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HomeMy WebLinkAboutMiscellaneous - 93 BROOKVIEW DRIVE 4/30/2018 (2)Avows No. C� — . ro co "ORT4 Z.01 - - 1 1, 1 X-.— TOWN OF NORTH -ANDOVER Ur, �, '. Certificate of Occupancy $ Building/Frame Permit Fee $ U '�oundation Permit Fee $ A Other Permit Fee Sewer Connection Fee $ Water Connection Fee $ tv TOTAL $ JI&WIns t e 'JL 0 2 6 3 vl,�A Works V128/98 09:28 1,423.00 PAPUI , v 4ro Location �Pc V, el, k) .No. Date .71,bel) Of ,ORTN -4 TOWN OF NORTH ANDOVER A-imW'mMIk S Certificate of Occupancy $ Building/Frame Permit Fee $ IP MU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ .1 1 Water Connection Fee $ TOTAL Ruft I spect 19198 090 Div. 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CL LLJ PQM YV� O lid. cAd Cd Li UD ted- W � WIFa uj U') W � a cn Cn O C 0 C i;i u x r(�C14.Q I 6 LL - 0 o `o in V � -2. V r Li. CL LLJ PQM YV� O lid. cAd Cd Li UD ted- W � WIFa uj U') W � a cn Cn O C 0 C i;i c c Q 5 c R t I .fQ o 7 d = S2 .C. F -- M 7 N � o M � 8 � R t hScheck. COMPLIANCE REPORT assachusetts Energy Code AScheck Software Version 2.0 ITY: Lawrence TATE: Massachusetts DD: 6235 ONSTRUCTION TYPE: 1 or 2 family, detached EATING SYSTEM TYPE: Other. (Non -Electric Resistance) ATE: 7-14-1998 ATE OF PLANS: July 1993 TTLE: 69' x 28, Cape with Three Car Garage Under ROJECT INFORMA'T'ION: 3 Brookview Drive OMPANY INFORMATION: rookview Country homes, Inc. OMPLIANCE: PASSES equired:UA = 881 our. Home = 774 Permit # . Checked by/Date .Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA EILINGS 532 38.0 0.0 16 EILINGS 626 30.0 0.0 22 FILINGS 78 30.0 0.0 3 EILINGS 1120 30.0 0.0 39 ALLS: Wood Frame, 1611 O.C. 11.04 11.0 3.0 85 .ALLS: Wood Frame, 16" O.C. 2000 11.0 3.0 154 ALLS: Concrete 500 11.0 3.0 37 LAZING: Windows or Doors 368 0.490 180 T,AZING: Skylights 9 0.600 5 OORS 82 0.350 29 I.,OORS: Over Unconditioned Space 2174 19.0 103 LAB FLOORS: Unheated, 10.0" insui. 110 6.0 101 VAC EFFICIENCY: Furnace, 90.0 AFUE OMPLIANCE STATEMENT: The proposed building design represented in these ocuments is consistent with the building plans, specifications, and other alculations submitted with the permit application. The proposed building as been designed to meet the requirements of the Massachusetts Energy Code. 'he heating load for this building, and the cooling load if appropriate .as been determined using the applicable Standard Design Conditions found n the Code. The HVAC equipment selected to heat or cool the building hall be no greater than 1250 of the design load as specified in ections 780CMR 1310 and J4.4. uil.der/De:signer _ Date .Scheck INSPECTION CHECKLIST ssachuset.ts Energy Code Scheck Software Version 2.0 p' x 28' Cape with Three Car Garage Under kTE: 7-14-1998 . -dg. ?pt. 3e CEILINGS: 1. R-38 Comments/Location_ 2. R-30 Comments/Location 3. R-30 Comments/Location` 4. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-11 + R-3 Comments/Location 2. Wood Frame, 16" O.C., R-11 + R-3 Comments/Location 3. Concrete, R-11 + R-3 Comments/Location __ W WINDOWS AND GLASS DOORS: 1. U -value: 0.49 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ) Yes [ l No Comments/LocationT SKYLIGHTS: 1. U -value: 0.60 For skylights without labeled U -values, describe features: # Panes Frame Type'_ -- Thermal Break? [ ) Yes [ ) No Comments/Location DOORS: 1. U -value: 0.35 Comments/Location_ FLOORS: I. Over Unconditioned Space, R-19 Comments/Location - SLAB -ON -GRADE FLOORS: 1. Unheated, 10.011 insul., R-6 Comments/Location Slab insulation to extend down from the top of the slab to at least 10" OR down to at least the bottom of the slab then.. horizontally for a total distance of 1011. HVAC EQUIPMENT EFFICIENCY: `1. Furnace, 90.0 AFUE or higher Make and Model Number THERMOSTATS: AW ustable thermostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the :build ifig envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations`. or installed inside an appropriate air -tight assembly�-with..a.0.5" clearance from combustible materials and 3" clearance from insulation: VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can.. be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the..building plans or specifications. DUCT INSULATION: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be .insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used,for fibrous ducts. The HVAC. system must provide a means for balancing air and water systems.. TEMPERATURE CONTROLS Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.' HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified, in sections 780CMR 1310 and 34.4. MISC REQUIREMENTS: ] Refer to 780 CMR, Appendix 3 for :requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------ FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Hoards 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: �00��✓'C UvAje OMeS Phone LOCATION: Assesscr's Maio Number Parcel Subd_vision x/°p6U`etJ FS -7-17C-5 Lots; S -t r nt U,e4J Joe, ,vC St. Nu -icer l Use Only*******************w**** RE•eCNDATIONS 0 TO AGENTS �'kA� Date At�trove . Conscn Ad- nistratcr Date Rejected Cc-, en M &Ad�- Town Planner Cc=er.:s r LAXI sk Date Approved "1 111 _1U% Date Rej ec zed Date Anoroved Date Re -i ec -ed Date Aotrsved Date Rej ec _ed c WcrL:s - se!.:er,'wamar connect ons - driveway pe`--1it F _re Decar--men-_ Recaived by Building Ins:.ector Date v N2 818 APPLICATION FOR WATER SERVICE CONNECTION North Andover, ;Mass. Q U `e 19ly t� Application by the undersigned is hereby made to connect with the town water main in tV�St�eeY subject to the rules and regulations of the Division of Public Works. The premises are known as No. p`3 0,S' (/[ 6'ca.) ��" 1y� Street or subdivision lot no. /� ado L V e ,, ) rt 0a��r>�ru Owner Contractor i Address Address ` Applicant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to make a connection with the water main at�y�►�c� subject to the rules and regulations of the Division of Public Works. Inspected by Date Street Board of Public Works By See back for rules and regulations TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, P.E. DIRECTOR Telephone (978) 685-0950 Fax (978) 688-9573 NORTH OE e o "9 A V 9S SAC[HUSEt DRIVEWAY PERMIT DATE G �a LOCATION BUILDER phone OWNER l ��'1`{G�✓� hone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. 1 ./�LC C�J6JJLJJtOOt[OP.QG�IL O �([t'JJRC�U.16fIJ � DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Num6eri_a, Expires: Birthdate: CS,`' '.,,805693""'O1(1312000 01 13(1954 Re5tritted To 00 DAVID' eA: KINOREO 30 MILLPOND POBX 531 1 N ANDOVER, MA 01845 Restricted To: 00 00 - 35,000 cf enclosed space (MG[ C.112 S.GOI) 1A - Masonry only 1 6 2 Family Homes �! Failure to possess a current edition of the Massachusetts State Building Code ' is cause for revocation of this license. Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Propertyfor Permit (below) Map 9nd Parcel: Purposef Application (check below) Phin�ok cant Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as .of the effective date of this by-law, provided that no additional residential unit is created. ByXThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning law. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section "senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved forth U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. signing below I attest to the accuracy of the information provided and that the attached building permit is we MPTION a ited above. Further I understand that the submittal of misleading and or rate in f atio , or th ecking off of an above it which does not comply, whet er done to my :edge o not} is roup r re sal by he Building Department to issue a Building P mit. re o caner or ut orized Agent who sig ed the Attached Building Permit Dat form must be attached to the Building Permit upon application for such permit. CERTIFICATE OF USE & OCCUPAk Y Town of North Andover Building Permit Number 3 0 4 Date /W THE BUILDING LOCATF MAY BE OCCUPIED AS THIS CERTIFIES THAT WITH THE PROVISIONS OF THE MASSACHUSETTS SUCH OTHER REGULATIONS AS MAY APPLY. IN ACCORDANCE ATE BUILDING CODE AND, pOR/M • I ,�,CERTIFICATE ISSUED T ADDRE '434 usBuilding Inspector M 0 z M M", FOR, g O V lu v I M o C.3 a -o � :oma ac ea � w x ts �Ec o m O U tj O wQ t; c" m '' a m cd a a w1 iV 0 a N cY w° a°' U w ED � m w co cn cn g O V lu v I M o C.3 a -o � :oma ac ea � g O V lu v I M o C.3 a -o � w ac ea � ts �Ec o m `cam wQ t; c" ZN WE : o. . 0 3 N �I ED � m ^`O(, O -80'�O L C CA N m Amo aC.3 N m O •Z� O C H Q v y O CM3 '� Z c o c Q y m C :d o W_ CO tm C = LL 'N m A A •dL C H cc 42 E O � m 5 � c� N CJ 0L.. ` o o c h n o�O= y �O = A ` 4- d � m g O V lu v I M 2954 Date.'O.- ��- �� ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATIOW This certifies that-.,�* IZ, ..... has permission for gas installation in the buildings of ....... ............................... at A,6ffh--A--ndover, Mass, Fee�3.�O- .0:1. . Lic. No. ... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MAS! ACi-fUS TTS UNIFORM APPLICA T iON F OR PERMIT T 0 00 GASFITr64c, Wrint, or Type) N11YR H ANDOVER Mass. ©ate .1 Uildjn' Location. 9.... V i-} Permit 4 ' I Owners Name --���y� �utn� CtCrr2 9 New Renovation Replacement Pians Submitted FIX1-UPSc { (Print or Type) Check one:' Certificate P4 Installing Company Name ��s� �i� Q Corp..' Address [ �,� ��, T— Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Cas Fittero�� Insurancee: indicate t; -:e type of insurance coverage by checking the Coverag` appropriate box - Liability insurance policy Other type of indemnity Bond Insurance Waiver: I, the undersicned, have been made aware that the licensee.':of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent t hereby certify thst sit of the details and information t have wbmitted (or entered) in above application are true and accurate to 4tia treat Gf tnp.i; caiawtrdtc and that xU ptumbua; work and tnsrxLUdonx p=foraae d under Ptrntst iuucd (o: this appticztion will-bt In campuatece Witibi all V+eatdxtdtst ptovisi®tis of the %tasaachusetts State Gas Cuda and Csapter L42 of c is Ccnerat LAws. By. TYPE LIC"NSE: Plumber Title Signatureof censecl- Maser Plumber or Gasfitter City/Yawn : 2CGI a Journeyman APPROVED (OFFTCC- USE ONLY) � License Number • � � � x z v cc � w tri � . itt ue � � Cy U F� LC r w O a uy tw- Q va w C3 t(t Q +C us r r» .� ua t� {/� < a I G > w ur W ar a�" z < x ua t- w i~ C c F. to P tW- BASEMENT ISTFLOOR HO FLOOR 3RU FLOOR TR FLooR STHFLOOR f t 1 ! ! I } j! 1 k` t 7�{'FLt7�'' f.Y �! a £e'�' ! `. .��I I 1 tr£' 4 . �7 v �..�•$' 3Tt't ELtYOR I I { I ( - (Print or Type) Check one:' Certificate P4 Installing Company Name ��s� �i� Q Corp..' Address [ �,� ��, T— Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Cas Fittero�� Insurancee: indicate t; -:e type of insurance coverage by checking the Coverag` appropriate box - Liability insurance policy Other type of indemnity Bond Insurance Waiver: I, the undersicned, have been made aware that the licensee.':of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent t hereby certify thst sit of the details and information t have wbmitted (or entered) in above application are true and accurate to 4tia treat Gf tnp.i; caiawtrdtc and that xU ptumbua; work and tnsrxLUdonx p=foraae d under Ptrntst iuucd (o: this appticztion will-bt In campuatece Witibi all V+eatdxtdtst ptovisi®tis of the %tasaachusetts State Gas Cuda and Csapter L42 of c is Ccnerat LAws. By. TYPE LIC"NSE: Plumber Title Signatureof censecl- Maser Plumber or Gasfitter City/Yawn : 2CGI a Journeyman APPROVED (OFFTCC- USE ONLY) � License Number 5 4 . - . 4� 7 Date.14 . ��' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATIOW This certifies that--X�--;4.... 1— Z) ........... hasyermission for gas instAllation in -t .4e buildings of .......... . ............. at, (1`74) .. .... 0 h dover, Mass. ...... ............ . Fee��- Lic. No.. 0,;P ... .......................... GASINSPECTOR WHITE: A0plicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS S t.8i;dIFMINI APPEi ICA 10�t3:i=011 13EnM1T :*r0.®O PLUMBING (Type or Print) NORTH ANDOVER ass C1ate. t'� y1 3uiiding Location Permit 1 Owners Mame J�cVr�.�-t a 1 New Renovation Replacement Pians Submitted Fi TITRES A ( Print or Type) Installing Company Name) /address Business Telephone Name of Licensed i'lufnber; Check one:. Certificate Corp. Partner. Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F� Other tytpe of indemnity F_� Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner �_j Agent 6 ttcvt-by certify that all of the details and information L have su{a+n{ticd (or entered) in 2h—C Application arc true and x•ceuratr to the best oL rrry -a 0owledre %net that :211 plubtbinr work and inttallations twrfocntied under rermit i<sucd for this ara lication will be in corn{+Bance with all rettirtcrtt p10- r1aofii bC the t4ass2cirusetu state riumbinC Code and Ctetlater 142 of the (;cnerat Laws. Title .. Signature of Licensed P umber Type of PlumW1.1ster License Cty'iTz�wn : _ 1.,j_c Ott e Number El 'Journeyman APPROVED (OFFICE USE ONLY) x - N ar m o z w w Z O _ cc 0. cc :3 N Z .. N w Q t7C •t- W � ~ U � � � N � � a � � X N. CC � CL.o N Q N tl p ad � a 4 �• O -8 u - '>= w w 0 a. r w 03 o � -wt N a F a sG " O M Q . � w to ti- es ae tz w d > t- o x a N *- z Q o N x w �- a v x SOB-18SMT. ! SASEMENT..�� IST F L O o n,,� 21440 FLOOR 3RD FLOOR 4TH fi L a a tz STH FLOOR 6XH FLOon TTRFLOOR 8TH FLOOR ( Print or Type) Installing Company Name) /address Business Telephone Name of Licensed i'lufnber; Check one:. Certificate Corp. Partner. Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F� Other tytpe of indemnity F_� Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner �_j Agent 6 ttcvt-by certify that all of the details and information L have su{a+n{ticd (or entered) in 2h—C Application arc true and x•ceuratr to the best oL rrry -a 0owledre %net that :211 plubtbinr work and inttallations twrfocntied under rermit i<sucd for this ara lication will be in corn{+Bance with all rettirtcrtt p10- r1aofii bC the t4ass2cirusetu state riumbinC Code and Ctetlater 142 of the (;cnerat Laws. Title .. Signature of Licensed P umber Type of PlumW1.1ster License Cty'iTz�wn : _ 1.,j_c Ott e Number El 'Journeyman APPROVED (OFFICE USE ONLY) A.SSACi;iUSE TT s Pt' I ORM APPLIOA (Otl 1FOR PERNiiT, :'r0. DOPLUMBING (Type car Print) :... � w ' ,• - NORTH ANDOVER ,mass � - �,; Date: •� t g wilding Location ` 6'ermi t� Owners Name CJCl� New Renovation Replacement Mans Submitted Fl TtIRE_ (Print or Type) _Check one:. Certificate Installing Company Name v yI [ Corp. -- Address ��Ll l� Partner. VK\� � 0 rV��_ �Z�Sf 6C j Firm/Co. i Business Telephone l Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate .box: Liability insurance policy LI Other type of indemnity F-1 Bond ID insurance Waiver: I, the undersigned, have been made aware that the licensee cif' this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner Agent I , hereby certify that all of tate details and information i hx c suburiltcd (or entered) in ah„+c arplication arc true acid is:curate to lire Fist vt uty 4.ilOwitdre and that al( ptuatbior work and instillations Pcift,rmcd under remit i!suc(i for this argrtication will be in covu;rl,'ance with all peSlinc.nt, ptb= tbi,oas err the Mauscitusetrt state r iumbing Code and Clraptcr 142 of the Gcncnal laws. itle, signature of Licensed Pfiiber Cit dTown- Tvpe of Piumbin License . r,,i.ccnse_ Number Mastar L_r :journeyman APP;(OVF-D (or -r --ice USE otceY) x cn' • sm as x o 1C z i _. � x�'t rr >'• d c9 <va h a n O7 twit tt z 0 x a i p 4 dc,c; U Z' CC o tx 2i d w aQal xo a Q utza,2- 03 �14® cc s o u U.tLA x df F O xN 0. % m d F- 0 z 0 p 'Q ct tiC tt; d O O o> < F- ' aG • r d •-= W O aF a d A • -a x 4 F- -A m .Jt LL t.7 d d CL m O SUET—BSMT. BASEMENT ( I IST FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOn TT:t r,LooR --H+1 OT'ti FLOOR (Print or Type) _Check one:. Certificate Installing Company Name v yI [ Corp. -- Address ��Ll l� Partner. VK\� � 0 rV��_ �Z�Sf 6C j Firm/Co. i Business Telephone l Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate .box: Liability insurance policy LI Other type of indemnity F-1 Bond ID insurance Waiver: I, the undersigned, have been made aware that the licensee cif' this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner Agent I , hereby certify that all of tate details and information i hx c suburiltcd (or entered) in ah„+c arplication arc true acid is:curate to lire Fist vt uty 4.ilOwitdre and that al( ptuatbior work and instillations Pcift,rmcd under remit i!suc(i for this argrtication will be in covu;rl,'ance with all peSlinc.nt, ptb= tbi,oas err the Mauscitusetrt state r iumbing Code and Clraptcr 142 of the Gcncnal laws. itle, signature of Licensed Pfiiber Cit dTown- Tvpe of Piumbin License . r,,i.ccnse_ Number Mastar L_r :journeyman APP;(OVF-D (or -r --ice USE otceY) N2 20 7 6 Date./ . .. . ............. O'� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ... . ...... .............. has permission to perform- -.�, / * * ;;2 ... -) ................................................. wiring in the building of at..P-3 ............ .. ............................................... ...... . North Udover, Mass. Fee-�// .............. Lic. NoA/7.�� . ................ *ilLE*'C—M-1C'A—L— 1*N—S*P—E'C'*T* 0— R**... 10/14/98 09.19 311 - 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer T� �,�7�,� �i� �T t.�c. I/�i7/ �c. Office Uses only lllL.% COlY1L►'lONII/�tiLT OFA:[tL�.)til ll U Permit No. � / W DEPARTMENTOFPUBLICSAFETY Occupancy & Fees Checked BOARD 0F1W PREVE MONREGUTAH0NS P 7 12:00 3/90 (leave blank) "PLICA 17ONFOR PERMIT TO PERFORMEL. ECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 C �/ PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date J town of North Andover To the Inspector of Wires: [be undersigned applies for a permit to perform the electrical work described below. ,ocation (Street & Number) owner or Tenant owner's Address (S, y-,)" Is this permit in conjunction with a building permit: J Yes [Er No [::] (Check Appropriate Box) Purpose of Building /V't - , D_ L1 i vim, , Utility Authorization No. Existing Service Amps / Volts Overhead El Underground No. of Meters New Service AmpsfaC. /ate Volts Overhead r --J Underground ®� No. of Meters ;Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground No. of Rece tacle Outlets No. of Oil Burners No. ofErnergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal a Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis' No. Hydro Massae Tubs No. of Motors Total HP OTHER l suwxeCmuage. Laws � Ihawaai=tLiabkylluat AiLymckxkgCmlpl& sEe 'smal*Valat YES a NO Iha%ewhnjidvalidpoofbfsameiDthe0� YES ETZ ff} utmtdiadodYES P aseu>cethetypeofwmaWbydvdm gthe a NSURANCEE ,[ BOND OTHER (PleaseSptxtfy) E;#afim Date Eslim&dValuedE1eM lWait $ WakoStait FIRM NAME IrtspectimD*ReVested Rough /4 // 9 ��/' Final LiaaseNa. Lioasee � Signat m 7�,Q � LimiseNo V7 o l BtsinessTel.Na A �J��'F3*•aJ\ Sd- L l l Y1Nr-- Alt. Td.No OWNER'S INSURANCE WAIVER; lam awaaethattheLitxrsedoes nothaNetheiinlsattcecaaageori� substartial eglrivalartas regtmad byMassad�selis t,aiaal.Laws and that my sigrr to cnthis permit applicmm waimsthis mgtluanent (Please check one) Owner Agent Telephone No. PERMIT FEE $ Signature ot Uwner or Agent 7 Date .......... TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION This certifies that ./ ................. has permission for gas installation in the buildings of . . . j.)./ - A f' ' '­'­*­*** at .... c7 i ......... North Andover, Mass. L Fee.,. Lic. No. .......... y � GASINSPECTOR Check# 3 Lr6 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI ' (Print or Type) c NORTH ANDOVER Mass. Date _.� building Location q3 BfooKV;E(.,3 rive., Per Hp Owners Name NorWICk "R1_Ao� 'Y New 'E?( � Renovation D Replacement Plans Submitted D FIXTUR'=c (Print or Type) Chec Installing Company Name ANDOVER PLBG. & HTGCO.IN Address 20 AEGEAN DR. UNIT 1 10 METHUEN, MA. 01844 Business Telephone: 978-685-8383 Name of Licensed Plumbecllr or Gas Fitter GFOR(;F I AROSF one: Certificate Corp- 2129 Partner. Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: / Liability insurance policy Other type of indemnity Q Bond Ej Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent Q 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and clot all plumbing worst and lnstaLiations perforated under Permit issced lo.- this application wiU-be In compliance with eU Pertinent provisions of tho Massachusetts Slate Cas l„ ode 2nd Clsaptes 14: of Cho Genoa! Laws. By fGourneyman PE LICENSE: Title lumber azfitter Signatre of Licensee:City/Town• aster Plumber or Gasfitter APPROVED (OFFICE USE ONLY) 9983 License Number � W N Y Z Q Cf LU Q V C .1 O! to m ~ S N o to W ti Q it o z= O O p. W !_ Q W W W N d o > 4 W CC W Q 4 Q Q W Fr p W U � ..• 0 G 2 -CCW J < tC f Y� 0 ? O � W o ItJ Q ,u > C W O < ¢< C! c O O w p CA W N ct z o U. > Q a ►- o SUR—BSTAT. I BASEMEMT 1ST FLOOR 2240 FLOOR 3RQ FLOOR I I 4TH FLOOR I STH FLOOR I 6TH FLOOR I TTH FLOOR 8TH FLOOR (Print or Type) Chec Installing Company Name ANDOVER PLBG. & HTGCO.IN Address 20 AEGEAN DR. UNIT 1 10 METHUEN, MA. 01844 Business Telephone: 978-685-8383 Name of Licensed Plumbecllr or Gas Fitter GFOR(;F I AROSF one: Certificate Corp- 2129 Partner. Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: / Liability insurance policy Other type of indemnity Q Bond Ej Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent Q 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and clot all plumbing worst and lnstaLiations perforated under Permit issced lo.- this application wiU-be In compliance with eU Pertinent provisions of tho Massachusetts Slate Cas l„ ode 2nd Clsaptes 14: of Cho Genoa! Laws. By fGourneyman PE LICENSE: Title lumber azfitter Signatre of Licensee:City/Town• aster Plumber or Gasfitter APPROVED (OFFICE USE ONLY) 9983 License Number 69 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... has permission for gas installation .. ........... in the buildings of .... ........................ at ... t . ......... North Andover, Mass. Fee. Lic. ........... I .......... GASINSPECTOR Check 4 2 ( / , '7 J C 6 i 1V1ASSA Uig APP CATON FOR PFRINUT TO DO GAS FITTING 4 _ ype or print) PARCEL Date 121 cl _ NORTH ANDD Buildine LocationsPermit # Amount S Owner's Name e: New ❑ Renovation ❑ Replacement Plans Submitted ❑ Print or Address 20 Agaec"'Dr. (),I; t -:W— im jYl ethU-e n Nia 014, U ti 3usiness Telephone 1,ame of Licensed Plumber or Gas Fitter >t�-.e Chec V ne: Certificate Installing Company Corp. 117-1- F-1 122 ❑ Parmer. ❑ Firm/Co. !NSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ :ou have checked ves, please m cate the type coverage by checking the appropriate box. ._iaoilI . 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 `-lass. General Laws, and that my signature on this permit application waives this requirement. Sir nature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the -)est of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in _omoliance with all pertinent provisions of the Massachusetts State G-#'�ode and Chapte -1� General Laws. S B ' nature ok le Plumber I 'ttv Tuwn ❑ Gas Fitter ff jMuster P'R0�`L-D u�r c::: use )NLYI ElJoumeyman Plumber Or Gas Fitter )cense iv umoer r. Print or Address 20 Agaec"'Dr. (),I; t -:W— im jYl ethU-e n Nia 014, U ti 3usiness Telephone 1,ame of Licensed Plumber or Gas Fitter >t�-.e Chec V ne: Certificate Installing Company Corp. 117-1- F-1 122 ❑ Parmer. ❑ Firm/Co. !NSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ :ou have checked ves, please m cate the type coverage by checking the appropriate box. ._iaoilI . 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 `-lass. General Laws, and that my signature on this permit application waives this requirement. Sir nature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the -)est of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in _omoliance with all pertinent provisions of the Massachusetts State G-#'�ode and Chapte -1� General Laws. S B ' nature ok le Plumber I 'ttv Tuwn ❑ Gas Fitter ff jMuster P'R0�`L-D u�r c::: use )NLYI ElJoumeyman Plumber Or Gas Fitter )cense iv umoer