HomeMy WebLinkAboutMiscellaneous - 174 GRAY STREET 4/30/2018 (3)Date .. C / ......
HORTFM 5'G'
4 TOWN OF NORTH ANDOVER
0 A
40
• PERMIT FOR AS INSTALLATION
�,SSArwUSEt
This certifies that . ! . .........................
has permission for gas installation .A r.. / r A .- ............
in the buildings of ..,i.�,!.: �,.z... ......................... .
at .. /7 p -e� g �e... �.-%` .... , North Andover, Mass.
Fee.;Z.? Lic. No.. ... ........ .........
GAS INSPECTOR
Check #
SIJ;
MASSACHUSETTS UNIFORM APPLICATION :FOR PERMIT TO DO GASFITTING
—� (Print or Type)
6qMD6L/ I Mass. Date 1 _ � � ^� �_ Permit #
Building Location V:H ball STe Owner's Name �c9 tit 6t (a8
Type of Occupancy RLS
New 0, Renovation ❑ Replacement p Plans Submitted: -Yes❑ No (]
Installing Co nName Au d -Lt %4� Check one: Certificate
( 7Address NJ ST— (� Corporation '
Partnership
Business Telephone W4
23 Firm/Co.
Name of Licensed Plumber or.Gas'Fitter Vvii,� vos� -JZo'k6bi
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch;142.
Yes 10 No U
If you have checked Les, please.indicate the type coverage by checking the appropriate box. .
A liability insurance policy Other type of indemnity 0 Bond C
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:
Ownerp Agent p
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,
knowledge and thataall 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 Laws.
BY fp'a
of Ucense:
umber Signature o Licensed Plumber or Gas Fitter
Title sfitter aster License NumbrCity/Townourneyman
APPROVED (O IC US : NLY)
A
o
MUNN
.. _®®®®�.r.��■®�������r�■
■oar
Installing Co nName Au d -Lt %4� Check one: Certificate
( 7Address NJ ST— (� Corporation '
Partnership
Business Telephone W4
23 Firm/Co.
Name of Licensed Plumber or.Gas'Fitter Vvii,� vos� -JZo'k6bi
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch;142.
Yes 10 No U
If you have checked Les, please.indicate the type coverage by checking the appropriate box. .
A liability insurance policy Other type of indemnity 0 Bond C
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:
Ownerp Agent p
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,
knowledge and thataall 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 Laws.
BY fp'a
of Ucense:
umber Signature o Licensed Plumber or Gas Fitter
Title sfitter aster License NumbrCity/Townourneyman
APPROVED (O IC US : NLY)
Date .
Of NORTH
TOWN OF N TH ANDOVER
PERMIT FOR GAS INSTALLATION
i 09 Z
This certifies that .... L......µ �j-�. �. �`� .1....... .
has permission for gas installation - r? .............. .
in the buildings of... Z�- d..}.....ndover.......... .
at ... North - ./'� ... , A, Mass.
Fee .//, -O,.' Lic. No.13i
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Punt or Type)
Building
Location /7y
. Arl_ AVAI120VF/l
New iB' Renovation ❑ Replacement p
sus-OSMT.
BASEMENT
W FLOOR
2N) FiOOR
3RD FLOM
4TH FLOOR
S) i FLOOR
Dote
Permit #
Owner's
Name
Plans Submitted: Yes p No rj
Ing Permit No.
fe
o li? PJ e z .
Z w O +r7
1101 x� 3a c33v o o o
Installing Com f f�w�9� 1 fq 4li/ v ,✓
i pang Name
Address
Check one:
f Corp.
❑ Partnership
F
❑ irm/Co.
Business Telephone 70 - a 73 9
Name of Licensed Plumber or: Gas Fitter — 40 X. r ✓.V.✓
Certificate
INSURANCE COVERAGE: Check one
I have a current liability insurance poliay or its substantial equivalent. Yes p No p
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy , ❑ Other type of indemnity ❑ Bond p
OWNER`S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Moss. General Laws, and that my signature on this permit application wd yes this requirement.
Check one:
Siorsature of owner' or owners Agent Owner ❑ Agent ❑ j
I hereby certify that an ofthe details and Information. a have aulMnitted for entered! in the above appnation are true and secure% to the best of ny
knowfedpe and that all plw"Wroo work and instanatl0m performed under. the permit issued for this application will be in
Provisions of ttw Nt+ssadvisettt State Gas Code and chapter 142 of the General laws. compilanoa with sit pprtitiaM
s'
Fee TYPO of License:
C3 Plumber
Cheok # p/Gasfltter Qlgnature of sed Plumber or Gas Fitter
Date CI Master
APPROVED (Office Use Only) C1Journeyman License Number���
Date.
TOWN OF NORT�Ii ANDOVER
PERMIT F PLUMBING
This certifies that ...•...4....
has permission to perform .. ... .......................
plumbing in the buildings of.....-ih��........... .
at./%zl.. ..... . ....:......... North Andover, Mass.
Fele!710 . —Lic. No...� ........��.
j� PlUfv1BIN_ . INSPECTOR
Check N -�`� (f (/V
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO-DO PLUMBING
' (Print or Type)
k rl
rt I
t,
1 ooG
Mass. Date 7l2 w .
City, Town
Permit #
Building Owner's
AT: Location /7tf 4A V Y Name— G11,C -g F1 1-1) CC..
Type of Occupancy:
New Renovation. ❑ Replacement ❑
FIXTURES Plans Submitted Yes. ❑ No ❑
(Print or Type)
Installing Company Name 1% 0,4p f
Address 4- 2YWCf Ad
Business Telephone
?O— r77,7%
Check
,,One: Certificate
tneCorp. ,q -o 7
❑ Partnership
❑ Firm/Company
Name of Licensed Plumber or Gasfitter
�� -10-P 7 fa.*- A- e
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 Massachusetts State Gas Code and Chapter 142 of the General Laws.
1 have informed the owner or his agent that 1 do not have liability insurance including completed operations coverage.
Signature of Owner/ Agent
1 have a current liability insurance policy to include completed operations cov
By
Title
City/ Town
APPROVED (OFFICE USE ONLY)
SignaPA--of Licensed Plumber
Z3000 Type of Plum ng License
Master ❑ Journeyman
License Number
Y
•
■rrrrr■rr
■■■■■■rr■■■■■■rrr■
■rrr■■�r■ra■r■r■■■■■■■rr■�r■■
••■■■■■r■■rr■rr■r■rrrrrrr■r■r■
...■■■rrr■■r■■■rrrrrr■■r■rrr■■■
..-
■■®�■rr■■rr■rr■rrr�rrrrrr■rr■
(Print or Type)
Installing Company Name 1% 0,4p f
Address 4- 2YWCf Ad
Business Telephone
?O— r77,7%
Check
,,One: Certificate
tneCorp. ,q -o 7
❑ Partnership
❑ Firm/Company
Name of Licensed Plumber or Gasfitter
�� -10-P 7 fa.*- A- e
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 Massachusetts State Gas Code and Chapter 142 of the General Laws.
1 have informed the owner or his agent that 1 do not have liability insurance including completed operations coverage.
Signature of Owner/ Agent
1 have a current liability insurance policy to include completed operations cov
By
Title
City/ Town
APPROVED (OFFICE USE ONLY)
SignaPA--of Licensed Plumber
Z3000 Type of Plum ng License
Master ❑ Journeyman
License Number
r
Date C
................ .....&
.......
TOWN OF NORTH ANDOVER
X PER41 -FOR WIRING
3q
SS'4. 17ef "Ae, This certifies that .................... ..........................................................
has permission to perform ...1-') A. k .... / 4.ii v A<,... 4 .' J. I? & I A I - �- ..........
wiring in the building of ..... ....................................
at...
.................. . ....... W ...... North Andover, Mass.
Fee ... Lic. No. ..............
E�
PEArAIC�AL INSPEC�MOR
Check #&q?
j, 9
67./
THEC0W0A E4LTHOF,1 4&MBU,SET H
DEPART W DNT OFPUBLICS4FE7Y
BOARD OFFMPREVEWONREGUL9170NS527ai fR12-00
Office Use only
Permit No.
Occupancy & Fees Checked
PPUCATION FOR PERMITTO PMFORMELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
a:INT 1N INK OR TYPE ALL INFORMATION) Date
Town of North Andover To te nspector of Wire:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant L.iT�
Owner's Address 1
Is this permit in conjunction with a building permit: yes o a
Purpose of Building \"�_, p j r°111n,
Existing Service Amps_ —Volts t Overhead
New Service QC Q Ampi a) /Z ti Volts Overhead
Number of Feeders and Am pacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Lighting Fixtures
No. of Receptacle Outlet
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dishwashers
No. of Dryers
No. of Water Heaters
No. Hydro Massage Tubs
iT'L=D• 1—SPI
(Check Appropriate Box)
Utility Authorization No.
Underground Q No. of Meters
Underground r_1 No. of Meters
No.
Below r 7 I Generators
2 TTons otal /! FIRE ALARMS
(.�
Total
KVA
KVA
Battery Units
tal
No. of Hot Tubs
No. of Detection and
Swimming Pool
6
No. of Oil Burners.
GNo.
of Gas Burners
'
No. of Air Cond.
No. of Heat
Pumps
Space Area Heating
Heating Devices
KW No. of
Signs
No. of Motors
(Check Appropriate Box)
Utility Authorization No.
Underground Q No. of Meters
Underground r_1 No. of Meters
No.
Below r 7 I Generators
2 TTons otal /! FIRE ALARMS
(.�
Total
KVA
KVA
Battery Units
tal
Total
No. of Detection and
ins
KW
Wtiating Devices
KW
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
KW
Local Municipal
Connections
No. of
�
Ll
Bailasis
<,
Total HP
No. of Zones
MOther'
l U1SW'dt1CeC.(7�H'cl�]�llanLblllEt�ID9r1t3>CS1S�1��'1ts19'd1L�11V5
IhneamuctLrh*kmr&=Po ynkx&tgCrn4*t Cnwwdgecrt%bsftttra a4mdkr t y6 NO
Ihne&htniWdvatidptmfof=neiotheO ioe YES =NO WymimedwckWYESspleasem&*OetMcfooterdgebydmlmgtbe
apprr pti*bmc
)NSURANCBMDa olllER
Z*dmD*
F n*dValliecff�ftxalWedsS
workt�sr�t �' �? - O 6 ..`._.. D* Rn* Falat
SigIW undeTT,e RM ties ofpeduV,
FIRMNAME VA^ r-71 ecAf �— C L;oauerlo AI (gCJ2
Lkalsee\l Yl 1�o`Ci V1 sigrl�tne uziseNo ' 2_3_Z_)
BusitmTdNa ?�2 —1961
Addimlid 47�h �� 7�7' ��Y�1� `I kr Y -C, ni{,q-G 1 21 AkTe1Na "��
OWNER'S INSLRANCEtiVAIVQtlam mvdrethattheLit titiesnot harretheitsurmmammWrtssksta>4alapvdiatastegnedbyNbmd szCc=WLTAs
andittnsysig�cn tffitaarmtappflaltian va sthisregtm merit
(Please check one) Owner M Agent ED ,/"
Telephone No. PERMIT FEE '6 (,9
�,p 0 < -?— 6 —0 to
8�oe v ofc— 9��_6L
6A-,( a//v
I- (z a- eq-�— A-fll(
4
0
6elina5 5hctural �ngineerinq LLC
Daniel L. Gelinas, P.E.
579A North End Blvd.
Salisbury, MA 01952-1738
August 14, 2006
Joe Currier
Litchfield Company
26 Ray Ave.
Lot 15, 174 Gray Road N Andover, MA
Dear Mr. Currier:
Phone 978.465.6436
Fax 978.465.5160
email danlgelinas@adelphia.net
Cell 617.839.2362
Ph 781-270-6859
E-mail Idouglas@lcibuild.com
Per your request Gelinas Structural Engineering LLC (GSE) met with you on 8.8.06 at the above site. The
purpose of this meeting was to perform a walk thru and confirm the LVL framing satisfies code. The
following are the results of our observations:
Executive Summary:
The LVL framing observed is per the drawings and satisfies the Massachusetts State Building Code 6lb
Edition Chapter 36.
Please call with any questions.
Vea Truly Yours,
Daniel L. Gelinas, P.E
B letter Lot 15 at 174 Gray Road NA job 06004.doc.doc
H OF
DANIEL L,
yG�''
GEUNAS
m
STRUCTURAL
I
N0_33994
h
':AL'
O/�.. :'qyo �j%���✓(�y�,�l..j/V ,/fi'./`�. r/7 rf��,/`C'/`���T�%�
a�1 sACN� ��r
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NOR TH ':000VEll
Building Permit Number 747(6/5/06) September 29, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 174 Gray Street
MAYBE OCCUPIED AS Single Family Dwelling IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Litchfield Co. Inc.
26 Ra Ave
Burlington MA 01803
l
Building Inspector