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HomeMy WebLinkAboutMiscellaneous - 98 FOREST STREET 4/30/2018— r b WILLIAM J. SCOTT Director (978)688-9531 Town of North Andover NORTh OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street► s �` North Andover, Massachusetts 01845 ,9 March 8, 1999 Marcel Lebell 98 Forest Street No. Andover MA 01845 Dear Mr. Lebell: Fax (978) 688-9542 It appears upon an inspection on March 2, 1999, 1 observed construction work being performed without the benefit of a building permit. Please be advised that it also appears that a shed in the rear of the property was also constructed in violation of the Town of North Andover Zoning ordinance. Please the advised that there is a minimum of 5 feet setbacks from property lines for O sheds under 64 sq. ft. in this area. A shed larger than 64 sq. ft. in this area are required to meet the setbacks of the zoning district which is R-1. R -1 set backs are 30 feet from the front, 30 feet from the sides and 30 feet from the rear property. Please contact me in order for us to begin the process of resolving these issues. Resp�ectffuully, Michael McGuire, Building Inspector MM:jm O BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIJRENOVAT5 OR 11 DEMOLISH A ONE OR TWO FAMILY I BUILDING PERMIT NUMBER: I DATE ISSUED: SIGNATURE: Buil4nCommissioner/IETwtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 18 Fos T S-1 . 1.2 Assessors Map and Parcel Number: lo�� Map Number I er . I O o c+ 1a � N_DO J e r 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimens 1, D/ gCres /So Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RNWred Provide Required Provided R red Provided 1.7 water Simply AQL.C.40. 54) Public Private 0 ZOIIe 1.5. Flood Zone Information: Outside Flood Zone 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 9/1 .ter i avl� A- r1CvrL' R 1 x V W 1N1 MnW1AU 1110K1GED AGE14.1- 2.1 Owner of Record e- cJ A L& 0f/C ,f C Name (Print) I Address for Service Sig natur — _ s Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ C�ace,1 ��� C S o ��� Licensed Construction Supervisor: License Number Addruesfs0 c 1 � - (0 — ZU Q q 14 I 1 1 I Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone M M ic Z E ®. Z M 9 0 i M r r Z. 0 COMPENSATION (NLG.L. C 152 § 25c(6) "affidavit must be completed and submitted with this application. Failure to provide this affidavit will re,ult ,ilding permit. No ....... ❑ t Wnrk (Apek all annlicable ) ding ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ '•❑ Other Z Specify A-`" �cat'� 40 1/ Xz3 -F (ar atN fo r l� L 6 � v rr n s C P. . �0,2, F SECTf7 JCTION COSTS amated Cost Dollar to be Item (Dollar) i x��` Y .,om leted b ermit applicant 3 M Y5 k4 ,V...M,- < - c. , , 1. Building (a) Building Permit Fee ow Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 $ ( (iu U Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I J b c --Q- %A , as Owner/Authorized Agent of subject property Hereby authorize c 1 1�., S n d to act on My behalf, in a tters ^ by this building permit applications- relative �M= Signature ofbwner - Date SECTION 77b OWNER/AUTHORIZED AGENT DECLARATION I, ) 11 y A SA �cl U 2 L \FV ___,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief -'So\J (� A - `� v- � k J Print Name Signature of Owner/Agent tDate NO. OF STORIES SIZE t.0 X BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN & ', G 11 DIMENSIONS OF SILLS DAdENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION 02C_kit- 11THICKNESS SIZE OF FOOTING l X d " MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND t IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM eq k--- c - L a_ INSTRUCTIONS- This form is used to verify that all -necessary approval /permits from �)we(r � Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. -` 1sssassssssssssessssssssaa0aasssssssssasssssssasssssssssa0assssssassssssaaaa APPLICANT o PHONE`1 ASSESSORS MAP NUMBER LOTNUMBER U��, 0 PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMTr DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMIvffNTS RECENED BY BUILDING INSPECTOR - SUBDIVISION LOT NUMBER STREET��5 ST, STREET NUMBER 5�Y �sssssssssssssssssss■■ssssa■ssssssssssssssssssasssssasasssssssssssssmom ssss■ OFFICIAL USE ONLY asssssasssssssssssssssssssssss'asssssssssssssssssasssssss■■sssssssssss.sssssss. RECONP-AENDATIONS OF TOWN AGENTS Isss■ ■sssssss sssssssssssessssssssssssssssssssssssssrsssssss■'ss■ ■ssssssss■ DATE APPROVED U CONUVATI'ONADMMSTRATOR "� 0 DATE REJECTED COIF NTS ' "" DATE APPROVED TOWN PLANNER DATE REJECTED COMMEII I S DATE APPROVED FOOD INSPECTOR DATE REJECTED ----BEEAALLT'H� SEPTIC INSPECTOR - HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMTr DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMIvffNTS RECENED BY BUILDING INSPECTOR - 41 Lo� 27 1 N� N • I I i PCs, c x 93 Cor Par- . / � h�o>z� U lJ oo b Lo- Loi; 27A: B a�. 1950 ,00, ' �o1Z54;j 61 0 / GH /-\ �zL5s r. r A 0 of l.��J�� lid fro A►JbaJIF- k - Mn�� .e {oamvnw7uvea�/ a�✓�iaaaac�uaelia 6 BOARD OF BUILDI G REGULATIONS License: CONSTRUCTION SUPERVISOR k Nurribe@, 077764 Birr�dexe� 04!1911956 '., cpi a0/?004 Tr. no: 77764 e Restricted MARCEL M LEBEL' F �rj 98 FOREST S7 4�. f. ' �.iw««�► �i !�f N ANDOVER, MA 01845` Administrator N° I u J Date .................................. !NORTH '1 + .6 0 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that :. .........:...`... ".:............................................................... n has permission to perform .....:.................. " { .......r....................................... wiring in the building of .:............. .— ................................................. •r at ..... � ...... .......... ........................... . North Andover, Mass. ..... Lic. !.. ........................................... .... -.... ELECTRICAL INSPECTOR 08/16/99 14:43 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TIM COMMONWEALTH OFA Y r (WSE."US Office Use only DLPARTA16W0FPUB0CS9FE7Y PermitNo. /9)13 BOAM OFFMPREVEMONREGUTA71ONS527CMR12.00 3—J Occupancy & Fees Checked APPLICATTONFO.RPER IRT TOPERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date_ I I R Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. MAP PARCEL Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes 0 No (Check Appropriate Box) Purpose of Building N � 00e ,4Q� Utility Authorization No. Existing Service Amps Volts Overhead Underground No. of Meters New Service Amps Volts Overhead Underground r --J No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets I No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above- Below Generators KVA ground and No. of Receptacle Outlets ? J No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burncrs 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 Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis r No. Hydro Massage Tubs No. of Motors Total HP hmanccCamge. Ptust totberegmana�s�L3a�aalLaws �� I• nra , L\ • •• • 1 • 1 • il.r •.1. N • , INWO I •: I - •• 1:. • .: 1 IIIIIIERVA10r, ftmspa y) Nart,lf(Ahc 5~2q--QOC)O E*ffatia7Law E ValuedEkv cal Work$ r I Final 9,S L OWNER'S RgSIJRANCEWAIVTAKIamawarettrattt iaoawdoestrotliar arrlthatrrrysigz ueondlispmit_Wmestl>dsre4�rtamen (Please check one) Owner M Agent F Signature ol Owner or Agent AlTel Na ou Telephone No. PERMIT FEE~ s e0WrtMg,1w,7w &I; *buss�e; S5'77S Vo -&--t 4 P -Q- 5-0# BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office UseQnly Permit No. 3 roll Occupancy & Fee Checked If 4.11 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) Town of North Andover Date' To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street I& Number Owner or Tenant ll G C' G L� ! C r✓ - Owners Address 4 Is this permit in conjunction with a building permit Yes @� No ❑ (Check Appropriate Box) Purpose of Building CA_Utility Authorization No. E)tisbng Service Amps Vkrts Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work`�/i' OTHER:' INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a'current Liability Insurance Policy includin3kompleted Operations Coverage or its substantial equivalent NO = haves valid proof of same to the Offi ES NO = If you have checked YES please indicate the a of coffer ge by cfiecking the appropriate box SURAN - BOND = OTHER = (PI pecify) CC e �'• ' (Ex iration Date) Estimated Value of Electrical Work$ Work to Star Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME - LIC. NO. NO. 1 �9i 3 Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ `_ a (Signature of Owner or Agent) Total No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Bumers Battery Units No. of Switch Outlets No of Gas Bumers FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices . Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Winn No. Hydro Massage Tuds_ No. of Motors Total HP OTHER:' INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a'current Liability Insurance Policy includin3kompleted Operations Coverage or its substantial equivalent NO = haves valid proof of same to the Offi ES NO = If you have checked YES please indicate the a of coffer ge by cfiecking the appropriate box SURAN - BOND = OTHER = (PI pecify) CC e �'• ' (Ex iration Date) Estimated Value of Electrical Work$ Work to Star Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME - LIC. NO. NO. 1 �9i 3 Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ `_ a (Signature of Owner or Agent) d No v J Date.1.1 -... �`3.... .......... ..... °f"";•�"o TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ...... ..�-+ ... ...........................g w has permission to perform .....'....� $ wiring in the building of ... ...... -......,,� ............................... ............................. . North Andover, Mass. at .�11 2.90 ....................................... ........ Lic. Nm-``qq'' ��l!..!�......................................................... A ELECTRICAL INSPECTOR If} co G+ m WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Ib�i Location ql No, 021 Date ..� NORTH TOWN OF NORTH ANDOVER , # Certificate of Occupancy $ _ �S Building/Frame Permit Fee $ sic Rust Foundation Permit Fee $ Other Permit Fee $ " Sewer Connection Fee $ Water Connection Fee $ I t TOTAL $.5 • ""� 3u� `t Building Inspector Div. Public Works 2 UI �� a ` `Q N z C, N �_ OG zz LA _ -K -K Q � 6 ol .., s r N w- i N " C_ Z Z N , n w F- Z O = < iZd z z V L C I N N r v apt N :J z N ✓1 Z �= , W N O � z o � o Q C - z LU C. x V ul Ul cA Qp' 0 Svc Z CY %) q r zCPLL C z z vni L q C, i � `u V Q z z E... = q Z Z J Lyja,. Z N N C z v J z z a c m a Z Z w Z � x •- V 2 7- C C6. C Z Cz-9 a w < C c �J k i is L jc ~ n 'L' •- Q a N Z z c _ � 3 - Q r'i N p .L W z c m 7F Z T �• Z � y 'J LU 'N � x •- V 2 7- C C6. C Z w < C c z L jc ~ n 'L' •- Q c _ z - Q r'i N p .L W z c m 7F Z T H Z 'Q _ LL) i i I I ! I i i i 41 i i i' Loi 27 � boon � N 0 LoT ,? 8 1 `9,391 4 1 / Loi' z7A: rya I � LOT A f- i �OIZ�I CSI I Lo*1 17 �NL�s. r A- o of L�F� 10 �a AOt2aJtF-t2 S oWo r - p NELDErrl Jo•1/6E 5AL4kjr,, Town of North Andover 'OFFICE OF I COMMUNITY DEVELOPMENT AND SERVICES 30 School Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director COMPLAINT FOR INVESTIGATION DATE: ;FROM: ADDRESS:d'� roaj- V. Tel. #: Complaint Against: I ELECTRICAL: PLUMBING: GAS: BUILDING CONTRACTOR: PROPERTY OWNER: OTHER: (/ Signed: - Jan. '97 BOARD OF APPEALS 688-9541 1 All- rrrL inI t e BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 V'7 1 0 fl.r.c �o `lowsc S ' eve,', alvcf Vt 11 -CA V44,-t,�j No � 4tif c- d4" CIA- Ord'- - -- ---- OklelL /�x tcu lee czlev A'A luzV, C41�44 - AK U-1- 0 1 0 c.s 0 9� Fo P, -e, 4 s f o. 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This does not relieve the applicant and/or landowner from compliance with any applicable local or state law,;' regulations or requirements. - ****************ApplicantE-fills out.this section*********_******** APPLICANT: JoY e -CA /P at) Phone 4 LOCATION: Assessor's Map Number I VV /7 Parcel z Subdivision IV15NC Lot (s) �C �O C✓�S - Street St. Number RECOMMENDAT S OF TO AGENTS: �.'.( e Town Manner i^^�mmcniTc only************************ Date Approved Date Rejemcted `jj 11 woyll< l7 Qvt3( 1Q ob t 6P a , IMdHJ mbb fob, Food=nspector-deal} r/ -0 Sept,c I:�spector-keal t. C 3 M.-,1er:ts /9D.D1. -161/ Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Worts - sewer/water connections - r it e Department Received by Building Inspector M _ 7 1995 Date Lo L,-( 1-1 IOT -26 Lo A: 8529 . oLjdep 8� H ra L PF_.r, F,. 6A L4 d 15 1 t?o �6A_ L 15: VA. -le br:.6 11- 1987 0, 15OX : 1244 H A -Vs k:7 H I L L N1n o1831 * n t - 3NIl 3F1fl1mms 3AOSV TIf i NI 3WVN NM �s61 8 0 100 5 -OlOHd a=ONI-MPV,. Sa01V83dO DMISV19'* 31VIHd08ddV NI 1NIdd 8Wf1Hl 1H0I8ind '1AH1 1SNIVJV N01103108d 80d Nounvo esaao(( SAFI $0 - ' ttDf7lboAs� �o� a�rc:a ry �pc�- ' , •- f ..s+�::�QOa/l/►OY�T�i�bOv O( A/R((Yj-•=xai . .� Vdf1000SNitNIO3°JV'J tNwd 13nn LLIH0Itl --SH3FLLQ • �,.*/,y(+�_ 3 N3HM b30iOH 3141 3iSN30f1iO3. IS _ � 11 3d ONOStl3HiN003ItlWJ.. . I. 36 ISM mann000 siw • r G�! _ "S6 L/10M •90a 4 " U3NOISSIWW00 3W -40 3WUVW IS - ao . (Ek IS r i. UHEJ13H ATMOU.40 ON 33SN3on As 03W-" iuw OnVA ION ' . - • a a . 6:1 1 ONO WdO ONLLSVM) OlOHd •s a£�LJ VW b 3 A V 6921—a?—ZED 4 SS 1S .1. 8*t b31NION'A 1 06VH316 2't95£J £f 6 L/ Li/C t RNON ' 'ON -011 Ilya 3A L03 -U3-. SN0110181S38 S66L/LU/ZL Ilya NOIlt.IIdX3 - ;Imo,:*CA y 90LW.vN WOMB1, S113SnH0VSSVW 30V1d NOld08HSV 3N0 d0 3'J .A13dVS 0119nd dO iN31llisi�!d3 _ _ H1lV3MNOWW00 .:. - S£8t0 tlN 1llk 0'31411 y�l�..lswlwav 1S1vo,}� o oW2 u a31NI0 NtlA '1 X018 81N00 N39 L�31NI0 NtlA �'?IL+ 96/LO/ll uotl,I,dz3 tl80 - adbl G; 5ILLtt uotle�lst6ag `_' 7. a010tl81N00 103AWRI 3NOH • `*�r�l'�'" '7> ��!° �7�'�"""4x��fl� may_/-' � . ' • �—fib �G. �►� ov�,'�w„�1 ��S'"aaNd��% 110 , j m Oxfl ha"o- 0 G I O Z c 3ANN ai �—fib �G. �►� ov�,'�w„�1 ��S'"aaNd��% 110 , j m Oxfl ha"o- 0 G I MIM , 71 x -e G'' lam rvv ►� A'p �, °+�- III k �CP 2 M 5 t it r_ - ��`e p �, KodddAM X XI ll!�3- MOM /01 it 14 O d 0 < s d V - CL C4- LkCE � � p LX XI ll!�3- MOM /01 it 14 � d 0 V XI ll!�3- MOM /01 it 14 r MR f� I -- 014t Tommumalth of Mtt0000usetto / i9eFartment of Public -tfetg - BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No. Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 V-) 4 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 0 1 a ` y (%Yi or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) n F Owner or Tenant U `f C e (� V r �-- Owner's Address Is this permit in conjunction with a building permit: Yes Purpose of Building Existing Service Amps _J Volts New Service Amps Volts NumbetlIof Feeders and Ampacity Location and Nature of Proposed Electrical Work _ No ❑ (Check Appropriate Box) Utility Authorization No. Overhead LJ Undgrnd No. of Meters Overhead ❑ Undgrnd J No. of Meters R OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have) a current Liability Insurance Policy including Comoieted Operations Coverage or its substantial equivalent. YES = NO hI have submitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the appropriate box. INSURANCE BOND OTHER = (Please Specify) (Expiration Date) Estimated Value of E:ectrical Work S Work to Start Inspection Date Recuestea: Rough Final Signed under the Penaities of perjury: FIRM NAME Ay_ - LIC. NO. Licedrensee t C / n Signature LIC. NO. Bus. Tel. No. Adss Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner A t (Please check one) Teleonone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 Total No. of Lighting Outlets I No. of Transformers No. of Hot Tubs I KVA No. of Lighting Fixtures I bove Swimming Pool Arnd. .-- 1n- �_ grnd. ' I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units i No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. I tons Initiating Devices No. of Sounding Devices No. of Self Contained No. of Disposals I No.of Heat Total Totai Pumps Tons KW No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal r—IOther Local C Connection No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have) a current Liability Insurance Policy including Comoieted Operations Coverage or its substantial equivalent. YES = NO hI have submitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the appropriate box. INSURANCE BOND OTHER = (Please Specify) (Expiration Date) Estimated Value of E:ectrical Work S Work to Start Inspection Date Recuestea: Rough Final Signed under the Penaities of perjury: FIRM NAME Ay_ - LIC. NO. Licedrensee t C / n Signature LIC. NO. Bus. Tel. No. Adss Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner A t (Please check one) Teleonone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 f Date............ ..... 2477 opt, .o ,•,ti •, .., ., a` TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that .....,..1 �......? �.... r......... . .............................................. 'n has permission to perform �. ),ij-*o .."...... .fir:.:.,......... �.'.. ....1.� J... wiring in the building of ..%. q c4;..... at .... .�'J..... .� .:`.c .........— ........................... . North Andover, Mass. Fee.... ��.`... Lic. No.....'..� CJS"...... .......... ........................... ELECTRICAL INSPECTOR t WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File �I x v m 0 m m z 0 3 > -4 0 z r , -..� s - -Zi m C A r m o o r c o 0 o w n n tn? s w. I z� � i s>_+ i s r i ti 0 �I x v m 0 m m z 0 3 > -4 0 z A r f s r o o r c o 0 o w n n n s w. z� F z i s>_+ i s r 0 Q y 0 0 x 0 x w> i o> w p n 2 1 O 0 s w �.. f! 1 �r z yy tq 1 r w w t p z o z M ■ ~� np M r :: Z S C C C > >• s s w a 0 = .� o A A r f s r o o r c o 0 o w n n n s w. z� F z i s>_+ i s r 0 Q y 0 0 x 0 x w> i o> w p n 2 O 0 s w �.. M�- z 1 r w w t p z o z M ~� Z 0 C C a 7 i < o A r _O 4 C w � P > A 17) t r w * N � M = A I O 7 M ■ � C f" It * _ s w a a z c a o'g -, " $ 0 s n n n o n 00 c o X .� ■ AA Z' z i w w w r z ->i o D o D o t 0 0 = 0 if r a ~ r m > 0 0 r I 2 N ; i r z > w I tq n X . z " r r 0 Y a D 0 � �o n m A O y C � 03 'O O CD St Z y 0. O =� C . d�. y a Sol CD ov CD o CL cr CD CD O CD, W w al C. 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PI 2 2 2 2 .■j 0 0 0 2 • • 0 ■ 2 • 2 t # C .. n"" r z 30 o• r i .� "°p "4 0 0 0 O I Iz 0 0 0 1 ) z i •M .� 0 I1I x NI 4 a m 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 fills out this section***************** r APPLICANT: /6 */ (-, A;7 VJL CATION: Assessor's m an Nu Pr Subdivision Phone Parcel I Lots) Street J St. Number ---�_. ************************Official Use Only************************ ,70MF�DATIONS OF TOWN AGENTS: r) o t Conse ation Administr for Date Approved' Date Rejected gown Planner Comments Date Rejected —pit Date Approved Foo Ins ctor-Health Date Rejected I Date Approved r -AZ LLSe is Inspector -Health Date Rejected Comments i i Public Works -ewer/water connections x 7—ITLt Z 3�( 7 - driveway Permit 7 Z Fire Department Received by Building Inspector j­,,� -S� -�- Z) P C"') Date o 0 to Cr O. O4cm C4§ CA C4 cl CD a Z a CD 0 06 C O.=r :- an COD d �o C-) C =r go CD ca CL cr CA C! T CD 0 0 w ca C Co 9 com CL CA CD CO) zs N. CD z 7 CD 06 CD o *"PIC wEC-1o to Cr O. O4cm C4§ CA ao a m Z C roil :- 0!! a C36 CL 0= n r" =r go CD ca CA CD C4: .0 0: 0 zs N. 0 CO! - ;& co 06 Sr F CL co 0 O CD C FaCD 0 IM FAAP 64 In =r: C& C-Cws JwcIJ lyop '`` in C4% SCO co) co co a 0 cc" �. CD C:l CS: co) CD O CD: Ot IM: O �q 0 z M 10 Cc: CL to T U,N C)F NOR -1 !--I ANDOVER, IMAS-S.'ACF.6SETTS }IVISiOP1) OF PUBLIC WORKS GEORGE PERNA DIRECTOR 1r'. Y y SS �CHU DRIVEWAY PERMIT Telephone (508) 685-0950 Fax(508)688-9573 Date: 1 �l 7 LOCATION: go F6/2 S S%— BUILDER: phone: OWNER: 2 CE - Z- [Z_3L_(— phone: '7 ?d — 26 The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set --back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: Lot 27 - 2 61or� qo boob N �r lu Loi, ze �9,3g� 4 / Loi z 7 A: r ro + LOT AI a� ISo,00' ' Fr G 0 L �s . .rLA0 of L^- dr, lu fJo . A0 bo Jr- t2 - Mn�s owdr-p g( Nr-LD6rZ 1o•jk:F- �nLGJ�lkc