HomeMy WebLinkAboutMiscellaneous - 68 MARBLEHEAD STREET 4/30/2018 (2) � �
I
i
i
i
l
I
I�
1
I
romoe w.0*
Ude ��mmunw>;ulih of �augts I 7
Etparttritra of Public £�aftt'tl Occupttmw A Fee CttocMd
BOARD OF FIRE PREVENTION REGULATIONS 521 CtiIR 12:00 Uso Pam bwA
APPLICATION FOR PERMI;7 TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Code. 527 CJWR 12;00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
q%, or Town of NORTH ANDOVER To the lnape=ar of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address Jt.T
Is this permit in conjunction with a building permit: Yes _ No C (Check Appropriate Box)
Purpose of Building Utility Authorization No. Z60 ?y
Existing Service 6 Amps /ado,a 1/49 Volts Overhead Undgrnd [I No. of Meters __ •'
New Service ��.Q_ Amps � Voits Overnead ,.- Una rno r-' f
9 C No. of Meters
Numoer of Feeders and Ampacity J
Location and Nature of Proposed ElectricalJJWorK C� �j� de-IwIC
C-6
No. of Lighting Outlet I No. cf .4ot '.csI No. of Transformers Total
KVA
No. of Lighting Fixtures i Swimming Pcoi Aocve.— ;n- f-
grra _ Srna I—Generators KVA
No. of Receotacte Outlets I No. of Oit at rners I No. of Emergency Lighting
Battery Units
No. of Switch Outlets I No. or Gas =urrers FIRE ALARMS No. of Zones
No. of Ranges I No. cf Air Czr.c. :01al No. of Defection and
�cns Intliating Devices
No. at Disoosais I No.of Heat '0-al -dial
Pur-cs No. of Sounding Devices
No. of Serf Contained
No. of Oianwasners SoacaiArea 4eatirg 'r.v OeteetionfSounaing Devices
No. of Dryers ( Heating Cev ces KW L-ocar '— Municibsi ^OtMr
Connection t
No. or - ,Au �i Low voltage ; {
No. of Water Heaters KW I Signs 9a lase Wiring
No. Hyaro Massage Tubs ' I No. of Motcrs .alai HP
OTHER:
INSURANCE COVERAGE. Pursuant :o the reouiremenis --r '.tassec-Lsers ;enerai Laws
I have a current Liability Insurance Policy incruoing Czmc etec Ccerauons Coverage or its substantial eguivaisra. YES - NO - 1
have suomihea valid proof of same to the Office. YES = v0 = it you nave cnecKed YES, piasae inoicaa 1M type of cowragoY
INSUChecRANCE
na req the aDprvoate box. —q
INSURANCE ONO = OTHER = (Please Scac.".)
Estimated Value of E!sctncai Work S r (EAwauonDaae
Work to Start Inaoec:ion tate Pac6as:ec: faougn f,
nall
Signed under the Pensities of ps ury: ` _
FIRM NAME � C%C�CrrIL UC. NO.
Licenses - ti S g-a: UC. NO.
p� y � 8ua. Tel. No.
Address -` Alt. !el. No. ,
i
NER'S INSURANCE WAIVER: I am aware inat the L:censee ^_ces mot nave me insurance coverage or its suostamial equivalent as to.
ouveo by Massachusetts Generai taws. ano trial my signature an anis :ermit aopucanon waives this requitement. Owner Agent
(Plea" check ones•
�ieonone No. PERMIT FEE _
(Sognsturs of Owner or Agenn
.esfif.
Pir. N2- 1427 Date........ ..... .. ... ... .... to..
NORTH CV
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACMus�
� m
This certifies thayform
t
has permission t .......... .............................................
wiring in the building of......... ... .... .. ........... .... ... ............................
at .. . .. j., . .......... ,North Andover,Mass.
v
Fee...7........... Lic.No.............. ...............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
i
Location o Al P? ae /I
I No. p C, Date
f �
r
"aRTM TOWN OR NORTH ANDOVER
n Certificate of Occupancy $
4L ; : Building/Frame Permit Fee $ c�S
r►�s',"°'�t�' Foundation Permit Fee $ `'—
swcHusE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ 5 '
(,45//
7 Building Inspector
'i J 1
/)4/99 11:36 25.00 PAID
Div. Public Works
PERMIT NO. c> AI'I'LICATION FOR IIEIZMIT TO IIUILI)********NOR'FII AQUI/ovER, MA
Alu'No . 1.01.N0. 2. RLC'ORUOFOWNLI(SUB' 1)ATE BOOK PAGE
ZONE SUBI)11'. L01No . q
LOCAII() I'IIKIOSf:IFBIlIII71N(i �p� L(J ��
OWNER'SNAME No .OF S 104 11 E S SIZE
OWNERS ADDRESS BA_SF.MENf OR SLAB
ST ND
AR(I III E('T"S NAME SIZE OF FLOOR 1lM8EKS 1 2 3
BI 111 DER'S NAME SPAN
DISTANCETONEARESI BUILDING DIMENSIONS(l'SILLS
DIS DANCE FROM S FREFT DIMENSIONS 01 POS I5
DISI'ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
ARFAOFLor F[ION]AGE IIEIGIIT(H FOUNDATION THICKNESS
IS BUILDIW;NEW SIZL'OF.1(XII 1NG ;i X
IS BUILDING ADDI II(Nd MAI ERIAl.OF Cl IIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID ORTII.I.ED LAND
WILL BUILDING CONFORM TO RFC?(IIREMENI S OF COD IS BUILDING CONNECT ED 101 OWN WADER J
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER
vf IS BUILDING CONNECT ED TO NAI URAL GAS LINE
INSIAICTIONS 3. F'Iton:RT'l'INFORMATION LAND COST 10 n
ESI. BLtx;.COST Z, /
PAGE I FILL(lff SECTIONS 1-3 EST. BLDG.COSf I' S(�. FT.
EST. BI.IXi.COSI PERR(X)ti
EI ECTRIC KIF-I'ERS t lt1S'I-BE(NI OO'ISIDE(N=BUILDING SEPTIC 1,1110,111 NO.
AI-IACIIEDGA\}.A(iESfrI1JSTC(WFOfit.i'fOSfAIEFIRERE(A)LATI NJS a. APPROVED BI':
PLANS MUST BE FILED AND APPROVED 13Y BUILDING INSPEC!"It Cv Bllll. ,, .INSI CFOR
DAlEFIIEl) OWNEI(STEIJY. D (o cP-3-3
CONI R.l Ll.b ..
CcxNrlt.LlcN .
11GN,\IIIRIiII ()N'NI:(URAIZED ;I:N`(
I.C.b
IIF
IL
1'FIWIT GRAN 11:1)
G 19 z —_
I
Town of North Andover F NORTH
OFFICE OF 32 0 4,, .o 0
COMMUNITY DEVELOPMENT AND SERVICES ° . x
27 Charles Street
North Andover, Massachusetts 01845 �9SsgcHus"
WILLIAM J. SCOTT
Director
(978)688-9531 Fax (978) 688-9542
In accordance with the provisions of MGL c 40 S 54, a condition of Building
Permit o
Number0Z0/ is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, S
150 A.
The debris will be disposed of in:
(Location of Facility)
Signature of Per it Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
�J^
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-95.40 PLANNING 688-9535
4 NORTty
_0VM Of {� dover
dower, Mass.
wno� 'C o C H Q > >
AORATEO
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT......... ... ..lr. � 1� /��I�
.......................j.
Foundation
has permission to erect.: #* 'o**.......... buildin s on ........ l® . �I ...........®4...�5. Rough
to be occupied as....... IAO 0 WS V, ! D®
.. ... ............... ............................................. ........................................ 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
Ic �' C Id
PERMIT EXPIRES IN 6 MONTI-IS Final
®
49 UNLESS CONSTRUCTI N STAR S ELECTRICAL INSPECTOR
Rough
.............................................. .....X.. .. ..... ............... ........ INSPECTOR
BUILDING ............. Service
Final
Occupancy .Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.