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HomeMy WebLinkAboutMiscellaneous - Exception (74)Date...:.. ':..��. y.... "`° :• "� TOWN OF NORTH ANDOVER 0' PERMIT FOR WIRING ,SSACNUS� This certifies that r� ...................... �...................................... .... .. ...... has permission to perform .......�.a�r `- t wiring in the building of at ..... d,4 1...... ................. ..................................... . North Andover, Mass. Fee. ��� Lic. No. f ���. �XA...............' ELECTRICAL INSPECTOR Check #- 54L4 7BECOAIMOA1WE4LTHOFMA.S,S4CHUSL+77S Office Use only DEPARTAITENTOFPUN NSAFNY Permit No. S BOARDOFFIREPREVF. MONREGUTATIO R7C� 12.00 Occupancy & Fees Checked APPUCATTONFOR PERMIT TO PERF W ELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACH[3SSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover I / To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work desc - bed below. i Location (Street & Number) Z A Owner or Tenant 's ; `V --_5k e/�- Owner's Address vg" - Is this permit in conjunction with a building permit: Yes No ® (Check Appropriate Box) Purpose of Building �`�es,'L� to l Utility Authorization No. (0 Existing Service OZ' Amps /'20 / L `/a Volts Overhead © Underground No. of Meters New Service Amps v Volts Overhead ®Underground No. of Meters Number of Feeders and Ampacity Z C 'kS Location and Nature of Proposed Electrical Work U P Q- 4-A cfX'5ilm f No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round ED 2round No. of Receptacle Outlets No. of Oil Burners 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 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 ~OTHER• hm>rarXeCDWrage. Rus>anttDtheregtritarla&dM%sad><>selfsGax!dl-aws Ihaveaa>IIatI-Abiliyka ancePbhcyinck&gCon4*1e QpFdbom CDm rageorksatst chalegivalat YES NO ED IhavesAxna2dvalid ploofofsametothe 0ffim YES IfyouhavecludadYES, pkw--ilrdr*the type ofeovwgpby drddrlgthe INSURANCE A./' ,,, ./' I BOND �JrII-IER � i� �y) EViralimr` l)ae / �- 3 _o ` E0n*dVa1ledE1ocbicalWodc $ WodctDStatt i IrrspechonDaeRequested Rough Final FIRMNAME ( L LioawNo. l) 36 S /4 Liomisee 'il�•,�z-e �U �` Sigrl = �= Lic=No Bu4QTeLNb. ZP-3&o-39f Z A, l fit 1 fy s C t S� 1 t"'t e'er f4 D i i -1 Alt Tel. M. OWNER'SINSURANCEWAIVFE;IamawatethattheLimwdoes nothavethemsurarmoDvaageorits absWdequrvalatasmgtmedbyMassaimsemGml ralLaws aryl drat my sgnatum on this permit apphcabm waives this la4memmi (Please check one) Owner -� Agent Telephone No. PERMIT FEE $ �/ � Nigna ure of Owner or Agent If Date..Xc�.-. �J/... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �SACMUSE This certifies that . U ..'".`�.., :`..':.. ................ his permission for gas installation ...:......!!............. . ht the buildings of .. . .......................... . i at c:)) 4 .. (<.... , North Andover, Mass. Fe�--RP.�L.. Lic. No zF �.;ZSi \ 01 . . �I "GAS I S�ECTOFi Check # ��� � �""" 44.73 4 f MASSACHIISE uNDORMAPPU TON FOR PERNIITTODO GAS FfrnNG (Type or print) Date `p-�`- d �% NORTH ANDOVER, MASSACHUS TTS Building Locations c.�o� Permit # Amount $ Owner's Name New El Renovation ❑ Replacement ❑ Plans Submitted ❑ U a 0 c F ° a z Z c w H° ° o a CO) a� G w ° rat z °w H°F�� SUB -BASEM ENT BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. F L O O R 7TH. FLOOR STH. FLOOR (Print or typ9) / one: Certificate Installing Company Name /--12 L V-- ( 1A r c y 7 1 G Y% _? ChecCorp. ji Address /"7 /�r"`S AS'r1 El Partner. r c.. F 77 ;v c_.. usiness a ep orle El Firm/Co' n Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one./- I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked yes, please inoieate the type coverage by checking the appropriate box. ❑ 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 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 ❑ Agent I hereby certify that all of the aetaus anu mror[nauv„ , 11avc "uv11uawu k.,_ -YY -_ - - --- - - ---- - - - 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 Massachusett to Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) ,Signature of Licensed Plunbe;�r Gas Fj�r lumber ❑ Gas Fitter License Number aster /JIvjourneyman i Location No. Date TOWN OF NORTH ANDOVER ,. I „ Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ J�cMU Other Permit Fee $ Sewer Connection Fee $ PA §D � Wl�t�er Connection Fee $ [( T(7 , �G� $ nl 991 Building Inspector �®` Div. Public Works ©v Location f AORTN ?O•tt��o .�,h•< 1 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee ,r ' Se�0popnQ9tion Fee Water Connection Fee 1�} or TOTAL Building Inspector Div. Public Works PERMIT NO. 0 2 S_ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. C L PAGE 1 MAP K40. LOT NO. I 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE � SUB DIV. LOT NO. —I LOCATION PURPOSE OF BUILDING NO. OF STORIES SIZE �u'f OWNER'S NAME 1 OWNER'S ADDRESS f'' _ �- // J�'YLrLC BASEMENT OR SLAB ARCHITECT'S NAME 19 o SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING �� T DIMENSIO OF S.�eL !J — DISTANCE FROM STREET — " POSTS DISTANCE FROM LOT LINES — SIDES REAR " GIRDERS } AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION Ul,,el D MATERIAL OF CHIMNEY IS BUILDING ALTERATION % e9 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE d //"^� ( IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY o lo,(/ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FI ED�-7J/9/ SIGNATURE OF OWNER AUTHORIZED AGENT FEE .� PERMIT GRANTED J oz O OWNER TEL, 0-�^ CONTR. TEL. # L CONTR. LIC. #-d2LV__ . 5�9 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Al D� EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN 'NV1d lO1d S30Vld3M SIH1 'a3SOdW12d3df1S 'Ol3 'S3!Dva -VE) 'S3HOLI0d HIM 'S9N1a11f19 =10 SNOISN3W1a lovX3 aNV S3N11 101 WONzi 3ONV1S1a aNV 101 dOSNOISN3Wla LOVX3 MOHSiSf1W N01103S SIHl ZIAONVdnOOO tVdnOOO L OVOD31 JNlalin9 `JNI1V'dH ON_I P'6 I 4 P -b 1, w.9 �1M1D313 110 SWOOs dO 'ON L SVo S831V3H 11NI1 01.H 1NVIOVd ONINOI11(INT:) 81V MOdVA 210 8.1.M IOH - WV31S 'NMnd MIV lOH CIKMOd 3JVNMn3 SS313dld _ _ S831dV8 000M 'S10:) 18 'SW9 13315 -S10D V 'SW9 839W11 1SIOf 0008 ONIIV3H it I DNIWVsd 9 00V0 3111 BOOId 3111 S3Mn1Xl4 NM300W ONHOOM 1108 _ 83MOHS 11VIS 9N19Wnld ON 13AVdO F 8V1 31V1S )IMS N3H:)11X S30NIHS DOOM kdOlVAV1 S310NIHS 11VHdSV 13S01� 831VM ��=C.16V=SNVW � 1V1d 1383wV`O I'Xld LI 'W8 131101 'Xld £I HIV13 dIH 19VO 'JNISWnld OL loos 5 3MOIOdns MOOd I I ONIMIM 3WV8d NO 3NO1S ABNOSVW NO 3NO1S 3119 83(JN1:) 80 ':)NOD _I Wold '8 'S81S :)I11V 3WV84 NO XD189 kdNOSVW NO XD189 —� _E__ C l 9 3WV83 NO O»n1S ABNOSVW NO O»n1S 3111 'HdSV ONIOIS '183A NOwIWOD `JNIOIS SOIS39SV Oh\OMVH ONIOIS 1lVHdSV S310NIHS 000M H18V3 3138.�N07 S08V09dV1J Moll 6 II S71VM b N3HJ11X N8300W WOOB OV3H S3JVld 3814 V38V JI11V 1. W 9 ON V38V .1.W.9 NIA llnd,, gbV II 1N3W3SVS E Z _ i E NIdNn 11VIA A80 831SV1d S8 Id O.MOBVH 3NO1S 80 3(DI89 3NId '31.19 3138:)NOD 313dDt40:) HSINId 10I1131Ni 9 NOI1VONnOd Z NOIl::)nHISNOO S1N3W1MWV _— ST:)I3do "AQ I1lnW _— S318o!S I I AllWVI 310NIS ZIAONVdnOOO tVdnOOO L OVOD31 JNlalin9 Z O 0 a °z O "n1 S A O _ 0 �a A Mc XFO _ v' m < V) a: zy fb A 3 O� z u (n ca TI m T Cl) m s T v -n o m v� 3 m 0 c CD „ T m Poo O�• o co ? n H z to M 700 0 0 s r1 ' y r �1 Q 3 05 ? r7 C C n z el 0 _� v 10 c ° C Z r) � to O O 0.0 C 3 f-0 0IT t O a 7 eD 00 3 •v W,eD• o a 0 a °z O "n1 S A O _ 0 �a A Mc XFO _ v' m < V) a: zy fb A 3 O� z u (n ca TI m T Cl) m T 37 -n o m 3 m 0 c CD „ T m o co ? n H z to M 700 0 0 s r1 ' y r �1 Q 3 05 ? r7 C C n z el 0 _� o 10 c ° C Z r) Q ° Q T r 4 CA CA CD qQ z 0 9 M [.77 U C