERMIT FOR GAS INSTALLATION �9SSACMUSE�S This certifies that . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . in the buildings of e G,c . . . . . . . . . . . . . . . . . . . . . . at -� North Andover, Mass. Fee3 p-c,D . . Lic. No..I.Z.3 S . . . . . . . . . . . GAS INSPECTOR Check# Z 0- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date JUNE Q, 2011 permit# �- Building Location 582 SHARPENERS POND RD. Owner's Name LAURA TECE Owner Tel# 978-857-4774 Type of Occupancy RESIDENTIAL New 7 Renovation❑ Replacement Plan Submitted: Yet No[:] FIXTURES Q0 a co � w x z w a p x x t Z O W d F O O z F Ln L % W d Z OAFQ v� Q R'' > W N co W co W Z d x W' 0 w P4 W F A F '']"., fn a J 70 > Q of rOW wV Oa w w > w w O 0-1 X x O 0 = w A C7 a v oG > A cw o SUB-BSMT BASEMENT 1ST FLOOR 2"D FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR f Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 Firm/Co. Name of Licensed Plumber or Gas Fitter ROBERT TALBOT INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ✓ No El If you have,ecked ygs,please indicate the type coverage by checking the appropriate box. 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in ve appli ion re true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit' sued fo is ation will be in compliance with all ertinent provisions of the Massachusetts State as Code and Chapter 142 oft Gene a / By Ty e of License: • Plumber atur f Licensed Plumber or Gas Fitter Title •Gas fitter • -Master License Number City/Town •-Journeyman APPROVED(OFFICE USE ONLY) }�`..r.. �'{..-..�..n.".... �.- � .... .=..r.,:. -. gin,. __ .. _. .. y .. �{>' •� rs' 6030 s Date... ............................... k AORTIJ TOWN OF NORTH ANDOVER F p PERMIT FOR WIRING 4.� Y - This certifies that .... �a' �.., �-K has permission to perform wiring in the building 01.................................................. ........................... at..�<1 .. ........ .... :..-��'"' ,North Andover,Mass. Fee'.'?...1''.�........ Lic.No. ..................)./.. i ELECTRICALINSPECTOR ^ s:' Check # OFP[JB[1C'SAF$77' ante No. "G' -50 WARDOFF=Pf�Ef�F1V11�0A►RDC[1lATIlA1 M7CW120 a� omopancy&Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK All,WORK TO BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS MICrRICAL CODE,527 CMA 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address is this permit in conjunction with a building permit Yes No O (Check Appropriate Boa) Purpose-of Building Utility Authorization No. Existing Service Amps,, / 2 z,Volts Overhead Underpound C3 No.of Meters New Service Amps��tits Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work t �y No.of Ltgbting Outlet / Na of Hot Tabs No.of Tranwb om Total (p KVA No.of Lighting Fi:mra SwGnndng Pool Above Below Genentor KVA Zraorw ground No.of Recepuck Outlet No.of on Burner No.of Emergency Lighting Battery Units No.of switeb Outlet No.of am Burner No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Haat Tots) Total Na of Delecdon aid Pumps Ton Kw Inkkting Davit= �s No.of Dishweshen Space Ara Heating Kw No.of Sounding Devices l/ No.of Self Cambud DetwdNo.of Dryer ( Hewing Devices Kw Local °O tMmdcipd Other- Connections 0 No.of Water Heater Kw No.of No.of sismBsilub No.Hydro Message Tubs Na of Motors Told HP OT HER- ><tetmrt�Dae�Fir®retbmeragtiter�bafMet�dsr9etltCieil�llaw�t IhvwacL mt hm%eFbLyir kdgCm rcrj1swbibM INnsttbtriodva9dptoofafanclo teOl)ke Y$4 � NO cuhmeYl3%ptsasii**tr ypecf' wywVby the bole MLXiA_NQ BCTD OifM BtpiolionDab WaklDSW DORa}tmed Rath EstimetedVrJzdPhtdmlWodtS SSgrredundsr Pt�egmafpt�tjttry►. Anal FEMNANE /lP L�iL, .�Ute, L==Nn BuafmTdNnAlTdNa OWI�MS24SLRANMWAPilRImamdaftLjmwdmmd I�dreitatmnoean�e�orfas�agtivalatagtnc}iredbyMa®d>ttselnGataallawa � ardihetrrysWr&wcn fapt3trit�pktrimcwtwshaae�titenet (Please check one) Owner a Agent Telephone No. - »ERMrr FEE� Date. . . . . i 3r os�c o' TOWN OF NORTH ANDOVER 5 ° p PERMIT FOR PLUMBING .SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of l.ufr/. ./. �r—(.f at . . . Nod. over, Mass. Fee.y���. —Lic. No..�? ��. . . . . . . . .��. . PLUMBININSPECOR! . 747 Check # 7" r 6594 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date d Building Location MAR,fR— Permit Name L�P��%�y Permit# b t� Amount Type of Occupancy New Renovation ReplacementEr Plans Submitted Yes 0 No 0 FIXTURES roV ,1 i N saSffVE%T MFb" I f I1 ! 21DRDM 5MFI at 6M FL" 8]HHDC[t (Print or type) ff Check one: Certificate Installing Company Name Lc, Corp. Address 12 P,ILI 15- AD Partner. 0 1,44 Y1 .. usmessa ep one (, - O Frm/Co. Name of Licensed Plumber. A/_/6ZV R SW 0 /Re Insurance Coverage: tthhe typ insurance coverage by checking the appropriate box: Liability insurance policy 1 , ■■■1 Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,L-41- have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or enter d)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performedder Permit Issued for this application will be in compliance with all pertinent provisions of the Mass set ate Plumbing ode and Chapter 142 of the General Laws. By: ign u kens u Type of Plumbing License Title 1 'T 7 Cit /Town YLicense TNumDer MasterJourneyman ❑ y APPROVED(OFFICE USE ONLY Ev Date. . ..! aNORTH Of F� °p TOWN OF NORTH ANDOVER 41 PERMIT FOR GAS INSTALLATION �9S SACMUSEtSy "r This certifies that . . . . . . f�"�� 6?'. .a w�l'�Gr� . . . . . . . . . . has permission for gas installation . . . C77GAp€k. . .I /M F in the buildings of . . . . .4�s .�. . . cC� at . . . � ? . Sh! /�/�! v . . ., North Andover, Mass. Fee. 5�. Lic. No..94:e7 . GAS INSPECTOR Check# !� �- 5223 i MASSACHUSEM UNIFORM APPUCATON FOR PERM'T TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations /'�41ZDA C1�/�' PO Alh � � Permit# Amount$i Owner's Name Z PAA %j -4l:CIC L New Renovation ❑ Replacement Plans Submitted ❑ G1 va H O O Q" H C7 d GU G7 Op O R: U a 0 SUB -BASEM ENT BASEMENT 1ST. FLOOR Wx 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH .' FLOG R 8TH . FLOOR { n C eck one: Certificate Installing Company 10, NamertYPe)�, UJ1)1j9L �C, Corp. Address Do I d e ❑ Partner. Al/A ©bL1 a Business Telephone C t,/-7 _ Firm/Co. Name of Licensed Plumber or Gas Fitter 4-k 9 ®1%� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ 'i If you have checked Les,please md' a the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse, St aas Code nd Ch ter 142 of th General Laws. ` Signature of Licensed Plumber Or Gas Fitter By: ❑ Plumber r Title City/Town ❑ Gas Fitter tense 1Numer Master APPROVED(OFFICE USE ONLY) ❑ Journeyman JJ 3 5 Date 4.. .. ... . . ... ... .. acRTM TOWN OF NORTH ANDOVER 3 Qy`4��ao ,e1ti�` oM PERMIT FOR GAS INSTALLATION f A s i, � • s + � , a•no•""'t 4h SSACHUSE This certifies that,-.-/". . . . f:S ' �- . . . . . . . . . . . ''� has permission for gas installation U: *S ':. in the buildings of c'% '?J. . . . . . . . . . . . . . . . . . . . . . . . . . . . ,g� 1 _ „�✓1, .I !` . . . . .. North Andover, Mass. Fee,. . . . . . Lic. No'­�?J..�.A. ' . . . . . . GASvjNS CTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 � N A.SSACHUSETTS IJNZFORM APPLICATON FOR PER1VIlT TO DO GAS FITTING ��Type 1 or print) ate -'5 19 NORTH ANDOVER, MASSACHUSETTS Building Locations y a � � Permit# Amount S Al o• 4i�doilew lJ4- Owner's Name ro-�-- C�� P '<- New© RenovationElReplacement ❑ Plans Submitted ❑ m n ' C _Z m L �j In L _ Z Cn :d J Cn to \ z - v U B -B :,L SE VI ENT - 13 � SE M E N .r I ST. F L O O R Y 2ND . FLOOR 3 R D . F L O O R 4T It F L O O R rT 1 FLOU R 1 FLOOR l . F L O O R1 . FLOOR (Print or type) Check one: Certificate Installing Company Name AA'y/A Ars-mmiy ❑ Corp. Address L^o n,# fid�� ❑ Partner. j8usiness Telephone I i 33J1 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ Ifvou have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policv ❑ 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. eneral Laws,and that my signature on this permit application waives this requirement. �I Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 herebv certifv that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Bv: Signature of Licensed Plumber Or Gas Fitter Tide ❑ Plumber . -(� - City/Town ❑ Gas Fitter 7 tcense 7 umber Mauer APPROVED(OFFICE USE ONLY) Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS _Q ` Date Building Location, ��i c�r�n r5 f�J ol/dOwners Name Ci•a Cc;,j C6,9- Permit# Amount Type of Occupancy New rM Renovation Replacement Plans Submitted Yes El No El FIXTURES w x dz z a� w H Cn (nH a d z H W Er ~ A '� F d E• GT-4 '� W Z, SLIMM l�w>Hrlr zrn FLOQ2 3M FLaR 4IH FLaR SIH HDM 6M HJOCR 7M FLO(R SIH HJ00R (Print or type) Check one: Certificate Installing Company Name tK f)A U I f� A yse.nAU 4 El Corp. • Address knaA- U b LL&L�L.I IM A 01 Wt ❑ Partner. Business Telephone 0 Firm/Co. Name of.Licensed Plumber. bo-o1`6 )C5?-no-`' - hisurance Coverage. liidicaie L�c,ryt,e.1.i iasuinuc�co,;eI3ge b) ahec!::ng the arnnm-T!atP br'x_: Liability insurance policy El Other type of indemnity ❑ Bond Insurance Waiver: L the undersigned,have been made aware that the licensee of this application does not have any one of the above 4iatu surance� re 7— Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas husetts State Plumbing Code and Chapter 142 of the General Laws. By: Signature of Licensea riumoer Type of Plumbing License Title -% f r6 City/Town icense 74umoer Master n Journeyman APPROVED(OFFICE USE ONLY L� Location /r No. �� _ 4 Date 2=��i- + NORTH TOWN OF NORTH ANDOVER 1.3'� i_1 • AL " Certificate of Occupancy $ '�s',^°•tt�' Building/Frame Permit Fee $ ncMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f 1 Check # '� 185U3 6111 Building Inspector/ � A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING 4,..:, BUILDING PERMIT NUMBER: DATE ISSUED: i SIGNATURE: Building Commission for of Buildings Date od Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 90, 9 - Map Number Parcel Number V 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Regaired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ 11 ZO°e Outside Flood Zone ❑ Municipal 0 On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED ric is ric : AGENT Yes No M 2.1 Owner of Record Name(P t) Address for Service 9� 2a 3 U/ tgna are Telephone t a 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number mn Address Expiration Date ic Signature Telephone. P 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address r a_ Expiration Date ^z Signature Telephone 40PTH TOWN OF NORTH ANDOVER OFFICE OF p BUILDING DEPARTMENT + 400 Osgood Street North Andover, Massachusetts 01845 AC 6 D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please nrint DATE: ella' JOB LOCATION: �� /f��° Xbh`� �P o�d• ��3 Number Street Address Map/Lot HOMEOWNERX40,e,,Vice -�.re J✓' 97;?-7..?5- 3 460 Name Home Phone Work Phone PRESENT MAILING ADDRESSPaA­'157 % 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) DEFINITION 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 in 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 requir is and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 CONSU_R VATION 698-9530 HEAL H 1689-9540 PLANNING 0"-9535 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: .5M- �h�����semag.,-7 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility S' of Permit Applicant Fire Department Sign oil: Dumpster Permit Date Department of Industrial Accidents Office of Investigations kv 600 Washington Street Boston,M4 02111 www.massgov/dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrid2Mfflluttnbers Applicant Information / Please Print Lenibly Name (Business/organizationandividual): Address: rA City/State/Zip: A4 gPdWe' M.4 Phone#: 9-�l 7,2-SJr/0/ Are you an employer?Check the-appropriate box: i.❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employee's(full and/or part-time).* have hired the sub-contractors 6 El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 ?• [g-Remodeling ship and have no employees These sub-contractors have s. ❑ Demolition working for me in any capacity. workers' comp. insurance [No workers'coup.insurance 5. ❑ We are a corporation and its 9. [:] Building addition ��4uire:d.I officers have exercised their 10.0 Electrical repairs or additions 3.[id 1 am a bomcowner doing all work right of exemption per MGL 11.❑ Plumbing npai s or additions myself. [No workers' comp. C. 152,§1(41 and we have no 12,❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance requhv .] 13.❑ Other Any appliUM*M cbecb box#1 Mort neat f M out the rection below showing tbeir wortm ,oonV,0Mtion Pommy in&rmr4ion t Homeowner who submit this atEdevit ind aeft they an doing an wak and then hue outside aoubaotas ensu submit•new affi&vtt ndicatirg such tCoMncwn do check this box mow attached eo additional sheet www"for ramie of the=bv0newWm 20111bew worker'carp•policy iMbnnation. I am an employer AN 1sprovidlna workers'eo mpenaadon insurance for sly ensployfta Below it tube pelt awd job she lnfonrwtlon. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/Stateizip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiref under Section 25A of MGL c. 152 can lad In the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year t,as wen as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby 1 under the pales Penahles of perjury that Me infonmadon pmvlded abrw is tree and correct Si f3A77 Phone#: Of'leiai use only. Do not write In this area,to be eomi6ted by ci&or town gdlcial City or Town: PermitfUcense# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Cky/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 0: -1 50" —L l ----- C - _ N i N LL O F 1 BFF C3 LL UI A 21 R-BFRIDG V �a) ^ C, I< J C !lw X Y N I 04 37 x '�✓ m I 11 K9 3I �S W �1 ^ W N IA 0 0 0[1, m ,.r O G v N Y Ix N d 31 3 x m n --1 ;, i C, YI 7 CD O Iai CD T W O A ® OC1230 84"-- 12" --24.•--- 744- All dimensions_size designations given are This is an original design and must not be Designed: 11/4/20 subject to verification on job site and released or copied unless applicable tee has Printed:8/22/2005 adjustment to ft job conditions. been paid or job order placed. r jpm tecci kitchen.kit All(no dims)I L9rawing 11 NORTIy Town of _ over- V t /3 4 -- No. s �- ff C% - AKE i dover, Mass., �/—o COCMIC Me WICK y1. AORATED PPS\ �� H E BOARD OF HEALTH Food/Kitchen PER IT D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ...... .......... .................... Foundation (S� has permission to erect........................................ buil 'ngs on. �.p�..... Rough to be occupied as chimney ... ........... .. . ........ ... .............................................................................................. provided that th person accepting 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 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 T Rough .............................................................. ................................................ Service BUILDING INSPECTOR Final , Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspeor. Burner Street No. SEE REVERSE SIDE Smoke Det. Date..!N22000 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 77 ..... ... This certifies that�!. .......... -�f ....... ............................................. has permission to perform ...... ....... .... ................. wiring in the building of ......... at .. ................. .North Andover,Mass. 'Fee..................... Lic.No . c............. .................................... --SL . .. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Y �. Office Use Only , c7f tie %ammonw alttj of AU114(411,61tw Permit No. Mcpartment of Vublic $ofetg Occupancy A Fee Checked 19 9190 (leave blank) BOARD OF FiRt PREVENTION REGULATIONS 527 CMR 12.00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 10/7/9 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Oats City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 582 SHARPNERS ROAD Owner or Tenant LAURENCE & LAURA TECCE, JR. (978) 72.5-3401 Owner's Address Is this permit in conjunction with q building permit: Yes ❑ No ® (Check Appropriate Boit) Purpose of Building Utility Authorization No. Existing Service_._Amps _J Vons Overhead ❑ Undgrnd ❑ No. of Meters Now S_eMce Amps_J Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Nibs No.of Tmnsformws KVA No.of Lighting Fixtures Swimming Pool gam❑ 9md. ❑ Generators • ICVA No.of Emergency Lighting N6.of Receptacle Outlets No.of OH Burners Battery Units l-.o.of'Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones ton No.of Air Cond. ton ro.of Detection s nd Wo. of Ranges s Initiating Devise No.of Disposals No.of PeumpTons iKWa ToTbw No.of Sounding Devices No.of Sell Contained No. of Oishvvastners SpacelAme Heating Kw Detectionl3ounding Devices i Municipal No.of Dryrtrl Driers Heating Devices KW Local ❑ Coection❑Other No.of No.of Low Vbing• No.of Water Heaters KW Slgns Ballasta Wiring -BURGLAR No. Hydro Massage Vibe No.of Motor lbtal HP ,r OTHER: INSURANCE COVERAGE:Pursuant to the rsqulnments of Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES G NO O 1 have submitted valid proof of same to the Ofgce.YES O NO O It you have checked YES.phase indicate the type of coverage by checking the appropriate box. INSURANCE O BOND. O OTHER O (Please Specify) (Expiration Date) Estimated Value of Electrlcat Work s 397.50_ Work to Start 10/13/99 • Inspection Date Requested: Rough -Final--1 f�-bf Q9_ Signed under the Penalties of penury: LIC. NO. i FIRM NAME Licensee nnnAld A Arnnira Signature LIC. NO. . 1231C But.Til.No. (2r03) 741-4008 — Address 111 Morse Streetsorwnna_ M°- Ali.Tel. No. 978-1 133, OWNER'S INSURANCH WAIVER: 1 am aware that the Licenses does have the insurance coverage or Its substantial equivalent as n• qulred by Massachusetts General Laws. and thin iio my signature,on this permit sppatwn waives this requirement. Owner Ag!^t (Please chock one) .,.TilaphoM NO. ___PERMIT FEE S 35.00 l5ionalur•or Owner or Agent) ■•4SAS 253.99 r � � SS,, 56°- W 40 o LOT l r Zg9. 25' 2.43 Ac. 39 • x 26• 25' � Zo�- � � A s y �oti� iQ 1 r.QEE' �•'•.S6vric j i� Tq.v,r �1 S- 270-52 - 47'= E 268. 9/' O1 1tiV-6R7- EGEBLI7-10.,15 '47 HDl/SE ,VDT /,t1ST4L L 6p � TLfrt/K /NLET 9¢. !0 8 TAS!!, OCITG ET y¢,s 7 Box iNcET 9/. 99 Alox dUTG E T 9/. 78 0 _ 4S B[//G 7- PG 4AI �'I18S!/,2PAG E D/.SPOS9L .Sy,STE.N 6PT I, SHARPAJLKkS I-'lllD R0. andover �kttti Of y A120—PTN ,gAIDOVE2 , M4,35 consultants 2� �QEPAPE� 'Coe b WESLIE REALTY TRUST �n C' No 7 o $ 5 _Y,S�C4LE I„ ... lq- — 40� 213 Broodwoy Nrethuen MossQS1E4F� TJ SA�y�1 ATE• LDE`C. 1Z, /9Bo le 687 - 3828 -�