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HomeMy WebLinkAboutMiscellaneous - 1150 SALEM STREET 4/30/2018 1150 Salem St BUILDI! iG FILE t a NOR t - CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 570 Q/M7 Date: August 11. 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON . 1150 Salem Street MAY BE OCCUPIED AS Single Family House IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: George Farr 1150 Salem Street North Andover MA 01945 i Building Inspector i4 AORTH Town of over . ® r1 No. � i-- '45m.,l � � -z ` lit . j 1A 02 A o dover, Mass., COCMICMEWICK �1. a/ Ao�ATED yP5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic Sy tem 7. 4... UI DING I�CTORTHIS CERTIFIES THAT....... 0. ... ....... 0A .......... oundation has permission to erect........... Q �.. . p buildings on .... S O tea-•T•�sg to be occupied as................... E* I j .. ..... ..... .�../ ............................................................................ ch' %provided'that the person acce thi ermit sh I in every respect nform to the terms of the application on file in ' this office, and to the provisions of the Codes and By relatin o the Inspection, Alteration and Construction of Ana Buildings in the Town of North Andover. PLUM ING� s E OR VIOLATION of the Zoningor BuildingRegulations Voids this Permit. PERMIT llT E1�L.Ld�i�J 91�1 6 MONTHS�J 1 i�S Final - -� . -� ELECTRICAL�INSP6 E TO•. R CUNLESS CONq \ STARTS 2 - ` !ug Amft ................ Service BUILDING R -Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises Do Not Remove iris ,,/ ", M No Lathing or Dry Wal[To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. ner 1 Str No. SEEREV E S IDE Smoke Det. Locationy !P►+''I Ir f_� :) Date No. MORTM TOWN OF NORTH ANDOVER � 1,y ' Certificate of Occupancy $ ��s'"'a°•Eta' Building/Frame Permit Fee $ {' 4CMU5 Foundation Permit Fee Other Permit Fee $ TOTAL $ Check # 20836 Am4p7l Building Inspector i 4 y TEMPORARY From December 1, 2007 to December 30, 2007 CERTIFICATE OF USE & OCCUPANCY s+wc.u� TOWN OF NORTH ANDOVER Building Permit Number 570 (3-1-2007) Date: November 30, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1150 Salem Street MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: George Farr 1150 Salem Street North Andover,Massachusetts 01845 Building Inspector i FP-7 rev.1/06 �' , 94&j.4.. 0 775 k07 CERTIFICATE OF COMPLIANCE M.G.L. CHAPTER 148, SECTIONS 26F, 26F'/s City or Town �y/ /F!/I QO vE1'( Date: This Certifies that the property located at Q /— has been equipped with approved smoke detectors, and carbon monoxide alarms and was found to be in compliance with Massachusetts General Law, Chapter 148/Seections 26F, 26F'/2 and 527 CMR 31,et seq. Inspection/Testing completed on: fi� t/ �� Q 7 By: Fee Paid: Head of Fre Department: 'nspec r o Note:This certificate expires sixty (60)days after date of issue. SELLER'S COPY pORTw O` 0.{rO � APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Buildina Permit# S?� ADDRESS/LOCATION OF PROPERTY : A -51-, Map f p6 A Parcel Z Lot Number 33 (up p SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: rr Address —5-�/e4n o r O ` SIGNED RO TIN CONSERVATION 24 PLANNING DPW-WATER METER 09,121 to-1 SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST DPW Signature Fite: Application for OC form revised Jan 2007 ORTtNq TO" Of And 0 4-� ks7o Za A 40 =`L A- o dover, Mass., 0a oeoe cc A COCHICMEMCK � A� � RATEC) PPR��� PE RMIT 'T BOARD OF HEALTH Food/Kitchen Septic Sy tem ING IMCTOR THIS CERTIFIES THAT .:................ 42�� �' ......611:5f.f.ef. 4..... ........ oundation has permission to erect...................:.................... buildings on ....�e�..... .� ��........�.�:.:.................... ou �� T to be occupied as Chimn provided that the person acceEing thi ermit shrlli�nevery respect nform to the terms of the application on file in Fina �� Cf.� /Q this office, and to the provisions of the Codes and By-Laws relatin o 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. ` Final PERMIT EXPIRES 6 Iv ONTHS v"v- ELECTRICAL INSPE R UNLESS COAST RUC STARTS :..... ................... Service BUILDINGOR Occupancy Permit Required t0 OCCtipy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises ® Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. �'nerQ Str No. ,7 I=SEE REVERSE ®E Smoke Det. 36/0 i TEMPORARY From December 1, 2007 to December 30, 2007 � a • � CERTIFICATE OF USE & OCCUPAN TOWN OF NORTH ANDOVER Building Permit Number 570 (3-1-2007) Date: November 30, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1150 Salem Street MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Geome Farr 1150 Salem Street North Andover,Massachusetts 01845 Building Inspector _.� Date..... ....– .:.. .. t IORTH 0. TOWN OF NORTH ANDOVER PERMIT FOR WIRING MUS :.r r This certifies that 2,-6 r�.................07,........................... ...................... has permission to perform ff "" wiring in the building of - .......�ff�.....�..................................... at.........1-S................ .?'L ..........S.?:77........ ,North Andover,Mass. S' Fee. .� .. Lic.NoJ..2 .�/�............. .. . .......... . UL CTRICALINSPECIOR Check # ,.. 7431 Commonwealth of Massachusetts Official Use Only Permit No. 7,1/E Department of Fire Services Occupancy and Fee Checked .' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC527 CMR 12.00 MA (PLEASE PRINT IN INK OR TYPE ALL INFORTION) Date: 6 6- ,o 7 City or Town of. NORTH ANDOVER To the lnspec4 of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) I ( So M Owner or Tenant (95;�_011 e FA rr Telephone No. 2r- VS-7- Owner's Address SA oie— Is this permit in conjunction with a building permit? Yes L No ❑ (Check Appropriate Box) Purpose of Building p�'� Utility Authorization No. G1 0 (7,? 7 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service OD Amps (?A/ 2ON Volts, Overhead U —Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: N 2faD AVyfrt11C,:. a WiKe IGt) 146 me- - Completion of the following table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA F No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency Lighting rnd. rnd. Battery Units x No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones o Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Heating Appliances Security Systems: No.of Dryers g pp Kms' No.of Devices or Equivalent kr No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or E uivalent OTHER: 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: 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"completeddooperation"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: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: U220 "' � LIC. NO.: t.1-77 _ Licensee: 4IU+l CAC V Pc,Z2- Signature e7 LIC. NO.: l a,7,3a 3 (If applicable, enter "exempt the license number line.) Bus.Tel. No.: 6(F2- 7 10 Address: (© Go-fvc t ST- Pc- A1,0ove-r ' rvyl- Alt.Tel. No.: • 317 9,31 *Per M.G.L c. 147, s. 57-61,security work requires Department of Public Safety "S" License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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/Agent71 Signature Telephone No. PERMIT FEE: $ /p i i a � � 7 opz The Commonwealth of Massachusetts o Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on the attached sheet. E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its ME] Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.F1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sig-nature: Date: 1 Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: