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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.