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HomeMy WebLinkAboutMiscellaneous - 161 RALEIGH TAVERN LANE 4/30/2018 161 RALEIGH TAVERN LANE 210/107.A-0110-0000.0 } 7601 North Andover MIMAP August 24, 2017 �` •� 16 C-ARLTON LANE �' Jit � t "�sry' *# . 194 R (.E GH TrAYERN LAN .• 10�7.A-0011- -.�.- 4.ti} ^� _� ,,, '�s - 182 RALEIGH TAVERN�LANE •���;; J + 146HEIGH TAVERN LANE rf y - r' Y %jF4 t� 107.A-00.17 -t O � .'>< ;a:� .i'�•. «- m Ir Y 136 RALEIGH TAVERN LANE 4 F m a'. '��, �" �° �`" '�� •�, ! •' '189 RALEIGH TA•1/ERN LANE 1 •Vern�-ane � ���.•+� ' ''�,-- � ' � 106.0 10119 i h Sa e 9 F Eta. c t. - .,_ •x R 10:7.A-0020»;-: �' :" l`c + 15+1 RALEIGH TAVERN LANE � ��¢ _' aT T '� 107.A-0111 '� `� • x �' 107.A-0110 "w �::,�� R• ��� *� e` c �' �r. '�h•. -�� X.� % � �s sem,r � 't r � + '" � ��•� �`j' i 0 RALEIGH TAVERN LAN ���, • . ,. J .. ;: .: '4."`'' ,mal' , 6. — I 10 C 0.113 ,4 N 41K 301 RALEIGH TAVERN LANE �.{' t +' �, 333 RALEIGH TAVERN LANE '� � _. .� �•e ,�. a 345 RALEIGH '. lOr7.A�0125 .y��, , . �� •\pi 107 A-0124 3+17 RALEIGH TAVERN RALEIGH TAVERN LAN 10,7.A_ 1y28 ❑MVPC Bo ❑Site Address Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstates Meters Data Sources:The data for this map was produced by Merrimack = Interstate NORTFf Valley Planning Commission(MVPC)using data provided by the Town of —Major Road Of at tt,g°. qM North Andover.Additional data provided by the Executive Once of —Roads - ? e .��6 00 Environmental Affaim[MassGIS.The information depicted on this map is t r Easements 3•_ L for planning purposes only.It may not be adequate for legal boundary O IP definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER ❑Parcels MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 4I y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY # s ,�, ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT i o'q r - ��� ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF �,' °�tr.o•'�,�4`� THIS INFORMATION SSAGMUS� 1"=104 ft I NORTot °�<"`°;°�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUSEt This certifies that .. ..< ........... ...................................................y .. has permission to perform .......... ....... � �.... wiring in the building of....~... `` '`��? '/....................................... %-4� .�� 2r- .� ............................ / ,.. ,North Andover,Mass. 12 Fee....e............ Lic.No..........t�`l�........... E�crrttcw[.Ixsr cro�l�' Check # 'an 9302 / 012MassachusettsEIectrical 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,fur or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in MGL.c.143,§3L. Permits shalLbe limited as to the time of-ongoing construction activity,and maybe.deemed_bythe.Inspector_of-Wirese 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 wriften 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. F1 The Permit Extension Act was created by Sect. 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 j&growth and long-term economic recovery and the Permit Extension Act furthers this purpose 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 effector existence"during the qualifying period beginning on Augus 5,2008.and extending through August 15,2012. —Permit/Date Closed: Note:Reapply for new permit ❑Permit Extension Act—Permit/Date Cosed: Commonwealth of Massachusetts off l Use u e only Edam Department of Fire Services Per mit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12 WORK 0 (PLEASE PRWflV Aw OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER a To the By this application the undersigned gives notice o his or her intention to perform the el�electrical wp tor ork fedescribed below. Location (Street&Number) / _ . Owner or Tenant �l'd/1J� �� s- er �!�'l Owner's Address Telephone No. Is this permit in conjunction witha building permit? Purpose of Building / �4, Yes El No (Check Appropriate Boa) Utility Authorization No. Existing Service� � Amps /�j=volts New Service Overhead ❑ Undgrd R No.of Meters _ s / Amps Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Locaiion and Nature of Proposed Electrical Work: Com letion of thefOIID9ing table may be waived b the Inspector of Wires. No.of Recessed Luminaires No,of CeiL.-Sus No.of p (Paddle)Fans Transformers Total it No.of Luminaire Outlets No,of Hot Tubs IVA Generators KVA No.of Luminaires Swimming Pool Above ❑ Ia_ o.o mergency d d Batt Units g —, No.of Receptacle Outlets No.of Oil Burners .. FTME ALARMS No.of Zones No.of Switches No,of Gas Burners No.of Detection and No.of RangesInitia Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposerseat Pump Number ons KW o.of elf- Contained Totals: _ Detection/Ale ' No.of Dishwashers Devices Space/Area Heating KW Local❑ Municipal No.of Dryers. g�� A Connection Other Heating PPtiances KW Security Systems: No.of Water No.of No.of Devices or E—A—lent Heaters ' No.of Data o• W' Si s Ballasts No.o D vices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel ecomWiring:. ng:. OTHER: No.of Devices or uivalent Estimated Value of Elec cal Work: ��Q� Attach additional detail if desired, oras required by the Inspector of Wires. Work to Start �01 (When required municipal policy) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O 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 RJ BOND ❑ OTHER ❑ (Specify.) I certify, under th ains andp/�nalties of perjury,that the information on this FIRM NAME: C application is true and complete �i' �� ,�e Licensee:�� h- LIC.NO.: /5�•�p� applicable Signature LIC.NO..,,V (If pp ' able, n r�xempt"int ece mbe ne. Address: �J�f'/��J� `� �. Bus.Tel.No� > *Per M.G.L !J� c. 147,s. 57-61,security work req ' es epartm t of Pub i Alt Tel.No.: OWNER'S Public Safety"S"License: INS eh' ease: INSURANCE WAIVER: I am aware that the Licensee does not have the liability Lrc.No. required by law. By my signature below,I hereby waive this requirement. I am the check one ursnrance coverage normally, Owner/Agent ( ) ❑owner ❑owner's agent Signature Telephone No. PER1bIIT FEE: $ i The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations . 600 Arashinctn Street Boston, MA 02111 r\`y www"2=s.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Eiectricians/piumbers A20ficant Infonuntian Please Print Leeibl NaIIle (Busin=W()rganization/Individual)' peere" � G Address: City/State/Zip: �t�d'p D . � Phone#:� ��,� rd Are you an employer?Check the'appropriate box: 1•� I am a employer with 4, 'type of project(requite: employ=(full and/or — ❑ I am a general contractor and I part-time).* have hired the soli-contractors 6. New construction 2.0 I am a.sole proprietor or partner- listed on the attached sheet 1 7. ❑Remodeling ship and have no employees These sub-contractors have working for me."in any capacity. workers' comp.insurance. 8. Q Demolition [No workers'comp.insurance 5. ❑ Weare a corporation and its g• Q Building addition required.] officers have exercised their 1 Q-P� Eiecb ica]repairs Or 3.0 1 tam a homeowner doing all work right of exemption per MGL I I.❑Plumbing additions myself. [No-workers,comp. g r'epa.irs or additions p c. 152, §1(4),'and we have no insurance required.]t .employees. 12.❑Roof repairs P ogees. [No workers comp. insurance-required.] 13.0 Other- •d.,.,eppiicattt that CileCkg�#I must 81SD fill Ottt the section below 86Dwjn . ;Any who submit this af�li avit indicating they ate doing all d their workees'oompensafion policy infotmeEion 4Co blotons that check this box must 8 `"o*and then hire outside contractors must subm4c a new affidavit indicating such. attached an additional sheetshowirtg them me orthe sub•conhachnf.rund i ant an employer that is nv :.mr.Policy imm�nation. p r tnding:workers compensation uzsaranee or o e }� to rnrafio �' ees. . _ B /J cr the policy mrdynb.rite 'r3P y clow Insurance Company Name: ' �JY 1 ee4 Policy#or Self-ins.Lie.#: f / _ �EX;Pih�radfiicomate: Sob Site Address, 'a/ `j JC�I/c,y n - ACityis � ' Attach a copy of the workers' Compensation policy declaration page(showing thepicymuumber and expiration 71'Failure to secure coverage as required under Section 25A expiration date}. of MGL fine to e. 152 can Lead to up $1,500:00 and/or one- ear imprisonment, the imposition of criminal penalties of a Of up to$250.00 a da a y Pr.sonrradvi a well as civil penalties in the form of a STOP WORK ORDER and a fine y against violator. ra advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c s and the pains and penalties olPe0;wy that the irtfnrmatiort prry yided ye isand correct 5i ttn•e: ' Q.- Phone#: 4,f jci&use only. Do not write in this area,to be completed or town n ria[ y City or Town: Permit/License# Issuing Authority(circie one): 1. Board of Health 2 Building Department 3.City/Towa 6.Other Clerk d Electrical Inspector S. Piumbing Inspector Contact Person: Phone# Date.... .......... .. - �aORTM - °`'"` TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 4 i i �,SS�ICMUs� s This certifies that .......................................� .�.... ...... .................... has permission to perform. .............:,... wiring in the building of x-- ...� !'! / �� �......................... at............................F.', %J ' ... .� ... North Andover,Mass. Fee.....$ Q,_.....Lic.No: /T�i191�ltt me ............. �?pp ELECTRICAL INSPECTOR F 1( } Check # i( . 7138 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the v \ permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed ,the 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 firm or corporation stated on the permit application. Such entity shall be responsible for the electrical permit shall be issued to the person, notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and maybe_deemed_by-the-Inspector_of-Wires abandoned_and_invalid-ifhe—__. ._ or she has determined that the authorized work has not goramencPJ 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 purpose 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 onAugust 15,2008 and extending'through August 15,2012. ffo 1e —Permit/Date Closed: ***Note:Reapply for new permrmit Extension Act—Permit/Date Closed: t mm nwea/th Of Massachusetts Official Use Only Co 0 4 Department of Fire Services Permit No. 71 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) ' M 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 INFORMATION) Date: l f 6'7 City or Town of. NORTH ANDOVER 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) erLtO�rv► Owner or Tenant oV2 ie-5 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. A Ir Existing Service/©U Amps 1,Adl Q, (}Volts Overhead R Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters .1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ac re r/1 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ [n- ❑ o. o Emergency ig in rnd. rnd. Batter Units No. of Receptacle Outlets 'r 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. Total No.of Alerting Devices Tons No. of Waste Disposers Heat Pump Number Tons KW No.o elf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKms, No.of No. o Data Wiring: r Heaters Signs Ballasts No.of Devices or Equivalent ns No. Hydromassage Bathtubs No.of Motors Total HP Teleco No.of Devices of DDevice os or Wiring: r Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E ectrical Work: (When required by municipal policy.) Work to Start: 1 O 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCECOVERAGE: 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 [X BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,,that the information on this application is true and complete. d FIRM NAME: er✓ �/��e f C LIC. NO.:/9 g_?4,V Licensee: ,Py-V017 >f Signature LIC. NO.: 4��®e 46 (If applicable, e t r "e mpt" �n the license nt er line. us.Tel. No.97��i ,62-19 7 1 Address: P/ �+ � ,f o'�'D Alt.Tel. No.: *Security System Contractor License required for fhis work;if applie6le,enter the license number here: 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 this requirement. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. FPERMIT FEE: $ i i _ � I � �"`� 4 i i w i _� �: I� LAWRENCE H. OGDEN P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 pager 978-502-5921 January 18, 2007 Mr. Roland Dominique Dominique's Construction,LLC. 25 Glennon Ave. Dracut,Ma. 01826 RE: Masinger Resid--�i KMI Raleigh Tavern Lane;North-Andover,Ma. _ Dear Mr. Dominique Per your request I visited the above site January 18,2007 to review the installation of the roof trusses for the garage addition at the above project. The roof trusses were provided by Wood Structures, with the design certified by Stephen W. Cabler RE 31927 per the design sheet pgl dated April 24,2006. 1 hereby certify that the installation of the trusses is acceptable. Should you have any questions please do not hesitate to call. Yours truly, tFi OF�v1gs� L LD tim ( 15 107 awrence H. Ogden,P.E. Structural 27765 .o 'P 27765 Cc. M. Brian Leath,North Andover Building Dept. ��� "ONAL NG��� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 2� —� (Print or Type) Mass. Date '`�� �f/ 19 Permit # Building Location W--*WOwner's Name Telephone 6693 7tl/T Type of Occupancy New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N W . W N Y z CC N /\ N N U NWa NCC N O Uj 0 D H cc LU Z< to =Oz O W o � o� !W Q3 N F- ¢ f 1 W Oa c a N O W Q = z O > W W B tt O V . W W J Z Q = S O 2 W W> LL CrV h Z a W J Q C: �' F- r rA m z O = a O y = a •W > W Z Z a ¢ Q < O O W O rat F- = O O = L6 O 21O d J U ¢ > o a it O SUB—BSMT. BASEMENT 1STFLOOR kk 2ND FLOOR 3RD FLOOR LI 4TH FLOOR STH FLOOR O 6THFLOOR 7TH FLOOR 8TH FLOOR Installing Company NameY /`�/ �/ �/C'heck one: Certificate Address �� LI Corporation ❑ Partnership Business Telephone d2rlam? 71 XO ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Qe,4,%e ti INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you hav6 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: Owner-El Agent ❑ Signature of Owner or Owner's 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 knowiedge and.that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General taws By Tie of License: .1 Plumber Signature of Licensed Plumber or Gas Fitter Title P1 Gasitter master License Number City/Town LJ Journeyman APPROVED(OFFICE USE ONLY BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF 13UILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE 19 �J GASINSPECTOR r Date.f •• •• i HOM NT TOWN OF NORTH ANDOVER, 1 pf �'-o ,e,'t'O 3? + PERMIT FOR SAO INSTALLATioW 4 ' 395 •'Eggg vt SACHUS r K This certifies that . !,; z 5 ''�. .S . • • . • • • • • • • has permission for gas installation . . • . . in the buildings of . . . . . . . . . . . . . . . . . . . at fG,/ � �31:-.!�.t . . .r���.�1 �� . . ., North Andover, Mass. Lic. No.. ,. .,. . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer