HomeMy WebLinkAboutMiscellaneous - 62 GRANVILLE LANE 4/30/2018 (2) 62 GRANVILLE LANE
210/106._ _C_0069-0000.0
NORTH TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
�* * 400 Osgood Street
y' ,,, North Andover,Massachusetts 01845
1SSACN►►`'tS
Telephone(978)688-95454
Michael McGuire Fax (978)688-9542
Building Inspector
June 15,2005
Mr.&Mrs.Janos Mako
62 Grandville Lane
North Andover Ma 01845
Re: Electrical Permit
Dear Mr.&Mrs.Mako:
C� Please be advised that this department received an Electrical Permit application for wiring of a hot tub at
U above address on April 27h. Juba Electrical was the original Electrician on the permit application,however,
removed himself from the project. To date we have not received an application for the wiring since Juba Electrical
permit is null and void.It is critical that another permit under the current Electrician be issued. Massachusetts
State code requires proper inspections for your safety.
Several attempt have been made to reach you. Please call the Electrical Inspector in order to resolve this
issue.
Very truly yours,
Peter Murphy,
Electrical Inspector
�J
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
r
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
A. Signature
■ Complete items 1,2,and 3.Also complete ❑Agent {
item 4 if Restricted Delivery is desired. XM. � �' ❑Addressee
■ Print your name and address on the reverse
so that we can return the card to you. B. Received by(Printed Name) = C. Date of.Delivery-
■ Attach this card to the back of the mailpiece,
..
or on the front if space permits. �1
D. Is delivery address different from item 1? 11 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. ArticleNumber7002
PS Form 3811,August 2001 05.10 OOOD 0894 3056
(Transfer from service label)
_ Domestic Return Receipt 102595-02-M-0835
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1.4 DF.PAR7MW0FPUXKS4FM
Permit No.
BOARDOFFMPREVEMONRBGULAT7OM5VOR12-M
Occupancy&Fees Checked
O APPLIC 77ONFOR PERMITTO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INTthe
TION) Dat Z
Town of North Andover �j'�� � (�// JQ of To the Inspector of Wires:
The undersigned applies for a permit to perfoectrical work described below. J �
Location(Street&Number) 2 T b 7
Owner or Tenant O
Owner's Address
Is this permit in conjunction with as building permit: Yes C] No (Check Appropriate Box)
17
Purpose of Building Ji)iyl.� / -(AMi I _ Utility Authorizadori`No.,.
Existing Service AmpsVolts Overhead Underground . ;No'of.'M,eters
New Service Amps� Volts Overhead Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work U
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
ground ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
NoClofwDi.pow-
of Ranges No.of Air ond. Total FIRE ALARMS No.of Zones
Tons
No.of eat Total To No.of Detection and
Pu s . Tons K Initiating Devices
No.of Dishwashers Space aH n ) - K No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heatinj De ces Local Municipal Other
Connections
No.of Water Heaters KW o.of No.of
St Bailasis
No.Hydro Massage Tubs No.614olotors Total HP
OTHER•
1nst.rd=C0veW Ptltst>attIDdrlagtmanals Laws
I haNe a cuirat liaffityllsum=PokYududrlgCanplk 2&=Comw orissllbs rrialdf*Ak" YES NO
IhavesdxrlokdvaGdploef btheOliier±YESLZI ffyouhavetlled®dYES,plt irtck*lhetypeef by
dwckkgdr 9
R4SURANCEBOND Ox a t�lea9espacy> /
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FIl2MNAME
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�—,6USPiSURANCEWAIVER;lAnawaedmitheLwwdDwmthmtdcnumr=wmaWoritsak&ddWvWmtasag byMmut&mMCmaWLaws
ward that rrly signahae m[lis pearit app)icadrn waives this rac}marlalt
(Please check one) Owner a Agent
Telephone No. PERMIT FEE
signature of uwner or Agent
Date....171— ......
urz V)
t NORTH q J '�
:°•_'�`"- "°O� T OF NORTH ANDOVER
P PERMIT FOR WIRING
,SS4CMUSE�
This certifies that
........... . ... . ..... ..................................................................
p has permission to perform ...........................
wiringin the b�g of...e................................................................................
i
at a.................err- � C ..l. . ............ ,North Andover,Mass.
Fee.`?�....... Lic.No ........... ..... ,........ ......... ... ... ................
LECTR[CALIN E
Check # �_��_
$ 733
IM t,UiV1LVJU1v rrr AUJ n yr trJtta arit,avLw1 I u --—.....,
DF.PARTSIENTOFPUBLICSAFETY Permit No. 15 ,7131 "
0FFWPREVEM0NRB91AT70NS527C11R12W 4/6- .
Occupancy&Fees Checked
;y P,
PLICA ONFOR PERMUTO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEA PRINT IN INK OR TYPE ALL INFORMATION) Dat Z
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 O
Owner's Address e w' {
Is this permit in conjunction with a building permit: Yes IZI No (Check Appropriate Boz)"'
Purpose of Building s t. l•Q iAmti / Utiliry:Atithorization No.
Existing Service Amps� Volts Overhead a Underground IZI No.of Meters
New Service Amps Volts Overhead Underground r-1 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work ki i W-e6J- JC/b
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round and
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch:Outlets
V No.of Gas Burners
No.of Ranges. No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
O No.of Disposals No.of Heat Total Total No.of Detection and
Pumps . Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
El Connections
No.of Water Heaters KW No.of No.of
Signs Bailasia
No.Hydro Massage Tubs No.of Motors Total HP
OTI ER-
IrmratteCamW PMMttorh5ffl* ariatsLaws
Iha�eaamatliabtTiy3RtGcyirtcY >gCanplele affisub�arialtx}rivaiat YFS NO
Ihares kmiedvald= loft011im YES dyed®dYl~.S,plea9eirt3c�Ihetypeot by
dwcuvdr /
INSURANCE BOND (7IfIDt Specffy)
Est D*d ValredE1wtcal Wc&$
WOkIDRatt 1,0 hspeWmD*F&p!sfbd Rwgh F#W
NAME `–��/'JEl �Ae&]f2�C �c� bre r 33
Sig[—
T irv3r�� �.JU � J'
latine Lna>seNO
BusirtessTd.NbL 1`�7d
AIL TdNa -XV77d.0 g'
UWNER'SINS'URANCEWAIVER;T !doesrtotharetheir>aaalo a aW(rilsmbsutge#vWaastagtmadbyMamftMCtmWLam
and that rrry m this peur>d appGcaliorl wanes alis Iaglmettgt.
(Please check one) Owner � Agent E] �
Telephone No. PERMIT FEE
rgna ure of Ownergen
� -v �`'�' Date...............�...S5......
°'•«•° '•�"o TJWN OF NORTH ANDOVER
PERMIT FOR WIRING
�SS�cHusE�
This certifies that .....-. . ..... ...:- —.................... ............................
has permission to perform ...:.................... ✓..............I........................
wiring in the building of.... .....................................................
at A� .................... ... ........... ..1 ........... ,North Andover,Mass.
Fee..`t... ....:........ Lic.No ........... ,........ ......... ...............
LECTRICAL IN E
Check # _. --
5733
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Date....a.....` 7.U ..
�aORT►,
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
/ CHU
This certifies that ..............:................ - ................... ................................
has permission to perform .... ......................................
wiring in the building of...,,.
f...,..
4t.:!` ... ... �-+��4 .. ?........... ,North Andover,Mass.
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Fee.. ... �....... Lic.No.............. ........... . ... ............ ..
ELECTRICAL INskcud
Check # +
573 ,3
1I=LUIVVY1t![vVVEA19 .!n yr lu �••w�-- ��
DEPk JUMEVT'OMBUCSAFEIY Permit No.
BOARD OFFMPREMPMONREGi1WTONS5M7a1R12 ��
Occupancy&Fees Checked
• APPLicATTON FOR PERMU TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Z
Town of North Andover To the Inspector of Wires:
The undersigned applies for a pennit to perforin the electrical work described below.
Location(Street&Number) rJ74ALAJ /�O
Owner or Tenant O
Owner's Address
Is this permit in conjunction with as building permit: Yes[:3 No (Check Appropriate Box)
Purpose of Building SM l -,Amt /"- I Utility Authorization No.
Existing Service Amps� Volts Overhead a Underground a No.of Meters
New Service Amps____L.V olts Overhead Underground 1:3 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work kijiTe 6J t J
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps . Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
p Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
Connections
Vo.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER•
hLEN=COVOW Plvstartbtletegttuema� Iaws
Iha�eatama�tL+ab�ttyltu�naeR>rCyittrYtgCarl oritssubsltx}rivalat YFS NO
Ihmshrf&dvddpocf iwhe0ffim YES lfycuhm dredmdYES,plea hxk*thet)Wcf by
drddrglhe lug
P61JRANCE BOND Oh1FR (P1ea4eSpecdy)
w
Esofl&cbimlWak$
1�JadcbStatt 2'� h>SpecdmD*ReWesWd Ra>gtl Final _
St'grredunda ofpe�uly. �''
IiRMNAME �vJbd �,/"t I C cc) .. t't Lioa�eNo �/
Lim= _2 KJINlmw ��"r/( / J
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i Busi=TdNa 17d
ALTUNa
OWI�RS94SURANCEWAIVE . awaethatthelmwdoesmthawdr nsuaro a aWcrgss>lmalegpWatasm4mdbyMamd>mmGardLaws
and that my 4gmhne en dfis panic appkatirn waives M caOMEI
(Please check one) Owner [:3 Agent
Telephone No. PERMIT FEE
signature of Ownergen
i
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature j
item 4 if Restricted Delivery is desired. X ��� ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we Can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front it space permits.
D. Is delivery address different from item 1? 11 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
c lOo2
-/L-� C.�-rreu-G-�T,ci Z12 �QQQ
3. Service Type
❑Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7002 .0 510 ; R 0 0 0 0894 ; 3056
PS Form 3811,August 2001 Domestic Return Receipt 102595-02•M-0835
.�SSFP E first-CIgs&Mai1 .,e,
UNITED STATES POSTAL SERV �'
^� 1 :41 g ..t=ees,!aid
J P IVI Y I � 'SCk
_
20 JUN ��
• Sender: Please print your name, address;and"ZCP--+Tlwthis-'ox
North Andover Building Dept
400 Osgood Street
North Andover MA 01845
i'tI??Fi?iSFilil?iii?#?tiiii?12�!?liil�i?i�iii4E�4iifF?F4?i�?31
N° 2 5 rQ Date...........:......................
V
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
CHU
This certifies that ...... .................................................................
has permission to perform__., cr:.r.!< .�� . 'Z................
wiringin the building of....................................,..............................................
at... ...... :f �- -''� �� ... ,North Andover,Mass.
Fee ... ..... Lic.No `j ,!:. . .. -. ... -'G-:.`. .....................
el 'ELECTRICAL INSPECTOR
Check # � -/ �,S b Z
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Commonwealth of Massachusetts official use Only
Department of Fire Services Pennit No.
-" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 11/991 (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance-6th the Massachusetts Electrical Code(h4ECJ 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFOTION) Date:
= City or Town of: IUOt' %4)aavec* To the Inspector of Mires.
z By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)
Owner or Tenant \7 1400 r> Telephone No. 27y- 6 ff 5--OY-67
Owner's Address
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
New Senice Amps ! Volts Overhead❑ Und,d❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Cont lesion of the follouing table ntav be vvived by the Inspector of Wires.
No.of Recessed Fixtures No.of Ccil.-Susp.(Paddle]Fans No.of Total
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
Above o.o mergenc Lighung
No.of Lighting Fixtures Swimming Pool g b y e b
rnd. ❑ grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones
No.of Snitches No.of Gas Burners INo.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons b
No.of Waste Disposers (Heat Pump Number Tons KW INo.of Self-Contained
Totals, (Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other
onnectron
No.of Dryers Heating Appliances KW ecunty ystems.
' s or Equivalent
o.of Water KW Ivo.o o.of Data Wiring
Heaters Signs Ballasts No.of Devices or Eauivalent
.
No.H�°dromassage Bathtubs No.of Motors Total HP Telecommunications Wiring
No.of Devices or E uivalent
OTHER
.Attach additional detail if 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
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:)
(Expiration Date)
Estimated Value of Electrical Work ?- e-d (When required by municipal policy.)
Work to Start ��l��� Inspections lobe requested in accordance with NEC Rule 10,and upon completion.
I certify,under thepains andpena/ties ofperjury,that the information on this application is true and complete
FIRM NAME: ADT Security Scr%-ices 111 Morse Street,Non o MA 02002 LIC. NO.: 15330
Licensee: John S.Bassett Signatur LIC. NO.: 1533C
(/f applicable,enter"rzenipt"in the license number line.) Bus.TeL No.: •. -
Address: Alt.Tel.No.:603-.594-59 lresi
OWNER'S INSURANCE WAIVER 1 am aware that the Li ensee doesnot have the liability insurance coverage normally ONLY
required by lace. By Ry signature below,I hereby naive this requirement. 1 am the(check one)[I owner ❑ ciumer's agent.
Owner/Agent PERMIT FEE.- 5.
Signature Telephone No.
c lK' m•`fes: �.. Y r _ . .. -
Location
No. Date ,
NORTti TOWN OF NORTH ANDOVER
3?0�t7``O •,MOL
op Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
sACHUSE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee . $
TOTAL $ cSr«
Building Inspector
1t I 25.00 PAID
Div. Public Works
f
Location
No. %^ Date
f
HURTN TOWN OF NORTH ANDOVER ..
4,
O?O•tt``o '•, R
9 Certificate of Occupancy $
Building/Frame Permit Fee $
i o- • 7
cMuFoundation Permit Fee $
swsE
� Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
4 Building Inspector
25.t1D PAID
Div. Public Works
PERMIT NO. APPLICATION FOR PERMIT TO BUILD******"NORTH AN OVER, MA
NIAP NO. LOT.NO. 2. RECORD OF OWNERSHIP DA BOOK PAGE
a
ZONE SUB DIV.LOT NO. 2s-
LOCATION
SLOCATION PURPOSE OF BUILDING fp
OWNER'S NAME :Z-t4/v ;v'44 kr NO.OF STORIES _ SIZE
OWNER'S ADDRESS K'2 t?YGo1Vrlk. d000
BASEMENT OR SLAB I .to
RD
ARC141TECT'S NAME SIZE OF FLOOR TIMBERS I 2 3
BUILDER'S NAMESPAN
DISTANCE TO NEAREST BUILDING DIMENSIQNS OF SILLS
DISTANCE FROM STREET /0 * DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES of ae REAR xq DIMENSIONS OF GIRDERS
AREA OFLOT ?FRONTAGE Jj 0 HEIGHT OFFOUNDATION sr THICKNESS
IS BUILDING NEW SIZE OF FO(JFING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION .41CW /1001jr IOU ;�' fitEIS BUILDING ON SOLID OR FILLED LAND r VA
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �yy�r S IS BUILDING CONNECTED TO TOWN WATER `J y6_s
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER wo
IS BUILDING CONNECTED fO NATURAL GAS LINE
ANSTUCTIONS 3. PROPERTY INFORMATION r LAND COST ;
EST.BLDG.COST
PAGE I FILL OUT SECT IONS 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 s 4. APPROVED BY:
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR
67 DATE FILED -1 (�Q OWNERS TEL# 6e s O p
CONTR.TEL#
CONTR.LIC# *R
SIGNATURE OF OWNER OR AUTFIORIZED AGENT
FEE
PERMIT GRANTED
fx51 t+..�Q-1-^'�j,r�Q, E-40�5!, _� _. ! -' - co•tan.r OF G xS� -__ _.-
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Town of North Andover40RTIq
Ot�.,,to
OFFICE OF �? y • O
COMMUNITY DEVELOPMENT AND SERVICES -"
146 Main Street , _...
KENNETH R.M. AHONY North Andover,Massachusetts 01845 �4SSAC4USE`
Director (508) 688-9533
�� LICENSE =:i`MPTiOi`i
Please print.
DATE
JOB LOCATIONG�� !r �` �✓���� 1L�
Number _ Street address Section of town
"xOtilEoWwTER• t 0« limns -- ` ycr S-� �(L7 3 3 - 7S`
Name -0:ne phone 'Alorc phone
PRESEN i MAILING ADDRESS ��-��---
City/Town State Zip code
The current exemption for '`h0.'7e0u1ners" :.a5 ��e� eG t0 _nClade O.lner-OCCupied dwellings
of six 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 Sec-
tion 109.1.1)
DEFINITION OF t1OVIE0Wv7Z :
Ferson(s) who owns a parcel of ':and on :which he:she =elides or intends to reside. on which
there is, or is intended to be, a one to six "anvild::elling, attached or detached structures ac-
cessory to such use and/or farm sem--=res. A person :who constructs more than one home in a
nwo-year period shall not be considered a horiecwner . Such "homeowner" shall submit to
the Building Official, on a for= acceptable to the 3uiiding Official. that he/she shall be
responsible for all such work per-formed under the building permit. (Section 109.1.1)
The undersigned "homeowner" assumes reszonsibiiiw for compliance with the State Building
Code and other applicable codes. --v-la:vs, rules and re�zulations.
The undersigned "homeowner" ca.—dfies that h e:'she understands the To.vn of No. Andover
Building Depar` lent minima^ in spec:ion preced..res and requirements and that he:'she will
comely with said procedures and rec�.:i_-emen*s.
A)?HCMEOWNEI S SIGNATURE
I;
APPROVAL OF BliILDT\iiG OFFICIAL
Note: Three family dwellings 35.000 cubic fest, or larger. .will be required to comply with
State Building Code Section =70. Cons"ucttion Control.
BOARD OF APPSALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Patriao D.Robert*,x=a I is ad Howard Saailta Start Kuhleen Bradley Colweil
i
FORM U - LOT 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 or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***`*****************
t/APPLICANT -TAOVQS A490 PHONE V`W 7
(/LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT (S) 2 s'-
A STREET CwtV70 0 itwf> ST. NUMBER 62-
******* ***OFFICIAL USE
RECOMMENDATIONS OFT WN AGENTS:
ONSE VATION ADMINISTRATOR DATE APPROVED
DATE REJECTED f
COMMENTS ,S CVL ! D O
}
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSIDE TOR-HEALTH DATE APPROVED
DATE REJECTED
T I PECTOR-HEALTH DATE APPROVED 17?2
DATE REJECTED
COMMENTS ray^ 7� ' e-S
Le,/Seo G
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Town o over
No.
* Z
dover, Mass., _19M
'91 COMCNEW'4:9
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT............................................................M..4.x..?).......................
6 , ' D.Of Foundation
. ...Z�n........C
has permission to .......4.D CM ff..W. buildings ort......... .a. R_A."N., IXE..............
1. 1 Rough
tobe occupied as.................................. (W.1 ...................................................................................... 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION ST
ELECTRICAL INSPECTOR
Service
Rough
............................
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.