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HomeMy WebLinkAboutMiscellaneous - 127 KARA DRIVE 4/30/2018 127 KARA DRIVE � 210/098.A-0081-0000.0 J 1 0202 Date.....(..""aG'.�.� . NORT/� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSACHUSE� Thiscertifies that ......................................................................... .................. has permission to perform f wiring in the building of �� 44--7— ................................................................................... at....1..2.-.7.. f ........Q&.................... .. .. .North Andover, S. Jga Fees.............. Lic.No..A??. )-4......... .. ....... ... ........yy��!%p..... . . ........ r ELECMCAL INSPEC40R 'Check # 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c. 143,§3L,the f permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed "I on the prescribed forin.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166,§32, an electrical permit shall be issued to the person,firm or corporation stated on the permit,�vplicatios. Such entity shall be responsible for the notification of completion of the work as i squired i.-aM.G.L.c.143,§3L. Permits shall-be limited as to the time of-ongoing construction activity,and may be-deemed_by-the-Inspector_ofWires abandoned_and_invalid_iflme— ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. [D-WeS—PermiVD.ate Closed: /� ***Note:Reapply for new perm ❑Permit Extension Act—Permit/Date Closed: Common-wealth of massach us Official Use Only Department of Dire Permit No. r" Services 2-- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 1/07] (leave blank APPLICATION FOR PERMITTO PERFORM EL ECTRICA All work to be performed in accordance with the Massachusetts Electrical Code(MEC)527 CMR 12.00 WORK (PLEASEPRINTLVAW OR YYPEALL WO RMA Date: City or Town of: NORTH ANDOVER By this application the undersigned gives notice of his or her intention to perform the To the ele cto o Wires' Location(Street&Number) I a KSS �:l described below. Owner or Tenant S I& �' Owner's Address ,�c ��net Telephone No. Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building S' —� ; I Utility ty Authorization No. Existing Service Amps _Volts Overhead ❑ d Und New Service __ ❑ No.of Meters A _ Amps __Volts Overhead❑ Unil rd Number of Feeders and.Ampacity g ❑ No.of Meters _ Location a d Nature of Proposed Electrical Work: ro OMPleft of the followin table may a waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus No.of p.(Paddle)Fans Total No.of Luminaire OutletsTransformers KVA No.of Hot Tubs Generators IZVA No.of Luminaires Above Swimming Pool d. ❑ In- ❑ o.o L+mergency Yg g No.of Receptacle Outlets 1 nd• Batte Units No.of Oil Burners No.of Switches h F 'At,ARMrS No.*of�,nes i V - No.of Gas Burners No..-of Detection and No.of Ranges No.of Air Cond. Total Intra ' ' Devices . No.of Waste Disposers Heat Pum Tons No.of Alerting Devices p Number Tons... KVV 'No.of Self-Contained Totals: --u _._._.__--- .._._. No.of Dishwashers Detection/Alertin Devices Space/Area Heating K W Local❑ C Unicipal No.of Dryers Heating Appliances Connection El other No.of Water KW Security Systems:* Heaters 1KW No.of No.of No.of Devices or E uivalent Si s Ballasts. Data Wiring; No.Hydromassage BathtubsNo.of Devices or E uivaIent No.of MotorsTotal Hp Telecommunications Wiring; ' OTHER: No.of Devices or E uivaIent Estimated Value of Electrical Work: Attacmh additional detail if desired,or as required by the Inspector of Wires. Work to Start: ( en required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INS�tANCE COVERAGE: 'Unless waived by the owner,no permit for the performance of electrical work may issue the licensee proof of liability insurance including cc no operation"coverage or its substantial undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. y e unless CHECK ONE: INSURANCE --1 equivalent. The ❑ BOND ❑ OTHER g I certify, under the pains and penalties o .(Specify;) . FIRM NAME:• l (perjury,that the information on this application is true and complete. Licensee: > SignatureLIC.NO.: Wf Pp I a licable, ent "ex pI t, n the license nu her line.) LIC.NO.: Address: s•��- � *Per M.G.L c. 147,s.57-61,security work requir D Bus.Tel.No.: OWNER'S INSURANCE W ep�ment of Public Safety"S"License: Alt'Tel.No.: g tl RIVER: I am aware that the Licensee does not have the liabilityLic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one)Elowner coverage normally Owner/Agent Signature El owner's agent. Telephone No. PB-KNIT ELECTRICAL PERMT No. i7 ELECTRICAL INSPECTOR-DOUG SMALLINSPECTION �. Y.ROUGH INSPECTION: Passed Failed—( ] Re-inspection requirecT($50.00) Inspectors'comments: R Oluspe rs' z afore-no initials) Date 2.FINAL;INSPECTION; Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors'comments: (Inspectors'Signature-no initials) Date 3•UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors' comments: (Inspectors'Signature-no initials) Date 4.'.INSPECTION—SERVICE: - DAT E CALED NATIONAL GRI!F: NAIt�,: Passed—[ ] Failed—[ ] Re-inspection required($50.00) Inspectors'comments: (Inspectors'Signature-no initials) Date F Effaspectors' t8ignatfure- �2e-inspection required($50.00) initials) Date DOOR TAGS ARE TO BE FILLED 0111 AND LEFT ON SITE IF THE AREA TO DE IPdSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. ✓' The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations ..600 Washington Street Boston, MA 02111 www meass gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I,e °bI Name(Business/Organization/Individual): Address: City/State/Zip: n Phone#: Aret,you an employer?Check the appropriate box: 1.110 1_z` a employer with 4. ❑ I am a general contractor and I Type of project(required):' 2.❑ employees(full and/or part-tim )e .* have hired the sub-contractors 6• ❑New construction I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑Remodeling ship and have no employees These soh=contractors have working for me in any capacity. workers' comp.insurance. 8 ❑Demolition p di g ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its a required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 LEI Plumbing repairs or additions myself.[No workers'comp. c. 152 ns §1(4),and we have uo iusnrencerequired.] t em 1a Ees. 12•❑.Roof repairs p Y [No ✓or,cers comp.insurance required.] 13•❑Other `Y.'pp'1C...aL tr'�?.t CLVC.'CS box"fl mtswc'9�c y I l».,,o fl.out the section below g:n,�szrmrr r' t Homeowners who submit this affidavit indicating they are doing all work and.Heir work ems-compeusaLa :, ii info g then hire outside contractors must submit 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.emtloyer that is providing workers'compensation insurance for my employees Below is the otic information, p y and job site Insurance Company Name: CCq-Y\(V\-Ci, Policy#or Self-ins.Lic.#: (��(�� `7� • Expiration Date: f©Aa Job Site Address:_ ICC e4—c, ,u iCity/State/Zi : +n Attach a copy of the workers'compensation policy declaration page(showing the policy number and e i iratio Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal e n date). fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties penalties of a 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 co Investigations of the DIA for insurance coverage verification.copy of this statement may be forwarded to the Office of I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct Signafore: _ Phone#: 7 f a`3(� 1327 Official use only. Do not write in this area,to be completed by city or town offcciaL City or Town: Issuing use (circle one): Permit/License# I-Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6. Other Contact Person: Phone#: 90 -44 Date. ,..o.. . . . . pORT/� 3?�.<�••�.;. �oo� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� r This certifies that . . -. .. . . . . c. . . . . . . . . . . . . . has permission to perform ... . . . . . . . plumbing in the buildings of . . .� . . � .�.N,�'r, . . . . . . . . . . . . . at . . .I-�-—7 . . .V.Ct.C .4 . . .0.1.t: . . . . . . . . . . . .North Andover, Mass. Fee.�P L . .Lic. No..2 a;`'(.`i. . . . . . . . ./�- . . . "76 PLUMBING INSPECTOR Check # _ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Cit Town: '�yI G' �i✓�/ MA. Date: Permit# JE Building Location: K A 1 �Owners Name: ', ��I ;Type of Occupancy: Commercial[] Educational❑ Industrial❑ Institutional❑ ResidenRenovation: Replacement: ❑ Plans Submitted' Yes❑ N FIXTURES DEDICATED H z SYSTEMS Z Y 0 V) W w z 2 a Z H ' U FN- w O w C Z [n Z Q oQoC= QmO Qmm oin o asf- iQ _ -Z Na Q !X VI''l Hw L=. _j Q N Z n U LL ? w O w zr LL w v 2 a w W 0: O O O p W LL - �tQW- ' g g ° = o a s -SUB BSMT. 3 3 3 o a 3 BASEMENT 1sT FLOOR 2ND FLOOR 3RD FLOOR 4'FLOOR 5TH FLOOR 6'FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name: Only Certificate# --� Corporation t Address: S �/ City/Town: � � State;4LI� —F---- � El Partnership BusinessTel: Fax: lIQlArm/Company Name of Licensed Plumber: G INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes [ Io❑ If you have checked Yes,please indicate the.type of coverage by checking the appropriate box below. A liability insurance policy- E' type of indemnity E] Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Si nature of Owner or Owners Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title ❑Plumber Signature of Licensed Plumber City/Town ❑Master t APPROVED(OFFICE USE ONLY) rneyman License Number: a Date... ':' .. .....". a t 40RT#f, ° ,"`° '• "a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SS US This certifies that has permission to perform .......... . wiring in the building of....:..... .l.? ��lLjr=r'..................................... at ('a.7 Y-d.�c.� J, ...........................North Andover,Mass. O f� Fee Me ""' Lic.No. ' 2 ELECTRICAL INSPECTOR Check # P�a� ' G1' 15f: Official Use Only Commonwealth of Massachusetts O RP Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: fn7 City or Town of: 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) 12-7 "e4 Q2. Owner or Tenant &, 1h!%Z Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: f �[jj 4r.�_ Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches ���it%�G No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pum Number Tons KW o.oSelf-Contained Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of WaterKW No.of No. Or—Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: a SEL 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: f 0 c%L 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 . -in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC BOND ❑ OTHER ❑ (Specify:) I certify,under the pains t d penalties of perjury,that the informatio�", is applic tion is true and complete. t FIRM NAME: C LIC. NO.: 1 d31'" Licensee: 191142 1,464e, Signature � �— LIC.NO.: (/f applicable, eater "exempt"in the license number line;) Bus.Tel. No.' 6�2 2E' Address: cr'l7-4 �� ,i ��rr Alt.Tel. No.: 3115 5-73 *Security System Contractor License required for this work; if applicable,enter the license number here: 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/Agent PERMIT FEE. $ Signature Telephone No. Date.(f. . . .Of 1. �aORTq "' •'"o TOWN OF NORTH.A-NDOVER 3? 6,eO� o41 PERMIT.,FOR PLUMBING 'SSACMUSE� :�^���• This certifies that .. . . . . . . . . . . . has permission to perform . . . . S. . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . .. North Andover, Mass. Fee. Lic. No.&?I". . . . . . . . . . .,. .�..,�;�.. . . . . . . . PLUMBING INSPECTOR Check 7 % �� 7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date W Building Location 122 kif g V* Owners Name Permit# 7oa-7 Amount Type of Occupancy rJ New Renovation Replacement Plans Submitted Yes 0 No ❑ FIXTURES Cr C 40 ti il`171vM it" , . 11 D AHD�)) M FLOCI\ 4M ll' 5M1'lIM 6M 'M HIM 11' JDCR (Print or type) h , Check 0,R6' Certificate Installing Company Name G n`� Corp. Address wcJ 410 r Partner. t Business Telep one p Firm/Co. Name of Licensed Plumber: /.✓1`l!(/IYJ�1 <C�9'»it �'H1 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 1-1 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 Massachusetts S Plum ' ode and Chapter 142 of the General Laws. By Signature of 1-1CCn8eUrflJff1DCf Type of Plumbing License Title rV City/Town 777cense jNum5er Master Journeyman ❑ APPROVED(OFFICE USE ONLY ti Date. ` . . . . . . . . . . N° HORTp hooL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING '1 •D••T,D•A,`� ,SSACHUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . has permission to perform . . . r / ,.�c."=�''. .�- . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . ./ ,, . . ,�. r�' . . . . . . . ..`.'. . . . . . . . . . . .. North Andover, Mass.` /' � . Fee . . . . . . .Lic. No.'. . . . . . . . �. . . . . . PLUMBING INSPECTOR � J y WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PE TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date���} Building Location ��� -so Owners Name , �• �c� Permit# O Amount i Type of Occupancy New Renovation E] Replacement El Plans Submitted Yes No FIXTURES W 1zW a � W F , Cn d W uW1 G D SIC fi�g1VIIVT Y MHOR M RfM MHOR 4IH FILL SIH FILM 6I ROM 7IH HCR • SIH Hf[R 1 (Print or type) Check one: Certificate Installing Company Name ) ► 62(1 Corp. Address /16 �11. n/�'r.► _ Partner. Business Telephone ,r} `- ;(� Firm/Co. Name of Licensed Plumber Insurance Coverage: Indicate the type of insTrance coverage by checking the appropriate box Liability insurance policy 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 = 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 etts Siate PI bing � ` d Chapter 142 of the General Laws. By: Signature o er Type of Plumbing License Title Cit)/TownLicense Numoer Master M Journeyman ❑ APPROVED(OFFICE USE ONLY Date.(? -. ! .� 0— TOWN OF NORTH ANDOVER �? •` .. oc p PERMIT FOR PLUMBING « 'sSACMUs� This ycertifies that � `.. . • . . . . . . . . . . . . . . . . . . . . A has permission to perform ``.4-4: ^ _ . . . . . . . . . . . . . . . plumbing in the buildings of.. . . . . . .... . . . . . . . . . . . . . . . . at/ �. ,�.� T�.�.*�. .,.,f -� �- � . . . . . . . . , North Andover, Mass. Fee& r' . .Lic. No.�.'.�7' PLUMBING IM KcTOR Check # 5 % uA MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date f72 Building Location 1vZ 7 T ' (J f Ute, NDS �7bU�� Permit#-D�:�k Amount Owner New rl Renovation Replacement Plans Submitted Yes No FIXTURES 1 • CY W as x a ca SM-ERM &ASRVEIr >STHfM an3MOCIR sffl HDM sMHfM —8MROM (Print or type) Check one: Certificate Installing Company Name ❑ Corp. Address z4bok Partner. Busmess Te ep one Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El 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 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 Massachu to Plum ' e and Chapter 142 of the General Laws. By o icense um er Type of Plumbing License Title 47a City/Town icen a um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY N° I u 3 7 Date. . .. r AORTN °�t"`° '•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUS� This certifies that .!.... ,�.:_ �:�t,� ....... has permission to performs-� ........ wiring in the building of........... .............t—t.: ............................................ at... .................. .North Andover,Mass. � . . } . :..........Fee- .�.�....... Lic.No , ��� -o ELECTRICAL INSPECTOR f 48/26/99 12:23 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I, V �, The Commorrt�lth of11Z�;ssa�husetts oma«Use only Department of public Safety BOARD OF THE FIRE PREVENTION REGULATIONS 627CMR 1200 Permit No. f3/ 0="ncy Fee Chadw APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 3o (168"UVV All work to be performed In a000ndanoe with the Massachusetts Eleohtcal Code 627 CMR 1200 (A FIRE ALARM PERMIT MUST BE OBTAINED FORM THE FIRE DEPARTMENT) TOWN OF 'i/* To the Ins DATE The undersigned applies fora pe mor of Wires: permit to performpe electrical described below. Location(Street& Number) Owner or Tenant Owners Address Is this permit in conjunction with a building permit: Yes ❑ No� (Check Appropriate Box) Purpose of tuilding ji1 �� Utt((ty Authorization No. Existinp Service Amps / Volts Overhead g Und rd ❑ No. Of Meters New.Service Amps / Volts ► Overhead Undgrd ❑ No. Of Meters Number of Feeders and Ampacity Nature of Proposed Electrical Work S EC,V 12— IT`( SYS T(„ irp 11'175 T�Lt_ T i 0 N No. Of Lior ag Outlets No. Of Hot Tubs No. Of Transformers Total KVA N^ g. tina Fixtures Swimming Pool-Above gmd. In md. 9 ❑ Generators KVA if Receptacles No. Of Oil burners Fire Alarms Permit Required �. Of Switdi Outlets No. Of Gas (3urncrs FIRE ALARMS No:Of Zones No. of Detection& Initiating Devices__ No.of Soundiq Devises_. Jf Disposals No. Of Heat Pumps Total Tons Total KW Devices � Local Municipal Connection No- Of Dishwashers Space/Area Heating FNV Other No. Of Dryers Heating Devices FCM! Low Voltage Wiring No. Of Water Heaters KW No. Of Signs 9 No.of Ballast No. Of Hydro Massage Tubs No. Of Motors Total HP No. Of Emergency rg cY Lighting Battery Units OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability Insurance Policy including Completed O I have submitted valid proof of same to this office.r- ES[a ;ns Coverage or substantial equivalent.YES NO ❑ If you have checked YES, Please indicate the YES® NO (� INSURANCE type of coverage by checking the appropriate box BOND E:�D OTHER[_] (Please Specify) ^^ Exit.Date Estimated Value of Eledrical Work$__�—__ Work to Start INSPECTION NOTICES' MUST CALL Signed under the penalties of perjury: (PRINT)Licensee NEM ENS KY ELEC/2(CLIC NO A 11039 E256 8 6 Address .S9 E 06EWOO 0 ACf• SauTN130R0 AIA 01772- Signature: Phone 508---�gc60S-- to�5"'�7/2-8 Date OWNER'S I f WAIVI-:R I am aware that the Licensee DOES NOT HAVE the insurance cover-age substantia(equivalent s required b a s. Gen raI Laws, and that my signature on tills Permit application waives this requirement OWNER AGENT (Please Check One) (S(gnature of Owner or Agent) Te(. Permit Fee$ �� O C) 1 J O Date.....` 717: Ot NORTM'ti0 o: .�',� -•. O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACMU�� This certifies that J -..!..!1 S �........................................... has permission to perform ........ �.!.�.�1.....1.�.fti1.........V"r '? 4 " `/ ...................... wiring in the building of........� ................................................. at......1A.3.... .......0.R............................. . rth Andave A s. '1 - t� oaf���3 Fee.... !`,�......... Lic.No. /t ...... ............ .�,�1.. ... .................. CTRICALINSPECTOR f C 30 5*/99 13: 75,00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer T1EC0MM0NWF4L2Y10FMASSACHVS= Office Use only DEPARTMENTOFPUBLIMFM Permit No. I 0� BOAOFFIREPREYFJ ONREGUTATIOASR7CWVR SIO Occupancy&Fees Checked kVPPUCARONRDFOR PERMIT TO PERFORM ELECTRICMOO" ALL WORK TO BE PERFORM D IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,522 CMR(PLEASE PRINT IN IMC OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street&Number) WA rp tOwner or Tenant Owner's Address this permit in conjunction with a building permit: Yes F77/ No (Check Appropriate Box) pose of Building Oj,V I.111111 ri(}' Utility Authorization No. r ling Service 2 00 Amps )20 Volts Overhead a Underground r7 No.of Meters Service Amps / Volts �y Overhead Underground No.of Meters iber of Feeders and Ampacity a JSP p f I :Z4 > r C/I % tion and Nature of Proposed Electrical Work A'0l-,P0 U71 ,ffj l(� ko?'1�0, D7�Cbrf o.of Lighting Outlets C No.of Hot Tubs No.of Transformers Total J KVA No.of Lighting Fixtures Swimming Pool AboveBelow Generators KVA around around No.of Receptacle Outlets y/ ( 30 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 tnitiating 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 Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No. Hydro Massage Tubs No.of Motors Total HP OTHER Urs�rarr;rCotiera,t±Ptas<tarYA�theta�t>IIana�d�vlas�n�C�er�erall.aws Iha�,eamuet .ibtiityhmra=Pohcyazi�'gCmVieL- Co�ar�saisbr&iaiegtivakn YES P< I NO Iha-�esihn&dmihdptoafafswr othe0ffi=YES }� NO a ff} uhmectr:kedYES,p6seatdc3etheNxcfw m@ebYdrckirgthe Tpwrialebcx INSURANCEF/7<1 BOND all-El O ()lexeSpec£y) EpaMmDahe WakuStatt 11�yZ� Estkrr�dVahtec�F�ectric3l Wak$ ►� � yam_ Final Sigrxdtatdet-Te1 cf, FIRM NAME � C?ptCr�C Cv 7 G. IseNa *1 I S3 7� Lim 3123 '�� Btu TeL Na 3`131� r9'jS c fiyil'�CT, 1� b�16 AItTe1No (-i?) 593 sexy OWNER'S INSURANCE WAIVER;Iamawaethatthe Lu;s�dwsnot haNethe amraceayxmge -Zahslattialeqivalalastt:gmedbyMa�adasetls Laws andthatmysguaiecntmpe Tlwp&ttmv4ai,,esthisrr4z'anem (Please check one) Owner Agent Telephone No. PERMIT FEES i I i Location (d! No.' — 42 Date Q TOWN OF NORTH ANDOVEI1 Certificate of Occupancy $ ° , : Building/Frame Permit Fee $ / 7, ""°'� Foundation Permit Fee $ Ss�CHustt �r Other Permit Fee $ Sewer Connection Fee $ - Water Connection Fee $ '— :9 TOTAL $ i_ Building Inspector Div. Public Works �PERMI-f NO. 1 oZ APPLICATION FOR fwrRMIT TO BUILD******* ORTH ANDOVER, MA �C MAP NO. LOT.NO. D 2. RECORD OF OWNERSHIP DATE BOOL{ PAGE / ZONE SUB DIV. LOT NO. LOCATIONPURPOSE OF BUILDING % 1 ! � OWNER'S NAME NO.OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME ` J 1� SIZE OF FLOOR TIMBERS 1 T 2ND 3RD BUILDER'S NAME �� G. SPAN DISTANCE TO NEAREST BUILDING -- DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES—SIDES — REAR DIMENSIONS OF GIRDERS AREA OF IAT r— FRONTAGE — HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Q SIZE OF FOOTING X IS BUILDING ADDITIONQ�tnPAf f 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 e IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG. COST 1 PAGE I FILL OUT SECTIONS 1-3 EST.BLDG. COST PER SQ. FT. EST.BLDG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: C PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# - CONTR.TEL# .7_3 C CONTR.LIC# APR SIGNATURE OF OWNER OR AUTHORIZED AGENT H.I.C.# FEE $ cl� �/ J PERMIT GRANTEDsv ;t r ^Q- oZ 19cl Revised 11/97 JM DEPARTMENT OF PUBLIC SAFETY COPISiftUCTION SUPERVIS9R LICENSE Nuaber; C i t Pr t it tc CS 065112 0iJ?1J7900 pi.��i�jOF' a Restricted To: 00 FREDERICK A PAPPAIARDO 11 BRIGHTWOOD AVE N ANDOVER. MA 01645 i �/ee�om�nanwea�l/c o�../�faeacecli.`eaelYa t HOME IMPROVEMENT CONTRACTOR Registration 123349 Type - DBA Expiration 02/03/01 PRO-BUILDERS & DESIGN CO FREDRICK A. PAPPALARDO BRIGHTWOOD AVE ADMINISTRATOR N, ANDOVER MA 01845 �`" ..� tt � 1 - // ._., p^ � f.. - ., �� C'... � � f.. f ..�-�Jr, 7 -_- _ -_.._-�.__-_..._..� � Y •ti� �'� - `J � I r ' -�.� � _ _ i ,�,' -- `JL; �- -- - - 1 � ,r� � � - _-- I ' _'�_' j ' � �_ ,1--- � - _ -� -` --" .� L s � , '7 <.+t �- ---- --- - --- ----�- � Ff t�- .. k� - � .._.. ..' l3 .-..».� �.�/�` z ' NORTH Town of Over O 1" z o � E dover, Mass., 14 IQ / c/ 7— 2 COC­ E ,9 grto A (C, S SE BOARD OF HEALTH PERMIT T Food/Kitchen Septic System / THIS CERTIFIES THAT........ BUILDING INSPECTOR A ..... ............' ........!V. if//IJC Foundation has permission to e"..F! 0.d.4.............. buildings on ....... ........ �..... Rough to be occupied as......3.'a'U% C T ...........................................................�.......' a rr ...... ................................ Chimney provided that the person accepting this permit shall in every respect co form 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 R << * PERMIT EXPIRES IN b MONTHS Final 30 1 r7 UNLESS CONSTRUC N T ELECTRICAL INSPECTOR Rough . .... ................... .. ............................................... Service x BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. Fax:6034326414Apr-20 '99 1542 P.01 ------ --- ---------- 100{/G NAlri 04/20/99 PRODUCER THIS CERTIFICATE ISSUED AS MATTER OF INFOR- FINANCIAL INSURANCE MATION ONLY AND CONFERS NO RIGHTS UPON THE SERVICES, INC. CERTIFICATE HOLDER; IT DOES NOT AMEND, EX- PO BOX 950 TEND OR ALTER COVERAGE AFFORDED BY THE POL- DERRY, NH 03038 ICIES BELOW. COMPANIES AFFORDING COVERAGE: (603) 432-6414 COMPANY (FAX) 432-3852 LETTER A ASSURANCE CO. OF AFRICA COMPANY INSURED LETTER B TRAVELERS INSURANCE CO. PRO BUILDER & SALES CO. COMPANY C/O FRED PAPPALARDO LETTER C 71 BRIGHTWOOD AVENUE COMPANY NO. ANDOVER, MA 01845 LETTER D COMPANY LETTER E COVERAGES: THIS CERTIFIES THAT INSURANCE POLICIES BELOW HAVE BEEN ISSUED TO THE ABOVE INSURED FOR POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR DOCUMENT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE HEREIN IS SUBJECT TO ALL TERMS OF SUCH POLICIES. CO TYPE OF POLICY POLICY POLICY ALL LIMITS IN LTR INSURANCE NUMBER EFF DATE EXP DATE THOUSANDS A GENERAL LIABILITY SCP33599045 08/18/98 08/18/99 GEN AGGREGATE $1,000 X COMMERCIAL GENERAL LIABILITY PR-CMP/OPS AG $1,000 CL MADE XOCCURRENCE PERS&ADV INJUR $500, OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURANCE $500, FIRE DAMAGE $50, AUTOMOBILE LIAB MEDICAL EXPENS $10, ANY AUTO CSL $ ALL OWNED AUTOS BODILY INJURY (/PERS) SCHEDULED AUTOS $ HIRED AUTOS BODILY INJURY (/ACCID) NON-OWNED AUTOS $ GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE OTHER THAN UMBRELLA FORM OCCURRENCE B WORKERS ' COMPEN- 6NUB452XS64-3 08/21/98 08/21/99 STATUTORY $ SATION AND $100, (EACH ACCID) EMPLOYERS' LIABILITY $500, (DIS-POL LIM) OTHER $100, (DIS EA EMPL) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS :ERTIFICATE HOLDERCANCELLATION =----------------- ---------____ NORTH ANDOVER BUILDING INSPECTOR SHOULD ABOVE POLICIES BE-CANCELLED-BEFORE - NORTH ANDOVER, MA EXPIRATION DATE, COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO CERTIFICATE FAX #978-688-9542 HOLDER (AT LEFT); FAILURE TO MAIL NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESEN IV AUTHORIZED REPRESENTATIVE: ?ORM 25-S (11/85) Town of North Andover F NORTH -1 All OFFICE OF 3?O�`�'t o ". 0 COMMUNITY DEVELOPMENT AND SERVICES ° . x 27 Charles Street North Andover, Massachusetts 01845 '' 4°q,r °•°a �y WILLIAM J. SCOTT 9SSACHUS Director (978)688-9531 Fax (973)688-9542 In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Ml is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: Lrk-� Wo W o6j se- 4e /V (Location of Facility) C)"a i ature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 'J BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-13530 HEALTH 683-95.10 PLANNING 688-9535 Location 1V0. Date HORT1y TOWN OF NORTH ANDOVER 0s A Certificate of Occupancy $ + ; Building/Frame Permit Fee $ 3 ! Foundation Permit Fee $ s�CHU Other Permit Fee $ ' Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 11 Y/! `x+9:13 37.00 RAID—f z r L �—,,?lI Div. Public Works ;Location 0. Date ,.ORTH TOWN OF NORTH ANDOVER O? • • O0 p Certificate of Occupancy $ ` Building/Frame Permit Fee $ ri�s'•r°''�� Foundation Permit Fee $ JAC"us Other Permit Fee $ 3 Sewer Connection Fee $ Water Connection Fee $ 's TOTAL $ puilding Inspector / �[ Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD"******NORTH ANDOVER, MA AI%P NO. fy --n� LOT.NO. 2. RECORD OF OWNERSIIIP DATE BOOK PAGE ZONE SUB DIV. I.OT NO. LOCAL ION �J�7 //�f� p� PURPOSE OF BUILDING/e, OWNER'S NAME �� NO.OF STORIES �/� V SIZE OWNER'S ADDRESS 5� BASEMENT OR SLAB ARC[IFFECI'SNAME SIZE OFFLOORTIMBERS 1 2N 3 D BUILDER'SN.NIE SPAN DISI ANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DIS(ANCE FROM STREET DIMENSIONS OF POS'I S DISTANCE FROtvl LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT F N-FAGE HEIG[TF OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF F(uTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF E IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CCNNNECIED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL.GAS LINE INSI'UCTIONS 3. PROPERTY INFORNIA"IlON LAND COST EST. BLDG.COST `elo P.AGrj I FILL OI If SECTIONS 1-3 EST. BLDG.COST PER So . FT. EST. BLfXi.COST PER ROOM ELECTRIC METERS MUS('BE ON OUTSIDE OF BUILDING SEPTIC PFRMfT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Bl .DING INSPECTOR DATE FILED OWNERS TELM CON'IRAEL# -7�71 1-5�4 + CONTR.LIC# 03 SIGNATUR. E OWNER OR AUL'[IO IZED AGENT ILLC.# 7 FEE $ / PERMIT GRANTED t4ORT Town of over AFY -7ft � rn * z . dover, Mass., /Z 197 8 LAKE COCNICNE WICK i�'�• �q4 E p S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT......................................................���GJ /Vlf�......................................................................... Foundation has permission to erect........... -., 4................ baildings on ........./.Z. ..........G G - .............................. Rough tobe occupied as................................................... ltd. .............................................................................. Chimney 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC"I IONXS ELECTRICAL INSPECTOR Rough ...................... .. ......... ...... Service ... . ... ..... . B LDING 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. TA,i s 2222 I.:.,I.G... ... 0 f NORTH TOWN OF NORTH ANDOVER [ �Oet�"o ,+ h0 p 1 ;, PERMIT FOR GAS INSTALLATION a 9SS4CHUSEt N l � � I This certifies that ,, ..c c. k t.!� . . .h d . . . . . . . . . . . . . . . . . . . . has permission for gas installation in the buildings of, ?f.�r' !. G? '. �'�h.�L �!�. . . . . . . . . . . . . . . . . at / ??. . l?! . . . . . . . . . . , N h Andover, Mass. �. f Fee. ��:`. . . Lic. No..?�'.�-�. . . . '. . . . . . AS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File i MASSACHUSETTS UNIFORM APPI.ICATIO.N FOR PERMIT TO DO GASFITTING 9 (Print or Type) NORTH ANDOVER Mss. Date 7-7 kuilding Location /W / Permit # .2 2 Z Z Owners Name /WX/ 11� f New "1 Renovation j] Replacement 0 Plans Submitted j] Sto-c FIX TI. , '' N v • � yaj y Z at: as df OC N CC .0 N = t— w ao v m r s th► w Q to WW w H Of 0. tt W N 4 w = O �' W 97 a v FW- X 2 f. Z `. I. yW h O z O ~ W O N x < a •+ Qu } .cc W O 4 cc d d O O W O W N Q x v O x w o c7 .t v > a a h- o sva—esr.�T. BASEMENT IST FLOOR 2HO FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 8TH FLOOR TTKFLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name ANDOVER PLG. & HEATING CO, Ate. Corp. 2122 Address 5731 /2 SO UNION ST. Partner. LAWRENCE, MA. 01843 ED Firm/Co. Business Telephone: 508 685-8383 Name of Licensed Plumber or Gas Fitter GEORGE I AROSE Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 coverages. Signature of owner/agent of property Owner U Agent El i hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the belt of my knowledge and that all plumbing work and Installations performed under'Permit iueed for this spptication witl_be In oo pWnoa with all pestlneat provisions of the Massachusetts State Cas!Cudd and Chapter 142 of the General lAwa. By PE LICENSE: 57 imPlumber Title t7 asfitter, Sig ture of Licensed Master Plumber or Gasfitt.er City/Town: Journeyman 99Ii� APPROVED (OFFICE USE ONLY) License IJumber--