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Miscellaneous - Gibson Court 3
i �: Location No. / Date Of NORTH 1 f � L 6, 7326 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ __--- Foundation , Permit ee $ l^ Other Permit Fe- $ 1 U C) Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C V Building Inspector Div. 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Street Address 4/0 XA1610V", Section of town �E� d R �SA,�4 � 6e `2/9� To ���' ex/HO�IE..t�NER /�� �jr Name Home Phone Work 'hone PRESENT MAILING ADDRESS 3 / p� D/5� roo'el71 wo. ity/Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code, Section 109.1.1) DEF;NITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work -performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code.and other applicable codes, by-laws, rules and regulations. The undersigned "'Homeowner" certifies that he/she understands the Town or North Andover Building Department minimum inspection procedures and recuirements and that he/she will comply with said procedures and recuirements . ',TrO.ir-;:,,8_,' S SIG:;A--T RE C.9 /Ct '/5/— :?FF R 0'V-I.L Or BUILDING OFFICIAL `;o -. Three :amity dwellings 35.000 cubic feet, or larger, will be u with C, tate Bu�:Q1n5 Code SeCt�On 127.0, Construc__on 5 �a k N - peck I essuPe 7ree�ed LumLer 4 cA44 Cof a �C i �� J�5 yrs aacd 1O"A i �r�; l itis arc% 5 ,V 7 i `awes V, i , Cn m D m m T z D 0 S< m z m �no z Z z -n z r C7 O z En m x D 0 z m z CO) 10 0. Z CD O CL r d tD 0. n� O v CL Q CD O �= CD O CO) CD 0 O CO) 10. O CO) C7 CD O rF ..T CD CD y. CD CO) O CCD 0 CD O b' Q O I ,.. _�'�"�� �_�� #ems d� ,rte v , "`• ��=:..� # �:-;,� C O co O a c r o y;"CL 0 CD O o �0nC0'' �_ -to Z H =r -a N p ^► -00 co TI F'1' .� m a � m ^2 m oCDrA o y o am: CD a O N 0 to 'O O O0 CA c) co CD � O c ?W= aN�: CL aCD.. o 0 0 N to o CD c a3 N ca O D7 N Ncr a C C W CL •ON C N ,y ? y � O N CD "C O CD Co CD � . OJ "t = -0 : T CD 41b 4K co OvAk C C3 G7 a . coo �o''� 2 O CD p CD Cyl CD a: pi x O !r 4z3 .r. 5- W to a) 0 a -o � CD moo: y (D z ° dz xCD c�0 z rl P-4 r � a- o. W C r d z x w O d rA M �O 40 0 c P 3 ru 7 3 Date.. /'4 ....... /—) . 2— . ...... . .... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. . has permission to perform,.�" .. ............... I ................................. wiring in the building of,,..:,... `..L ........ . . ......... .......... at .... Z.'...7 .......... ......... ............. ,North Andover, Mass. Fei�6 ............ Lic. No. % ........ ......................................... ELECTRICAL INSPECTOR Check # U -=� \ Commonwea�� o� /I%ul�ctc%wslld Officiai Use Is Permit, y n cc�� Permit No, e �„p K _(Jeparlatenl of —cc77 ire Se vieaj Z-33 �'- BOARD OF FIRE PREVENTION REGULATIONS Occupancy_and Fee Checked C1.0 el- Rev- 111991 1trly. n,n....n.► APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (�NIEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYI-'E ALL i�Vf OiLVI'l7'ION) llate: City or •l'oa'n of: To the Insf�ector o tYires: By this application the undersi;ned gives nonce ofhis or her intention to perform the electrical work described below. Location (Street & N'umber) Q C Owner or Tenant N �SZ^1�.tES Telephone No. T Owner's Address /� r�/1ddr1 i1StC �eoA Is this permit in conjunction with a building permil'• Yes No -4 ❑ LA '(Check Appropriatel3ox) !'uroose of Building .eh t&J Utility Authorization i`io• --Q-�, Existing Scrvicc !�, dd Anlps �� volts Oycrhead ❑ Und rdn / g �I No: of ilfeters . �L HeirService 5jq% E Anlps /_ Volts Overliend ❑ Undard ❑ b No. of 1•Ieters. Number of Feeders and Ampacity Location and Nature of Proposed Electrical .York: ViC� •C��� ([�M15( ,K Coir lesion of die foll rti ine table maybe waived b -the Iris' ector of Mies No. of Recessed Fixtures No of Ceif -Sus 1' .1-11 F 1 0.0 1 1, No, of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets NO. of Switches No. of Ranges No. of.Wnste Disposers No. of Dishwashers • p. (a e) ins Traltsformcrs otal IiVA No. of Ilot Tubs Generators h1VA Swinlnling Pool �' °� e ❑ 111' ❑ rlld. rnd• iS o. o m 191IN t v Ligil Ing Batt; Units No. of Oil Burners ;FIRIE ALAR1lIS NO. of Zones No. of Gas Burners . o Detection and Initiating- Devices k No. of Air Cond. rota Tons No. of Alerting Devices Heat Pump Nunl er Ions K� 1Vo. of Scl - ontained Area Heating KW ❑011unicipal Connection ❑ Other No. of Dryers Heating Appliances KIV Security Svstenis: No. of No. ol• t o. of Nater No. of Devices or Equivalent Heaters KW WYiring: Sits Ballasts No: of Devices or Equivalent No. Hydronlassage Bathtubs No. vfA1o(ors Total Tip Ielecornmumcatlons � •iratlg:' No- of Deti ices or Eauivalenf (1TTTTT Attach additional detail if desired, or as required by the Inspector of 1Yires. INSURAi`iCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. .The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURf1NCE [/ BOND ❑ O•IHER ❑ (Specify:) 3 Estimated Value of Electrical Work:' (When required by municipal policy.) (Exp tion Date) .Work to Start: ,�' 02, Inspections to be requested in accordance with NIEC Rule 10, and upon completion. I certify, under the pains and penalties of perjug, that the i ifonuation on 111is application is lrrre mrd comple,[e. FIRM NAME: u � ( Hd Y Licensee: �I,IG �'tiv� Signature LIC. 1�0.:��""_� (If applicable, eller-ercrupt" in the license n er fie LIC. �iO.: a�s"3O Address: �Dyt A r ac Bus. Tel. No; - Alt. Tel, No:; Ol�'NER' INSU R:�tiCE tiVAIVER: I am aware that the Licensee does not have the liability insurance coverace normally required by law. By my signature below, l hereby waive this requirement. I am the (check one)❑owner ❑ o�� men's agent. Owner/Agent Sieuature Telephone No. PisR/1fIT FEE; �S