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HomeMy WebLinkAboutMiscellaneous - Bldg 1-Metroweb■9 N� Location < No. Date Building Inspector Div. Public Works TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $— s'••�° Eta' s�cHus Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works rn i Q Z V) ¢ N ~ S y R LJ k a LJ z z �+ m z z s 1 � L) jf X Cull LU J QLn W WW VV) R N x Z Q � � G Z r * W 00, a 3 r — C N Y 'Tr` w y = .. 4000 N Y N_ Q lJ _ W .. — _ U _ u N Z W W z .. _ � '✓+ � * ik 4r ? (� � K U Cyr ..a Y k y Z tl: J N N — — ..1 Z � 1 J .r Z w - y z ¢ _ Z W W LL < i w w N W 'j A H LL LU z L z W Z V) ¢ ~ S y R k a z z �+ m z 1 � X jf X Cull LU J QLn W WW VV) R FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION /� 97� APPLICANT CZ os C%nG/�P PHONE��y10' LOCATION: Assessor's Map Number PARCEL SUBDIVISION `" LOT (S) STREET /' ST. NUMBER / #/ X J *************OFFICIAL USE ONLY********* RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE, REJECTED COMMENTS TOWN PLANNER COMMENTS DATE /APPROVED DATE REJECTED_ 4FN CTOR-HEAL DATE APPROVED ZJZ DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS,` PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Location/ 4 S J No. ., Date NaRTM TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ '°'•••° •'�� cMu Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �r Building Inspector 0 - 01/21°/99 14:31 91.00 PAID Div. Public Works (-) Q aCIO z s N N E- x C z Q � LU LLJ N � G z h 3 � 1` ! W s � y y. LU 'ji z z zz z uj `. Z Z �nN n ~- N N Q � r z —" 4► W . aV4. cz Z s u C4 W }' F- z :y L ILI z w z - LUL LU, s a z - E„ zQ Z 9 9 z (� z a 2 _- N J1 W z LZ, 'Z, U C z L z x T 1 VVI � J � uj z z j J T FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. **"-r"*"*******"'****"***APPLICANT FILLS OUT THIS SECTION* A APPLICANT�� �'� It eC=b p� i� S PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) 4 STREET 1cz ST. NUMBER USE ONLY"*'"w " RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS DATE gPROVED DATE REJECTED. FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT 1W U RECEIVED BY BUILDING INSPECTOR 1� DATE BUILDING DEPARTMENT `rtowtt o�r �4ocTH m4Do\,6v? Construction ";ntrol affidavit PROJECT NUMBER: 4 05 38 PROJECT TITLE: 1=1T -UP C-©iZ MC=TizO'`y�=2� TG�t{tbt�G�C t�G. PROJECT LOCAT.:--N: _( -AA SMME 'Tt N00 -:1 17A A.�iD©yFr� NAME OF BUIL :NC:_N0Z-CJ4.,NMVr_CT lLtt _&S NATURE OF PRC.; ECT: -_ NV—UJ C,6*jFo(2-Jc Nt=_F at,,) W('L6-�iN �Xi,ST(N� NT= t0 SP/�:CE_ IN ACCOR:A.tiCE KITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I, E c J: I�GMf�t"�L ���S Registration No._n q4 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I NAVY. PREPARED OR DIRSCTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTAT- TIONS AND SPEC:F:CATIONS CONCERNINCt ENTIRE PPC ECTARCHITECTURAL STRUCTU;LkL MECHANICAL_ FIRE PRC -E: -ION_ ELECTRICAL OTHER (specify) FOR THE ABOVE NAh-SO PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE. SUCH PLANS. COMPUTATIONS ANO SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHU- SET,S STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THENECESSARYPROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS ,0 DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PER.4:7 AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 127.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and .approval of the quality control procedures for all code - required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction speci- fied in the accepted engineering practice standard listed in Appendix D. PURSUANT TO SECTION 127.2.3. I SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT TO- GETHER WITH PERTINENT COMMENTS TO THE BUILDING INSEPCTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND RJIDINESS OF THE PROJECT FOR OCCUPANCY. n SIGN'''']j AND TAMP (NO FASCIXILE) Su85C BED AND SWORN TO BEFORE KE THIS ,DAY OF U�_19 NOTARY 9UBLIC MY COMMISSION ZXPIRES CYNTHIA L. GRAY NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS My Comm. Evims Jame 22, 2001 FF e No. 1744 n ACTON, MASS. y A o o 0 \ rx d \ ti •a o o \ c x o > ¢ s x S O � Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 WaIJAM J. SCOTT Director In accordance with the provisions 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 NIGL c I 11, S 150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applica t Date NOTE Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. G BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9340 PLANNING 688-9535 O z ri rA � ca o a cz CD c �o v w o o.ODco w p w" a o W U w w o u: 'A w a o 'c°° o c� G w z A w c4 z cn Q ' i o cn I CQ U6 O O v GY • ,�b ra,Y H O h E O O as v ii h 0 v CO2 C ct a t0 Q. y rdom;l �o CD c �o o2 C H ' � c isa� �m� :jft�.� �o o u Nco E Q y 16: o m r 0 h 0' 0 O`m .c0 v� cm V� m N m 3 . _m �sR Q• ca R N Cr 'E 3 m O• �� aUL.: �• y m 9 v:� O:cmoQ acz CD V N O �•co Q c. _: ` m c F=- o •• CL 0 N m S W CO br=..� LL •N m �• C O C �O.ZLU �O E � m•N ca -o o d O� N� = lN0 m- .0 ` H .O �z0.a*-m I CQ U6 O O v GY • ,�b ra,Y H O h E O O as v ii h 0 v CO2 C ct a t0 Q. y rdom;l F CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number (D Date -Q] THIS CERTIFIES THAT THE BUILDING LOCATED ON / 4#114 S 0 rA A/0 0 P% MAY BE OCCUPIED AS r-00*041PPY&I Zys $ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. I 01 S , CERTIFICATE ISSUED To :% ADDRESS 0 0 Rjj!A 43J A/7*0r/ ADDRESS &A S CHUS Building Inspector -7 ............... z No. .} .� Date... .T............../. �.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that......................... has permission to perform................................................................ .... wiring in the building of ...... .:....... '.:...... ....................................................... f, .�-. at ..1.... r.... ` `'..:::.......... !.................................. ,North Andover, Mass. Fee::...../..... Lic. No7�`�. .� `--ELECTRICAL INSPECTOR GI 01/21/99 14:20 100.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THECOA MOME40HOFARMCHUSE7TN Office Use o /� DEPARTMENIOFPUBLIMFM Permit No. l� BOARD 0FMEPREVF.M70NRWM4T101 N527(W 12W ' Occupancy &Fees Checked APPLICATION FOR PIRMIT TO PERFORM ELECTRIC WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andovei• To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant jam/ irrrrru ter•■ ■i.i r�r�rrrr�i Owner's Address Is this permit in conjunction with a building permit: Yes M1 No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work l%T/� ,1 Oct©e 2. No. of lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures ., Swimming Pool Above M Below Generators KVA liground Mround No. of Receptacle Outlets No. of Oil Bumers No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local [71 Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP Irs"=Cora Ptxs=vothe=WanBi dM GerlaalLaws IhawaairantLib'Fdyhar&=Pbbgmd &gCanpide C wraWaritssi ec� YES NO Iha%e%hn&dmMptoofofsaretothe0ffi= YES FJ NO r If)whmdvJwdYFSpimemdc*thetypeofwmaFbydakirtgthe W«kIDSfatt %%5-9% hpec�cnD*ReWesWd (sem) ExpitzimDke ��Vahte�ical Wotk $ Feral FIRM NAME �� �� L LioenseNa �/h J IS- Licmkec�-/i7 ,2 11messTUNa 7 -"�� 4W--71-le Sl�! Add 4�51—z? T ff/� 0 i�L. /� Q/11 �" AiTel. Na �9ZZ -� OWNER'S INSURANCEWAIVER;Iamawme#AfeL=wd mmtthemrmcew or#ts&ks&tda*=1atas m*uredbyNbwdm& CmaalLaws aid* mysiteecnthispan*WpFrafimwaivesthism*Wm-ct (Please check one) Owner M Agent ®) y Telephone No. PERMIT FEE (/ �/