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Home My WebLink AboutMiscellaneous - 125 Main Street (2) f Aa 5" on,*Ird sp-- 4r,-,,'7"-13 BUILDING FILE Location No. ��' Date TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ /�y • i a Building/Frame Permit Fee $ swCHUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /� Check # eP -Building ins`U`ector F' oRni " CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 107(8/7/2008) Date; October 5. 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 125 Main St- Unit B-2 — Clifford Jewlers MAY BE OCCUPIED AS Retail Tenant Fit Up ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: San Lau Realty Trust 125 Main St North Andover Ma 1845 Building Inspector T4®RTH Town of M 12M = o dover, Mass., I� COC MIC KE WICK V AD{QATED PPS\ "`cl BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...... . ........ ....... Foundation has permission to erect........................................ buildings on ../444 ........ . . w...... -....... / Rough to be occupied as.......... 6. �Er m ey r ........................................ ...... ............................... ....... ..... .... ............ ................. provided that the person accepting this permit shall in every respect conform to the t rms of the applicat on on file in Final this office, and to the provisions of the Codes and By Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. � J=©j��S PLUMB G INSPE TOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ou 91 S�o y Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESSCONSTRUCTION TARTS Rough � Service ......................... . . .....X/; z•• ................................... BUILDING INSPECTOR final / Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until inspected and Approved by the Building Inspector. Burner Street No. IF SEE REVERSE SIDE Smoke Det. l Location / � N • No. ��3 Date MORT� TOWN OF NORTH ANDOVER 3 ♦. 0 AL Certificate of Occupancy $ /o,g Building/Frame Permit Fee $ swCMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # fy 2 2' 114 Building Inspector :y a CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 743 Date: September 11, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 152 Main Street MAY BE OCCUPIED AS Retail Store IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Kanber Gulbas 152 Main St North Andover MA 01845 c7 r , Building Inspector! �®RTH Town of 0 No. *7V7 z LAKE dover, Mass., do •� �' co MIC HE WICK y�. RATED p P�\ �C `s E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT...... .CA.n... 1 BUILDING INSPECTOR........&.4..4.. ................................... ................................... Foundation has permission to erect.........e............................. buildings on ... r...2 _ ........ Rough to be occupied as........V .!.........9��.1.�!...... �.�.... 7in �.��. �'�r11/�� c ne provided that the person accepting this permit shall m every respect conform tos of the appli . . on file in ina 0� ti N(o6 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. P&MBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC STARTS Rough -- Service ............ ... ........................................................... ............. BUILDING IN TOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough v/ G Gf 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. Burner Street No. SEE REVERSE SIDE Smoke Det. e +Locatid'n �lo. l Sr j Date fU �4 i i AORTly, TOWN OF NORTH ANDOVER 3 ._ oc p Certificate of Occupancy $ 16. Building/Frame Permit Fee $ �'�b''•°"'•tn Foundation Permit Fee $ � SSACMusE v d (J U � Other Permit Fee $ $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 0 C wilding Inspector C Div. Public Works Locationelf- = �� `" c• + ' s ' Date /ci• }, d MOR71y TOWN OF NORTH ANDOVER op Certificate of Occupancy $ • s ; ; Building/Frame Permit Fee $ �'�s• Eta Foundation Permit Fee $ s�CHus Other Permit Fee_ $ Sewer Connection Fee $ c Water Connection Fee $ TOTAL $ Y -# `Building Inspector { ��1 Div. Public Works Office Use Only Permit NMug a / Occupancy&Fee Checked Dcl�wetwearc o6 Pu6lLe Sa6cty 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 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 129AG .,y ' if C (6uz)ut, U Owner or Tenant Owner's Address Is this permit in conjunction with a building permit Yes E� No ❑ (Check Appropriate Box) Purpose of Building_ -A —Utility Authorization No. E)dsting Service Amps Voits 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/2 �c�,v/ 2£c rCt Tt Hf I r4'V,<L /9s 11 Total No.of Lightfing Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets 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 Di sal No. Pumps Tons KW No.of Sounding Devices No.l of Self Contained No.of Dishwashers Space/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases I Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted yaiid 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 BOND = OTHER (Please Specify) .�`�} (Expiration Date) Estimated Value of Electrical Work$ nC f S• F Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME LIC.NO. Licensee/,Qy/VW 17 A2 signature a LIC.NO. Bus.Tel No. Address Alt Tel.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 Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. " = PERMIT FEE $�� (Signature of Owner or Agent) • N! J , Date...l:...''7.................... f NORTI♦, 3:°.<;��'°.;•,"o,� TOWN OF NORTH ANDOVER = PERMIT FOR WIRING cia COWS This certifies that ...........................................:....:.....::... ............................... has permission to perform ....................................:.......................J-............... wiring in the building of .. '� �.................. at.:.................:......................................................... ,North Andover,Mass. Fee.. ................ Lic.No.....I�L"elc ............................................................ ELECTRICAL INSPECTOR 04/07/98 10:12 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Q Date........9-..%7... . NORT1, °`f °;•�"� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ;,SSACHUS� This certifies that ...........!.'.!L �� tL EC /wl G ................-..............n.............. ................................ has permission to perform ...............�...LTi//'',............................................ wiring in the building of....... .�:!!�.. �v...�E!g L r7' �f�4�s1 at 12S.... 11..!Y sT` v�<i S.......,North Andover,Mass. ...... .............................. or / ?y ........... Fee./-5b...'.:... Lic.No. ............. ....�......... 1. ELECTRIC INSPECTOR Check # f> 001— 8354 Commonwealth of Massachusetts Official Use Only Permit No. 3y Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ?> `A) [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfo the electrical work described below. Location(Street&Number),.[A lnlllAj Com'7 r Owner or Tenant s(j,") LC3,1 Telephone No. Owner's Address i7-5 t►n✓1_/.J Is this permit in conjunction with a building permit? Yes No ❑ - (Check Appropriate Boz) Purpose of BuildingS2Q 4,ALL ,Utility Authorization No. 1• fisting Service 16LO Amps -2 O l2 o y Volts Overhead ❑ Undgrd,R No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: UNt $ Q Com letion o the f0 omnz 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 No.of LuminairesSwimming Pool Above ❑ n- ❑ o.o mergency Lighting rod. rnd. Battery Units No.of Receptacle Outlets No.of OR BurnersFIRE ALARMS No.of Zones No.of Switches No.of.Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 ❑ Connection ❑ Other No.of Dryers Heating Appliances Imo' Security Systems:* No.of ater o.of o.of No.of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work: fS10.e2?L . Attach additional detail if desired, oras required by the Inspector of Wires. �" (When required by municipal policy.) Work to Start--?-/ -Q� 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"completed operation"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 0 BOND ❑ OTHER ❑ (Specify:)fad.' A✓CD �.v� - I certify, under the Pains and penalties o_fperjury,-/tha-t the information on this application is true and complete. FIRM NAME: �'— -' �G 7�t C -LN r LIC.NO.: rJVSV-�- Licensee: �'l�aN 7;f Ce,0' Signature LIC.NO.: (If applicable, enter" em�xn" e license number line.)Address: �� S% Sr1 Bus.Tel.Alt.Tel..*Per M.G.L c. 147,s.57- 1,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I 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/Agent ❑owner's agent Signature Telephone No. °-- The Commonwealth of Massachusetts Department of Industrial Accidents UIP 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 Legibly Name (Business/Organization/Individual): � e1�Gr Address:c � }��/�5��, 4 City/State/Zip: 0/9?U Phone #: qlf �W/ Are you an employer?Check the appropriate frog: 11 Type of project(required): JRI am a employer with--Za 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 1 7• X 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 required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per'MGL 11.F-1 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#]must also fill out the section below showing their workers'compensation policy information. 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: X, Policy#or Self-ins.. Lic.#: Expiration Date: Job Site Address:/aZ!Z /yjf/;d S7— City/State/Zip:/��/ p(2'/L /yam 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 certi under the pa' s d alties of perjury that the information provided above is true and correct Si afore• Date: / O 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#: