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HomeMy WebLinkAboutMiscellaneous - 119 MILLPOND 4/30/2018 / 119 MILLPOND J 210/095.A-0119-0000.0 f N° 2669 Date...w��J V .r 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