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HomeMy WebLinkAboutMiscellaneous - Exception (59)Location gs-71 (0 JL,I� s�- ` No. q� Date y-ab 03 NORTH TOWN OF NORTH ANDOVER Of ' •' D '' ,4O 9 Certificate of Occupancy $ s'"'°' Eco Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ! J 3 172US AM (C111-1 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMO�LISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / 3 C B� DATE ISSUED: Az M G� SIGNATURE: Building tommissioner/12EL=tor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: U r L�W El /1v J Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R,-1 2. s-, a L w�-�1�. L 2 s 1457 Zoning District Pr osed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Re red Provided 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: Public P" Private 0 Zone Outside Flood Zone Ir 1.8 Sewerage Disposal System: Municipal 8/ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record C5"��Z e't� .0.r• l., aua 2d7lJ+S, l��kc/ S�r�On 11��i eU I / Name (Print) Address for Service 7v- ZGS""- ►� t ature el�phone �—. 71 5(j 7q0,17 �f 2.2 `Owner of Record: e J Name Print Address for Service: 1 nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor:j� NotApplicable❑ —�0.�-��'� `� r`rl� lJrc.a�� a���on5'�• �-�-�- Licensed Construction Supervisor: l.. S T� C4 9lO � License Number 111281 I k I I R C ,n qct 4 �h�d �C 1% Address I UQ 5 - 2 3 1 - �-O "I Expiration Date ignature Telephone 3.2 Registered Home Improvement Contractor Not Applicable r Company Name Registration Number Address Expiration Date Signature Telephone 00 M X z O v 1 D O z M 90 0 on r v M r r z 0 4 SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the builtrmit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Description of Proposed Work check an applicable) New Construction Existing Building ❑ I Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: i ()I- I �OVML W t' Cort S mV cTId- ` ` U GTADrcx�w.a�t `v oZ'(7"c.l�eof 2 S /de kocvwr a 1/..13A Ms / s �b // �WlSlc4 6 /cpDa15— 02!� 8A11hl _ (SC)V41eP SECTION 6 - ESTTMATED CONSTRITMON COCTc Item Estimated Cost (Dollar) to be Completed b pennit applicant 0MCIALUSE ONLY 1. Building � a � (a) Building Permit Fee Multiplier 2 Electrical O e5> '— (b) Estimated Total Cost of Construction �-- /a �J' J J L7 3 Plumbing m m © Building Permit fee (s) X (b) _4- Mechanical HVAC Cy D ap 'V 5 " Fire Protection d2 0 0 —` 6 Total 1+2+3+4+5 C1 / S Check Number gym%-11VIN /a V W INLK AU J nUXMA 11014 1 V Ist UUMFLrul) W IM1V OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1_0 n % S 3 �-"r-. / /"1 Atff r LJ S (3vr ice_ as Owner/Authorized Agent of subject property Hereby authorize My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION'7b OWNER/AUTHORIZED AGENT DECLARATION to act on I, , ohN S 13 r e 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 Inh t 1 'C -h le— Print N Date NO. OF STORIES 3 2 s1zE 1312 13 fO f « BASEMENT OR SLAB ,� q st'n'. SIZE OF FLOOR TIMBERS 1 ,K I U 2 3RD X 10 SPAN 12'(4-12+ 11 ;t ('l If -&'I 12 DIMENSIONS OF SILLS x DM ENSIONS OF POSTS 2 X DINIENSIONS OF GIRDERS " Vj 2 x I •S S V,coi HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 10 X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND ; IS BUILDING CONNECTED TO NATURAL GAS LINE 1/p. S I 1 Nevi D v p (r y FORM - U - LOT RELEASE FORM 3-'a9 - INSTRUCTIONS_ This form is used.to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. sassssss sassssss.■sssssssss■awssa*Massa Bonn ssss�sasasssssssnows aman aaamaaama APPLICANT MCiff &41. " G rec. S'KZ QCPHONE ASSESSORS MAP NUMBER _ 3 LOT NUMBER SUBDIVISION LOT NUMBER STREET -_- - � i 7 — % STREET NUMBER` % pass*.sasasasasssssssasasssasss a-ssss■ss■sssssssssassssas ma'assassassssssass■ OF e1 &L USE ONLY �ssssssss■s.sssssssssssasssassaa.aarasassssresssasss■sasssssssssasssa,s amimaaas■ REC M VIENDATIONS OF TOWN AGENTS ossa Assssa.ssssasssssTa own yissasesso sassssssssssassassessasassssssssesss■ CO SERVATION DATE APPROVED777J d� ADMIt`IIS R DATE REJECTED • t tit 1 DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRrV,EWAY PERMIT 3 .L DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE 0 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be , disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: C'r 0 5 C- 1 0 �&V I 1.,t 5 0. Ka -FrVr, _w (Location of (Facility) Signat rgof Permit Applicant 0 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 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 exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. rnQ W Tl�/\/' e�..�weiCd++Slt`. LOi 17 Co !tl J `l+. Permit Applicant Property address a3 -I} Map / Parcel 1 �6- G $-9 - -2 58 y v ---- Applicant's Phone Number 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 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 is 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 building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. J This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens 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 part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and petmanendy designated as open space 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 This application represents a had of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and 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 fora building permit ( 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 submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW 1 ATTEST TOTHE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT 1S ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUND FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BU11- G P T. a 3 1 0 LICANTS SIGNATtU DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Name Name: The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nerestigatdons Boston, Mass. 02111 Workers' Comparrsation :Insurance Affidavit Please Print Location: City Phone # I am a homeowner performing.all work myself. 1 am a sole proprietor and have no one worldng it any capacity EI am an employer (proving wxorkeW. compensatiare for my employees working on this job. Corn [M name: M el-i}L t %J 3 ✓ rv,, s— Address 61 a Po Ox. OW �3«�� {U 'f�- 03� -i . 6a 3 -231-X05 Insurance Co. Co -.q e.-.-/ Policy # A�fs Fad to Sam" coverage as requir56-underSedivn 2M of Mat 1512 ca 1mdiddW iW and/or one yeage impri�sonr of as_t ILas �n�he3cm� ] CD iuxlerstand that a copy of rias statement rnW Ibeforwarded to the OfBoeof tions /cbherebyawWwmtarthepaftanofpen&A*sofpe#wybWe+re,i►iam idr-vvidbdaboveiserWaodWfAWt/ Signature c �� �1 --�.:1 a w� Co+� �^ 1 - --pate 312 Prird dame Offickd use only do not write in this area to be by city or town dnciar Cdy os dawn = :. P -sins. OC het* I knrnedate nmponse a rerj and Contact person: Phone#: LA Lkensft B Q albcwlaw. n H& -Oh Durr 0 Mer GRANITE STATE INSURANCE COMPANY 13102 PENNSYLVANIA MATTHEW BURKE P.O. BOX 737 RYE BEACH, NH 03871-0000 SEE NAME AND ADDRESS SCHEDULE - WC990610 I_D# MA UI# - '7G _EN 1,BER t+000 WC 217-17-73 --------------------------- 013-66-1003--00 01MMember Companies of American International Group EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 M P ROBERTS INSURANCE AGENCY INC WORKERS COMPENSATION AND EMPLOYERS 1060 OSGOOD ST LIABILITY POLICY INFORMATION PAGE NORTH ANDOVER, MA 01845-0000 INSURED ISI PREVIOUS POLICY NUMBER INDIVIDUAL NEW OTHER WORKPLACES NOT SHOWN ABOVE:Stt NAMt ANU AUUKtSS SCHEDULE - WC990610 I ITEM 2 POLICY PERIOD 12:01 A.M. standard time at the insured's mailing address FROM 10/02/03 TO 10/02/04 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA S. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration ❑ $100 OF Re- muneration Premium ❑ Annual ❑ 3 Year Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $19 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $264 MA MINIMUM PREMIUM $500 MA IVIALtJIIMAIMV MCmIVIVI :2L 2 If indicated below, interim adjustments of premium shall be made: ❑ Semi -Annually ❑ Quarterly ❑ Monthly DEPOSIT PREMIUM ENDORSEMENTS (FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 , w I- - — w r r, n r I . r 11 LL Issue Date Issuing Office Authorized Representative WC 00 00 01 39967 Pagr ' of 1 STANDARD WORKERS' CON.. GNSATION AND EMPLOYERS' LIABILt , Y EXTENSION FORM WC 217-17-73 MASSACHUSETTS Policy Prefix & No. Schedule INTRA/Independent State Risk ID ------------------------- 013-66-1003-00 MATTHEW BURKE Item 4. Classification of Operations Premium Basis Rates Entries in this item, except as specifically provided elsewhere in this policy, Code Estimated Total Per $100 of Estimated do not modify any of the other provisions of this policy. No. Annual Remuneration Remuneration Annual Premiums RATING GROUP: 0001-01 CARPENTRY NOC 5403 IF ANY 16.09 CARPENTRY - DETACHED ONE OR TWO FAMILY 5645 4,50C 9.93 447 DWELLINGS CARPENTRY - DWELLINGS - THREE STORIES 5651 IF AN 9.93 OR LESS STATE OF MASSACHUSETTS TOTALS TOTAL CLASSIFICATION PREMIUM 447 INCREASE LIMITS 1.00° 9807 4 EMPL MINIMUM DIFFERENCE 9848 46 TOTAL UNMODIFIED PREMIUM 497 MODIFIED STANDARD PREMIUM 497 LOSS CONSTANT 0032 3 UNDISCOUNTED PREMIUM 500 DISCOUNTED PREMIUM 00 EXPENSE CONSTANT 0900 264 TERRORISM RISK INS ACT 2002 0.03 9740 TOTAL ESTIMATED PREMIUM MACHWC (SURCHARGE) 3.70 96go 11-9-1 TOTAL DUE 784 WC 7754 (Ed. 4-81) See Name and Address Schedule - WC990610 9 MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release Ia TITLE: GREENLANDFCONST > CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 03/25/04 DATE OF PLANS: 03-25-04 PROJECT INFORMATION: NEW DUPLEX COMPLIANCE: Passes Maximum UA = 515 Your Home = 502 2.5% Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss Wall 2: Wood Frame, 16" o.c. Window 1: Metal Frame, Double Pane with Law -E Door 1: Solid Floor 3: All -Wood Joist/Truss, Over Unconditioned Space Floor 4: All -Wood Joist/Truss, Over Outside Air Furnace 1: Forced Hot Air, 84 AFUE Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA 1294 0.0 19.0 62 3139 0.0 19.0 226 338 0.410 139 82 0.280 23 1190 0.0 19.0 51 25 0.0 19.0 1 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release Ia. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 03/25/04 TITLE: GREENLAND CONST Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 continuous insulation I Comments: Above -Grade Walls: [ ] I 1. Wall 2: Wood Frame, 16" o.c., R-19.0 continuous insulation I Comments: Windows: [ ] I 1. Window 1: Metal Frame, Double Pane with Low -E, U -factor: 0.410 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] ( 1. Door 1: Solid, U -factor: 0.280 Comments: I Floors: [ ] I 1. Floor 3: All -Wood Joist/Truss, Over Unconditioned Space, R-19.0 continuous insulation Comments: [ ] I 2. Floor 4: All -Wood Joist/Truss, Over Outside Air, R-19.0 continuous insulation I Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air, 84 AFUE or higher I Make and Model Number Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling Cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm -in -winter side of all non vented framed ceilings, walls, and floors. TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Telephone (978) 685-0950 Fax (978) 688-9573 DRIVEWAY PERMIT June i, 1777, L—viouu vv -v• (Please Print) DATE: �'� STREET & NUMBER:/ " %% �` �� I` LOT NUMBER: CONTRACTOR: ADDRESS: TEL: FAX: !/� t OWNER: � CD('ecn.\G.�.c� Co�.S�2•���TEL: ADDRESS: PROPOSED PLAN OF DRIVEWAY ATTACHED: PROPOSED SITE DISTANCE: DIG SAFE NUMBER: C SITE INSPECTION IS REQUIRED BEFOREOUR �FINOTIFICACE ISATION OF COMPLETION. INSPECTION WELL BE MADE WITHIN INITIAL INSPECTION FINAL INSPECTION DATE: BY: DATE: BY: FAIL URE TO COMPLY WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT: APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROM MEETING ALL OF THE REQUIREMENTS pE�ORMED WITHIN THE STREET PA VEMEN�ET OPENING PERMIT IS REQUIRED Attachments made a part of this permit: Form U & Driveway Application Requirements Sketch "A" Proposed Driveway Plan, dated 06-01-99 Sketch `B" Typical Dri. =dated 1-99 _DATE:"20 APPLICANT SIGNATURE: I)IVISION OF PUBLIC WORKS SIGNATURE: �' DATE: ,rnl U & Drivewati, Applications Rev 6-7-02 v� 56 3 APPLICATION FO� SEWER SERVICE CONNECTIONS North Andover, Mass.�G' "� 119 1 ) Application by the undersigned is hereby made to connect with the town sewer main in 7 V f Street, subject to the rules and regulations of the Division of Public( Works. The premises are known as No. or subdivision lot no. 1-3 Owner Address Contractor Add s Applicant's Signature PERMIT TO CONNECT WITH SEINER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date Street Street Division of Public Works By f See back for rules and regulations APPLICATION FOR WATER SERVICE CONNECTION j North Andover, Mass. ��-04 �4 i'_ Application by the undersigned is hereby made to connect with the town water main in ��21`� i Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. �G fi �� t Street or subdivision lot Owner Address Contractor Add s A licant's Signature i re -4, le. r PERMIT TO CONNECT WITH WATER MAI The Board of Public Works hereby grants permission to �rlC Z::5c> A to make a connection with the water main at 6. 9 v / Street subject to the rules and regulations of the Division of Public Works. Inspected by Date Boar of Public Works By See back for rules and regulations ` ..'/ire tranrnraxcuea�l/r cf"ll�,�,r�t�� BOARD OF BUILDING REGULATIONS "-' License: CONSTRUCTION SUPERVISOR Number: CS 077696 Birthdate: 11/28/1970 Expires: 11/28/2005 Tr. no: 7668.0 Restricted: 00 MATTHEW J BURKE 71 SUTTON HILL RD NO ANDOVER, MA 01845 Administrator ,dire (coneiitortuee�l(� of , i�tsule/rtt,�,lls BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077696. Birthdate: 11/28/1970 Expires: 11/28/2005 Tr. no: 7668.0 Restricted: 00 MATTHEW J BURKE 71 SUTTON HILL RD NO ANDOVER, MA 01845 Administrator Cd 4n "Ilk W M N Z o a t a.. um c t1C4i 0 V! � L oZ yi E w 0 3 a Q �D6 ° a o ? c c : ��, CL t m rn W M / 'c N U1 D_ � Em c z o c 3 co o kE c c Q: •3o o m� E= tn u W a „q �► E� ami aj cou naso cLLI Q o � • 0. 0 o n - >AM° = ao c W .� � v> � v Q = ° a° m a H C V N O M O �- ac osc -0:!.! ui E aH-0 c �E Q� U a ° c. N LL n H H 0.0m t • o t iE o• ,�4.6 c o� n p ue�, 1-; c �a�a o. > E- m ,. 6 z /i L 0 o .UMo QC Cc CJ U cc is L'40:91% c � 0 CLy� dv4A�o u � 4A: S E a:= i m C • y�t J• CD c � cil. In • � c C Ira y V y o Em m 0 L: m m ; S o y '7 O; m o Co V N O c Q ` hCL m c o Z r,., c LL 'y o H y •d=M C Z oc E ca C o y0 m cc 0y'C H t ��. COR m� a� 0 E coz G H .E co L a rom CO2 O CL O V CO) C O U UA c CO) 0 U) Cn w w crw U) x a x z w x v P-4 z w w p h w w a cc z A d v o >. A� o v U p w 0 o a w° C� .0 G w° U x o G cw u. w o q o G �. E cn cn L 0 o .UMo QC Cc CJ U cc is L'40:91% c � 0 CLy� dv4A�o u � 4A: S E a:= i m C • y�t J• CD c � cil. In • � c C Ira y V y o Em m 0 L: m m ; S o y '7 O; m o Co V N O c Q ` hCL m c o Z r,., c LL 'y o H y •d=M C Z oc E ca C o y0 m cc 0y'C H t ��. COR m� a� 0 E coz G H .E co L a rom CO2 O CL O V CO) C O U UA c CO) 0 U) Cn w w crw U) O z rA Fj a 0-Wi f Alk` o 3c�. o� O:a.4. cc cc ci o fi E a m c s o. y IL E� CM o m V m C, E L. ce pCL �'tn m3�= o: .�_ `i �—ycc c y m CP ? COL 12 N Z Z O Cf .s cCQ 5 GO 'COL C = m LA ByZ o` Cc Nip O` •m�, U: o a c o y m o H m z Lu co `� � u r •• ... •N CL. CLU C.3 4D Z COD a m�o� = W .0 ` y o F- z saam T M �I 0 CD 0 z im y CD y 16. .c }• O CD eov :moi CO3! O .Q COD O C _cc CL COD r�mftl L 0 CL y c a� CM c o � v ■M�y� W W W 19 W W 19 W U W W O O v A PQ w G ° w ° [ :c yw oG U x a: X. rx w u: x c4 cn cn a 0-Wi f Alk` o 3c�. o� O:a.4. cc cc ci o fi E a m c s o. y IL E� CM o m V m C, E L. ce pCL �'tn m3�= o: .�_ `i �—ycc c y m CP ? COL 12 N Z Z O Cf .s cCQ 5 GO 'COL C = m LA ByZ o` Cc Nip O` •m�, U: o a c o y m o H m z Lu co `� � u r •• ... •N CL. CLU C.3 4D Z COD a m�o� = W .0 ` y o F- z saam T M �I 0 CD 0 z im y CD y 16. .c }• O CD eov :moi CO3! O .Q COD O C _cc CL COD r�mftl L 0 CL y c a� CM c o � v ■M�y� W W W 19 W W 19 W ('1VhIMj a m A k K 4'y '+nrPx • ".h csGtics � CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER B ilding Permit Number (,5-X 323 Date ao©s THISERNES THAT TSE BUILDING LOCATED ON q �6) T1 , ` -/- G / MAY BE OCCUPIED AS �'�5 i CAP- A' o?`l 3, 4ts / // UNWe,- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Cl'k s' e U Z A nv 4C Building Inspector M5 �7 t w o 3 0 C2 FAh+ o = C •�;mo o r 4g H E� An :moo 'A ts CD a� MH m r1 0 Li :yam c E'm Amo aw L cnm v�mm 12 t= O co 32 d = o f = m cj y Z `o !.: m> o CL = CM a � :gym= s m :mea o d; CL m z W 0 �+_+•flZ r •E V •p v to O LU CDC.3 CL .mp .0 32 *3 o F— t 0Q*..m S O w a C C CA o•- 'C E O L 0 � Z as Q. O O y � W Lft a) lu O aLLI CM< W oS c Cc W CO2 Z C 0 CL C.3 U O aIZ CLH yc° G W O 7 a�' u W. w w cn cn cn M5 �7 t w o 3 0 C2 FAh+ o = C •�;mo o r 4g H E� An :moo 'A ts CD a� MH m r1 0 Li :yam c E'm Amo aw L cnm v�mm 12 t= O co 32 d = o f = m cj y Z `o !.: m> o CL = CM a � :gym= s m :mea o d; CL m z W 0 �+_+•flZ r •E V •p v to O LU CDC.3 CL .mp .0 32 *3 o F— t 0Q*..m S O w a I C C CA o•- 'C E O L 0 � Z as Q. O O y � I C C CA o•- 'C y •� m m 0 W Lft a) lu O aLLI CM< W oS c Cc W CO2 Z C 0 CL C.3 y C O c CLH io, k\ Location /, " ro Y C," 4 S� No. Date i Check # qn 0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ --� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �60 17326 AMA 1 G- c/ Building Inspector E I L., ROBERTJ.BURKE ESTATE I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BYLAWS OF NORTH ANDOVER WHEN BUILT � sq� �(-/ 5-- 0 (f CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE. -I"=40' DATE.512112004 Scott L. Giles P.L.S. Frank. S. Giles P.L.S. 50 Deer Meadow Road ROBERT J. BURKE VILLAGE GREEN North Andover, Mass. ESTATE S' ' 85°28'5 5" EN 87°3627 0.375 6.005 ., N N W ca w 9(5-- � 17 c-6 to i -f- s �� ASSESSORS MAP 23 PART PARCEL 17 24,574 S.F. PART LOT I OF PLAN #6178 AND LOT #179 OF PLAN #597, 61'+/- EXIST. FND. a t 115.00' I F' S 87°36'27 W COTUIT STREET OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. N/F VINCENT PLAN #9238 N.ER.D. EEXIST.LING S/Z// zoo¢ 9 5 Pam I PIR FLOOR, rz� Aktvc- 1-0 0 P— I t) PLA Pp -f ok TO WIXIF lul OF o- L- Ow OTToo-, 4`�. 16LA43 �z E! c44pV.ED sl /E f�)v- r-,L,o.P,P r-0,AN-,ivr, 10" PwIll"AtIoN LvA L,. l- 3000 PS I 60AX X67C J- V, 3 (OATtVJOdS 2.4 BA04- f4LL i3oT4 �q)ES C>F- Low6-R, VqALL PP00?, 10 OF UPPI-IR I 3'-Z- 'S REA-P, Fl�,L 1-0 WA,U-� TO Sa ,�,- 6- g?eo 39?- 83(5 OF LAWRENCE 27765 LY4— Ko Q/STe- SS�aNAL 0 Ylj D F -T L see, 4- 8a m Pam I PIR FLOOR, rz� Aktvc- 1-0 0 P— I t) PLA Pp -f ok TO WIXIF lul OF o- L- Ow OTToo-, 4`�. 16LA43 �z E! c44pV.ED sl /E f�)v- r-,L,o.P,P r-0,AN-,ivr, 10" PwIll"AtIoN LvA L,. l- 3000 PS I 60AX X67C J- V, 3 (OATtVJOdS 2.4 BA04- f4LL i3oT4 �q)ES C>F- Low6-R, VqALL PP00?, 10 OF UPPI-IR I 3'-Z- 'S REA-P, Fl�,L 1-0 WA,U-� TO Sa ,�,- 6- g?eo 39?- 83(5 OF LAWRENCE 27765 LY4— Ko Q/STe- SS�aNAL 0 Ylj D F -T L see, 4- 8a m MAY -11-2004 06:05 PM LARRY OGDEN 978 352 2858 P.01 Nora I LOO R. Flukm, Oro $ P.. I AJ fkA C..F- Nook TO W.,Y,F- 'u. o F 4T, is OV 211 1.,. 06.01,v 4r/�i�Q4- 9?5 -)ga 83113 LAWMENCI — v AAJ t4 2n S NAL E 3 ODS P ! 7,, WA --LL t,P (U. j NOTE t ov gAcy� PLL k3dr4.... loes or. Lowe YN A L%- PR � 0R 'TO G4 5 1'� iv 6- I lz'k 3 PW Tt o) eo,*f�, DETA I L EPO,C.(- F% U- A-0J(4.(-C,Aoj- TO L"A-U.­S 1..,:) 13e MASSACHUSETTS (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 115� &,p 7—u l l 5% New � Renovation APPLICATION FOR PERMIT TO DO PLUMBIN Name (s74C/ A/ LA -41V 4e.yj Replacement ❑ FIXTURES Date 9'-// —G [� Permit #77=7 Amount 3 n a Plans Submitted Yes 11 No ❑ (Print or type) _ Check one: Certificate Installing Company Name G �Ilc F ����//_' Tj Corp. Address y L!/ �� ❑ Partner. Business Te ep one q 7 Q - s'j S/G 5 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner D 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code,�* Chapter 142 of the General Laws. APPROVED (OFFICE USE ONLY Type of Plumbing License i s yo De ❑ cense 1,411mDer Master Journeyman E3— HORT1y O 9 T • � • 1SSACMUSE� Date'ap.'.��-! Y.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that.... ................... . has permission to perform ...%i <• �. ./ /�.!-r.. ............. plumbing in the buildings of .. (Ar-. ^:r7.< !,.1 .'^. 4........... . at ...q.-? . .C. G. ?.<. t .. 4 ................. . North Andover, Mass. Fee 30d. '" . Lic. No. ......... . iILUMSING INSPE Check # S (� C� G) 38 4 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 77 eO l v i / f / Ownets N me f?, of TION FOR PERMIT TO DO PLUMBIN p.�iJ C� ti i Date 8"-11`G e/ Permit # C Amount 2 y e, New Renovation Replacemen{ Plans Submitted Yes ❑ FIXTURES No 0 (Print or type) Check one: Certificate Installing Company Name ,�;�y� %Ze 1-1 Corp. Address j% 'el"d ow M Partner. Business Telephone j 7 $ , 8 -<-/ 3,14 s l 1:1 Firm/Co. Name of Licensed Plumber: C r o de r' Me, �//� T,��� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © Other type of indemnity D 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 Signature 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code an hapter 142 of the General Laws. (OFFICE USE ONLY Type of Plumbing License ti"'yo ,2 Mcense Mumoer Master❑ Journeyman M f Date . ,; .-,/./.-. 9 . �� ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. l?.,/.�C�.c, s .- -e ....................... has permission for gas installation .. -4 u. wjl: ........... In the buildings of . �'t-.11r'ec� .1 e i -i I ....................... at ... .? ..G'.G A' % . t1c ............. . North Andover, Mass. )" Y. c R40.9.—. ..Lic. No.l.. ... GAS INSPECTOR Check # .j v 4809 MASSACHUSKM UNIFORM (Type or print) NORTH ANDOVER, Building Locations �7 CC Tu t% ! / 5 T s Name New Renovation Replacement FOR PIIMI' TO DO GAS FITTING Date �-- // O y Permit # Amount $ Plans Submitted 11 (Print or type) Chec one: Certificate Installing Company Name 4"G /� e�', /. /�y Corp. Address y JAG Gf/ dG �� Partner. Business Telephone q 7 g S/ s/G S 0 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ED-, No 13 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 123 Other type of indemnity 13 Bond 1 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 0 Agent 0 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 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. City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 0 Plumber 0 Gas Fitter License Number Master Journeyman a w a a o o a x H v4 d z Z o H w � W w O O a a z E" wOG VA 1 z z O w O W p O wU A U a04 > A 0a ] Cw7 SUB -BASEM ENT BASEMENT 1ST. FLOOR n 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) Chec one: Certificate Installing Company Name 4"G /� e�', /. /�y Corp. Address y JAG Gf/ dG �� Partner. Business Telephone q 7 g S/ s/G S 0 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ED-, No 13 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 123 Other type of indemnity 13 Bond 1 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 0 Agent 0 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 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. City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 0 Plumber 0 Gas Fitter License Number Master Journeyman Date..'.// : C�,`....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. /,Ay -. -:,..0 . f.. ...................... . has permission wfor gas installation ..A A. t. c -r .. /-/P. .-.... ....... in the buildings of ...�` �'. `.`.. C. ti ... ��................... at ...9. ? ..cc,. ............ . North Andover, Mass. Fee. ,%Q.o. "r Lic. No.. %?:.Yc,...�-r^-�,f--�.. . / &SINSPECTOR Check # S- C �y 4810 MASSACHUSE-M UNIFORM APPUCATON (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations vT U/ Owner's Name New Mo- Renovation Replacement PERNW TO DO GAS HUNG Date 5,7- f/ • © L/ 7- Permit # Q Amount $ Plans Submitted (Print or type) _ � T Check one: Certificate Installing Company Name ��% �� GGCorp. Address y 19AV Partner. rA o,/r Business Telephone El Firm/Co. Name of Licensed Plumber or Gas Fitter is 111zG /I G/_ �� E 4-1 IF %T% INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Ef No O If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy al Other type of indemnity 0 Bond D Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapt%142 of the General Laws. By: Title City/Town 1APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber l 5-41,0 Gas Fitter License um er Master Joumeyman w � ° H x CA U wZ CA UB -BASEM ENT ASEM ENT ST. FLOOR [2N D. FLOOR RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) _ � T Check one: Certificate Installing Company Name ��% �� GGCorp. Address y 19AV Partner. rA o,/r Business Telephone El Firm/Co. Name of Licensed Plumber or Gas Fitter is 111zG /I G/_ �� E 4-1 IF %T% INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Ef No O If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy al Other type of indemnity 0 Bond D Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapt%142 of the General Laws. By: Title City/Town 1APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber l 5-41,0 Gas Fitter License um er Master Joumeyman I 0 06 W M LL 0 uj U umm LL *own w `9 I F Sk Date......0 NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... . . ..... . ......... TV(' ...... has permission to perform .... 64 ... e4f ..... ......... ................... y5 ............... wifing in the building of . ......... / ................ at. .7.477 rth Andover G�r .M ...... e;L.- s 6 c. No./� ................ >ECc7*rRicAL INSPECTOR Check # S 4 i I ? V_ w •�".�� Crommanwsauh at it/aa .1JsPar�rnsttf o� }ire . BOARD OF FIRE PREVENTION (ALL W OM TO rw, VIIII.O Ya0 vO.r / . A (Rev. 11199) //� Permlt Number. V Occupancy & Fee ,TIONS THE MASSACHI)MM ELECTRICAL CODE 527 CMR 1200) Date: r-' / 7 y City or Town of: AX-� 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) �-- % 7 C& 7— Owner Owner or Tenant: �" �'" 4 -r h Ar Owners 7 Is this Permit in conjunction with a Building Permit? Yes e/tdo '(Check Appropriate Box) Purpose of Building: //v Utility Authorization #: / Existing Service: Amps / Volts Overhead Q Underground.❑ #of Meters f 3 S-7/ New Service: _ w Amps xv 1 2 Y G Volts Overhead �� Underground.❑ # of Meters. • Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: No. of Recessed FixturesNo. of Ceii.•Susp. (Paddle) Fans No. of Trenstormers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swln)ming Pool: Above ground o In Ground (3 # of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding # of Self Contained Detection/Sounding Devices Local c Municipal Connection o Other o No. of Switches No. of Gas Burners . No, of Ranges No, of Air Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number. TONS: KW: Security Systems: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data wiring, No. of Devices or Equivalent: No. of Dryers _ _ Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP 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 �equivalen�t. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit Issuing office. CHECK ONE: INSURANCE � BOND t7 OTHER a Please specify: Estimated Value of Electrical Work S (When required by municipal policy) Work to Stag: k--17— G Inspections to be requested in accordance with MEC Rule 10, and upon completion I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. o Finn Name::JJ;,/ LIC. # ! IF I i_.cPP*16// v" / _f SOh t !/� SlonatureY LIC. # p 3 3 e license fffimber line) Bus. Te ��7-2,e!EZ Alt. Tel. # OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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 a OR Agent o Signature of Owner/Agent Telephone # PERN11T FEE: S22 . �"'\ L.OAtJ7fOrnf/aaLLtt Or' ///QddaCi LC! rv� vmw ..a. vuq (Rev. 11199) C c�/c1 t C7L Permit Number. V CltAlaJis O� J, r"e P Occupancy & Fee BOARD OF FIRE PREVENTION GULATIONS A APPLICATION 0 PERMIT TO PERFORM ELECTRICAL WORK (ALL WORKTO BE ERF WnH nMMASSXOUMM ELECTRICAL CODE 527 CMR 1200) PLEASE PRINT IN INK OR TYPE ALL INFORMATION' Date: 7 y - City or Town of: 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) 7 Owner or Tenant: 1� Owner's Address: Is this permit in conjunction with a Building Permit? Yes 2,--Jq�ob (Check Appropriate Box) Purpose of Building: v Utility Authorization #:' /?,F S— 7 Existing Service: Amps / Volts Overhead Q Underground.[]. # of Meters New Service:3 e-e_AMPS /Z'0'o; / 2 Y 411 Volts Overhead �� Underground.❑ # of Meters: Z— Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: Pool- I— No. of Recessed FL tures No. of Cell,-Susp. (Peddle) Fens No. of Transformers Total KVA i No. Of Lighting Outlets No. of Hot Tubs Generators KVA • No. of Lighting Fixtures Swimming Pool: Above ground o In Ground o # of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners Fire Alarms # of Zones # of Detection & Initiating Devices No. of Gas Burners # of Sounding Devices: No. of Switches # of Self Contained Detection/Sounding Devices No. of Ranges No, of Air Conditioners TOTAL TONS: Local c municipal Connection o Other o No. of Waste Disposals Heat Pump Totals: Security Systems: Number. TONS: KW: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data wiring, No.. of Devices or Equivalent: No. of Dryers s _ Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER: # of Hydro Massage Tubs No. of MotorsTotal HP 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 Thhee.undersigned certifies that such coverage is In force, and has exhibited proof of some to the permit Issuing office. CHECK ONE: INSURANCE t�Y BOND o OTHER o Please specify: Estimated Value of�E/lectrical Work $ (When required by munidpal policy) O^ G `/ Work to Stag: /7 Inspections to be requested in accordance with MEC Rule 10, and upon completion I cer ti fy, under the pains and penalties of perjury, that the Information on this application is true and complete. G Finn Name: ✓�h / %� LIC. #� Licensee:/;;vs �/`�"! s !�'� Signature•' LIC. • Of applicable, on r ' pt" In a Ilcanse fifirnber line) r � Address: Y v/ % Bu� 7e1. # 2 Lv AIL T.I. # OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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 o OR Agent o Signature of Owner/Agent Telephone# P=,nTFEE 5 ; 1116w& /- i2 -os- To rce C o vG ! 7 OL TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... D...L:......5-xim zZ.............................................. Iias permission to perform ......0, t� S - y.......................................................... wiring in the building of ....... ........................................................... at ...........1�.........................................../,North Andover, Mass. Fee....Lic. No...... .. ............. .. � t'4 ..�.. �`................ ELECTRICAL INSPECTOR Check # 5r+9-7 �� Convxonrrrar� o� �%�ute.11, ..Uspar�msrrf o� � S'••� BOARD OF FIRE PREVENTION RFGULAT,1'0� (ALL WORK TO BE PERFORMED PLEASE PRINT IN INK OR TYPE ALL INFORMATION City or Town of: /l/ ANDOVER By this application the undersigned gives notice of his or h Location: (Street & Number) ;r3'�7 /2?7 r,,y (Rev. 11/99) For Office Use only �p► Permit Number. !TT, Occupancy & Fee ELECTRICAL CODE 527 CMR 12:00) Date: To the Inspector of Wires: lionto perform the electrical work described below. 'r sr Owner or Tenant:_ r G� Owners Address: X38'7/ Is this permit in conjunction with a Building Permit? Yes ❑ No (r (Check Appropriate Box) Purpose of Building: Utility Authorization Existing Service: Amps / Volts Overhead p Underground. ❑ # of Meters New Service: Amps %Zv / 2- `lam Volts Overhead � Underground.0 # of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: 7—e - t No. of Recessed Fixtures No. Of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Cell: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool: Above ground ❑ In Ground ❑ No. of Oil Burners No. of Transformers Total KVA Generators KVA # of Emergency Lighting Battery Units Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding Devices: # of Self Contained Detection/Sounding Devices Security Systems: No. of Devices or Equivalent Data Wiring, No. of Devices or Equivalent: Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP 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 equivale a undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE &l BOND o OTHER G Please specify: Estimated Value of Electrical Work 5 (When required by municipal policy) Work to Start: % 2 / O Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. Firm Name: Licensee: Gv // Signature LIC. (if applicable, ent r" t" In the Ilcens hnr rr.,er wvnCK-b trrsuRANCE WAIVER: I am aware that the Licensee does not waive this requirement. I am the (check one) Owner ❑ OR Agent ❑ Signature of Owner/Agent- 7f--- X fG c . Tei. # % '214' Aft. Tel. # the liability insurance coverage Telephone #• By my signature below, I hereby PERAUT FEE: S No. of Switches No. of Gas Burners No. of Ranges No, of Ar Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number. TONS: KW: No. of Dishwashers Space /Area Heating: KIN No. of Dryers L. Heating Appliances Kyte No. of Transformers Total KVA Generators KVA # of Emergency Lighting Battery Units Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding Devices: # of Self Contained Detection/Sounding Devices Security Systems: No. of Devices or Equivalent Data Wiring, No. of Devices or Equivalent: Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP 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 equivale a undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE &l BOND o OTHER G Please specify: Estimated Value of Electrical Work 5 (When required by municipal policy) Work to Start: % 2 / O Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. Firm Name: Licensee: Gv // Signature LIC. (if applicable, ent r" t" In the Ilcens hnr rr.,er wvnCK-b trrsuRANCE WAIVER: I am aware that the Licensee does not waive this requirement. I am the (check one) Owner ❑ OR Agent ❑ Signature of Owner/Agent- 7f--- X fG c . Tei. # % '214' Aft. Tel. # the liability insurance coverage Telephone #• By my signature below, I hereby PERAUT FEE: S • �'\ Lonamonioeal� of /i/add�tude�! BOARD OF FIRE PREVENTION REGULA (ALL WORK TO BE PLEASE PRINT IN INK OR TYPE ALL INFORMATION City or Town bf: hl., ANDOVER By this application the undersigned gives notice of his or Location: (Street & Number) z 5 (Rev. 11M)For Office Use Only Permit Number.. Occupancy & Fee ELECTRICAL CODE 527 CUR 12.00) Date:. 2 / - ti C/ To the Inspectorof Wires: tion to perform the electrical work described below. r , Owner or Tenant: �r c �, /a /vd dST A_/ Owners Address: ' !f . a5�"7/ Is this permit in conjunction with a Building Permit? Yes ❑ No (r (Check Appropriate Box) Purpose of Building: Utility Authorization # 5�� -36 Existing Service: Amps / Volts Overhead 0 Underground.❑ # of Meters New Service: L Amps 2 12 Volts Overhead 10`� Underground.❑ # of Meters: { Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: No. of Recessed Fodures No. of Cell: Susp. (Paddle) Fens No. of Transformers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fbxtures Swimming Pool: Above ground o In Ground o # of Emergency Ughting Battery Units No, of Receptacle Outlets No. of obi Burners Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding Devices: # of Self Contained DetecdordSounding Devices Local o Municipal Connection o Other a No. of Switches No. of Gas Burners No. of Ranges No, of Air Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number. ' TONS: KW: Security Systems: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data Wiring, No. of Devices or Equivalent: No. of Dryers L. Healing Appliances KW Telecommunications Wiring: No of Devices or Equivalent No. of Water Heaters KW No. of Signs. _# of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP 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 equ=BOND a undersigned certifies that such coverage is In force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE �o OTHER a Please specify: Estimated Value of Electrlcal Work S (When required by municipal policy) Work to Start: _ 2 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. Firm Name: -% f 3 LIC. # Licensee: a�4' Id, s Slgnsturaa LIC. 0. 3 j (If applicable, ant pt' In the flcens ber line) Address: 1 l -e S �— S' -- !1—Bua Te # L AIL Tel. # OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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 o OR Agent c Signature of Owner/Agent Telephone # pT FEE S 5 Town of North Andover FORTH 0 ,LEO Building Department,a *� �s 27 Charles Street 0 North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 ro L:,. ��" # p_ Co wcHt wK.. 7' 4) Mc_ APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 1!;� 7 CAo.-u'r� a LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF 1� STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING A.P.W. — WATER METER 1� DATE D_P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION. -J� S,4 r m %�ZOI /,5r a � aN 2 t,M ! r3vtf 3 n �P ren (6, � S4zt� 6aaexa)� l jz�vm5,Z'h B 1511 fy J —q% co7.I T SA Date. IF: l/_°. `! . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . I/.y .� !L....<................ I ............ . has permission to perform . WA % :.. ................ plumbing in the buildings of ............. at ..... g . !� .. �. �.� �^..1 ............ . North Andover, Mass, Fee.. Gt,'. Lie. No.. !.>..`.'.4 .1 ...... .11'. ,�:`�. '........ PLUMBING INSPECTOR Check # 6'i 39