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HomeMy WebLinkAboutBuilding Permit #343 - 1211 OSGOOD STREET 5/1/2018 NORT{i BUILDING PERMIT °� ��Eo bgtio c TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received SACHUS Date Issued: IMPORTANT Applican must complete all items on this page �� LO Ag B�IO. N EPR®PERTS OWNER ` ., ,; .` � 100 YearStr c urea x:h .yes ` no NEAP PARCEL ZONING, DISTRICT _ Historic Distr yews no- `Machine Sop Village j ,yes nyo TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic OmWell ❑^Floodplain Wetlands 0 Watershed District - DESCRIPTION OF WORK TOJEE PERFOR JED' < vel Identifica n- Ple-ue Type or Print Clearly OWNER: Name: L kc4i3 Phone: Address: /01C141, �s s phone:_ C.ontractor N' ' e:, _ _ ` . Q drress Ad - _ W 49— Superior's Constr66tk Licenser --- p' r !7, t Home Im P � - -- - ARCHITECT/ENGINEER Phone; Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSrBAS8D ON$125.00 PER S.F_ Total Project Cost: $ FEE: $ . Check No.: Receipt No..- -NOTE:------Persons contracting-with-unregitered-contractors-do not h'ave::ac ess-to- a-guar fund---_-__ Signature of Agent/Owner ___ ___ Signature of contrag kr% Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'"F SEWERAGE DISPOSAL pl�blic Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature f COMMENTS k Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street f IRE DEPARTMENT - aemp`®umpster on site yes,.__ _ no Located,at 124,:Main Street Fire'Department sCgnAture/date COMMENTS- L Dimension Number of Stories: Total square feet of floor area, based on Exterior.::dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location mast or service drop re uiresa. q pproval of Electrical Inspector Yes No = DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i ❑ Notified for pickup Call Email Date Time Contact Name 3 Doc.Building Pennit Revised 2014 t' Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building pp Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract Li Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products-' NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 3 43 Date.�//'r •/I ,.oRTH TOWN OF NORTH ANDOVER pf to , ,s,'t• O o PERMIT FOR AWGHA-MCAtINSTALLATION 41111110 F p SACHUS This certifies that . I.r .4 -�!?,%J�.. . . . . . . . . . . . . . . . . . . ..�� has permission for mechanical installation ff � in the buildings of .�.C�. .�a. . �c�j`i . - . . . . . .. . . . . . . . . . . . at . I.�.�.(. . . .Ca7 �?� . . . . . . . . . . . , North Andover, Mass. Fee. .LIQ, . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . .y6k��`.r ' r GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer a t - �ixexto��s C-�ixtiroes CC-005013 Fire Equipment Certificate of Competency <. Sean M Eastwood 71 Carolyn Avenue Seabrook NH 03874 i Expiration Date 02/04/2016 State Fire Marshal I i II r Use of this license is restricted by 527 CMR to: CC-48 Pre-Engineered Fixed Systems I Failure to comply with Massachusetts General Laws relative to the issuance of this license may be cause for revocation. Refer to: www.mass.gov/dfs If found,please return to Massachusetts Department of Fire Services, State Road,P.O.Box 1025,Stow MA 01775 h i A1,RESTAURANT VENTILATION INC Invoice 145 BROADWAY EVERETT,MA 02149 Date Invoice# TEL# 617-389-4488 3/20/2015 11816 FAX# 617-387-0042 Bill To Ship To Lots of Eats,Inc 1211 Osgood St. 1211 Osgood St. North Andover,MA 01845 North Andover,MA 01845 OD 2/20/15 P.O. No. Terms Rep Per Proposal Av Item Description_ Qty Rate Amount hood 18'hood w/front plenum 1 3,935.00 3,935.00T duct work 35'exhaust duct 1 1,560.00 1,560.00T elbow exhaust elbow 2 150.00 300.00T panel access panels 5 140.00 700.00T curb roof curbs 2 150.00 300.00T plates curb plates 2 80.00 160.00T fan exhaust fan 1 1,860.00 1,860.00T fan mua fan non tempered 1 1,375.00 1,375.00T Fire System U.L.300 liquid fire suppression system 1 3,140.00 3,140.00T F.S.Labor To deliver&install fire suppression system 1 3,140.00 3,140.00 panel s/s wall panel on back right of hood 1 880.00 880.00T wrap 3M wrap for single wrap layer 1 2,830.00 2,830.00T drawings mechanical plans 1 900.00 900.00T Permits Sheet Metal,Welding,Welding Detail 1 985.00 985.00 Labor to deliver and install 1 7,400.00 7,400.00 valve electrical gas valve 1 875.00 875.00T box electrical switch box 1 1,035.00 1,035.00T detector co detectors 1 1,185.00 1,185.00T shipping 1 825.00 825.00T Crane 1 900.00 900.00 Note extras on job 0.00 0.00 EMS energy management system 1 1,600.00 1,600.00T Labor start up system and bal air flow units 1 450.00 450.00 wrap double wrap 1 4,700.00 4,700.00T fan heated mua fan 1 3,975.00 3,975.00T Please make check payable to Al RESTAURANT VENTILATION INC. Subtotal Sales Tax (6.25%) Total ALL INVOICES NOT PAID ACCORDING TO TERMS WILL RECEIVE LATE Payments/Credits FEES MONTHLY AND COLLECTION FEES IF NECESSARY. Balance Due Page 1 Al RESTAURANT VENTILATION INC Invoice 145 BROADWAY EVERETT, MA 02149 Date Invoice# TEL# 617-389-4488 3/20/2015 11816 FAX#617-387-0042 Bill To Ship To Lots of Eats,Inc 1211 Osgood St. 1211 Osgood St. North Andover,MA 01845 North Andover,MA 01845 OD 2/20/15 P.O. No. Terms Rep Per Proposal Av Item Description Qty Rate Amount Labor increase cost 1 3,000.00 3,000.00 duct work insulated mua duct 1 2,585.00 2,585.00T Note credit -1,700.00 -1,700.00 Note TO BE DONE BY OTHERS:ALL ELECTRICAL, 0.00 0.00 PLUMBING,GAS,CARPENTRY,HOLES IN WALLS &ROOF. TERMS OF PAY... A1RV REQUIRES A 50%DEPOSIT OF$26,382.50 TO 0.00 0.00 START PRODUCTION.SECOND PAYMENT DUE ON DAY OF DELIVERY AND START OF WORK IN THE AMOUNT OF$15,191.25 .A THIRD PAYMENT DUE ON DAY OF FIRE SYSTEM DELIVERY AND START OF WORK IN THE AMOUNT OF$10,941.25. FINAL PAYMENT DUE OF$250.00 Please make check payable to Al RESTAURANT VENTILATION INC. Subtotal $48,895.00 Sales Tax (6.25%) $2,170.00 Total $51,065.00 ALL INVOICES NOT PAID ACCORDING TO TERMS WILL RECEIVE LATE payments/Credits _$41,000.00 FEES MONTHLY AND COLLECTION FEES IF NECESSARY. Balance Due $10,065.00 Page 2 Data/ KITCHEN KNIGHT 11 Specification - Kitchen Sheet Suppression System OPTIONAL CYLINDER ENCLOSURE TO DISCHARGE PIPING TO ITO REMOTE Al--MANUAL ' �+ '` PULL STATION iz:"' FUSIBLE /TO GAS VALVE /r/ LINKS SHUT-OFF 9=9- ® O 00 C 28.125 IN. OPTIONAL ► MINIATURE B SWITCH D CONNECTION 004802 13.125 IN. I 10.625 IN. -2-IPC ► * . - �- (33 cm) TO GAS �— (27 cm) (FRONT) SHUT-OFF (SIDE) ► Flow Mounting Model A B C D Point Weight Bracket No. in. (cm) in. (cm) in. (cm) in. (cm) Capacity Ib (kg) Used PCL-160 8.00(20) 17.75(45) 23.50(60) 15.44(39) 5 34(15) MB-15 PCL-300 8.00(20) 25.06(64) 30.81 (78) 22.75(58) 10 53(24) MB-15 PCL-460 10.00(25) 25.06(64) 30.81 (78) 22.75(58) 15 83(38) MB-15 PCL-600 10.00(25) 35.81 (91) 41.56(106) 1 33.50(85) 1 20 108(49) 1 MB-1 FEATURES GENERAL • UL and ULC Approved The KITCHEN KNIGHT II Restaurant Kitchen Fire Suppression • Complies with NFPA Standard 17A and 96 System is a pre-engineered solution to appliance and ventilating hood and duct grease fires.The system is designed to maximize • Meets the requirements of the Building Officials and Code hazard protection, reliability,and installation efficiency.Automatic or Administrators(BOCA) manual system activation releases a throttle discharge of potassium ►• Meets the requirements of the International Building Code(IBC) carbonate solution on the protected area in the form of fine droplets to suppress the fire and help prevent reignition after the discharge is • Approved by the City of New York Material and Equipment complete. Acceptance Division(MEA) • CE Marked j� pyro ChemTyco Fire Suppression&Building Products ► Indicates revised information. One Stanton Street by Tyco Fire Suppression,&Building Products Marinette,Wl 54143 Copyright 0 2010 Tyco Fire Suppression&Building Products 1/25/2010 PC2001192(4) SYSTEM OPERATION SUGGESTED ARCHITECT'S SPECIFICATIONS The KITCHEN KNIGHT II Restaurant Kitchen Fire Suppression ],The fire suppression system shall be of the stored pressure,wet System has been designed for protecting kitchen hood,plenum, I chemical pre-engineered fixed nozzle type manufactured by Tyco exhaust duct,grease filters,and cooking appliances(such as Fire Suppression&Building Products.A carbon dioxide cartridge fryers, griddles,rangetops,upright broilers,charbroilers and ►shall be used as the pneumatic releasing device for the system. woks)from grease fires.The versatile state-of-the-art wet The cartridge shall be an integral part of the control head chemical distribution technique,combined with dual, independent assembly.The wet chemical storage cylinder shall be a DOT- activation capability—automatic fusible link or manual release— ►rated cylinder for stored pressure of 225 psig(15.5 bar),and a provides efficient,reliable protection the moment a fire is pressure gauge shall be provided on the cylinder valve for visual detected.Once initiated,the pressurized wet chemical inspection.The system shall be capable of automatic and extinguishing agent cylinder discharges a potassium carbonate manual actuation.Automatic actuation shall be provided by an solution through a pre-engineered piping network and out the appropriate number of fusible link detectors mounted in series on discharge nozzles.The wet chemical discharge pattern is a stainless steel wire input line to the control head.Manual maintained for a duration of time to ensure suppression and ►actuation shall be provided by turning a handle on the cylinder inhibit reignition.Expanded capability provides remote manual control head cover, if available,and/or remotely by a cable actuation,gas equipment shutdown,and electrical system operated pull station with a dedicated stainless steel line shutdown.This optional equipment will enhance the basic connected between the pull station and the control head system functions and be applicable when designing custom ►mechanism. configurations to suit a particular customer's needs and/or The system shall have been tested to the UL Standard for Fire comply with local codes. Extinguishng Systems for Protection of Restaurant Cooking The operating temperature range of the PYRO-CHEM KITCHEN Area, UL300,and Listed by Underwriters Laboratories,Inc.It KNIGHT II System is 32°F to 120°F(0°C to 49°C). shall be installed in accordance with the National Fire Protection ►Association standards, NFPA 17A Standard for Wet Chemical Systems,and NFPA 96 Standard for Ventilation Control and Fire ►Protection of Commercial Cooking Operations,and comply with all local and/or state codes and standards.Refer to PYRO- CHEM KITCHEN KNIGHT II Restaurant Fire Suppression System Manual, Part No.551274,for detailed installation and maintenance instructions. TYPICAL INSTALLATION b � , 2 4 0 ► 1. CYLINDER CONTROL HEAD—Integral design allows direct connection of the actuation pressure cylinder to the control head without the need of high pressure hose or pipe. Separate wire cable activation lines for automatic fusible links and remote pull station provide an added measure of safety. ► Unique technique for achieving necessary input wire cable tension. 2. PIPING—Unbalanced piping network simplifies application ► design and installation.Requires no additional piping to ► connect system pressure cylinder to extinguishing agent container.Schedule 40 black iron,chrome-plated,or stainless steel pipe can be used. 3. CYLINDERS—Contain PYRO-CHEM Potassium Carbonate ► wet chemical solution stored at 225 psig(15.5 bar): Includes pressure gauge for visual maintenance checks. 1.6,3.0,4.6, and 6.0-gallon sizes provide 5, 10, 15, and 20 flow point coverage respectively,offering a broad range of application coverage. 4. NOZZLES—.Can be fixed or fitted with a swivel'adaptor allowing the nozzle to be rotated approximately 30°in all directions. 5. REMOTE MANUAL PULL STATION—Simple operatirig instructions with double action release minimizes accidental manual operation of the system. Maximum limitations of 150 ft ► (45.7 m)cable run with 1/16 in.cable and 40 corner pulleys apply.A dedicated wire cable input line to the cylinder control ► head provides manual operation in addition to automatic operation utilizing fusible link detection. ► The pull station is compatible with flexible conduit. 6. FUSIBLE LINK DETECTION EQUIPMENT— Accommodates both series and terminal placement to minimize inventory and simplify ordering.All necessary components are included.for efficient assembly and installation.Fusible links rated for maximum ambient temperature must be ordered separately. Maximum ► limitations of 20 fusible links on a 150 ft(45.7 m)cable run With 40 corner pulleys provide substantial hazard coverage. 7. AUTOMATIC GAS SHUT-OFF VALVE—Complies with requirements pertaining to the shut off of fuel as described by NFPA 17A.Can be reset at control head after regular ► maintenance/service check for convenience of service ► technician.Maximum limitations of 100 ft(45.7 m)cable run with 30 corner pulleys provide mounting flexibility. ► The gas shut-off valve is compatible with flexible conduit. 8. CORNER PULLEYS AND ACCESSORIES—Designed to ensure reliable system function as tested by Underwriters Laboratories. ► 9. AGENT DISTRIBUTION HOSE (Not Shown)—Kitchen appliances manufactured with or resting on caster (wheels/rollers)include an agent distribution hose as a component of the suppression system. This allows the appliance to be moved for cleaning purposed without disconnecting the appliance fire suppression protection. The hose assembly includes a restraining cable kit to limit the appliance movement within the range(length)of the flexible hose. 10. FLEXIBLE CONDUIT(Not Shown)—Flexible conduit allows for quicker installations and the convenience of being able to route the cable over,under and around obstacles. Flexible conduit can be used as a substitute for standard EMT conduit or can be used with EMT conduit. Flexible conduit can be used only with the Remote Manual ► Pull Station and Mechanical Gas Valves. b I i I a ' I i I i 12 i1 ©s(yU8? T�Ak oUILDING BILE I r \c� F C .Z VVI A ' I n �Nv- v - �� � V 7-,5 COMMUNITY and ECONOMIC DEVELOPMENT DIVISION Building Conservation Health Planning Stevens Estate Zoning TRC Meeting Minutes August 5,2015 11:00 AM Staff Present: Michele Grant, Susan Sawyer,Joyce Bradshaw, Gerald Brown, Kristine Cheetham,Jennifer Hughes, Fred McCarthy,Jean Enright CC: Tim Willet, Andy Melnikas, Eric Kfoury, Andrew Maylor, Laurie Burzlaff, Gene Willis, Charles Gray, Subiect: Full Bloom Cafe-- 1211 Osgood Street The applicants, Becky Lambert and Michele Chase, would like to open a juice and smoothie bar within an existing business, The Soul House, located at 1211 Osgood Street. There would not be an expansion of the building footprint. This new business, Full Bloom Cafe, would sub-lease and operate within approximately 64'feet and sell juice and smoothie drinks. The only equipment needed is a commercial juicer, blenders, and refrigeration units. The business would employ two people and the proposed hours of operation are Monday—Friday 6:00 am until 7:00 pm and Saturday—Sunday 8:00 am until 12:00 pm. The applicants would like to open in early September. J. Hughes: Since there are not any proposed changes to the footprint of the building Conservation would not be involved in this project. Gerald Brown: For a permit building plans stamped by a Professional Engineer will be required. These plans will have to meet accessibility and building codes. Plumbing, electrical, and building permits will all be required. Since there are not any seats proposed a parking analysis will not be required and the existing two bathrooms are adequate. Provided the applicants a building permit application and the sign permit regulations. Kristine Cheetham: This will not trigger Site Plan Review if no seats are proposed. As described,the business will likely complement the existing business well and there should be foot traffic from the existing visitors to the strip mall . Joyce Bradshaw: With no seats, a Common Victualler license is not required. Susan Sawyer: The architectural plans should be submitted to the Health Department for review. This review will include floor and wall finishes, number/type of sinks, grease trap COMMUNITY and ECONOMIC DEVELOPMENT DIVISION Building Conservation Health Planning Stevens Estate Zoning TRC Meeting Minutes August 5,2015 11:00 AM requirements, etc. We will provide an information packet that will need to also be submitted for review as well. For a project like this the review will likely take about a week. Fred McCarthy: Confirmed that there will not be any partitions or interior walls added. There should already be extinguishers at each exit and key access and emergency contact numbers should be provided. JaJw: izii o��csF. � BUILDING FIDE I►' %4ORTM eo D t4�. ea 6 OG O Dpp 0'0 �S ACHUS�� TOWN OF NORTH ANDOVER Sign Permit Date: October 4, 2006 Permit Number 05-07 THIS CERTIFIES THAT, V& V NAILS Has permission to erect a 18" x 10' NON ILLLTN 41NATED WALL SIGN At 1211 OSGOOD STRET On MAP PARCEL provided that the person accepting this Permit shall in every respect conform to the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section#6 Voids this Permit INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED Pd -30 - Inspector of Buildings foam sign pecmit.doc r TOWN OF NORTH ANDOVER SIGN PERMIT APPLICATION Site Owner O scion 5 _LLC Applicant 1� 1 MI)JE N 1_t Site Address S T AI Size of Proposed Sign V V NAL How attached: a) Against the wall Illumination: a) Not illuminated b) Roof ( ) b) Internally illuminated ( ) c) Ground ( ) c) Externally illuminated ( ) d) Other ( ) Materials: . Proposed Colors: Background_�,� Lettering i Border Required Attachments: Note: No permanentitemporary sign shall be erected, or enlarged until Photographs of building an application on the appropriate form furnished by the Sign Officer has Material sample been filed with the Sign Officer containing such information including p photographs, plans and scale drawings, as he may require, and a permit Color sample for such erection, alteration, or enlargement has been issued by him. Site or Plot Plan (Required for all free-standing signs) Such .permit shall be issued only if the Sign Officer determines that the Drawings of proposed sign sign complies or will comply with all applicable provisions of the By-Law. Other, specify Will sign overhang any public road or walkway Yes ( ) No ( yr If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACC ED DATE FILED: / V/1/I A AAS-1 S G (CANT revised:jm- 11.5.04 / 1 V � get OFFERING • WINDOW iiNNN6 8� 18v &V NAIL' S Professional Nail Care 10' z— NAILS Professional Nail Care d d V & V NAILS q PR❑FESSI❑NAL NAIL CARE TELE 978-686-6350 .1 CEILIN d co a ;E d UNIT 3B - 1211 OSGOOD STREET / ROUTE 125 r Location No. '� ` Date IV-,41—eh 3 NORTH TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee X47 $ `.' TOTAL $ Check #/ 1x/`,'1 1,,-' `i9648 Building In victor ° Ma.th 1y �8�cwust� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 154 8/29/06 Date: October 4. 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1211 Osgood Street MAY BE OCCUPIED AS Nail Salon IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Limited Partnership —McLays Florist 1211 Osgood Street North Andover Ma 01845 .Building Inspector d NORTH ® of 0 _ {I No. AK o - A dover, Mass., elda COCMICHEWICK A�RATED P"' `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR . . .... THIS CERTIFIES THAT...... . /.... 40...................................... ...... .. .... 1..A.s Foundation ........................... buildings o has permission to erect............ n g �W_ . ..� .......40110"......... Rough himney, to be occupied as.................. ......�.... .. .. ... .... �.. , .. . .. ...... .. a ........ .. � ; - ,-:7 , provided that the person ac ping this permd shalt i every respe �l61ff6�m to th ter s .. cats on'fi m this office, and to the provisions of the Codes and By-Laws relating to the Inspect , Alteration and Construction of final 1 %!,�` { P j �'6 Buildings in the Town of North Andover. PLUM IN'G INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. k' '.On:m PERMIT EXPIRES IN 6 MONTHS 1 al ELECTRICAL INS TOR UNLESS CONSTRUCTION ST S Rough ............................ ......... .. Service BUILD INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal ' No Lathingor D (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. I Burner Street No. 01 !! II `� SEE REVERSE SIDE Smoke Det. f l f � 7�I t L" �.1ORTH Town ofAndover .: o TA No. - IYL i dover, Mass., 44 cy COCMICM ICN ^ AORATED pP ,�5 S BOARD OF HEALTH PER M- IT D Food/Kitchen Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT......10011.k.of.. ..................................... I. Foundation has permission to erect........................................ buildings on Rough 05- ...... 4n&*' ...."' Rough to be occupied as.................. �.. himney . ...... .. .... ... .... .. ........ . ...... .. . ..... �� provided that the person ac ping this permit shall i every respe rm to th ter s cats on in V- inal this office, and to the provisions of the Codes and By-Laws relating to the Inspect , Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPMYOR UNLESS CONSTRUCTION ST "'-'S Rough Service ............................ ......... . .. BUILD INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final f No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner ,� 7 ,v 4 - 4 � Street No. ` ` h SEE REVERSE SIDE Smoke Det. Date......1 .�� 2........ 4 NORTH 1 3r;�'�`�� e�OpL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 3 CHUSE� r This certifies that ...........::......`-may ....................... ........... ............................... has permission to perform . —' " �' -Y'4 �' . ... . ........ . wiring in the building of {.. at../ . .... �..................................CNorth Andover,Mass. Lic.No./ '$('9 .....(... ....... u! .;�r ..�'............. ELECTRICAL I. SPECTOR' Check # 6960 411, Commonwealth of Massachusetts Official UseOnly Permit No. Department of Fire Services Occupancy and Fee Checked LI-t—r BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leaveblank 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: City or Town of: 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)7 I <s"qd��� (OV f Owner or Tenant � � y Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 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: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA .d No.of Luminaire Outlets No.of Hot Tubs Generators K-VA No.of Luminaires Swimming Pool Above ❑ In- ❑ tt o.o mergency Lighting grnd. rnd. Bae Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pum Number. Tons KW No.of Self-Contained a Total P "" "' '""" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection • No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring• Heaters Si ns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirmg No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) DWork to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 s undersigned certifies that such coveragplis in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME- 7 R G' r LIC.NO.: Licen ce &rSignature LIC.NO.: (Ifapplicable,enter "exempt"in the license number line.) BUS.Tel.No.:!X P Address: 4�4Z --el_ y �/ 6"•P Alt.Tel.No.: *SecuritySys e Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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 Signature Telephone No. PERMIT FEE: $4 zp�l ,o 0 Date. .J�fC- �• ,TOWN OF NORTH ANDOVER . o PERMIT FOR PLUMBING ,SSACMUSES This certifies that • • • • • . • • • • • • • • • • • • • • has permission to perform . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . ? ././. . . .�,�.S. . . . . . . . . . . . . . . . . . , North Andover, Mass. . . Fee. Lic. No./ . . -.� PLUMBING INSPECTOR Check # 7091 13 U h 100' 00 MASSACHUSETTS UNIFORM .APPLICATION FOR PERMIT TO DO PLUMBING 33 3 Type or print) I (� NORTH ANDOVER, MASSACHUSETTS 1�17, t Date Building Location �Q� QS Q� Owners i`iame Permit#../ 2 �. Amount Type of Occupancy"A-, o, Ne,w-`©� Renovation �— Replacement 0 Plans Submitted Yes ❑ No FIXTURES Fz > � r U � C z z u . r T M z ,f > M.FL" M HtM -MFWM 4MMOOR SM HIM 6u HBM 7M FU)CR 91H FLOOR (Print or type) �- 4- Check one: Certificate Installing Company Name . ❑ Corp. Address �^ Partner. d Bluso U ivies- ie ep one Firm/Co. Name of Licensed Plumber. Insurance Coverage: [ndibthe-�typeinsurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application(toes not have any cne of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted(or entered) in above application:ire rme and accurate to the hest of my knowledge and th,.it all plumbing work and installations purforme under Permit issued fur this application will he in --ompliancc with Al pertinent provisions ref the Miss; usct Statu lumbi Cc e and( • of the General Lwvs. By. hna ule(. le• Sc un. cr Type • mhing License Title City,Town c se to 3F Master n �,3ttrne,-man ��PPROVED(CI=FR:E USE ONLY L.Cy'