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HomeMy WebLinkAboutMiscellaneous - 660 SHARPNERS POND ROAD 4/30/2018 (2) / 660 SHARPNERS PON©ROAD J 210/105.D-0186-0000.0 Date... � .................. j OF NOH TIy 3�;_ aa� TOWN OF NORTH ANDOVER PERMIT FOR WIRING • oma:•; • sSgCMUS(� i -4 .......... .�-�G`S -VIr� N..cThis certifies that .... . ......has permission to perform ............................'. .........v...—...�.- .......................... wiring in the building of................ " 0 5.... it .... ....... ..,North Andover,Mass. Fee.....�..�... ............Lic.No2c .... .................................................................................... ELECTRICAL INSPECTOR Check# 12707 -/ �''' i Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked a BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT IN NK OR TYPE ALL MFORMATION) Date: City or Town of: NORTH ANDOVER 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&Number) r PK.,5 F.'\ 9J Owner or Tenant (, Q: ,�,�. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Id No ❑ (Check Appropriate Box) Purpose of Building R S 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: FIS st, Sp c .-q- �s 5 e?-.y t`9r Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- .o Elomergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burgers No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons J.KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other p g Connection No.of Dryers Heating Appliances KW Security o Systems:* evi es or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Z(J ) (When required by municipal policy.) Work to Start: 10 -2r-15- 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 El (Specify:)❑ I certify,under the pains and penalties of perjury,that the information on this application is true anti complete. FIRM NAME: . LIC.NO.: �( Licensee: Mcrk Int�t cl c Signature / LIC.NO.: ZS C)Q Ye (If applicable,enter "exempt"in the license number 1j'�e.) Bus.Tel.No.: Address: _ 1( 5cz,-, ,,, �. !�-rZ;n 1sr N N- d 3� l I Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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. Owner/Agent PE$MIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166,§ 32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the - notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall be limited as to the time of ongoing construction activity,and may be-deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: - Pass 2 Failed (] Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH IN ECTION: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPEC ON: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: ! A L -� DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com 0 The Commonwealth of Massachusetts z Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 �r www mass.gov/dia ODM 5��y Workers'Compensation Insurance Affidavit-Builder/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORI I. Please Print Le 'bl A ' 13cant Information n Name(Business/Oigauization/Individual): M k Address: Sc .r " � N\A d3`61 Phone#• City/State/Zip: t , sn •^ .. ... .. : .-.-.;... .. . . _ r e a Iro riate box: Type of project()required): i eek tb o er.Cb PP P Are you an empl y . . . em loyees(full and/or part time).*k 7. ❑Nevsi construction 1. am a employer with _ P or artnershi and have no employees vrorking for me m $. 2emo deliiig e proprietor etor P 2I Bin a sol p p P any capacity.[No workers'comp.insurance required.] 9. ❑Demohtzon 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole J bin airs or additions proprietors with no employees. 12,C]Plum. g rep 5.F]I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 11(�Roof rep airs These sub-contractors have employees and have workers'comp.insurance.t 14.0 Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] so fill out the section below showing their workers'compensation policy information. such. + 'box#1 must al anew affidavit indicating *Any applicant that checks submit Horneowners who submit•this affidavit indicating they are doing all work and then hire outside contractors must s TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub contractors have employees,they must provide their workers'comp.policy number. I compensation insurancefor my employees. Below is thepolley and jo X am an employer that is providing-workers b site information. Insurance Company Name: Expiration Date: Policy#or Self-ins.Liic.#: City/State/Zip: Job Site Address: e(showing the policy number and expiration date. Attach a copy of the workers' ab policy declaration page fine up to$1,500.00 Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator.A copy of this statement may be forwarded to the Office of fnvestigdtions of the DIA for insurance coverage verification. coverage hereby certify oder tlzepa- andpenalties ofperjury that the information provided above is true and correctIdo . . Date: Si ature: Phone#: G �• 2 S Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1.Board of health 2.Building Department 6.Other Phone#• Contact Person: • i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enferpri'se,and including the legal representatives of a deceased employer,or the receiver'or trustdd of an individual,partnership,association or other legal entity,employing employees:•However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment bd deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C('1)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC or Limited Liability ty Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit may be submitted to the Department of.Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of IndustrialAccidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"fob Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia I t COAfiM®NWEALTH OF MASSACHUSETTS.> . tR !IWL& Ok o . o. e AftC3` ' . ELECTRICIANS ISSUES• THE FOLL01.41 NG L f CENSE A. RE,G JOURNEYMAN ELE,CTR!'C A2K #3EBENEDETTuj :O t 16 SAWYER "AVE z / Pw 1J. 'rt f ►NSON 0381 1-2438 ZY0, JR 4^� Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost A 21 ,900..00 m $ - $ 262.80 Plumbing Fee $ 32.85 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 32.85 Total fees collected $ 428.50 660 Sharpners Pond Road 454-2016 on 10/9/2015 Finish Basement i Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Inspector 1600 Osgood Street North Andover, MA 01845 RE: Insured: Derek & Jacqueline Kane Property Address: 660 Sharpners Pond Road Policy Number: . HP3078555 Date/Cause of Loss: 2/25/2015, Water/Ice Dams File or Claim Number: 31255-P Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Pat Garrett On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. "i ',4 Al<& <S Signature an D to ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 Date. ........................... �aORTM TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACHUS This certifies that ..... ...... ................................ . .............................. ..... .... ..... has permission to perform--:, .. ............................................ wiring in the building of...... .............lf_e --er- .............. .. ........ at... .. . . .......1.1'. . . .... North Andover,Mass. _7 Fee. ...... Lic.N33G ............................. Check 642-3 Commonwealth of Massachusetts ofr�c;al sero�nh Permit No. ! Z Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (lea.e blank) a_4 (06 "5? /9I_/549/-o/ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the\Massachusetts Electrical Code(MEC).).527 CMR//1'2.00 (PLEASE PRINT LN IIVK OR P ALL;IC0RJVL4 T101Y) Date: Cite or Town of: X0i To the htspector of 4l'ires: By this application the undersigned gives notic of his or her intention to dorm the ectrical work described below. Location (Street S Nu er) �D S /I/� Owner or Tenant � � ,����JG�Ty Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Athorization 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: Installation of Security System p Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above ❑ In- IE::] o. o mergency Lighting No. of Luminaires Swimming Pool rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers Heat Pum Number. Tons KW No. of Self-Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Connection Municipal El Other Heating Appliances Security Systems:* No. of Dryers g pp Kit No.of Devices or E uivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: i Attach additional detail if desired, or as required by the Inspector of YVires. Estimated Value of Electrical W rk: (When required by municipal policy.) Work to Start:C?—1 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:) /certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: 1533 C Licensee: Stephen Provenzano Signa ure LI (lj applicable, enter "exempt"in the license number line./ Bus. Tel. No.: 603-594-5900 Address: 18 CLINTON DRIVE HOLLIS N.H. 03049 Alt.Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable, enter the license number here: SSCC001633 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ , Location `�S� e D c�fi V No. Date A • ' poR*N TOWN OF NORTH ANDOVER Certificate of Occupancy $ + # Building/Frame Permit Fee $ <�' Foundation Permit Fee $ s�CHuse Other Permit Fee $ r • Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector t � 7876, Div. Public Works Location (OW SAA EPM EQ& PCDPQn �--No. Z� Date NORTTOWN OF NORTH ANDOVER Certificate of Occupancy $ 41, _� ; Building/Frame Permit Fee $� Foundation Permit Fee $ too �I sACNUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ &r Building A OF.4}._ 150.CD PAID 7875 Div. Public Works PERAT NO. 8Z�? APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP id0. `vs r� LOT NO. po 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE 1✓ SUB DIV. LOT NO. ANn � — 1- •, LOCATION / / O � � �{1 �• PURPOSE OF BUILDING Ixe O. m` CA� /� W- OWNER'S NAM1E mi)RC„/ 4 u'✓i.•pyyc44t �1� lrr NO. OF STORIES Z SIZE 'y' x -3s biO OWNER'S ADDRESS 3bg �e+Lkl Ar` �T• •(gt7U• r., PJ BASEMENT OR SLAB �1 y�� }� 2 ot., . n'l 61IIVC/�/ 1717 V •7` ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST ZX 1V 2ND -&X.IO 3RD BUILDER'S NAME Aklla/���/yRv�t �YI r{l ZA��• SPAN -- DISTANCE TO NEAREST BUILDING 10o+ DIMENSIONS OF SILLS 2.Xr '77- --- DISTANCE FROM STREET tO .f POSTS DISTANCE FROM LOT LINES-SIDES 351= REAR 'OO GIRDERS C�J 7-K to irTri 1 AREA OF LOT 90 57B s¢�T FRONTAGE C HEIGHT OF FOUNDATION �p/ V THICKNESS `O" IS BUILDING NEW 7 9Yles 7 SIZE OF FOOTING i7 -zZ X tO 11 •IS BUILDING ADDITION j /Vo MATERIAL OF CHIMNEY I © ,C ` IS BUILDING ALTERATIONl,O IS BUILDING ON SOLID OR FILLED LAND O// WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ]/e L IS BUILDING CONNECTED TO TOWN WATER t/O BOARD OF APPEALS ACTION. IF ANY •/Q J IS BUILDING CONNECTED TO TOWN SEWER AIDL IS BUILDING CONNECTED TO NATURAL GAS LINE &O 3 PROPERTY INFORMATION INSTRUCTIONS PERMIT FOR FOUNDATION ONLY DA 1 /� LAND COST SEE BOTH SIDES REGULATED BY PARA. 114.8_& B.C. EST. BLDG. COST -2 CA k'176 FT COST PER SQ BLDG. . . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. (OV PAGE 2 FILL OUT SECTIONS 1 - 12 DATE A FEE PAID 1&2l,-I- EST. BLDG. COST PER ROOM PTIC PERMIT NO, ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING �/0 sz� 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ' DATE FILED t I t$ jq 5 - PERMIT FOR FRAMUBUILDIN13 ILIMING INBPKCTOR SIGNATURE OF O ER OR AUTHORIZED AGENT DATE: l/ a . F E E 133 z OWNER TEL.# 79 1 -3 571 S0 oo e-lb PERMIT GRANTED CONTR.TEL.# 34ft4r r 19 CONTR.LIC. H.I.C.# - � 841 e 7q'7& tt- -79-?/, BUILDING RECORD GZd� 1 OCCUPANCY 12 . SINGLE FAMILY STORIES 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 8 INTERIOR FINISH CONCRETE - 3 1 2 I3 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 l/. FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS Ae B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDWD _ ASBESTOS SIDING COMMCN _ VERT. SIDING ASPH. TILE ~• _ STUCCO ON MASONRY STUCCO ON FRAME I - BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING 1• i - STONE ON FRAME ' SUPERIOR I--] POOR _ ADEQUATE NONE 5 OF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FIAT 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 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 .70 f RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS I OIL F;; �] B'M'T 2nd ELECTRIC Ist 13rd NO HEATING "''+^ �+-•.,�..,� (S!�',�^ R 0 o ���� over NO-027 ,TT Q 4 2 7 : 4 -ort dover, Mass., 'XA*k19` S LAKE coc 111c..EWIc H , t AD_ "A i E D P'P BOARD OF HEALTH Wr Food/Kitchen - PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... I�JIC. ,... la�. L� �►.. ............................................... ... Foundation has permission to erect. .....FRS AtE. buildings on .(066. .....SI R-PtAE �..�Alll`l_!4>...........� 10� Rough � � �� tobe occupied as... .............L............................ .... ...4i•�:"... ........lta. ........ ........................... Chimney provided that the person accepting this permit shall in ever- espect 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough Final PERMIT EXPIRE 6 MON 91 FEE PAID ELECTRICAL INSPECTOR UNLESS CONS" U T Rough . ��U ...................... a Service BUILDING INSP OR Final Occupancy Permit Required to Occupy Building GAS INSP — Do Not Remove Rough Display in a Conspicuous Place on the Premises ER ,o?.- a No Lathing or Dry Wall To Be Done Q �� Until Inspected and Approved by the Building Inspector. PARTMENT iuner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: "iW t &ALIWICC 2ij4Je&< Phone -7q-/-3571 LOCATION: Assessor' s Map Number (05 > Parcel (� Subdivision Ot2itu A" UoRs Lot(s) 10 Street Jh#+F_QE-rJe-AA 'FoNi> \ . St. Number GGO ************************Official Use Only************************ RECOMMENDAI NS F TO AGENTS: f Date Approved 08/9 Conservation Administrator Date Rejected Comments Date Approved _ Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected ./ Comments Public Works - sewer/water connections - driveway permits Fire Department \ 4�- Received by Building Inspector _ Date t 7. Nle 1, IV ' - • a �,�LB?plOTlOq�4ti, F�7"w � � ,-.� .y, r. � y�r may:o�� 1 sem. _ COMMONWEALTH ;i, •' + OF J DEPARTMENT OF PUBLIC SAFETY • I'alfrir to pMaraatllRr*t ONE ASHBORTON PLACEMr+�N4raolts SfoMswid/np l t MASSACHUSETTS BOSTON,MA 02108 Code laosrsolorromeat/o* r�r o1 to/a mer***. EXPIRATION DATE - I . ., ; . -•',,:. CAUTION RESTRICTIONS . _ '; EFFECTIVE DATE' �LIC-NO.••„ FOR PROTECTION AGAINST, THEFT, PUT RIGHT THUMB ;r::. _ :,. PRINT IN APPROPRIATE BOX ON LICENSE. P° ) `PHOTO(BLASTING OPR ONLY) FEE , M T INCLU PH 1 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 4 HEIGHT: r STAMPED-OR-SIGNATURE OF THE COMMISSIONER JUN 1 1 . . DOB: 1993 THIS DOCUMENT MUST BE CARRIEDON THE PERSON « SIGN NAME MtP�VG �JRE LINE '-r t THE HOLDER WHEN EN SIGN A RE OF LICENSEE . k!f. OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPP TIOy. .t N o � N q� ?_ v �J fa a to 10 -� �. 10VI y � I (4 V ��wVVV111 Y� _ .9 /'.::k 4 1-7 S+iii tC C t �� b,.,rx;,tA C 1 ♦ �` 1 i'.� 5\ ;�z<-tt`,t t` `7 i.`t{c. tl+,. w\ l [ -.'`�,�t��ttitr �'� ! S t tt � 1..w` � .^^ w y to L'1,, R �\..t . L.� .•. � wti� w � ~e � �''�4 1� �'4 n�i`.•,1�4t < �tCSrLia��{���� ids �M,.i, � ,tl t \ -int�t .'�w4 - S� .tt. a1tt�,� �tt.� Y>r Ott t. + c\ tib. t:��� ��^��'�\L. �.2 .,;♦ i ��. Y. v � 'S to {�'s,-� \! ,E t t F 1 i .1 ;�; r :l,s`a s, .s w .,,. s ����'ti�F�,'-0l t1'! l,��ti.IR'�,�'1\.: �.t•.�i �.1`I 1.����:Y4 tt �\ i"� l .Z4 i a. �t u L ~ 1 ,1 ���kt� tir 5��34�L`\ i � 'fit, 'mac Ik ♦�'es,`\� t1`y..+,1 e� $ .7t� �w ett t ! } "+lei�:�5 �� tZ�41F\.-S -S s\'+ \`�;i i i�E\L �r ?���. .�`����^��1�.4 �i...IV'hi .�.4:_�RI\��!+1��+$l �ii�w.»:.:i.?t1Y.k:�.-+..`..wt�".t.,w�_,w.:a.a'k. �t�,.ji C::'•: �: ..fir\�.,.\ ..�Y�:t;.?�.'t�:w_.. .LLSYC.t� Ca�[1+.�5,\.e{.+;, ii�iii �r�d i�� �C. ■ ■ ■ ■ Location Ii No. GIS " C1Z'1 Date cf 40RT1y TOWN OF NORTH ANDOVER, c?o``...° ,•,voce � Certificate of Occupancy $ Building/Frame Permit Fee $ 4,90""<h Foundation Permit Fee $ SACMUSE ��� � Other Permit Fe (14 $ Sewer Connection Fee $ —ter Water Connection Fee $ TOTAL $ ZS^ I' 0 t ?amp Building Inspector IE` _ To 14 L 79'57 Div. Public Works I KAREN H.P. NELSON �' Town of 120 Main Street, 01845• °"ter°' •: ~� NORTH ANDOVER csos� U2-64M BUILDI`G �,.�• CONSERVATION ��'�OF PLANNING PL��\ING PLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE 3ti 7 Q S PE IT LOCATION OWNER'S NAME A-n/d(Lf-W j (/"l+�vRkr rr C cic1 Qac BUILDER'S NAME MAOrney C�,�RLVS0 - s MASON' S NAME t4- MASON I MASON'S ADDRESS 3 6 9 RUZA t tMAG MASON' S TELEPHONE sob '1 19q - 35 '11 MATERIAL OF CHIMNEY 5M 1 c 4 INTERIOR CHIMNEY EXTERIOR CH-l'.-LVEY (3 to ct NUMBER AND SIZE OF FLUES my- I Z-- THICKNESS OF HEARTH Will chimney or fireplace confor—m to requirements of the code and have rules and regulations been received: DATE nn SIGNATURE OF MASON�/�/_�- \1 CONTR. LIC. � 6/OS! EST. CONSTRUCTION COST/CONTRACT PRICE PERMIT GRANTED 3 7 Imo;- FEE `� i ROBERT NICETTA, BUILDING INSPECTOR INSPECTED if REMARKS i SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES THIS PLAN IS NOT FOR RECORDING PURPOSES Q OFFSETS ARE NOT TO BE USED FOR THE REPRODUCTION OF PROPERTY LINES SPECIAL FLOOD HAZARD AREA (FIA) IS NOT APPLICABLE t r `ago 1 4s q41 LOT' T r 1 � `s t s 1 Au/r s tiM i 1 ` 1 n �9 y + t t 7,.Li ' ► _ 175' 90 " FOUNDATION CERTIFICATION" "1 certify that the foundation shown hereon is in complianceLOT PLAN OF LAND with the applicable Zoning Bylaws of the Town of werw Auris with respect to horizontal di ' nal requirements" IN IVOE Y AQD0 YCMASS . • T� a � ° SCALA: W 1" so' FEET I DATE:aV 3, M�- e FRES N « -0 No.=9 DEVELOPMENT SERVICE COMPANY 30 WOODLAND ROAD P.L.S. DATE ASHLAND, MA 01721 (508) 881-8776 { { I ORT onm�o�*o - over No.027 Z art dover, Mass. " V0\ 19't5- T ° COC HIC:..C. yI. A°RATED �5 BOARD OF HEALTH ` Food/Kitchen PERMIT TSeptic Systerrja 14?" BUILDING INSPECTOR THIS CERTIFIES THAT AAQ .ArtMft"M...0%QkL�4�.e".......... . ............................................... . 1 Founda io I has permission to erect.(PC�.....IFWA'�. buildings on ..S l E"lo r�oc;r,uc�1V l.�G t'�i"1 \1 ll� ... t. .U�,1�(0F.. ey' to be occupied as............................................. �.t ,....... provided that the person accepting this pernllt shall In ever aspect 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSP CTO Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. °� VIOLATION of the g u g g (� PERMIT EXP 6 MONS$ FEE PAID ELECTRIC INSPECTOR UNLESS CONS U N T R _g_� y��7/�y L PERMIT FOR FRAME/BUILDING01 BUILDING INS P OR DATE: 2 ►3 EE PAID• Fin Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Aw No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEP RIME T I Burner 15I2 PLANNING FINALIqS CONSERVATION FI L street No. �S Smoke Det. -� :�PJI) •�[W /WATER `S*_F NAL DRIVEWAY ENTRY PERMIT - ; 5471 i CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number ets_ G-LI Date 114% 2S I LRA THIS CERTIFIES THAT THE BUILDING LOCATED ON WOO S"221JEDS, ?LCMb MAY BE OCCUPIED AS N ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND s SUCH OTHER REGULATIONS AS MAY APPLY. Of poltT"1 ► W,�.{7LIt�"' � o: �•�;..�oo� CERTIFICATE ISSUED TO x111 • '' � '° ADDRESS 3(04C41 MF&2LM i too ''c"U'`` Building Inspec or s 1 S Commonwealth of Massachusetts otlicial Use only u - Department of Fire Services. Pen-nit No. 2-� Occupancy and Fee Checked BOARD OF/FIRE PREVENTION REGULATIONS [Rev. 9,05] 0,,,,blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All NNork to be performed in accordance\Nith the%,lassachusetts Electrical Code i,NIEC). 527 C�,1R 12.00 IPL L4SE PRLN'T PV'INK OR 'P SILL I� OR:IfATIM) Date: ' � ,, Cite or Town of: ,� i) ,� To the Inspector of�i-Vires: BN this application the undersived Rives notic�of his or her intention toAcrforin the ectrical work described below. Location (Street S Nu er)1�1r ( ,/ 011 ner or Tenant �Cy�� � ���'T� Telephone No. OiNner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box ) Purpose of Building Utility Athorization No. Existing Service Amps / Volts Overhead ❑ Undard ❑ . No. of Meters New Service .amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Securitv System i Completion of the fo((ou-ino table mat-be icaived by the Inspector of Wire !No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans No.TransTotal Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ i o. oEmergency—Lighting arnd. rnd. Battery Units )No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alertin Devices Tons g INo. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: .... Detection/Alerting Devices 4No. of Dishwashers Space/Area Heating KW Local❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of bevices or Equivalent IN o. of Water No. of No. of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent �No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent IOTH ER: .attach additional detail if desired, or as required ht the lnspeclor of Wires. =stimated Value of Electrical Work: (When required by municipal policy.) I�ork to Start: 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" coveraue or its substantial equivalent. The undersi-ned certifies that such coverage is in force. and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) certify, under the pails and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Securitv Services, Inc. -- LIC. NO.: 1533 C Licensee: Stephen Provenzano Signature, �` LI //applicuhle. enter "exempt 'in the license numher line./ `1 Bus.Tel. No.: 603-594-5900 Address: 13 CLINTON DRIVE HOLLIS N.H. 03049 Alt. Tel. No.: 603-594-5930 "Security System Contractor License required for this work; if applicable.. enter the license number here: SSCC001633 OWNER'S INSURANCE WAIVER: I am aware that the Licensee clues not have the liability insurance coverage normally required by law. B,: my signature below, I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ,/��� fi&*kr/11 J