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HomeMy WebLinkAboutMiscellaneous - 90 PENNI LANE 4/30/2018North Andover Board of Assessors Public Access ., NORT/1 � ♦ i � • o,� t� ,SSACHUSEt Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 s1roperty Record Card D—.1 Tr) -)I AM Al n_MAA_(1(lllfl (1 RV•11M I) 11---+- • XT—t, A -A-.— Location: 90 PENNI LANE Owner Name: O'GRADY, GLENNON J & MARGARET Owner Address: 90 PENNI LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 7 - 7 Land Area: 2.51 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2790 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 550,300 550,300 Building Value: 313,200 313,200 Land Value: 237,100 237,100 Market Land Value: 237,100 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=1896679&town=NandoverPubAcc 5/17/2012 N r O N LL F i or Z Z W a 0 01 CO U) @ W U � U Q N J W �U 0 Q Q 2o - CD QO O O -O O O CC 0 O J to O Y U O J m I I- C) O 0 O 0 0 t0 O O ti O 0 N �I w U Q 0 0l m°y: 0 0 O,o [—(,Mao, NNnOWt7 o'oXWU Uy ' B b `i'.v6 •1 r ti � € w O .l pmt 0 j`o a i p (0 a) I O § CO 41 :� (D IV — Y :V! 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O T n O' S M O T O N (D T O O X, (D DJ - C' UQ(D C ci C p� C S C 'O O \ Z S _ O S S 7 CL w [� 7, (D p N �v n m O W S (D T m C C 3 W ,cam m (AV W ® Co 7D G1 vZi _ O \_ 7 d m 3 V zO 2 • • I �,4" - . ocation 90 N.0. Date �! ti ♦ i " s ,S'I CHUSEt '.4 10730 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ wilding Inspector Div. Public Works PER:1tIV N.-0. V APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. ' nn ZONE �c �l LOT NO. SUB DIV. LOT NO. 2 RECORD OF OWNERSHIP (DATE F— BOOK ;PAGE — LOCATION `�� P{i /� I % /1 AJI �I(�/n %G.i C/��— 1 /,�y '/'�" PURPOSE OF BUILDING ,w OWNER'S NAME %, / ,C . I✓,\/ `i �C/L�j�`�/ �, ,/JVl/y�y V /L/T'/ NO. OF STORIES SIZE /2 9 (r' OWNER'S ADDRESS 90 p�/�. f[��•'VLj/,% 1 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME jN T2 % I�� w SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES 16'0 od REAR zoo 9 �( /D . GIRD!M2'( / AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING if of X 2✓7 / /� G► IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 5 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 INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 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 DATE FILED SIGNATUIW OF OWNER OR AUTHORIZED FEE PERMIT GRANTED 19 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 BUILDING INSPECTOR OWNER TELJ CONTR. TEL. # 'Z176 V P I CONTR. LIC. # H.I.C. # BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY,, -,,,I— STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILYOFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 6 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE P _ PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 /? % FIN. ATTIC AREA _ N_O B M'T HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARD1PJ'DM COMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR I_ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR ADEQUATE I NONE 10 PLUMBING 5 ROOF GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 1 _3r_dj ELECTRIC NO HEATING f rl, y�L-,I I_7II ON-. CD E+ i; I c�,BiNe-r 1 � z ClQ _ CJ�` 3- o I i 0 a FORM U - VERIFICATION 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 dthiss section***************** APPLICANT : (l� C�Clly r� 7' 0 6 + P Y Phone �%D ' �✓� 2 ��L✓� , LOCATION: Assessor's Map Number Parcel C06 Subdivision Lot(s) Street �Q I FWAJ I &A • St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: 1�4' f1VC�9� Date Approved 3_l 4 Conservation finis r or Rej cted Comments JZC�l - zu, hv� y9IU L, ro_wn for gl e-7 n4b n *nlatq0` r Date Approved Town Planner Date Rejected Comments Food Inspector -Health ✓ _� a;� Septic Inspector -Health Comments In &,-,­ C Public Works - sewer/water connections - driveway permit Fire.Department Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date -Z. C,/%S F s' 7. zJ 0 m N 0 $It of rn .P OO rr 1d 1p 1 '�s ID5S` _ ^r i r -r � � Z - ° V z v Cl)U) X I . co0 0 0 G) —I i... r .t t > .Cb 7 �� G7 G� Z Z Zoo � D �> z . o. -n m. ;v p -n0 0 < o O -n m cn m Z z DC/)m G)90 ;o z �� .�w3 L 2',�J-�nF ••.t 5��:%-Y y, is } � `. .. �..� � 1; - �:.'^�M: +"�' a'Y`;' T ' � ' . �,. Y�w 5' :." ..3:r4.� '?. �-. r. ':'ti ,.i '�.F i3 .'i - C .i '.1. :;:.. i � v'. t rh`.• ,�x ' .�Yy�. '�..ve5w:..:?f�'��' r-rft,{'.. � h �.,? v;�. .s`.6-ay*:,a�.. „ `7,'.M_ .s.� N'; !>. .. ,• r.,�:,i, , .+c .y G..,, .a. i>:Y 1.. !, < :f �+. ., ��.t� ,s ' - r 63.59' Wit'--� 161.13' N 32005'4" W N t9 my DcQ� mm Z m Zj Zco 0" N �Q , ^j _f Z 'Z L � � Z - ° V z v Cl)U) X I . co0 0 0 G) —I i... r .t t > .Cb 7 �� G7 G� Z Z Zoo � D �> z . o. -n m. ;v p -n0 0 < o O -n m cn m Z z DC/)m G)90 ;o z �� .�w3 L 2',�J-�nF ••.t 5��:%-Y y, is } � `. .. �..� � 1; - �:.'^�M: +"�' a'Y`;' T ' � ' . �,. Y�w 5' :." ..3:r4.� '?. �-. r. ':'ti ,.i '�.F i3 .'i - C .i '.1. :;:.. i � v'. t rh`.• ,�x ' .�Yy�. '�..ve5w:..:?f�'��' r-rft,{'.. � h �.,? v;�. .s`.6-ay*:,a�.. „ `7,'.M_ .s.� N'; !>. .. ,• r.,�:,i, , .+c .y G..,, .a. i>:Y 1.. !, < :f �+. ., ��.t� ,s ' - Q 2 pig 6- 2 pig Town of North Andover BUILDING DEPARTMENT Homeowner�License Exemption Tlease print) DATE �> • I • 9. JOB LOCATION q0 �,✓� L Number Street 'HOMEOWNER" Name Home ress LY0.54 .5' Phone ection of town Work Fhone PRESENT MAILING ADDRESS.. 90 P46VA%I 144 tWD4P1sFe_ 414 City Town State Zip code 1_1 he current exemption for "homeowners" was extended to include owner -occupied-dwellings of six units or less and to allow such homeowners to ngage an individual for hire who does not possess a license, provided fiat the owner acts as supervisor. (State Building Code, Section 109.1.1) I?FINITION OF HOMEOWNER: 'erson(s) who owns a parcel of Land on which he/she resides or intends to eside, on which there is, or ir.nrended to be, a one to six family dwell- Ulg, attached or detached structures accessory to such use and/or farm tructures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit :.o Elie Building Official, on a form acceptable to the Bulding Official, -hat he/she shall be responsible for all such work performed under the huilding permit. (Section 109.1..1). ,'he undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Borth Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ;requirements. Jj HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL N Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with. State Building Code Section 127.0, Construction ;ontrol. I v FW d C � b1 CA CM) 10 0 CD Z y � O CL = y o v CD / cr so ._ --AD 0 CD >-C CD y. �. CD y .AC CD I � v � o Z CD O CD C CD IL - f �f^ /cn cn n O z cn C� J O cnd G1 G b n= 7d . Cr d0 C • a' m n CA m a a0 co CO C:L.+ m O m H O ""o ?m CD �m o fto�` Z4 n O H 0 O m as m CL O m N : O O CO CO) CL SO V CD '��I N 1 01 H O 0 . O O N � O ' CD ..r 0CD mr y CD co oma: d m om CL C) CS CD Co go = N m CO) m C) H T .�► y � a m MA CA CR '� Z o p7 ti C�r7 ^rl W jJ C OC 9 "r] w cnm �. pq :Jr -o- rl1 7 w (IQ "ti r ti . n Pq O (M x " t] G :1 a _ O Gi r M b C � (D t] p n n �- 7d � pq W rA v ►—+ 'NO lqo NJ Ko 0 c CDol I 9 ,fit. •._.. ., .al.:., ._ .,w,. v: -�--•q —_ -'--�--- �- Location ' No, 1 Date r f 40RTH 1 TOWN OFA NORTH ANDOVER , p Certificate of Occupancy $ + + Building/Frame Permit Fee $ E ssACMUs <� - Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ A TOTAL 4 $ 35B 1 a�! r: I TI)� J}��U ,,t •54 Buildi_ 359.00 PAID in" g I.spector 3 ( &' Div. Public Works �PE»pirrINct APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AN PAGE 1 EMAP i -40- ,/A 72 RECORD OF OWNERSHIP DATE BOOK '.PAGE - ZONE / ! SUB DIV. LOT NO. LOCATION �/_ . /. !! ' RPOSE Q=W�/�'f%L6. 1'1Zd�`f ♦ rlw,�©� g����{ OWNER'S NAMU," C, eG/�Vi®1/�/ p O. OF STORIES '3 ' `r 51ZEJ'! vjTw l? r VCrGN _ OWNER'S ADDRESS G: p �%6� �� J/ / r1 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD r BUILDER'S NAMESPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES - SIDES/lm_ .�•�A REAR "' "• GIRDERS AREA OF LOT LGA FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION �,iS' MATERIAL OF CHIMNEY AS BUILDING ALTERATION sV IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y 6% IS BUILDING CONNECTED TO TOWN WATER `� BOARD OF APPEALS ACTION. IF ANY & ,* �v/6 (l vv IS BUILDING CONNECTED TO TOWN SEWER , IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 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 SIGNATURE OF FEE L PERMIT GRANTED 2—/2 19 2_6 _ 1004 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 e BUILDING INSPECTOR OWNERTEL.#��v' CONTR. TEL. 11 CONTR. LIC. # H.I.C. # r t, t L 1 JUL — 8 1996 INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 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 SIGNATURE OF FEE L PERMIT GRANTED 2—/2 19 2_6 _ 1004 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 e BUILDING INSPECTOR OWNERTEL.#��v' CONTR. TEL. 11 CONTR. LIC. # H.I.C. # r t, t L 1 JUL — 8 1996 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE HARDW D— B 1 2 13 CONCRETE 8L K. BRICK OR STONE PIERS PIASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 14 1/2 lh FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDXN D COMMCN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY _ ATTIC STIRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT 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 _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS B'M'T 2nd I —ELECTRIC i.r 13rd I GAS OIL 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. FORM U - VERIFICATION 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: COKIV Phone 508J(70 .355- t LOCATION: Assessor's Map Number IoX D Parcel 006 Lot (s) Street Ali f �/A)l t4VE St. Number _ ************************Official Use Only************************ RECOMMENDATIO S TO AGENTS: Date Approved 7 1� Conservation Administrator Date Rejected Comments d� �F �1 r rg - /S-fV-e/ J-,7' /V&e 0 Town Planner Comments Food Ins ctor-Health Y_.�epXic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date i TOWN of NORTH ANDOVER ••11- 111• • :11=41 *I! or: t• lope :11Z.811 to C c. 142 A re4&m that t •a•• umrticn, altrwrucn. renmadcr4ua M32rni77-4HCr4 CM9MdC11, 111. • .11. Iremoval, •.II• ■ • • •• t• ■ •r of an i ■ •• to any• - existing • a ••• •1 e• • 1 ild- • cmtgmrg .1 - • - bit mL ux - •-m fcxr del1jig i rd w cr to stantmes.1 • are .• .•c i r• such as •a •- cr • 1 u be done r registered wah certm o••u■ • s alcrg with•'r c �• 1 .11. I •- • • `Q� LP � I I Cost 5-5 r '-"Address of Work �Ko y jl ell- OwnerName: Date of Permit Application: 47 I hereby certify that: Registration is not required for the following reason(s): Far office Use Only Work excluded by law -job under $1,000 Building not owner -occupied ��Owner pulling own permit other (specify) Fit tib. Date Notice is hereby given that: x, ARBITRA- TIONOWNERS P`UUJNG THEIR OWN PERM17 OR DEALING WITH UNREGISTERED CONTRN=RS_' PROGRAM • • D UNDER MGL SSLqnEd tar'er pities of perjtry: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registratoh o OR: Notwithstandingtheabo.ve_..notice,"I hereby ap iy for a permit as the' own r f the above property: Da a Owner/,Name z•, rx 63.59' ' - '�O L9 s \ N � 0 V (7 .. 0 CD z c4 m z� Ln 63.59' ' - '�O L9 I .i F .Q N - :1d .3 - - -97.54' 161.13' N 32005'4" W - Z 0 ODn D G) =zor Drc7 =r m r-) M O z M m o ;o ;p 4 -n 0 �. 4 Xz� o bmjC-Jp CZ r' D ' ycn� m �)�o ;d O v, N 0 u flo D i" . N � 0 V z c4 m z� N N ''�•z � � O 1 I O 0 I .i F .Q N - :1d .3 - - -97.54' 161.13' N 32005'4" W - Z 0 ODn D G) =zor Drc7 =r m r-) M O z M m o ;o ;p 4 -n 0 �. 4 Xz� o bmjC-Jp CZ r' D ' ycn� m �)�o ;d O v, N 0 u flo D i" . J O y d �■ CO)CD C9 cZ CA CD O n� cid r C so �c 4 F v) >cm 0 O p CD CD o CD CD 0 CD w a W C CD y �■ CD O y to CD s v CO) O 10 Z CD a 9 O CD O dc CD C c -0'o p m = y O Q co) So C CD � C%f m n C C7 CD y c') a 3• Z ?-o O� .-► -6-m=r CL CL O TI Fn ? CDto y CG G 0 H O -� O ? CD CD > > o :CD -o —i O co ..w O (i O Z �• C7 CD '� G CO) p t0 �L rri co C/) CD CD H: Cn o n 0 s CL CD n O p� IN tY O CACL A3 M d CA G VJto CA CD Im CACDm to r z a o co n O �� !� CD CD . CD tCD0351o i CD CA CTI: C O � :1'• rD rrD V4 m C+1 Cl ro rD rrD C+1 Cl ro ID /� \ / M 0 tz rD 1"I y 0 0 c CDol ;r. Office Use Only ` tep"MR311uhE �IImmII �uE�i IIf 9-qzE'±u-�2tt5 Permit No. jjE��pTj jTf ilubl.iL {E OCctipanc/ 8 Fee Checked NS G, 11 -MO (leave blank) A BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Oate (74)Q or Town of NORTEI To the Inspector of Wires: The udersigned applies for. a permit to perform a electrical work described below. Location (Street 3 Number) Owner or Tenant Owner's Address r 1 -' - C Is anis permit in Conjunc-,ion with a building permit: Yes _ No � (Check Apprboriate 3cx) Purocse of Suildine Utility Autttcrizatian t No. of U - v rhe=_d _ Uncgrnd �rteters Existing Semi Amys�a �J �� Vcit3 Q e New Semite Amps _J VoitS Overinead _ Uncyrna Na. of Meters Numcar of Feeders anc Amcacity Lccaticr, and Nature of Prcposec El.ectr.c-i "lcrx Tota No. at L!gnang Cutlets No. a _ cs I No. of Transformers KVA I Aoove— In- -- I - KVA No. at Lignung Fixtures. O is Swimming ?.a grna. 7--c- ------' Generators I No. at emergency Lighting 3arery Units No. at=ecectacie Outtetsa No. at Cil :Burners No. at Swrtcn Outlets No. at Gas 3urners ` =-RE ALARMS No. of Zones Total I No. at Detection and. No. at Ganges / No. v Air Ccr.c. tans initiating Oevtces Na. of Discosals No. at Cisnwasners Na. at Orfers .Vn of `.V.rAr Heaters No. Hydra .Massage Tubs CT HER: -eat Tocol Tocat . No.zf ?u-cs Tons K�v j soaceiArea Heatira Heaang Cev:ces �W No. at No, at I{yV i Sicns - Ballasts LNo. of Motors Total HP No. ct Sounding Devices No. at Sett Contained Oecec.:onrSounding Oevtces Muntcioat ^-Other Lcca: Cannec::an. — Law voltage `Nirmc INSURANCE G.CVERAGE: Pursuant :o the reaurrements of t.tassacnusec.s general Laws _ _ I have a current Liaothty Insurance Policy inc!uCtng C;,r.,_:ecN Ooeratif you naveacnecxea "ESS, ptetasle2naticate Che tyoe at coverage cy nave suaminea valid -root at same to the Ottics. `!ES _ NO _ i cnecxtng the acpr nate aox. - INSURANCE - r" a - CTHER = (Please ccec: y) (Ezarattdn Dare) sumatea Value of '-cmca'Nor S Rau n Fnat Werx :a Start - Inscec::on 7a:e Racuesg• :eC: t Signea under tne•Penattes of perjury ` _ �. 47 e,. LIC. N . -iRVi :uA�tE _ _LIC. NO ,.„., L:censer6 ti Bus. -ac. Na. �% �- Alt. Tel. >Jo. Adore is"the e OWNER' INSURANCE "VAIVEIP: I am aware :t atme my stgnatuee one^.s term -nays aaOltCaton waves hsareauvementaowner utvaleAgent au,rea nv Massachusetts General La (P!ease cnecx ane) ocRMIT FES S etecncne No. ISigcature of Cwner or Agents `17'- - '455 Date.....- �.....--.. TOWN OF NORTH ANDOVER A PERMIT FOR WIRING i This certifies that .... /.. Y.4.. has permission to perform .............. ........... CU wiring in the buil 'ng of .......G� ...,. ., at .....ft r� ..... � ......`. ..- .................. . North Andover, Massa Fee..... /.: .... Lic. N� 3.� I YI ....................................................... 43 ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer