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HomeMy WebLinkAboutMiscellaneous - 72 PADDOCK LANE 4/30/201840 j Date.... ............... TOWN OF NORTH ANDOVER PERMIT FOR WIRING f�%!/8051 "XZ-�Twfe: eo- This certifies that ............... Dr-!— - - - ' ................................................. has permission to perform ........ ................................................. wiring in the building of....... Pp..L:j� ................................................ at ..... ....................... ., North Andover, Mass. Fee. 07 Lic. No. ................ L/ 36 ELECTRICAL INSPECTOR Check # 7861; IV 1 N Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ! ,?4,Lz Occupancy and Fee Checked 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 (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0{ 1( o U City or Town of: NORTH ANDOVER To the InspectorWir s: By this application the undersigned gives notice of his r r intention to perform the electrical work described below. Location (Street & Number) 2 OC% anQ Owner or Tenant a Telephone No. Owner's Address SAW 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: Cmlefion nithe in/In,.,;,,.> f.,1,Mo —1 1.,, , .4 r... 4L - It . No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators K -VA No. of Luminaires Swimming Pool Above ❑In- ❑-5 o, of Emergency Lighting rnd. grnd. 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 I tiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat PumpNumber Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. No. of Water No. of No. of of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: _ �G Attach additional detail if desired, or as required by the Inspector of Wires. ' Estimated Value of Electrical Work: ''� (When required by municipal policy.) t Work 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 ins ance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cove is in force, and has exhibited proof of sari to the e t issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) �✓ "Ile��/,� I certify, under the pains and -venal ties oZerju , that t infor on on this application is true and complete.FIRM NAME: ,O !� � _ LIC. NO.: Licensee: v Signature LIC. NO.: (If applicable, enter; "exempt" ' thf licente number line.) Bus. Tel. No. Address: Alt. Tel. No.• *Per M.G.L c. 147, s. 57-61, security work re fres Department of rublic 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 agen' Owner/Agent Signature Telephone No. PERMIT FEE: $ LETTER OF TRANSMITTAL North Andover Health :Department 400 Osgood Street North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax healthdeptC&townofnorthandover.com - .E-mail www.townofnorthandover.com - Website Page / of TO: �- DATE: C'%S COMPANY: / FROM: Pamela DelleChiaie, Health Dept. Assistant Phone: RE: Fax: l.¢� �•y �/fL> We are sending you: OCopy o Letter 9151&ns 0Other (rill in below. These are transmitted as the below: OApproved as Noted equested OAs Required OResubmit copies for approval OFor approval OFor Review and comment OFor. Your Use OSubmit copies for dist. REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: North Andover Board of Assessors Public Access Parcel ID: 210/107.D-0100-0000.0 SKETCH Click on Sketch to Enlarge Community: North Andover PHOTO No Picture Available Location: 72 PADDOCK LANE Owner Name: DELANEY, PETER M MAGGIE T DELANEY Owner Address: 72 PADDOCK LANE City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7 - 7 Land Area: 1.02 acres Use Code: 101- SNGL-FAM-RES Total Finished Area: 2716 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 526,800 504,000 Building Value: 327,600 314,400 Land Value: 199,200 189,600 (Market Land Value: 199,200 Chapter Land Value: LATEST SALE Sale Price: 290,000 Sale Date: 03/17/1994 Arms Length Sale Code: Y -YES -VALID Grantor: THOMAS, DONALD Cert Doc: Book: 04005 Page: 0256 Page 1 of 1 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&LinkId=468751 8/2/2005 'kation No. Date TOWN OF NORTH ANDOVER A Certificate of Occupancy $� %��f" 2 3 6299 ° ,: ,• Building/Frame Permit Fee $ CMUS Foundation Permit Fee $ �A Other Permit Fee $ - - -Sewer',Gai�nection Fee $ er- < "' .WatCaAP l i ZA/ 1993 Building Inspector TOTAL nection Fee $ Div. 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Wolkins Co. 109G5 11-1-11-11-1- 9960L S utH I i -1 - - I �-- rt- -r I i I I I I I i __^__i--�_ H-t-JIL. �- -------------- lit ff I+ I It �i I -- I -TLl �I I i 4 � Z -I i II L I I I I I I I I I I � T I y OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PLANNING TONIVMOf NORTH ANDOVER �'!•`DIVISION OF' PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover. Massachusetts o 1845 (617) 685.4775 _ In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number 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 111, S 150A. The debris will be disposed of in: f (Location of .Facility) ate. Signature - Permit Applicant ?/a��2 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 0 r 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 yfills out this section***************** APPLICANT: a^^ ( 1 C,AAa ! Phone 9 ? J ^ ya 1?1 LOCATION: Assessor's Map Number Parcel Subdivision f Lot(s) Street /0^ �` t St. Number _ ************************Official Use Only************************ REECCOMMENDATIONS OF TOWN AGENTS: (/ Date Approved cons ervatio A inistrator Date Rejected Comments Date Approved Town Planne Date Rejected Comments F od Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected Date Approved71 Date Rejected Received by Building Inspector Date �`s•�x 3q �X. IF 0 Pommy d 2 3TC X72 m m �Z .SiE.PEBY IE.CT/FY TO T,Ve T/TLE /,</S6, PMW ANO 7Z9 711--,0,4 Alt- T//ATTyEOn'ELG/.,/G /S LOCATED ON T//E LoT ,4S S1A9/Y.1ANO T/l,4T /T DOES CO,dFO.PAI !Y/TN r116 ro—Al OFA/ANoo✓E2 ?01VIwa eEl�!/LATA:7A1S AWaXRO/NG SETQAC IrX OZOW STPEETS E LOT G/,✓ES. _' FU.�T/fC.P OE.rTiFY T/f.4T Ti.'�.S OirEGLiiY6 /S NOT LOG47EO /,{/ T,!/E FEOEPAG iiCODO H/JZAPO APE,4. SryewN o/S/ Ff�t+.� C'oti,Mvv�ry P,4,t/Gt '� 2Soo�B cLsMS'¢ G -z- 9.3 - L,23y �L O T O.P�9l�iV FO.P ' Tif//S PCAit/ + g T � �r ,ePOSES - it/OT FD,P � BD!/,dO.P'/ ' o o�,vo,4.esY ✓if/FOR�S'1- �E��P/�1.9Gf' E'.f/GidEE,P�,v6 SE.PI�/CES ,9T/O,/ .174A-6-41 /,c/G PECvPOs, 6� Pq,0 .s'T•PEET �, �oB A't/ODYE.P, �•4SS.4C.%l/SETTS O/8/O C r� CA 10 M Z O O �r d Q a aco .O O v CD cr c CD O IF -w -w -K.. CO) 10 co 0 CO) .a 03 O CO2 c O C CO) 0 CD 0 rf CD CDa CA. CD CO) 0 0 CCD 0 C CD O -ca O C H o.co o Cl) clCD Cl) CD yc�nC m CD Z o•",o vi co M CA CD -1 �_ CO CO) o N 3 co CD = > > m C CD W CD =r o a ff ' u C H = CL � = b o CO CL /Cf) CCDCD C/) y ) H� D � CL m C. CA _ OO ads a CL c H _ ..CO �. • p1 CO) C) O'O CD O ON O ...� co c o CA cD a � = 1 x A _ `f) n % r' � o� r: = :N o � R .o _CA: n � o �q 0 :° ;d y ^'J"�' RL r: GQ :r Gi (CD ; 010 S rz C" ►�3 "� cmUQ T 0 z Q ? :3 CL b7 z o r ; Q CL n O o x x z 0 0 c CD 2 CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 324 THIS CERTIFIES THAT THE BUILDING LOCATED ON 72 PADDOCK LANE MAY BE OCCUPIED AS INCLOSE EXISTING DECK AND ADD 14' X IN ACCORDANCE 20' DECK WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Donald Thomas 72 Paddock Lane ADDRESS North Andover MA �i �sJ "`""s� ` &ilding`Inspector T ` c� M D cp�IV r77y p E S. A tz � w � m x z z O o � z 7 d CO) D 'fl m C � CM T C#4) '0 C"' O D n Z y T r CD O d CZ, O ncc CO) -v CD CD o Q w CD C7 CD O CD cn CCD ca. -r5 d C2 y mcfl z p o CD z — 0 o no :, -CO) CD Z � o CD T O Z D CCD 1.21, a C C'yo y m � m0 CD c13 c CA CD � CL m CD M CA CD o m N o CD CD O mG CD a C2 w C y CC) CD �b c �y = i m a = acsCL 0 rte-+ m W CD Cos n•n � ca on D d ` W 3 o nt Vl C. S W =• d CCD 4%p N CD co) L •••► C! m O R ..r y a e z . o CD� CD � m Cl) Goa N ft r. �.. 4 sCD Q. -a C7 " o CD o�. cncnw M G O 2 � �� O w oGv s cp�IV r77y p E S. A tz � w � '-7 n � E � G G OQ x d O � a 11 O o 0cp 7 d C y CD cPTJGo r-vtz .1 _ ^r.. --,ter••» l _ �NI Y � e .. rA w y 0 9 0 c Commonwealth of Massachusetts R1 ' =-VE- City/Town of FEB o 6 2008 System Pumping Record y~ Form 4 TOWN OF P ORTH ANDOVER HEALTH UcPARTMENT Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ I�1 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. Syste Locatio Address 2. System Owner: Name <� C-�'Q- c)-�- kd� Address (if different from location) B. Pumping Record 1. Date of Pumping Date Zip Code State17` CQ -de Telephone Number -� ---GF- 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑-N f If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System, YYV-A� ' I e-ud 6. Systems PugnJ�ed<By. _� Name A - /`�uQ 'Vehicle License Number Company IyG FA t5form4.doc• 06/03 System Pumping Record • Page 1 of 1