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HomeMy WebLinkAboutMiscellaneous - 146 FARNUM STREET 4/30/2018 i 146 FARNUM STREET 210/107.A-0071-0000.0 I r Date. . ./`! 4 NORTH TOWN OF NORTH ANDOVER ♦ PERMIT FOR GAS INSTALLATION ♦ Oda .� ♦ $ACNUSE� This certifies thatmoi. . . . . . . . . ... . . . . . has permission for gas installation . . >. . . . . . . . . . . . . . . . . . . r J inn the buildings of . . . . �.� . . . . ....... . . . . . . . . . . . . . . . . . . . . . . . . . at . . . ,� . .R�,l��'r'. ..... . . . . . . . . . . . .. North Andover, Mass. Fee. ./.). . . . . Lic. No.. .. . .' . . . . . . . . ... /i GAS INSPECTOR Check# 3827 1 0 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS G �i, ype or print) Date / A� a� NORTH ANDOVER, MASSACHUSETTS Building Locations 11 q 6 FAR lU Ul V S'T / Permit# S wwj Amount$ Owner's Name New❑ Renovation ❑ Replacement Plans Submittedwn ❑ � c � ^ C z r Z Z C cl W C G u C SUB-BA SE NI E NT BASE M EN -r ] ST. F L O O R 2ND . FLOOR 3 R D . F L O O R 4TH . FLOOR 5 T H . F L O O R 6T 11 . F L O O R 7T Ii . FLOG R -ST H . F L O O R (Print or type) � Check one: Certificate Installing Company �l>l Name ifAa lk, Cdjul) -f T ©—torp. _ /d�( L Address <�fll AC-LJiO T ❑ Partner. Business Telephone �j-2 9 40i2a-3 ❑ Firm/Co. r dame of Licensed Plumber or Gas Fitter SOF CAZ1,/q Z, l INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. 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 ❑ I hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta G Eode a Ch ter 142 of the General Laws. � G By: nature of Licensed Plumber Or Gas Fitter Title Plumber . -3yLIA TO City/Town r-4-C;-as Fitter LicenSe Number Master APPROVED(OFFICE USE ONLY) ❑ .Journeyman Date. TOWN-OF NORTH ANDOVER PERMIT FOR PLUMBING SSCHUS� This certifies that . . . . . . - - .. . . . . . . . . . has permission to perform .... . plumbing in the buildings of .._ :' .' . . .' .`"' . . . . . . . . . . . . . . at.I . . . . . . . . . . . . . ... . . . . . . . .. North Andover, Mass. 1 ; Fee Lic. No../;�*tl . . . . . . . . . . . ./ PLUMB4_- .�f6SPECTOR Check # U 5035 MASSACHUSETTS UNIFORM�APPLICATION OR PERMIT TO DO PLUMBING (Print or Type) T-H U E N ,+Mass. Date ,�a � 2.(;�/_ Permit # y�� � Building Location y 4f2V U/ f�/ Owners Name S/�« Type of Occupancy_ New ❑ Renovation ❑ Replacement DPlans Submitted- Ye�❑ No ❑ B•P .# SEWER# FIXTURES SEPTIC N z Y a U N N N O z . !- } QJ W N z co a rt d ~ Z O .0 4-3O N w y N 2 (n Fes- Sz W, W y Y Q N W ? a z d N X . I U = o Q N w >. ~ W z n a us c7 a a a o 44ar W f- F- w d N n Q j N a Z n a N LU x Q x 30z i Y a x Q F- > ! O N N N f- z O 00 N 1' Z W f^ Ou Y Z; Q) h O n J Q Q J J a tL 7 a q Z) SUB—BSMT. BASEMENT 7 IST FLOOR v 2ND FLOOR 3RD FLOOR j . 1 . 1 _ 44- r 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name_ ri�L � i� ��//Z COJ�/) / � Check one: Cert11 rtcate # Address_ L/t14tir S7- 3-t'6rporation ❑ Partnership Business Telephone_ �/�,�r��j�/�3�j ❑ hrm/Co Name of Licensed Plumber %l/7 j 14A),Q INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes D3� No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy B— Other type of indemnity El 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 ❑ I hereby certify that all of the details and informatio I have subm' e e ion are a and accurate to the best of my knowledge and that all plumbing work and install 'ons perfo erg 1tJ e is appli ion will be in compliance with all pertinent provisions of the Massachusetts State P umbin a and Cha r 2 of a La Title Signa of Licens d Plumber City/Town Type of License: aster Journeyman ❑ APPPMM OFFICE USE ONLY) License Numb /0 3 0 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FINAL INSPECTIONS SKETCHES FEE - N0.� APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING h LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE __-2O PLUMBING INSPECTOR r Date.... ../ NORTp TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........:a..... K(C T t-1 c has permission to perform ................................................... wiringin the building of.........4?........ ............................................................. aA.....L4.( ...f.!a R.N L.4 k:?...... XELECTRIC ..... ,North Andover,Mass Fee... ..:. . Lic.No.AX///3 �....... ............... ALINSPECTOR - Check #� T1NC0M110NWE4L2H0FM4MCffM77S O`-only DFPARTAO:M'0FPUBLICS9FETY Permit No. 3 7J BOARDOFMEPREVEWONREGUT4TI011 D7(R]2O Occupancy&Fees Checked VAPPUCATIONFOR PERAffTO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover _4 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) /.S►..(( FAR N M ST Owner or Tenant Mit* HRS SA e e hA N Owner's Address SSA M P- Is Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building . 9-I M(11 a 704"r Lor Utility Authorization No. Existing Service Amps Volts Overhead M Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters NumbetofFeeders and Ampacity Location and Nature of Proposed Electrical Work No.ofLiPtingOutlets I No.of Hot Tubs No.ofTransformees total K.VA No.of Lighting Fis<ures FAN A,"T- Swimming Pool Above Below Garerators iF VA VA H t l3 T ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Coad. Total FIRE ALARMS No.of Zonds Tons No.of Disposals No.of Heat Total Total No.of Detection and Tofrs KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of.Somding;Devices No.ofselfContained E Detectim'soanding Devices No.of Dryers Heating Devices KW Local MunicipalOther � No.of WateHeaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTI IER (rntrrtoeCaaaage Furst>antbihetag>itanaisatT�d>usA�Ga�aaiLaws . [ha%eaaamatLiab7dyha=xePcr yit du&gYES NO fhme.sifti diefif1ptaefafsanebtheOl&eYM `► NU If)wha►eta+da�lYk�Pit~rseiitd�ethetyPecfoo a�l�Y g bm .. . Apt l44.re� NSElRANt� >3�, OiI!-)€R (f3asseSpt }-MAO.y _ . r f Es�rslaleti Va►te 1 W0&S VadebSratt �' 2'O Z hxpecfcnD&RegtmW- kmo b�Z-O'Z . . -- �ignedutlda-tTieFalalbesct£ --- - �- ---- 1RMNAME C e c-f e I PAL A XX Q VA 7,4-6S ZIP.,e- I jffwNaL JOQm_Lt;l..T 0,4•n L .-r- � Stgmgne � Limwi b 141213 !" �s9/-438=7SZ3 A1tTe1Na ►WNF t'Si>�[7RANC�WAIVER;IamawateihattheLiotnsedoey $teit>strrneeo►erageoritss ec altt astecP ColedLam 3d th�my�tnecn il�pmtt� wanes tl>;s te�anag 'lease check one) Owner Agent Telephone No. PERMIT FEE t/` ✓ C Date. pf NORT.�� TOWN OF NORTH ANDOVER ;3? ;4.r .• �pc PERMIT FOR PLUMBING �SSCHUS This certifies that & . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .. . . . . . . . . . . . . . . . . . . at . . . . . . . . . . ., North Andover, Mass. Fee. y .,' . .Lic. No.. 1.r�.t.f. ?l . . . . . . . . .. . . . . . yLU WING INSPECTOR Check # 5233 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 PLUMBING (Print or Type) Massa 'Date -R Permit #_ is 33 Building Location i LV,, !r„c cA, Owner's Name Type of Occupancy New ❑ Renovation Replacemer.t ❑ J Plans Submitted: Yes❑ No ❑ FIXTURES J f z _ 2 N !- N N V7 O = r W W Y J N Y V < N O V Q V? 2 o < C: = r Z O Z N a o W N W N T- cr J V7 W N Y Q < W N = C a (7 { 6 3 ?( V = ¢ N W Y ! h O < N Q a 6 u W Q W < VI d < W V/ Q J Z p Q O W S < S O x Y x a O < Y < W U. .Y W >- V Y 1- O O o N = z W ►- o V x { < < S N N { < o < J J < ¢ Q d < O < F- Y J m N O O J 3 Z O a < 3 6 m O 5U8-85 MT. BASEMENT 1ST FLOOR a 2NO FLOOR JRDFLOOR 4TH FLOOR 5TH FLOOR BTHFLOOR TT}{ FLOOR 8TH FLOOR Installing Company Name'.-�C_ �cc�`�i.;•�,a Che k.one: Cert�?ica!e Address�`-i �\c�� j --�— lyd'Corporation ❑ Partnership Business Telephone= j zs\ I Gi `-I`f - ❑ Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current bllity Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No If you have checked_U§. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy G 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 slgnature'on'thls permit application waives this requirement. Check one: Owner ❑ Agent El gnalure of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted for entered!la above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be In�mpliancse Kith all pertinent provisions of the Massachusetts State Plumbing Chapter 162 of the General la 6y g ! o Plumber Title Type of license: Master Journeyman❑ , City/Town 7iU . License Number 1 C7 � 3� Location No. Date U No;TTOWN OF NORTH ANDOVER ' Certificate of Occupancy $ • i ; Building/Frame Permit Fee $ — �ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 15518 /Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE OR DEMOLISH.A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: If?V DATE ISSUED: U V / . SIGNATURE: Building Commissioner/I ctor ofBuildings Date z SECTION l-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 17 L Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS ft 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 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 14(P 'FAjt,4,jr+ ST N--.tC� 46-4baftiz- Name(Print) Address for Service: Sig fume Telephone 2.2 Owner of Record: 0 Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number mn Address Ida,- y'{-$1cx-) Expiration Date Signat re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Nares 1 �j� y -7 _ Registration Number r Ps- Address ,., Fs a Expiration Date Signature Telephone f A SECTIONA-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 buildipg permit. Signed affidavit Attached Yes.......V No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ v Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e-1 c-,—y, t SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 'UFFICML USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize C\ 5 -_. to act on rf M chalk, is a4 matters Tela Ze o work authorized by this building permit application. L4' S ria r of Oxvner Date EC ION 7b OWNER/AUTHORIZED AGENT DECLARATION I,< 1 oS as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief t d Print Name l I ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI HERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 062938 Birthdate: 03/27/1966 Expires: 03/27/2004 Tr.no: 20614 Restricted: 00 MARK J ONEILL 30 APPLEGATE LN READING, MA 01867 Administrator II i :^�\ rr, -<;n»rdrzvn uercr!/� r��-•("(rid:�ric�rrJBtrrJ Board Oi 7;uildicg Regulatioue avid Stan uards Y!la. HOE IMPROVEMENT CONTRAr.;TOR Registration: 107478 Expiration: 08/03/2002 _ Type: PRIVATE CORPORATION TAt.IGO PLUNIBIN( HEATING &C Oominic Tango 545 MAN STREET Reading, MA 01857 Administrator �^ - -- The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nrestioo ions =_ h� 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidasft name: 7 location: city phone# 91fS -19y CXQ V( ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one working in any ca aclty I am an employer providing workers' compensation for my employees working on this job. com an <naare ,. address. c ` insurance.co.- ❑ I am a sole propnetor, general contractor,or homeowner(carcle one)and have hired the contractors listed below who have the following workers' compensation polices: - - -company;naine. : < tom n e# .... ... .01. ::::.;::> o , cb :: :..:: insnrance ................ com an =na e address. .....::::::..::::::.:.....:.. trhone�� .......... nsnrarice:co . , . ;.::.,. ::.::. I ox Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of cr®nal penalties of a fine up to s1,500.00 and/orw 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 rn I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is&ue and correct Signa Date Print naPhone#1 me v official use only do not write in this area to be completed by city or town official city or town: petmitilicense# ❑Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen s Office contact person: phone#; _ OH�th Department ❑Other . Contract April 2, 2002 Between Tango Plumbing&Heating, Inc. Dominic Tango, Owner 545 Main St., Reading, Massachusetts 01867 781-944-8100 Contractor Registration#107478,Plumbing License#10578) .And Mr. &Mrs. Sheehan 146 Parnum St, No Andover, MA 01845 978-794-0246 Dates The work shall begin April 2002 &will finish in approximately 8-10 working days Description of Work Renovate(1)bathroom—(see detailed estimate which preceded this contract). payment The total cost to be paid by the owner to the contractor for performance of the work described and includes all materials and related services, unless specified herein, shall total $7,175.00. The payment schedule is as follows: $1,435.00 -20% at contract signing $2,152.00 -30% at start of job $2,153.00 -30%when boarded in $1,435.00 -20% at completion Workmanship Warranty Tango Plumbing& Heating, Inc. shall perform the work described below in conformance with all applicable building codes, and will use first grade materials unless other wise specified. All work shall be done in a workmanlike and professional manner and shall be free of defects. All work is warranted for a period of two year. Statement of Good Faith Both Tango Plumbing&Heating, Inc. and the owner desire to complete the subject work in a quality manner and without undue delay. Each shall use his or her best efforts and cooperate on this project. 1 Tambo Plwnbing&Heating,Inc.Contract Insuroire cue p r.,. ZCLbllltJl fango Plumbing &Heating, Inc. is fully licensed and insured with adequate insurance to cover any damage due to negligence on the part of the contractor. The contractor warrants that he, his employees, all of his agents and subcontractors, etc. who are to work. at this site are duly licensed in conformance with the laws of the Commonwealth of Massachusetts and this city or town. All home improvement contractors and subcontractors shall be registered by the Director of Home Improvement Contractors. Any inquires about a contractor or subcontractor relating to a registration should be directed to. Director, home Improvement Contractor Registration One Ashburton Place, Room 1301, Boston Ma. 02108 Perfwdl 'fango Plumbing&Heating, Inc. will be responsible for obtaining all permits as are required by the Commonwealth of Massachusetts for the work to be performed under this contract. Owners who secure their own construction-related permits or deal with unregistered contractors will be excluded from access to the guaranty fund. Arbitrat On The contractor and homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitra ion as pFPvided in MGL c.142A. u ` owner q j ,,L date contractor q,;> date NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. Prope Lien Within the terms of this contract, Tango Plumbing& Heating, Inc. can not place a lien on the owner's property as a result of non payment for work performed. -DO NOT SIGN THIS CONTRACT IF IT IS NOT COMPLETER IN FULL- - The owner has the right to cancel this contract within (3) business days after the signing date. - . �17� i•� " .LVL 90 0wner Date Contractor Date 2 NORTH Town of Andover 0 0 No. 7,3 o 0 dover, Mass., 7 / 3 COC MIC HE WICH ' C)):?ATED P? Cl BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.....AJ?*!W.'e­5......5.Alev..4'4_0!�!e..................................................... BUILDING INSPECTOR ...................... Foundation *A.) 0 60" has permission to wW........................................ buildings on ...... ..............................................I... Rough to be occupied as......I.......... ......... ......... Chimney provided that the person accepting this permit shall in every respect conform o 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 Nor.th Andover. /0 9 A / I/ %;(A/goo PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ARTS 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 Smoke Det.