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Home My WebLink AboutMiscellaneous - 156 BERKELEY ROAD 4/30/2018 156 BERKELEY ROAD 210!047.0-0084-0000.0 i Date../— ........ pORTIy TOWN OF NORTH ANDOVER PERMIT FOR WIRING A NUS This certifies that .,..- .......................;1..................... ........ . .............................. has permission to perform ............ .. .......... wiringin the building .... ............................................................... at...xj.........' 4�...................................4..... .............. .North Andover,Mass. Fe ................. Lic.N ... A .. ............ ............ ... .. .. .. Check # 91tLl— ELECTRICAL INSPEP�� 64 .1 2 Commonwealth of Massachusetts Official Use(hih �\ Permit No. &,V/ Department of Fire Services - Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9.'05] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MF.C). '27 C. IR 12.00 (PL&ISE PRINT IN INK OR TYPE ALL INFORMATION) Date: 27 Dt� City or Town of: PazlMi—aQeeV"` To the hispeclt r of ices: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) /j 6 Ae9k Let __ Owner or Tenant ��u tis& C,2�ftu Telephone No. f� '7y�dLs' Owner's Address 7a0^-e— Is this permit in conjunction with a building permit? ( Yes [;�N No ❑ (Check Appropriate Box) Purpose of Building P.�( t/Sy— 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 f Location and Nature of Proposed Electrical Work: F1Pir I`jAr ,�, C /C,pax•�— Completion o the,jollowinq sable muiv he waived by the Inspector of IVtres. No.of Total �G P ) Transformers KVA No.of Recessed Luminaires No.of Ceil:Sus .(Paddle)Fans No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.of Emergency Lighting No.of Luminaires Swimming Pool rnd. 11rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. In Detection and InDetection Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: y No.or Devices or Equivalent No.of WaterK11, No.of No.of Data Wiring: �. Heaters Si ns. Ballasts No.of Devices or Equivalent f Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Iltarh additional delail il'ilesired. or cis required by the inspector i II'ires Estimated Value of Electrical Work: /180� (When required by municipal policy.) Work to Start:— 11,27J6,4 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 E] OTHER El (Specify:) WTU- PA64I3�' certify,under the aius and penalties of perjury,thin the information on this application is true and cotuplete. FIRM NAME: A l (+3 t�L c.fii21 -i LIC.NO.: 3�/�/11 Licensee: D4r,� NetftA I Signature l4"1 - - LIC. NO.: E3gY71 (11'applicable.enter "e-wmipl"in the license number fine.) Bus.Tel. No.: q2gj� ' Address: �l Si�e�L' �1 5"r LoW[' IrE Dasa- Alt.Tel. No.: 72-15S7700�- *Security System Contractor License required for this work. if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nut htaw 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 PER,IIIT l EE: ' Signature Telephone No. Date. Gr'` NORTq TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING « r SSAOMut, This certifies that �. !tel r. A : .!. . . . . . . . . . . . . . . . . . . . . . has permission to perform e. . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at. . ./. f .4. . /1 f( .(.K /. . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .�U Lic. No../.�.k . !. . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # 6682 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO MUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Location VL G' S1 Owners Name L�✓f m4- iZLG/V Pe DateV// # Amount �j i Type of Occupancy New Renovation Replacement Plans Submitted Yes ❑ No D FIXTURES If SiB111 M BA994M 1S1:FIOIR 3V1 FIDat �FIDQi 4]H EUXR SIH FI" 6IH FIDM 7M Fl" SIH HDIR (Print or type) �/ /`/ Check one: Certificate Installing Company Name GA s !t 6 �i/ ^(( �� / ' Corp. Address A 31"C LS %T // K--D Partner. alh4M AM Q307 G usmess Telephone 6 0 O off-3 1 Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0/ Other type of indemnity D 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Mass et�ate PI u bin Code and Chapter 142 of the General Laws. By: Signalure of Licenseu Type of Plumbin 'cense Title p S City/Town rc Master Er/ Journeyman ❑ APPROVED(ONCE USE ONLY .I Se 011k, Commonwealth of Massachusetts Micial ( Permit No. 7, Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9,'051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All\%ork to he performed in accordance\%ith the imassachusetts r:Ice trical Code(\i ti IR 12.( )0 (PLEASE PRINT 1,V LVK OR TYPE,ILL INFORAll TIO,,V) Date:— 7/08 City or Town of: 41 e-r, 6Q Dev-e V'L To the hist ea'(1r of Vires: 'By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location(Street& Number) Flu 9 pnvkjj Owner or Tcoant \D6,kj t,�A, toe I e�doni Co. "79'7y1 7API Owner's Address 5A0-e_ Is this permit in conjunction with a building permit?'O�-11 Yes No ❑ (Check Appropriate Box) Purpose of Building 94�d-e/,-,ISP- Utility Authorization No. Existing Service Amps Volts OverheadF] UudgrdE1 No.of Meters New Service Amps Volts Overhead❑ Undgrd E:1 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion(?I the 1611owing table may be waived by the hispedol,Of Wires. No.of Recessed Luminaires C) No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- Nornd. ❑ rnd. —.-01 Emergency Lighting ggBattery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump.1 Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices ji No.of Dishwashers Space/Area Heating KW Local 0 Municipal Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs I No.of Motors Total HP Telecommunications Wiring:I' No.of Devices or Equivalent OTHER: 11taLli additional detail i14esired. (it-as required by the hispector of Yin's. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:- /J;OL6,4 Inspections to be requested in accordance with,",IEC Rule 10,and upon completion. INSILRANCECOM RAGE: Unless waived by the owner,no.permit forthe performance of electrical work may iSSLle unless the licensee provides proof of liability inStiralICC including"completed operation"coverage or its Substantial equivalent. The undersigned certifies that Such Coveraue is in force,,and has exhibited proof of same to the PCI-1111t iSsUill"oll'ice. CIIECK ONE: INSU11ANCE & BOND El OFHER El (Specify) WU PgoqjC12 I certify,under the,tai,sural penalfiapplication qfperjury,Mal the infiwination net Iltis application it frue ayidemnlVele. \, FIRM NAME: t I -A LIC. NO.: 4:31401 Licensee: DAA Signature LIC. NO.: 163oll'171 (lfapplicahle.c1fle), In the license illimber line.) , I a-17 - Address: 'Sk*ed-'"l-_� 5 f Lo or-_I/ PJAA 12-5-D- Bus.TelNo.: I J17?-05'2�23 Ait. Tel. No.: System Contractor License required for this wok if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: laniaware that the Licensee dues not lave 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 went. Owner/Agent Signature Telephone No. 7PERMIT rEE. S ._. � r� � � � - 3 � _a � �� d�� .� - � � °�# _ � , �� v t 1 �_i Location IS &eft,,o &" No. CP Date „OR,h TOWN OF NORTH ANDOVER 0:,,.G° 0 A Certificate of Occupancy $ ��s'•^° t<�' Building/Frame Permit Fee $ �cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ C Check # �A S 18688 `-f Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP REN 7 OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,.. - I _..+:s .a .4°� BUII,DING PERMIT NUMBER /y DATE ISSUED: a . SIGNATURE; Building Cominissionerhnspemr of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Pared Number: 097,0cco Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide Required Provided red Provided 1.7 Water Supply 1vLG.L..C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No rn 2.1 Owner of Record (0 •� ems, Q Name(Print) Address for Service 7 'Signature' Telephone 2.2 Owner of Record: • OName Print Address for Service: Z rn Si cure Tele one SECTION 3-CONSTRUCTION SERVICES g 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: O License Number Address Expiration Date Signature Telephone r s 3.2 Registered Home improvement Contractor Not Applicable 0 Company Name Registration Number M Address Expiration Date ^z Signature Telhone 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.......0 No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: i E� �aSPt'OC' (k . �� 5 �OV t 6 n �}any SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by permit applicant 4 I. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC cry- 5 Fire Protection 1` 6 Total 1+2+3+4+5 o Q 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 to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION r• 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 �e Siafore a en 'V Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 , SPAN DRvIENSIONS OF SILLS } DIMENSIONS OF POSTS t DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH114NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE of NORTH 1 TOWN OF NORTH ANDOVER OFFICE OF p BUILDING DEPARTMENT 400 Osgood Street North Andover Massachusetts 01845 SSACHUStt D.Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: / -7- lQumber Street Address Map/Lot HOMEOWNER / iPl'�7 -Name ' ' Home Phone Work Phone PRESENT MAILING ADDRESS �J�r/ �� ✓ �(y CIty Town ' Stater Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements d that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE -��r— APPROVAL OF BUILDING OFFICIAL BOARD OF APPEAL S 698-9541 CONSERVATION 688-9530 HEALTH 689-9540 PLANNING 688-9535 N 1 c� co �a NORTH Town of Andover aft 3D �A o dover, Mass., O 1' eo _ I� COCHICHEWICK 7�SDRATE D P`pG,��C� 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ................................ ........... ........................ .... Foundation has permission to erect.... � Vis. ......... buildings on ...! 04..... r.�� lkY...... Rough t0 be occupied aSRVA d.. ....,.N..... ��r�. .................................... 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. cr'/A 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 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. Date f :.!! NO - M2 41 TOWN OF NORTH ANDOVER ot, .° ,.. o PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings . ... . . . . . . . . . . . . . . . . . . . . . . at .v. . . . . . , Nortli Andover, Mass. al Fee . .'.•. .Lic. No,. . . .9� . . . . . . . . . . . . . . . . . . PLUMBING I TDR 08/26/99 12:24 15.40 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP I PARCEL MASSACH SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING NORTI-I-ANDOVER,MASSACHUSETTS-- ` Date Building Location `�P� !�� Owners Name' J r` ^/ Amount /� Type of.Occupancy �l�Qjl �i9G1?. //�J _ New Renovation Replacement ® Plans.Submitted Yes El No FIXTURES z x > w .a rA -'- UIr Cr z z 04 qFG d d feral Cr 04 4 - P" _� _- — fx W .. A rn- a AA ISE 1110Q ' L��dppVA•1y�'1�1((.CIZ J1Y11'la M M IL001Z SMROM .. _ 71H 1'lxJ R .. (Print or type) ^ Check one: Certificate Installing Company Name Corp, . Address Partner:, .= Business T ephone. 11-Firm/Co.", �-- Name of Licensed Plumber: Insurance Cove we: Indicate the type,of insurance coverage by checking the appiWate boxy Liability insurance policy ® Other type of mdmemnity Bond ® "i 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 7gnature Owner . ElAgent I hereby certify that all of the,details..and information I have.submitted(or,entered).in above.applicationare.true an&accurate to tbe, best of my knowledge and that.all.p)umbiri work.and ins atiorys.performed,unde�Perrnit Issued,for this apphcation.will,l;e in compliance with all pertinent provisions of the Massac se 5tate.Plumb a CW5,7 er 142 of the GeneratLaws. By: EO a ureI Licensedum er e of Plumbing License Title C[�P{3 ¢}� iCE USE ONLY cense 1_um cr Master Date . .?.�G.��.. ..... 3 Of 40RTF, 4 0� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION s � s �9SSACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . t. `-. . . . . . . . . . . . . . . . . . . . . . . . . at1S`, tstt �- ( er 1T . . . �. . . . . . . . . . . . North Andover, Mass. Fee. . �?. . . . Lic. No.�f.'.? ?. . . . . . . . -1.�?'2 } :' ... . . . . . GAS INSPECTOR Check# 1 4728 MASSACHUSD�TTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING �I (Print or Type) �a. jk - 6 . Mass. Date ' aZ l-.ZCp � Permit# Z. Building Locatlon r .i%. Owner's Nam ✓ 6re -o �i" -Ale, AAAevi�4 � Type of Occupanry_ f New p Renovation p Replacement (9' Plans Submitted: Yesp No p L ff y y Z W N Y W. of X C 0 ¢ F- ¢ 0 W W ¢ O V = O V FW- < � Z Z O E. ¢ < Q O OK O W. ¢ m W < W W y d C O F• N d = 2 O W W 2 _ ¢ W H 1- 2 G7 2 J H 2 �. W O ?AA Z O 2 W O S ¢ Z < W < _... < W ¢ W O Z, < ¢ < < O O W O' y H SUB—BSMT. BASEMENT - 7 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOORLi Installing Company Name'jrjA g T A . `elm AlA TA�U Check one: Certificate Address ❑ Corporation M E T N U E O ►11 r1 • 0(k q L p Partnership Business Telephone 691-95-7 f 9-firm/Co. Name of Licensed Plumber or Gas Fitter__-f of EPT A• 5Amm ATAPo INSURANCE COVERAGE: I have a current obility Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142., Yes Ind' No ❑ 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: i Signature of Owner or Owner's Agent Owner❑ Agent p 1 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 the pe ' ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne Laws. By T of License: G� Plumber n ure of cen u _ or Fitter Title tter er Uoense Number APPR VE O ON Journeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO, - APPLICATION FOR PERMIT TO DO GASFITTING j NAME S TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR OASFITTER LIG NO., PERMIT GRANTED DATE-19 GASINSPECTOR