HomeMy WebLinkAboutMiscellaneous - 16 WENTWORTH AVENUE 4/30/2018N
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .. C, Y-\ .'M. S �. `' `? ...'.. ............ .
has permission for gas installation . !3 * .6! .................
in the buildings of ... !P` V� ! �?. h i I. IC.'
at ..�" t c' "�" .'��-- ...... , North Ander Mass.
Fee S -w .. Lic. No. 3.33 ...
GAS INSPECTOR
Check # I t Q (12-
I have a current liability insurance policy or its
ff you have checked Yes, please indicate the ty
A liability insurance policy 91", '
OWNER'S INSURANCE WAIVER: I am aware th
Massachusetts General Laws, and that my sigt
Signature of Owner or Owner s Agent
By checking this box ❑; I hereby certify that all of t
accurate to the best of my Knowledge and that all p
compliance with all Pertinent provision of the Mass
By
Title _
Cityrrown
Tvpe of
bstantial equivalent which meets the requirements of MGL. Ch. 142 Yes 91No ❑
of coverage by checking the appropriate box below.
Ther type of indemnity ❑ Bond ❑
it the licensee does not have the insurance coverage required by Chapter 142 of the
a ure on this permit application waives this requirement
Check One Only
Owner ❑ Agent ❑
details and information 1 have submitted (or entered) regarding this application are true and
Wbing work and installations performed under the permit issued for this application will be in
Iusetts State Plua+king Code and Chapter 142 the General Laws.
GG Fitter a re of Licensed �Iumber/Gas Fitter
aster,
loumeyman License Number:
LP Ins&ller
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town:A���Date v� i
Building Location: (�(J ers Name:
f
Type of Occupancy: Comme cial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential (�
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No ❑
I have a current liability insurance policy or its
ff you have checked Yes, please indicate the ty
A liability insurance policy 91", '
OWNER'S INSURANCE WAIVER: I am aware th
Massachusetts General Laws, and that my sigt
Signature of Owner or Owner s Agent
By checking this box ❑; I hereby certify that all of t
accurate to the best of my Knowledge and that all p
compliance with all Pertinent provision of the Mass
By
Title _
Cityrrown
Tvpe of
bstantial equivalent which meets the requirements of MGL. Ch. 142 Yes 91No ❑
of coverage by checking the appropriate box below.
Ther type of indemnity ❑ Bond ❑
it the licensee does not have the insurance coverage required by Chapter 142 of the
a ure on this permit application waives this requirement
Check One Only
Owner ❑ Agent ❑
details and information 1 have submitted (or entered) regarding this application are true and
Wbing work and installations performed under the permit issued for this application will be in
Iusetts State Plua+king Code and Chapter 142 the General Laws.
GG Fitter a re of Licensed �Iumber/Gas Fitter
aster,
loumeyman License Number:
LP Ins&ller
f
-3
•
I
MIN
I have a current liability insurance policy or its
ff you have checked Yes, please indicate the ty
A liability insurance policy 91", '
OWNER'S INSURANCE WAIVER: I am aware th
Massachusetts General Laws, and that my sigt
Signature of Owner or Owner s Agent
By checking this box ❑; I hereby certify that all of t
accurate to the best of my Knowledge and that all p
compliance with all Pertinent provision of the Mass
By
Title _
Cityrrown
Tvpe of
bstantial equivalent which meets the requirements of MGL. Ch. 142 Yes 91No ❑
of coverage by checking the appropriate box below.
Ther type of indemnity ❑ Bond ❑
it the licensee does not have the insurance coverage required by Chapter 142 of the
a ure on this permit application waives this requirement
Check One Only
Owner ❑ Agent ❑
details and information 1 have submitted (or entered) regarding this application are true and
Wbing work and installations performed under the permit issued for this application will be in
Iusetts State Plua+king Code and Chapter 142 the General Laws.
GG Fitter a re of Licensed �Iumber/Gas Fitter
aster,
loumeyman License Number:
LP Ins&ller
The Commonwealth of Massachusetts-
`� Deportment of RibticSoJCfy s•••r` a'' '`
13DARD OF FIRE VJJMN110H REGULAn63S S27 CMR 7240
. �/so ca... at...)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to ba perbnned M accordance with she mauachu.ens Ejrctrkal Code. S77 CHR 12.00
(PLEASE PRINT I21 nm OR =E INFOMIMON) Date �`�
City Or Town ofdYL�. Io the Inspector of Wires:
The une•rsigned applies for a permit to perform the electrical/vork described below. _
Location (Ctrect 6 ?cumber)_ LCL K T�� r 74 1�.
*neer or Tenant T/ iy „ , _ _ _/ T
Q+ner•s Address
Is this permit in conjunction with a building permit: Yes No ❑
(Check Appropriate Sox)
.. A:rposc of Building. Utility Authorization 1t0.
Existing Scr.ice Z dd Amps / Volts Overhead
tcndgrd ❑`' Ito. of :tt .ts__
" Set�ice Imps / Volts Overhead
❑ Undgrd ❑ No. of Meters "
Number of Feeders and Ampaeity
Location and !Nature of Aroposed Electrical Work
414,— .✓
No, of Lighting Outlets
Ho. of Hot Tubs
ao. of Lighting Fixtures
Switz Ing Fool Above
❑ In-
❑
No. of Receptacle Outlets
ICI
Ernd-
No. of Oil Eurners
grnd.
No. of Switch Outlets
No. of Cas Burners
No. of Fanges
No. of Air Cond.
Intal -
tons
INC . of DisposalsNo.
of est =meal
Iain
a
�
x:40. of Dishwashers
Space/Area lkating
AN
No. of Dryers
Heating Devices
XW
No. of Water Neattrz
leu
No, of o, o
Sirns Ballasts
No. Hydro Massage 'Tubs
No. of Motors Total HP
OAR:
No. of Transformers . Tota
EVA
Generators XVII
No. of i'aergeney Lighting
Battery tint r.
FIRE ALAPYS No. of Zones
No, of Detection and
Initiating Devices
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Local ❑ ?tsnteipal ❑Other
Connection
Low Voltage
INSUFAN CE CO%-LRAGE: Pursue to the requirements of lrassachusetts Gtneral Lava
I have a current Liabi assurance Policy including Cot lend
equivalent. YES P Operations Coverage or its sub antial
0 I Have submitted valid proof of acme to this office. YES
Ii you have checked YE$, please indicate the type of coverage by checking enc appropriate ppropriate box.
BOND ❑ O—nm ❑ (please Specify) cam.
Estimated Value of Electrical :cork S itUpirstlon atte
Work to Star t_t"".7(.' ���' Inspcctlon Date Requested: Rou �+-
gas_ Z /6'',+-Z_Z4F3nsl
Signed under the penalties of perjury:
FIRM NAME �e
LIC.. N0. ��+
Licensee Signatur
/.ddresa LIC. N0.
'didvz us. Tel. No.
INSURANCE WAIVER: I as aware that the Licen ee does t+ot gave tht. Teel. urance o� is sub -
application
stantial equivalent as required by ?iaafaehufetts General va and that Qy signature on this pem
application valves this requirement. Owner Agent (Please check one)
Telephone No. P r
Signature of Owner or Agent LRMIZ iIE S v" .
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Date. ............. ,f�.......
1262
!P' NORTH
TbWN OF NORTH ANDOVER
!:
PERMIT FOR WIRING
,$SACHUSE�
This certifies that ......................................
has permission to perform�� -- r,A:.- � t .e Cf
.. .. .... ..
wiring in the building of.... .. ........�... _ ................. ..:....,....:...
at .Z.cle z r -c .................. . North Andover; Mass.
Fee .:4 ...........
ELECTRICALINSPECTOR
WHITE: Applicant 10/3VRP A`R1 Ailding Dept. e 00 P19FRreasurer
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FORM U - LOT REIZA.SE FORM
INSTRUCTIONS: This form is used to verify
approvals ONS:
from Boards and Departments is h all necessary
have been obtained. This does not relievethe
havin
landowner from compliance with an a 9 jurisdiction
regulations or re Y pplicable local and/or
requirements state law,
****************Applicant fills out this section*******
APPLICANT: L'' **********
Phone -3S
LOCATION: Assessor's Map Number -"-
Parcel
Subdivision
Lot (s)
Street ��.L�,02i �n.Q
• St. Number
************************Official Use Onl ****
REEC
DATIONS OF TOWN AGENTS:
Copse ation Administrator
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
driveway permit
Fire Department
Received by Building Inspector
a
J ******************** V
Date Approved 9
Date Rejected
iA n A i
Date Approved,'"
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
i" "IM
."ll ai�
%
JOB NAME f NO.:
jJ11
ii
!JOB . WCATION.
ftl are 66
v'rnatamils
gfiall, at ms
wafted
and
g) The applicant must submit to the Town Planner a FORM M for all utilities and
easements placed on the subdivision. The Board will sign the document and it must be
recorded at the Essex North Registry of Deeds.
h) All application fees must be paid in full and verified by the Town Planner.
i) The applicant must meet with the Town Planner in order to ensure that the plans
conform with the Board's decision. A full set of final plans reflecting the changes
outlined above, must be submitted to the Town Planner for review endorsement by the
Planning Board, within ninety (90) days of filing the decision with the Town Clerk.
j) The Subdivision and PRD Decision for this project must appear on the mylars.
k) All documents shall be prepared at the expense of the applicant, as required by the
Planning Board Rules and Regulations Governing the Subdivision of Land. .
2. Prior to any work on site:
a) Three (3) complete copies of the endorsed and recorded plans and two (2) certified
copies of the recorded subdivision approval, Covenant (FORM I), Right of Way
easements, and FORM M must be submitted to the Town Planner as proof of filing.
b) All erosion control measures must be in place and reviewed by the Town Planner.
11— 3.' Prior to any lots being released from the statutory t;ovenants:
a) The applicant must comply with the Phased Development Bylaw, Section 4(2) of the
Town of North Andover Zoning Bylaw. ,This project is exempt from Section 8.7
Growth Management as the preliminary plan was filed prior to May 6, 1996 and the
definitive plan was submitted within seven months. However the exemption will only
nm for eight years from the date of the endorsement of the plans as set forth under
Mass. Gen. Law.
b) A complete set of signed plans, a copy of the Planning Board decision, and a copy of
the Conservation Commission Order of Conditions must be on file at the Division of
Public Works prior to issuance of permits for connections to utilities. The subdivision
construction and installation shall in all respects conform to the rules and regulations
and specifications of the Division of Public Works.
C) All site erosion control measures required to protect off site properties from the effects
of work on the lot proposed to be released must be in place. The Town Planning Staff
shall determine whether the applicant has satisfied the requirements of this provision
prior to each lot release and shall report to the Planning Board prior to a vote to release
said lot.
d) The applicant must submit a lot release FORM J to the Planning Board for signature.
F
Brookview Estates Definitive Subdivision
Conditional Approval
The Planning Board herein APPROVES the .Definitive Subdivision Approval for a fifteen (15) lot
subdivision known as Brookview Estates. This application was submitted by David Kindred,
Brookview Country Homes, Inc., PO Box 531, North Andover, MA 01845 on September 2, 1996.
The area affected contains approximately 43.31 acres of land in a Residential - 1 Zone off of Boxford
Street.
The Planning Board makes the following findings as required by the Rules and Regulations Governing
the Subdivision of Land:
A. The Definitive Plan, dated September 6, 1996, rev. 3/6/97, 3/17/97, 3/18/97, 4/2/97 includes all
of the information indicated in Section 3 of the Rules and Regulations concerning the procedure for the
submission of plans.
B. The Definitive Plan adheres to all of the design standards as indicated in Section 7 of the Rules
and Regulations.
C. The Definitive Plan is in conformance with the purpose and intent of the Subdivision Control
Law.
D. The Definitive Plan complies with all of the review comments submitted by various town
departments in order to comply with state law, town by-laws and insure the public health, safety, and
welfare of the town.
Finally, the Planning Board finds that the Definitive Subdivision complies with Town Bylaw
requirements so long as the following conditions are complied with:
1. Prior to endorsement of the plans by the Planning Board the applicant shall adhere to the
following:
a) The catch basin design must be revised to show four foot sumps and hoods.
b) The stone walls at the entrance must be eliminated from the plan as they are located in
the right-of-way.
c) The final roadway design and drainage must be submitted to the outside consultant and
to D.P.W. for final review and approval.
d) A detailed construction schedule must be submitted as part of the plans.
e) A covenant (FORM n securing all lots within the subdivision for the construction of
ways and municipal services must be submitted to the Planning Board. Said lots may be
released from the covenant upon posting of security as requested in Condition 3(e).
f) Executed right of way dedication easements for the proposed roadway shall be
provided to the Planning Office at the applicant's expense.
1
,
Notice to APPLICANT/TOWN CLERK and Certification of Action of Planning Board
on Definitive Subdivision Plan entitled: Brookview Estates
By: Marchionda & -Associates. , L.P . dated September -6, i9 96
The North Andover Planning Board has voted to APPROVE said plan, subject to the
following conditions:
1. That the record owners of the subject land forthwith execute and record
a "covenant running with the land", or otherwise provide security for the con–
struction of ways and the installation of municipal services within said sub-
division, all as provided by G.L. c. 41, S. 81-U.
2. That all such construction and installations shall in all respects
conform to the governing rules and regulations of this Board.
3. That, as required by the North Andover Board of Health in its report to
this Board, no building or other structure shall be built or placed upon Lots
No. as shown on said Plan without the prior
consent of said Board of Health.
4. Other conditions.
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In the event that no appeal shall have been taken from said approval within
twenty days from this date, the North Andover Planning Board will forthwith
thereafter endorse its formal approval. upon said plan.
The North Andover Planning Board has DISAPPROVED said plan, for the following
reasons:
-��—
NORTH ANDOVER PLAN= BOARD
Date: —April 16, 1997 By: Joseph V. Mahoney
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er Connection Fee $
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Building Inspector'
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+nil
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er Connection Fee $
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INSTRUUX ONS: This form is used to .verify that all necessary
approvals/permits from Boards and Deparf=emts having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************APPLICANT: 16-;66A/� JPhone /� F 7
LOCATION: Assessor's Map Number Parcel
Subdivision Lot (s)
Street 42 "C ,P 2 St. Number 10
************************Official Use Only************************
RECO10=ATIONS OF TOWN AGENTS:
Date Approved j t lq5
Conservation Administrator Date Rejected
• Comments
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Comments
Public Works - sewer/water connections
- drivewav per--.i-;--
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Date Approved
Data Rejected
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LINER'S NAME
IILDER'S NAME:—
SON'S
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.GNATURE OF MASON:�`"-�---z
:RMIT GRANTED: �— c/�� FLE�:
'BERT NICETTA
ILDING INSPECTOR
SPECTEO: —
:MARKS: -
SOLID BLOCK HEQUIItEU
THIS PERMIT MC1SF GC: UISPLAVLU 014 111E VU1,11SCS:
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
52 (1993) ,Date JUNE 9 1994
Building
Permit Number �
THIS CERTIFIES THAT
ORTH AVE
THE BUILDING LOCATED ON 16 WENIW IN ACCORDANCE
MAY BE OCCUPIED AS single famil home
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO
Thomas Enri ht
wONTM
pd .o �.; 'S'p16 Wentworth Ave
ADDRESS rt o
O/: P
\ �a °� Building Inspector
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type) j
NORTH ANDOVER Mass. Date 3 /
iuilding Location �""i`!C WOIY%1� Permit 7Z
Owners Name
• - _ New F Renovation Q Replacement Q Plans Submitted j]
r 11,2cc
(Print or Type)
Check one: Certificate
Installing Company Name ��i�(f,�7?7/�ZG
Corp.
Address Ch" w2c)a
Q
Partner.
/
Firm/Co-
Business Telephone:
Name of Licensed Plumber or Gas Fitter 6;
Insurance Coverage: Indicate
the type of insurance coverage
by checking the
appropriate box:
Liability insurance policy ®
Other type of indemnity
Q Bond Q
Insurance Waiver: 1, the undersigned, have been made
aware
that the licensee of
this application does not have
any one of the above three insurance
coverages.
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(Print or Type)
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Installing Company Name ��i�(f,�7?7/�ZG
Corp.
Address Ch" w2c)a
Q
Partner.
/
Firm/Co-
Business Telephone:
Name of Licensed Plumber or Gas Fitter 6;
Insurance Coverage: Indicate
the type of insurance coverage
by checking the
appropriate box:
Liability insurance policy ®
Other type of indemnity
Q Bond Q
Insurance Waiver: 1, the undersigned, have been made
aware
that the licensee of
this application does not have
any one of the above three insurance
coverages.
Signature of owner/agent of property Owner Q Agent Q
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 sll plumbing Work and Installations performed under Permit isseed for this application wdl_be In complianea with all peztincnt
provisions of tho Massachusetts State Gas Cade ind Chapter 142 of the General Laws.
By
Title
City/Town:
APPROVED OFFICE USE ONLY)
TYPE LICENSE:
Plumber
Gasfitter Signature of Licensed
Master Plumber or Gasfitter
Journeyman P
109 License Number
..r-,-��-.n..-.-:tet
Date. 3. . �3 .` `/.... .
N2 1474
NpR7M TOWN OF NORTH ANDOVER.
fig PERMIT FOR GAS INSTALLATION
t •
s a
SSACMUSEtty
This certifies that ...// t!.e .rr�..... P ? Y .: .
has permission for gas installation .11! . tv ..%!=r ::. .........
in the buildings of ti-, .! y. 7` ..................... ......
at ........... , North Andover, Mass.
3G>, T O, z }�
Fee. L63h .51 30: ' Vaq..................
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer - GOLD: File
Date. !."J/�•
pf "ORT#q
TOWN OF NORTH ANDOVER
o PERMIT FOR GAS INSTALLATION
'
This certifies that
has permission for gas installation -
in the buildings of
h ...........
Z.
at E
AFe Lic. No.,, . .
,Peck #
Y
4579
North Andover, Mass.
.........................
GAS INSPECTOR
t
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11
MASS APPROVAL # -
MASSACHUSETTS UNIFORM APPLICATION FOR PERMT GASFITTING
IT
_ (Print or Type) Z
J0, �1Y L��-�Jl�`'��-� . Mass. e ��� - rmit
Building Location A • Owne.'s Name )Iki
Type of Occupancy -
New ❑ Renovation p� Replacement ❑ Plans Submitted: Yesp No Q--�'
Installing Company Name YANKEE GAS. Check one: Certificate
Address 140 SOUTH MAIN STREET iK Corporation 103C
MIDDLETON, MA 01949 [. Partnership
Business Telephone 9 7 8- 7 7 4- 2 7 6 0 [ Finn/Co.
Name of Licensed Plumber or. Gas Fitter WILLIAM R HARRIS
INSURANCE COVERAGE:
1 have a current liability Insurance policy or its substantial equivalent which me -.s the requirements of MGL Ch. 142.
Yes M No O
If you have checked Yes. please Indicate the type coverage by checking the apvopriate box
A liability Insurance policy 0 1Other type of indemnity p Bond p
OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct 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:
Ownerj- Agent 0
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above ao�7aptio
true an accura t my
knowledge and that all plumbing work and installations performed under the perm for twi mp II
pertinent provisions of the Massachusetts StateGas Code and Chapter 142 of the al taw
gy T of License:
Plumber gnature m r or mer
Title Gasfitter
Idaster License Number 3785
ph,/Tpym Joumeyman
APPF;0IIED ( NL
NONE
on
Installing Company Name YANKEE GAS. Check one: Certificate
Address 140 SOUTH MAIN STREET iK Corporation 103C
MIDDLETON, MA 01949 [. Partnership
Business Telephone 9 7 8- 7 7 4- 2 7 6 0 [ Finn/Co.
Name of Licensed Plumber or. Gas Fitter WILLIAM R HARRIS
INSURANCE COVERAGE:
1 have a current liability Insurance policy or its substantial equivalent which me -.s the requirements of MGL Ch. 142.
Yes M No O
If you have checked Yes. please Indicate the type coverage by checking the apvopriate box
A liability Insurance policy 0 1Other type of indemnity p Bond p
OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct 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:
Ownerj- Agent 0
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above ao�7aptio
true an accura t my
knowledge and that all plumbing work and installations performed under the perm for twi mp II
pertinent provisions of the Massachusetts StateGas Code and Chapter 142 of the al taw
gy T of License:
Plumber gnature m r or mer
Title Gasfitter
Idaster License Number 3785
ph,/Tpym Joumeyman
APPF;0IIED ( NL