HomeMy WebLinkAboutMiscellaneous - 13 CHESTNUT STREET 4/30/2018 13 CHESTNUT STREET
210/059.0-0042-0000.0
Date ......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
4L
This certifies that .......
........... ....
has permission to perform .... .............. ............................
wiring in the building of.......
......................................
at ............... .....1-.-4.........................North Andover,Mass.
Fee-Z.,.?...c.�.............. Lic. . . ........
ELECTRICAL INSPECTOR
Check #
x'21" 8
Commonwealth of Massachusetts Official Use Only
Permit No. !�
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [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:J-/3 -o 7
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives noti of is or Ther intention to perform the electrical work described below.
Location(Street&Number) /,? C/�i5t 51—
Owner
1—
Owner or Tenant JY)r-,,- /17r5 /k'#rn a l 0 Y Telephone No.
Owner's Address ,S
Is this permit in conjunction with a building permit? Yes E] No (Check Appropriate Box)
Purpose of Building ;CsiC/n - 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: ��s 25� -24�%,Z!-et ere -e
Completion of the followin table may be 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 Luminaires Swi i n ing Pool Above ❑ In- 1-1
o Emergency tg ing
rnd. rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE 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
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
r Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local.❑ Municipal ❑ Other
Connection
+� No.of Dryers Heating Appliances Kir Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of 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:
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: 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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify, under the ins nd penalties of per ury, that the information on thi plication is ue and complete.
FIRM NAME: ✓cNty✓ LIC.NO.:
Licensee: �j �^rS 4c�/t vJ Signatur LIC.NO.: ,,9Z
(If applicable, enter "exempt"lin the license number line.) 01Bus.Tel. Notal—f 11Y-2c-0
Address: l/ !J 142 St'' 9•.1-1241c/ j'''v4 Alt.Tel. No.: - 13
*Per M.G.L c. 147,s. 57-61,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's agent.
Owner/Agent a
Signature Telephone No. PERMIT FEE: $
Date...
NORTI�
°f<"`°:•�"° TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Is CHUSEt
This certifies that ...... .:s-.....
has permission to perform .......
wiring in the building of .........................................
at..../ ............fi r ... ............. .North Andover,Mass.
Fee ........... Lic.No. 9 ............... .......... .............. `:z.....
ELECTRICAL INSPECTOR .r
Check #
7767
5"� Commonwealth o�/�al6achu�e Official Use
Only
e1JePar�ment o��}ire�eruice� Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 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 TYP LORMATION) Date: O ' 3 t'3
City or Town of: Q ✓ _ To the Inspector of fres:
By this application the undersigned gives n tice of his or her intention to perform the electrical work described below.
Location(Street&Number) ClIeZil v 7 61—
Owner or Tenant to l l- 2 Telephone No.
Owner's Address
Is this permit in conjunction with a buil Ing per 't? Yes ❑ No (Check Appropriate o ).
Purpose of Building Y W
Utility u
�l Jthorization No.—33q
Existing Service `'�� Amps f Volts Overhead/Undgrd❑ No.of Meters
New Service jAJy Amps ?P / Z .DVolts Overhead Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 73
Completion o the ollowin 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 Luminaires Swimming Pool Above In- o.o mergency Lighting
grnd. ❑ rnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
" No.of Switches No.of Gas Burners o.of Detection an
Initiatin Devices
• No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers eat Pump um_er__ Tons-_ o.o el- ontame
Totals: ��- Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW SecuritySystems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wu-mg:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Elgetrical Work: (When required by municipal policy.)
Work to Start: ID 12A. Inspections to be requested in accordance with NEC Rule 10,and upon completion.
INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
J0 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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and enalties of erju Y,that the -for on on this application is true and complete.
FH2M NAME: gj eaotC LIC.NO.:
Licensee: �g q �L8 Signature LIC.NO.:
(Ifapplicable,enter`V, i"in th license numbe i e.) Bus.Tel.No.-
Address: 2 h Alt.Tel.No.:
*Per M.G.L.c.147,s.57-61,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's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE.$ <j
TOWN OF ANDOVER Commercial: Sewer Ejection Pump: $25.00
ELECTRICAL PERMIT FEES a)including photovoltaic& Signs: $25.00 each ballast
(E ective March 12, 2003 generating Equip Per KVA $1.00 Smoke&Heat Detectors&
w Initiating Devices:
� b}un-interruptible power systems, g.
per KVA$1.00 Residential:$1.00 each
{ : c)batteries over 100 amp.hours,per Commercial: $60.00 up to 10
NO SE CABLE ONcell$1.00 devices over 10-$1.00 each
OUTSIDE OF BUILDING Heat Devices: $1.00 each Space Heaters: .
Air Conditioners: $40.00 each Heat Pumps: $40.00 each area heating$1.00 each
Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00
Alarm Systems Security: (for fire Tubs: $20.00 each Swimming Pools:
systems see smoke/heat detectors) Lighting Fixtures $1.00 each Residential:
Residential: $40.00 Lighting Outlets: $1.00 each Above Ground:$25.00
Commercial:up to 10 Devices Major Appliances: (not listed) Inground: $50.00
$60.00 additional devices over 10- $20 each Commercial Pool: $100.00
$1.00 each Motors: (per hp or fractional part Switches: $1.00 each
Carnival Equipment: $50.00 each thereof) $2.00 Temporary Service:
Ceiling Fans: $1.00 each Oil/Gas Burners' Must have.Utilih,Authorization lumber
Commercial New Construction or Residential$20.00 each Residential$25.00
Alterations: Commercial$2000 each Commercial $100.00
o .
$100.00 per 1,000 Sq.Ft.of Transformers:
Construction Space Office Furnishings:per circuit$10 a)capacitors,Per KVA $1.00
Commercial Service Change/ elocatable Partitions/Cubicles
Outlets&Fixture: $1.00 each b)ducts,conduit&conductors
Repair: (Associated w/Padmount Transformers)$25
Must have Utility Authorization Number Ovens Built in/Counter Top Units: c)each manhole$10.00
$100(first 100 amperes or fraction,one $10.00 each d)each handhold$5.00
meter) Panel Change/Circuit Breaker: e)per KVA$1.00
a) each additional 100 amperes Residential: $20.00 fl primary feeders,$25.00 each(over
capacity or fraction. $30.00 Commercial: $25.00 600 volts,non-utility owned) '
b).each additional meter$25.00 Phone Jacks: See vaults and equip. $25.00 each
Commercial Temporary Service: data/telecommunications Washers: $15.00 each
$100.00 Ranges$15.00 each Waste Disposals: $5.00 each
Must have Utility Authorization Dumber Receptacle Outlets:$1.00 each Water Heaters:$30.00 each
Commercial Repair and/or Recessed Fixtures: $1.00 each
Maintenance Permit: (Blanket Re-inspection Fee: $25.00
Permit)up to 2 Electricians$150.00 Repair to Service Residential: *For Multi-Family&
per pair of Electricians over 2$50.00 $20.00 Large Commercial Project
Data/Telecommunication: Residential New Construction see Wiring Inspector for
Residential: $1.00 per port (Dwelling)' $220.00
pricing:
Commercial: $30.00 up to 10
(with service up to 200 amps) Paul Kennel )978 623-8306
devices over 10-$1.00 each Must have Utility Authorization Number (
Dishwashers&Disposals: for services over 200 ams see below (Office Hours 8 ani to 10 am)
$5.00 Each a)for each 100 amps capacity or
Dryers: $15.00 Each fraction add$20.00 *Inspection Schedule'
Emergency Lighting(Battery Units) b)each additional meter$10.00 1 ROUGH
$ 1.00 each unit c)each additional panel/sub panel
Feeders or Sub-feeders: $25.00 1 FINAL
each 100 amp capacity of fraction Residential Additions/Alterations: 1 TRENCH (if applicable)
thereof $220.00 maximum
Residential: $5.00 each Residential Service Change or ADDITIONAL
Commercial: $15.00 each Underground Service: INSPECTIONS *$25.00(if
Gas/Oil Burners: $40.00
applicable)
Residential: $20.00 each
Must have Utility Authorization Number
Commercial$20.00 each a)one meter,up to 100 amp capacity
$40.00 (revised 07/05)
b)each additional 100 amp capacity
or fraction$20.00
11- 3,0 7 P0141
A `
Date.. � f. ./�� . ... .
NORTH
TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALLATION
SACH U5E�
This certifies that . . . . .;f, .n . . . . . . . . . . .". . . . . . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . . . . . . . .
� r
in the buildings of . . . . . . . . . . . . . . . . .
ff .�
at . .�. . . . . . f Tn� . . .. . . . . . . . .. North Andover, Mass.
Fee;-. . C G ! Lic. No.!.Sr ' j . . . . . .. 1 ! ^. . . . . . . .
GAS INSPECTOR
Check#
5923
MASSACHUSETTS UNIFORM APPLICATION FOR PERNIl'T TO DO GAS G
(Type or print) Date
NORTH ANDOVER,MASS HUSETTS
Building Locations / L L'
Permit#
Owner's Name Amount$
144 L•� /t�L/�
New Renovation Replacement Plans Submitted
Ux
�a v1
a F a
a m w o H x
.» 09
a CC n F w p O B O Z Fw
p y V w d w aFa o+ Gti w d
w w `n z
z Q W F z F F W C7 O > W w U V1 OC
w >
r x O > A a H O
SU B -BASEM ENT
BASEMENT
1ST. FLOOR
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7TH . FLOOR
8TH . FLOOR
(Print or type) ` jI / Check one: Certificate InsYall�ng�iompany
Name_ l'/—{L L /t'/�/V C f 47-1
Corp. :�C)
Address C yG
Partner.
I
Business Telephone , y Firm/Co.
Name of Licensed Plumber or Gas Fitter 77,( C
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes
�/ No�
If you have checked es please indicate the type coverage by checking the appropriate box
Liability insurance policy 13------" .'" Other type of indemnity 13 Bond 13
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 hereby certify that all of the details and information 1 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 State Gas de` fid Chapter 142 of the General Laws.
ii
By: Signature oVicfia Plum �as Fitter
Title Q"Plumber 1 /S—L)
City/Town [3Gas Fitter License Numner
13--master
APPROVED(OFFICE USE ONLY) [3 Journeyman
Location
No. � Date
�aRTM TOWN OF NORTH ANDOVER
o `p Certificate of Occupancy $
t •
Building/Frame Permit Fee $ �� L
�'�b''•°''�� Foundation Permit Fee $
Ss+c'4U
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
t J 06/15/99 14:40 25.00 PRIG
Div. Public Works
PERMIT NO. %3 APPLICATION FOR PERMIT TO BUILD********NORT ANDOVER, MA
M:�7 NO. LOT NO. 2. RECORD OF OWNERSHIP DATE BOOK PAGE
"LONE SUB DIV. LOT NO.
LOCATION \ PURPOSE OF BUILDING
OWNER'S NAME `\ `i .\ NO.OF STORIES $ E
OWNER'S ADDRESS P BASEMENT OR SLAB
ARCIILTECT'S NAME SIZE OF FLOOR TIMBERS 1 I 2 D 3`D
BUIL.DER'SNAn1E 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 LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING x
IS BUILDING ADDITION MATERIAL OF CHIMNEY
j
IS BUILDING ALTERATION IS BUR-DING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN NATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTUCTIONS 3. PROPERTY INFORMATION LAND COST
EST.BLDG. COST
PAGE 1 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.
A_41'ACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY:
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR T;IIILDING INSPECTOR
DATE FILED W
�( ONERS TEL#
`� CONTR.TEL# (p er
SIGNATURE OF OWNER OR AUTHORIZED AGE / CONTR.LIC#
FEE $ (� II.I.C.# ._7j � `l A
PERMITGRANTED)
19
Revised 5/5/99 JM
NGR7fy
Town of ®ver
No. *3 9
COCHI E dower, Mass.,
ADRATED
7 BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT....... .. �. ..�. ..... h .... """""" Foundation
3
.... ..
has permission to erect....... ... .......... buildings on .........
Zft Rough
4
to be occupied as....... .. .......................�.........�. 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. I PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONS` RUCk
4..
_ ELECTRICAL INSPECTOR
Rough
........... . . .......... ..................................................... Service
rA BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building Rough GAS INSPECTOR
•
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.
SEE REVERSE SIDE Smoke Det.
APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA
PERMIT NO.
NIAPNo. b \S I.OTNO. C. 2. RECORDOFO%VNERSHIP DATE BOOK PAGE
ZONE SUB DIV. LOT NO.
LOCATION L v `` S PURPOSE OF BUILDING
OWNER'S NAME � NO.OF STORIES SIZE
OWNER'S ADDRESS p�, � � _� � BASEMENT OR SLAB
4
ARCHITECT'S NANIE SIZE OF FLOOR TINIBERS I ST 2 D 3RD
BlI1LDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DINIENSIONS OF SILLS
DISTANCE FRONT STREET DIMENSIONS OF POSTS
DISTANCE FRONT LOT LINES-SIDES REAR DINIENSIONS OF GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING x
IS BUILDING ADDITION NIATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIRENIENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEINER
k
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTUCTIONS 3. PROPERTY INFORMATION LAND COST
EST.BLDG.COST
PACE 1 FILL OUT SECTIONS I-3 EST.BLDG.COST PER SQ. FT.
EST. BLDG.COST PER ROOM
ELECTRIC NI ETERS MAST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY:
PLANS MAST BE FILED AND APPROVED B1'BUILDING INSPECTOR BL111.DING INSPECTOR
DATE FILED OWNERS TE L9
CONTR.TEL#
(� CONTR.LIC#
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE $ �� � IL.I.C.#
PERMIT GRANTED
19
Revised 5/5/99 JN'1
jAORTFI
T0VM Of dover
No. c? 4/0
nCOCH_
- - I 1 r dover, Mass. 6
�p AD RATED D`P9' CJ
F• BOARD OF HEALTH
PERMIT Food/Kitchen
Septic System
THIS CERTIFIES THAT.......A... ..�.�............. .......I.rJeop9pA BUILDING INSPECTOR
Foundation
has permission to erect.... ....... buildings on ... .�........... .. Rough
to be occupied as............ . .
........................................................................................................................
Chimney
provided that the person accepting this per 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
CM PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONS-FRUCTION ST ELECTRICAL INSPECTOR
Rough
.......................
....... Service
BUILDING INSPECTOR
Final
Ocatpancy Permit Required to Ocai 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.
SEE REVERSE SIDE Smoke Det.