HomeMy WebLinkAboutMiscellaneous - 119 MILLPOND 4/30/2018 / 119 MILLPOND
J 210/095.A-0119-0000.0
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N° 2669 Date...w��J V
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NORTN
TOWN OF NORTH ANDOVER
A PERMIT FOR WIRING
ATID
CHU
This certifies that �,1..!..S e„S� �— (�jP , C,
.!......................................................
has permission to perform ....... .,:.G..f.../ .�!. �........�.......C�'..4.. ........
wiring in the building of....... 7,..!.e.i..? 2..ci,...F.E...................................
at..... ..�..:.l.... .:.. .. .. (��iC .......�.;�................. .Noffh Andover M
S
Fee..30.t6)(). Lic.No.... ......39/�... .... !h. ......... t........
;L"ICAL INSPECTOR
Check #
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
C.ammontuJIA o`Maeeacltwetta Official Use Only
2cc��
.partment o`-}cc'7]ire Seruices Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1 1/99J leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 ChIR 12.00
(PLEASE PRINT LV INK OR TYPE,ILL 1N1-_0RVL•17701VDate:
City or Town of: To�y,�au� 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) / 1 foewo /,o
Owner or Tenant 2 Telephone No.
Owner's Address
Is this permit in conjunction with a building permit?
Yes ❑ No (Check Appropriate Box)
Purpose of Building �� /���f�� l� L Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrtl ❑ No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters'
Number of Feeders and Ampacity f,
Location and Nature of Proposed Electrical Work:
fi/9""s
Completion o(the folloaintable uray be waived be the fit' 'cctor of{Vires.
(
No.of Recessed Fixtures No.of ceil:Susp. Paddle+) TransFans r s 'Total
ansformersV
K A
No.of Lighting Outlets No.of Ilot Tubs Generators KVA
Above In- No*oiEmergeiicy Ligliting
No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Batte ' Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARIMS No.of Zones
No.of Switches No.of Gas Burners i 0.o etection and >
Initiating Devices
Total
No.of Ranges No.of Air Cond. / Tons No.
of Alerting Devices
Heat Pump 1 umber 'TAns _ � t o.ofSelf-Contained
No.of Waste Disposers Totals: Detectiott/Alertino Devices
No.of Dishwashers Space/Area Heating KW Local E3MunicipaF ❑ Other
Connection
Securit
No.of Dryers Heating Appliances KWYsystems:
No.of Devices or Equivalent
No.of aterh`V o.o i o.of Data Wiring:
Heaters Sins Ballasts No.of Devices or Equivalent
No.Hydroinassage Bathtubs No.of i%lotors Total HP Te ecommuntcations Wirtng:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of LYires.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
lite licensee provides proof of liability insurance including"completed operation'coverage or its substantial equivalent. Tile
undersigned certifies that such cover a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
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.
I certify, under the rains acrd penalties u per'nry,that the information on this application is true and complete.
FIIu�I NAME: I S 1 /VC fi�L/4 CD ' LIC.NO.: '412)
i
Licensee: y-!!;TZ—t&A_) Signature LIC.NO- 6 3qss-f
Address:
t"in alicenselgb ne. / nI G Bus.Tel.No.. 395
Address: �e. n( `/ - n�� n a b a Alt.Tel.No.:�
OWNER'S INSURANCE WAIVER: I am aware that the Licen a oes trot Irat a the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the(check onc)❑ owner ❑ owner's agent.
Owner/Anent
Signature Telephone No. FPj_-Rj111Tr-EE: S
3330 Date. r v... ..
NpRTN , TOWN OF NORTH ANDOVER
pF «ao ,nti0
32 PERMIT FOR GAS INSTALLATION
i •
s
o�� o+no rrr`4h
�,SSACNUSEt
This certifies that . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . r .�,,.1 �.&.::K. . . . . . . . . .
in the buildings of . . .04 . . . /1.'. . . . c. ./Z.,Zz -. . .
at . /1.� . . f � X /:,.. . . . .�. . . . . . .. North Andover, Mass.
r
Fee. °� .` . . Lic. No.. . r . . . . . . . . . . . . . . . . . . . . . . . . . .
GAS INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
I
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS G
ype or print) D �j(1 19 CSG_
NORTH ANDOVER, MASSACHUSETTS !
Building Locations k 01 K k\` 2ONkPermit# 3 33p
Amount S
2� ` ;Volt`- Owner's Name
New❑ Renovation ❑ Replacement 4 Plans Submitted ❑
1 - 1A
U z v�
Cn
z
W
l) B -B ;, SE �I ENT
13 A 5 E M E N T
Is.r. FLOG R
2ND . FLOUR
3 R D . F L O U R
Tr It . F L O O R
ST If F L O O R
6 T It F L O O R
7T11 FLOOR
Y T Il F L O O R
(Print or type) r- Check one: Certificate Installing Company
•
Name NA;n-v ike.^v-, �c7 �. ��l>✓ `�
Corp. ,
Address �-� O IA Parmer.
i)O
Business Telephone 9 1 Ell (o(, V y^,9 z5 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
�'r 10-111GL r v � S
INSURANCE COVERAGE Check one:
I have a current liability Insurance policv or it's substantial equivalent. Yes JZJ No❑
Ifyou have checked ves,please indicate the type coverage by checkin<gy 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 herebv 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 per-formed under Permit Issued for this application will be in
compliance with all pertinent provisions of the-Massachga=s State Gas e and Chapter 142 of the General Laws.
Bv: Signature of Licensed Plumber Or Gas Fitter
Tide ® Plumber
CityiTown ❑ Gas Fitter License Number
er
Ivlaster
APPROVED(oFnc}:USE O NLY) Journeyman
,
Location 'f'r' L � �1-/ --�
'No. Date
`t
NO"T" TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
,s1AGMUS4 Foundation Permit Fee $
- Other Permit Fee $
Sewer Connection Fee $
c Water Connection Fee $
E. TOTAL $
e
Building Inspector
Ta /09/96 11:56 25.00 PAID
r: Div. Public Works
PEPJiIT NO. » APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE
ZONE I SUB DIV. LOT NO. I -I
LOCATION g
PURPOSE OF BUILDING H!7
OWNER'S NAME fNO. OF STORIES x sizif
OWNER'S ADDRESS (/r '0 BASEMENT OR SLAB ✓
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME ,7o6CgT l/,� �+ SPAN /6 --
DISTANCE TO NEAREST BUILDING s �C`G DIMENSIONS OF SILLS
jq
DISTANCE FROM STREET 4/4 of /I _ " POSTS
DISTANCE FROM LOT LINES —SIDES REAR " GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW ,7® SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCT[ S
3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
EST. BLDG. COST
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PE SQ. FT.
t
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
BUILDING INSPECTOR
SIGN: OR AUTHORIZED AGENT
S.
F E E OWNER TEL.11
PERMIT GRANTEDCONTR.TEL.it 00
19 -< ' �GZ o 7 a
CONTR.LIC.#
H.I.C.#
I
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY SrORIEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW'D
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'T AREA _
'/t 1/1 FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDIN'D
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.) _
GAMBRELMANSARD TOILET RM. (2 FIX.(
FLAT A SHED WATER CLOSET
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK _
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE >
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
IL
B'M'T 2nd _ ELECTRIC
lsf 1 3rd ONO HEATING
� U�.����� pins/�,,,r� ��I -� bJJ ,�
6ometlying not on t elist? No problem!
Ask one of our friendly associates to help
you find just the right gift!
Dads Wish List,
Item # Description Cost
Hey Dad, �
Want something special
for Father's Day? Inside are
some suggestions. Leave this
on the kitchen table for that
special person to discover.
(By accident, of course.)
Or there',s always a Sears Gift Certificate!
We're this close to your
tAORTH
Tovm of 0 Over
0
N6- ' 443
0 L rt . dover, Mass., 19—
COCHICHE-ICK ,
Of?ATED F?,�X\1S'IN
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T
THIS CERTIFIES THAT .........................../Y.4*/`.P.(.:)../)J...0 ............ BUILDING INSPECTOR
.. ...... .... ......................................... Foundation
has permission to erect,1.D.0,z_.,/ :tll�.........41.4- .z ...jP0.I NJ.0.......... Rough
tobe occupied as ...................................................&.q.4.Q. ..........................................................................-- Chimney
provided' that the person accepting this permit shall in every respeet 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
Buildtngs 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 ST TELECTRICAL INSPECTOR
Rough
Service
V Ul ING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
1`
4 1 NZ.
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
– (Print or Type)
N/
Mass. Date �u 42 19 _ Permit# �Za�a *3yy
a = Building Location, f 111 ®� Owner's Nam '/✓
Type of Occupancy
New Renovation O Replacement C! Plans Submitted: Yes O No
i
Ey
I •
wvi
U Z cc Ui
� QCC
_
Q) J rn HO 8 m Z w
X 4q Z O
X m W ~ = Z 0 O a- X w
QQW
(W} W Z •W-t FZ Z. W W (7 T > LL (J J W
Z W J a z a Q ° Z g z o _
� .
X i o 0. z LL D o c� g ° Cr > o ° F o
SUB-BSMT.
I BASEMENT '
1 ST FLOOR I
i
2ND FLOOR >
3RD FLOOR
4TH FLOOR
i
5TH FLOOR t '
6TH FLOOR
7TH FLOOR
., 8TH FLOOR i
Installinlo', Company Name Re 614 it, 4 r a — Check one: Certificate#
Address � �� �L SU �;�W��� � �Corporation
ILkw ftQ IU C U 'ur ';i S ❑ Partnership
Business Telephone 668 2-260 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter �w' _ p ►� R
INSUR NCE COVERAGE:
I have current liability,'insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142'.
Yes ❑ No. O
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liabililty insurance policy. O 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:
Owner ❑ Agent ❑
Signatur'p of Owner or Owner's 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 installation performed under the permit issued for this application will be in compliance with all pertinent provisions;
of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
BY — -- Type of License: !
1.1 Plumber
Title Gasfitter Signature of Licensed Plumber or Gas Fitter
J9 Master
City/Tow License Number _
0 Journeyman
APPROVED (OFFICE USE ONLY)
-..------- -�_-- __.-_-----BEtOW�OR-'OFFICE-USE-ONL-Y---------------
FINAL INSPECTION SKETCHES NO. PROGRESS INSPECTIONS
MERCURY TEST
FEE
FINAL INSPECTION '
APPLICATION FOR PERMIT TO DO GASFITTING'
NAME & TYPE OF BUILDING
LOCATION OF BUILDING .
__... PLUMBER OR GASFITTER
LIC. NO. v
" PERMIT GRANTED
DATE '9
GAS INSPECTOR
pf Np oTM
A TOWN OF NORTH ANDOVER
p .. F
PERMIT FOR GAS INSTALLATION
_
�9SSACHUSEtt
This certifies that . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . . . . r'. . . . . . . . . .
in the buildings of . 7. lc--. . f.�o ! r`. . . . . . . . . . . . . . . . . . . . . . .
at . ;,!,l. . . :ry P0.! t . . . . . . . North Andover, Mass.
AS INSPECT
Check# 7 7 J-
4805
l
MASSACHUSETTS UNDDRMAPPUCATONFORP ZT01D0GAS"TDNG
(Type or print) Date
NORTH ANDOVER,MASSi CHUSETTS
Building Locations M Permit#
Amount$ a
Owner's Name R� Z-�JS+W-g '
New Renovation ❑ Replacement Plans Submitted ❑
a
o o Hx rA
a H H z a H a
Gz Oa a z F SS
WaC z a A aaw a x ` ,an/
z aU a aO 0
`
H O �J
SUB -BASEM ENT
( BASEMENT
1ST. FLOOR
2ND . FLOOR
3RD . F L O O R
4TH . FLOOR
5 T H . F L O O R
6TH . FLOOR
7TH . FLOOR
8TH . FLOOR !L-4�
Print or t P Chec one: Certificate Installing Company
Name y='Q� R ff Corp.
Address YI-1 r`2-) 9 Y 1 Partner.
a '1 Dl
usmess Telephone - Firm/Co.
Name of Licensed Plumber or Gas Fitter C�>� IJ, ✓
INSURANCE COVERAGE Check o e:
I have a current liability Insurance policy or it's substantial equivalent. Yes NoO
If you have checked yes, dicate the type coverage by checking the appropriate box.
Liability insurance policy please nap
Other type of indemnity Bond D.
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 13 Agent 0
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 Mas chusettstate�s C and r hapter 142 of the General Laws.
Sig
Title nature of Licensed Plumber Or Gas Fitter
� Plumber Il�b
Tit
City/Town Gas Fitter License Number
Master
Journeyman
APPROVED(OFFICE USE ONLY)
Tt► 2262
~- Date.. . .(j. � � -�•�-.• -
TO
NpRTH TOWN OF NORTH ANDOVER.
pF ,.eo ,stip
0 � pp PERMIT FOR GAS INSTALLATION
�9SSACNUSESSy
his certifies that . . . . . -e� . .J✓ I�P.G � {' +, . , , ./!?
as permission for gas installation . . TGI. �'.�'. • . • . . . . . . . .
he buildings o �s f�(. . .7 . /J'L • . . , . . • . .
��•(, • • V-Pl.e . . . . ., North Andover, Mass.
Lic. No.. .
9 yj GAS INSPECTOR
Appl 3/ ARY: BuiIA-090t. PAID PINK:Treasurer GOLD:File
1'A f
MASSACHU ETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Z�
(Print'or Type)
NO.ANDOVER,MA , Mass. -Date d =19 ,� Permit
a /��
Building Location //Y /�G�l
MILLPOND Owner's Name ,U/ 4�.Pvcl
NO.ANDOVER,MA Type of Occupancy ' RES
New ® Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ ' No ❑
N
N GC
W N
Y �
of
N N V
y s N R O N x 1-
. W W N = O a m ?- x 1f
o W rt
W c O =
s :>J c
< m N H O n,
d 4
Us .4 �-• yr
Cf tt 2 W N W < = tO- G 1" W
W
W T W
r N m 2 O W O to w
o a J o c > a a " o
SUB—BSMT.
BASEMENT
1STFLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
aTH FLOOR
7TH FLOOR E0
8TH FLOOR
Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certificate '
Address 91 B LMONT STREET 13 Corporation
NO.ANDOVER,MA• 01845 ❑ Partnership
Business Telephone 5 0 8—6 8 9—9 2 3 3 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142
Yes K7 No ❑ '
If you have checked yes. please indicate the type coverage by checking the appropriate box.
A liability insurance policy ZC) 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 at Owner or Owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted(or entered)In ove application are true and accurate to the best of my
knowledge and
g that all plumbing work and Installations performed under thepermit sued for this appitcatl will b In ptlance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral taw
BY T e of Ucense:
Plumber gnatur o c nse um a or Gas titer
Title asfiller
Citaster Ucense Number M-3440
Y Journeyman
O .
'y't'`.$"�'4+_.
o
irj
�� 8 Date. IJ., ..c1. . ti
F NORTH , TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION ;Y
p Vsslq MUSES {i
This certifies that . etq G�?!4 K C. . . . . . . . . . . . . . . . .
�^ 3
has permission for gas installation
in the buildings of ./ 4 4.e.1'414-7. � . . . . . . .. . . . . . ... . .
r at . . . . . ; N h Andover, Mass.
Fee. .p. . . Lic. No.,MY: ? . . . . . .. .
)GAS INSPECTOR'
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File