HomeMy WebLinkAboutMiscellaneous - 6 SKYVIEW TERRACE 4/30/2018 6 SKYVIEW TERRACE
/
210/098.B-0076-0000.0 �`
Location
No. Date
Noa°l* TOWN OF NORTH ANDOVER
Of t � ,a�h
Certificate of Qccupancy $
Building/Frame\\Permit Fee $
Foundation Permit Fee $
s�CHust
Other Permit Fee $
Sewer Connection Fee $ "+
Water Connection Fee $
TOTAL $ -44
it60,h &46
3 62 r& Building Inspector
�"
95 14:17 11544.54 PAID
3 , "
9352 Div. Public Works
*Location In Jam( y,e4jo
No. 'S�,� Date
kORTh TOWN OF NORTH ANDOVER
O��«ao y1h
O? •• a OOR
Certificate of Occupancy $ :S7Z) '
Building/Frame Permit Fee $
Foundation Permit Fee $ _0
s�cMusE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
r
Qj
(l (J o �'7 G Bui ing Inspector
U-11/09/9513:25 154.44 PAID
I ,r 9 3 511 Div. Public Works
?/ILocation
�Uo. Date
9_ z?-
� A
r�
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ -�
�
CUE<h Foundation Permit Fee $s� Ms
ll Other Permit Fee $
;7,6 Sewer Connection Fee $
/-/I n Water Connection Fee $
TOTAL $ 2 t A 3
�--E►k� Urf�/ ��Uf L{ Edi g,Ansper `
8955 9 5 Div. P bpdWorks
PE&JiIT NO. JV� f `P ' t0rwvAl
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. �3641r- PAGE 1
MAP a40. LOT NO. 2 RECORD OF OWNERSHIP '.DATE BOOK '.PAGE —
ZONE I SUB DIV. LOT NO. :' (Al (
7 I
LOCATION AMAD&494cmI PURPOSE OF BUILDING �
• U u)�y
OWNER'S NAME O. OF STORIES SIZELG� ( �
OWNER'S ADDRESS
• BASEMENT OR SLAB
r
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST (,C� 2ND '1✓�� 3RD
BUILDER'S NAME ia// ,Jo6'(Jw�j2 „e S SPAN ���� OC—� o�•[� j
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
-� ---
DISTANCE FROM STREET YI�t POSTS
DISTANCE FROM LOT LINES-SIDES 7/7 REAR Zrl> W6;<18
/ " GIRDERS_�J r! 7
AREA OF LOT ^v FRONTAGE HEIGHT OF FOUNDATION S THICKNESS Q c
IS BUILDING NEW yo SIZE OF FOOTING X Q l
IS BUILDING ADDITION 9 MATERIAL OF CHIM Y ?e m Gl®
IS BUILDING ALTERATION q6 IS BUILDING O OLID R FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER i yes
IS BUILDING CONNECTED TO NATURAL GAS LINE es
INSTRUCTIONS 3 PROPERTY INFORMATION
PERMIT FOR FOUNDATIONONLY LAND COST
SEE BOTH SIDES REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST EST. BLDG. COST PER SQ. FT g
PAGE 1 FILL OUT SECTIONS 1 - 3 6 S .
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12 DATE FEE PAID,.�����. SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING C• ✓�' = 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PZILED
E FILED AND APPROVED BY BUILDING INSPECTOR'RM�T FOR FRAME/BUILDING
D
DATE: r 'SEEPAID' �IIIUILDINO INSPECTOR
SIGNAYAJRE OF OWN R O A ORI GENT
F E E vEt&=
S OWNER TEL.#
PERMIT GRANTED v CONTR.TEL.N 'F54*9 Z-'R?F '
19ir
CONTR.LIC.N C S o a9�6
H.I.C.#
M FEE
NOV MA FUME PERM kl%oF4
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY %le_ sioRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT ANWDISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH ,PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
r
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW 0
PIERS PLASTER
_ DRY WALL
3 BASEMENT .
AREA FULL FIN. B M AREA _
'/, 1/2 1/, FIN. ATTIC AREA
N_O B M FIRE PLACES
HEAD ROOM MODERN KITCHEN Tv `
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING .HARDVJ'D
ASBESTOS SIDING _ COMMON
VERT. SIDING ASPH.TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME ' t
CONC. OR CINDER BIK.
STONE ON MASONRY WIRING
STONE ON F AME
SUPERIOR POOR _
ADEQUATE I NONE
5 OF 1O PLUMBING
GABLE HIP BATH 13 FIX.)
GAMBREL MANSARD ILET RM. (2 FIX.( ,
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK Ilo
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES
TILE FLOOR '
TILE DADO
,r
6 FRAMING 11 HEATING + '
WOOD JOIST ELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS._9 COLS. TEAM
STEEL BMS. 6 COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS'. _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GOA` r^ + r
B'M'T 12nd ELECTRIC - x-)Ik .lt�
1st 3rd NO HEATING _ _ _ _ _ -4
NORTH
- F
Town of over
'�k �G
No. 5'75 -=�
o dover, Mass., 1AogEm� c 19 q
roC,,,chtw CK �t
AoRATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT. PM. ..... .. ......................•. ••••••• Foundation
has permission to erect.W(M!Q... AWL buildings on ..dip.....;.1*j .......... ....1 Rough
to be occupied as. 1 . ,�,,..��4M 1... t1 �4�.1>A... ........ ...3.. ... .. Pk0o...... Chimney
. ,, ,�� e
his�rmit shall in eve res ect conforf,4
o therms of tli� application on file inprovided that the perso�l accepting t p �iyFinal
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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR
REGULATED BY PARA. 114.8-S. B.C. Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. s
PERMIT EXPIRES I 6 MCS �l11p9 'FEE PAID 100. Final
C•d • 57� ELECTRICAL INSPECTOR
UNLESS CONS T
Rough
Serav�,�l��,� 1
BUILDI INSPECTOR1
�� a�o
Occupancy Permit Required to Occupy Building AS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remo
v ` o Fi
ugh o
Q ..KW
c
No Lathing or Dry Wall To Be Done R�-GFIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner .
oP� Street No.
Smoke Det.
FROM LAND PLANNING BELLINGHAM PHONE NO. : 508 966 5054 P02
. . - 34.83 94.63 1 �
ACE ACCESS FASEMENr
fig' WIDE OPEN V .� -
! l
IIIIIII� � �
50' UUFF E`R ZONF
—7 lip, w
344
�\ ,LOT 7
LOT 6
Q
4,c-,� S.FF.
(b I1 - ---� N -La_r_
Tc2�354.00
/ GAR.tJ.sj 00
/ SLAS�j46120
! 3 INV'344 3
Q)
0 � Ir u►
348
a WATER
PVC SENlFR
;fo � yMv--342.2MH
SK Y
VIE TERRA CE
c�
NOTE, ALL UTIUTY LOCATI RE TO BE FIELD VERIFIED BY THE ADING / SITE PLAN
SITE CONTRACTOR. "CORNELL COLONIAL" LOCA AT
SETBACKS: F-20' R-20' S-2U' betw_ bidgs. NORTH ANDOVER HEIGHTS
NORTH ANDOVER, MA
paw,nm FOR
LAND PLANNING TOLL BROTHERS, INC.
ENGINEERING do SURVEY 1800 WEST PARK DRIVE
187 HARTftkD AVENUQ BELUNCRAY. MA 02019 _ WESTBORO, MA 01681
(600) 088-4130 Pax (508) Oft 5064 ril 8 95 1"=40' NAC 4S
FORM U - IAT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: eAo,$Q.�� k;64A ZbJ- B hone l2`"21�f
U 44#`P
LOCATION: Assessor' s Map Number Parcel
Subdivision A69 &&4� Lot (s) y�
Street St. Number
Use Only************************
RECOMMENDA ONS OF TOWN AGENTS:
Date Arnroved
Cons/r, ation Administrator Date Rejected
Comments
2D(.kl�-r� K .Q Date Approved 2
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-3ealthDate Resected
Pf & K�-1ozvr) <� `prcved 9 l5
ept_c Inspector-Health Date Rejec"ed
Comments
Public Wcrr:s - sewer/water connections
r-
- driveway permit Li
Fire Decartment c�
/ -Gam-B �
R �-�� ved by uil ing I spec for Date
FRUN LNNL, f-'LHHH 1 Hb BELL 1 FJiaHHH PHUT JE NU. 'D08' 5J54 p 0 3
34.87) 90,63'— �-�-
OP SFAC'E �IGCr�S EASEMENT
VYlla� OPEN
Of
a
L 50. QUI-F"L-1� ZONE
oojNa ea
� 95
�0� 6 00 I n1 r
0 24,062 S.F.
CIV LOT g
FOUNDATION
Tc m:354.02
r
V ?2.3.
\ r
Jf< YVI F- W FERR CE
a
Kuv 2 7
SETBACKS- F-20' S-0' R-20' (20' betw. bidgs.) FOUNDATJON AS— BUILT
IGCATED AT
I CCRTIf Y THAT THE STRUCTURE SHOWN IS LOCATCO LOT 7
ON THE LOT AS 'SHOWN ON THIS PLAN AND TRIC NORTII ANDOVER IIEIGI ITS
LOCATION DOES CONFORM WITH THE FRONT, SIDE, NORTH AND001i, MA
AND REAR SETBACK REQUIREMENTS SCT FORTH IN PREPARED 11011
THE TOWN'S ZONING BYLAWS AT THE TIME OF TOLL BROTHERS, INC.
CONSTRUCTION, I FURTHER CERTIFY THAT THE 1800 WEST PARK DRIVE
STRUCTURE IS NOT LOCATED IN THE SPECIAL WE3TBOR0, MA 01581
100 YEAR FLOOD HAZARD ZONE, THIS PLAN IS NOT
TO BE USED FOR THE ESTABLISHMENT OF PROPER I YLAND PLANNING
LINES, ERECTION OF FENCES, OR CONSTRUCTION OF ENGINEERING & SURVEY
ADDITIONAL STRUCTURES ON THE LUT. 1e'' (+AICIMM AVENUE GHILINOUAK MA ocuiv
(SGB) 060-4100 PAX, (609) M 0054
MAN NO. OU06C: COM NO. 250046 nATF: f;/7/y� )"=10' NAF 49
S—S75
F33a Ko24
5tK � � -
TrLUMBER SPECIFICATIONS Top Chd Bottom Chd Webs SPECIAL PLATE POSITIONING CHART
ap 2x 4 N #2 DENSE S. PINE T 1- -2991 B 1- 2657 W i - -354 W 2 - 2087 JOINT# X. (in) Y: lin) ANGLE
Bot Chord 2x 4 N #2 S. PINE T 2- -2480 B 2- 926 W 3 - -382 W 4 - -336 ------ ------ ------ ------
Web Piece 2x 4 11 03 S. PINE T 3- -759 B 3- 0 W 5 - 738 W 6 - 34 1 1.14 4.37 29.2
T 4- -759 1 5.92 9.07 33.7
Left side Slider 2x 4 same grade as TC111 1 26.87 23.04 33.7
3 0.00 -4.60 90.0
5 -4.90 -0.94 -33.7
BEARING REQUIREMENTS 5 -3.50 -10.62 0.0
BEARING ACT. SIZE REG. SIZE LBS 6 0.00 3.20 0.0
at 3.50 In. 1.50 In. 952 7 0.00 3.63 -12.3
TL 3.50 In. 1.50 In. 973
BRACING MEMBERS SHOWN BY N WHERE REQUIRED. Standard Uniform Loading (PSF)
TCLL - 30.0: TCOL - 10.0; BCDL - 10.0;
1X4 CONTINUOUS LATERAL BRACING ATTACHED 5-6-12 5-2-3Increase - 1.150
WITH TWO (2) Bd NAILS. 5-6-12 tIVE _ _ D ON L/240
THIS TRUSS IS DESIGNED USING THE ANSI
A58.1 CODE. BASIC WIND SPEED -90 MPH. 84860
12G��a
82445
2445 6415 IT
3252 6475
3-7-11. \3252 1-0-7
i
3252
5.50 5.50
0-7-01
1-2-0
4 O R2445\
5675
8-2-12 3-4-8
19-10-0 OVERALL SPAN
PLATE CODE SPACING DATE If IS THE RESPONSIBILITY Of OTHERS TO ASCEIIIAIM IN41 INE LOADS UTILIZED ON THIS DESIGN MEET OA(ACTED INIACIUAL CIAO LOADS IMPOSED IV THE
R5000 TPI-85 24.00 0.C, f 1/Z5 92 STIIUCTUAE AND THE LIVE LOADS IMPOSED 11 IME LOCAL IUILDIND CODE OR HISTORICAL CLIMATIC AECOAOS NO RESPONSIBILITY IS ASSUMED FDA
'�►` 01YENSIOMAL ACCURACY VERIFY ALL DIMENSIONS MIOA TO FABRICATION CONNECIOA RALES SHOWN ARE IAUSWAL 16 11,OA EB GAGE AS SPECIFIED
{ABRICATION SMALL COMPLY WITH THE"OUALITY CONTROL MANUAL Of THE TRUSS PLATE INS111Ult EIP11 AND THE IAUSWAL IRUSCOM MANUAL ALL
TRUSVM PANELS MCI SPECIFICALLY DESIGNATED ARE 101E(DUALLY OIYIDEO DENOTES SPECIAL CUTIIMG ONLY IAIEAAL BRACING REOUTAEO Of INDIVIDUAL
IAUSS MEMBERS IS NOVO ON THIS DRAWING THIS DESIGN ASSUMES THE IOP CNOAO IO BE CDM I1NUOu5lT PAACEO SV SHEATHING UWttSS OTHERWISE
A T r u s P 1 u s Design STATED.WHER(NO RICO CFLING IS A►/Life DIRFCItY IO IN(POTION CHOAD SHALL BE IAAC(D At iw IEAVALS N01 EACEEDING 10 .0 P(ASONS
.`� FAECIIMG TRUSSES ARE CAUTIONED 10 SEER PROFESSIONAL ADVICE AEGAROING IIMPOAAAV ENICIION IAACING WHICH R ALWATS AEOUTAED 10 PF(,j HI
CP[JZR'EMS TO"LIMO AND'OOMINOING REFER TO IRACIMG WOOD TAUSSES COMMINIARY AND AICOMMEMOAIIONS" 11041 WNER[CONFUSION MAY EAISI
��jj���� COMCEANING PROPER FIELD FRICTION.CLEARLY MARK INIEAIOR WOUND LOCATIONS CANIIL[VEAS.AND TME CNOAOS Of IN[ TAUS$ EO MEVENI
Truswal S 51@T115 L'OF oration IMPROPER IIISTALIATIOM.TRUSSES SHALL NOT$E PLACES IN ANY ENVIRONMENT THAT WILL CAUSE THE MOISTUAE CONTENT Of THE WOOD IO EXCEED IT%
Y P AMD/OR CAUSE CONNECTOR PLATE CORAOSIOM CAMBER WHEN NECESSARY.IS$ESI DETERMINED IT JUDICIOUS AVPLICAIION Of ISPERIFNCE IND
DWG# F 33O KO-Z4--1 TNF/FFOAE 11 OUTSIDE THE SCOtt OF RESPOMSM LOIV OF TAUSWAt
I IPR-04 96 12:33 FROM:TRUSSCO, INC. 14012955760 TO:15086822333 PAGE:lul-
QUAN TYPE SPAN Fl-Hl OVERHANGS JOB �� MARK
9 DUAL 191000 8 0 0 K124 LOT #NORTH ANDOVER ESTATES 5533 '
. o
$L 13-04-09 8 SL 10-01-05
HO 7.00 HO 2-04-12
12
8 10
2x3
2x3= I
H 21
8-00-01 T
3.07-110 1
3xC,, �` ` 12
4xi 12 .'^B2 B7
AYJ C
12
D Bl C
5X8= ?.x311
TC 5-06-13 1 5-06-12 1 5-02-03 13-06-09
BC 8-02-12 1 7.11-04 1 3-04-08
cc
1_l•10-00
UniStar - Vrraion 39.1.1 MEMBR CSI P(LBS) Mi91ST M(02ND NOTES:
RUN DATE: 4- 4-96 A-H 0.20 4275 C 0 -3194 1. TRUSSES MANUFACTURED BY -
H-H 0.69 3347 C 3194 0 TRUSSCO,INC. Al
CSI SIZE LUMBER 1.15FB B-I 0.54 1014 C 0 -2336 2. ANALYSIS CONFORMS TO
TOP 0.90 2X 4 SPF-#2 1510 I-E 0.48 970 C 2336 -508 TPI-85 (NDS-91) .
BTM 0.71 2X 4 SPb•#2 1.510 BOTTOM CHORDS 3. BUILDING DESIGNER IS
W$$ n.75 2X 4 SPF'-STUD 850 A-G 0.71 3934 T 0 0 RESPONSIBLE FOR ADEQUATE
LBG�OA 0.79 2X 1 165OF1.5 G-D 0.46 1119 T 0 0 DESIGN OF TRUSS TO BRG
EXCEPTIONS: D-C 0.06 24 T 0 0 PLATE CONNECTION WHICH
A-H 2X 4 210QF1.8 2400 WEBS ALLOWS 0.40 INCHES OF
1i-B A-(. SAME AS A-H F-E 0.11 516 C -291 171 HORZ. MOVEMENT AT JOINT F
G-D 2X 4 16SOF1.5 1900 C-F 0.11 37 T 0 2RI I. ANCHOR TRUSS FOR A TOTAL
G-B 2X 4 SPF-#2 1510 H-C - 815 C G-B = 2907 T HORIZONTAL LOAD OF 429 LBS.
R-D 2X 4 .SPF-#3 865 B-D - 343 C D-I = 442 C
REPETITIVE MEMBER STRESS USED. D•E - 885 T F-E = 518 C
LATERAL BRACING: DL+LL DEFL - 0.S9" IN A-G
TOP CHORD - CONTINUOUS LL DEFL = 0.33" < BRG-SPAN/360
BTM CHORD - CONTINUOUS DL+LL HORZ = 0.43" AT C
ONE BRACE - B-D SPAN/DEFL (DL+LL) = 422
TRUSS SPACING - 24.0 IN.
ALL CONNECTOR PLATES
LOAD CASE #1 TO 8E MANUFACTURED BY
LUMBER STRESS INCREASE: 15.0% MITEX INDUSTRIES, INC. �y v
yt:;OFiy
LOADING LIVE DEAD IPSF} PLATES - 20 GAUGE M20 ��- R,p�,
TOP CUD 30.0 3.0.0 GRIPPING, S93-335 PSI PER FAIR p Q9C.
ATM CUD U.0 10.0 INCLUDES 15.02 INCREASE
TOTAL. 30.0 20.0 50.0 TENSION 437• 483 Px•I PER PAIR < v $• yR,� -
F.:.
SUPPORT c'RITERIA SHEAR JOS- 441 F'LI PER PAIR
JT REACT WIDTH JT REACT W10TH
LBS TN-SX LBS IN-SX STT TYPE PLATE SIZE X X
A �s
A 1.134 l�^ate F 1036 3- 8 A •3-PLATES ON EACH SIDE•
#1 2109 4.00 X12.00 18.3 1.8 �.SFGI FIDE "-
LOAD CASE #2 #2 2600 3.00 X 6.00 22.2 1 5
LUMBER STRESS INCREASE: .15.01 #3 2600 3.00 X 6.00 39.3 1.5
LOADING LIVE DEAD (PSF) B 30101t 5.00 X 6.00 1.9 1.9
TOP CHO 35.0 6.5 C 2000 2.00 X 3.00 CTR CTR
yTM CHO 0.0 10.0 D 5170 5.00 X 8.00 2.9 1.8
TOTAL 35.0 16.5 51.5 E 4110 3.00 X 8.00 5.5 CTR
SUPPORT CRITERIA F '(0.
JT REACT WIDTH JT REACT WIDTH G 6094 8.00 X10.00 5.0 3.5
LBS IN-SX LBS IN-SX H 1001 2.00 X 3.00 CTR CTR
A 962 1-15 f
1067 3- 8 1 1001 2.00 X 3.00 CTR CTR
LEFT RIGHT R - PLATE IS ROTATED BY 90 DEG
HEEL 2IN - 12SX
MEMBR CSI P(LBS) MOIST M60ND
TOP Cli0kDS
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 7 C Date�� — 3� 5
THIS CERTIFIES THAT
THE BUILDING LOCATED ON S't�y U
MAY BE OCCUPIED AS G 04-C IV IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
�',. • -.'�, CERTIFICATE-ISSUED TO Q&—O-as
ADDRESS S A/ P
Z.
''s,c""sB ing Inspector
NORTH
F
Town of
dover
.
0 4 k" ort dower, Mass., lio\temgfe- '3C 19 9 s
COC-$(MEwICK
°n'ATED r? 11 ' r.
7 .
BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
` -
BUILDING INSPEC OR
THIS CERTIFIES THAT..�f..�t.-.�.�.�►�.4f'a�?�.....�,�?Ca05►....1:-l..tl�ll`�L1...... ..�1. �P........................... .... .
un alio
has permission to erect.GU=... AMIL.. buildings on ...�iP..... .1 ` . t. .�u4�... .......... ....(.d�?/�i, o ley
to be occupied as.Sit M�.. �.?.uuQ,l��.�n. 3..�eC.,..6.e�,.. Q .. ..' ►� l � himneey
provided that the person accepting this pbrmit shall in ever res ect conform to therms of tff�e application on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of ` r5 ` r..
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING INSPEC OR
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C.
PERMIT EXPIRES_1N_ MQh1 6' EE PAID l(2D• na d
UNLESS CONSMTZ41td �• ELECTRICAL INS? CTOR
PERMIT FORFRAME/BUILDING .... ....... I......................... Service
INSPECTOR
DATE:% FEE PAID
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
na
No Lathing or Dry Wall To Be Done FIR DEPARTMEN
Street No.�yZL
Until Inspected and Approved by the Building Inspector.
Burner L'f
* ,titan"+ �v) CIV�l/fes A,�L
Smoke Det. Y k
YOffice Use Only
V - _
0i 4E LfjaMM11UUje# lif ..49a00aE4u0rtt9 Permit No.
' 13evartment Ed Public —96afttg Occupancy& Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 52VInpec7r
12:0
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date(X* or Town of NORTH ANDOVER To the of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) CW
Owner or Tenant
Owner's Address
Is this permit in conjunction with a buil ing permit: Yes No ❑ (Check A propriate Box)
Utility Authorization 112
Purpose of Building
Existing Service nne�nn Amps _� Volts Overhead ❑ Undgrnd ❑ No.
New Service Amps _/O_J_2�VOIts Overhead ❑ Undgrnd �No. of Meters
Number of Feeders and Ampacity O Q',l�
Location and Nature of Proposed Electrical Work WI e ;L) 4� Kal?e
Total
No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA
Above In-
No. of Lighting Fixtures I Swimming Pool grnd. L grnd. ❑ Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
Total No. of Detection and
No. of Ranges No. of Air Cond. tons Initiating Devices
No.of Heat Total Total
No. of Disposals Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices
1Municipal [:]Other
No. of Dryers Heating Devices KW Local ❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW I Signs Ballasts Wiring
No. Hydro Massage Tubs I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws t
I have a current Liability Insurance Policy including Complete erations Coverage or its substantial equivalent. YES TINU = I
have submitted valid proof of same to the Office. YES O If you have checked YES, please indicate the type of coverage by
checking the ap ropr a box.
INSURANCE BOND OTHER : (Please Specify)
(Expiration Date)
Estimated Value of ctr' al or S
Work to StartAJZV_ Inspection Date Requested: Rough
Final
Signed under thelp Ities o perjury:
FIRM NAME LIC. NO.
LIC. NO.
Licensee Signature
Bus. Tel. No. (�Q�"7c
Address
Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licerve.40does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. O er Agent
(Please check one)
Telephone No. PERMIT FE S3
(Signature of Owner or Agent) x•6565
.. ... _' _.. .».- mss,,..�, .... r.+:<..e�l.-r.., -ti'4rwT�...._,.r.....,;,���.•`'l" ••' ,.Y'�-.d-r.».rr...'+y..��',.,--- t... r...
Date..................................
2964
NOR7h
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�,SSACNUSEt '
This certifies that ... fk.. ......... e- .
has permission to perform .....
wiring in the building of...... �.........................................
F
at..&... 1..��/fes f� ....�..:................... .North Andover,Mass. �
i
Fee..339. ...'� . ...... ..Lic.No. ..5..2.x'........... ................... ... .. . —e�
T O
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File