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HomeMy WebLinkAboutMiscellaneous - 19 Nantucket Drive Lot 4 i ' 4109 Date.......7 7. r� f NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SACMUS�� This certifies that ..... ..0.- ....... �� i has permission to perform ........, 1451q..&.......�1 X?.�� 1j .... wiring in the building of.....Ca.( .....�C,..�?�.-....................... at......tJ!.l..w.cf .....`'�lL . ...... ..���.............. North Andover,Mass. .Fee.//: �.W... Lic.No/Ja3C................ ......... . ....? .... . ELECTRICAL INSPE R Check it �` Commonwealth of Massachusetts / ial Use Only Permit No. �. Department of Fire Services - I BOARD OF FIRE PREVENTION REGULATIONOccupancy and Fee Checked S [Rev. 11/99] leaveblank i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ), C 12.00 (PLEASE PRINT IN INK OR TYPE AL INF RMATION) Date: City or Town of: —ALTo the Inspe for o Wires: By this.application the undersigned gives notice oflis or her' ten tio, Voperform the electrical work described below. Location(Street&Number)Owner or Tenant % Telephone No. Q— //p 26 r Owner's Address Old 9 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building g Utility Authorization No. i Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system I +' Completion of the followin table may be waived by the Inspector of Wires. 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 ❑ In- ❑ o.ot Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices I No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other No. of Dryers Heating Appliances Kit Security Systems: I No.o Water No.o No.of Devices or Equivalent Heaters KW No.o Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 El ctric l Work: �� (When required by municipal policy.) Work to Start: Inspections lobe requested in accordance with MEC Rule 10,and upon completion. I certify, under the ain andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 1533(' Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable, enter"exempt"in the license number line.) Bus.Tel.No..• 603 594 5928 Address: I/- Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li*see see 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 agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. r i I tAORTH T 0" . 0 f Sf 0 over V1 . No. .LA 0 over, Mass., COCHICHEWICK 0RA T E D H BOARD OF HEALTH Food/Kitchen Septic System PERMIT T A/ I BUILDING INSPECTOR THIS CERTIFIES THAT.....7..J.4..y...............................D�JR ...4..Yy......7 ................................ Foundation,71—// v has permission to erect............I........................ buildings onlq�.L/... Roughl,14 �)�� ��/�7 �� himney to be occupied as...16 ................ ........... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. q9A1 it PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. h C1( (21-2-0 03 PERMIT EXPIRES IN 6 MONTHS ELEC'fRICAL INSPECT UNLESS CONSTRUCTIONS Fe ...... < 0 ................................. C BUILDING INSPECTOR Final 06' /00 03 Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do. Not, RemoveF0 A No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ���jjj p�1//L�� SEE REVERSE SIDE Smoke Det./ G i µ013Th h x�9SStCi117S� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number lkeF/ Cb ) Date Via-i -a?00 3 THIS CERTIFIES THAT v A THE BUILDING LOCATED ON-1,,o-1- Al � 1S MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. APPLY. CERTMKATE ISSUED TO ` / v`p 0 Av Building Inspector NORTjy t e Town of yover No. d SAs - * -z dover, Mass., A U COCHICHEWICK i'�",�• - '� S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System' THIS CERTIFIES THAT...... ... j 1 d.... ........... / BUILDING INSPECTOR !�J..��y..............�`5........................................ Foundation oundanon has permission to erect........................................ buildings onst4 . . .. ..... fa. ........ Rough I�!1� r0- to be occupied as � 1►�»:...a./O. 8 aA . a �4ftee/ .. + � 6 p� ................. �........ ............... ..................... him provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Finale '``"-� "� Buildings in the Town of North Andover. Al�ijjj� t4 //.2Q 0 gnaw PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. '"! 3 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSP TOR 64 UNLESS CONSTRUCTION S ART ... ............ Service BUILDING INSPECTOR ! 1G G 1� -� Final � ! Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough w� v7 ` No Lathing or Dry Wall To Be Done (?�V Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. j f Smoke Det. t r o�R.p irk qti �ryV`v��m ter"",Cy 41 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number G / Date THIS CIFIRTITIES T$AT .THE BUILDING LOCATED ON �n f v � � i(J MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS M`AY APPLY. CERTIFICATE ISSUED TO /\ f �`%� S ,/ - Af Building Inspector i Town of North Andover NORTN q `Buildin Department v . ; • �o 6 0 iz� 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 ��SSAC HUS���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE =- 0FF1C1ALj4vSE ONLY ROUTING CONSERy TIS DATE D y RECEIV ED L/ PLUG DATE J� OCT 1 4 2043 NORTH ANDVER D.P.W. -WA METER DATE_ tri -14 03 PLANNING DE AR TMENT D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO TTSSPE T C ION REQUEST DATE. m-/4-o SIGNAT DMT AUTHORIZATION Location P7 No. 4SEZ (fit 6i Date NORT" TOWN OF NORTH ANDOVER Of `• D '1�0 Certificate of Occupancy $ �'�S''•° Eta Building/Frame Permit Fee $ M� sACMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 15647 5647 /"Building Inspec TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING qy ;'� „"�ks "3�i�.��•�V�? �`.„f�, '•';.� 'y.""ax7 r' s��",y' '�'"E� sus ,._ �+�:'+....�,.., BUILDING PERMIT NUMBER. / , DATE ISSUED: l _ M (p SIGNATURE: Building Commissioner/InEeEtor of Buildings Date SECTION 1-SITE INFORMATION o Ll. Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: el o0 Zoningbistrict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Fro11,t Yard Side Yard Rear Yard Required,, Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54)+ i 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ r 1' Zone Outside Flood Zone � Municipal �C�C On Site Disposal System ❑ SEC N 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Pare(P nt Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor:a Pe Not Applicable ❑ t Licensed Construction Supervisor: © 712 t License Number mn Address 011 1 0 > Expiration Date ature Telephone r• 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address Z Expiration Date ^ Signature Telephone VI SECTION 4-WORKERS COMPENSATION(M.G.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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Y Iterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify z Brief Description of Proposed Work: %L SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL:USE ONLY Completed by permit a2plicant 1. Building (a) Building Permit Fee i� G � Multiplier 2 Electrical (b) Estimated Total Cost of ! do0 Construction 3 Plumbing Building Permit fee(a)X (b) ,y n• 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION 10 BE COMPLETED WHEN OWNERS AGENT TRACTOR AP LIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property 1 Hereby authorize to act on My behalf,in all matt e to work autho ' d v g permit application. lfJ/o L Signature of weer Date SECTION 7b OWNE AUTHORIZE AGENT DECLARATION I, 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 , Print Name •� Signature of Owner/A ent Date E. . NO. OF STORIES '_1 SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 3 SPAN DIMENSIONS OF SILLS 2)c DIMENSIONS OF POSTS ll DIMENSIONS OF GIRDERS .Jl e HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVVINEY r IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING s as, T 00 I', mz,a a � � ,,, .. '� '3 ark' u',1.��. _x,: ..a, ■., BUILDING PERMIT NUMBER / Q / > DATE ISSUED. � _ SIGNATURE: Building Commissionerfl for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O •�l lu"417ycx� 4 _/D Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Di rict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided U �� -I, l 1.5. Flood Zone Information: 1.8 Sewerage 1 System: 1.7 Water SupplyM.G.L.C.41. '�"4), 1, � Dispose ys Public ❑ Private ❑, ', Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 9 Name(Print)el r Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 03.1 Licensed Construction Supervisor: Not Applicable 0 ♦ i��S /j/-�wl�;,y,/j LtcensedConstructionn Supervisor: dumber Address 0o, �/Z � •O ExpirAon Date/ Si a e Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r a® Expiration Date A` Signature Telephone V I SECTION 4-WORKERS COMPENSATION(M.G.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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ ,J'Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑., Specify. T. Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be `0FF1CIAL USFWNLY Completed by permit applicant 71 1. Building (a) Building Permit Fee Z S p0 Multiplier 2 Electrical (b) Estimated Total Cost of pGv Construction 3 Plumbing pU Building Permit fee(a)x(b) 4 Mechanical HVAC a DA 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZAT ON TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby author' to act on My behal a ers relative tow h u application. 0 nature o er Date SECTION 7b OWNER/AU ORIZED AGENT DECLARATION I, 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 4 Print Name Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR MMERS 2ND 3 RD SPAN DIMENSIONS OF SILLS y DIMENSIONS OF POSTS G DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS z� SIZE OF FOOTING Z X MATERIAL OF CHIMNEY ob IS BUILDING ON SOLID OR FILLED LAND vU IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U.- LOT RELEASE FORM • INSTRUCTIONS: This form is used to verify that all necessary approvals/permits Boards and Departments having jurisdiction have been obtained. This does not reliev the applicant and/or landowner from compliance with any applicable or requirements. E *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT '` PHONE /7cO LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT(S) STREET_ ST. NUMBER—ZI *****************************************OFFIGyAL USE • RECO N• ATIO OF TOWN AGENTS: CONSE VATION A MINISTRA OR . DATE APPROVt=D DATE REJECTED COMMENTS E�� T N PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS 71 ?�Z DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9\97 jm ' ' �� �� ✓fee '�oarvnrayuuea�a o�.�vcq.4aac`auae�4 -I� BOARD,OF-_BUILDING REGULATIONS_ iaoensp CQ NSTRU.CTION.SUPERVISQR Number;CSS, 014717 a 6 s '$t Birthdate iQ8/26/19¢3 t E09/26k20P3 Tr,no: 3593 loc Restricted JAMES J NEWCOMB 416 MIGM'P.LAIN RDx I ANDOVER, 'Mfg 01'814' I Administrator' North Andover Building Department Tel: 978-688-9i, DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Number is that the debris resulting from this works permit disposed of i►t a properly licensed solid waste disposal from t . as hall be c 11 S facility deli 150 A. defined by MGL The debris will be disposed• p d of in: G��2C Ei� (Lo ation of Fa lity) ignature ermit Applicant Date NOTE: Demolition permit from tl�e Town of North Andover must be obtained this project through the Office of the Building Inspector for P. 10 e MAScheck COMPLIANCE REPORT Mass-achusetts Energy Code Permit # MAScheck Software. Version 2. 01 Release 2 Checked by/Date CITY: North Aadover STATE: Massachusetts HDD: 5.322. CONSTRUCTION TYPE : 1 or 2 Family; Detached UVA EJ TTrTjG SYSTEM TYPJ.E - vt + r fNo -E c, ri D a� st n ,ll DATE: 6-7-200 TITLE: LOT UNIT A CHATHA-M CIRC,'LE PROTECT INFORMATION: A. V OIN CER,►^�I R CONST CORP 59 CHANDLER CIRCLE ANDEO TEF KA- COMPANY A COMPp77STvrr��,1N7F0P_NLATT0N; X71 U t�7CU 11 in.',t<111`1�.7 lr1L (T'a JT.; ,VL 11 17 ARLINGTON ST DRACUT MA COMPLIANCE: PASSES Rewired LA = 373 Yaur Home = 3 6.2 Area or Casrity Cont . Gla?ing�Door Perimeter R-Value R-Value U-Vallee CEILINGS3© .a ----------------------------------- - ------ ----------------- - WALLS : Food. Frame, !,6" 0.C. ID.43 1.1 . 0 _.0 WALLS : Ma oi=yr Interi-or Insulation_ 2S.0 �1 . 0 0 _Q GT. A I1VG; Windoc:.s or Doors 272 n..?..3n GI-AZIN: gindcwz cr Doc. r_3 9.3r�-0 DOORS .39 0.460 FLOORS ! Cher Unconditioned- Space 138a 19 .0 4 . 0 HVAC EQUIPMENT; Furnace,. 92 . 0 ,AFUE COMPLIANCE STATEMENT: The .proposed building design described here is COZL�Stent with the bili 1 h.131u, Plans, speciticatlo?3.s; and other calculations submitted with the permit application. The proposed building has been designTd to meet the rez?irements of the Massachusetts Energy Cede. The heating load for this building,cg, and the cooling ]mad if appropriate; has been detPY17tineri 1jaing the applicable Standard Design Conditions found Tt�� in the Code . The HIJAC eau.inment selected toeat h or cool the .building shall be no greater ,t an j12!k of the Psign load as specified in Sections j4 .4 . , 8 0 CMF. _3_0 and Builder/DescxnPr Pate P . 11 i Massach�is-etts Energv Code MP.Scheck Software Version 2 . 01 Re ease 2 �..i V 1.J 1r L OT #1y UNIT A CHATHAM CIRCLE DATE: 6 -7-2001 Bldg, Dept . Use CEILINGS: [ ] 1 . R-30 Comments/Location WALLS : [ ] 1 . Wood Frame, 1611 0.C. , R-11 Comments/Location [ ] 2 . Masonry, Interior Insulation, R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 .33 ,For -udndow.s without .labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ 1 2 . U-value: 0 . 36 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : [ ] 1 . U-value : 0 .46 Comments/Location FLOORS: [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: ] 1 . Furnace, 92-0 AFUE ..or higher mike and .Model Number [ ] 2 . Air Conditioner, 10 . 0 SEER AIR LEAKAGE- [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of ai.r leakage must be sealed. When instal.�zd. in the building envelope, recessed lighting fixtures shall meet One of the following requirements : I . 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. .� P- 12 VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: I ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heatingequipment roust be provided. Insulation R-.values, glazing U-values, and heating equipment efficiency must be clearly marked on the.building .plans or specifications . DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4 .7 . 1 . DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud rays -or joiat cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing- tape installed according tQ tyre manufacturer s installation instructions. Mesh tape may bo omitted where gaps are less than 1/8- inch. Duct tape is rrot permitter}. The HVAC system truest provide a means far balancing air and water systems . TEMPERATURE CONTROLS : [ l Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of .the .design load as specified in Sections 760CMR 1310 and J4 .4 . SWIMMING POOLS : [ ] All heated swimming pools must have an on/off beater switch and re—quire a cover unless over 20€ of the heating energy is from non-deplet able sources . Pool pumps require a time clock. HVAC P IP ING INSULATION: [ ] 11VALC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS : TEMP CF) 2" RUNOUTS 0-1" 1 .25-2" 2.5-4 Low pressure/temp. 201-250 1 . 0 1 . 5 1 . 5 2 .0 Low temperature 120-200 0 .5 1 . 0 1 . 0 1 . 5 Steam condensate any 1 . 0 1.0 1 .5 2 . 0 COOLING SYSTEMS: Chilled water or 40-55 0 .5 0 . 5 0. 75 1.0 refrigerant below 40 1 . 0 1 . 0 1 .5 1.5 CIRCULATING HOT WATER SYSTEMS : [ ] Insulate circulating hot water pipes to the following levels (in. ) : s P. 13 1 PIPE SIZES . (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUT HEATED WATER TEMP (F) ; RUNOUTS 0-1" 0-1 ..25" 1 .5-2 . 0" 2 . 0+ .170-180 0 .5 1. 0 1 .5 2 .0 140-160 0 .5 0 .5 1 .0 1 .5 100-130 0 .5 0 .5 0 .5 1 . 0 -- --NOTES TO FIELD (Building Department Use Only) ----------------------- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Afdavit F Please Print Name: Location: City Phone am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. C__.ompany name: Address !� CRY: Phone# G O l Insurance o li .# n rarape Ca. Pa �c_ . . _ Contgm name: 4` % �4� � � 7 Address j l Phone#- Irnstt Co: Faitwr®tri secure cove,rage as required undiir Section 26A or MGL I ,52 ca leadtotheWtoosition of ccin inat pence.d a fine up to$1;500.00 and/or one yews'imprisonment ars'well as civil penalties in the foam of a STOP WORK ORDER and a fine of($100.00)a day against rne. t understand that a copy of this 5 ed to the Office of of the DIA for Investigations verification. I do herby cerfitjr under t p rid of per/ury tha " t th correct Signature - gate ,e Print name Z / �s�-�/l, Phone#_ f ®•C'--,_qj Official use only do not write in this area to be completed by city or town official' Building Dept.' ©Check if immediate response is requked Building Dept p Licensing Board p Selectr»an s ice Contactrson. � Phone# 0 Health Department other 4,54 WORKMAN'S CoMpi=NSATION 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. Permit Applicant Property address Map/Parcel 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. 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 dwellingunits for senior residents where e 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 permanently 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 pp represents a tract 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 for a 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 EMB07TONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE WH H DOES NOT Y THER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS F ALS BY TIM IN G DEP ISSUE A BUILDING PE LICANT ATURE DATE THIS FORM TO BE ATTACHED TO TAEhBUILDING PERMIT APPLICATION Ii II . �,� ��.„� '�; ✓die 1Ja7r��tw�nur r�'✓v[.aaaac�iu4e�a r BOARD`OF BUILDING`REGULATIONS )4T., License.: CONSTRUCTION SUP.ERVISQR h Number�CS\ 014747 Expires 0,012 3 Tr:no: 3583' r 'ts ' Restricted 00 �, JAMES J. NEWCOMB 4 41fi-HIGH FLAIWRD, ANDOVER, MA 018:40 a, P,dm)nistrator 1 _ _ y f t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 ' Workers'Compensation Insurance Aff1davit Please Print Name: r Location: C Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no on6 working in any capacity I am an employer providing workers'compensation for my employees working on this1 ob. Address insurance CoPollcv o me: Address Oily 1 .. o-n2-1,- �f PhoneA � o lt�� lnsu a Go. f:ai[ure fn secure covorage as regain$!under Section 25A or MGL 152 can lead W the iitlposFon d crinvnal penaltles of a fine up to$1;500.00 and/or one years'Imprisonment as well as dvlt penalties In the form of a STOP WORK Ofit9�t and a fine of($100.00)a day against me. understand that a c of this stat ed to the copy OfNte of Investigations of patrons the DA for c . overage v2rtficatfo+T. I do herby certify under t p >Ad rofjurythat th ffon»at e 'antf cameo Signature Date Print name Phone# L Official use only do not write in this area to be completed by city or town official' E] Building Dept. , OCheck if immediate response is required Building Dept c] licensing Board Contact person: Phone# p Selectman's office 0 Health Department 0 Qfher RM WORKMAN'S COMPENSATION is North Andover Building Department Tel: 978-6$8_9,, DEBRIS DISPOSAL FORM in accordance with the provision of MGL c 40 S 54, a condition of Building Permil Numberis that the debris resulting from this work shall be disposed of irl a properly licensed solid.waste disposal facility as defined b c11, S150A. by MGL The debris will be disposed of in: Location of Facility) gnature oftApplicant 1 Date - NOTE: Demolition permit from tF a Town of North Andover must be obtained f this project through the Office of the Building Inspector or P_ 10 MAScheck COMPLIANCE REPORT Mass-achusetts Energy Code Permit # MAScheck Software. Version 2. 01 Release 2 Checked by/Date CITY: North Andover STATE: Massachusetts HDD: 6322. CONSTRUCTION TYPE : 1 or 2 Family; Detached UEA TDT2 CVCTL'M TV li flt lor / tw'l or, r� n lJoa� o �n of .LnT�.,,, Non Res.I.,talace) DATE: 6-7-200, TITLE: LOT UNIT A CHATHAM CIRCLE PROJECT ^n INFORM TION: 1 V OlY CCfLRMI ER C-017S T CORP 59 CHANDLER CIRCLE ANDOVER Mn COMPANY INF0P_NLATTnN; u crxu ii AT i.L & oaf Cv^ij'r 17 ARLINGTON ST DF.ACUT M-4 COMPLIANCE: PASSES Required LA �- 373 Yaur Home z 3 6.2 Area or Ca"pity Cont . Glaz i ngJDoor Permeter R-Value R-Val e U-.Value --------------------------------------------------------- ------------------ CmEZLINGS 1/3�-88 30 .G 0 .G Q G� KJALLC . Wood. Frame, '�.6 11 O.C. ?S/.4 3 1.1 .0 i..li WALLS : Maaonryr Interior lnsulatinn 284 11 . 0 0 _0 GLAZING; Windows or Dcor.s 273 0._?..30 G-IIAZIN: 91nd^ oxEnoc)-: r_3 tl,3*"- DOORS .3S 0.460 FLOORS ! Ovex unconditional Space 1388 19 .0 4 . Q HVAC EQUIPMENT: Furnace 92 .0 AFUE - ------------ ----------------------------------------------------------- --- COMPLIANCE STATEMENT: The proposed building design described here is consistent wi th the bud i di_T1� playic, Spec 7 f1C?ti QI7s; and Other calculations 3tlOP_s submitted with the permit application. The proposed building has been d.esignTd to meet the rem 1i resents of the Massachusetts Energlr Code. The heating load for this building, and the cooling Load if appropriate, has been d?teYamined 11ai n the An=l i cable �tandar;l De.sigri Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no gneate - ,k an 12ak of the_ dPGign load as specified in Sections 780CMR 1310 and J4 .4 . Builder/Designer —. Date e P. 11 Massachusetts Energy Code MAScheck Software Version 2 . 01 Release 2 LOT #: y UNIT A CHATRAM CIRCLE DATE: 7-2001 Bldg, Dept . Use CEILINGS: [ ) 1 . R-30 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-11 Comments/Location [ ] 2 . Masonry, Interior Insulation, R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 .33 Ybr windows wi t-hnut 1a1.'.*1,ed U-values, describe features: # Panes Frame Type. Thermal Break? [ ] yes [ ] No Comments/Location [ 1 2 . U-value: 0 . 36 For windows without labeled U-values, describe features: #• Panes Frame Type Thermal Break? [ ) yes [ ) No Comments/Location DOORS : [ ] 1 . U-value: 0 .46 Comments/Location FLOORS: [ l 1 . Over Unconditioned Spage, R-19 Comments/Location HVAC EQUIPMENT: [ ) 1. Furnace, 92_ 0 APUE ..or higher Make and Mods. Number [ ) 2 . Air Conditioner, 10 . 0 SEER AIR LEA AGE [ 1 Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements : I . Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or Basketed 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. P. 12 VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water beating equipment must be provided. Insulation R-.values, glazing U-values, and hearing equipment efficiency must be clearly marked on the.building plans or specifications . DUCT INSULATION: [ ] Ducts shall be insulated per Fable J4.4 .7 . 1 . DUCT CONSTR;JC':IOP7: i ] All accessible joints, seams, ar.;. connections of supply and return ductwork located outside conditioned space, including stud bays -or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to- the manufacturer in s s-t a-1 l at z on iss t rrrc t ions. A4e�s­h tape may be- omitted where gaps are less than 1/8- inch. Duct tape is riot permitted. The HVAC system must provide a means far balancing air and water systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided_ HVAC EQUIPMENT SIZING: t l Rated output capacity of the heating/cooling system is not greater than 125% of .the .design load as specified in Sections 760CMR 1310 and J4 .4 . SWIMMING POOLS : [ ] All heated swimming pools must have an on/off beater switch and require a cover unless over 20€ of the heating energy is from non-depletable sources . Pool pumps require a time clock. IiVA,C PIPING INSULATION: [ ] 1EVA.0 piging conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in . ) : PIPE SIZES (in. ) HEATING SYSTEMS : TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 Low pressure/tem . 201-2 P 50 1 .0 1 . 5 1 .5 2 .0 Low temperature 120-200 0 .5 1 . 0 1 .0 1 . 5 Steam condensate any 1 .0 1.0 1.5 2 . 0 COOLING SYSTEMS : Chilled water or 40-55 0 .5 0.5 0. 75 1.0 refrigerant below 40 1 . 0 1 .0 1.5 1.5 CIRCULATSNG HOT WATER SYSTEMS : ] rnsulate circulating hot water pipes to the following levels (in. ) : P- 13 1 PIPE SIZES. (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUT HEATED WATER TEMP (F) ; RUNOUTS 0-1" , 0-1 ..25" 1 ,5-2 . 0" 2 . 0+ .170-280 0 .5 1. 0 1 .5 2 .0 140-160 0 . 5 0 .5 1 .0 1 . 5 100-130 0 .5 0 .5 0 .5 1 . 0 -- --NOTES TO FIELD (Building Department tJse Only) ---- --------------------- ORTH Towno0 6ndover o No. IL - 0 ndover, Mass., V O T Q LAKE COC MICrEwICK V ADRATED P'P\'-\ "♦� '9SSAC HUS�� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ......RA.y ......V .... .R .-... ....... .................... has permission to excavate and pour foundation at ... �`S ,�l,�IV 701: cxv-)� for the purpose of..6..R*..&i.o;*8A ...... ......r ti The person accepting this permit must return to the office of the Building Inspectora ertified plot plan show -917- 4/ / of building thereon before Foundation will be inspected. 17— 4/ 'W /SOa VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. 01 BLDG. PERMjT EEd a 'y, — LESS EDA EEE ......... ........................ ............. ............................. DUE FRAME PERMIT$ BUILDING INSPECTOR NQRT/y Town of over 0 = ti = No. o = o dover, Mass., CN1CHE_ICN A %p 4RATEO S H BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT... 7AY.........��� �'P a� �/ — v� BUILDING INSPECTOR "' """' Foundation I > 1a4)f&c xc_f De' Rough has permission to erect............ .......................... buildings on .. .Q......Z...........�.�. .� ......... ....D........ .......��M to be occupied as... ....I om - c; '4 SAM O s*j11 �W 9 oP himney 6 / .. ................................... ........... ... .. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in . Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. A J 91q 0 //a a — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S T ELECTRICAL INSPECTOR Rough ......................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. iaORT-�y � e T0VM Of And No. 6 S / As dover, Mass., ur LAKE 9 COCHICHEWICK ED V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. ..........I/oN.......1.. ' �L,� .y....... ` Foundation has permission to erect................... ................. buildings on ..................................y #o?/ �,�ta txef . ... ..... ... ......................... ..... Rough T h.0 tobe occupied asA& .....�t............ ........... 1............................. ...... .........................� ....... himney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and.to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover.. Al 4/� ff //S22 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S ART Rough j� . ................................... 6AOWW t....................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 J. WILLIAM HMURCIAK, DIRECTOR; P.E. John (lack) Sullivan, P.E. ORTil Telephone (978) 685-0950 0 S.'a. ,6'441 Director of Fngineering b°,,° °� Fax (978) 688-9573 0 » �SSAC►#USti��S MEMORANDUM To: Police Department d"�®,7' VZO Fire Department 3 AUG Assessors /?/e 2003 Planning Department NoRr, Town Clerk From: Jack Sullivan, Director of Engineering Date: July 23, 2003 Subject: Address Change—Chatham Crossing Subdivision To Whom It May Concern: Please note that at the request of the developer the following addresses have been changed at the Chatham Crossing subdivision. Lot# Dwelling Type Address 4 Townhouse #19 Nantucket Drive 4 Townhouse #15 Chatham Circle 5 Single Family #17 Chatham Circle I have attached a mark-up of the revised building orientation and corrected street addresses for Lots 4 and 5. It should be noted that#15 Chatham Circle is being accessed through Lot 5 by means of a driveway easement. Please make note of these changes for your records. I would appreciate it if you would forward this memorandum to the next Town Department as listed above (please check off the space next to your department). The developer is forwarding a copy of this memo to the Post Office for their records. S p� PARCEL"A" (To GA RA6 ED) N Z � � Z �s 0 / LOT 3Vol / 6 FAMILY 4 W.C. RAMP Z30) cli J r f ITTrQ/ LiN E 6 S zap ��a c CHATHAM CIRCLE GUT TE. I — y ! GRASS ST�i s l f B WALK Z% W.C.RAMP •4•4 2) c7ca / Location /t�7 y �� �?�U ` Uc,�p� J1Z No. q'� Date ��d °1 NORTh TOWN OF NORTH ANDOVER f? • • ow a • y Certificate of Occupancy $ CHusEtA Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 07 o) Check # 1 5 7 1 1 Building Inspector ® OBA/ACE EAS AW N/F ADAM a � LOT I i v 166.00' F17.4' AREA=12,500 f S.F. 83.2' rn 30.5 N EXISTING FOUNDATION 4 3' 7.6' TOP OF FOUNDATION= 230.39 W 36 6' 21.7' 5.5Ui' u9-0'-,n 6.0' LL) 1 O 0 ` LOT 14 5.5' o t. O In N N a^ 4 _ ,> .0' o ►� lq LT 6 22 + a S6 4S, u7 L07-1 5 CHA THAM CIRCLE o V 1 HEREBY CERTIFY THAT THE FOUNDATION ON LOT 4 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE ZONING BY-LAW OF THE l TOWN OF NORTH ANDOVER. /� / PROFE10 AL�AND SURVEYOR DATE:... .. �. .D Z CERTIFIED PLOT DANA F. PERKINS, Inc. Consulting Dgineers &land Surveyors PLAN OF LAND IN 12S RY. STREET UNIT 9 TEVKSBURY, lN13SALFg1SETTS 0)876 N.ANDOVER, MASSACHUSETTS PREPARED FOR: CORMIER—ANDOVER CONSTRUCTION CORP. CHATHAM CROSSING 59 CHANDLER CIRCLE ANDOVER, MASSACHUSETTS SCALE: 1"=40* DATE:JULY 11, 2002 JOB NO.51165-4 I SHEET 1 OF 1 COPYIUGHT C 2002 BY DMA F. PERKINS- Inc. 10'd V;3Z = 60 ZO-ii - LSE' 02na4Tck#14590 DEPAI I>tF1►1'OMBLICS4FETYPemtit No. N24ftDOFRWPRE 1 9T11191s3a7[A�aYZ�IMl Lo=&Fes CbwkW .�...�.. APPUCAT,fONFOR PERIVII 70 PWORM ELECTRICAL WORK ALL WORK TO BE PF UMOMED 1N AOCORDAM WITHTHE MASSA:CHUSM MaCnUM 0MV,527 cMR 12 0 (PLEASE PRINT IN IMC OR TYPE ALL-INFORMATION) Date 9112101 Town of North Andover To the Wspecwr of Wires: no undersigned applies ft a permit to pa*fm the electrical wait descnW below. Location(Sveet R Number) LOT#4 NANTUCKET DRIVE �9 Z� OwnerorTenant . CORMIER ANDOVER CONSTR.CORP Owner's Address 59 CHANDLER -0189R E* 1 * Is this permit in conjunction with a building permit Yes 0 No a (Check APp Box) Pu pose of Building TEMP_S ER V T _F. Utility Auftfization No 0 2 5.0 2 5 Existing Service � Amps /. Volts Overhead Q Underground No.of Meters New,service 66 0..:....... Amps 12 Q11 2 4 01ohs Overhead Q Underground = No.ofMders 1 NumberofFeeders and Amps&* LaCBdonand Nature ofPrQp09edElWbWWork' �=MP SFRVTC'F. PQP (-0MgTRi1C'TT(1 i No.of Lightin Nam Na of Hot Tabs Na of frenifonneto Total KVA Na of LWft Fixture Swinaw"Pool Above Below 090" tws KVA ground wound [:� No of Receptacle Outlets No.ofoil Burom Na at Emerges Y L*btiq Battery Units No.of Sw"Outlets No.of t)ss Stows No.of Ranges No.of Air Coad. TOW FIRE ALARMS No.of Zona Toro No of Dispmds No.of Heat TOW Tata) Na Of Detection sad PWWToa a xw kitieft Devices .� ,_ __ �...s..e...u.«:.....� _�rcar -14aofSowdinsDavkes to.of Setf Contained Detectign/8mmding Devices acala Municipal Otbe � /. connections No 3310 Date.................................. f NORTH 1 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING 49 CH YE ND This certifies that •- has permission to perform ........ -, .......................................................... i wiring in the building of.. "?..�...... ............... �. kdValuedEteatradWo>k S 1•W 9/12/01 at......:. fir -, ,North Andover,Mass. eTl- ,( LiIz=b a A 1 1 4 9 8 FetO ..... Lic.No/&g .... // ... Pz:-��................... y ELECTRICAL INSPECTOR �`. A 1 1 4 A R Check # Bus me TbLNa► Q7Fq_7SA_R740 .� 978-622-5852 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer t�dby/ G3>aaILSVMS Wdrp�gmgmgpaultappsoaaaltlwrtfalnms - (Please chock one) Owner Agent Telephone No. PERMIT FEE 0