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Home My WebLink AboutMiscellaneous - 82 PADDOCK LANE 4/30/2018N J 0 Location___ Z P A /C No. Date �'o 9�a5 TOWN OF NORTH ANDOVEFJ Certificate of Occupancy $ �- Building/Frame Permit Fee $ Z Foundation Permit Fee $ Other Permit Fee $ g Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. 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DEAN ' tia \ v N U ; I GA DoT Gj A \\ �o //90 O +ir TO THE ( ASSURANCE MORTOA!;E CORPORATIOII OF AMERICA MORTG GE INSPECTION ) LOCATED IN AND ITS TITLE INSURERS. iJ O R T H A N D I CERTIFY THAT 1 HAVE EXAMINED THE PREMISES AND THE BUILDINGS SHOWN DO ( ) CONFORM TO THE ZONING LAWS AND AMENDMENTS. I.e.(FRONT, SIDE, & REAR YARD SETBACK ONLY) OF NORTH ANDOVER WHEN CONSTRUCTED. OR ARE EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII, CHAPTER 40A, SECTION 7, UNLESS OTHERWISE NOTED. I FURTHER CERTIFY THAT THIS PROPERTY IS NOT LOCAT,D IN THE ESTABLISHED FLOOD HAZARD AREA. COMMUNITY PANEL NO.: 250098 001 OB DATE: 6-15-83 EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED AND DOES NOT INCLUDE VERIFYING THE ACCURACY OF THE DEED DESCRIPTION PREVIOUS TO ITS DATE OF RECORD. THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED OF RECORD. WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED THHoT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. THIS CERTIFICATION IS BASED ON THE LOCATION OF$S ;.m. Y KERS OF OTHERS, AND DOES NOT REPRESENT A PROPERTY SURVEY. VERIFICATION OF '52 SED AND OFFSETS, AS SHOWN, MAY BE ACCOMPLISHED ONLY BY AN ACCURATE, IN>r1R 11; THIS CERTIFICATION TO BE USED FOR GAGE P SES ONLY. OFFSETS AS SHOWN A r,' USED FOR THE ESTABLISHMEN , i3BPi`ti,rl ' c JAMES W. BOUGIOUKAS R.L.S. #9529 MASSACHUSETTS DEED BOOK 2111 PAGE 323 CERT. NO. PLAN BK. PAGE PLAN # 8392 DATED PLAN E R January 20 1904 SCALE: I'- hoe BRADFORD ENGINEERING CO. P.O. BOX 1244 HAVERHILL MA. 01831 TEL (508) 373-2396 ,`'b3 Date... ........................... LORTot TO— TOWN OF NORTH ANDOVER 1 0 PERMIT FOR WIRING A This certifies that ....................................................... . . ......................................... lip .................... .... has permission to perforin ,�...., ... wiring in the building of .... Z -6........ .- e-- ........... � ............... ................................... -, at ... f?7::R ....... r......... ? ..... ... ... .... . ..... A-� . ........ . North Andover, Mass. Fee ................ Lic. No. &�K . ...... �� ................. ELECTRICAL INSP� Check # { 1 t Commonwealth of Massachusetts PM Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Permit No. Occupancy and Fee Zev.11/99] (leave 3 APPLICATION FOR PERMIT TO PERFORM ELECTRICALWORK 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: a -Q ar City or Town of: Nc R4 Atjd a V e ? 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) Sa PA2ddoe-k, LA d " Owner or Tenant 974y e 4De.tn Telephone No. Owner's Address S4 Mf Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building e//i 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: —"p— c Sto p 9t A/A> /✓i Cmmnlolinn nfthe follnwine table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of InitiatinDevices and evices No. of Ranges No. of Air Cond. Tonsl No. of Alerting Devices No. of Waste Disposers P Heat Pump Totals: Number I. Tons I KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Sec No ofysteDevices or Equivalent No. of Water Kms, Heaters No. of No. of Signs Baliasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors f Total HP /e Telecommunications N of Devices or E luivalent OTHER: Attach additional detail ifdesired, or as required by the Inspector oJWires. 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 perm .t issuing office. CHECK ONE: INSURANCE d BOND ❑ OTHER ❑ (Specify:) • P (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: e-6-0-'% Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains 4nd penalties of per' , that the information on this application: is trite and complete. FIRM NAME: V/ Mee a+� LIC. N0.: Licensee: S/��'C Signature LIC. NO.: (If applicable, enter "exempt" itt the 1 cense number line.) / Bus. Tel. No. �.St3o7 '- wo Address: 4 mall -& �QtYe Ae.AdoCvl }�. 61 �� Alt. Tel. No.. ' oa-- OWNER'S INSURANCE RIVER: I am aware that the4lLitensee 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. y Owner/Agent PERMIT FEE: $ 4/S-0%' Signature Telephone No. �9\ Commonwealth of Massachusetts U9Department of Fire Services B4OARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Jr 9�_ Occupancy and Fee Checked [Rev. 11/991 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: e -R - a City or Town of: NoRA ANd o ll P To the Inspector of Wires: B this a plication the undersigned gives notice of his or her intention to perform the electrical work described below. J P Location (Street & Number) Owner or Tenant 'p �r4Yi Telephone No. ti Owner's Address ie Is this permit in conjunction with a building permit? Yes E] No (Check Appropriate Box) Purpose of Building Q/�t p/�,�+ 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: >M r rt,.. a— ,.,hr, mnv ho unived by 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 perm.t issuing office. CHECK ONE: INSURANCE 01 BOND ❑ OTHER ❑ (Specify:) • A (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: J3-6-0.% Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains qnd penalties of perju/y that the information on this application is !rite and complete. b / FIRM NAME: vl M ��'Wn LIC. NO.: (}/0?4& Licensee: M -C Signature LIC. NO.: (If applicable, enter erempt-1n the !'cense number line) Bus. Tel. No. -S' a : 00 Oa0 Address: 6}' /VIt!(.bF�iQ{� �Q� yt �°�� M%Q• �! Alt. Tel. No.. --� ____ J___ �_• L�. OWNER'S INSURANCE W/AIV14:R: i am aware that the-r,ta:nsee dues not have the liability insurance coverage norma y required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. , Owner/Agent PERMIT FEE: $ qV u Signature Telephone No. No. of Total No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above ln - Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency 19ing Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection an No. of Switches No. of Gas Burners Initiatin Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW Totals: No. of Self -Contained ting Devices No. of Dishwashers Space/Area Heating KW Municipal Other Local. ❑ Connection ❑ No. of Dryers ea Heating Appliances Key Security Systems: No. of Devices or Equivalent No. o Water KW No. of o• of Signs Ballasts Data Wiring: No. of Devices or Equivalent Beaters Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors f Total HP /h No. of Devices or E uivalent OTHER: _—_a774..;-4 rmhvthoImcnectorofWires. 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 perm.t issuing office. CHECK ONE: INSURANCE 01 BOND ❑ OTHER ❑ (Specify:) • A (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: J3-6-0.% Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains qnd penalties of perju/y that the information on this application is !rite and complete. b / FIRM NAME: vl M ��'Wn LIC. NO.: (}/0?4& Licensee: M -C Signature LIC. NO.: (If applicable, enter erempt-1n the !'cense number line) Bus. Tel. No. -S' a : 00 Oa0 Address: 6}' /VIt!(.bF�iQ{� �Q� yt �°�� M%Q• �! Alt. Tel. No.. --� ____ J___ �_• L�. OWNER'S INSURANCE W/AIV14:R: i am aware that the-r,ta:nsee dues not have the liability insurance coverage norma y required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. , Owner/Agent PERMIT FEE: $ qV u Signature Telephone No. � Commonwealth of Massachusetts -- City/Town of North Andover o System Pumping Record 1011 Form 4 TOWN OF NORTH ANDOVER Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. �Q ,emm DEP has provided this form for use by local Boards of Health. Other forins416a T Q 4 p 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information N.Andover City/Town 2. System Owner: �4 oj--�A-` t�k Name Address (if different from location) City/Town Ma State State Telephone Number 01845 Zip Code Zip Code B. Pumping Record J 1. Date of Pumping Date • I 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) ❑ Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No 5. Condition of System: t If yes, was it cleaned? ❑ Yes ❑ No 6. S stem Pumped By: ,1 Name ��—, Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant. 20 So. Mill Bradford. Ma 01835 ler eiving Facility DateY-2901/ Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1