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Home My WebLink AboutMiscellaneous - 10 INGLEWOOD STREET 4/30/2018 (3)Date ... 3,1,o407 .......... V.... 'AORTH 0 TOWN OF NOR /ANDOVER PERMIT FOR GAS INSTALLATION 17 This certifies that ........................ ......... has permission for gas installati6n—.-...I'."i-.I. in the buildings of ... ...................... at /P ........... .................. North Andover, Mass. Fee,.,//,16. Lic. No. �:L' - - - �'/- , �- ......... GASINSPEPTOK Check # 6207 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING /-I. - This certifies tha t ..... �v ... ................ has permission to perform . ...... : - -� ... ............... plumbing in the buildings of . ......... ............. North Andover, Mass. at. . e - ;� -". -� - ' '-. ..' Fee..//3./-�.'�Lic. No. . . ... ....... PLUMBIN, INS�PECTOR Check # 75.59 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 11`d 7 1 '� p Building Locatio ; , Ile, le, S`.. Owners Nam -7 L >(ey, r� (ieatermit # Amount eb�b . &(b Type of Occupancy New 0""' Renovation ED Replacement E] Plans Submitted Yes 13 No (Print or type) Installing Company Name{I�U�-- Address l o� Check one: Certificate ❑ Corp. Partner. Firm/Co. 'Tme ' of Licensed Plumber: 6 �Q�✓yii9�I e ��, 1urance Coverage: Indicate thee of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond J Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work an installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the 0husetts State u bing C and gapter 143 of the General Laws. By: na ure of Licenseaum er c Title <Ad—Type of Plumbing License City/Town YV icenseum er Master Journeyman APPROVED (OFFICE USE ONLY u 1 ' • --�---M--®---.--..-.--m-- 11 ae s.' (Print or type) Installing Company Name{I�U�-- Address l o� Check one: Certificate ❑ Corp. Partner. Firm/Co. 'Tme ' of Licensed Plumber: 6 �Q�✓yii9�I e ��, 1urance Coverage: Indicate thee of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond J Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work an installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the 0husetts State u bing C and gapter 143 of the General Laws. By: na ure of Licenseaum er c Title <Ad—Type of Plumbing License City/Town YV icenseum er Master Journeyman APPROVED (OFFICE USE ONLY u MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS p BuildingLocations Permit # Amount$ &7 Owner's Name '�c New i. Renovation Replacement D Plans Submitted (Print or type) Name Address C-0 Ted eL i'CJ d 3 Check one: Certificate Installing Company ElCorp. ElPartner. UFirm/Co. Name of Licensed Plumber'or Gas Fitter a � w v� v� $ O a p z - - w Ew. H z z x W �" w O w Gw7 Z w > Er z x W Cw7 U .4 y x x o x z 3 a c Q O O w o a y x o SUB-BASEM ENT a u z> c F B A S E M ENT 1ST. FLOOR / 2N D. FLOG R 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) Name Address C-0 Ted eL i'CJ d 3 Check one: Certificate Installing Company ElCorp. ElPartner. INSURANCE COVERAGE Check one: I have a current liability Insurance po ' y or it's substantial equivalent. Yes 13 No � If you have checked yes, please i cate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 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 1:3 Agent 13 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the 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 Massachu State Gas Codedd Chi 142 of the General Laws - By: Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber //.S—pI Gas Fitter lcense INum5er Taster Journeyman UFirm/Co. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance po ' y or it's substantial equivalent. Yes 13 No � If you have checked yes, please i cate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 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 1:3 Agent 13 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the 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 Massachu State Gas Codedd Chi 142 of the General Laws - By: Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber //.S—pI Gas Fitter lcense INum5er Taster Journeyman I Date/.-:; n� '0 0 - TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... /7 46.47. '-w I .-.X .. . ..................... has permission to perform ..144la-ift ................................ .............................. .... wiring in the building of . .......................................................... a, .... .. 7 .... North Andover, Mass. ,:':777 Lic. No . ......... ....... ,'. CT A — N . P . E�U Fee ... 0 ............ 4LE Ric L I S 7 Check # 7,816 }, �f %outruuvt1wCdtm vT massactiuSettS Official Use Onl A. y • Department of Fire Services Permit No.� 6 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] eave blank 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 NK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or er in do t erform the electrical work described below. Location (Street & Number) Owner or Tenant Telephone No. Owner's Address /t� I , h Is this permit in conjunction with building permit? Yes T No ❑ (Check Appropriate Boz) Purpose of Building %/ p� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und d l�' ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: cid No. of Recessed Luminaires of Luminaire Outlets Com letion of the followin No. ECeL-Susp- (Paddle) Fans No. bs table may be waived by the Inspector o Wires. °•°f TotTransformers KVANo. Generators KVA No. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposerseat No. of Dishwashers No. of Dryers No. of aterNo. Heaters KW } No. Hydromassage Bathtubs OTHER: Swimming Pool AboveIn- ffrn-- ❑ d. ❑ o. o mergency ig g BatteryUnits No. of Oil Burners No. of Gas Burners FIRE ALARMS No. of Zones No. of etection an InitiatingDevices No. of Air Cond. To ff Tons ump _umbe___._. r Tons ._. Totals: _._. Space/Area Heating KWLocal Heating Appliances KW of Signs Ballasts . No. of Motors Total gp No. of Alerting Devices o, of Self -Contain Detection/Aleltug Devices ❑ Municipal Connection �� Security Systems:* No. of Devices or Equivalent/4 Data Wiring: No. of Devices or uivalent -Equivalent Telecommunications Wiring: No. of Devices or E uivalent to 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: l/ �)-� 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 ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [B OND ❑ OTHER ❑ (Specify:) I certify, under the pains andpen of perjury, that the information is appiicadon is true and complete. FIRM NAME: " Licensee: LIC. NO.: r ;� ( Signature y� If LIC. NO.: applicable, enter " e t" i e licens� num 1' a Address: Bus. Tel. No.: *Per M.G.L c. 147, s. 57-61, security wor requires D ent of Public Safety "S" License: Alt TelLic. 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's agent Owner/Agent owner Signature Telephone No. p PERMIT FEE: $ Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, f/ express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint ent=prise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. 'However the owner., of a dwelling house having notmore than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on'the grounds or building appurtenant thereto shallnot because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local ffeensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MOL chapter 152, §25C(7) states "Neither the commonwealth nor any of its,political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants . Please fill out the workers' compensation• affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), addresses) and phone numbers) along with their certificates) of insurance. Limited Liability Companies (LLC) or. Limited Liability Partnerships (LLP) with..no employees other than the members or partners, are not required 10 carry workers' compensation insurance. if an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city, or town that the appftation for the permit or license is being requested, notthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number. listed below. Self-insured companies should enter their self=insurance license number on the appropriate Tine. City or Town Officials Please be sure that the affidavit is complete and printed -legibly. The Department has provided 'a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating•current policy information (.if necessary) and under "Job Site Address" the applicant should -write "ail locations in (city or town).". A copy ofthe affidavit that has been officially stamped or marked by the city of town may be provided to the applicant as proof that a valid affidavit is on file for fiiture permits or licenses. Anew affidavit must be filled out each year. Where a, home owner or citizen is obtaining a license or permit not related to any business or commercial venture r (i.e. a dog license•or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of InvestiWi.ons would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Offiee of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-72-74900 ext 406 or 1-$77-MAASSAFE Fax # 617-727-7744 Revised 5-26-05 www.mass.gov/dia Fold, Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS • 0 0 F BOARD OF ELECTRICIANS FA REGISTERED SYSTEM TECHNICIAN ISSUES THIS LICENSE TO TYPE ROGER J MELLO JR -D 86 CROSSWINDS DR GROTON MA 01450-1130 306603 493 D 07/31/10 306603 Fold, Then Detach Along All Perforations Fold, Then Detach Along All Perforations 'COMMONWEALTH OF MASSACHUSETTS I- Sam -;�• BOARD OF ELECTRICIANS FA REGISTERED SYSTEM CONTRACTOR ISSUES THIS LICENSE TO TYPE MELLONICS ALARMS INC ROGER J MELLO JR -C 86 CROSSWINDS DR GROTON MA 01450-1130 306602 .1159 C 07/31/10 306602 Are• Fold, Then Detach Along All Perforations DEPARTMENT OF PUBLIC SAFETY S - LICENSE Number_:, CO 000025- B 1965 9 Tr. no: 121.0 ICS ALARMS INC ROGER J MELLC ' 86 CROSSWINDS GROTON, MA 01 11-1�1,,4,7 Date% ................................. TOWN OF,NORTH ANDOVER PERMIT FOR WIRING This certifies that ... 1 .. .. ......... .. . .............................. .. ......... has permission to perform . "01�� . ................................................... wiring in the building of ....... . ................. .............................................. at./O ............... ... . .... .... ---a fi .... ..................... North Andover, Mass. 2 Fee ......... Lic. No!�Y/T-A: 7egOs— ELECTRIO� C h e c k # 1-0-7 4!0- 7804 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 7,,0°% Occupancy and Fee Checked 3G [Rev. 1/071 (leave blank) 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: ` ky o City or Town of: NORTH ANDOVER To the Insp ccto of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) l®' j L15-�oC> 1 Owner or Tenantp-✓�}tu� x��4.V� 1� Telephone No. Owner's Address Heat Pump Totals: Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 4S ��ti� �� Utility Authorization No. j Cs �5'3�� Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 7.0C) Amps l ?-O / ZJgL-Volts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:L�D Completion of the followin table may be, waived by the Inspector of Wires. No. of Recessed Luminaires No..of Ceil.-Susp. (Paddle) Fans No. of o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above Ei In Swimming Pool rnd. rnd. ❑ o. o mergency ig mg Batter Units No. of Receptacle Outlets No. of Oil Burners Total HP FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of etection and InitiatingDevices No. of Ranges Total No. of Air Cond. No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number Tons W o. of elf -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municippi ❑ Other Connection No. of Dryers Heating Appliances KW SecuritySystems:* No. f Devices or Equivalent No. of Water KW No. o No. of Data Wiring: Heaters 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. Estimated Value of Electrical Work: ! �j �� (When required by municipal policy.) Work to Start: L L 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 covers e is 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: -yet. S(K�� LIC. NO.: Licensee: a A/ Signature LIC. NO.: Z7 S^ (If applicable, enter "exempt" in the license number line) �s. Tel. No.•_loG3 3 t— �fy`L Address: I e"A-6 r�t a .. J t. Tel. No.: �S- *Per M.G.L c. 147, s. 57-61, s urity 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, 1 hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ IL LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 pager 978-502-5921 November 19, 2007 Mr. Timothy Quinland 34 Trinity Court North Andover MA. 01845 RE: Xenakis Resi ence 10 Inglewood Street, North�Andover, MA. 01845 Dear Mr. Quinland As you requested I visited the above site November 19, 2007 to review the LVL beams and steel beams installed in the construction of the above property. These Beams were designed by me and shown on drawings certified by me 11/8/06 and prepared by G.J. Bruno Associates. I reviewed the installation of these beams used in the structure and can certify that the beams are acceptable and meet the loading conditions required by the 6t' Edition of the Massachusetts State Building Code. _ Should you have any questions please do not hesitate to call. Yours truly, Lawrence H. Ogden, P.E. Structural 27765 D LAWREN G , oc-oo' h �� 2% 5 O ��s�Q"VAL