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HomeMy WebLinkAboutMiscellaneous - 59 BLUEBERRY HILL LANE 4/30/2018 / 59 BLUEBERRY HILL LANE 210/098.C-0100-0000.0 i I Commonwealth of Mas achu efts official Use Only . FR� mit No. Department of Fire a ices �-upancyand Fee Checked BOARD OF FIRE PREVENTIO REGULATfONS . 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 27 CMR I 00 (PLEASE PRINT IN INK OR T4VPE L IN O ATION) Date: c g765 City or Town of: r � lh Uelr To the Inspector of Wires: By this application the undersigned gives n. tic of his or her intention to perform the electrical work described below. Location(Street&Number) . , t L Owner or Tenant S elephone No. Owner's Address 5 -- Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters N.e-w,Service Amps / Volts. Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion o the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA 04' No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o.o mergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners No.of Detection and. Initiating Devices No.of Ranges No.of Air Cond. Total Alerting Tons No. of Aling g Devices - No.of Waste Disposers Heat rPump Number Tons KW No.of io Self-Contained No.of Dishwashers Space/Area Heating KWMunicipal r7 Other ection No.of Dryers Heating Appliances KW curity Systems: or E uivalent No. of Water o.of No.of Data Wiring: g 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 lif 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 l 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:) w / (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the painf and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: / rM rale-CLl�,t?iT) LIC.NO.: Licensee. ignature LIC.NO.:S5140 014c7Z G (If applicable, enter "exempt"in the lidInse number lin ) . Bus.Tel.No. Q7 �S7dlr'f�j Address: i / 7 Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the 1ic'ensadf 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)0 owner ❑ owner's agent. a GG� Date.....l..."...G����.... f NOR71{, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACMUSEt This certifies that ................................... ......4tv:e? . -o....... has permission to perform ................... .......................................:................. �. wiring in the building of....... .., ./..! Q. /............................................ at.........5 C. 71.E ...1..7..� C.,........... ,North Andover,Mass. ma Fee .....C...""'"..:. Lac.No..,�?.L.`.`.7.47.................... ... :... .. ...... ..... i 441- ELECTRICAL INSPECTOR Check # 7 3 8336 le I �ihid9j�e� L 013 IZ3 103[03 � o 10 JILL I t .,. . . -��� .y.,' �-- -- q w. _ �r -- v ; , . . � ` .� �«- .t d.A �U�.... ,N_ 3360 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4L This certifies that ........ Cc) ......................... has permission to perform ...... .................... wiring in the building of....../2...... .................................................... at... .z..... North Andover,Mass�r Fee...6........)... Lic.No.-,.4//... ...................... RICAL1N-fS-1-/-ZrR Check # (867 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts FOR OFFICE USE ONLY,,,,)J Permit No. 3, Department of Public Safety 80ARD 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.52�0�Q� til (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date — City or Town of /�o ✓+k A Pg-,� o J s C To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: Location(Street andNumber) J 9y�B/u — 1e—y—r`7 H o I L_d L,� e— Map: Lot: Owner or Tenant `E'W l -s Zone: Owner's Address �Q VI., e- Is this permit in conjunction with a building permit? Yes❑ No Eg`_" (Check Appropriate Box) Purpose of Building �� �L! 11 6e Gf Utility Authorization No. -357 7 Existing Service Ro Amps / 2p / 2 yd Volts Overhead ❑ Underground 0� No.of Meters New Service Amps / Volts Overhead❑ Underground ❑ No.of Meters oe Number of Feeders and Ampacity Loc4ion and Nature of Proposed Electrical Work J? 2 ee, I P's er"' S 0 C'k . No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above grnd. ❑ In-grnd.❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emerg.Lighting Battery Units 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 No.of Disposals Heat Pumps Tons KW No.of Sounding Devices No.of Dishwashers Space/Area Heating KW No.of Self-Contained No.r+sf Dryers Heating Devices KW Detection/Sounding Devices No.of Water Heaters KW No.of Signs No.of Ballasts 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 General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES LTNO❑ I have submitted valid proof of same to this office.YES ONO❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE©'BOND❑ OTHER❑(Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start l Q/.3/0 i Inspection Date Requested:Rough Final Signed under the pe alties of perjury: III FIRM NAME r � l _ LIC.NO. ZZ919 Licensee Signature LIC NO. Address Bus.Tel.No. o94Z 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) �' Q O Telephone No. PERMIT FEE$ 37 ' (Signature of Owner or Agent) Location �kule—MgU tAf LL �- No. 9 3 Date l a 23 4 ,.OR*M TOWN OF NORTH ANDOVER - p Certificate of Occupancy $ �} 3 - � � , : Building/Frame Permit Fee $ -� Foundation Permit Fee $ s�CMust Other Permit Fee $ I' Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 35 !24%��0 wilding Inspector 435.00 PAID 1 . 9288 Div. Public Works PER'lirr NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP i4O. LOT NO. 2 RECORIp OF OWNERSHIP DATE BOOK '.PAGE ZONE z I SUB DIV. LOT NO. 1 / I LOCATION s-p A�X.ve vc fK1 41��e PURPOSE OF BUILDING r7 l ` O OWNER'S NAME A( r` i2i`Sst./ NO. OF STORIES Z f I SIZE OWNER'S ADDRESS K LL� ry�� yZkle BA ENT OR SLAB *%ew4WI l tcK / - ARCHITECT'S NAME ��/e�� �1e,-ekt �d , SIZE OF FLOOR TIMBERS 1STZ�1O 2ND �X`� 3RD iM $UILDER'S NAME %/ ,J3r`L� C,77K C Gy�� SPAN _-- DISTANCE TO NEAREST BUILDING 1- DIMENSIONS OF SILLS DISTANCE FROM STREET 80 POSTS DISTANCE FROM LOT LINES-SIDES 20i F!p8- j REAR "� " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION 7 (� / /� THICKNESS IS BUILDING NEW SIZE OF FOOTING !�� a /T/ % ZOO IS BUILDING ADDITION./ MATERIAL OF CHIMNEY �� V IS BUILDING ALTERATIONV IS BUILDING ON SOLID OR FILLED LAN650� y WILL BUILDING CONFORM TO REQUIREMENTS OF CODE I/ IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY Y IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS/LINE INSTRUCTIONS 3 PROPERTY INFORMATION r^/I � LAND COST \fes 1 SEE BOTH SIDES AS �� VI 444►►► EST. BLDG. COS ©® PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COS lq9. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROV pD `BUILDING INSPECTOR DATE FILE I `� �,h &-, ING INiP[CTOR SIGNAT E OF O NER R AUTHORIZED AGENT FEE OWNER TEL.# PERMIT GRANTED CONTR.TEL.# / yy�O 19 CONTR.LIC.# 0-?,/ H.I.C.# 10227z--"->? OCT 2 3 t BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOR1ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION r 1 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 13 CONCRETE BCK. PINE BRICK OR STONE HAD PIERS PLASTER _ DRY VJAII _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ V, 1/2 '/. FIN. ATTIC AREA _ NO 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\r✓'D _ ASBESTOS SIDING COMI.ACN _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE r 5 ROOF 10 PLUMBING GABLE I IP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING NORTFy To" Of 0 over 0 No. 4"7 Zi tc 0 _7 0 L -1 dover, Mass., 19C A�. C.C)C V4 I C ti L W I C K o BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR tG THIS CERTIFIES THAT .. .... ................ ........................... ................................................................................................... Foundation has permission to eFwt..A.Q M. A4.�..Ib buildings on ,s-vt .............. Rough nseC to be occupied as..4l ......Am'.�Am.'Q* WT. tkAhimney provided that the 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 �kc#aw)" PERMIT EXPIRE 6 MONTHS ELECTRICAL INSPECTOR UNLESS CON UC EXP 6 MONTHS 0 UC T N Rough Service ..... ....... .. ............................. ................... a6 .. ............... BUILDING PECTOR Final PF t Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 9ZE6 '- t r s� �, ' s c I t• OOWNENT OF PUBLIC SAFETY dw COKSTRVCTION SUPERVISOR LICENSE Mnnber �`,. Expires: Birthdate CS < .031746 08/24/1997 08/24/1959 Restricted To: 00 �j KARL J KRUPSKI - 9 HILL RD BOKFORD, MA 01921 , r i� • m p �yf• NOME IMPROVEMENT CONTRACTOR Y. Registration 102243 '; Type - PRIVATE CPRPORATION Expiration . 07/01/96 Karl J Krupski K Co., 7` Karl J. Krupski ;y 11 Road a oxford NA 0192i"','-,Jew 5 - t I 4 _ 0 i N Iw G 21 u � _�; x`59 ev ti � 1 ------------- 1 1 S //E•PEB)' GE.fT/FY TO TyE T/TLE/q/SU•PO.�ANO PG or 4A TO 7f/E G.9.vr THAT T.yE OwEGG/.✓6 /S LOCATED ON Tf/E GOT,f.S SAVA✓.V,qNO T//4T/T OGEES GO.1/FG1Pi11 //�/ IY/T/1 T//E TbA✓N OF/I�OA�vO0� 20N/.vG CE6�/GAT.t9.c�S S ,f ,V K9 L�6vI.e0/N!s SETGGIC.CS FEOM T�PEETS ��/1 LOT u�✓ES."' 7WI-'r 050✓EGL/0V /-s-oVOT / LOlATEO /N THE ,� ,tqL [a�o0 fi'A A O APE.a. IV FO P sce�n Z-Ol//,5 e, No This PGAit/ Bovvo.�y�TE,r�%✓.�orio.✓ eo�.vo�+�s� .�r�o-v �/¢9S ANODYET, ,yJAS.S.4C,f/vSETTS O/B/O T t D 42",aFP hl � Lv D 1 1 S 010 Z�r i 010 Li 5 SCALE•}�l:::: APPROVED BY DRAWN BY T—i�- (j=DI��Q4ad•1 DATE: D DRAWING NUMBE _ y� C,,vt TTE PRO-FORM 92OPF PRINTED ON 92011 GIMRPRINT VELLUM 2 . I l D 13 10 11 S 1—/ ff �vv i L i} 0D 1411- SCALE: G" ��O" APPROVED BY DRAWN BY `I DATE: ✓f Z� �� I l/ ,�• � I �` — _ DRAWING UMBER ,-%,sCNARRE7TE PRO-FORM 120PF PRINTED 000 920H CNAR►RINT VELLUM s i v\ � ry D N y SCALE: LL.�=I �0�� APPROVED BY DRAWN BY `I DATE: I I Q DRAWING NUMBER '-!Zz�-.bNRRErm PRo-Faw no►r PmNhe a+aiOM uwMRINT vEuum - 'ts ^ IA Of N=a 1 l e r. �7,/ e Y 12 x 43o 1 e-q d to 'l2. With boltsif R, J Cap At 3 x x '91 w fh a.,e X,x/U J 1�1 D T �. 5 .wc.l`h 2 5•,� eX�, � . . .. , boll`s 7 apart Arowidz all neces.sar,y Shoring ' e .ac✓n9 'vr�tt`l at! - - 5 "ructur;it woO Es- c�rr7 pLe-t-e ' into exi's{- , ` wall. E1'st'ruc1-vral steel 4*0r°kz Shall Co'rForrr� t �f I~SC stanclar�(s U.�c'n� f�.3e5 st-eet1 'bol tS ?ld xx ^ cl�ctra es Fc�r Wields rt� F�ear l.✓ela/ers,,�'a�'rrt carrc l A Coad Sl`e.c C lori/^n e r C77mer»cc rrr c`ls c��`y �hi c 702 bare areas /racfud.,�g . t7 ut.� ,� baf Cs • a?�`fer er�ct�ora, '� . Venf all Cor76(1'j"rons dirn.errsiarr.s 4'r7 the. f4'eld t the work .``. ' R( be Fore pro Ce,-_ d r•ra r vlh //�^ //'+� /�* (/l�j //(wry/ 7 ��'/`�� N !'�i f'Sl � �! L.+ Y I � '.Yr� � � •V V / ..�Vii/ ^1 l PROJECT L 446'1B ER R 5-' Al/ L L A h./L` r I D2 R ,At1Okr,4,VD0)16R ,tea' ,,,� C W4112 7tU' DATS No, ROSERT-M. RUMPF d! ;jSSOtTATES U12AWiNG X1611 CONSULTING gi�Q3�1E�R . ' �sal.er>, tYt�sasa�u�tte