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HomeMy WebLinkAboutMiscellaneous - 122 Stevens Street ��. !� f rr� �. I', �� ��,�� �" �h, �E�RS'Fj �fKgV. rbc fna ��hd'•tt • 4• 4 dG. NORTH ANDOVER BUILDING DEPARTAENT ~ fi C'MrECiY,rw1• .1600 Osgood Street ��sACH�5 Tel: 978-688-9545 Fax: 978-688-9542 .73'rlSME S FORMFOIZ TiORZ CLEC DATP-. NATvM c� ADDRENh+'! Ku -Z®N NGDISTBRYC T: BMDlNGr_AY0DTPR0VlDBD: YES N AVAILAMERPARMGMAMN., ZONt NG BY LAW MAGE: YES NO DUMDINGMT EdTIAA 9IGNA.TUPX RUSM 8S FORM FOR TOWN MERK 2,4o Horne Occupation(1989132) An aecessoty use conducted withm a dwelling by a reside$ wha resides is the dwelling as his principal address, which is clearly Recondaryto the use ofthe -building.for lzlnnA Pluposes. Home occupations shall Sclucte,"but iiot•limited to the following uses; personal services such as funrished by an artist or instructor, but not occupation involved with motor vehicle xepairs, beauty,pallors, animal kennels, or the conduct of retail business,or thenmufacturing of goods.,whi&impacts go residential nature ofthe neighborhood; 4. For use of a dwelling is any residential district or multi-family district for a home occupation,the following conditions shall apply: a. Not more than a total of fh o(3) people may be emp dyed xn.thd some occupation, one of whom shallbDifiu vnieroftlidho -cbgpatioi and residingzr�i dj��I&g; b. The use is carried on strictly v&binthe principal building; o. There shall be no edor alferafions, accessary buildings, or display which aro not custowW with residential biffl xgs; d. Not more than twm-t,flare(25)percent of the exis qg gross floor area,of fho dweJlhlg Unit. so used, not to exceed one -thousand (1000) square feet; is devoted to'such use. fn connection with such use,there is to ba kept no stocl in trade, commodities or liroducts which occupr space beyond these Wfs; e. There will be;no display o£goetis or wares visibleRom the street; f The building or premises occupied shalt not be-gendered objectionable,or detrimental toy6e residential. character of the neighborhood due td the mterior appearance, emtssiolf of odor,: gas, smoke, dust, noise, distarbanee, or in any ather way become objectionable or detzimentalto anyresidentialuse wiftuntheneighbarhood; g. Any such building shall include no leatuzes of design_not cusmmW in.bindings for residential use. ,signature � y IR s Date. .. ..�. ... ........ . 4 „ORTM TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION • 9e .� f ` e C �,SSAC MUSES p This certifies that has permission for gas dinstallation . om . . . . . min the buildings of . . . . . . '" :-r^ ! . . . . . . . . . . . . . . . G' _tel.-� at .�� . . . . . . . . . . . . . . . . . . . ... . . .. North Andover, Mass. Fee ?.�F. . Lic. No.. /J t/ "GAS�NSPECTOR Check# ✓c �" F s 6044 �► Commonwealth of Massachusetts official Use Only Department of Fire Servlee Permit No. >r5 / BOARD OF FIRE PREVENTION REG LATIONS Map&Parcel i J PERFORM' ELECTRICAL FOR P RMI TO PERFORM ELECTRICAL ORK (PLEASE PR11VT WINK OR AJI work to be (formed in accTYPEAL4ordance wi OMassachusetts Dae leftcal C�Q,527 CMR(12.00 M C)L Li, (�1 �� 0261 City or Town of: AlLdn V�� To the Inspector of Wires: . By this application the undersignedor gives notice of his her intention to perform the electrical work described below. ,o Location(Street&Number) S' VLk 9-/-rP Q fi Owner or Tenant d ® --� 0 ULA Q-- Telephone No. Owner's Address i Is this permit in conjunction with a building per t? Yes No ❑Building Permit# Purpose of Building �R e—S cX ez4{pc Utility Authorization o. ting Service UU vl _ Amps �2Volts Overhead ❑ Undgrd No.of Meters .-1p, _ S rvic Amps / Volts Overhead❑ Undgrd No.of Meters r of Feeders and Ampaclty AM </b tion and Nature of Proposed Electrical Work: 9 Completion of the ollowin table may be wai b,the Ins ctor of mrar. o[Recessed Fixtures No.of&i.-Susp.(Paddle)Fans °•° of Transformers KVA of Lighting Outlets No.of Hot Tubs Generators o-- °: A ew of Lighting Fixtures Swimming pool and ❑ rid. ❑ Battery Emergency nit ney g ng f Receptacle Outlets p No.of Oil Burners FIRE ALARMS No.of Zones f switches p No.of Gas Burners o•o e on an Ir Ranges No. DevicesRangesNo.o[Air Cond. Total — No.of Alerting Devices f Waste Disposers eatmP um r.�..use_ o.o on n ed Totals: """` Detectlon/Alertin Devices t Dishwashers Space/Area Heating KWoca! c p KLQ ❑ connection ❑ other . Dryers Heating Appliances ec ty yatems: Water o,o No.of Devices or Equivalent Heaters KW SI m Ballasts Data Wtria Nor of Devices or E utvalent A dronraasage Bathtubs No.of Motors Total Hp a ecommu ca ons g; R No.of Devices or E uivalent oZ Attach additional detail if deslrad,or as nequind by the Inspector oj�rar. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liabili N permit for the performance of electrical work may issue unless ty insurance including completed operation,,coverage or its substantial equivalent. The undersigned certifies that such cove is is force,and has exhibited proof of same to the CHECK ONE: INSURANCE E BOND Pmt °8 office. ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work (When required by mmicipal policy) 1piradon Date) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. Icon*,Lander the ala and pornaldes of p ryury,that th lnformado on t6ls appllcarloN is tate and coneplet& FIRM NAME: c` O r Vt g �C Licensee: ` Q LIC.NO.: D' �Q A A ��R(A Signature ' (7f applicable,enter "exempt"in the fi r! ) LIC.NO.: 15j' a 9U _ Address: _ ,U l _Q Bus.Tel.No.- OWNER'S INSURANCE WAIVER I am aware that the Lice does not have the liabili `fit'Tel.No.: - required by law. By my signature below,I herebywaive this e)insurance c°verage normally Owner/Agent int I am the(check one owner -0 owner's agent Signature Telephone No. PERMIT FEE S it Town Of North Andover Building Department SpSa�NUs�`g" 27 Charles St. North Andover, MA. 01845 Phone 978488-9545-Fak' 978-688-9542 Street• / _ _..._. I Ma /Lot: 41 /. Applicant: ;r c,h Ap_4-_C._h lar c�.. �0/VA__ �Jc__ _.,... �._ Re nest: i e A 2 ©, Date: Please be advised that after review of your Application and Plans that,your Application is DENIED for the following Zoning:Bylaw reasons: ` Zoning R Item Notes Item q Lot Area Notes -._F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting istip e S naomplies s.( e 2� ' Frontge C 3 Lot Area Complies 3 Pree xisting frontage 4 Insufficient Information " 4 Insufficient Information B Use 5. No access over Frontage 1 Allowed ye S G Contiguous Building.Area 1 2 Not Allowed Insufficient Area 3 Use Preexisting 2­1 Complies _... e S 4 Special Permit Required 3 Preexisting CBA AJ Insufficient Information 4-- Insufficient Information C Setback H Building Height 1 All setbacks comp) 1 Height Exceeds Maximum 2 Front Insufficient 2- _ 1 Complies. _ _ e S: 3 Left Side Insufficient y 3 Preexisting Height 4 Right Side Insufficient .4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1-_ Coverage exceeds maximum 7 Insufficient Information 2 _ Coverage.Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed 4-- Insufficient Information 2 In Watershed d Sign - 3 Lot prior to 10/24/94 4 Zone to be Determined 1 Sign not allowed2_. Sign Complies---_- - 5 Insufficient Information 3 Insufficient Information E Historic District K Parking - 1 In District review required q 1 More Parking Required 2 Not in district `1 C S 2 Parking Com lies 3 Insufficient Information 3 _ Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. Item # `Special Permits Planning BoardItem # Variance Site Plan Review Special Permit Setback Variance Access other than Fronta e Special Permit " Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance, Common DrivewaySpecial Permit Hei ht Variance Congregate Housing Special Permit Variance for S:-" Continuing Care Retirement Special Permit Inde endent Elderl HousingSpecial Permit S ecial Permits Zoning Board - Independent ecial Permit Non=Conformin Use ZBA Large Estate'Condo special Permit Earth Removal S Special Permit ZBA Planned Development District S ecial Permit S ecial Permit Use not Listed but Similar Planned Residential S ecial Permit S ecial Permit for Si n R-6 Density Special Permit Special permit for preexisting Watershed S ecial Permit nonconformity I The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations-by the applicant nor shall such verbal explanations by the applicant 'serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent Building Department.The changes to the information submitted by the applicant shall be grounds for this review to be voided at.the discretion of the attached document titled"Plan Rewew`-.Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain,all-plans and documentation for the above file.You must file a new jermit p application form and begin the permitting process. wilding Departmen Official 3 g l,f Application Received Application Denied Plan Review Narrative The following narrative is provided to further.explain the,,reasons for DENIAL for the APPLICATION for the property indicated ori the reverse side: 4C x e! rn y tV 'int s ♦ � b 4 # r -v "/,C— Ne N i lA.w e_ -I, ti °7 � TA 4/,e- -,t � a I ` f .-._ r ; b i I l I I Referred To: Fire *Health Police 1Y-! ' Boa�tl , ConservationPlanniDepartment ment of Publi c Works OtherOther Historical Commission ,', Buildin De artment Date.. !.` .. . . ..:....... r "ORTR i jOy`t..ao ,e1�O 36 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACMUSE'S This certifies that . ': %-.? ! '. . . . . . . . . . . C has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . �:: . . . . . . ... . . . .:�1 . . ". ' >: . . . . . l at . . . . . .`�. . . . . . . . :�% . . . . :-:��. �.�North Andover, Mass. Fee. `.. . . . . Lic. No.�-.f-/`�'`{ . :c � .. . . . . . . . . . . E ` GASINSPEEGTOR f Check#2-5 60,-- 30' 4 ? ;� MASSACHUSETTS UNIFORM APPLICATIUN FCR PEHMI I I U uv L3A. (Print or Type) 640 ,MA Date & 0"t204P j Receipt# Permit#� :- Building Location 5;7� OwneesName�' Map: Lot: Zone: Type of 6of New Renovation ❑ Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: y ¢ Y W y¢ '/ to rn U 2 i ¢ 0111 W ¢ U3 ¢ O ¢ N ~ W N ¢ O U =m r J W ~ y Z 1-00 O W Q = ¢ 2 O a ZUA m to F- W W a a ¢ W a f- > LLJ N ¢ O W a ¢ Z a m 0 W U W N W ¢ F ❑ f- 2 W W to W = Q = ¢ ¢ V. ¢ W W t1 y ¢ C7 F z J LU h- Z T !- } fn m 2 O Z W O y 2 2 Q W J 6 ¢ F- ¢ Q W 7 ¢ W ] Z Q ¢ < Q O O = O O = L6 ❑ 3 ❑ C7 v ¢ > ❑ a F- O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name EASTERN PROPANE & OIL, INC . Checkone: Certificate ti Address 131 WATER ST DANVERS MA 01923 � Corporation "3 Estimate Value of Work: ❑ Partnership Business Telephone 800-322-6628 ❑ Firm/Co. Name of Licensed Plumber orGas Fitt �er �'Ii�'.� �/ ' �C �� INSURANCE COVERAGE: I have a current li insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy tom// 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: Owner AgentO Signature of Owner or Owners 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 thatail plumbing work and installations performed underthe permitissued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of thdGe L s.ByType of License: L/ G� Plumber Signature �censedPlumber orGasFitter Title Gasfitter /-"), y Master License Number City/Town Journeyman APPROVED (OFFICE USE ONLY) Revised OW171CO i 4 4` BELOW FOR OFFICE USE ONLY y FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. ' APPLICATION FOR PERMIT TO DO GASFITTING I NAME &TYPE OF BULIDING LOCATION OF BULIDING d PLUMBER OR GASFITTER I LIC. NO. PERMIT GRANTED i DATE 20 GASINSPECTOR I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Irr'l - — NORTH ANDOVER Mass. Date 07/05 2007 permit# �4 f' l' Building Location 122 STEVENS ST Owner's Name ,JOHN RONAYNE Owner Tel# 978 688 1813 Type of Occupancy RESIDENTIAL/GARAGE New 1:1Renovationv Replacement Plan Submitted: Yes[:]No[:] FIXTURES we q plpn'tri 0. x w $30,50 U arA Lu w �, a o U x x Z J o4 F FF z 0 E, w Q m p z F, w ¢ w w � a x > x ui W Z w z Q x a a A U x N x QZQ > E u� z ¢ a ¢ ¢ o o w ei °o w a x 2 0 0 2 w A C7 a U a: > A a O w SUB-BSMT BASEMENT 1sT FLOOR 2"o FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR fL 8T"FLOOR 1+1 1 1 1 1 t Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 �,]Fi m/Co. X N Name of Licensed Plumber or Gas Fitter P INSURANCE COVERAGE: I have a cures liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yesl ✓ I No 11If you have c ecked yts,please indicate the type coverage by checking the appropriate box. -A-liability insurance policy�✓ Other type of indemnity ❑ . ,F Bond ❑ 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above apps ation'are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for th sappIicat' n_Y9in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General La By Type of License: •dumber Signature of Li nsed Plumber or Gas Fitter Title ✓•Gas fitter • aster License Number City/Town ourneyman APPROVED(OFFICE USE ONLY) �I Date.`tr .1°16.lA . . � r ' j NpRTM TOWN OF NORTH ANDOVER - '• O �r •`4��• • pL PERMIT FOR PLUMBING ,SSACMUS� This certifies that �!!� Sc�t� . . : .`�• ` •. . . . . . . . . . . has permission to perform . .. ! '"(`'�'' /. 4' !�-!. . . . . . plumbing in thve� buildings of . ../.d . . . . . .. . . . . . . . `at•. .�.t K . .` ,, vA . .J`?a .� . . . . . . . . . . ., North Andover, Mass. Fee.&O,; -O. .Lic. No. .�. . . . . . . . . . . . . . . . . . . . . �611�"i�!•. . . . PLUMBING INSPECTOR Check # 6915 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Prim or Type) , Mass. Date (JG Permft # Buflding LocationOwner � 's Name - °• Y' Type of Occupancy t� New [t]/ Renovation ❑ Replacement ❑ Plans Submitted: Yes No ❑ ° FIXTURES + B - P. SEWER# SEPTIC z Y � a aj N Ql W Y J vr. r `U` a N W N O N 2 W a fL a ~' o Z N a. +. O W a h- W N V7 V- '. N x LU 0 Q3 in a- cc W O O W < N <. W Vf J = D D -< YN z Y a W U. -.4F- > F- O H H ° yr ; 2 O O ur Z = W O U 'b L < < S oq < J J rz a n V Y J a7 h D O J 3 2 H H U. C2 D < 3 e m p° O t SUB—BSMT. t BASEMENT 1ST FLOOR r 2HO FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7THFLOOR 8TH FLOOR installing•Company Name Kn J 1,D k eck one: Certificate r _ r n. R^� l �, AddressC 1 12�L Corporation �! 1 ^^-\� �, 10A01 ❑ Partnership Business Telephone � t 3 gfw, ❑ Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of NIGL Ch. 142. Yes ❑ No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. 4 liability 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 .:hapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: �gnature of Owner or Owner's Agent Owner El Agent C3 hereby certify that all of the details and information I have submitted (or entered) bove application are true and accurate to the best of my Mowledge and that all plumbing work and installations performed under the pe slued for this application will be in compliance with all iertinent provisions of the Massachusetts State Plumbing Code and r f the General Laws. Me rgnatur —sed Plumber PlTown Type of License: Master — ) Joumeyman ❑ f'iIOWD 0 License Number �� f� Date... NORTIi TOWN OF NORTH ANDOVER PERMIT FOR WIRING S CHUS This certifies that ...................... ........................................... has permission t4erform .................. tl A4 1 1-A4-e .......................................... wiring in the building of. ....1.;............... ................................. at.... .....— ... .. ... ........... North Andover,Mass. 'e . Fee 2'r V......... Lic.N00.1c' ..................................................... ELECTRICAL INSPECTOR Cheek # 4845 » :\ Official Use Only Commonwealth of Massachusetts y _ Permit No. A , Department of Fire Services Occupancy and.Fee Checked—'/ BOARD OF FIRE PREVENTION. REGULATIONS [Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO/PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Pbye wtbyr iA wo City or Town of-. i d 6 ' 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) JI-M Owner or Tenant Telephone No. Owner's Address MA S'h.t02Vt 3 � @ Is this permit in conjunction with a building permit'? Yes ❑ No (Check Appropriate Box) Purpose ot•Building_ge•ol'de ie.lf j"a l Utility Authorization No._/ Existing Servicegy " p Amps . 1j/ Volts Overhead Undgrd❑ No. of Meters New Service 4d Ams / C> Volts Overhead Undvrd No. of Meter P �Q� ❑ b LJ s v� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (,, �gr 1'1 Ltd e'PC`�'yI�C V14QIP(C-raV-60klg -feV'VIZZ CC all y Completion of the folloiting table nury be waived by the his•rector of 17 hv.c. No. of Recessed Fixtures No.of Ceil.-Susp..(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑rIn- ❑ o.o mergencyLighting nn d. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No. of Switches No. of Gas Burners No. Initiating Devices No.of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin,Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection Heating Appliances Security Systems: y No.of Dryers g PP KW No.ollDevices or Equivalent No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional derail if desired,or as required In the lnspe for oJ'bl`irr.r. 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. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) �` (Expiration Date) Estimated Value of Electrical Work: /y (When required by nntnicipal policy.) Work to Start: /f-U 03 Inspections to be requested in accordance with MEC Rude 10, and upon completion. I certify, under the pains and penalties of'peijur)t, that the information on this application is true and complete. FIRM NAME: , --Ly, AA, ' ' ' LIC. NO. A& : Licensee: & ' 2 Signature LIC. NO.: C) l'u'applicable, Oiler eget pl to the license anther line.) Bus.Tel. No.: " Address: ! �' 'S4f'-Xr,,4A4E ;.A Alt. Tel.No.: OWNER'S INSURA CE WAIVER: I am aware that the • ensec 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 ❑ owner-'s a1yent. Owner/Agent - Signature Telephone No. FPERMIT FEE: S � Date / . . .. OR TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s � a ,SSACMUS� 1 This certifies that has permission to perform � _�� Ems . plumbing in the bu ]dings of . . .... rorth .. . . . . . . . . . . . ' at . . . . .. ..xL... ----..L. �:-. . . . . ., ndover, Mass. FA-�.sv. . . . .Lic. No./--P. `�! . . / . . . . . . . . . . . . . PLU BIR G INSPECTOR Check # `'// L J 6245 MASSACHUSETTS UNIFORM APPLICATIO OR PERMIT TO D N F O PLUMBP I (Type or print) NORTH ANDOVER,MASSACHUSETTS p� Date f' n f�✓h k7 Permit# (o BuildingLocation n S � Ow ers Name y5 Amount Typ o,Occupancy Ne Renovation Repla ment Plans Submitted Yes11 Ell" No FIXTURES Cr Ce SLBBa E BAS vnvr M HDM Zn Ht ai 3MFL" an HDM 5MHf ce sn3Hf= MHDM gm KDM (Print or type) Check one: Certificate Installing Company Name Loll* G(; (' Corp. Address ALS ���+��" Partner. 1 h- , t)i 4 usiness Te ep one_ �K-37-7 QfjQ Firm/CO. Name of Licensed Plumber: Insurance Coverajze: Indicate thr.type of insurance covetfige 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 f 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 perfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State 1 bing Code and C apter 142 of the General Laws. By: igna ure or Licenseaum er Type of Plumbing License Title City/Town xn e nrumaer Master Journeyman APPROVED(OFFICE USE ONLY, /`.. :... Date..... NORTH . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....Tal-a ....l .......... ................. has permission to perform ........ . wiring in the building of.....LZ:Z........ ............<z: ........ at * ........P,6.AA4 I . . ....YP .......................... .North Andover,Mass. Fee......7 Lic.No./1402-7-0..... .............. .a. ELE6iicAL INSPEMR Check # 5516 i Commonwealth of Massachusetts Official use only Department of Fire Services' Permit No. 5 BOARD OF FIRE PREVENTION REG LATIONS Map&Parcel APPLICATION FOR P Rh TO PERFORM ELECTRICAL or All work to be performed in accordance wi a Massachusetts Electrical Code C),527 CMR 12.00 (PLEASEPRINTININKOR E INfO 011 Date: tiOo� "'add City or Town o€: d of To the Inspector of fres: . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) .. Vim" c-g L Owner or Tenant ® Q-- Telephone No. 8 3 Owner's Address gie— Is this permit In conjunction with a building per t? Yes No ❑Building Permit# Purpose of Building e c i'dUtility Authorization o. Existing O Service On/ �_ Amps ,/�_ VO-Volts Overhead ❑ Undgrd Er No.of Meters New Service Amps /_Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 0 1'/'D V0�� oC rA„lv� O y��, c� Location and Nature of Proposed Electrical Work: e �, , / a � 'Iti Ct1c��i^ � Completion of the ollowtn table ma be waiv b.the Ins ector of Wires. No.of Recessed Fixtures �j No.of Cell.-Susp.(Paddle)Fara °•° of Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators ,°,,jA No.of Lighting Fixtures Swimming Pool ve ❑ a- ❑ INNO.omergency tg ng rnd. rnd. BatteryUnits No.of Receptacle Outlets p No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches p No.of Gas Burners o.ot Detection an Inidadn Devices No.of Ranges No.of Air Cond. Tuna tal No.of Alerting Devices No.of Waste Disposerseat ump _ um r ons 0--of- e ont n Totals: "' """'"'"' Detection/Alerdn Devices No.of Dishwashers Space/Area Heating KW ❑ocalMunicipal ❑ Other . KU Connection No.of Dryers Heating Appliances ecunty ystems: o.o afar Na of Devices or Equivalent Heaters KW o.Signs Ballasts osb Data Wiring: Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 1elecommunications ng: . OTHER Na of Devices or EquivalentAttach o� INSURANCE COVERAGE: Unless waived by the owner,no ad*tional detail if desired,or as required by the Inspector of r1res. the licensee provides permit for the performance of electrical work may issue unless p proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (Expiration Date) (When required by municipal policy.) Work to Starts Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under thea and penalties of p rf ary,that th information on thk appllcation Is true and complett FIRM NAME: �tj AA 1 IL4 q LIC.NO.: D ?O Licensee: 05L //1,8L, A//'mss—Signature lf4& LIC.NO.: Gt'9D (Ifapplieable,enter"exempt"in the life a numb r h .) Bus.Tel.No.• �` �S'a°I _ Address: —� -- ti/ -�required Alt.Tel.No.:,� cJ�3 OWNER'S INSURANCE WAIVER: I am aware fust the Licensee/doer does not have the liability insurance coverage normally Owner/belaw. By my signature below,I hereby waive this requirement. I am the(check one owner 1:1 owner's agent. Signature Telephone No. PERMIT FEE:,� i -INSPECTIONS . Trench Temp Service Perm Service __ r Rough Bonding Final k I CERTIFIED PLOT PLAN LOCATED 1N NORTH ANDOVER, MASS. SCALE.-I"=60' DATE:10/7/2004 - Scott L. Giles R.P.L.S. Q 1 [ 3 l _ Frank. S. Giles R.P.L.S. 50 Deer Meadow Road -- f- North Andover, Mass. S VON GRANTED OF THE NOTE:SEE VARIANCE TRUSSER A REON THIS LOT. 240.3.6' EXIST. App. EiXIST.HSE' o FNL)'#122 3 N TRUSTEES OF THE o RESERVATION N_ w MAP 36 N/F HELFRICH PARCEL 13 N 208.60' STEVENS STREET 1 CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS �. OF THE BUILDING INSPECTOR ONLYo°�� S �yG SHOWN COMPLY AND SUCH USE IS FOR THE a ��S WITH THE ZONING DETERMINATION OF ZONING No. 13972 BYLAWS OF �o ti'o NORTH ANDOVER CONFORMITY OR NON-CONFORMITY sf�o��I TER oJ�w WHEN BUILT WHEN CONSTRUCTED.