HomeMy WebLinkAboutMiscellaneous - 1804 DOGWOOD CIRCLE 4/30/2018Location
Date
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NORTH TOWN OF NORTH ANDOVER
D
c : Certificate of Occupancy $ /fid
s��'�° Eta' Building/Frame Permit Fee $
ACMUS
Foundation Permit Fee. $
Other Permit Fee $
TOTAL $
Check # /V//
24510 Aw
Building Inspector
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APPLICATION FOR CERTIFICATE ®F OCCUEANCYIINSPECTION
BUlldina Permit # ' 2o 1)
ADDRESS/LOCATION OF. PROPERTY: NO 3 ri2c be
Map 16 Parcel 0� 7 Lot Number
SUBDIVISION-- +P ff WL )OP daS,,ftUC
DATE REQUESTED FILED/READY FOR 1146PECTION
CLOSING DATE ON PROPERTY: 6J 73 60 < <
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE.
INSPECTION FEE OF TWENTY DOLLARS $20.001 WILL 8E CHARngh 11e Twr. QT01 ir+n 100
DOES NOT MEET ALL APPLICABLE CODES.
Permit Issued to: �� tcc s c rro1�
Address P p LIZ,4q orgy
SIGNED
TI
CONSERVATION
PLANNING O
DPW - WATER. METER •[a H /i.,ii
SEWERIWATER CONNECTION E
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR To
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW
Signature
File: Application for OC font revised Jan 2007
U3
Street, Nashua, N.H. 03064-2114
Tet: 603 - 886 -1738
FINAL AFFIDAVIT
qday of " �T 1 before me,
a Notarj public duly commissioned and
qualified for the Commonwealth of Massachusetts, personally appeared
who inspected the construction of
Aga K I a3 Sz Sa%e--e lam.
(Property Name) (Street Address)
under Permit # i 5 _�,_,_and that this structure conforms to the submitted
plans and to the codes of the City/Town of S)z tA_ �gi d the
Commonwealth of Massachusetts.
Further, that ail .required approvals .and materials affidavits have been submitted, and
that there are no pending violations of Law of Orders of the Department of Public
Buildings.
1, as the Architect/Engineer who is signing the affidavit hereby certify that ftwon14
date (-JA I Jazj,linspected the.property located 6f2
(Street Addresis.
and find that the locus comply with my plans and specifications and all Rules and
Regulations of the codes of the City/Town of vsad'the
Commonwealth of Massachusetts.
THEREFORE, I REQUEST A CERTIFICATE OF
ADDRESS.
SUBSCRIBED AND E l,.,DAY ®F-�.�^-� czk b i I
fA Notary7PublicCommonwealth achusettsMy Commission EFeb B, 20 33
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NOTARY PUBLIC
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 156-2011 Date: August 2, 2011
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 1804 Dogwood Circle,
North Andover, NM 01845, Building 18
Maplewood Reserve 40B
MAY BE OCCUPIED AS one dwelling unit IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to:
Fee: 100.00
Receipt: 24432
VRD Realty Acquisitions, LLC
100 Andover Bypass, Suite 203
North Andover, MA 01845
Building Inspector
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APPLICATION FOR CERTIFICATE OF ®CCUPANCY49NSPECTION
Building Penal
ADDRESS/LOCATION OF PROPERTY : 6 Z� oz, Ck�
Parcel Lot Number f:�
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION.
CLOSING CAFE ON PROPERTY: 0 /&�C�
i
ALL WORK AND SIGN -OFFS MUST BE COMPLETED V469TF8@N THIS TIME FRAME. A RE.
INSPECTION FEE OF TWENTY DOLLARS $2D.®®) i419&9_I_ RF nwApr=n A= ,ruc 01MI e 1" flMET
®®E5 NOT MEET ALL
P8ne% Issued I:a:
Address
SIGNED
CODES.
1
d: --!;, 4 -
�-
R®E�T'II�G
CONSERVATION
l
PLANNING
DPW - WATER METER
SEWEPJWATER . C®N N EC-nO.N
NOTE
DPW MUST INDICATE THAT THE WATER DIETER HAS BEEN INSTALLED PRIOR TO
SUBMUTTAL, OF THE OCCUPANCY/INSPECTION REQUEST
DPW
t Signature
Fila: Appllcation for OC ¢Dean eevl Jan 2007
08/02/2011 00:29 6038661738 ROBE:RT•JVORBACH PAGE 01101
. 6tlaw*9411t.►�'it�rtA McMuk IM. 0=4.29 14 Ell
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FINALAFF i • t . . .
On this,
�..®... a —.—Jit -17 Of. W,y„belimo lino,
Nom' Oublic duly ccmmiastaW- and
qualh-led for flis (oM moniWa th of Massachusetts, personally appearod
. � � .. , ► ,rte► Wh® UISPOcted 016 CMSKKMM of
• r(II-11 ,0p ady bi``,����r.:u�' a i 'DJi�1;
Lander p'etrmit . � ,d:. ina,�.l >rirtd 11181 tti;fs latnwc4�atr, c or>Ptt loft Submitted
jAanc and to the rodeos of they (Ayrrown of �e9 ; ..�,,�.�n�c4 the
CioTri6'Ymorli th 4:0 M4tiEZi3chus2tw' . a'
Furter, that all roquired approvata.elnd =h0ple offidWb. -ha , tam submitted, =I
fiat there, are no pandhi 1►kb ions rm Law cfOrdm of Itre Depa-irneni of Public
A.. • ,,..
I, >?Is the! arcrQInger who, is Signing the SIMM hereby W4 lft.ft Ac+rrt4is
irtspsoted the,plroperly locatedj�� - _�� �a,.�� �.1<''C�A�
and find !fes the Iovis wiply wkh. my plane and specifications and all RUN* Wid
Kegulations of the codas of thus C/Town of, td�rG:.�'►--+ �svld Elie
Commor'tweatth of hfassaehlusatts. d_
THER FORE. I IRECI. UEST a CERTII"iC.an, 6r-, C>�u� � x,.11 � ;yJE
SUSSC RISER AN'
Y ' ? I
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otaryPblle
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IaIJTAIRY IPUBLl
. 10304
Date....
... .......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .................................................. . ..
has permission top . . ...................... .................
wiring in the building of........ /.!
et... k, ............ . North Andover .,Mass.
Fee5..:) ............. Lic. Nok.-�Y4-- ...... ..........................
ELECTRICAL c�P-ECTOR
Check #
C,ommonwea& e/ Ma�sac4ueette Official Use Only
cc��
Permit No. O 3 e
2,partment ol3ire Semices
N Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
4�
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: '31 i h f
s City or Town of: M oy- Aln A pi q- 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) i R® q 'b p a w 0 p& C,� j-,
Owner or Tenant A r\ $ 10 rn Q a alnl i Telephone No. 9 'j g' 4% --5-)l 0
Owner's Address S Am -e_
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 ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install residential Security system
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 Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above In-
Swimming Pool rnd. ❑ rnd. ❑
o. o Emergency Lighting
Battery 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
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
Tons
J.Nyy
No. of Self -Contained
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 Water
Heaters KW
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value o Electrical Work: 0 0 (When required by municipal policy.)
Work to Start: I / I 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 office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRMNAME: Nightwatch Protection, Inc. _ - /7 LIC. NO.: 7 0 2 4 C
Licensee: Paul DelSignor Signature P ,�) AY— ,Ati�IC. NO.: 7 0 2 4 C
(If applicable, enter "exempt" in the license number line.) us. Tel. No.• 888-722-9292
Address: 22 Briarwood Drive, Westford, MA 01886 Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. S SCO 0 0 0 0 9 6 9
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. I am the (check one) ❑ owner ❑ owner's a ent.
Owner/Agent
Signature Telephone No. r PERMIT FEE: $
BOARD
FA
TYPE
-C
85.6028
Fold, Then Detach Alona All Perforatlons
:$
AUTHORIZED
'+YJJ DEALER
Nightwatch
Protection, Inc.
50A Northwestern Dr., Suite 9
Salem, NH 03079
Kevin Gilli an
g
15 Holly St., Suite 208
Scarborough, ME 04074
President
toll free (888) 722-9282 x121
kg * nightwatchprotection.com
www.nightwatchprotection.com
Dec 16 2010 11:12:29 EST FROM; F2M/31813500573 MSG# 10009138-887-1 PAGE 002 OF 002
SUMMARY
Detail
01 - ME
Class Description Class Code
Payroll #0f EMIR
OF INSURANCE
SALESPERSONS OR COLLECTORS - O 8742
TyE
M.
FOR:
02
TFORD
NIGHTWATCH PROTECTION INC
$96,700
Location
50 NORTHWESTERN DR # A UNIT
9
Prepared; 12-16-2010
SALEM NH 03079
Location
03
Phone: (603)685-0240
SALESPERSONS OR COLLECTORS - 0 8742
$41,400
Location
PAX;
(603)685-0244
BY- HOME OFFICE
$141,600
This Summary
does not include
AUTOMATIC DATA PROCESSING INS AGCY 25D717
PO BOX 33015
attachments provides a high level overview
conditions, limitations
SAN ANTONIO TX 78265
policy forms
or exclusions. Please
for detailed coverages, limits and deductibles.
Phone: (877)287-1316
FAX;
(888)443-6112
ACCOUNT POLICY RECAp Policy
Number Eff Date EXP Date Premltun
,Workers' Com eneation 76 WEG
Hartford Ind Co of the Midwest
JW2466 12102010 12102011 $6,873,00
POLICY DETAIL POlic - Workers'
Compensation
Policy States: ME MA NH
LorBtion 02 Pramises Address
15HOLLY ST
SCARBOROUGH ME, 040,74
Location 02 Premdses Address
22 BRIARWOOD DR
WESTFORD MA, 01886
Location 03 Premieee Address
50 A NORTHWESTERN OR UNIT 9
SALEM NH, 03079
Worker'6t Compensation Coveraaes
EmDloYer's Liability Limits Limit
Disease - Policy Limit $SOO,ODO
Disease - Each Employee ,Lim
Each Accident y100,000
Individual Included/Excluded
_Class/Payroll
Location
Detail
01 - ME
Class Description Class Code
Payroll #0f EMIR
SALESPERSONS OR COLLECTORS - O 8742
$61,900
Location
02
- MA
FIRE ALARM, TELEPHONE OR TELEG 7601
$96,700
Location
03
- NH
BURGLAR ALARM INSTALLATION OR 7605
$77,600
Location
03
- NH
SALESPERSONS OR COLLECTORS - 0 8742
$41,400
Location
03
- NH
CLERICAL OFFICE EMPLOYEES NDC 8610
$141,600
This Summary
does not include
and its
all
attachments provides a high level overview
conditions, limitations
of poliCy coverages and
policy forms
or exclusions. Please
for detailed coverages, limits and deductibles.
refer to the actual
`"'Location ��G 1i�1e fc�C1oF� ,'ice%�
J —�/
No..� °/� Date 6 ' 2-1111
Check # 1412.
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ 40
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
24511/v
Building Inspector
APPLICATION FOR CERTIFICATE OF OCCIIPANbLml ECTtON
Building Permit #
ADDRESS/LOCATION OF. PROPERTY : rx IV;,? 2d t
Map is r Parcel 06 1� Lot Nurrlb®r
SUBDIVISION At U(i2 G4/001� ksoqve
DATE REQUESTED FILED/READY FOR 1143PECTION
CLOSING DATE ON PROPERTY: 1-2,� ['10 c
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODE'S.
Permit Issued to: t5 tT,wu-, t.L-(i
Address f� �
tyt'A t�
SIGNED
ROU31mg
CONSERVATION
PLANNING D
DPW •WATER METER E;]
SEINERMIATER CONNECTION
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR To
SUBMITTAL OF THE OCCUPANCY1INSPECTION REQUEST
DPW
Signature
Fife: Application for OC form revised Jan 2007
4 �
ROBERT J. 1 O g,slH
ARCMECr.
Tel: 603 - 666 -1736
FINAL AFFIDAVIT
O t ism day of al=" 2 Q 1 � before me,
A,) L (a'io'L ij�-a Notary public duly commissioned and
qualified for the Commonwealth of Massachusetts, personally appeared
��- 'S', �o r r , who inspected the construction of
(Property Name) (Street A s)
under Permit # 15 G, = d o 1 1 and that this structure conforms to the submitted
plans and to the codes of the City/Town of ca..- _-.,,.1oms rend the
..Commonwealth of Massachusetts. 01
Further, that all required approvals .and materials affidavits have been submitted, and
that there are no pending violations of Law of Orders of the Department of Public
Buildings.
1, as the ArchitectlEngineer who is signing the affidavit hereby certify that lave orrt�s
date " inspected the.property located I % O S_ _0.O
(Street Address)
and find that the locus comply with my plans and specifications and all Rules and
Regulations of the codes of the City/Town of N'S-�41 the
Commonwealth of Massachusetts.
THEREFORE, I REQUEST A CERTIFICATE OF
ADDRESS.
SUBSCRIBE HELEN E. STENHl HIS��DAY OF
1
a Notary Public
\i' a Commonwealth of Massachusetts
My Commission Expires feb 8. 0013
NOTARY PUI&IC
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Location I�fJ =�c��y/ov � �-,�� �c
No. f-� G ` Q?�/ Date.LJ/C
V
TOWN OF NORTH ANDOVER
o •.
Certificate of Occupancy $ �U
CMUs Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check # 06ui070
244 b2
Building Inspector