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HomeMy WebLinkAboutMiscellaneous - 14 SARGENT STREET 4/30/2018 14 SARGENT STREET 210/018.0-0050-0000.0 Date........ 7. t Of MO o7M 1,y TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ........... ................. has permission to perform .....PL e. E ...... wiring in the building of ............................ at......... ............................... North Andovei,Mass. Fee..................... Lic.NoL3�3............... ... ...................... .........I........ 9LECTMRIcAL INSPEcroR Check # 8571 Officio]Use OT,l;f anxnxarxcveu. z a addac xu�e S , Permit No. _ 9 2apartmerai of_' ire Servzcee ` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [P.ev. '1/071 (leaveblank) y APPLICATION FOR PERMIT TO PERFORM (ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),521 CNIR 12.00 (PLEASE PRIM M I IK OR TYPE.ALL INFOR'AVON) Date: �„Z y (' 9 City or Town of: �nV�' �� �o v�I. 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) /'y Owner or Tenant aJlt4) ?MA212�P tt_ Telephone No. Owner's Address sm�t v,_e _ Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building '5jAIX111 ti A� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of M tern New Service Amps / -Volts Overhead❑ Undgrd ❑ No.of Meters M Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: Convpletion of the.fbIlowing table n,'ay be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii,-Susp.(Paddle)Fans No, of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators ' KVA� 'm� No.of Luminaires Swimming Pool Above ❑ I :, n- ❑ o.o mergency igh rng rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of%ones No.of Switches No.of Gas Burners No.of Bctect.of n and . Initiating Devices _ No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices Heat Pals:ump umber Ions K 'ILocal No.o el'-Contained No,of Waste Disposers Ti Detection/Alerting Devices { No.of Dishwashers Space/Area Ileatinb If W Mut—a pal ❑ Con►tectzon E] Other No.of Dryers Heating Appliances KW Security ystems.* No.of Devices or Equivalent No.o ater1CW No.o No.Of Data Wiring: Heaters Si>ns Ballasts No.of Devices or E uivalent f No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: I( No.of Devices or Equivalent OTHER: Attach additional detail rf desired,Or as required by the Inspector of Wires. Estimated Value of Electrical Work: _ (When required by municipal policy.) Work to 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE; Unless waived by the owner,no pennit for the perfonnance 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 thepains artd penaldf,§gfperfury,that the information on this application is true and complete. FIRM NAME: ���• 6941T' I LIC. NO.: /7)93/J6 Licensee: Signature LIC.NO.: t��)9 b (IJcrpph ble, enter `e en? t"rye theJ1Tense numb line.j us. Tel.Nt).:2Z�'37 �I Adds ess: 02_� /GL C�iI I>ye- 01®391 Alt. 1"e►, Na. *PuM.G.L.c. 147,s. 57-61,security wort;requires Department:of Public Safety"S"License: Lic. No. OWNER'S INSURANCE W/vIVER: 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. � � TES: $,W 4 j r F E Il The Commonwealth of Massachusetts • W Department of Industrial Accidents - - Office of Investigations 600 Washington Street Boston, MA 02111 ` w wwminass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name (Business/Organization/Individual): / �V bZ ��P C,��/ lecy(�. Address: At C . City/State/Zip: G:�y/C la!j d I f l,9. Phone #: X7,2, Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I La employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.La am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10. ectrical repairs or additions q ] 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 certify under thepains and penalties of perjitry that the information provided above is true and correct. Signature: (/° Date: v?y Dq Phone#: :?,2" 3 ;?Az7z 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#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax## 61.7-727-7749 Revised 11-22-06 www.mass.gov/dia Date.......................... TOWN OF NORTH ANDOVER y PERMIT FOR WIRING s •"a SS^CMUS� Thiscertifies that ... ...................................................................... ............... ,�-�.. has permission to perform c.71041)...1f)"e.....v�.tr.�....................... wiring in the building of......eC..(,j...n....vud.7.n . .................................. ... ... .. . . ... .......... at../.,/.._ T.. PLECTRICAL North Andover,Mass. Fee....��.J.......... Lic.No....i.. ....... INSPECTOR V Check # Commonwealth of Massachusetts Official Use Only lug Department of Fire Services Fe rmit No. �I,/ BOARD OF FIRE PREVENTION REGULATIONS ccupancy and Fee Checked [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 Yy (PLEASE PRINTININK OR TYPE ALL XFORMATIOA9 Date: J44,e j 112 City or Town of: NORTH ANDOVER 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) S`4 !` L-1 D S-r� 7- A` A i Iu /��Z Owner or Tenant 4�,vl o o,�h 2 f' C/ Owner's Address[ �{ S4r SL /1/. Ielephone�No. Is this permit in conjunction with a building permit? yes ❑ No (Check Appropriate Box) Purpose of Bui�ding Utility Authorization No. Existing Service 10 0 Ams 11-� / Lto P Volts Overh eado UndDrd❑ No.of Meters New Service ZtO Amps 11-0 /7-LO Volts Overheadl ❑ Number of Feeders and.Ampacity Undgrd No.of Meters Location and Nature of Proposed Electrical Work: vt Com lesion o the ollowin table may be waived b the Ins ector of Wires. No.of Recessed Luminaires No.of Cei7.-Sus; No.of Total a p.(Paddle)Fans No.of Luminaire Outlets No.of Hot Tubs Transformers KVA Generators KVA No.of LuminairesSwiAbove mming Pool El �- o.o mergency Ig g d• d. Battery Units --, No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No,of Switches No.of Gas B No..o f Burners Detection and No.of RangesInitiatin Devices Na.of Air Cond. T°�► Tons No.of Alerting Devices No.of Waste Disposers eat PUMPNumber 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 KW Security Systems:* o.ofater No.of No.of Devices or E ,"valent Heaters ' No.of Data Wiring: Si s Ballasts . No.of Devices or Equivalent t No.Hydromassage Bathtubs No.of Motors Total HP JL elecommumcations Wiring: OTHER: No.of Devices or E uivalent Y Estimated Value of Electrical Work: &)00 Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no ermit the licensee provides proof of liabili P for the performance of electrical work may issue unless ty 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 a'es and penalties of perjury, that the information on this application is true and complete. FIRM NAME: fNF Licensee: LIC.NO.: 2V� C� 0whn Signature'0/ LIC.NO.: (If applicable, en�gr"exempt"'in the license numbgr line.)„ Address: `I SGr9¢,L.�- S�, W �, Bus.Tel.No.: *Per M.G.L c 147,s 57-61,security work requires D afety'IS" Alt:Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the License does not have the Lic.No. required by law. m signature h insurance coverage normally y_ gpature be w5Iiereby waive this requirement. I am the(check one) owner ❑owner's agent Owner/Agen jvJ� f Signature C/ Telephone No. �����V L� PE"IT FEE: S j c4 �,-ley The Commonwealth of Afassachuserzs Department of lrndustrial_,accidents Office of£nveszigations 600 YVashington Street Boston, 112,4 02111 wwW-masS.go-V1&a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ADDlicant Information Please Print Legibly Name (Business/Organization/Individual): L4oi/iL-) (J Addfess: "I scyyp L (, City/Sate/Zip: /V' flip UI IJ Lt'phone Are you an employer?Check the appropriate boa: 1.❑ I am a employer with 4, ❑ j am a o TyE f project(required}: general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner_ listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity, workers' coinp. ' 8' Demolition insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑Building addition required.] officers have excised their I O�Electrical repairs 3. I am a homeowner doing all work right-of ex additions Myself. emption Per MGL .1 LEI Plumbing repairs or additions Y [No workers comp. c. 152,§I(4),and we have no in required_] t employees. [No workers' 12.7 Roof repairs c2m1)."SLI-Wce required.] 13.[1 Other m,applicant that box=? ^1•us,aso iii oet�e aeceo`b� homeowners who submit this affidavit indicatingthy, do n .._ _ a i z. mg a.,worts and then huroutside coat­eto;-dirt submit a new affidavit indicating such. +Contractors that cher::this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. I am an employer that isproviding workers'compensation i information. nsurance for my employees Below,is thepolicy and job site Insurance Company Name: Policy#or Self--ins.Lic.#: Expiration Date: Sob Site Address: Attach a copy of the workers'compensation policy declaration a.'e show:City/State/Zip: licy r Failure to secure coverage as required under Section 25A of MGL P C. 152canlead totheomiposinumber nbof criminal mon date}. fine up to$17500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine penalties of a of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the RDE a ti Investigations of the DIA for insurance coverage verification I do hereby certi ,under the pains and p ties o er"m7, .fP .Ithrrt the information provided above is true and correct Sisnature: 1 Date:. - U-ife 2_010 Phone#: co �- O fficial use only. Do not write in this area, to be completed b,�;citj,or town ofjiciaL or Town: Permit/License# ng Authority(circle one): ard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector ct Persun: Phone#: Date. HORTM 3:��,.� •°;._'tioo` TOWN OF NORTH ANDOVER F41 : PERMIT FOR PLUMBING SSACMUSE� 1 G This certifies that . . . .51.1 ��.// �. .��.U` r' has permission to perform . : `'t. . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .PJ. : .` -`7 ?. . . . . . . . . . . . . . . at . . ./.�/. . . . . . . . . : : : :: ., North Andover, Mass.. Fee.s2�. . . . . .Lic. No.. ./.(.�J? . .. . . . . . . . . . . PLUMBING INSPECTOR Check # 3 t )' 7975 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: d�V� ;, MA. Date: I' lC�j 11 d Permit# s Building Location: I r 11 ��-rq t° 7 cJ� Owners Name: .+ 0 it-e-w I Type of Occupancy: Commercial Educational Industrial Institutional Residential New: Alteration: Renovation: Replacement: v" Plans Submitted: Yes No FIXTURES z N 0 LU z 0 a Ix Z a Y Q� N 0ww Z in = N N Z F W ZQ y Z M 0 m r a W rn cn * O 1 _, Q W o o ° u, J -� fY `� uj 9 Q Q Q 0 Q m m o u_ t7 2 Y –j –j W N N 0 SUB BSMT. BASEMENT 1 FLOOR x 2 No FLOOR 3mu FLOOR y 4TFrFLOOR 5 FLOOR 6 FLOOR 7 1H FLOOR 81HFLOOR Check One Only Certificate# Installing Company Name: Stark Cronk Plumbing, Inc Corporation 2486C Street Ci /Town Address: 308 Main Stt Groveland .: city/Town v.........�. Partnership Business Tel: 978-372-6981 Fax: 978-374-0837- Firm/Company .� Name of Licensed Plumber: ____TC)M 14• INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes ✓'lNo—j If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy / Other type of indemnity 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 Owner Agent Signature of Owner or Owner's Agent r) I hereby certify that all of the details and information I have submitted(or entered)regardin this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued r this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapte of the Gen r ws. By Type of License: Title `� Plumber nature of Licens mbei City/Town Master License Number: 11027 APPROVED OFFICE USE ONLY Journeyman FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS) FEE: S PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER LICENSE NUMBER: PERMIT GRANTED F1 DATE: PLUMBING INSPECTIOR Date.V. -VR.5.. . . . ..... NORTN pf 1q� TOWN OF NORTH ANDOVER f 9 • PERMIT FOR GAS INSTALLAT -'N� O• SACNUSESS This certifies that . . �'.�,Fr.�.h !`. . .�r�c: . . � . . . . . . . . . . . . . . . . . . has permission for gas installation . .u-. .t. . . . . . . . . . . . . . . . . . . . in the buildings of . . . 9/. :-�..�. . w.?�1`G . . . . . . . . . . . . . . . . . at . ./ !!. . .�/ /.?.5. :. --` . . . . . . . . . . . ., North Andover, Mass. Fee J. . . . . . . Lic. No.;l.lR.t?. . . . . .. . .�� i. mit,. . . . . . . . . IYGAS INSPECTOR Check# ,jJ 6691 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: 1J• ftrdovek Date: 118gl09 Permit# CG� � ' A benedCfb Building Locatio 11 S(,ZraQl1-� c��• Owners Name: I Type of Occupancy: Commercial Educational Industrial Institutional Residential ✓ New: Alteration: Renovation; Replacement: ✓ Plans Submitted: Yes No FIXTURES U) vi LU WY (A H 2 co U H m = O W eft! 0 (n H 0 = W W H Z H Z H w O Q w U) w m 0 p 0 > W cwi w Lu IX < w a 0 a w (n o a _ > w z 0 F- O z � C7 u_ cn Z w z �- a a m W 0 z 0 ; > z = c0i o a LL (D 0 z i � 0 a > > > 3: O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR � 3 FLOOR 4 TH FLOOR 51HFLOOR 6 1HFLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: Stark&Cronk Plumbing, Inc V( Corporation 2486C Address:, 308 Main Street City/Town:, Groveland State: MA Partnership Business Tel: 978-372-6981 Fax: 978-374-0837 Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes 1( No If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V( Other type of indemnity 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 Signature of Owner or Owner's Agent Owner Agent By checking this box 0;1 hereby certify that all of the details and information I have sub i d(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and install ns perfor edl under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumb' g Code and Cha er.- the General Laws. Type of License: By _Plumber Title ✓ Gas Fitter V rSig�n*ure of Licensed Plumber/Gas Fitter Master City/Town Journeyman License Number: 11027 APPROVED OFFICE USE ONLY LP Installer FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCI4 PLUMBER GASITFTER LP INSTALLER { t LICENSE NUMBER: I PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR Date.2:AA C7. . . TM� TOWN OF NORTH NDOVER , PERMIT FOR PLUMBING � � a ,SSACMUSE� 4This certifies that . . . �!. ?L. ��.0. has permission to perform . . . .Pj.v, . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . at . . . . . . . . . . .. . . . . . . . . . . . . . . . , North Andover, Mass. v Fee.3�.' . . . .Lic. No.. //�' 1 . . . . . . . .- ... . . . . . . . PLUMBING INSP CTOR Check # .3 7974 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ' City/Town: ItJG r .�1a V i°!' MA. Date: 13/e9 Permit# Y a Building Location: Owners Name: )AV11i°-n Z)1henecle A Type of Occupancy: Commercial Educational Industrial Institutional Residential New: Alteration: Renovation: Replacement: / Plans Submitted: Yes No FIXTURES z z W o Lu zY t) J = H W a z U) � N Y } cn aQ O �aU) z a m z d a wus w Q ai Y -ja X Q M U) w ❑ 1— z >- OR W z w vj z V u. LL �' 3 0 o P 3 i z Q � 3 a. Y Q = w w w .� a a N N - 0 0 0 Q O 2 ° Q a a a P (am u O SUB BSMT. BASEMENT a 1 FLOOR 2 No FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 Tm FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: Stark&Cronk Plumbing, Inc V/ Corporation 2486C Address: 308 Main Street City/Town Groveland State: MA Partnership Business Tel: 978-372-6981 Fax: 978-374-0837 - Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ✓ No If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity 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 Owner Agent Signature of Owner or Owner's Agent `1 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 issuedr this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapte of the Gener ws. By Type of License: Title ✓ Plumber nature of Licens mber City/Town Master APPROVED OFFICE USE ONLY Journeyman License Number: 11027 FINAL INSPECTION BELOW FOR OFFICE USE,ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER LICENSE NUMBER: PERMIT GRANTED DATE: PLUMBING INSPECCIOR h Location No. Date � A Q a ^TM TOWN OF NORTH ANDOVE§ ,, p Certificate of Occupancy $ Building/Frame Permit Fee $ w+nMu Foundation Permit Fee $ s�cMust -ether-Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL' Building Inspector 10892 Div. Public Works P :R)iIT NO. APPLICATION 'FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP KBO.DIU LOT NO. L2 ,RECORD OF OWNERSHIP DATE BOOK ;PAGE ZONE SUB DIV..LOT NO.LOCATION /J F BUILDING / C(OWNER'S NAME T ( �^3 .-. RIES SIZE .OWNER'S ADDRESS S•/J �Jw,�. *� BASEMENT OR SLAB lXJ ARCHITECT'S NAME ��''11�C3�'lE SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME sz .77- SPAN DISTANCE TO NEAREST BUILDING (( DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS ' IS BUILDING NEW �r SIZE OF FOOTING JI IS BUILDING ADDITION 7 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST do PAGE f FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE,2 FILL OUT SECTIONS I - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING • 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILE cam\ UILDING INSPXCTOR SIGNATURE OF OWNER O THORIZEO AGENT Fr E - OWNER TEL.N � PERMIT GRANTED / f� 11 t1 CONTR.TEL. '6111� (z'C! (d�.J (j CONTR.LIC.# H.I.C.# BUILDING RECORD NCY 12 'IES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM CES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. TION INTERIOR FINISH d 1 2 I3 D TER WALL _ N. B'M'T' AREA ATTIC AREA PLACES ERN KITCHEN FLOORS B 1 2 3 RETE H _ KAON I.TILE C STRS. 6 FLOOR (_ WIRING RIOR POOR / )DATE I-i ONE PLUMBING 1 1313 FIXE_ ET RM. 12ET RM. 12 FIXE ER CLOSET _ ITORY ,JEN SINK > PLUMBING _ L SHOWER _ .ERN FIXTURES FLOOR 'DADO 4 HEATING .ESS FURNACE :ED HOT AIR FURN. M W'T'R OR VAPOR ,CONDITIONING ' 'SANT H'T'G HEATERS TRIC HEATING Ell ill Altrr NO. L APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MASS. PAGE 1 AAAA s2. f g LOT NO. v q Z RECORD OF OWNERSHIP DATE . BOOK PAGE ZONE SUB DIV. LOT NO. —/ F 1 LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF. STORIES SIZE OWNER'S ADORF51f BASEMENT OR SLAB + a ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST !ND 3RD 1 BUILDER'S NAME �{ SPAN DISTANCE TO NEAREST BUILDING DIMENf10NS OF SILLS DISTANCE FROM STREET POSTS _ .. DISTANCE FROM LOT LINES—SIDES REAR GIRDERS - AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS - If BUILDING NEW SIZE OF FOOTING x 10 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILOING`ALTERATION \ IS BUILDING ON SOLID OR FILLED LAND WILL`BViVbMG CONFORM TO REQumrmKPJT8 OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARb'O0�AP iE`ALS ACTION. IF ANY 18 BUILDING CONNECTED TO TOWN SEWER hui..6r.`a• 10 BUILDING CONNECTED TO NATURAL GAS LIN[ INSTRUCTIONS s PROPERTY INFORMATION _ LAND COST u SEE BOTH SIDES EST. BLDG. COST p pO PAG[ 1 FILL OUT SECTIONS 1 - 2 W. BLDG. COST PER SQ. OFT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 BEPTIC PERMIT NO. • ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING, 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR OAT[ BUILDING INSPECTOR S/GNAT R[OF OWNER OR AUTHORIZED AGENT f E >t OWNERTEL/ PERwIT GRANno � - • ._ �-- _ :CONTR.TEL* tE CONTR.UC./ t ..: ^m. - r. :�,. ,.. ,� ....c'.^.'«'�' ,:"':xa .,. �.: -€�4r .. B.Yz:;;ti+3et'�°4 :p< F�:�:�T•et'�:`- .� '...�:-x s;{ ��.+x� ..; ..- -�9i11 +".5,�„.. •:a.a'*� :� •w�� '"Sx- Rr.z :�;. `:,.�i:.✓F'. _ - �4 ,>.� •, �. a'i�. �':_1 4• a.,y a ;: 3. ,t:s '� �7 .. ,.�. ..:..y .. S :�-z..�,,. :�.' ..�_,F?., a,.,.e...,-�..�i +i ;v'i.•P3� t..i _;.§. 3t=� -r. ;.ic ";+r 3.-�.."�`� a �-s'a yr'Y'''i',+�.., .c.` r.. p''; Ern` - •�,3¢ .9r. ,.». - - ..r - .-^ :." ti }'� y r...:'.'? r: W ".m ,r r - _ o:_ : . doves, Mass., 19 9Z-00C1fICMEWfCt - '9A �RA EDA`y `G BOARD OF HEALTH PE Food/Kitchen Septic System / y ►, BUILDING INSPECTOR THIS CERTIFIES THAT................................. 1... ........\.............[.... .. r......... ....................................... Foundation has permission to erect...,Or. .......... buildings on...........I..`f:........... .. .............................. Rough tobe occupied as................................ E. z't`f... ............................. . ........................................ 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 CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .................................... .. Service ... .......:. ........................................ UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous.Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Location CIO No. � Date t NORT1y 9 I-zl9z-- TOWN OF NORTH ANDOVER OE�..a° ,a1h0 Kid 11iid" p Certificate of Occupancy $• -�� F : Building/Frame Permit Fee $ Foundation Permit Fee $ SSACMUSE f y Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ! v Building Inspector Q_ `� �Q9 30/96 14:05 25.00 PAID t v v , Div. Public Works PEbIJi11' i.� /U APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 -M'r PIPO. //C/ LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE — ZONE � I SUB DIV. LOT NO. —I LOCATION PURPOSE OF BUILDING d OWNER'S NAME CL g -7- NO. OF STORIES SI /` - J OWNER'S ADDRESS /IBASEMENT OR SLAB ARCHITECT'S NAME T SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMEloee, rk SPAN -- DISTANCE TO NEAREST BUILDING ( �- DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES- SIDES REAR "" GIRDERS AREA OF LOT /a� _ FRONTAGE HEIGHT OF FOUNDATION :/O _ THICKNESS IS BUILDING NEW !O -� SIZE OF FOOTING X IS BUILDING ADDITION ,[,� „/- / MATERIAL OF CHIMNEY IS BUILDING ALTERATION �0✓fI SLP aO- IS BUILDING ON SOLID OR FILLED LAND G^_ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE C IS BUILDING CONNECTED TO TOWN WATER A?lev BOARD OF APPEALS ACTION. IF ANY d IS BUILDING CONNECTED TO TOWN SEWER er IS BUILDING CONNECTED TO NATURAL GAS LINE we INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST -pl/ ev CO COST BLDG. PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY -tVTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE F ED 2- ` - Aw (BUILDING INSPiCTOR SI NATURE OF OW ORA THORIZED AGENT F E E --- OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFICEs _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE SL K. PINE _ BRICK OR STONE HARDW D - PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ y, 1/1 1/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN I 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNIJ'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE ---{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. G FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING I STONE ON FRAME _ SUPERIOR I� POOR ' ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE 11 HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1st 13rd I NO HEATING N®�Tiy own of A�ndover . ort dover, Mass., z� 19?� COCMICMEWICK i 7 ADRATED �s BOARD OF HEALTH p� E Food/Kitchen Septic System x BUILDING INSPECTOR THIS CERTIFIES THAT..................:......... ........n..... i ..... ...........:.....:.......:................ Foundation has permission to erect........ .... .::. building�s on ...., /y..... .�/f ..................................... Rough tobe occupied as ..................................:.................. ........... ' s ........... ............................................... 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 PER:MI I EXPIRES IN .6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough .... Service UILDING INSPECTOR ., Final 1 Occupancy Permit Required to Occupy ;Building GAS INSPECTOR Rough I Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done I Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT 1 Burner . 11 Street No. Smoke Det. I MASSA CFWSI:`FI S UNIFORM APPL.I( A I ION f-01Z PERMIT 1'0 UO PLUMBING (1,6111 of 1)yjw) ve/L \.I.I', I ),III /(//7/�7 Z)I e,f40 �, ;��. wcj lillilclin}; ltn .11lllll � Jd� e fi / eA Nr ry ✓ Nenovali(nl 1 1 1"('ll1llr cliwill ! flans Sul?I1Tillccl: Yeti I.I No f:J z z I O Y F- In z j IN I cit: Z 0 Q V In OC OC d I O o„ w V in u v f_ w V) I w 7 Z Z F u m x r �+ z W p n. (,7 ° 3 x 1 OO + nCY Z" LLI t U > F� O , 7 a 0 L, 7 z t" O X w t O C, < U z < � m � o n � 3 � � � � u � o °C a 0 F— a 3 a0 SUIi•ItSMT. --. .— —— IiAS[A1F.Nf � — -- — 1sl FLOOR -- — 2nd FLOOR - - - — — — — — 3rd FLOOR 4111 FLOOR - — 51h FLOOR —— — (ilh FLOOR — 71h FLOOR - - - ---11--- -- — — — Instilling C:omlmlly Nam," _ 6. k_C)koN(c (;Iwcl; on(': C(tr(ifiCate nrl(Iress 30g mgtN S-'r I�(allllulllli(In l3?_� Business Name of Licensed 1'Il1l1 lx-�r l S f'1[Q v3 -- ---- INSURANCE COVFRACF: I have a ollwnl li,llidily in':ulanl I• IrIIIi,y ru ii. .I II r.1,u111,I1 I IInr.III nl ,:InI II uu''I, Iln• u•Iluin nu nl ul 11( I. ( h. I4 No I I II nu lcl I t lw(lwd yrs, III''.r.I' inrlil.Ilr IIIc I,III• I I.•,I•I,n. hI, I in.jL inr, III'' \ Ii.lLilil' in,ulnnl I• p)h('•,'�. 711u•I I I.I ..I In,11 nnnl•.' nul OWN1:R'S IN,SURANCI, VVAIVI R: I .uu .r.',uI• li. .I In. '. nIr! Ir.n r li.. Im.nI.1nI p,'' n•Iluin II I,� ( Iay11rl 11..' nl Ilu'Al,r• (;rnrl.11 I.I.c•., .nul 111.11 n1y ,.i1',n.Ilulr IUI Ilu., WWII I Iln.111.III ,.In' Iln• u•I unI I' I'I I nu nl ( Irr,L Imr (1��'nrl i l ;\Ivv11 I I +il;n.11un' �.I t h•.rn•I nt (i�,�•11r1'� ;\I,I•nl I Iv�I.II, ..•I III 'I.,q..II..I Ih� .L�L�.I� .IL.I.,.I..nn.d,I.I.I I „L .....__..__...._.._.__._....._._.___ _.—. ...ul a•L.Il.an.. I.•.Ib nnl .I uII.6I III. I..r.I.a...0•.I I...1L...q.I.L. ..I .IL•..... L.�... ". .d. III�, n... I.... ��.,I ....b•L.d.• I.. .I..I I.I....I...hp nl tl..I.III I•IuulLu p;.,nll. I � .. .. I, h. '.1.r+.n L.I.•n•.'.L.b•I'IunlL.nr,1..IL•.I:..I l h,gdw I U.4 16r 1�,u LII Idv.� I..�..v II.•.. . n, ,,,.IIT, .•I I. ,,. .I rl.....L,, 11111• 1 1 ..I I ,.,,� •I. I II.. '.1'1'1!1 1\•'I I r U 11 I II I I I'.I I n II U FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS !NSPECTIONS r FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED Date 19 U.G. Insp. i. �y Rough Insp. t t Final Insp. o!•tmn7nq �?cnpr•nr "`- -ter..-3'`i"' -._._M�..ik.L..�...�--•--'"e r .+._..�..-ti.:�_�.-.1-.__� �--� _.�' .. ��7.. -..s^ Date. N 3748 "oRT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACHUS� This certifies that-..�rF ": . . . . . .� ! 's�''' /. —'. . . . . . has permission to perform �.)� � '�' . M . . . . . . plumbing in the buildings of . y . . . . . . . . . . . . . . . . . . . . . at. . ./.`/. �. . . . . . ... ... . . . . . .. North Andover, Mass. rn . PLUMBING INSPECTOR 07/01/98 08:40 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT O DO PLUMBING (Print or Type) f N "v Mass. l).ltc: 19 709 Permit # Building Location 5 _ Owner's Name Type of Occupancy--&4, New Renovation le Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z z z o � In h j rn V Z Z h W W Z �, x h t•- 0 n W H = V Q Q Z In Q oe Z Z Z_ CL U Z Zile oc m a ; W >- < H Z p d Z o� d °� O W o W t/1 W yl Q J U. o h O z N F. z d O y Z Z O vWj = 3 i � 5)U. 3 � eao 0 SUB•BSMT. BASEMENT tst FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name < `L L&A)k Check one: Certificate Address �� corporation 1474- 0 47G❑ Partnership Business Telephone - ❑ Name of Licensed Plumber INSURANCE COVERAGE: I have a Curren liability insurance policy or its substantial equivalent which meets the requirement;of MGL Ch. 142. YeNITI No ❑ • 13 you have checked yes, please indicate the type coverage by checking the appropriate box. A161iabilily insurance policy IG,'- Other type of indemnity [) Bond FI OWNER'S INSURANCE WAIVER: I ani await•Ili-it the licensee does not have the insurance coverage required by Chapter 1.11 of the Mass. General 1-&,vs, and that lily signature on this permit aphlicalil rl waives this requirement. Check one. - ----- ------------- ----- Owner ❑ Agent LI Signature of Ownc.,r or Owner's Agent I hrn•hi ellil. Ural.ill of the deloils and i,dnntlalioll I tare sill Itb•d Irn enlen•dl i!4,v.Ihuw applii.ilinn,ue Uur andal trap`to Iht•I)�I and of my twledge and Ih�il.ill plumbint;cc ort incldllalinn.prrinuned under the permit icsuotl for Ihiv appli�abun will Ire in tui ;li;uue with all pi•i a pn .inns It 51, 1 unbing Cody and(.hapler 142 oI the fiq --... _--.---------._...--.---_._—.__-- Si!'nalule nl Luensei lint IlIll,of I it ellw:hl.nlrrc luta neynt.m I I It- nw Nlllttlw, MTRnVED(01'EICE USE(1NIY) --_-- -- I' Af (26 i` FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED Date 19 U.G. Insp. Rough Insp. Final Insp. 91. (1'1'Ro �-icn Pf'nr 3506 �oRrN� oo TOWN OF NORTH ANDOVER �. PERMIT FOR PLUMBING ,SSACMUS� ` Y This certifies that ... .`. .:`'. .' . . . . (`'' ..`'. ..-.'. . . . . . . . . . . . . . . . . . . has permission to perform �. . ..:.*--. t :. . . . . . . . 1 plumbing in,the buildings of . . ' ...... . .. .a��,�. . . . . :�.-.��'. . . . . . at. . . . . . . . . . . . . . . .. North Andover, Mass. >6 Fee-" } . . . . .Lic. No.` !.".,E. PLUMBING INSPECTOR 10/06/97 14:36 25.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHU!bL I I ;> Lifilt taraM 1 ,,i f''LJtIol I ► u Liu cata:.r ► 1 ► liiu (Print or Tyne) rf ooz Mass, Date 10 2. 19� •r City; Town Permit 1 (p� a Building Ownertse//�� L,>t- �.y�'i'�� AT: . Location `Gl s��i 66v+ St Nam Type of occupancy: G New [ Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ to 4A W tll N W. N tt: 0 N z I- W W 0 0 V M h T N J W ►, 0 10 a h y<j W 0 � IL to W h W Wh �. W W to 1 = tJ = !r CC p C h W U z h 0 tl r t J eeh h W W O > a J ►. W < W > tC LI , z ZONZ Z < OC < O O W a O W 10- 0 o SUB—BSMT. BASEMENT f 1ST FLOOR 2ND FLOOR 9ROFLOOR 4THFLOOR STH FLOOR 6THFLOOR 7TH FLOOR BTHFLOOR (Print or Type) heck One: . Certificate STAN&MOM Installing Company Name 11C /3?C Address G%RMND.MA 018W ❑,Partnership SOM72-Mi ❑Firm/Company Business Telephone Name- of Licensed Plumber or Gasfitter INSURANCE COVER E: CWK I hew a current hbllty Ineunnee 01cy a 18 eut"A" Ml 611U 11WIL y�ppr�oprleNo le box13 N you Pew:,eheded M pleeee indicate the hype eavemos by dnddr►o A IMbily Insurance poky 0-- other type d Indemnly 13 Bond O OWNER'S INSURANCE WAIVE A: I •m ilwere IW the kw4ee does not the Insurance eavenoe required by Chapter 112 al the Mate. Oenertr Uwe. end thel my elWabse an thk peMA aWkstion wwas We requkemenL. C twA one: owner 11 Ao«d O at Oam irawA 1 hereby certify that all of the desslls and information 1 have submitted(or entered)In above application an true and aeewate to the ben of my knowledge and slut all plumbing work and InsuUabons performed under Permit issued for this application wW be in oon•pLLusoa with aY pertinent provWona of the Massschusetu Stare Gas Code and Chapter 142 of Ow C4aval 1Lw0• l By TYPE LICENSE: Plummier Title Gasfitter Signature of Licensed City/Town: aster Plumber or Gasfitter "� Journeyman //02-17 _ ti0 APPROVED (OFFICE USE ONLY) License Number BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION . FINAL INSPECTION SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME 3 TYPE OF BUILDING C* TIMATION OF BUILDING co C3T Or � tBER OR GASFITTEA cli 0 LIC. NO. . 1 PERMIT GRANTED DATE is a GAS INSPECTOR 1 f .^ r 2 66 0 Date/lr.. ...... j.... .. NpRTM TOWN OF NORTH ANDOVER F?py`t,ao ,e AtipOp PERMIT FOR GAS INSTALLATION SACHUSES4 This certifies that . ' . . . ' .'. .�. . �'. `.. . . . . . . . . . . . . . . . . �' has permission for gas installation_ in the buildings of . . . . . . . . . .. . . . . . . . . . . . . . . .:. . . . . . at . . . .?` :. . - - . . . : . . . . . . . . . .. North Andover, Mass. C; Fee f,# ... •;. .��0/Ubly7' WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Office use Only �� The Commonwealth of Massachusetts ' Department of Public Safety Permit No BOARD OF FIRE PREVENTION REGULATIONS 527 CMA 12:00 occupancy 3 Fee Checked J =a I r _j I e f 3790 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al%IN m be performed In aeeordar with kM Hauaahusans Electrical Cada.W CHR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION /f Date �� �`� ( �• City or Town of /�G tTVIc� To the Inspector of Wires: The undersigned applies for a permit to perform th electrical work described be w. Location (Street & Number) ! or Tenant— ��(i14 yg Owner's Address Is this permit in conjunction with a building permit yes ❑ no ❑ (Ch-;k Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps_! Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity e Location and Nat-!le of Proposed Electrical Work- W tee a t1'Q 57I G ' O© / TOTAL No. of lighting Outlets No. of Hot Tubs INo of Transformers KVA Above❑In No. of LightingFixtures Swimmin Pool md. rnd❑ (Generators KVA No.of Emergency Lighting No. of Receotacle Outlets No. of Oil Burners 8attery Units No. of Switch Outlets INo. of Gas Burners FIRE ALARMS No. of Zones TOTAL No.of Detec ion and No. of Ranges No. of Air Conditioners TONS Initiating Devices HEAT TOTAL TOTAL No.of Sounding Devices No.of Disoosals No. of Pumos TONS KW No.of Self Contained No.of Dishwashers Soaca/Area Heating KW Detection/Sounding Devices Municipal No. of D era Heating Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. of Hydro Massae Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES ❑ NO ❑ 1 haave submitted valid proof of same to this 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 $ / Work to Start Inspection Date Requested: Rough f''VI/ C Final Signed under the penalties of perjury: FIRM NAM UC. NO _ Licensee h C 6Q Sig//naturo,�n UC. 'NO e 13 Address E%h I IrQvi `"t�t r� y Bus. tel. No/_�j-�' Alt. Tel. No OWN 'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by M use eneral Laws, and atsignature on this application waives this requirement. Owner Agent (Please check one) Telephone No '-sve 6,4v ���� PEHMIT FEE $ (Sig u or or Agent) Date.... .....c� .7. 1P 867 t Np oTM 1 3?�•`.r`�- +°.(eM�pL TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMUS� This certifies that ..... � ....l...l... i~ .1 C.k .............. has permission to perform ..... �?�C!l -r.X... i.�. wiring in the building of.......t.(....�,G�-......... ?`..... . ....... s at....... . j4z-U- X.q.f........ ................... ,North Andover,Mass. Fee... .. .. -..... Lic.Nk.5.39U.............................................................. ELECTRICAL INSPECTOR aAqt, 04/&"1.42 3.00 PAID WHITE:Applicant CANARY-: Building Dept. PINK:Treasurer