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HomeMy WebLinkAboutMiscellaneous - 189 BRADFORD STREET 4/30/2018 (3)N _O �_ Q oO A O O O O O Date,,. ........... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..... . .......... has permission for gas installation ................ in the buildings of ................................ at ... . . . . . . . . . . North Andover, Mass. Fee-.'" .. Lic. No.. G, WTO Check 4 99 6354 MASSACHUSETTS (Pri t or ype) Mass. n moi. i New Renovation APPLICATION FOR PERMIT TO DO GASFITTING eplacementp, Pians Submitted: 'Yes ❑ No ❑ installing Company Nam(( �'� Business Telephone A 7 Name of Licensed Plumber, or Gas Fitter Check one: Certificate ❑ corporation ❑ Partnership / LY3,-trfrin/Co. e s • s •. s • • installing Company Nam(( �'� Business Telephone A 7 Name of Licensed Plumber, or Gas Fitter INSURANCE COVERAGE: 1 have a currentl billty insurance policy or its s=ubstantial equivalent, Which meets the requirements of MGL Ch. 142. Yes No ❑ % if you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity i3 Bond ❑ oWNER'S INSURNACE WAIVER: 1 am aware that 142 of the Klass. General Laws, and that my s' of O Wner or owners licensee does not have the insurance coverage required by Chapter ture on s perm application Waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and Information IShave submitted for entered) In above application are true and accurate to the best of my knovNedpe and that all plumbing work and Installations performed under the per s ued for this appllcatio li be in compiia ce witl� all pertinent provisions of the Massachusetts 5 tate Gas code and Chapter 142 of the G ne I L M. Type o�License: + By p Plumber k4ngKature of Licensed i tuber or Cas Fitter Ties ❑ Gtter city,r o� ter License Number APPROVED (OFFICE USE ONLY) ❑ Journeyman Check one: Certificate ❑ corporation ❑ Partnership / LY3,-trfrin/Co. INSURANCE COVERAGE: 1 have a currentl billty insurance policy or its s=ubstantial equivalent, Which meets the requirements of MGL Ch. 142. Yes No ❑ % if you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity i3 Bond ❑ oWNER'S INSURNACE WAIVER: 1 am aware that 142 of the Klass. General Laws, and that my s' of O Wner or owners licensee does not have the insurance coverage required by Chapter ture on s perm application Waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and Information IShave submitted for entered) In above application are true and accurate to the best of my knovNedpe and that all plumbing work and Installations performed under the per s ued for this appllcatio li be in compiia ce witl� all pertinent provisions of the Massachusetts 5 tate Gas code and Chapter 142 of the G ne I L M. Type o�License: + By p Plumber k4ngKature of Licensed i tuber or Cas Fitter Ties ❑ Gtter city,r o� ter License Number APPROVED (OFFICE USE ONLY) ❑ Journeyman - - r' Date.i ,N2 1)62 .............................. pORTM A TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ...--- ............. ............. * ................................. has permission to perform wiring in the building ofA' ............. .. North Andover, Mass. ............................................................. Fee9L:':':':'n ........ Lic. No..:�..�p ELECTRICAL INSPECTOR 08/10/98 10:03 75- 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0 7WE Dc¢.otreKc aj Pa6l<e Sa6dy BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office /Use Only Permit No. Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts, Electrical Code 5277 CAR 12:300 (Please Print in ink or type all information) Date O V O To the In pecto of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below Location (Street & Number. Owner or Tenant 31 jG 1114 Tv Owner's Address 5 - Is this permit in conjunctions with a building permit Purpose of Building Existing .r- -5-1 Yes 'g- No ❑ (Check Appropriate Box) _Voits Overhead Utility Authorization No. j Undgmd ❑ No. of Meters 1 New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity �, / Location and Nature of Proposed Electrical Work 4CY,6 Sid OTHER: INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General Laws / I have a current Liability Insurance Policy including Computed Operations Coverage or its substantial equival nt YES K NO = lid proof of same to the Office YES L! NO = If you have checked YES please indicate e f rage by checking the appropriate box I URANCE = BONO = OTHER = (Please Specify) (Ex Estimated Value of Electrical Work$ 30 G+ Qa p' n Date) Work to Start Inspection Date Resquested R ugh li6p )Final Signed under FIRM NAMthe Pen e' Soe ury: O(/yt%L LIC. NO. Licensee �G 5�� / v (/y✓�� Sl nature LIC. NO. DoT -a3� a �s/J u . Tel No. Address / 0 1 / yi y t Tel. No.7,77 �4 7 OWNER'S INSURANCE WAIVER: I am awa that the Licenses does of 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) Telephone No. PERMIT FEE (Signature of Owner or Agent) Total No. of Light8nq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Bunters Battery Units �y� No. of Switch Outlets o No of Gas Bumers FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total 4 No. of Diposal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained / No. of Dishwashers ( Soace/Area Heating KW DetectiorvSounding Devices ❑ Municipal C3 Other No. of Dryers HeatingDevices . KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Badases Wiring No. Hyaro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General Laws / I have a current Liability Insurance Policy including Computed Operations Coverage or its substantial equival nt YES K NO = lid proof of same to the Office YES L! NO = If you have checked YES please indicate e f rage by checking the appropriate box I URANCE = BONO = OTHER = (Please Specify) (Ex Estimated Value of Electrical Work$ 30 G+ Qa p' n Date) Work to Start Inspection Date Resquested R ugh li6p )Final Signed under FIRM NAMthe Pen e' Soe ury: O(/yt%L LIC. NO. Licensee �G 5�� / v (/y✓�� Sl nature LIC. NO. DoT -a3� a �s/J u . Tel No. Address / 0 1 / yi y t Tel. No.7,77 �4 7 OWNER'S INSURANCE WAIVER: I am awa that the Licenses does of 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) Telephone No. PERMIT FEE (Signature of Owner or Agent) Location -1,v7 No.. v Date &ORTN TOWN OF NORTH ANDOVER • GL Mad �lwihbLS Certificate of Occupancy $ JAC.. Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $-,,�5 elf, Check # `lle- fes Building Insp or C� iG O C c:v cz p C -O O �.. U � N rn z V) V Z . cn Z W. �• O p O 0 y U V V a. S � L O � N O' a � iG O C c:v cz p C -O O �.. O N rn z V) V Z . cn Z W. �• O p O 0 U U V V L O � N O' a � w L OEn W ©- � _ 1�1 � A � I -k rOr 1�1 q C1 w o a y a s U U U L w ? ❑ a C z e q� Ta U -� Z O w O w z Z O ° U lm Z < U y a F n q F F- .N U C w y C. < 1 Q C O O �O O w O U U U .] w w w (n v W Z z a a O C cz p C -O O �.. O N rn z rn Z . cn Z W. �• O p O 0 U U V V L O' z � w L OEn W ©- _ 1�1 rOr 1�1 o U 10 a z j o �1 O Q J O Z� p, `C Q O <� U O W O q 1 a p II Z 3 r, 'J � l,� w Wcn O (� p � F O F Z o Z O C F O O 10 O = F- q OF O k O O U U q Fly O O C W y W U z U 7_ U z W O Z A Z a Z z o ra L• O ❑' t" j U C F c Z W v] W ... c W Z z a a F Z w F W N J O .0 O ^ O F Z w W N O L � � L °ate o cn SZ: m 9b w ~ O rnN y 4 Ujril p C r m n o n �m � V so ' Y� 60404 Q IL FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from - Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. FILLS OUT THIS APPLICANT -SJl V J o2%P— 111A9CIPS PHONE O LOCATION: Assessors Map Number . (� PARCEL SUBDIVISION LOT (S) STREET ci�tnA9 �� S ST. NUMBER /8 7 *OFFICIAL USE ONLY��'` [RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE AFFROVti) DATE REJECTED COMMENTS 0 w�{�5 �� �^ loth TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWA T ER CONNECTIONS DRIVE'NAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING iNSPEC T OR Revised 9\9' jm DATE x A O v o a C4 � z Q o co15 to cz U ro w w Pw O � L w `n U W ° cg� c O U z O° m C w W-4 c7 o n o cn E N O V) C cm CD Cc cm c m o cm c .c N m r-. O Z 0 J CD Olt.ms, . Q O CO O O D N CO)CD .co L- CL CL GD C O Q V _Q CL CA 0 C.) .y C 0 cv .0 ev H raw � L O V Q CL COO C o •� Co cc m _0 U) ui U) Irw W Cc w ui U) CLI) c o � H _O C Q V V .� d c W mm m m C o E �• \ �m c � o m cm �mc a s«. y m m O O � N �: ycm m 3 cc, . o • y m �'•mo y m m mor m�z O c O a � m VOl C 2 m : F- o r.L 0 y Ori-• -6 L WCLWC LL. m%c r -+C HO v0cma cm CL m o�c h d CA N -7 = =yam E N O V) C cm CD Cc cm c m o cm c .c N m r-. O Z 0 J CD Olt.ms, . Q O CO O O D N CO)CD .co L- CL CL GD C O Q V _Q CL CA 0 C.) .y C 0 cv .0 ev H raw � L O V Q CL COO C o •� Co cc m _0 U) ui U) Irw W Cc w ui U) 0 4 Location - No. Z Date NORTH TOWN OF NORTH ANDOVER •1hOR op O?O•',`•o Certificate of Occupancy $ • i Building/Frame Permit Fee $ ,ssACMUSEt'�' Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 12631 06/49198 09:48 283. C ^ " [div. Public Works Location No. < J ' Date " A < , 5�,. TOWN OF NORTH ANDOVER Building Inspector Div. Public Works 00 n Certificate of Occupancy Building/Frame Permit Fee $ $ s�CHus Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 4 Water Connection Fee $ TOTAL $ a Building Inspector Div. Public Works PER111T Ivo. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 4 PAGE 1 MAP K -4O. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. •I LOCATION [i D1 Fo P J1 PURPOSE OF BUILDING I_ Za r1 OWNER'S NAME AIJ9iC -9-fig-L M14(Lc s.S cC NO. OF STORIES SIZE OWNER'S ADDRESS / Gi r7 S� BASEMENT OR SLAB 13ds`oliL�� ►1STZG)/Q ARCHITECT'S NAME SIZE OF FLOOR TIMBERS /6.&E. 3RD 1l BUILDER'S NAME 1l r p �S C�1 O� SPAN /n / 9f, DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES 1 �Gl / REAR ��'}� ' GIRDERS AREA OF LOT L �V FRONTAGE,ZO I HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING Z/J x IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION c IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEFILED AND APPROVED BY BUILDING INSPECTOR DATE FILED PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST 14 EST. BLDG. COST 13 6 Q EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNERTEL # &2-7-030z, CONTR. TEL. # 69/-ZO CONTR. LIC. # S 2-5 Q 1, H.I.C. # �� q.312 BUILDING RECORD 1 OCCUPANCY 12 T SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 t 2 13 CONCRETE BL'K.PINE PINEHARDW BRICK OR STONE I 0 PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/. 1/2 �/, FIN. ATTIC AREA NO B M'T FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B t 2 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME HARDIN'D COMMON ASPH. TILE BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I HIP BATH 13 FIX.) TOILET RM. (2 FIX.) FLAT 11 SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. PERMIT NO APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAMEi• �, . �..,} i �� - LC C NO. OF STORIES i SIZE e OWNER'S ADDRES - '� > 9 j7'2 a��-�o���l St• BASEMENT OR SLAB ?res ARCHITECT'S NAME SIZE OF FLOOR TIMBERS- 1ST Z yq 3RD BUILDER'S NAME zjoc`I� 01, SPAN !/ /c)y -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS �� t IS BUILDING NEW SIZE OF FOOTING 7 X � IS BUILDING ADDITION - MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED & - 4J ` 2j F L L PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST s EST. BLDG. COST PER SQ. FT.+ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. #= 7i�Ti CONTR. TEL. #� CONTR. LIC. #�� L1� H.I.C. # BUILDING RECORD 1 OCCUPANCY 12 j SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL N. B'M'T' AREA _ '14 1/2 '/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING CONCRETE EARTH HARDNtJ'D COMI+ICN ASPH. TILE VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQNONE UATE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ELECTRIC NO HEATING B'M'T 2nd _ to 13rd THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. NO JOB' TOO SMALL KEEN CONSTRUCTION CO. DECKS . REMODELING • GENERAL REPAIRS 21 HEWITT AVE. KENNETH B. KEEN NORTH ANDOVER, MA 01845 President TEL: (978) 691-5201 MA H.I.C. 108383 FAX: (978) 682-3231 FORM U - LOT RELEASE FORM, INSTRUCTIONS: This form is used to verify that all necess(ary approvals/perms ro�C Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ****************** *********APPLICANT FILLS OUT THIS SECTION &T3 - 0 3Q Z APPLICANT MfirZAiS is 14NS*+ C « !�/9 1 . PHONE LOCATION: Assessor's Map Number. SUBDIVISION STREET / $ 9' 132AACO...rQ PARCEL LOT (S) ST. NUMBER / 99 *************OFFICIAL USE ONLY********* R!EC�ONQATIONrSOF TOWN AGENTS: - rill f /) - . I ` CONSERVATION ADMINISTRATOR COMMENTS DATE APPROVED / P ?J DATE REJECTED p') ,( T l 'rn llil� I U -.1 ✓A f�'41,, I/ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT ` FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE �Ovo BRPo � 23, 0 Q co rr^^ Lij O z Z U ti J � m Q a p J pz Lu Lu a �� Z oro ,Z,, ; Q) ,.i —J O .)c O Z C LL IX) OI Z O cz w 0 w 0 w IC4 a ci z A`�j° o n, 7 w a: v U X. a r A. G oGn w is w G O w A4 � rW„� n: ch ii x R � s n6 C7 w' W w w a w v cc o 2 a~, cn i cn �'.:1NGp_AP D J 0 2 O O Z CO C. O H D � co cm IQ CD O O .fCD0 co m m I. 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MEALEY py;2 N. CENTRAL ST i G�ApMINisiRATOR FE,ABODY MA 01960 j:. - ;%�e �arn.rza�uuea�i2• cY�,.. ��rz�aeiruaeC�t 5 ' DEPARTMENT OF PUBLIC SAFETY ' CONSTRUCTION SUPERVISOR LICENSE Nedher: Expires: Birthdate: CS 066660 01/11/1999 01/11/1969 t Restricted To: 00. JANES J MEALEY 33 NORTH CENTRAL ST `° PEABODY, MA 01960 M N ON .--4 co w a� u w° cn ° m C ea U° C2 a� U C6 w O � al w � wcz r4 U) w x t)O w�' w z w CQ z U) D cn c� o m c c � o � C H O C -/ wc O v �C' : •ate p_ C O R ' m C L O O R N +" a L _ . 4r 't v •� CD CD N E S c 0 ; m • m c a� N R m m O N N R m CD C C J _ m .O O 'D CO* CO ' � N CD 0 2i �'1� = w o :rya c.co m o� : V y O : V•:JZ : O O ... C i d O V co y O C CD Q yam-+ G +0+ W m c c CO) �= O C E O O� d•N CD p'00 C EL m .' 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Certii Icat�e�off Occupaannccyy $ Building Fee $ �S Foundation Permit Fee $ I Ar�uSEt a Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 05/17/96 13:36 CA N 5Z) i 74.75 PAIIi� 9798 C/ Building Irfspector Div. Public Works • C7 a W < a. Y 0 m°+ I � 3 ro N rc� 3 � � 0 1 W a Z O R w Z < 6 P V 0 Z W < Q O Qo LL F 0 O - W 3' I W Z N O U o V 0 U) >I W Z x H a Wf Z 0 X N N W W i < z uai pi W > W Z W � < Z p < < Z a F V V) O Z O ILL N Ir WW Z p m ~ ` z W f Q O 0 Z O J J W J a 0 O 0 LL 0 0 ~ J U. 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N m C O F- O SOH R L r•+ m LL D ~ C N dR.= c .. � o-oCDcm w U m pm C •o _W o_ W.5 o _ CC C3 H •O = E d N Z N O N CD m m C: Of C O m O Qf C •C O N CD S O Z 0 J 0 I O S I co 0 E CD L 0 V Z co C. O y O � ICD cm C O •� co C CD M M •E W f.iJ CD 0 co fr co cm CD co _� C d �Q y � CD Cc Cccm co ca 0 V N •� C cc y 0 014r C111mmonWt# of fttssn#ol i#o +lepartment of Pubik tafetg BOARD OF FIRE PREVENTION REGULATIONS 527'CMR 12:00 Office Use ON Qi Permit No. p Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date o� (X]i� or Town of_ _13c�RTHIDOV •R To the Inspect r of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant C�i� Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Existing Service_ Amps ., Z 3-OVOlts New Service Amps //S,/ Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work � Utility Authorization No. / Overhead LGA' Undgrnd ❑ No. of Meters Overhead Undgrnd ❑ No. of Meters OTHER: ~ INSURANCCOVERAGE: Pursuant to the requirements of Massachusetts general.Laws ^ I have a c ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES _ NO I have submitted valid proof of same to the Office. YES -- NO If you have checked YES, please indicate the type of coverage by checking thea pr riate box. INSglrpCEXBOND -- OTHER - (Please Specify) (Expiration O te) Estimated Value of Electrical Work 3 /-S"-60 Work to Start Inspection Date Requested: Rough Final S Signed under the Penalties of perlury- �LIC. NO. G FIRM NAME 14 5,!5A,7 Licensee Signature LIC. NO. z �(� t Bus. Tel. No. _57 t. Tel. No. Address ANA OWNER'S INSURANCE WAIVER: I am aware th the Licensee does not ve the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this ermit application waives this requirement. Or er 11"Agent� (Please check one) Ul Telephone No. PERMIT FEE (Signature of Owner or Agent) x-6565 Total Q� No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures I Above In Swimming Pool grnd ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units :� o. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection Initiating Devices 0 No. of Air Cond. Nc. •,r Ranges tons Heat Total Total No. of D.c:aosals No.of Pumps Tons KW No. of Sounding Devices _ No. of Self Contained — No. of Dishwashers I Space/Area Heating KW Detection/Sounding Oevicas No. of Dryers Devices KW Local r! CJther ConnectH;;atiiig ion I__ No. of No. of Low Voltage i!b..:`.-Alater Heaters .wN ,•_ -. _I_ - gigns ...:;. Balla is v,w I No. of Motors Total HP VJirinq _-- =- No. Hydro Massage Tubs OTHER: ~ INSURANCCOVERAGE: Pursuant to the requirements of Massachusetts general.Laws ^ I have a c ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES _ NO I have submitted valid proof of same to the Office. YES -- NO If you have checked YES, please indicate the type of coverage by checking thea pr riate box. INSglrpCEXBOND -- OTHER - (Please Specify) (Expiration O te) Estimated Value of Electrical Work 3 /-S"-60 Work to Start Inspection Date Requested: Rough Final S Signed under the Penalties of perlury- �LIC. NO. G FIRM NAME 14 5,!5A,7 Licensee Signature LIC. NO. z �(� t Bus. Tel. No. _57 t. Tel. No. Address ANA OWNER'S INSURANCE WAIVER: I am aware th the Licensee does not ve the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this ermit application waives this requirement. Or er 11"Agent� (Please check one) Ul Telephone No. PERMIT FEE (Signature of Owner or Agent) x-6565 .-'-*,'~_--- _°'°_ '~. , ~_---__'_ ' --__Jl�. . 1 ` ..~- -~ ~_I ' _ 2468 TOWN OF NORTH ANDOVER 10 PERMIT FORAA<INSTALLATION CHUS in the buildings of ... !gc,14,e ....................... t 7�FeA:�?.*. . Lic. No.. ... ....... . . ........ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 3776 NORTq F 9 Date ....... .... . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies thaw�.............................. ......... has permission to perform-,-. �. !...tea. . plumbing in the buildings of ............................. at � '� ...... , North Andover, Mass. Fee 's:.'' .. Lic. No/ ...? . ............................. . PLUMBING INSPECTOR 08/04/98 13_35 65.00PRID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING rype or print) -4 NORTH ANDOVER, MASSACHUSE Date 19 Duilding Locations fA4? # i-s7� l S� Permit a3 Amount �a Owner's Name SliZ i6 -7-ox E AM'/IL C-411 SACE New 1:1 Renovation a-, Replacement 0 Plans Submitted (Print or type) Installing Company Name /iii s �L�►.� ict � Address ffi&CLrc/ 4 n " _tfa dab ' , AM Check one: Certificate Corp. i Li Partner. 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ElBond Insurance Waiver: I, the undersigned, have been mdde aware that the licensee of this application does not have any one of the above three insurance Signature Owner 0 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 that all plumbing work and installations performed un Jsued for this application will be in compliance with all pertinent provisions of the Massachus State Plu bing C de d Chapter of the General Laws. �11By: igna ense um er Type of Plumbing License Title /p,7.5 --9' City/Town ui—cense Number Master Journeyman U APPROVED (OFFICE USE ONLY • • ONE (Print or type) Installing Company Name /iii s �L�►.� ict � Address ffi&CLrc/ 4 n " _tfa dab ' , AM Check one: Certificate Corp. i Li Partner. 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ElBond Insurance Waiver: I, the undersigned, have been mdde aware that the licensee of this application does not have any one of the above three insurance Signature Owner 0 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 that all plumbing work and installations performed un Jsued for this application will be in compliance with all pertinent provisions of the Massachus State Plu bing C de d Chapter of the General Laws. �11By: igna ense um er Type of Plumbing License Title /p,7.5 --9' City/Town ui—cense Number Master Journeyman U APPROVED (OFFICE USE ONLY Date.. .. ............ NORTH TOWN OF NORTH ANDOVER pF tao ,a ,ti0 'a a PERMIT FOR GAS INSTALLATION G N This certifies that.................. has permission for gas installation ........ in the buildings of .: �....... :. .". �f<-z.! ....... • • • . � A � at .. /.. .. �.. • ?' 't '�'': • : •'• • '1, North Andover, Mps. Fee. .. .. Lic. No J ?;4 .... ..................... . GAS INSPECTOR o WHITE: Applicant CANARY: Building Dept. PINK: Treasurer G •• vrw •••• . ..� vv �wnur r r 1 IIIIi�?/� ,•iJd D / kJ big IIS L'p f . Mass. Date Permit # �J Building Location Owner's Name Type of Occupancy tS_Z134- New ❑ Renovation ❑ Replacement C] Plans Submitted: YesO No SUB.—@SMT, BASEMENT ------.—_ 1ST FLOOR 2N0 FLOOR —�_ 3R0 FLOOR 4TH--��� FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name. BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE; -MA 01840 Business Telephone 5 0 8— 6 8,7=110 5 Check one: X1 Corporation ❑ Partnership Name of Licensed Plumber Or Gas Fitter Francis X. Corkery ❑ Finn/Co Certificate # 102 INSURANCE COVERAGE: I have a curreg IMNY Insurance policy Or Its substantial Yes NO ❑ equivalent which meets the requirements of MGL Ch. 142 K you have checked des, please indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Bond ❑ Chapter 14INS he NCEMass WAIVER; l am aware that the licensee does not have the insurance coverage required by apter 142 of the Mass. General Laws. and that my slgnature on this Permit application waives this requirement. Check one: slanatum— Of Owner or Owners AMt Owner❑ Agent ❑ kwMe gd a arM that apc8ft that all °pfl�the details and information I hapve Subrr�igsd (a en) %g� anent Provisions of tiie Massadwsetts state Gas�Oode °Rued rutdet the ppcatlon are true �to tom best of tru wfth aI1mY ma and ChaPter 142 of tT oflloense:Plumber Gasfitter r or APPP Joumeyman License Number 3 7 4 5 ' N y � W . y N tC y y rr V occ 0: ur W O W A W W FO- I- V m S S a) 3 al H< a it 0= d ` Cr °: 4 W = W V < W :u x W O n. C.1 � sf > r" W W d 7C F. W y W W a < a a W s Y < W > J a W x j H' < �<< O> O W H a a h a J W O ,W = O 0 �C u. 2. 3 c tl v O IA y n 1Nu T o n0. t- Installing Company Name. BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE; -MA 01840 Business Telephone 5 0 8— 6 8,7=110 5 Check one: X1 Corporation ❑ Partnership Name of Licensed Plumber Or Gas Fitter Francis X. Corkery ❑ Finn/Co Certificate # 102 INSURANCE COVERAGE: I have a curreg IMNY Insurance policy Or Its substantial Yes NO ❑ equivalent which meets the requirements of MGL Ch. 142 K you have checked des, please indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Bond ❑ Chapter 14INS he NCEMass WAIVER; l am aware that the licensee does not have the insurance coverage required by apter 142 of the Mass. General Laws. and that my slgnature on this Permit application waives this requirement. Check one: slanatum— Of Owner or Owners AMt Owner❑ Agent ❑ kwMe gd a arM that apc8ft that all °pfl�the details and information I hapve Subrr�igsd (a en) %g� anent Provisions of tiie Massadwsetts state Gas�Oode °Rued rutdet the ppcatlon are true �to tom best of tru wfth aI1mY ma and ChaPter 142 of tT oflloense:Plumber Gasfitter r or APPP Joumeyman License Number 3 7 4 5 ' 2 O H V w 4 N ' _Z N N w cr O O cc4 Iwo z o - CL `V 4.43 z J a z LL a 0 F U w 4 N X CA Q O n z H LL N 3- _ Q CJ Z O O O O O � a a m o o � w � z 0 0 � w a m o a. 4 Q w w EL • , Iwo z o - CL `V 4.43 z J a z LL a 0 F U w 4 N X CA Q O 29'15 Date .. .......... ,ORTH TOWN OF NORTH ANDOVER 0y .,, a o e 1hOOL p PERMIT FOR GAS INSTALLATION /I This certifies that ..__..... ...............:.... . Chas permission for gas../installation -!j .... • . in the buildings of ........... .....�......-��......... . at � -� :.......... ..... � ,�North Andover, Mass. aV Fed:- LictA,1Q9�5 35. afi ................. . GAS INSPECTOR WHITE: Applicant CANARY: Buildina Dept. PINK: Treasurer ✓IASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) twn CH ANDOVER, MASSACHUSETTS Building Locations 169 gz#i �IFVXI ;5/' Owner's Name New ❑ Renovation Ef Replacement ❑ Date O + -f 19 7 �) Plans Submitted ❑ Permit 4 Amount $ AAA A (Print or type)Check one: Certificate Installing Company Name 11,444144 ❑ Corp. Address AC A.* 0-4 hu ❑ Partner. (?A161 JV. SA HA. 61a24-z49e4 Business Telephone O)�g - 2Z-,6 • 9Pf0 T ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policyQ 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered)n a ove ation are true and accurate to the best of my knowledge and that all plumbing work and installations performed under ermit Issued for .application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chap 142 of the General Laws. ity/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1.7.53 ❑ Gas Fitter License N, er ❑ Master Journeyman z n C C rn m 1 F Z rW Z W •� W 5 w W N C W rr C C v (W+ Z J F» xd '~. W W L M > cC z -t W -t } z w z > C O W C SU B-BASEM ENT BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6T H. F L O O R 7T If FLOOR IST 11 . F L O O R (Print or type)Check one: Certificate Installing Company Name 11,444144 ❑ Corp. Address AC A.* 0-4 hu ❑ Partner. (?A161 JV. SA HA. 61a24-z49e4 Business Telephone O)�g - 2Z-,6 • 9Pf0 T ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policyQ 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered)n a ove ation are true and accurate to the best of my knowledge and that all plumbing work and installations performed under ermit Issued for .application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chap 142 of the General Laws. ity/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1.7.53 ❑ Gas Fitter License N, er ❑ Master Journeyman