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HomeMy WebLinkAboutMiscellaneous - 62 BRIGHTWOOD AVENUE 4/30/2018 (2) 62 BRIGHTWOOD AVENUE / s` 2101066.0-0034-0000.0 9564 Date...... t t NORTI{, 3?;•�``°- '64,0. TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,sSACMUSEt This certifies that ........... ....o L cll ..../.. ............................... has permission to perform A-l..f.. .r.y/......f �yr<rr� �t:.2........... wiring in the building of.......... ,! = .................................................. at. r?.` ..../ .1. t,/r.�(, ......l&I, ........ ,North Andover,Mass. � �...ate, Fee.. ....--�-.'- Lic.No. ;l e4 R .. . . I?r�elCZ NSPECTORf �' Check # AL-45 " �C\— Commonwealth of Massachusetts Offici I Use Only Department of Fire Services Permit No. �� UVOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev.9/05] ]cave 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 IN ORMATION) Date: 17, City or Town of: 4�4, 4AD U V4-lt To the Inspector of Wires_ By this application the undersigned/gives notice of hisor her i tendon to perform the electrical work descnbed below. Location(Street&Number) 1p #A I&i-r�W Owner or Tenant !L) `!� Telephone No. Owner's Address ail' Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building �) r> � Utility Authorization No. Existing Service 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:dj�C e14)A?G Z l SYOrs Completion of thefollowing table=be wad the InTabor Of Wires. a No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.Of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators K-VA 01 Emerg• No.of Luminaires Swimming Pool rnd Above Eld. 11Battery Units acY g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Gas Burners o.o Detection an No.of Switches Wtiating Devices No.of Air Cond. 'ULA; No.of Alerting Devices No.of Ranges Tons Heat Pump Number ns No.oSW--Coutained No.of Waste Disposers Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Connemct on C] Other Heating Appliances KW onlt y systems:* No.of Dryers No.of Devices or Eanivalent o.o itero.o o.o Data Wiring: --- Heaters ICV Signs Ballasts No.of Devices or F4nivalent eeommumatioas lring No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail ifdesired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ^ ' O Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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:) 1 Terrify,under the pains and penalties of perjury,that the information on this application is true and complete. LIC.NO.: FIRM NAME: Licensee: N/t�. / f __ signature LIC.NO.: afapplicable,en er jam_.dos �utrtbe�kne- �� �t Bus.Tei.No.: Address• .�Y/�' t* W' a lr' tr' OP't, fl,4'R Alt.Tel.No.: *Security System Contractor License rcquird for this work, if arphcable,enter the li a number here: OWNER'S INSURANCE WAIVER: I aura aware that the Licensee does not have the liability insurWice coverage normally required by law. By my signature below,I he e y waive this requirement. I am the(check one) wrier ❑owner's agent. Owner/Agent ' Telephone No. PERMIT FEE. $ Signature �. �� i I i i I � `� .. s� Date.�...!.�.1. .. .. ... . NORTk TOWN OF NORTH ANDOVER O 9 • - PERMIT FOR GAS INSTALLATION > h I �,SSAC HUSE��( < f� :j This certifies that . . ., ./ . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . /. . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �j3j'+ 1 {. . .. . v r at . .�..Z . . . . . . . . . . . . . . . . . . . . . . . . . . Norah Ando e , Mass. fFee. ... . . Lic. No./&/. . . . . . . . . . . . . . p AS INSPECTOR" Check# k' 57U5 NLASSACUSEM UNUOR I APPLICATON FOR PERtNIlT TO DO GAS FMI NG (Type or print) Date Z`' NORTH ANDOVER,MASSACHUSETTS Building Locations G �. �, ,rw©���'/� Permit# 4 Anlount� 7 V Owner's Name �f��` �� New❑ Renovation ❑ Replacement ® Plans Submitted ❑ a � w o on t % m a z x o o n w w c w F Z. a GW �y w W4 w d T. �" a W y1 W F A E. F Z F z E4 cF1. W O > [., F� =± a E� O x 7 " x ` Z C z O Cn F + 0 F C SUB -BASEM ENT B A S E M E N T 1ST. FLOOR 2ND . F L O O R 3RD. F L O O R �« 4T 11 . FLOOR 5 T H . F L O O R 6TH . FLOOR •j 7TH . FLOOR 8TH . FLOOR (Print or type) Ch k one: Certificate Installing Company Name F���t'-�.�j` YyI i�Lr, e—L Address / ��/�CO���( F` /� Partner. Ale t--C1_7-.9 0 Business Telephone y-71- 6 97 ( /0,� � Firm/Co. Name of Licensed Plumber or Gas FitterC -Pite, f/fif /�1t L- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes NoET- If you have checked yes, please indicate 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[tie ;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 certifythat all of the details and information tormation I have Submitted�t bmitted(or entered)in above;application are Frue and accurate to the hest of m.� knowledge and that all plumbing work and installations porfO med miller Permit Issucd for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Cede and Chapter 142 of the General Laws. By: mature of Licensed Plumber Or Gas Fitter Title 0,plumber IO/Z/ City/Town [D Gas Fitter License Number TI'Master \PPROVED rOFFICE USE GvtA) Journeyman Location /321(,--17'7/�vU��� �' / jjNo. V7 Date NORTH TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ * Building/Frame Permit Fee $ o!t? cMus Foundation Permit Fee $ s� Other Permit Fee $ pA8j) By *ewernnection Fee $ nnection Fee $ JUN 2 B 19910TAL $ Andover Collector BuildingInspector Div. Public Works PERlfrr NO. gz7,z APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ✓ PAGE 1 t MAP 440. / LOT NO. %7 2 RECORD OF OWNERSHIP IDATE BOOK PAGE NF I{ I SUB DIV. LOT NO. ,LOCATION 6.2'(tp�G htwiod PURPOSE OF BUILDING OWNER'S NAM ,-` Lc5112 Na-ftK, NO. OF STORIES 'Z SIZE 2- -6 X3,0 �- OWNER'S ADDRESS—:t7 Np, BASEMENT OR SLAB 0At'C7 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1IScT2 jD 2ND p 3RD BUILDER'S NAME �TDe J oju w t-F-0 SPAN / Z&' w_LCJ C L7 DISTANCE TO NEAREST BUILDING �-� DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES-SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY i IS BUILDING ALTERATION 1 leis IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE lEs IS BUILDING CONNECTED TO TOWN WATER IL-5 BOARD OF APPEALS ACTION, IF ANY l IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS � �� 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES `O1)�(ti' • EST. BLDG. COSTV S'C)o V t7 r� PAGE 1 FILL OUT SECTIONS 1 - 3 � `- PAGE 2 EST. BLDG. COST PER SQ. FT. FILL OUT SECTIONS 1 - 12 ,\�G'- EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. y ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST B..rrE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED V — Z—1/ BOARD OF HEALTH SIGNATURE OF OWNER ORA AGENT az OWNER T&9 l+ i F E E 006 °-�- CONTR.TEL N CONTR.LIC.0 '�y PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY SroRIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOFLOT 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 2 FOUNDATION —I -$ INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDWD PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ '/, 1/2 '/, FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASP64LT SIDING HARDW D _ ASBESTOS SIDING COMtACN V O SIDING ASPH. TILE _ ST ' ON MASONRY - STUCCO ON FRAME �— BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) _ FLAT I I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & 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. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS c 7 NO. OF ROOMS GAS ll O B'M'T 2nd _ ELECTRIC 1st / 13rd 11 NO HEATING t ...:; ,,: � r .;y a��..:t�d�.z, .. „mss -��s; t t,nprave k, �+i y� ,� a, LE �:'i:, ��r+rs�., yr�- ::r _ _ _ •_ ' r2F' ..�.,s•n... ..;,. r u.�a(t x. I.�-1`�*itr'GYt�''`�,taS'T. � 4k } I �`�'T..S� ',.R sgSr3t3.3�2�y�. �.'�,� { DEPARTMENT OF PUB°JC SAFETY COMMONWEALTH' 1010 COMMONWEALTS7 AVE. s i OF BOSTON,MASS.022114, 'oy►� MASSACHULETTS l EXPIRATION DATE !� 03/31 /199" EFFECTIVE DATE LIC NO. ; ( ' R �TRICTIONS ;6U4 101 11' 47� ' SS 00'1-j4-3fj8 .. �1r T � i_�33 5 •'f PHOTO(BLASTING OPR ONLY) FEE: 0. 00 - ', .9 � NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED OR-SIGNATURE OF THE COMMISSIONER .r .� ('• � THIS DOCUMENT MUST BE; e - I TURE OF LICENSEE I . CARRIED THE PERSON OF THE HOLDER ! ! • {_ R WHENON' (��p/'`VOMMISSIONER - OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPAIIPAiION�, )2WM•2.87.81429 V r sw777 j I t• . ORT 9 • own of = 6 OL ®ver VA No. 247 �f ORI`9EV�;�,d- ..ry s , , - - K er, Mass., 1991 C HI HE WICK A �V oR ?� SS BOARD OF HEALTH PLRMIT T LO . THIS CERTIFIES THAT............... t . .................................... • BUILDING INSPECTOR has permission to meet•... ....... buildings on .fL........ �. �...�t Rough to be occupied as X.04r.I aii4w.`V?&4.!. �. ... t'.l... Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough f, Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S TS Rough Service Final .... ... ........ ...... ..... ..... . .... BUILDIN INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by MEET NO. Smoke Det. Building Inspector i ..,, ryrc,� 21 TVCK T LA4- FLANGE of SUM 7b SEC4,VP P10,OR Td/SrS ! 2:. x4 , /:3 S TFL. 3 0 SUE4 PlPF , col P, x 50 Bco�K�NC� i I 3, x � Loo� ! . D/N//t/� h'oo�l I j LAGL y SOL LALGy 'aG Li Ra OR 47L00 ' ' fRo�1!r- LAlIy COOks SZ-C77 �-! / 'GERALD Q ��`�� a 'JOSEhH c� ' // - f o. 21029 ISTS OMAN _ — - _ ��j��"'�+ / `�I O �i,1``i'� _ _j � - - --- _� . . .._. ; -- -- - •- j. .. -I i i 7�l c - o��fs to Z , L , Z�• Z-, sA z , Z . 3c) 4 -= T6 t,=; 1�11,r7 L, L, - - - - -- -- �,C C u zl Alfl C 1c, -�'7-- S C.COe XIC-0 P_ Z z10 CD/ - �S X i� -7- L74 - - � .� / � eta 7o 7t�/ = l7 M -- 4 ire' s� -;&w2ft �QOZh -�,y/s / /07, Z-e 771w-Vo W7' 47 /< -&A-e 7(- 7 S 1-17 a4 L6"� y bl6 7 6 e t- y r, 2-e U� i . 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