HomeMy WebLinkAboutMiscellaneous - 153 CORTLAND DRIVE 4/30/2018 �'
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
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Building Permit Number 588(April 11,2008) Date: June 10,2008
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 153 Cortlpnd Drive
MAY BE OCCUPIED ASSince mil Dwelling IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: M, eetine Mose Commonu 115 Carter Frield Road +
_North And4Yer,MA 01845„
Building nspecto
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` WORTH '9
Town of :_ Andover
No. S
oy over, Mass., — o �041,'
LA �.
COCMICMEwICK V
7 A0RATE0 C2
BOARD OF HEALTH
PER�, M1 Food/Kitchen
Septic System N 1A
-d9 -.. f le, BUILDING INSPECTOR
THISCERTIFIES THAT....... ................... .......................... ......................................... .......................................
. Foundatton
has permission to erect........................................ buildings on ./'-a4. Gid'.'h76w. .... ..................... ugh �-
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to be occupied as............................ .. . fir'? /...... .... ... ....
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provided that the person accepting this e m t shall in a ery respect conform t4'�he 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 �a
Buildings in the Town of North Andover. d411 LUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. ��-
//� Fin
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTo
UNLESS CONSTRUCTION STARTS
Service
BUI G INSPECTOR Final (1117
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove 2Fil
No Lathing or Dry Wall To Be Done FIRE DEP NT
Until Inspected and Approved by the Building Inspector. Burner
i Street No.
SEE REVERSE S1 D E Smoke Det.
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Town of North Andover NORTH q
Building Department
27 Charles Street o Y '"
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
T O COC MIC IwKM 1'
7�A0gArEo Pa`y(9
�SSACHUS��
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
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ADDRESS /S3 6,AJ`4^uA_
LOT NUMBER TZ SUBDIVISION M" 4" . 1
DATE REQUEST FILED
DATE READY FOR INSPECTION I
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMP E WITHIN THIS TIME
FRAME. A RE-INSPECTION FEE OF TWENTY ($25.) DOLLARS WILL BE
CHARGED T THE .STRT TCTT_T?F.DOES I40T . E , ALL APPT_TC A BL E CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
D.P.W. -WATER METER -�� 9�DATE (� bq k
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE/DPWAUTHORIZATION
Date.
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No°r•��c TOWN OF NORTH AN OVER
PERMIT FOR PLU BING
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,SSACMUS�
This certifies that . . ... ... .��!1. . . !
has permission to perform . . . . . . .'. . . �� . .•. ..! .< . . . . . . . . . .
plumbing in the buildings of
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at . . . . ./�� . . . . . .�G�UC 1`�G.... . . . ., North.Andover, Mass.
Fee. `� .Lic. No.. . . . . . . . . %'/. .�'.'.°z< .�. . . . . . .
P DUMBING INSPECTOR
Check it �!
7723
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Date
Building Location Owners Name ,� / Permit#
Type of Occup" Amount a/ �
New Renovation Replacement " Plans Submitted Yes No ❑
FIXTURES
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SLREM A A w
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9.111 PIACIR I
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6IR KJOCR _
7IHELOOR
SII3)NIIJCI2
(Print or type) , // Check one: Certificate
Installing Company Name j`�{ ❑ Corp
Address RA" O ❑ Partner. I
usmess elephone _ [fe7Firm/Co.
Name of Licensed Plumber. `Q/(
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy LTJ Other type of indemnityEl 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 ons performed under Pernut Issued for this application
compliance with all pertinent provisions of the Massachusetts to mb' o er L 142 of the General Galwill be in
Laws.
By: igna uryul 3-7711suo rjurnger
Type of Plumbing License
Title S
City/Town icense um er Master
APPROVED(or�CE USE ONLY Journeyman
Date.. .-� . . .. .. .
,0RTN
pf t�.ao ,s,tip
3� 6 TOWN OF NORTH ANDOVER
O D
• PERMIT FOR GAS INSTALLATION
SSACMUSEtt
This certifies that . . . . . . !!. . . . . . . . . . .
has permission for gas installation . . ��� .. .. . . . . . . . . .
in the buildings of . . . ./
at I 3 . .ate'... ... �. . . . . . . . , North Andover, Mass.
Fee /!'146x. . Lic. No.. . . . . . . . (...�./ � . . . . . .
LA'S INSPECTOR
Check# �(
64't 5
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MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date ,
NORTH ANDOVER, MASSACHUSETTS ;
Building Lggations
Permit#
Amount$
Owner's Name
i New Renovation Replacement Plans Submitted
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W 'o x z
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SUB -BASEM ENT
BASEM ENT
1ST. FLOOR
2ND . FLOOR I
3RD . FLOOR I
4TH . FLOOR
STH . FLOOR
6TH . FLOOR
7TH . FLOOR I
8TH . FLOOR F-1 T-I
(Print or type)
Name 9h) ! Check one: Certificate Installing Company
I
0 Corp.
Address Partner.
usmess a ep one Firm/Co. I
Name of Licensed Plumbeior Gas Fitter
INSURANCE COVERAGE
Check o :
I have a current liability Insurance,policy or it's substantial equivalent. Yes No�
If you have checked ves,please' icate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 13 Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass.General Laws,and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:Owner 13 Agent 13
I hereby cern that all of the details sand 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 State G Cod an ap 142 of the General Laws.
By: Signature of Licensed Plumber Or Gas Fitter
Title Plumber l z 7
City/Town; 1:3 as Fitter License Number
LYJ Master
APPROVED(OFFICE USE ONLY) Journeyman
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Date...
....... ..g..... ... ...
f NORTH'1
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
SACHU
This certifies that ..
.................................................................... .....................
has permission to perform--' -�
L�4
wiring in the building of...
......................... ............ . .......................................
at.... .. Z North Andover,Mass.
Fee ..... ....... .
Lic. ..............Ra............................
ELECTRICAL INSPE
Check #
%~48880 Or Massachusetts official Use only
DEM. Department of Fire Services Permt No. 11131
i
BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checka �
� A
[Rev. 1/07] (leave blank I
APPLICATION FOR PERMIT TO PERFORM
All work to be performed in accordance with the Massachusetts ElectricalCELECTRICA WORK
(PLEASE PRINT INAW OR TYPE ALL INFD ),s27 CMR 12.00
I14T.,ON). . _ vhf I
City or Town o£ NORTH ANDOVER Date:
By this application the undersigned gives notice of his or her . .To the Inspector of Wires:. I
intention to pe orm the el 'cat work descnbedibelow.
Location(Street&Number) w-- t `�
Owner or Tenant —,� v �� I
Owner's Address ( - " t "� Telephone No,
��11 �Z
Is this permit in conjunction with a building permit?
Purpose of Building A-feS t� _ Yes No (Check Appropriate�BOX)
Utility Authorization No. 221 L2 "`
Existing Service Amps / Volts
Overhead.❑ Undgrd No.of Meters
New Service � Amps ( Z Volts
'Overhead❑ Undgrd 01/- No,of Meters
Number of Feeders and Ampacity I
Location and Nature of Proposed Electrical Work.
WI�.aE uo _JSt
t
Com letion o the followin table may be waived by the 1 lector o Wires.
No.of Recessed Luminaires No.of Cet1.-Sus No.of
p.(Paddle)Fans To
No.of Luminaire OutletsTransformersA
No.of Hot Tubs Generators KVA
No.of Luminaires Swimming 1100_1 Above ❑ ln_ o. o Um Bey lg
No.of Receptacle Outlets d. ❑ Batts is
n _ No.of Oil Banners
No.of Switches FME+ ALARMS No. of 7dnes
No.of Gas Buz hers a.of etection an I
No.of RangesDevices
No.of Air Cond. otal
Tons No,of Alerting Devices
No.of Waste Disposers eat UWM31P umber ons a. of
Totals: """" - ontained
No.of DishwashersDetection/Alertin Devices
Space/Area Heating KW Local❑ Mnnicipal
No.of Dryers HeatingConnection ❑Other.
APP4ances KW Security Systems:*
No.of Water KW .. o.of o.of No.of Devices or E uivalint
Heaters Si s Ballasts. Data Wiring: �
No.Hydromassage Bathtubs No.of Devices or E uivalent
No. of Motors Total Hp elecommunications
OTHER: No.of Devices or E a valent
Attach additional detail if desired, oras required by the 1 ect I o
Estimated Value f Electrical Work: '� �' nsp f Wires. i
Work to S < (When required by municipal policy.)
Inspections to be requested in accordance with MEC Rule 10,and upon.completion
INSURANCE C VERAGE: Unless waived by the owner,no
the licensee provides proof of liabilityPermit for the performance of electrical work may issue unless
insurance including`completed operation"coverage or its substantial equivalent The
undersigned certifies that such coveris in force,and has exhibited proof of same to the permit issuing office..
CHECK ONE: INSURANCE [fiOND ❑ OAR
❑ '(Specify:)
I certify,under the pains andpenalties
FIRM NAME: ofperlury,that the information on this application is true and complete.
Lcd–c_ 15t--
Licensee:
bLicensee: /�/( �t LIC.NO.:
(If ppf��7 LIC.NO.:
a licabl' 7����
exempt"in the license number line) ,
Address: > Bus.Tel.No.: 3 -L Z,
'lam-gra � � � ';�N .� '
*Per M.G.L ck requires Department of Public Safe S License: Alt Tel.No.: 7 '>,f'
OWNER'S INSURANCE WAIVER: I am aware that the tY Lic.No.
Licensee does
required b law. not have the liability q y By my signature below,I qty insurance covers e
hereby waive this requirement I am 8 .normaIIy
Owner/Agent a check on
( e own
❑ er ❑o 0 caner s stent.
Signature Telephone No.
PERMIT FEE:$�`
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