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Home My WebLink AboutMiscellaneous - 595 CHICKERING ROAD 4/30/2018 (4) 595 CHICKERING ROAD(C) 210/084.0-00280002.0 `S G�nT- Ice, 4A N2 2 2 'j 1 Date..../..... ........ 1 TOWN OF NORTH ANDOVER 0 0. p PERMIT FOR WIRING Ar D SACHUS This certifies that ...... ......... has permission to perform .... ..........--.,................................................ wiring in the building ..... ...... ...................... .....�4............ ...... ...... ........... .NCU Andover,Mass. ........... Fee.i................... Lic.No . ....... ............. ELECTRICAL INSPECTOR 01/12/99 14:52 100-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts Department of Public Safety,.It"us..-Z/—= BOARD OF FIRE PREVENTION REGULATIONS 7 CMR 12:00 3rW «.,.., APPLICATION FOR PERMIT PERFORM ELECTRICAL WORK All work to be performed in accordance the Massachusaas Eieccical Code,527 CMR 1200(PLEASE PRINT IN INK OR TYPE ALL INFORMATIONI DATEJq o City or Town of A-,d„ r To the inspector of Wires: The undersigned applies for a permit to perform the electrical work describod below. i.ocation(Street dt Number) �S°)S CJA Owner or Tenant --P-e.�.i�. Owner's Address Ls rhis:"-m'it in eanjurtetion with a building permit: ❑ Y=. No (Chm-k Appropri=o:Box) Purpose of But7dratt Utility Auduw;--t n No. Existing Service Amps Volts Overhead O Undgrd ❑ No.of M�U=3 New Service Amps Volts Overhead ❑ Unclgrd ❑ Nu.of!(curs Number of Feeders and Ampaeity Location and Nature of Proposed Electrical Work Tamn and Rallac;t Retrofitting No.at Lighting Oudets No.of Hot TubsFixturesI No.of Transformers Tom ry No.of Lighting Fixtures �b Swimming Pod ' Ova in- KVA orna. El qm, C) Generators KVA No.of Receptade Oudets No.of Oil Burners V No.of Emergencyn gang Bauer UnitsNo.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones No.of Ranges Total No.of Detection and No.of Au Coed. Tons Initiating Devices I NG.of Oisposals No of Heat Total Total No.of Sounding Devices --Pumps Tons KW No.of Self Contasned No.of Dishwashers SpacelArea Heating KW OetectiorvSounong Devices Local Municipai C) Other No.of Dryers Heating Devices KW Connection No.of Water Heaters KW No.of No.of Low voltage WiringSicris Ballasts No.Hydra Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws.I have a current Liability in Policy inducing Co-Pleted Operations Coverage or its substantial equivalent.YES ❑ NO ❑ 1 have submitted valid proof of same to thus office. YES ❑ NO O It you have checAed YES.please indicate the type of coverage by checking the appropriate box- INSURANCE ❑ BOND O OTHER ❑ (Please Specify) Estimatad Value of El . Work$ _ ]6Q - (Expiration Date) Work to Start /mc>t Inspection Dam Requested: Rough Final Signed under the penalties of perjury FIRM NAME_ TJ ahtincr Retrofit Services, Inc - Kenneth B Young, Jr UC.NO. 15023A LKetlsee K-MQPJ-h R Vntina. Jr S:gnature./ n UC. NO. Address /0,P 1\tPs.7 4a 1 am 4tr�t WakPf i Pl r7 MA Bus.Tel No. ' Alt Tet No OWNER'S INSetts G LANCE WAIVER:an I at aware that the Licensee�s net have the insurance coverage or its substantial equmatent as requred by Massachusetts General Laws,and that my signature on this Permit application waives trios requirement . Owner Agent (Please anew.one) Telephone No. PERMIT F`_S (Signature of mer or Agent) N° I u 0 ® Date......... ?... .../. r �y �aORTM °f'"'°:•14,, TOWN OF NORTH ANDOVER p p PERMIT FOR WIRING � �7SgACMUSE� This certifies that ..........�...........:........... �Z.................................... has permission to perform .........!. n..::.r.:f.i.........,. ..7..�.:...(1.................. wiring in the building of...... .r.,. �r. �1.... 1,�.......?. ,•�/��:�..........$ ,..,. r f at......i . 5......... ...k ..... ................ .North Andover,Mass. Fee.,�......J..l..f.; Lic.No.............. ............................................................... 1 ELECTRICAL INSPECTOR c � WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ORW RAD 7 Office Use Only o T u�1E LIIIIIIIIItTI11IPc7 IIf fit7llI�PTi Permit No. 9r;a1:2 znt of Vu blic —Aaf?tq Occupancy& Fee Checked 3190 (leave blank) BOARD OF riRE PREVENT= REGULATIONS 527 C11-IR 1290 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Eiectricai Code, 527 C.MR 12:00 (PLEASE PRINT 1N INK OR TYPE ALL INFORMATION) Date 11�10,' l T1 �C1 (XX or Town of NORTH ANDOVER To the Inspector at Wires: The uderslgned appties for a permit to perform the electrtcal -Nark describe1d below. MAP t-ccation (Street & Number) lbk-e�nkd Owner or Tenant re� v �� So l ^� - O'.vner's Address Is ;his permit in ccrlur.= th a building permit' Yes _ No I_ (C`eck Appropriate ?ox) P�rccsa cf Sutidirc Ezrel-evzQ4 -4- r�6t,4l Utility Autrcnzation Na. tExiszing Samce Amos Vcits Ovemeac Uncgrnc No. of Meters Ne-.v Service Amos `/alts Cverr,eac _ Uncgrnc _ No. of Meters it Nurncer ct =severs arc Amcac::y l_ - _....c,...., ar.. `1at..._ _r ?rC=CSeC _:ec:. =1 'lcrx K2m�1J 3 Y Lxj tzoa� -til- I�- h,4b,ce Nc. _. - - Cuc:ets Vo. _. =--s To;at ,. _c„.,,,q Na. =! ransrormers K.A --ve — :n- No. : L:qr;:rq =enures ogm..c. aneratrs KVA V 1 No. of ^ergenc/ _ignnrg Nc. :t c___=:ac:e Cutlets l No. of Oii =-urners i 3arery Units No. of Switc.-. Cutlets No. or Gas =_rrers I =tP.E.-%L.ARMS No. of pones / 'atatI No. of_etec:ton arc I rNo. or Ranges No. Air __re. r tons Initiating Oav:ces No.:r "eat Total Tocat I No. a Cisccsais Pur..os Tons K'•v No. of scunc:nq Cevtces d No. of Sea C--ntatnea .No. or C,snwasners - ScacerArea rJeartr.q (�'� I Oetec::cnrSounetng Devices muntc:Cat No. of Criers Heat:.-.q Cev:ces cv _--cat Other _ C--nnec::cn _ I No. ct No. or I Low `voltage No. at '.facer Heaters :K'/y Sicrs Satlas:s Wirinc Na. :ivcro Massace ua Na. of r.toccrs Ta cat `+P INSURANC= VS=AGS. Pursuant to the recturerrents :r .tassacnusers ger.erat '_aws I nave a current lac ttv Insurance ?cttr� -nc:uc:ng Car.. .etec Ccerattens C,:verage or its sucstanttal ecutvatent. YES NO = nave su--mtrea va.. --root of same to :me Ct•ics. YES _ NO = t - ave J-/-ecxea YES. olease incticate :me type at -overa(;e cy cr%ecxtng :^.e acct criate cox. INSURANC_ _ SCNO = O ER = tPtease Sce:t) (Ezcrratton Oaten Estimates value of Eiec:rrcat 'Nora s `Nerx :to Star. Inscec•:on Oa:a ;;acuestac: Reugn Gnat Signee anter :-to Penattt ertury• �' I Y FIRM NAME V tOC� �' �C' UC. NO. Licensee �l 4r are r:C./NOL. ,yamSus. :91. No. � 100 3 ACCresS I�NJ Alt. .ei. No. OWNER'S INSUFiANCc WAIVER: t aware :rn ^_ at tre Licesee oes rat -nave :ms insurance coverage or its suostanttat Agent eautvalent as re- eutrea ov Massacnusects General 1-aws. ane :nae -MY signature on :-:s oermtt acoucanan waives this reoutrement. Owns (Please cnecx chat stet.^.one Na. ?E=MIT PE= S (� Signature cc Cwner er Agenn .�?c5 11 Location .5--Y-A-, No. a�a Date 41,/ NORTH TOWN OF NORTH ANDOVER O h n Certificate of Occupancy $ + ; ; Building/Frame Permit Fee $ � 2 . o ACFoundation Permit Fee $ sMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ /. /14 �L,�---- /-/-C, Building Inspector i u Div. Public Works PERMIT NO. a a APPLICATION FOR PERMIT TO BUILD********NORTI-I ANDOVER, MA nl\PNo. I.oTNO.d0 2. RECORDOFO\\NERSIIIP DATE BOOK PAGE ZONE SIIB DIV'. LOT NO. LOCATION / • r PURPOSE OF BUILDING OVYNER'S N:\NtE ! NO.OF STORIES c U/7✓ h N s z wV � o d OWNER'S ADDRESS j'- �. , BASEMENT OR SLAB ARCITTECT'SNAAIESIZE OF FLOOR LIi11BERS ISI 2ND 3RD e� BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING /]n / DIMENSIONS OF SILLS DISTANCE FRONT STREET n/?�hJDIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES /_O/ REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE 11EIG11TOF FOUNDATION l THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CIIMNEY IS BUILDING ALTERATION �O �N�., �J �T��` �g IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1(� IS BUILDING CONNECTED TO TOWN WATER 1/Gc7l J BOARD OF APPEALS ACTION,IF ANY No IS BUILDING CONNECTED TO TOWN SERER dL IS BUILDING CONNECTED TO NATURAL GAS LINE Ne INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST PAGE i FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST. BLDG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ILIILDING INSPECTOR DAT FILED OWNERS r/ OWNERS TEL# �Q� s St�3 .ONTR.' LN SIGNATURE OF-OWNER OR AUTHORIZEDAGENT y ONTR.LIC# },_ n FEE 7o/ JJ�'i /�01-0 _J II.LC. � lel PERMITGRANTED 19 Revised 5/5/99 .IM FORM U - LOT RELEASE FORM Y 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 or requirements. *************************** *APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT f� �a� S PHONE LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (S) STREET �°f�/d�i��lZ�.v�'� / .3Y/� ST. NUMBER �/S ** ** * ********************O F F IC IAL USE ONLY* * *** ** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY P RMIT /FIRE'DEPARTMEN'T. RECEIVED BY BUILDING INS ECTOR DATE Revised 9197 jm �• w - �1� 1F1 : DLspLAY z 4 FLATFOrO - S7 MIT, ID d 1 C- L4 LCV-hf - XIsTINTUI� ae �I E- ; a tr� � 03 T ELtVAT1a7 `o GA LE : I /.1. , - n 11 - 1 i N { - . x .• ,::,.. mar*- ,»rye �;�:xaa+z_c:_�s:�c a»�+wrat�.�`ls::�+�.ws; �s�•�,� e 0 nR ' K IN Gr Lor S h o w }20o M WALL Nurjy- tLKAY -V tKIS-�, lti-TUlb; =nATwZ Cc�'LE, O ANS Gap PINIc�. I +'��;► G r '7 EY! EY!t; fNy. pCvr� Tc _. hEMOLIYION ALAN _ a = _-�XISTItjG� pee42 TO �-,1= T� 'El AINCL'Ir�� N Ak�J AL!IM, F�4MlN6-r.. _ -bAri oN I M � a ' ai i Z a l i j { j I • ast 1l- � a C 'o.' ; rah Ain d o'v" e r M a:s s . NORTly Town ofdover V% No. e2d2-► COCHI E dover, Mass., ORATED P?�G . S 5` BOARD OF HEALTH PERMIT T D Food/Kitchen illillillillilllllllllIIIIIIIIIIIIII Septi em THIS CERTIFIES THAT..... , .o.d. ......... ( .1Y Co BUILDING INSPECTOR " """ """"" Foundation has permission to erect....�N+ .r'` buildings on.......19C . ......C. .��, �/�/N ..._ Rough to be occupied as...... A........ 19)A) �...N W /V�l^ Chimney 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. PLUMBIN�INSPECTQ VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Qom' 3 PERMIT EXPIRES IN 6 MONTHS Final00 8 UNLESS CONSTRUCTIO ELECTRICAL INSPECTOR Rough P. ........... ................ .. .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy wilding 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.