The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 122 MIDDLESEX STREET 4/30/2018 (2) �3 �� -�. � / el C- Date. . . N2 4- 6 - 0 Of HORT:�tio TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING V SA US This certifies that . . GG A=?. . .. . . . . . . . . . . . . .. has permission to perform . . .(.! . S . .-Ptz-f .. . . . . . • • . • . . . . . . . • • plumbing in the buildings of . . r C at . . .�.). .? . . . !�. ("' j .`~'.. . . . . . . . . , North Andover, Mass. Fee. Li c. No.. . . . . . . . . . .,. . .�- C .._. . . . . . . ,PLUMBING INSPECTOR Check # t/l l WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date ,��// � U�� 11 Building Location / Owners Name Permit# Type of Occupancy New Renovation Replacement C Plans Sub itted es No El FIXTURES T z E- Z x a w a a zrA H Cr W Q w a d E- z a 04 d E" w x Cn SLRBM Z.-n ri, M M -AU FUM 4]HHIM S]HF.aR 6TH IT' I 7M FUM SIH HIM (Print or type) IL7 C�t Check one: Certificate Installing Company Name Corp. Address 16 Z94 Partner. S Business Telephone 6 G 4;if 14f Firm/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the msuranc 'coverage by checking the appropriate box: Liability insurance policy LJ Other type of indemnity ❑ Bond ❑ 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 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 ar* ll 'ons performed under Permit Issu for this application will be in compliance with all pertinent provisions of the MasStat 'lug C Ch - f the General Laws. By: lgnanire of Licenseaum er Type of Plumbing License Title / "?1W City/Town Eicense NumDer Master El Journeyman ❑ APPROVED(OFFICE USE ONLY r (, :1 sJ Date..��.. .... NpRTp TOWN OF NORTH ANDOVER pf ,�ao ,e1ti0 0 ``� PERMIT FOR GAS INSTALLATION �,SSACNUSEtt ?� f This certifies that . . . . . . . . . . . . . . . o has permission for gas installation . . . -'. . . . . . . . . . . t� in the buildings of . . . . J'{ ' f at . . . . . . !. . :. : . . . .�. :. . . . . . . . . . :. . . . .. North Andover, Mass. Fee. ./. ..,. . . . . Lic. No.. .'. . . 2.'. . . . . . . . . . . . . . . . .,. . . . . . . . . . . . ,'GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer vjMASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS F=G or print) Date ' (; NORTH ANDOVER, MASSACHUSETTS Building Locations ' Permit# �v Amount S Owner's Name d New❑ Renovation ❑ Replacement Ef Plans S miffed ❑ 14 N U z y In z C t r } ? z C z o cn z In 'f C z C ;J SU B -BA SEM ENT BASE .vt FN 'r 1ST. FLOOR 2N D . FLO U R 3R D . FLOG Rj 1T Il FLOG R sTR FLOOR 6 T H F L O O R 7T If FLOOR S T H F L O G R ;Print or ryp ) Check one: Certificate Installing Company ',lame ❑ Corp. Address ��l- ❑ Partner. 3usiness Telephone �� .. �'q, y ❑ Firm/Co. vame of Licensed Plumber or Gas Fitter NSURANCE COVERAGE Check one: have a current liability Insurance pol*.l or it's substantial equivalent. Yes ❑ No r7 f you have checked -00 ves,please in ate the type coverage by checking the appropriate box. _lability insurance policy Other type of indemnity ❑ Bond ❑ DwneCs Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the viass. General Laws,and that my signature on this permit application waives this requirement. Check one: signature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the )est of my knowledge and that all plumbing work andi allatt ns performed under Permit Issued for this application will be in :ompliance with all pertinent provisions of the Vlassa u e tate s Zand&Cer 142 G neral Laws. By: azure of Licensed Plumber Or Gas Fitter Title Plumber L sty/Town ❑ Gas er License Numoer i taster Journeyman APPROVEDWHIC WHICH ❑ AN2 2310 . Date..... .. t NOR71{1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that ........4./ h 1',v.e-' (. has permission to perform .......0.... . . ..>#ft OC mo .................. ..... . ................ wiring in the building of........ �r�....................................................... at.....?,..R......k:AdkS' .x.....-st .'........... North Andover,IM s. Fee..... ......:.... Lic.No.. . 1 / t �r � LECTRICALINSPECTOR� Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ThFC0HV0�'�L7H0FA1A&"C� 7. Office n DEPARTAE7VfOFPUBLICS MY Permit No. BOARD 0FFIREPREVEW0NRWUTATI0AN-27CMR120 Occupancy&Fees Checked U.4APPUCATIONFORR PERMITTO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the ele c work described below. Location(Street&Number) '2 2 /) IF Owner or Tenant �ryun A . /Ue t'll Owner's Address .SGIMe- , Is this permit in conjunction wi'th++a building permit: Yes© No (Check Appropriate Box) I Purpose of Building _ am-e_ Utility Authorization No. Existing Service Amps 6!2 Volts Overhead Underground No.of Meters New Service Amps/ Volts Overhead © Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 12ee a c Itin . _r 3 l�'4 �1ecu A cf °__(c ��`r_ ei No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No.of Receptacle Outlets ' No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges _ No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals — No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local 0 Municipal a Other Connections No.of Water Heaters KW No.of No.of Si s Bailasis y No.Hydro Massage Tubs No.of Motors Total HP OTHER• (T't"-1- t 1�°c� �o In ttwm=ComaW-Ptesttratlothetegtmeme&offVbssa&xkdsGaetalLaws Iba%eaameFtl ablitybur&=Pd ymdu&gCatnpl,e�le `�Coveagea'� apheiat YES © NO IImest>tlm9rodvatidptoofofsametotheOfoe YES U NO © IfymhmcdwdWYES pimeit&*thetypeefwmagebydcdmgthe INSURANCE © BOND OTHER ftweSpecify) ExpidmDate Esttlnated Vakel Wade$ Wok oSlat hgxE iMDa6&Rape ted Ragh t2 Final Signed mdrT1ie Pkv ofpajtay: FIRMNANIE Li =NTa Iioaisee S� LimmNo Busim1iidNa AIL TdNh OWNER'SINSURANCEWAP✓ER;Ianawaetbatthelioaisa thei amwamPorilsskswrtiale*nvdlatasm#WbyMmmbsdtsGmedLaws alddxtmysgnak=an hspamitapplic�on this tecl Wot. (_Please check one), ner _ Agent A 06 M Telephone No. ��7�14�D PERMIT FEE$ h 0,t5 Date. it f - vv Z-2-- TONIN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAc"us / This certifies that .L. .C.,.JP! re-"x' . . . . . . :. � has permission to perform . . . .�c-°7/?, '&--A) 1.. pWmbing in the buildings of . . .��. �'"�. . !.�- . . . . . . . . . at . ,. . .-. . . ... . . . ., North Andover, Mas . Fee. .6—k 4L / PLUMBING INSPE&OR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFOR iW*ICATI T TO DO PLUMBING (Type or print) PARCEL O©22- NORTH ANDOVER,MASSACHUSETTS Date 7 Building Location /o?oS Owners Name Permit# Amount 624, Type of Occupancy New Renovation Replacement ❑ Plans Submitted Yes No ❑ FIXTURES �W) w CA w w w c o SWea • HA�II�Q' MH R 3�D FIOQt -- �HDQt 4IH Fi0Q2 5IH FIIDQt 6)R HDQt 7IH ROM MH H R (Print or type) Check one: Certificate I'Pstalling Company Name 6D ❑ Corp. Address ❑ Pier' .fid © 7 Business Telephone n?� �9�-69�' ❑ Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type f insurance coverage by checking the appropriate bor. Liability insurance policy a Other type of indemnity ❑ Bond ❑ Insurance Waiver L 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 ha ubmitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work ons performed under Permit Issued for this application will be in compliance with all pertinent provisions of the sa P apter 142 of the General Laws. By: a ot.LicenseariumDer Type of Plumbing License Title Q ❑ City/Town License Number Master Journeyman APPROVED(OFFICE USE ONLY Location Date M�MTN TOWN OF NORTH ANDOVER opt.... ,•,�o f 9 Certificate of Occupancy $ sACMUs<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # Building Insp?d or -- 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r BUILDING PERMIT NUMBER. //0 DATE ISSUED: � A/ /00 SIGNATURE: 1z Of Lo 0 Building Com ' sioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address- 1.2 Assessors Map and Parcel Number: / A44 — / nn /) Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Infomution: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ JI SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 1�I 2.1 Owner of Record s r arm 3iPA I) Name(Print) Address for Service X78 .68?- (q'qC Signature Telephone e 2.2 Owner of Record: L Name Print Address for Service: q®q CS M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address a Expiration Date e Signature Telephone P rn 3.2 Registered Home Improvement Contractor Not Applicab-leej ❑y I JT t V J:Z Company Name j l M Registration;Number P Address l fP I L1iLG NG DERA��ii ENS i Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(AG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: j 10,AC(CAW kg'J, r0U JAI4filo ',e-JIt— CG014'6ui w Qce u(,( cuc� Woor SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICLA USE t3NLY Completed b permit applicant 1. Building S- (a) Building Permit Fee b a Multiplier 2 Electrical 1 000 (b) Estimated Total Cost of Construction 3 Plumbing ZIL Building Permit fee tel X(b) 4 Mechanical HVAC 5 Fire Protection SO 6 Total 1+2+3+4+5) O Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,E N AA Ak << ,as Owner/Authorized Agent of subject property Hereby authorize Q1+`�4� ✓VC( �( d RCX AL`� ( Ia�"i^ to act on Mybe . �all atters relative to work authorized by this building permit application. Si na wner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date r NO. OF STORIES SIZE { BASEMENT OR SLAB SIZE OF FLOOR TI1vIBERS 1 ST 2 ND 3 RID SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ��1571 N Cr N c R ETA r--5rOeAA DCPR. 8► �� w i N Dov n < < I t C> Ph CN a� E z - I d-)CO2WA Y I DOGZ WAY �1 N IN 6- R M S?ohjT {-{ALL -MVH r,Ol z � m 1 b 1 r j NEW Sw ti i r5l 1 6 „8a h 1 l0CIO 14 QNY M3N 1(V.ar7-4Z�1V� 2 �Q© c�35®d o?Jc} 4ORTly Town of Andover No. ]� r o dower, Mass., o? COCMIIMr MIK V ADRATED p'Pa,``C S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT......8 .YOA-'o � �p A/AOO Ar r ® W I // BUILDING INSPECTOR ............... Foundation has permission to erect..... �►...�A . buildin s on .......,I.. 4PAR....,A)#.d/*/��,S.r1W.....3� Rough to be occupied as.........................0. ' X8 I va #fella V Chimney !IYI r4 w y ...................................................................................................................................... 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 /V Q0 PERMIT EXPIRES IN 6 MONTHS Final /* UNLESS CONSTRUCTI S ELECTRICAL INSPECTOR Rough r ......... ... .... .. .... ............................................................................ Service C/ BUILDING 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE 'Srnokel)et.