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HomeMy WebLinkAboutMiscellaneous - 145 BRADFORD STREET 4/30/2018 (2) 145 BRADFORD STREET \ i 210/061.0-0003-0000.0 \\ i �4 i I. Date............................7 �y f NORTH'1 3a°•_';�`` :••.."°oAL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �SS�cHusE� This certifies that ......................................................` ��.................................. has permission to perform ........., �.....� ! ..'.. T.. ............................. wiring in the building of..... Sjs1eg-/)1©�f5j1 . ....... . .......... at.......... .....................r. ... ,North Andover,Mass. Fee... .5... . Lic.No..:M77 .......!. ..... � ELECTRICAL INSPEC'I'bR Check # 30 Ln ��V � Official Use Only 1.O/it/llaotUPafls�a�/rllbb4aGfttklAA tG�, I L1/07 at'dji,serv;,ed d Fee Checked �BOARI) OF FIRE PREVENTION REGULATIONS leave blank APPLICATION FOR P I,RMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Ca � 7 Date: (PLEAS~PRINT IN INK OR TYPE� NFA h�( To the Inspector of Wires. Cit, Or Town of: s application the undersigned gives notic of his or her intention to perform the electrical work described below, By the !� M Location(Street&Number) t Telephone No. 6 owner or Tenant 4 Wl Nor:: (.4ru.nn�. pe Box) Owner's Address ng Perm I? Yes is this permit in con)unctl0 with i A1,buildiC� Utility Authorization No. Purpose of Building d TNa of Misters !�xisking Service____ _ ArrAps �-- - ---� Volts Overhead Undgrd Undgrd No.of Meters Amps 1--•Valles Overhead�] id Num" Feeders and Ampacity Locatia.. ...,. Noture 0f proposed Electrical Work: _ )re / I( Comoh- o the ollowin table ma be waived h the lnsotapr o Wires. -..4 0.0 KV A No.of Cell.-STI, ..e)Fans Transformers No.of Recessed Luminaires _------- KVA Generators No.of Hot Tums miairs Outlet ❑ Dp,a nergency g r ng No.of EuAbove atte Units Swimming Pool rud. rnd. No.of Luminaires FIRE ALARMS No.of Zones No.of Oil Burners 0,o e cc on an No.of Receptacle Outlets [nikiatin Devices No.of Switches No.of Gas Burners ata L No, of Alerting Devices No,of Ali- Cond. if Tons a.0 e .onta Be No.of Ranges um er ons cat pDetection/Alertin r Devices No.of Waste Disposers Totals: nnic Pa Other Local Q Connection No. of Dishwashers Space/Area Heath KW ecurty yystems' " Heating Appliances KW No.of pevices or F. ulvaient No.of Dryers --- 0.0"�`~ Data NViring: o, o ater KW No.o� --� Ballasts No..of Devices or E ulvalent Heaters 5#pns a ecommunicatio, it ng: No.of Motors Total HP No.of Devices No, Hydromassage Bathtubs ar E rdvalent OTHER -- Attach additionsl delai!if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work, (When required by municipal policy.) Work t Start: Cl0 le Inspections to be requested in accordance with MEC Rule i0,and upon aomptetiss iNgURANCE COV RAGE: Unless waived Uy the ownerco pt�ted operationit for the coverrage or is subsance of tantial equI work a ale t� The the licensee provides proof of liability insurance including,a P h ShS �c r Q undersigned certifies that such cover cis in force,and has exhibited proof of same��l�permtt issuing office. CHECK ONE: INSURANCE [' HOND (] OTHER Q (SPecifT) 2 I cert#/j�, under the palms and ltenalttes of perjury,that the information n this application is true and comp ere, �0h G LIC,NO.:_______�_^. FIRM NAME: �`� Signature /y of LIC.NO-- Licensee: --- "- Bus.Tel,No" gapplicable, "exem "»r rhe license roumb-r h l�n G D Alt.Tel.No.: '41Address: *Per M.G�L.G. 147,s. S7••G1,seAit��`h TI( require I an,aware tpat�thetLicenS Licensee n t have the liabtleity insurance poverase nnormally OWNERS INSURANCE required by law. By my signature below, I hereby waive this requirement. l am the(cheek one FEE: $owner's a ont. Owner/Agent Telephone No._ Signature _L-- a C 61A4 tA� M4`e" Date. .Z/ "ORT" TOWN OF NORTH ANDOVER '• O PERMIT FOR PLUMBING ,SSAC14USE� This certifies that . . . . . . . .�. . . . ( �. . .�.' . . . . . . . `. . . . r . ! . �. l� . .has permission to perform ! of . .. . . . . . . . .. .. ..�. .. .!. .. .plumbingrt.the buildin s . at . ��. ,__!.� . . : . . !. . . . . . . , North Andover, Mass. Fee. Lic. No. 3 PLUMBING INSPECTOR heck C Y 4J MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBINGj�� (Print or Type) _ a _. Mass. Date /Y Z0C4' _ Permit # � Building Locationead2��Avvrier's Nam 0'44e Q k /i`f'�Y' i���CL•C /P. ofOccupancy 15 S i 17 EIJ �1r1L_ New C3Renovation 13ReplacementPlans Submitted: Yes ❑ No ❑ FIXTURE 2 . 2 N Z Y Q h N J N O = Z W W x J 0 Q V F Vl O a CC V) zO W F- W ¢ S X Vl Z W z 2 d. a X J (4 y Vf x N F- V W V! Y < N 0. � x V C m N ¢ } < f. N 2 CIL o Q < . Z O O X W ¢ < W O Q N Z .Cr a X U. CC < 0 N X J O D LL W W' C W x < 2 3 3 0 z = Y a C 1•- Q Y < W U0- 2 Y W !- V > F- O S C. O V7 f. Z O O N = Z W 1. O V X 2 < a 0 .4 J J a 5 a a a a o- 3 Y J m V) O O J 3 x H N W c7 G < S E m O sua—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing.Company Name 1'10 £e"T e ,,4,(rM,4TAet7 Check one: Certificate Address ?Jr) CD 4 C 4 mf4 n) P.) ❑ Corporation fi l A • O r NLI p Partnership Business Telephone -�7�Z-�i�-7 A 9-0 rm/Co. Name of Licensed Plumber Fe-7- fry ,SSI MmA req er"% INSURANCE COVERAGE: I have acurrentjlability Insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes p� If you have checked,Yes, please indicate the type coverage by checking the appropriate box. 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 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 C3 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 poormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g Oode and apte?j of the eral Laws. By. Title re of Licensed P um er Type of License: Master % Journeymib❑ City/Town APPROVED OFFICE S ONL License Number �33 BELOW FOR OFFICE USE ONLY 4 y FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED ` DATE 19 PLUMBING INSPECTOR Date...... t �aORT1i 4,. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that 14 - C f/ has permission to perform .........t,_.,..rl...l��..e/ . ................................... wiring in the building of......... � .. �!T.Y..... 1 ..... ...... ............................ atj Fee.....�f�.: t !/.... . pp fo-rthI�A. ndover,.. M7ZVI- Lic.No. ................... ............ �LECCRICAL INSPEC Check # 4, 43 "i Commonwealth of Massachusetts Official Use Only 413 Department of Fire Services Permit No. y( BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 1 .00 (PLEASE PRINT IN INK OR T ALL F01 ATION) Date: City or Town of. To the Inspectdr ofWires: By this application the undersigned 'ves not' o is o h inte ion to a orm the electrical work described below. Location (Street&Num er) , r Owner or Tenant Telephone No. Owner's Address v 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 r Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the follow4n table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA o.o mer enc No.of Lighting Fixtures Swimming Pool Above ❑ In- E] o. y ig ing rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 7Noof Zones No.of Switches No.of Gas Burners o.ot Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices t Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices 1 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 Water KW No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No_of Devices or E uivvaler_t OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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:) (Expiration Date) Estimated Value of El ctrica Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the fiains nd penalties of perjury,that the information on this application is true and complete. FIRM NAME: E LIC.NO.: 1 Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 90-1 594 59 $ Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lid9hsee 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: $ Location 6 Ln-j:ry J �J�✓A. `�� No. LKD Date NpRT" TOWN OF NORTH ANDOVER Oft„•e ,•,h•C � w ♦ i # Certificate of Occupancy $ • °mob:.. � `' , cNus`� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r Building Inspecte TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: X ic SIGNATURE: Buildi'ng Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 8radAr.'=L O ©© n ,ar� Map Number Parcel Number l/ l7YlCJ(J W' 1.3 Zoning Information: 1.4 Property Dimensions: V Zoning District Proposed Use Lot Areas Frontage(ft) 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record /� Q Name(Prinp Address for Service: Q.1 (5a txe&e, 9 -7J? V V 6 Signature Telephone Q 2.2 Owner o cord: Name Print Address for Service: q 7& - b� C/ �o C) z �!t i- M Signature Tele hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number M "Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address Z Expiration Date Signature Telephone v+ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) 011- I terations(s) 11Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAI.L USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical �QO (b) Estimated Total Cost of Construction 3 Plumbing S Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection / 6 Total 1+2+3+4+5 31 79 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ZHereby as Owner/Authorized Agent of subject property o e �jl /-u �� to act on almatters re ve to work allthO ' y this building permit application. O Si f Owner Date SECT 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Owner/Authorized Agent of subject property Hereby declar64 the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief / rlo 6a- Signature0owner/Agent Date S SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1ST 2ND 3 SPAN DEMENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM 13 AS E,M e/� INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. �,f.t..ttfl..,.t...'f..l...tt■flit■tfttt..t'./.tett■.ff..tlf■tt.......tftftff.f■ APPLICANT /V)i4!'i r ie T L7 a v G���7 e� PHONE ASSESSORS MAP NUMBER LOT NUMBER 3 SUBDIVISION LOT NUMBER �l STREET �� STREET NUMBER l TU �t■■.lflf.Tf.t.t,..l..l.11l....,..stat....s.t■..lsltltaltlll...lsss...t..l!■ OFFICIAL USE ONLY ...f...........,......,...........................■..............t..............■ RECOMIVENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONMRM s DATE APPROVED TOWN PLANNER DATE REJECTED CONMENTS DATE APPROVED • FOOD INSPECTOR-HEALTH DATE REJECTED r,J S DATE APPROVED l l'{.__ b -StArc INSPECTOR-HEALTH �— MDATE REJECTED COMENTS 1'c n c 5" of A-en Q \� CO,)A.A v PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT • DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE J 1 I _ _ t I oA T� I � I i 1 F I 1 I L _� 1 � I i ; -- I rn _ I � I -- -- - - }-�- - --LT I TI I , - _. - T- I { - Nk. -'-- 1 J_ I I I I I Fr� I_ I 1� 1 t4- 1 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: ear c,\CAVC,9-)�� (Location of Facility) U 0 ignature of Permit Applicant -I (AI (3 � Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: �CTt �CJ i I��a ✓v Location: City 1A Phone F7am a homeowner performing 611 Work myself. 1 am a sole proprietor and have no one working in any capacity 0 I am an employer providing.workers' compensation for my employees working on this job. Company name: Address City: Phone# Insurance Co. Policy# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. 1 understand that a copy of this statement may be forwarded to.the Office of Investigations of the DW for coverage verification. I do herby certify sins and flies of perjury that the information provided above is true and correct Signature Date 2- Oq Print name C t 2 �y ►�`I Pct Phone# Cl�3 � � �� Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION Downstairs Iw=2.h=18 ! a8.7 I zzw 4 [27 _ - Couch 7.1/5 X 3.3 I Coffe e Table Pantry s I o 1 Reffig -4------- -- r __-, Ta Couch Table a ble 21/5X3.3 —� 9 _ a Jam_ Storage { <" BO ok Sh elf Book Shelf Book Shelf 85A • Window 2.96 ' 11 14.4 i 14.4 Bar 90 degre L_ ShoWef Overhang Slnk T Foolrail 16 Wood-Exotic or Verical Woodwork Bathroom Clear Pine w/stain Carpet 'Windows Within Reach" Closet Closet (Methuen/Salem) nez — 37.6 Peter Putnam re6ruag 2,2004 PUT i 1 1 (Zea Street NAM M N. Andover, A O 1845 e: 97 -6208 email:61eugab_-Owmcast.wm C o n t r a c t To: Tim &Ma jorie Gaudette 145 Bradford St. N.Andover, MA rrom: Putnam Design 1 1 1 Rea St. N.Andover, MA O 18+5 5COPr—Or WORK Finish approximately 1200 square feet of basement at residence in North Andover to include the following(according to drawings and discussions with customer): 1- Partition 12'x 17' office with a 4' trench door and TX 8' bathroom according to drawing. F)athroom will have a 3' x 4' closet with built-in shelving (3 shelves; 1' deep x 4 ' long spaced 16" apart). Provide 3' x 7' closet with door from hallway near bathroom with full- length single shelf and closet pole. Enclose 17' x 5' storage area and install double doors to allow access from entrance hail. Install door under stairs for closet storage. install door between shop area and bottom of stairs and allow access.to water main' shutoff. All doors (except office door) will be 6' 8" x 30" hollow core mahogany Tuan to match existing doors in downstairs of residence. Nang drywall,tape,sand and prime. Material(framing lumber, doors,sheetrock)and Labor- $7,750 2- Provide recessed lighting fixtures, electrical outlets, phonejacks, bathroom exhaust fan and other electrical components as required and discussed. Electrician-Pjasil Costa,Wakefield, MA (78 1) 2-+5-1870 Material and Labor- $5,900 3- Provide additional heating zone with forced hot water baseboard heat as required. Cost includes all material (baseboard radiators and new heat zone,thermostat, etc.). Plumber-Joe Mento, North Andover, MA (978) 321-7853 Material and Labor- $3,850 Excavate and Provide Plumbing to accommodate new bathroom and sink in bar area. Cost includes Plumbing and Piping only-no fixtures(shower stall,toilet,sinks or faucets) Material and Labor- $4,400 4- Construct an 8' bar with Yell with v groove Pine front and solid mahogany top. bar will measure 42" high and 2' deep. Fabricate 2'x 5' counter behind bar, 36" high, with formica top to accommodate sink. F)oth bar and counter will Dave open storage undemeath with one full-length single shelf. Material and Labor- $23100 5- Construct built-in bookshelves with fixed shelves to surround corner windows on north and west side of basement. Shelves on north side will start at existing foundation and run to ceiling. bookshelves on west side will have 6 cabinets, 16 ' deep, with doors for closed storage undemeath shelves. bookshelves will be built of clear pine plywood, with 3/4" shelves, 12' deep, stained and sealed with 2 coats of satin polyurethane. Material and Labor- $3,200 6- Lay approximately 340 square feet of tile in entrance hall from garage, surrounding bar; front and back, bathroom, bathroom closet and hall closet. Tile allowance for figuring purposes is $1020($3/s9.ft.x 340 sq.ft.). Material and Labor- $3200 7- rinish carrying beam in T\/area and above bar and lolly columns with clear pine. Install baseboards and trim 3 windows and exterior door under deck. All new trim will match existing trim in residence. Stain and seal with 2 coats of polyurethane. Material and Labor- $21320 8- Install dropped ceiling with white aluminum grids and customer selected ceiling tiles. 1200 sq.ft.@$3.50/59.ft. Material and Labor- $1-3200 9-Paint&polyurethane all woodwork and wail surfaces-2 coats of each. Material and Labor $2500 10-Provide dumpster for rubbish removal, on site for 2 weeks. G. Mello) Disposal Corp., Georgetown, MA (978) 352-8581 $375 Items not included in this contract for your consideration are the bathroom and bar plumbing fixtures(shower stall, sink,toilet, bar sinL and faucets) and carpeting. Total $59,795 Payment Schedule I-cone-third upon acceptance of this contract. 2- One-third after completion of partitions, electrical work, rough plumbing, beating and dry wall. 3- One-third upon completion of project. Putnam Design is a fully insured small company specializing in fine carpentry and brickworL Thank you for the opportunity to provide services for you. Signed: I g/V i Signed: ; P ter utnam%Putnam Design ORTH Town of 6Andover . No. TO ~ 70 0 LAK dover, Mass., a2 —•Z O '�? oe�S/ COCMICMEWICK V AERATED i"-'? `� l! BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �j .� BUILDING INSPECTOR THIS CERTIFIES THAT.../..�'.�.R.�.O����..�!R'....�:�.�!'�.......��. 0 ..# 6......:.............................. Foundation ��� !� yS RAa0'oR � Sf- has permission to sreet... .......... .................. buildings on ......................... .............................................................. Rough to be occupied as...M_� 404040 ..549 0 /ert lei `�IG A M I*V 43 A S 9-60 MN't" 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 relati to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. L /3 �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAR'S ELECTRICAL INSPECTOR ( Rough ..... ........................................ ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display. in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE j Smoke Det. Date. C- 3r o:04 : ti TOWN OF NORTH ANDOVER .° , o0 PERMIT FOR PLUMBING ,SSACNUSE� This certifies that . . 1,4.r�. . . . . . . . . . . . . . . has permission to perform . . . . o `4 v plumbing in the buildings of .rlo`? .` .`. . . .t.. . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . ., North Andover, Mass. r Fee. Lic. No.. I. . . . . . . . . .�. . . . U`. t. .�. . . . . . . PLUMBING INSPECTOR Check # /i ' , 1 5 ; 31 MASSACHUSETTS UNIFORM APPL DATION FOR PERMIT TO DO PLUMBIN( (Type or print) NORTH ANDOVER,MASSACHUE S �� Date �.)—.-o y Building Location ti Owners ame n Permit# 3 Amount s1�^ Type of Occu a ly New Renovation ri Replacement 6 Plans Submitted Yes No FIXTURES Crw VA Cd n W SM-ELSW 1Y-171IVN IIOt 4M HAOCIR 5M Fl" 6M 11f 7M11" gMHfM (Print or type) Check one: Certificate Installing Company Name r/ r�i�1 / � s —i2 El Corp. Address '-� Partner. 4 f9' Business Telephone 2;ZL r 4?,-=2—7;; ; Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type o insurance 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 Perini sued for this application will be in compliance with all pertinent provisions of the Massachus tate Plu ing and a ter 142 of the General Laws. By: Signature o/Licensect Flumoer Type of Plumbing License Title City/ �ff��� Ricense um er Master Journeyman APPROVED(OFFICE USE ONLY. L Date...'y... .. ......... of No orH�ti 3? <;�``.. °•.�o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING � -- SS�1CHuS t,.� This certifies that ...........:......... ................................................. has permission to perform ......!7 �� wiringin the building of.......:..... ...................................................................... a at �. —�'� ............... .North Andover,Mass. Fee... ? l............. Lic.No3f..../�.�..:. ........................ .................... � RI $LECTCAL INSPeCTOR Check # 5120 t+ Official Use Only Permit No. ?De/raauxeat 4?-&!,Sa�dy r.P'' Occupancy&Fee Checked Oy// BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 0� APPLICATION FOR PERMIT TO' ERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date �✓ `� y Ta the inspe-Ctor of i"Yires: Town of North Andover t The undersigned applies for a permit to perform the electrical work deribed low. Location(Street&Number. L S I Owner or Tenant I t M .V i> i I✓ Owner's Address 'r A,S lL `��'`�t✓. Is this permit in conjunction with a building permit Yes No 0 (Check Appropriate Box) Purpose of Building �= t�� 1 I-X Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgmd 0 No.of Meters New Service Amps Voits Overhead 0 Undgmd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work U fJ 65 fJ S C-5i"A Lsz Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above a In a No.of Lighting Fixtures Swimming Pool gmd a gmd a Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No. Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices NoJ of Self Contained No.of Dishwashers Space/Area Heating KW DetectiontSounding Devices a Municipal a Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage^ Thuds No.of Motors Total HP OTHER: Ab Pv \{9criAA F-F,W INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws 1 have a current Liability Insurance Policy includin Completed Operations Coverage or its substantial equivale YES NO hav?,sub valid proof of same to the YE5 NO a If you have checked YES please indicate the type of coverage by checking the appropriate box. 9—UJZANCE BOND - OTHER - (Please Specify) i i.3 5 ti t'-i1 iJ�-� � /f? (Expiration Date) Estimated Value of EI?ctlical Work$ Work to Start 't•'S d)`'f Inspection Date Resquested W `�t- �A Rough Final Signed under the Penalties of perjury: FIRM NAME LIC.NO. License �' t n` Signat e5l.. u ZBus , ` LIC.NO. Address I DCa M A\N ,'LAD At-\ >b \4E1- - MA, '�_ AIt Tel.No. �ZL,��-T�31=`�'7'6�t ` G7 3`Z.Z OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone#: Insurance Co Policy# Company name: 4 Address City' Phone#: Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' F-1BuildingDept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION Date... ...2........d.�9.. t ORT 1 1 ?;•_,:�``-; "°cam TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNUSEt This certifies that CON ............ .... .............................. has permission to perform . Q.................................. E wiring in the building of......C./9.t,P.e..!...7... ...................................... �S' �� �� at............�................ .........1.�.f......�.�.......sl...... ,North Andover,Mass. ; Fee.rz`J.... ... .. Lic.No.3FI7 .P,1, ELECTRICAL INSPECTOR / i Check # V99 . ., *, 1)1,,Gil V60 ht„ty 00ARD OF . 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