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Home My WebLink AboutMiscellaneous - 75 ROSEMONT DRIVE 4/30/2018— 97�b Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... AtT ..... . 4. . ...... Gi has permission to perform.. ......................... Tc .......................... wiring in the building of ........... ................................................... at ..... 60 .... w .................. North Andover, Mass. ........ Lic. No. ........... Check # C-� 07 :pasola aluculru.rad — �a� uo;sualx� �rur rad p tuxad Mau .ioi Sjddbla-d:a}oN /aso a lura �P I� Qr/3. � d— g aI 'ZIOZ `SI;sn9ny ggnonp.&wpua;xo pue Sou'51 isn3nv uo 2urumr�oq pouad 2T,41lunb agl2uunp «aoua;srxo zo;aa aur„ sum;egu laAozddu Io lluuod Stw `olup uol;eudxo ojgoijddu osrmug;o slr puo faq sma,i zno� zoo: `spua;xa �lleorlewolnu loF; gill `suopdaoxa pa;lwli g3?[k ' ilzadozd leaz�o;uawdolanap zo asn gill 3uruzaouoo sasuaorl puu sruuad urelsao o; uorsua;xa zua i-mo; ar;ewo;ne uu $urgsrlgu;sa iq asodmd snp szag;mp IOV uorsaa;xF[;rwzad agl pue SlOA0001 orwouooa caval-guoj pue tpAwi3 qof olowozd o; sr;oe sr o osodind a Jo 8£ZzaideuDJo SLP bGsuor;oas Sq papualxa pug* � OIOZJo slog OTJO OI,Z zal ugD3o £L I 11opoas xq poleeia sem la uor ua xOZdo s;ay ag; \ `� .. 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Tiegs s;Iuuad gill zoj olgrsuodsaz a e s "IE § `£bl "a 'T1J'InI ur pwinbaz se 3lzom aql jo uorlaldwoo �o uor;eapr;ou 9 II q ilr;ua guns uor;eorldde ;rwzad aql uo po;e;s uor;uzodroo zo uurg `uoszad oT of ponssr aq Ilegs ;ruuod leouloolo ue `ZE § `99I 'a TJ 'N of;uensznd paluroddu sanYA,;o zo;aadsuj uu Aiq po;d000u uaaq suq not;eogdde ;Tuuad u zaUV uuo; paquosazd aYp uo polg oq llegs suorleogdde pue `glluamuowwoo aql lnogpnozgl uuo3lun aq Reqs ourzrm jo uor;ellelsul Jo aorlou aprnozd o; uzzop uorleorldde;ruuad agl ` lE § `EbI 'a "I'D'IAI3o suorsreozd agl TIRL-aauepz000u uj :g aing § 00'ZI MD 09 sluawpuawV apoD luaRlaald s;lasngaussun ZIOZ r BOARD OF FiRE PREVENTION REGULATIONS oE&id um Daly t►a��ar � �� .�L:� . occam q mw F" chakea jfty. ((01) (Imty bkok) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Alt vsorit to be Pa annW in men,&= with title Mm;m *9m4ts Gteof" Cada IMW-) 521 CMR 12 tib (PL.FAS•E PRIN7 IN INK OR TYPE ALL IN/'ORMATION) Date: _ City ur T0Wa o(:►`IAQ Q)!Pv 2 To the Inspector of W++es By this srppiication the undersigned gives notice of his or het intention to pettbrm the elecuic al work described below Location (Stred&Number)•.- .?.- \ ,ZrhoN-c ��•v owner o: Tenant. V.� `1 �f L tJ `�. A L� �, Telepitacte No Ownces Address _.__Z _1ar"'_Z _ Is this permit in Conjunction with a building petmie? Yes P No ❑ (Check Appropriate Box) Purpose of Bmwing � ° n=�''�'� F nvr� � �y ? _.- , ��... Utility Authorization No FxistingSenice ..._.._...._ Amps f Votes Overfmad ❑ Undgrd ❑ Ngw &j3ri;_* ___ Amps 1 __ V0115 Ovetheed ❑ Undgrd 1D. Nnmbet of Feeders and Atnpecity I.omtion and Nature of Proposed Etdcuica! Wotk: R2000�'t•-- C'%z 1•G �� e�� ►J No. of Nears No. of Mdas t-n�rcnR..t rhe >n11e�rFiie table ncav lie wait►td bs rh+C InspectoroJ Wires. _ __ ---- No. of Rmemd Luminaires � No of Coil -Susp (Paddle) Maas,---- u of ora � KVA Generators KVA No. of Luminaire Outlets No of Biot I ubs No of Luminaires Swimming Pool nb`"`e ❑ ❑ n. of Efinetgeitc5' ang 1 fiffim FIRE ALARMS 1\o of Zones Aro of Receptacle Outlets No. of Oil Burncax I-�--e iNo. of Switches No of Gas Burams N-6-4 Detection and Devkzs =No. of Ranges Total No. of Air Cond 4 No of Ater Devices No of Waste Disposers I eat Putnp__ nu}i .. _ .. .... Wo-of.ontatned No of Dishwashers I SpwdAma Hentift&KW Local ❑ municipal ❑ Other No of Dryers lReating Appliances KW ty scerns:' No. of Water`o of _ . of to No H massage Bathtubs ydro � No of Motors Total HP a mmhmiCations rang: No. of Devices or FAni OTHEW Mm addipkm0 ddadl # d'sirrd or as M48 UW at' ate trtspecror g n•rrer F4frru W Valet` of Electrical Woik: (Where required by m micipal policy ) Wmic w Start: InsIwions to be noquested in accordotc:e with MEC Rule 10. and upon completion DWAtANCB COVEltAG& Units waivW by the owner, no permit fo, the perfotmatax of electrical work ti>ay issue unless the licensee i mvides proof of liability inswance including "compiaed olee add covetage of its substantial equivalent The undusipW mdfiar that such coverage is in four. and bas exhibited prvot of some to the permit issuing office CHECK ONE: INSURANCE Ii BOND ❑ OTHER ❑ (Srm fy:) I tertrfj. wader ilea pains anal perrotdes ofperium drat de infow mdw on this appheaum is irae and coWew FIRM NAM . A•%� •S QzL30 N--� ZL2,e.-c fZ.SC -:-r�C LIC NO i.icensem ChR1` itn>9r_� 5R• Signatme G.,_ ---Q- "at __Q 9L, D.,�. LiC NO.: (lfapptieaWC. CAW yexenept'indWti"MAOaunrbarrIMS ) � Bus Tel No17gt-233-%z_-',r2 Addiess: 1-7 ( ?_GS7 )c' 3" S A L)eSr S YY) iJ Q� t9.QC Alt Tel uper M..G L . c 147, s 47-61. sxtuity +vnrk sequires Dgnanment of Public Safety "S' C k ease: Lac No OWNER'S INSURANCE WAIVER: I am awate that the Lkvnsee dorti not have the liability insurance coverage notumlly required by lash By my signature below, I hereby waive this requirement f aro the (c.•hetA our) ❑ owner ❑ owners agent OmWAgem Signature — .-_ retepWne No. _ . . PERMIT FEE - $ °' r Mop"^t °f Qrae of BoOMP, M4 02111 r w—� V—w is bora Wim' °ANdSvift PimmPristLaft Nme Axerm go amolayW CM* do a bbm � �4. Q 1 am a Pascal coertrSOW MW 1 have hirdi dre empbyaes (b11 andfar )• fisted on dra allaolred sheet. t z❑ 1 am a sob proprietoror poma- These sub•aontimmi l 1 have shy and harm ao employees WQ*, gyp. . waking far me in sear tNo s. 0 We are a owpmvdim amd its offmn have araased drat •l of a compdm per MGL 3.01 ant a hOmww r doing ap work � Pb Wad=' �- c.,1SZ, $1(4), arW vim Marano my"No wadws' invadme regained j t Comm m=mm rmo*ed.] 'r�mp of pmjod (Nq dem: 6. 0 New tea► 7. 0 Remodeft & ❑ Demoluion 9. 0 fkin $ addMm lo,O PlectdrW rapah or additions 11.0 Phnmbhm mp*s or additions 12.0 Roof repairs •/�gr�pliererWtaMeoiteboa�r awrtriolt�aRseiealiaw6doertadrrra'bas• off' i°�°s. .,,• fHosieawNa,.db�iwRwi��•a�M�s�►*»�+�a•a•rake.atf�a.id�aarrweaoebao�o�see�cse6aaa,nvaEsa.�►teidiaeiw6a� ZC.ow..�erw. sa diertc loch 6oac.iaic.maiad.a �UiorMt s�IrDer ebwiet se �eerre arse wboo.•a sdr waelm�e• coop. POW bfta. r,pse.rt gr�lrsrtsporilieg riYrs'M AV a.Mv is rias mdP* alts rte• r� P Na� Imtaitlioe (+Olmparq 'n t Play S or Self-im. Lk. �bSi�sAd ��.s�..Cityfft"?'.i -V; ' �`►:i(�iy`�^(-�,tYl� Atte& m eater of tre waskw Faoare b m m m w m oaMasde as re ed aadar 9ecuan 25A of MGIL a 152 cm ierd * dre as afabsin Pana a of a r fine ap eo S1,s0 oo andkr onayaar . as w a as civic peoaltiro in the form of a s" WORK OMM grid a fixe of of tm lMoo a drpr agrdnst dre viob"r ice advised 8iat a copy aftlrie staleueemt may bs forwarded tin drs t>Me of • briars offt MA far Tiowranoa oorreeage voificadom rii.�y►� Msedrr�l� tired d"W lie iybruaNenpsioMMt & rotsas aawoaarooR MOP oat OW Do uK ov the do ani, N be coarloW by dirk+dwMm *L (fir er Teww p�vritli tae A L Airl(I � �. .rRedi Durk Clerk 4. P.keh'ad bgwctmr S. Pbubbg lrspectse' I aallatK � 3. � Pwe 7'):7 Date.. •�;:_�tiooL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..� .. I . has permission to perform ............ �`TG f< Al - �Je 'Sk''o2 plumbing in he buildings of ... DA4-G.1J.................... . at % S OSE�bst.. , , ... , North Andover, Mass. Fee -5. � ...... Lic. No.1 . ��'' �r ......................... Imo, PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town;�DY MA. Date: :)--'C 16. 201d Permit# Building Location:_ /2,-�— &.s�-1770Unt Owners Name: _ � , (' Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential, l I New: L_I Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted YesA4 No ❑ FIXTURES DEDICATED LU Z SYSTEMS W > H y 0 U N M a z Z H Y Q Q W Z an W Z v F- LU W cc Z Qz Z WLU Q 3 h x OC 0 Co N H OC F OC F Ln } Q � F- Vl Ln Y Z H 17 Q -i a X N Vaf a ' ~ a Q Y x = C Q Q H a H W 0 x Z Q O 0 a LL i W 3 0.Y W Q x W W LU cis {W/1 I W a m m c o x x 5 Q O g z = Q Q Q 3 a 3 3 0 In W Q a w 3 SUB BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4T" FLOOR 5T", FLOOR 6T" FLOOR %T" FLOOR 8'4 FLOOR Installing Company Name: M?� � r _ (- (G dS Check One Only Certificate #State: Address: 3 , 5�City/Town:j A�� Corporation / /j�- Business Tel: L,-7 � '? 61- 3 � 21�j3 Fax: 3 4' 41 ��S-d v ❑ Partnership ❑ Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes No ❑ If you have checked Yes, please indicate pe of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title ❑ Plumber Signature of Licensed Plumber City/Town El Master �� APPROVED (OFFICE USE nM1 v► ❑Journeyman License Number: �� J J 75,3 Date ....r Z" A... / U.. . TOWN OF NORTH ANDOVER PERMIT FOR GAS) INSOLATION tis certifies that ...'"! has permission for gas installation .................. in the buildings of ...... L C v .......................... at .....�5 .� ox T s 7— , North Andover, Mass. Fee. Lic. No.)35�5. .......................... GASINSPECTOR Check # Lf X03 A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Alp-Af AICL.,�—, Mass. Date 20 _Z0 Permit # Building Location Owner's Name ,/� ? a'•Nv Type of Occupancy At/ = )w New ❑ Renovation ❑ Replacement 9 G Plans Submitted: Yes Installing Company Name MA6,,C) t F(GG ,tom )7Yy* - Address Business Telephone 3C --z! 5 Name of Licensed Plumber or Gasfitter Check one: Certificate Corporation 't>1-4de- ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability i urance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the MGL, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By 3/e of License: " Title lumber aster glignature of Licensed Plumber/Gasfitter City/Town ❑ Gasfitter ❑ Joumeyman License Number/, 3 S' T APPROVED (OFFICE USE ONLY) PLEASE COMPLETE REVERSE SIDE --* w w a 0 U O M rAW - a ¢¢ cW7HZa W �9000H �,A �¢ CnUa� d> W¢W ¢ d¢ 00 W o w O 0 aC w 3 2] 0 a U w> C. E-� A 0 SUB -BASEMENT BASEMENT FIRST (1ST) FLOOR SECOND (2ND) FLOOR THIRD (3RD) FLOOR FOURTH (4TH) FLOOR FIFTH 5 FLOOR SIXTH (6TH) FLOOR SEVENTH (7TH) FLOOR EIGHTH (8TH) FLOOR Installing Company Name MA6,,C) t F(GG ,tom )7Yy* - Address Business Telephone 3C --z! 5 Name of Licensed Plumber or Gasfitter Check one: Certificate Corporation 't>1-4de- ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability i urance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the MGL, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By 3/e of License: " Title lumber aster glignature of Licensed Plumber/Gasfitter City/Town ❑ Gasfitter ❑ Joumeyman License Number/, 3 S' T APPROVED (OFFICE USE ONLY) PLEASE COMPLETE REVERSE SIDE --* The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ,. www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers nnlicant Information __ Please Print Legibl Name Address:_ ,a City/State/Zip:, 74 c',-kJfr,,�- //I,/"� - Phone #:� Are you an employer. Che the appropriate box: 1. [Q,fiam a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. FrMemodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that isproviding workers' compensation insurance for my employees. Below is the policy and job site information. t+ / 4 P 9 JIN Insurance Company Name: Policy # or Self -ins. Lic. #: 4 L ,_3" > C--) Expiration Date:_4 r/ Job Site Address: 2 S xi e, t.a` ' City/State/Zip: x ) , Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Phone #: / e7?S' — f% :� Ojjiciirl use only. Do not write in this area, to be completed by city or town ofciaL City or Town: Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other 11 Contact Person: Phone #: �1 Location �T 35 -7S k'c--%--c /koN1'" ),en No. 2 Date 7507 Div. Public Works M Q TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Pi , $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ CV Building Insp r Div. Public Works Lcr4ation Flo. 1? U1;' Date 7 o r TOWN OF NORTH ANDOVE Certificate Occupancy $ of k Building/Frame Permit Fee $ Foundation Permit Fee $ /d0• d C% Other Permit Fee $ Sewer Connection Fee $ `— Water Connection Fee $ TOTAL $ �e,7 Building Inspector .� f J 7295 y c� n 1 5 Div. Public Works o 3 52 -Water Connection Fee $ 69.3 TOTAL B' I ing insp or ! Div. Publ' Works Location (e No. o? 0 d Date .ilf HORTIy TOWN OF NORTH ANDOVER: . ; Certificate of Occupancy $ Building/Frame Permit Fee $ ` NUs <�' Foundation Permit Fee $ r Other Permit Fee $- h Sewer Connection Fee $ o 3 52 -Water Connection Fee $ 69.3 TOTAL B' I ing insp or ! Div. Publ' Works PEI,, IT RO. • �l 4 0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.,,�' ��44PIAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE Z^WNE SUB DIV. LOT NO. LOCATION Cw eA PURPOSE OF BUILDING OWNER'S NAME/l NO. OF STORIES n SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME NAME �y SIZE OF FLOOR TIMBERS 1Sr� 2ND 3RD BUILDER'S NAME �0/!r SPAN b- -- ' DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET -:Zg 1,7— DISTANCE FROM LOT LINES - SIDES r REAR O GIRDERSAREA OF LOT FRONTAGE THICKNESS 'IC, ey HEIGHT OF FOUNDATIONU 0 IS BUILDING NEW SIZE OF FOOTING `i X % , IS BUILDING ADDITION MATERSAL 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 % ",5. INSTRUCTIONS �( r1 SEE BOTH SIDES Q�' -I'..j,/+y'' ,ptDj (Je�®1 V PAGE 1 FILL OUT SECTIONS 1 - 3 I�'��-1(/�;�1 Uly(?��'[��in..�;..�,.(! �'� V 0 9 PAGE 2 FILL OUT SECTIONS 1 - 12 (�(S UIT & / ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 47 DATE FILED �_j_ �,J�lf .SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE 'U V ,g�y�'p , U OWNER TEL. #�YA —15 PERMIT GRAr T D CONTR. TEL. # 19 CONTR. LIC. #_d Y6 k" 271994 `1,7 - 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN �l-I l ■UILDI O INS'ECTOR M BUILDING RECORD 1 OCC U I PANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION CONCRETE _ CONCRETE 81. BRICK OR STONE PIERS _ 8 INTERIOR a PINE HARDW D_— PLASTER DRY VJALL UNFIN. FINISH 1 2 13 _ 3 BASEMENT AREA FULL FIN. BM'T AREA 'L 1/2 1/4 FIN. ATTIC AREA _ NO 6 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B V 1 2 3 DROP SIDING WOOD SHINGLES ASPHALT SIDING HARDw D COMMON ASPH. TILE ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME RICK ON MAS NRY BRICK ON FRAME CONC. OR CINDER BLK. ATTIC STRS. 8 FLOOR _ WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE G�AMEIREL]q I j HIP MANSARD BATH Q FIX.) TOILET RM. 12 FIX.) T_ FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR _ TILE DADO 6 FRAMING WOOD JOIST I 11 HEATING PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 3 COLS.HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS B'M'T ELECTRIC 12nd I 1 stT- 3rd NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Ali; Na30 FORM U — IAT 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 I-aw, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: / / s Phone LOCATION: Assessor's Map Number Parcel Subdivision AkUt f1neUex- Lot(s) 35 Street 120c79-AfdyN ,On.i✓e— St. Number ************************Official Use Only************************ RECO NDATIONS OF TOWN AGENTS: Date Approved 5h Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Food Insrector-Health Septic Inspector -health Comments Public Works - s - d Fire Derartment Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector rn Date 4 MY2TM `iV F3ING DEPAR [%f,-EN'7, iry - r.• � f �- + dip— _ �.. r IJ ^f f - %U 13 r) ,s .f Orr :, n �+ i 4w• dw ZIP rr NOTE: ALL UTILITY LOCATIONS ARE To BE FIELD vVinED BY THE GRADING / SITE P/L� kN SITE CONTRACTOR. �� At 75 tri C) C, %J E: KC. �J Q �. _ LOT 3 9 ' NORM ANDOVER 1STATEs • c ' k' - NORTH ANDOVER. MA 1lJIiSQ rvR ' LAND PLANNING TOLL BROTHERS, INC- , `ki EN WEEMC; & SURVLY 1000 TJ= PAW DRM •ZTMRO, ILA 01561 167 RARTI KD AMMI, Mftl&OKA1L WA dsefe , - � , : , - � ; r.. r 1506) 900-4130 r•x (509) 9e6-6054 _ < - r 3uo J~ I r � +� r 33c '0.1 OW -- 20 � r !� l yo -- :3 o zea + --Yo -- NO"" — T C c Z 91 . 0 0 S` s= 2 8 3. 2 0 -- ��T11�' MOTE: ALL UTILITY LOCATIONS ARE TO K FIELD VERIFIED SY THE IATE pONTitACTOR. povER COLONIAL— SE'1-I3AC 1� f ' 20 s - 20 s- o R- 20 , LAND PLANNING Sf1iGDfl m Ac Mm WT n AVXXM sWJM$ UX MA 090 b0d) "6-4130 !AJL. (6M) 9"—W4 GRADING / SM PLAN r. AN IAT .99 mm "po"a WTATW NO= A1fDO"M MA ww"m sm TOLL BROTHERS, INC. Wo WWT PAW MU • lorlmm, A" omi l0-�3-9y �..a o' N 39 C-) CDz m D —I O z O CA 0z CD O Cr O d O CL �. n� CD Cv cCL� Q CD O .. y CD n m CA Ly CD O �F co CD N. CD N 0 0 CD 0 G CD v m C9 .o cn -n z cm CD CO) ,. n c CD a ?d = cmn CD —4 O cn H c r*' _ _"y C o a '� Co 0-0 c = f> C7 co o ZS . O H C7 . � � 0 0 C' ? 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Check # 55%1)- , North Andover, ELECTRICAL INSPECTO{R 40 4 I 2 Commonwealth of Massachusetts Officia�rp Department of Fire S fYices Permit No. BOARD OF FIRE PREVENTIO REGULATIONS Revc 1p ncy and Fee Check J t1PA VP }1I At1 tC� APPLICATION FOR PE IT TO PERFORM ELECTRICAL WORK All work to be performed in accordan a with the Massachusetts Electrical Code (MEC), 7 CMR 12.00 (PLEASE PRINT IN INK OR T E LL INFO A ION) Date: 3 ,Q 5 City or Town of: �' To the Inspector of Wires: By this application the undersigned gives n tof his or her intentiorl to perf a the electrical work described below. Location (Street & N tuber) 5 Owner or Tenant4c�� Telephone No. 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 Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Recessed Fixtures v Inc vuvwen No. of Ceil: Susp. (Paddle) Fans mate may oe waivea b_v the Inspector of YVves. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Abovejg�d�.O rnd. o. o mergency ig ing Batte 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 Devices No. of Ranges TotaInitiatin No. of Air Cond. Tons l No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number ITons I KW No. of Self -Contained Detection/Alerting Devices i No. of Dishwashers Space/Area Heating KWLocal Municipal El Other ectton Security Systems: iv vices E ualent Data Wiring: No. of Devices or Equivalent No. of Dryers Heating Appliances Kms, No. of Water Heaters KW No. o No. of Si s Ballasts No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: _7 ur , y ues..ea. or as requtrea Dy 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:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the paint andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: /SSC Licensee: ignature LIC. NO.: CO oGe7Z (If applicable, enter "exem t ' in the lic nse number lin ) . Bus. Tel. No. Q% �S70'isfc;? Address: 16i461 g/ 7 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensoe 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $