Loading...
HomeMy WebLinkAboutMiscellaneous - 112 MARTIN AVENUE 4/30/2018 / 112 MARTIN AVENUE 210/045.17-0027-0000.0 1 i Date... ... .. . .... ... ..... NORTH TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION # SACHUSEI This certifies that . .,:.���.`. . f. . '! ''`y ?'r . . . . . . • • • • • has permission for gas installation �� . . .!. . .`. •: . . in the buildings of . . .l. . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . �l at . . . . . . .. . �!''f'. . !.`:. . . . . . . North Andover, Mass. Fee. . . . . . . . Lic. No.. . . .' . :. . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP d W PARCEL � d MASSACHUSETTS UNIFORM ORM APPUCATON FOR PERMIT TO DO GAS FITTING "' S'0 y`o(Type or print) Date 19coo NORTH ANDOVER,MASSACHUSETTS f �j L Building Locations � � aZPermit# ✓ � y Amount$ J�� Owner's Name New❑ Renovation ❑ Replacement tans Submitted x H z _ i G �, a w x W a F d w d d w w C7 U > 6 Er '" Vl W Z y w xO Cal x W 3 A 0 U a > A a H O SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR ',grit . FLOOR 8TH . FLOOR (Print or type f f. k one: Certificate Installing Company i Corp. Address ❑ Partner. Z/ 0362 Business Telephone /-f 0� 3-C? ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: 1 have a current iiabiiity Insurance poii r it's substantial equivalent. Yes ❑ No If you have checked M,please in to 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 details and information I Whave,,,dmitt (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and fo under Permit Issued for this cation will be in compliance with all pertinent provisions of the Massaode Ch�apt ,;�of the ws. By: ture of Licensed Plumber Or Gas Fitter Title M Plumber /4—S go City/Town ❑ G ltter License Number Master JAPPROVED(OFFICE USE ONLY) ❑ Journeyman 3373 Date. .� .. ........ NORTH TOWN OF NORTH ANDOVER 16 Of 4�.ao ,e,1.0 PERMIT FOR GAS INSTALLATION 1SgACeHUgEt ( ` J. ..N� This certifies that,.,. . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . in the buildings of . . . . . Y. . . . . . . . . . . . . . . . . . . . . . . . . at ., North-Andover, Mass. Fee,43 .�. . Lic. No%3 . . . . :��. L�� �. . . . . . . GAS IN6ECTOR V v WHITE:Applicant CANARY: Building Dept. PINK:Treasurer oi .y r- MAP 2 W PARCEL � d �< MASSACHUSETTS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FITTING 0� V� (Type or print) Date fjt- 16 1-1000 NORTH ANDOVER,MASSACHUSETTS Building Locations u Permit# c 7� Amount$ Owner's Name a4le kzzo-� New❑ Renovation ❑ Replacement lans Submitted 91 ° a z z o z w d w a x > x d z w w a ca z o o x w > a w a z a d o o w o w H x O x w D 3 A C7 U x > A SUB-BASEM ENT BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR STH . FLOOR (Printor type k one: Certificate Installing Company Name i Corp. t Addreis ❑ Partner. Business Telephone /p ®3•-` V3-!0`.5`/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ' INSURANCE COVERAGE Check one: I have a current liability Insuranc�p�olir substantial equivalent. Yes ❑ No❑If you have checked M,please ine 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 details and information I have 615mitt (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and i Rations erfo under Permit Issued for thiscation will be in compliance with all pertinent provisions of the Massa usetts., a ode Chapt 'f the WS. By: ture of Licensed Plumber Or Gas Fitter Title Plumber City/TownHIP� itter IceLnse Nuum er r APPROVED(OFFICE USE ONLY) 0 Journeyman Office Use Only � Permit No; A Occupancy&Fee C teccedav _ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 U (Please Print in ink or type all information) Date ,IS / � To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical ,twork described below. Location(Street&Number �/ -- _ /��//'ca zqV-e " Owner or Tenant 7 Cr= 6!7A-1 Owners Address 'lam Is this permit in conjunction with a building permit Yes (g %No ❑ (Check Appropriate Box) Purpose of Building �/f9ir!�P �/1�i//�/ �C i{�`/1 K Utility Authorization No. Existing Service Amps_ �" Vaits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lightling Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures �� Swimming Pool qmd C gmd C Generators KVA No.of Emergency Lighting No.of Receptacles Outlets G No.of Oil Burners Battery Units No.of Switch Outlets ,1 No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges / No of Air Cond Tons Initiating Devices Heat Total Total No.of Dioosal No. Pumas Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers l Soace/Area Hearing KW OetectioniSounding Devices Q Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Batlases Wiring No.H ro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Uability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BONO = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Woric$ Work to Start Inspection Date Resquested Rough Final Signed underthe PenaMea f FIRM NAME i U �,z _C 7 C LIC.NO. / I.Icensee \ /(J/7�� ®t°C� -sl LIC.LIC.NO. / �� 11 s.Tel No. Address Aft Tei.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General taws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S`—� (Signature of Owner or Agent) ZOLOT2 a�:����i�® • C�RTIIFICA 'E OF IhISU;RANCE DATE(MM/DD/YY) 04/30/98 )DUCER j THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .K. McCarthy Ins . Agcy. Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE )0 Cummings Center Suite4101F HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR averly, MA 01915-6105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY URED ACommerce Insurance Companies Zolotas Electric DBA John Zolotas COMPANY 154 Russell Street The Travelers Insurance Company Peabody, MA 01960 COMPANY C COMPANY D IVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE OLICY EXPIRATION DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY J4 6 215 05/12/98 05/12/99 GENERAL AGGREGATE $1 000 OOO TXPD MERCIALGENERALLIABILI PRODUCTS COMP/OP AGG $1 000 0 0 0 0 0 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $5 O 0 O O O ER'S&CONTRACTOR'S PROT Ded: 2 5 0 EACH OCCURRENCE $5 O O 000 O O FIRE DAMAGE(Any one tire) s50 , 000 MED EXP(Any one person) $5 1 O O O AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY EANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND IUB 6 71 Y2 6 4 7 9 8 01/23/98 0 1/2 3/9 9 STATUTORY LIMITS $ EMPLOYERS'LIABILITY THE PROPRIETOR/ EACH ACCIDENT _$100 , 000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $5 00, 000 OFFICERS ARE: EXCL OTHER DISEASE-EACH EMPLOYEE $10 0, 0 0 0 •CRIPTIO I OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RTIFICATE HOLDER „CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Andover EXPIR ATE EOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Electrical Inspector DAY W I E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Hall B T FAIL SUC OTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Andover , MA 0 1 8 1 0 F AN D ON E COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTH I R SE ATIVE I DRD 25-S(3193)1 of 1 525475 M25456 SAK OACORDCORPORATION 1993 1 -1 '1 7 Date... .'7'�p........ N2 0 ....... .... ........ koRTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING cmus Thiscertifies that ... ........................................................................................ has permission torf/orm ............................................................................... wiring in the building of...�- .. 112— —;-7 ........ ...................................... at............................................................................... I North Andover,Mass. Fee. ............... Lic.No............... ............................................................... ELECTRICAL INspE&crOR 05/07/98 11:53 75-00 PAID C-1104 WHITE:Applicant CANARY:Building Dept. PINK:Treasurer & z o MASSACHUSETTS UNIFORM APPLICATION FOR PER IT TO DO PLUMBING 3 Y,. i r (Type or print) 1 G r NORTH ANDOVER,MTSACH ETTS , Date ^� Building Locations ` /4 /� �l.y �� < Permit # Amount 7" r Owner's Name New M Renovation Replacement Plans Submitted L..1 FIXTURES z z a Z x w Q w. a z a a a a A x a z a x A A � F "a Q Rz d d a F -%Ram WEWM LSI:Rfm ?lam FUM 31x1 FLOQt 4IH FI." SIH FUIR 6M RSM 7IH FRUM SIH F1DCR (Print or type) 9--/ c/ Check e: Certificate Installing Company Name /` �h C!5 ./f fJ Corp. Address Partner. �9 ,4 cz)ly6cl Business Telephone T 79'. �3d-—���3d� � Firm/Co. Name of Licensed Plumber: 3d,b /7 moi) f/ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: 1,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 and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta lum de 'dCh er 42 of General Laws. By Signature Or ense u�Be, T e of Plumbing Licee se— Title City/Town ric—ense NUMberMaster13 Journeyman APPROVED(OFFICE USE ONLY ❑ Date. . . 'v 3697 f NOR7q ?�.<���°;•'4,. TOWN OF NORTH ANDOVER F PERMIT FOR PLUMBING i t This certifies that . . . . . . . . Q has permission to perform . . . . . . . . . .--- . . . . . . . . plumbing inthe buildings of . . . . . . . . . . . . . . . at. . . . f. . . . . . . . . . . . . . . . . . . . . . . . . . .. North 2ndover., Mass. Fee. . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 05/07/98 13:50 PS.tH! PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Location No. Date N�RTh TOWN OF NORTH ANDOVER 3?0: +ao Ia`�hOOL _ A Certificate of Occupancy $ :: ` I ; ; Building/Frame Permit Fee $ �ss�►cHUsE�� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ 90 TOTAL 12B 3 Building Inspector 35 Div. Public Works Location No. � Date f f NURTh TOWN OF NORTH ANDOVER " op Certificate.of Occupancy $41 �q Building/Frame Permit Fee $ s,cMU Eta Foundation Permit Fee $ io Other'Permit Fee $ Sewer Connection Fee $ r- Water Connection Fee $ m TOTAL $ 4, Building Inspector Div. Public Works PERMIT NO. � APPLICATION FOR PERMIT TO BUILD***** **NORTI-I ANDOVER, MA MAP NO. 05 L,OT.NO. 7 2. RECORD OF OWNERSIIIP DATE BOOK PAGE ZONE SLIBDIV. LOT NO. LOCATION PURPOSE OF BUILDING �es rl�L OWNER'S NAME Z' �e NO.OF STORIES SIZE OWNER'S ADDRESS / �� BASEMENT OR SLAB No RD ARCI IITECI'S NATE '„ SIZE OF FLOOR TIMBERS I ST 2 3 BUILDER'S NAME WWP D SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DIS I'ANCE FROM STREET DIMENSIONS OF POST S DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE IIEIGI IT Ok'FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL.OF CHIMNEY IS BUILDING ALTERATIONJ IS BUILDING ON SOLID OR FILLED LAND / G e- 116e, ,�7, WILL BUILDING CONFORM TO REQUIREMENTS OF CODE , -IS BL111.DING CONNECI'ED"10 TOWN WATER 11 BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECIED TO TOWN SEWER >wl IS BUILDING CONNECTED 10 NATURAL GAS LINE 4! INS'I'11("I'IONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST PAGE I FILL OUT SECTIONS 1-3 EST. BLD(J.COST PER SQ. FT. EST. BLIX i.COS"L PER ROOM ELECTRIC ME"PERS MUST BE ON OUTSIDE OF BUILDING SEP11C PERMIT NO. A I'I'ACRED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR i LDING INSPECTOR DALE FILED OWNERS TLI.H -6g� _ 7/yam CON"1'R.TEI.H /�a- ZSC) W3N i CONTR.LIC# O�ypj 7 SIGNATURE OF OWNER OR AUTHORIZED AGENT q FEI: PERMIT GRANTED 19 tf HOME J ROVEMENT CONTRACTOR Regist. ration 1OS029. - TYPe '',INDIVIDUAL: 'ration 07/16/98 ExP t MICHAEL F. GOODWIN JR. 263 Andover St o '�vers•MA 01923 ADMINISTRATOR w 'P3.''� S 09ARTMEIIT Of.p11B IC SAFETY 4! CONS�RUCIION SUPERVISbR IIDENSE Nueber, Expires Birthdate � CS 054861 08/08/1998 08/08/1965 Restricted Lo 1G = .MICHAEL F G0001IN JR i 263 ANDOVER ST t DANVERS, hA 01923 � 1 C � r10RT Town of - Andover No. #qO - m * o - LAKE A over, Mass., 19i � '9 COCM ICNEW ICK i�'�` •9 AO�.4 S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /�� THIS CERTIFIES THAT....................................�T...lBUILDING INSPECTOR.............../.C��.�.�.A.1.J...........................:..............................:............... Foundation has permission to ered...... P!4.[lZ.......... buildings on .....Lt-4......:... !l./�- N..............1.!4W.�.............. Rough �j g t0 be OCCUpled as......................................... ./l !a r� .....................1 (.7. ..................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR .VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STTS ELECTRICAL INSPECTOR Rough ........................... ..... ... ....... ...... ........ ...... ............................... Service BUIL G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.