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HomeMy WebLinkAboutBuilding Permit #532-13 - 220 OSGOOD STREET 1/24/2013 (3)TOWN OF NORTH ANDOVER�Y" APPLICATION FOR PLAN EXAMINATION 1 4777 Permit N0: 6�7--l� Date Received Z� Da,e Issued: I ZL-I1-5 _IMPORTANT: Applicant must iL®CAITiI©,N T'r -jinn ffMA RTtYt"O�WN 0— -� Print plete all items on this page ' T 1 C'Ccu'D�S '100 Yed Structured yesS nog. _� ,H�s"toric�Distnct yesa neo) IU hinaiShn?Villa`del ves) ' , no) TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family El Addition El Two or more family 11 Industrial ❑ Alteration No. of units: ❑ Commercial )g Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition❑ .._.,. �^ - Other - �a�� ©iFlood' lal'nf ❑tiWetlands� 0� Watershed.plstrlct, DESCRIPTIUN UI- Vt1UKr% I U 13c r t<rvr�iriw. A�N riS�4l�i� ��a �;�G�P�® C0.��'•S� �t�o t gam, c-em�� Coo Identificalo lease Type or Print Clearly) OWNER: Name:Al ✓ Phone: - Aaaress: IN 1 1 .:. u,�.;.alw,:�rn.iomontra�rincn'ca:' ARCHITECT/ENGINEER , Address: FEE SCHEDULE: BULDING PERMIT. $12.001 Total Project Cost: $ V-CF7-195 Check No.: NOTE: Persons contracting i up, _igriature.�of;$Agent%Owner' Plans Submitted ® Plan ai NY Locatio �o �3 !,� Date Check 26114 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee - TOTAL- r Building Inspector Permit Date I : 6�7-- 17�) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I ",1 L+It- / IMPORTANT• Applicant must complete all items on this page 2126 -5 S _ 00 711� 77 AffX ac'os PR®�PER�TtYOWNER�2F, — P.nnt' OOYeaO dStr`uct�ire� Yesl , no7. M�APNO? P.ARCEL� Z®N_I,NGIDISITRIC,Tr._ _ HlstoncDlsfnct yesj noa P,) f Mach'ineYShop V llagi3,, Ys) no; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial )gRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other .. .- . . _ .__ f_ j- ❑1Septic 0)11Vell _ _ .._.. _ „ ❑1Floodplaln) gjVlletlands� r � p Watershed pistrlct, ON OF WUKK I U tit r:�Krvravi; S, �. t coo 1 g (\ . i" enna ve— L 000 IdentificatloyTlease Type or Print Clearly) DOWNER: Name:66 A ✓ Phone: ;CONjTRAC�T�®R� Namef moi& �-Su erviso:�iu$ n trucfionxLicense p _ 1� � I`lnr;;veli;-,nrnvcmant?lii�anca�` � ARCHITECT/ENGINEER Address FEE SCHEDULE. BOLDING PERMIT: $12.00 I Total Project Cost: $ �- Check No.: NOTE: Persons contracting i urs i natia�e.of-A ent/Owh Plans Submitted Plan ai SCD Locatior"�D I Date No. d Check 4� 6,26? 26114 TOWN OF NORTH ANDOVER Certificate of Occupancy $�tO 8� Building/Frame Permit Fee , { Foundation Permit Fee Other Permit Permit Fee $ TOTAL $ Building Inspector .hon eo w -jtA TO I� DATE TIM y AM � RJ PM FROM PHONE( �,{� ! CELL (!/�iJ) ,7? ZI 36-/3 FAX ( ) l� -7b E ['az' ✓4Y -4 4 s S A p7,-kj 2 eR E @ Q E-MAILADD SS SIGNED PHONED B-AgCK CALL RETURNEDSEE YOUO❑ I WILLAGAIN ALL ❑ WAS IN URGENT TO DATE TIME A FROM PHONE �j ) ^� CELL C/) I a?S / -7 3 FAX ( ) Y E M E "" E A�- G� f./� (,t. G It P& E `7^Ky' �S Gr-� �-- . ��-v eV rn. A- 0 E-MAILADDRESS SIGNED PHONED ALL RETURNED SEE TS TO AGAIN ALL i qS IN URGENT BACK CALL ti c\_ Commonwealth of Massachusetts Official Use Only mom permitNo. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 1 (PLEASE PRINTWINK OR TYPE ALL XFORAMTION) Date: City or Town of: NORTH ANDOVER 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) .220 oS600r� 5 M -r 1 q 5-0 & 7 - Owner or Tenant �oHN •r�3E W MO-PLE W -&X Telephone No. Owner's Address ^ 22a aSGool�?%jam A��°vE�Z Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building .S/xl C-c4r rA")c.Y 14'0H67 Utility Authorization No. Existing Service 1 py Amps /1y / Al Volts Overhead Undgrd ❑ No. of Meters New Service Z Amps //o /AZh Volts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity y4I Z00,4 Location and Nature of Proposed Electrical Work: 7C r' iST,Wee /M%I -SELuM �O 1pb � -sC�v� ccs U�G�r� x OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2,,S2`0 (When required by municipal policy.) Work to Start: 3 -B iz- 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 undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURA=NCE a BOND ❑ OTHER ❑ (Specify:) X certify, under the pains and penalties of perjury, that the information on iliis application is true and complete. FIRM NAME:. JD)Avr V 15mlZ R LIC. NO.: Licensee:�c z,LLc'R Signature_ %9LIC. NO.: �' ~ (If applicable, enter "exempt" in the license number Irne.) Bus. Tel. No.: ee '9'yy~7�7D Address: /L 1-1455 t7M0r7 57 N. Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License. Lie. No. 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 �r , ..i , o,v., .PERMIT FEE. $ Completion of the following table may be waived by the Inspector c, No. of Total No, of Recessed Luminaires No. of Cell: Susp. (Paddle) Fans No. of Hot Tubs Transformers KVA Generators KVA No. of Luminaire Outlets Above In- Swimming Pool rnd. rnd. ❑ o. o In ency �g ting Batte Units No. of Luminaires No. of Oil Burners FIRE ALARMS No. of Zones No. of Receptacle Outlets No. of Gas Burners No. of Air Cond. Total Tons No. of Detection and Initiating Devices No. of Alerting Devices No. of Switches No. of Ranges Heat Pump Number .Tons KW••,,,•.•,. Totals: No. ofSelf-Contained Detection/Alerting Devices No. of Waste Disposers Space/Area Heating KW Local El ❑ Other Connection No. of Dishwashers g Appliances KW Heating Security Systems:Y No. of Devices or Equivalent No. of Dryers of No. of Ballasts Data Wiring: No. of Devices or E uivalent No. of WaterNo. KW Heaters Signs Motors Total HP Telecommunications wiring; Devices or Equivalent No. Hydromassage Bathtubs No. of No. of OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2,,S2`0 (When required by municipal policy.) Work to Start: 3 -B iz- 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 undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURA=NCE a BOND ❑ OTHER ❑ (Specify:) X certify, under the pains and penalties of perjury, that the information on iliis application is true and complete. FIRM NAME:. JD)Avr V 15mlZ R LIC. NO.: Licensee:�c z,LLc'R Signature_ %9LIC. NO.: �' ~ (If applicable, enter "exempt" in the license number Irne.) Bus. Tel. No.: ee '9'yy~7�7D Address: /L 1-1455 t7M0r7 57 N. Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License. Lie. No. 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 �r , ..i , o,v., .PERMIT FEE. $ t yI ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall -be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass Failed Re- Inspection Required ($.) ❑ Inspectors Com encs: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: i Inspectors Signature: Date: ROUGH INSPECTION: Pass F?1 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass ? Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors ignature: ip Z2-6-1 2- Date: )EB WFINHOI n -rnrnini nF RAPPPinnnn nno rJ.ucinhnl lrl+n.y.nnf o..i n nn. a -C\N commonwealth of Massachusetts mumDepartment of Fire Services e mum a., BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No.112-S-7 Occupancy and Fee Checked Zev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRIICCA L WORK All work to be performed in accordance with the Massachusetts Electrical Code ) (ME (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: ill City or Town of: NORTH ANDOVER 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) 22� 6St�0v S l ` Owner r Tenant � H l0 A it �� t l i 17'Dt-L-r Telephone No. Owner's Address 64 �-7 Is this permit in conjunction with a building permit? Yes [IPP-- No (Check Appropriate Box) Purpose of Building 511*a/'�J Ly Utility Authorization No. - Existing Service / 00 Amps /0 I 90 -Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: overhead ✓❑� Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) l No. of Luminaire Outlets No. of Hot Tubs No. of Luminaires ff Above Swimming Pool rnd. No. of Receptacle Outlets 7,0 No. of Oil Burners No. of Switches No. of Gas Burners No. of Ranges 7 No. of Air Co d. 3 Hea�Troutamisw- r Toi No. of Waste Disposers No.of Dishwashers Space/Area Heating KW Heating Appliances No. of Dryers No. of Water KW No. of No. Signs Bal Heaters No. Hydromassage Bathtubs No. of Motors To OTHER: J-/r7n►�, - al - Tu 6110 6-- Lo i 2t cufr of the following table may be waived by the Ins ect, No. of Total Fans TranefnrmP.r.Q KVA u Generators' ALARMS I No, of Zones No. of Alerting Devices ❑Municipal rnnnection ❑Other KW I` Nn nfhevicesor of Data .lasts I 1\ W HP A Attach additional detail if desired, or as required by the Inspector of Wires. Estimated' Value of Electrical Work: / (When required by municipal policy.) Work to Start: 3 / 2 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 undersigned certifies that such cove age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE , BOND ❑ OTBER ❑ (Specify:) p cert, under the pains and penalties ofperjury, that the information on this application is true and complete. LIC. NO. FIRM NAME: , i� /J')� SS c�s�\vcf1 �, : Signature. LIC. NO.: 1 I3 - Licensee'1j}vi� % tq- Bus. Tel. No.• ���3'S�%y-�'e9� (Ifapplicable, enter "exempt" in the license number line.) Alt. Tel. No.: Address: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 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. „__,_ A FPF.RWT FEE. $ ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed • on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. 0, Permits shall -be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8—Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass n Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass IN Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re -Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: ; Pass Failed Re -Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: