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HomeMy WebLinkAboutMiscellaneous - 161 COTUIT STREET 4/30/2018 161 COTUIT STREET 2101023._ 0-0013-0000.0 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time ofongoing construction activity,and may be-deemed.by.the Inspector-of Wires abandoned-and-invalid_if he—__. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ule 8—Permit/Date Closed: �i% l ell Note:Reapply for new permit..t_ ermitExtension Act—Permit/Date Closed: Date.....I..`.. - .d. . Ot<•Ca oT,1M� o? .•.� o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��Ss�lCMUSE� This certifies that � ......'C �-- has permission to perform ........ ...................... wiringin the building of................1.......:....... ............................................. 10 ec nu. .t .......S >—' ,North Andover,Mass. at......... ............... ................... Fee.................... Lic.No. ............. ............. ......�l... ........... ... . � ELECTRICAL INSPECTO l Check #I ��_/D 1 8328 jPermit#_ Deparhnent of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Effective: 1/98 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527 CMR 12:00 PLEASE PRINT IN INK OR TYPE ALL INFORMATION) /U o k7—/ (4AJ t)o(1r_(< DATE 8 ` �)—'j-6 O ro the Inspector of Wires,TOWN of gMMWW.The undersigned applies for a permit to perform the electrical work described below. ovation(Street&Number) 1 6 1 C d Tu l / Z r ]caner or Tenant Totfbi it IV Owner's Address(if different) Is this permit in conjunction with a building permit (Check Appropriate Box) Yes No: // Purpose of Building 1�� Utility Authorization no. .J a 7 6 a-7 b Existing Service- Amps Volts Overhead E] Underground 0 #of Meters NEW SERVICE- aC& _AMPS t CAC,/a VOLTS OVERHEAD 9/ UNDERGROUND[] #OF METERS_ Number of Feeders and Ampacity n Location&Nature of Proposed Electrical Work (Z ►e Jiq DE .5d—OO LE- T U a-co &LP-S #Lighting'Outlets #Hot Tubs #Transfomrers Total KVA #Lighting,.Fixtures Swimming Pool ABOVE/IN -ground #Generators KVA #Receptable Ooh; #Oil Burners #Emergency Lighting Battery Units #Switch Outlets #Gas Burners FIRE ALARMS: #Zones #Ranges #Air Conditioners Total Tons #Detection&Inflating Devices #Sounding Devices #Disposals #Heat Pumps Total KW #Self-Cont'd Detection/Sound Devices #Dishwashers Space/Area Heating KW Local❑ Muni.Connection 1--j Other #Dryers Heating Devices KW Connection Location #Water Heaters KW #Signs #Ballasts Low Voltage Wiring #Hydro Ma=nage Tubs #Motors Total HP OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws, I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NOR I have submitted valid proof of same to this office. YES [a NO Li If you checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE [J' SONDE] OTHER Q (Please Specify) (Expiration-M07 Estimated Value of Electrical Work $ Work to Start Inspection Date Requested- Rough: Final: Signed under the penalties of perjury: FIRM NAME F L.f-c-T Lic.# Licensee � _ � �, U7Signature r Gam, GLzL Lic.# Address AJr �t7�L-Al I f-6 baa I f - f7 1 f�i Bus.Tel.# 7s- S/'� ff'1 Alt.Tel.# OWNER'S INSURANCE WAIVER: i am aware that the licensee 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) Tel.# cash ck# I Permitee �� G G Y 1 Y(x L) ` t Date ......................... NORTH °tt"`° '•�"° TOWN OF NORTH ANDOVER 3? �.,� ...,,_• of p PERMIT FOR WIRING 1i�SS^CHUS�� Thiscertifies that...r................... .........................:........ ............................ has permission to perform .. ....� .:'.................................. wiring in the building of.............. ....L. :.:.. .......................................... at...... ...I.........................................�-�..............,North Andover,Mass. . Fee...:as f...... Lic.No. ......'`�......... ,. ..... Etecriucnt I19kI( j Check # � V �L\, Commonwealth of Massachusetts Official Use Only Department of Fire Services [Permit N°.ccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05]9leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMAT7019 Date: �- — i i —U E City or Town of: A)dR T ff �Qry o U,�JZ To the Inspector of Wires.- By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number)_ e'© -t u / T_ Owner or Tenant .,T'a y(-,/ Cc Telephone No.9 )Qo'� 'l^ Owner's Address rri. O 2.. 9P 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 ❑ Und rd g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived bliv the Inspector of Wires. No. of Recessed Luminaires No,of Cell.-Susp.(Paddle)Fans o. of ota Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ove ❑ n- ❑ o. o me!,- Lighting rnd. rnd. Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o election an Initiatin Devices ' No. of Ranges No.of Air Cond. Tans No. of Alerting Devices No. of Waste Disposers HeatPum p umber ons o.o e - ontaine M Totals: Detection/Aulertuing Devices No. of Dishwashers Space/Area Heating KW Local❑ unicipa Connection ❑ Other No. of Dryers Heating Appliances KW ecurtty ystems: o. o aterNo.of Devices or Equivalent Heaters KW o oSi f Ballasts Data Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Tel ecommunicatioas tring; OTHER: No.of Devices or Equivalent Attach additional detail lfdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: p+r� -� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 once. CHECK ONE: INSURANCE D--flTND [3—OVER. ❑ (Specify:) I certify, under the pains and penalties of perjury, hat the information on this application is true and complete. A FIRM NAME: fo f j n/ Gj (1 -G Xe L L LIC. NO,: Licensee: Signature (7f applicable, enter "exempt"in the license number line.) LIC.NO.: Address: t 1 ,AT— Gtivies u12 Bus. Tel, No,: 9 7� - �/7J'-41j j1 Alt. Tel.*Security System Contractor License required for this work; if applicable,ent r the license number here;No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive thisrequirement. I am the (check one) ❑ owner ❑ owner's a requigent. 01.N ner/Aged Signature Telephone No, PERMIT FEE: S,=;b i Location No. / Date �� 2 r HQRTN TOWN OF NORTH ANDOVER 3?o�,f`,O • 0 + ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ C r s+cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a cc) __- Check # / ( o z- 1 5 9 �1, 2 �-`�- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: r SIGNATURE: AA 4 01 itt r Building Commissionedi for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: (� �� 7-0 — S/_ c;2j 43 N. AN��©� / L 4 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Diaiicd Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided Required Provided v 1.7 Water SupplyM.GL:t!`4b. 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record (!'� /- lam. /I IiAJ r cJ O G 7- S . /) E'b 0661, z Name(Print Address for Service Signature Telephone Z Z©� 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Su r: Not Applicable ❑ /�" N))12 07,-., /C (,V ff R �J / jf Licensed Construction Supervisor: (� 71 -r ( O O (_ �71 License Number mn Addr;4",�, > Emir tion Date Z dd Signatuire Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name 3 rn Registration Number r Adres APZ4J 3 d � ZdExpirationae r Si nature Telephone Y� 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.......Y No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ) tire Building JK Repair(s) ❑ Alterations(as) t ,t Addition ❑ Accessory Bldg. ❑ Demolition " ❑ Otho ❑ Skecify a Brief Description of Proposed Work: Y, Y / 5 /d & T1 L/' cr' a r SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL 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(e)X(b) O 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 6 -7 3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, C- 1'z iL7 `'"4 as Owner/A•nl��of subject property Hereby authorize �� G4_.� lea to act on My be n all n r work authorized by this building permit application. ©`n Z Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DDECLARATION 1, /� /)/px---, (� A—) as-Owfier4Authorized 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 /9tia��, Print N e D/O Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI1vIBERS 1 2ND 31w f SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS 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 Andrew R. Colliton 978-258-2003 ` Geheral Contracting Licensed and Insured Contract for work at : 161 Cotuit St. Clement Woghiren N.Andover,Ma. 978-689-8185 1- Vinyl Siding- Contractors Grade- Off White- Vinyl side exterior of existing house, wrap all trim boards with white aluminum ( facsia,rake and w'ndow trim) Cot.o� � to 4'4 � 5� C.0 "� m f= t- TR of 6 40 (,*q 5 A * - 2- Install 4- Velux sky lights ( apx 30" X 36" )1- kitchen,1- office, 2- living room 3-Remove all trash generated by work 4- Obtain permit for exterior work Total cost of work: $11,673.00 to be paid in the following manner Upon signing of contract $5,035.00 Upon completion of vinyl siding $3,418.00 Upon completion of sky lights $2,220.00 All work to conform to 6th edition of Massachusetts Code Book. All work to be completed in a craftsman's like manner. Work to start apx. Sept.12,2002.All work to be completed in 3 weeks. Delays due to in climate weather,(rain,snow) could delay completion date. Customer has 72 hours to cancel all or any part of this contract in writting.Any and all changes will be in writing, and signed by customer and contractor before any such work is done. Cus mer Date Contractor D Q�_X z a The Commonwealth of Massachusetts = _ Department of Industrial Accidents I d Office of Investigations W F Boston, Mass. 02119 Workers'Compensation Insurance Afdavit Name Please Print Name: /� /�I/� rhe �. /Y L .J Location: City �Lt�-G-� �cn✓ /��� Phone # Cz- 0 I am a homeowner performing all work myself. I 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: - 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_yell_as_clvil.penaltiesin.fhe.focm dA STOP WORK ORDER d.a fine af�.$1.00.00)-aAdW againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name /4 /V Pe cz� Ile /-zq /J Phone �� S� �Z0 O Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑CheckYimmediate response is required El Licensing Board E] Selectman's Office Contact person: Phone# Ej Health Department El Other BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR _ Number: CS 071410 Birthdate: 07118/1949 =.i Expires: 07/18/2003 Tr.no: 5126 Restricted: 00 ANDREW R COLLITON 33 LANDING DR (•� METHUEN, NIA 01 844 Administrator ro ++ Board of Building Kegulations and Standards / HOME IMPROVEMENT CONTRACTOR Registration: 135153 Expiration: 316/04 Type: DBA A.R.COLLITONS GENERAL CONT NOWV COLLITON 33 LANDING DR. METHUEN,MA 01844 "� 161 Cotuit St. Rafter Cross Supports N. Andover,Ma. Existing Rafters Sistered Rafters Framing For Sky Lightes rSkyLight Sky Light Note: Joice Hangers @ All Intersections Sky Light Shaft Existing Joice s Joice Cross Supports Sistered Joice �d►ORTIy own of f Andover Q No. 3 9'•30 -off► * o�A CH;� OCW�� ,� d over , Mass., �d DaATED S G - 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System dt Am) BUILDING INSPECTOR THIS CERTIFIES THAT... .! '. ,,,,,,.., .................................... .. Foundation has permission to erect............ ....................44' .$ buildings on .. .4.1......cot..�`.................. .. .................. Rough to be occupied as.......%5.l K�I...Z� ... .. 'in'...P .......7��,t► , f ..........................................IL Chimney provided that the person accepting thisyermit shall eve res ect conform to the terms thea 1ication on fiI i ry P PP e n Final this office, and to the provisions of the Codes and By-W;; g to the Insp tion, Alteration and Construction of Buildings in the Town of North Andover. �...� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit, Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det.