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HomeMy WebLinkAboutMiscellaneous - 64 PHILLIPS COMMON 4/30/2018 (2) 64 PHILLIPS COMMON 210/058.0-0052-0000.0 1 n: Date......5 ..lz.�. ... AORTAL 3:° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACHUS� This certifies that ............. l ....., -.4...�-....................................... has permission to perform . wiring in the building of . at..... ................. .. ,North Andover,Mass. �. Fee...3 ..�.�.. Lic.No./.7t9��,�..-'............ - �'- '... a ELECTRICAL III PECTA7 - F Check # �O '.+" 7206 \ Cort�rr�oi►lrveaiii, o. MassaCruserrs -- -- Pe nit No. 7,7—&� Depari ?e of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblanlc 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 INFZerva&-t-n- ATION) Date: 2- 9-0 -7 City or Town of: &Q/1,,r, To the Inspector of Wires.- By ires:By this application the undersigned gives notice of his or her intention toperformthe electrical work described below. Location (Street &Number) (e I �!f (i(ip/fu (ioM/ &,J Owner oi-Tenant /n/L /Y//2f ��4 L��- Telephone No. Owner's Address � h? 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 Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /f/&7A./ O/e-)/ , IV6 t/ eWrt/G a- /l�GG�3SL�� /YIU1/6� pit/ SwG71,Y Completion of the following table may be waived by the Inspector of YYnres. No.of al No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No. of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No.of Gas Burners No.of Detection and No. of Switches Initiating Devices Total No. of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tens _KW No. of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal Other No. of Dishwashers Space/Area Heating KW Local❑ E]Connection Heating Appliances KW Security Systems:* No. of Dryers No.of Devices or.Equivalent No. of Water KW No. of Ballasts Bal of Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No. of Motors Total HP No.of Devices or Equivalent t ' OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: O�' '0, (When required by municipal policy.) Work to Start: 2-1,2-0-7 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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:) I certify, under the pains and penalties of per'try, that the information on this application is true and complete. FIRM NAME: D CS //(/GC 5"IIA97 LIC.NO.: /9 Licensee; n4lx0.s'//VV9 Signature LIC.NO.:o2,fJ-1 7,7,5_ (If applicable, enter "exempt,,in the license number line.) Bus.Tel.No.: 1122Z�l34// Address: - C'. - L 02 7 Alt.Tel.No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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) ❑owner ❑ owner's agent. Ow;,er/Agent _ Y�K1V1lT C C C: 3�•Uo Signature Telephone No. 0 - P� r,. i Date... ` .- �7.... NORT" 3rp�'�`��'•�'1sMOpL TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUSE� This certifies that ............................. ."`.:": .............................................. has permission to perform wiring in the�bw1ding of...... .. ... 6 ,North Andover,Mass. Fee`! .................. Lic.No .. � . �M ••ELECTRICAL INSP-,��TOR R Check # 7179 Corr mon eaitii of Massamuserrs Permit No. Department of Fire Services Occupancy and Fee Checked �l U BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 (leave 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 INFORMATION) Date: /- 8-07 City or Town of: 410 2rH 19"oc/t�kt-- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street S Number) 6 / IRS Owner or Tenant Me /Z2 S S'`CO/_ 6;_/Z Telephone No. Owner's Address �/"Cr 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 Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1Vf w 9 lL y /200/2'? /9041770/t-1 Completion of the following table may be waived by the Inspector of kVires. No.of Total No. of Recessed Luminaires c2/ No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No. of Luminaire Outlets $ No.of Hot Tubs Generators KVA AboveIn- o. o Emergency Lighting, No. of Luminaires Swimming Pool i-nd. ❑ rnd. ❑ Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of SwitchesNo.of Gas Burners No. of Detection and �.� Initiating Devices No. of Ranges No.of Air Cond. ` TotalTons �,,5— No. of Alerting Devices 8 No. of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other Spg Connection No. of Dryers Heating Appliances KWSecurity Systems:* Y No.of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. H dromassaa Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g No.of Devices or E uivalent Z I OTHER: `-/00 -2 0 C//L. 5%10 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 8-07 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 X1 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofpe 'ury, that the information on this application is true and complete. FIRM NAME: 0�5 /!lam 6--/ s&?CV/e_-s LIC.NO.: /7/9919 Licensee: l�//�Gr ©s/ %Y� Signature LIC.NO.:o?��'73� (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:617 719 XOff Address: / ae� e V �'� �� moo? Alt.Tel.No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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) ❑owner ❑ owner's agent. v'rrner/Agent Signature Telephone No. rp-mull FEE: $ I venerators nesiaentiat& c)each actmttonal meter ..siu.00 TowN OF ANDOVER Commercial: Sewer Ejection Pump: $25.00 ELECTRICAL PERMIT FEES a) including photovoltaic& Signs: $25.00 each ballast (Effective March 12 2003) generating Equip Per KVA $1.00 Smoke&Heat Detectors & 1lIIl�IMUPERMIT,)ES b)un-interruptible power systems, Initiating Devices: RSIphENTIAL ,$25 00 per KVA$1.00 Residential: $1.00 each COMIV�E°RCIt`;L $50 00 c)batteries over 100 amp.hours,per Commercial: $60.00 up to 10 O SE CABLE ON' cell $1.00 � devices over 10 -$1.00 each OUTSIDE OF BUILDING N Heat Devices: $1.00 each Space Heaters: Air Conditioners: $40.00 each Heat Pumps: $40.00 each urea heating$1.00 each Alarm Systems Security: (for fire Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00 systems see smoke/heat detectors) Tubs: $20.00 each Swimming Pools: Residential: $40.00 lighting Fixtures $1.00 each Residential: Commercial: up to 10 Devices Lighting Outlets: $1.00 each Above Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) Inground: $50.00 $1.00 each $20 each '` Commercial Pool: $100.00 Carnival Equipment: $50.00 each Motors: (per hp or fractional part Switches: $1.00 each Ceiling Fans: $1.00 each thereof) $2.00 Temporary Service: Oil/Gas Burners: Nfust have Utility Authoriz<tion Number Commercial New Construction or Residential$25.00 Alterations: Residential$20.00 each i $100.00 per 1,000 Sq. Ft. of Commercial$20.00 each Commercial $100.00 Construction S ace' Office Furnishings: per circuit$10 Transformers: Commercial Service Change/ (Relocatable Partitions/Cubicles) a) capacitors,Per KVA $1.00 Repair: Outlets & Fixture: $1.00 each b) ducts, conduit&conductors Mast have Utility Authorization Nunnber Ovens Built in/Counter Top Units: (Associated w/Padmount Transformers)$25 $100 (first 100 amperes or fraction,one $10.00 each ` c) each manhole$10.00 meter) Panel Change/Circuit Breaker: d) each handhold$5.00 a) each additional 100 amperes Residential: $20.00 per KVA$1.00 capacity or fraction. $30.00 Commercial: $25.000 primary feeders, $25.00 each(over "IVb each additional meter$25.00 � 600 volts,non-utility owned) Phone Jacks: See =-\ g) vaults and equip. $25.00 each Commercial Temporary Service: data/telecommunications Washers: $15.00 each $100.00 Ranges $15.00 each , N ust have Utility Authorization Nnm.ber Waste Disposals: $5.00 each . 'Re'ce tacle Outlets: $1.00 each c9 Commercial Repair and/or Recessed Fixtures: $1.00 each Water Heaters: $30.00 each Maintenance Permit: (Blanket Re-inspection Fee: $25.00 Permit)up to 2 Electricians $150.00 For Multi-Family & per pair of Electricians over 2$50.00 Repair to Service Residential: $20.00 ��urge Commercial I-�jee Data/Telecommunication: Residential New Construction se€. Wirin ns ector for Residential: $1.00 per port � (Dwelling): $220.00 Commercial: $30.00 u to 1Q pricing: p (with service up to 200 amps) �' devices over 10-$1.00 each 1 �If(plllffilce ul Kennedy (978) 623-5306 Must have Utility Authorization iVumber Dishwashers & Disposals: for services over 200 amps see below Hours,A ani to 1.0 ant) $5.00 Each a) for each 100 amps capacity or Dryers: $15.00 Each fraction add $20.00 Emergency Lighting (Battery Units) b) each additional meter$10.00 ir�gl�e� i®1le.i�e�l�l`1e $ 1.00 each unit c) each additional panel/sub panel 1 -kOUGH t Feeders or Sub-feeders: $25.00 1 FINAL each 100 amp capacity of fraction 1 TRENCH (if applicable) ✓ thereof Residential Additions/Alterations: Residential: $5.00 each $220.00 maximum Commercial: $15.00 each Residential Service Change or G ADDlTION L Gas/Oil Burners: Underground Service: , INSPECTIONS *S25.00 (i.r Residential: $20.00 each $40.00 applicable) nfust have Utility Authorization Number l; 1?p ) Commercial $20.00 each a) one meter,up to 100 amp capacity G $40.00 ,(revised 07/05) b) each additional 100 amp capacity or fraction$20.00 ti r i Date. . . . . / d.1. ./ . HpRT1y 3 a� p� TOWN OFtD �4�ORT , NDOVER i PERMIT FOR GAS INSTALLATION • o ..fir �'� � 8� 9SSACHU5ES .`. This certifies that . . . (0 / . . . . . . d . .'. . � . . . . . . . . . . has permission for gas installation . . . F'`�K!. ►. .... . . . . . . . . . '? in the buildings of . . . . .� . . . . . . . . . . . . . . . . . . . . . . . / y at . .tl Q} . . . . . . . ` r. .l tf�.�. _ r�;,?Nort�h�An/dover, Mass. GAS INSPECTOR Check# 6099 MASSACHUSETTS UNIFORM APPLICATION FPR PERMIT TO,DO GASFiTTiNG 1Print'or Type) Al- kiDOtI ) , Mass. Date T.Q�) Permit # .. Buliding Location ��11 i/� t �J � �(� C�l Owner's Name Type of Occupancy R5//J' New ❑ flenovation ❑ Replacement C9-� Plans 5ubmltted: Yesp No.o . a O cc W 1. J -.Z SSW x,- a �r�.. Com. '.moi!'.- !� 'w !' .S -: W U ..O" ILL lr U f } y ,m X° Z W .O UI :S - 1 . d W y V .Z Z. o <l .< .fl o W. ai o cc 5- cj ,p } SU6-HS.MT, ; BASEMENT isT'Fl-ooR ,. 2N;D FLOOR -3R0 FLOOR 4TH FLOOR - STH FLOOR 6THF.LOOR 7..THFLOon STH FLOOR ' Installing Com an . . :G 1 L Gp y Name �rC, t� Check one:. Certificate # Address_ ! / orporation f E� _/`,k5� ❑ Partnership Business Telephone_ ,� �a � 7d�� : ❑ Firm/Co. Name of Licensed Plumber-or Gas Fitter : � C�fL/ ii�ti INSURANCE COVERAGE:' I have a curren II y insurance policy or ns substantial equtvalent'whlch meet Is the requirements of MGL Ch. 142. Yes ET No:❑ .if you have checked es, please,indicate.the type coverage by checking the appropriate. box: A Ilabltity Insurance policy E- Other type of indemn#ty❑ Bond11 OWNER'S INSURANCE WAIVER: i am aware that the..11censee does not have the insurance coverage required by p he Mass. General Laws, and that my signature on this permit application waives this requlremer t. Chapter "142 of t -Check ane; Signature of Owner or Owner's Agent Owner❑ Agent !hereby cerif(y.that all the details and Information f have submitted (or entered)In above appiicatlon are true and accurate to the best of my knowledge and that all plumbing work and Installations Performed under tfie.peri-nit issued._for lhI appilcatliin will be in compliance with all pertinent prorisionsjof the Massachusetts State Gas Code and Chapter 142:;of"the Gen!pl taws. T. e of Ucense: FAPl1X_Y,T _ Plumber Sig lu e o c nse um er of Gas atter "y---------------- astitlar j� � �stcr Ucense Number `Y p}i Journeyman - f x Date. f�f l . V .7 y "'1., TOWN OF NO4 ANDOVER p PERMIT FOR PLUMBING •,r„ Vit: SSACNUS� This certifies that �. . .. . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . a(" Fc.!,`. . �. . . . . . . . . . . . . . . . . . at . . . . . .�� "!t! .? ./.� .t. .c �.-- , North Andover, Mass. .qv� . . . . . . . .0 , �. - Fee. . . . .Lic. No. . . . . . . . . . . ` PLUMBING INSPECTOR ke Check # 9 7526 MASSACHUSETIIS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING (Print or pe) I !f� Mass d to 20 Pe mit # t Bui ding catio '7 wner's am,, WN Type of Occupancy , i New 0 Renovation 0 Replacement 9?11' Plans Submitted: Yes❑ No 0 FIXTURES B.P. # SEWER # SEPTIC # . z to Y t� } z0 Q ZLLj w "' Z U) ¢ u ~ z = iJ? W 0 .A I— w 0 z LU .l in w ui to = U) 1— U w cn h z .-. z a U Z ma U) W >_ ¢ �— U7 Y a U) Z c1) LU O D) w ¢ tn ¢ w ,-� z a O u- Iw— U ¢ _ � 0 _ J to 0r 1- ¢ � .'a Zi O = a LL Z cn z 0 O z z w w -c Z w m in _ W u_ U ¢ m p p - SUB-BSMT BASEMENT " 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR nstalling Company Name Check ong: Certificate kddress 0 Corporation 3usiness Telephone_ 166 �q ❑ Partnership lame of Licensed Plumber or Gas Fitter_ b arm/Co. INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent, which meets th Yes �- No 0 e requirements of MGL Ch. 142. If you'have checked Yes, please indicate the type':.of coverage by checking the appropriate box. T A liability insurance policy 1Y Other type of indemnity 0 Bond 0 OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws, and that my signature on this permit application PP waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent 0 hereby certify that all of the details andfnformatlon I havesubmitted entered)In above-application are true and accurate to the best of y knowledge and that all plumbing work and installation performed nd r the permit iss for this application will be in compliance with I pertinent provisions of the Massachusetts State plumhi. g Code a t 142 of the eral Laws. BTitley Si na ure of Licen ed lumber By City/Town � APPROVED(OFFICE USE ONLY) Type of License: 609aster pJourneyman License Number Location ,. No. Date MORTy TOWN OF NORTH ANDOVER �c ,.'.. .•�+ ' ... o� . -_A' o Certificate of Occupancy $ Building/Frame Permit Fee $ 1� Foundation Permit Fee $ Other.Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL /$ ingInspector � Z.. 15.13 RAIU Y joT i! 7i Div. Public Works PF,RlfIT .;00. '3513 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING^ _mull os Bork eepo �.n544tL 13LC5 'I X4�S''� sTEE�. ,©��a OWNER'S NAME y�,l�. Q �� �L�S ,�� NO. OF STORIES SIZE In /1 ���� OWNER'S ADDRESS BASEMENT OR SLAB --- J- V' ARCHITECT'S NAME r �v11 " SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME gjhSPAN 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 �y'[� MATERIAL OF CHIMNEY IS BUILDING ALTERATION(('�� IS BUILDING ON SOLID OR 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDES / t• EST. BLDG. COST c 4J � PAGE t FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM- SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGN E O W R OR AUTHORIZED AGENT -405,�� G 9 -S7 Y � F E E 0 �' OWNER TEL.# PERMIT GRANTED CONTR.TEL./t p p 5� - 7, 19 9!!t= •� D D 7 CONTR.LIC.# q-� H.I.C.# 1��1 v BUILDING RECORD 1 OCCUPANCY 12 r SINGLE FAMILY SroRIEs 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 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M T AREA _ 1/1 1/2 l/. FIN. ATTIC AREA _ NO B 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!✓'D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE ' 5 ROOF 10 PLUMBING GABLE I HIP BATH )3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING 11 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 7 NO. OF ROOMS GAS IL O B'M'T 2nd _ .ELECTRIC 1st 13rd NO HEATING COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY i OF 1010 COMMONWEALTH AVE. V, MASSACHUSETTS BOSTON,MA 02215 LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR ' FOR PROTECTION AGAINST 07/31 /1995 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS PRINT IN APPROPRIATE NONE 08/01 /1992 05@587 BOX ON LICENSE. ,>RICHARD A MUNROE D 6 P E A S L E E T E R R z BLASTING OPERATORS SS A 030-54-6594 ZMETHUEN MA 01 844 m MUST INCLUDE PHOTO. ` FEE-PHOTO(BLASTING OPR ONLY) NOT VALID UNTIL SIGNED BY LICENSEE ANO OFFICIALLY - yi HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: � 6/10/1967 SIGN NAME IN FULL ABOVE SIGNATURE LINE THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE CARRIED ON THE PERSON OF r THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGE DIN THIS OCCUPATION. STONER yam . GiY►2iY�2%Q�I'Gfl1 / ����' Is '.ts i J Of•i:> F�E:ial' 1 feral :1 O1'J f[ i O M E: fill: i:i',l L 1` ��I d T z n d t.a rl d a'r"cif s board of Buildin�a � kit ? One Aa}"1L�1.11' l",c�}} f�i:?i:im I. i01. �l 4, Bost('))) t.� U 2 108 c , HOME IMF-'ROVE:MEN1 is .)IJ Rgistrat.ior7 :31 C:xpii- _ ti•.;n C�:;:'�,') '. 9E_• p �7�te l orivmeonu ra�l�a�✓uaa�ac�tulPlla /�rj r 1 x k r HOME IMPROVEMENT CTyp� ONTRACTGR err. 3 Registration 1159 a Type - DBA �, s UAW F:TOFf E 'UJILA.) :x (: P'i�iE Expiration 05/02/96 X: 6 f" L r1 I-.L L 1 =1 ( RICH MNROE BUILD & REMOD rvyr yx. ME.`fhilll:-N i Ir+ !) 1.i_ ',, RICHARD A. MUNROE f' 3� 1 G��o�•,ao & PEASLEE iERR 'F r rJ ,c ADMINISTRATOR METHUEN MA 01.844 or . ` of ®��of1 z d e (� f'. rid l,y f'^ No. 393 +� 9'�7?�^ a , SL /. 7 1 ' ?`� 1orti -Ydover Mass. O COC HIC HE WICK �AoRA T E DP�,``�� I '9S B�UILD BOARD OF HEALTH Food/Kitchen t � o Septic System , " PERMIT TO i BUILDING INSPECTOR iiQ 11,NIS CERTIFIES THAT........ Foundation , LL .......�.......... �TZ.......... buildings on 6?. Rough - has permission to ewt......�'�" .... G � f zg� Chimney to be occupied as. t-.... ? . .-a... 'Z� -...1�oa2.. ....(, 1t!4'�1 ............... eY 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 PERMIT EXPIRES IN 6 IVI O N_FI-iS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST/\R_-J_,S Rough ........ . ....... ................ Service BUILDING INSPECTOR Final Occupancy Permit R(-_qt irecl to Occupy Builclirlg GAS INSPECTOR --- ----------------------- Rough k�' 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 PLANNING FINAL CONSERVATION FINAL Street No. ` Smoke Det. �cWER/WATERFINAL DRIVEWAY ENTRY PERMIT -- i l'. F R T F-d r 5Town of a n �� .. Andover 0 U' .No. 393 r, o dower, Mass., s= /. 7 1 ' � d O LAK 1. coc Hic HE—cK RATED P f4, S �i BOARD OF HEALTH Food/Kitchen ` Septic System.......... ERMIT T a x ' BUILDING INSPECTOR THIS CERTIFIES THAT........................ .........`J�n`�,..� ^7L' Foundation ............... .. ....................... ...R7 ......... 1 �.� ....... /�1/�IO/�-�......... Rough x has permission to emt.....�'L'��-.......... buildings on ' �.... tet.. Chimney ,. to be occupied as. t-... .............. ........ ......................o -................. .................. ........................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final k this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 0 'Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ^ UNLESS CONSTRUCTION STA S ELECTRICAL INSPECTOR Rough ................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occl,cpy 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 "3 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. QMA►CQ IWATM FINAI DRIVEWAY ENTRY PERMIT ��?�ISI�'����� e u�.��►id.. _ � � N O R Tly own of � _ Andover No. ko 'A A : J, „- : . 11/EWAY ENTRY PERMIT --_ - . KA`'�� er Mass.'�1�/V� I 1 -19 AOR S A G i BOARD OF HEALTH PERMIT LD I W toz v4 1�1 At W .ampTHIS CERTIFIES PWK •..•••C •••• II,,,,'' .� camftcrj RoughBUILDING IN`P� Ohas ermission to er�!!� A'![!�fl�R ' g .... .. .... .......... .......... /'�^^'� r' P ............ .. mldin son �► .Il�'�7� i ►. PW-9 Z Chimney tobe occupied as Y... ....... ............................� ?F* a provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUM �INS ECTOR this office,and to,the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of R 7/Z 3 C)' PERMIT FOR FOUNDATION ONLY `y' Buildings in the Town of North Andover. Fi VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED 8Y PARA. 114.8-S. B.C. PERMIT EXPIRES IN 6 MONT6TcE ELECTRICAL INSPECTOR 1 . 6-1'r 2_ FEE PAID /00- Rough O _II�J� ESS CONS U � START Service 9 � PERMIT FOR FRAME/BUIIDINIG Ad Final DATE:..,., . ,,,FEE PAID:_____._,_ a*LDINeG INSPECT GAS INSPECTOR Occupancy Permit Required to Occupy Building gh BIM a Display in a Conspicuous Place on the PrMigbipDC 7l5y DUE FRAME PERMIT S ° FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved bySmoke De EETN 1 Building Inspector I No: 3 Date N OF NORTH ANDOVER A Certificate of Occupancy $ t • Building/Frame Permit Fee $ Foundation Permit Fee $ 1SSACMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building actor �9 I3� 12:4@ f t44 pAlu R, o -7492 ry N 1. l �9 2 Diva Public Works �f PERMIT NO. 320 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MA-: 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. / l � LOCATION . j ® PURPOSEeGl YWIrlM6r V .. �m OWNER'S NAME 7STORIES SIZE ot t114 OWNER'S ADDRESS �.. 6� BASEMENT OR SLAB t( ,L..EJ S Qa e• O 11 n ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST Yl`"��12RD 3 .//�4UG� BUILDER'S NAME �'' eq DISTANCE TO NEAREST BUILDING ! 'v /S O DIMENS NS OF SILLS DISTANCE FROM STREET � ( POSTS . r DISTANCE FROM LOT LINES-SIDESO .` REAR G C D ' GIRDERS AREA OF LOT FRONTAGE 7 C HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW18 "ryl O. SIZE OF FOOTING X IS BUILDING ADDITION D MATERIAL OF CHIMNEY G IS BUILDING ALTERATION1p� IS BUILDING ON SOLID OR FILLED LAND I f _ �C ` ( WILL BUILDING CONFORM TO REQ EMENTS OF CODE ,p S IS BUILDING CONNECTED TO TOWN WATER �•� (` BOARD OF APPEALS ACTION. IF ANY O C IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �S INSTRUCTIONS JJ 3 PROPERTY FORMATION O o Y_ LAND COST jlt�:AGE EE BOTH SIDES . /_ Oi /� - B CJ�G�•� ^11-- n - af'a Q' a EST. BLDG. COST — S I FILL OUT SECTIONS 1 - 3 Y}' o -(-c Y\ �J ''G�L[,��^ vt te...C' J° d r ps EST. BLDG. COST PER SQ. FT. PAUL 2 FILL OUT SECTIONS 1 - 12 6© Ir S !`n �^`/` �/V/�`,�^ �� 3 a '-g`�r EST. BLDG. COST PER ROOM a t' d � �Q ctSPS SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING lR h f ! (i( 4 APPROVED BY, ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND PPROV D BY BUILDING INSPECTOR '9o :y�- ceDOrS dott4 l � a etrf 0 - A DAT ! �L� rl 0 r m rt f �-p1.s+rk.G i-c Oil , rvrmer G w kt Lors i do-l- BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT LAJet I- -f- o o . - a bo of as- . lus C bore FEE � S PERMIT GRANTED / (/ �/ OWNER TEL.# 6�� z6 (f PLANNING BOARD CONTR.TEL.q t9 / CONTR. LIC.# �/� BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY, SINGLE FAMILY I_ SiORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY APARTMENTS LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. • � I CONSTRUCTION t 2 FOUNDATION 8 INTERIOR FINISH _ CONCRETE 3 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY V✓ALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. BM'T' AREA _ 1/1 1/7 1/1 FIN. ATTIC AREA _ N_O B M 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"✓'D ASBESTOS SIDING COMRACN 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 POOR ADEQUATE _ ADEQUATE NONE 5 ROOF 10 PLUMBING _ GABLE I I HIP BATH 13 FIX.( _ GAMBREL MANSARD TOILET RM. (2 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD $HINGES 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 7 NO. OF ROOMS GASOIL B'M'T 2nd _ ELECTRIC 1st i aid I NO HEATING Town of North Andover - i BUILDING DEPARTMENT Homeowner -License ExeinDtion (Please print) DATE JCB LOCATiO,T Numcer StrE t Address Section of town IIT 117:- •....., II -Y Na:m;e HOME Phone ` Work- ?',,one P?= :i MAIL I:;G ADORES;. `7 x / ( !c .S ov,1l (In 0 CTe.at1 State Zip code Tice current exempt-on for "homeowners" was extended to include owner -oc�"�ied d:;ellinzs of six units or less and to allow such homeowners to eS- ::,= e an individual for hire who does not possess a license , provided Jtile owner acts as supervisor . (State Building Code , Section OL: V 70- 0� H0�IEOWNE3. Ferson ( S ) who owns a parcel of land on which he/she resides or irate^:is to _ =side • on which there is , or is intended to be , a one to six famnil•,' dweii- irg , attached or dEtached structures accessory to such use and/or farm s7-ruCtures . A person who constructs more than one home in a two-yea. period s1nall not be considered a homeowner . Such "homeowner" shall sucmi _ to the Building Official , on a form acceptable to the Bulding Official , t :a ^.e/shE stall be responsibleor for all such work. performed ucidEr the fir. bur_C 171 2, Der.: (Section 109 . 1 . 1 ) v 1. bi i _ - Ce_S1 _nE: omec'.vner aS.=ulmieS responses ! t,J for Coce and other applicable codes by-laws , rules ar` -a __J L i v "In o.miECwi,er Cer __: _es tnat he/she understand the LCwO- C_ :idOVEr 3u_:ci n Decart:m,e^. t min .,um ins ezt0n procE^u_ 2S an . c'e a t a _ hE/SiIE W' Como i,! with Said DrOCE^.u_ _- drat: 0 1_ =C_AL u.YEo_ larger . �� _� _e �. _l �_n< Ccde OEc �or. iZ% . '0 Con :_ .z _ _„