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Home My WebLink AboutMiscellaneous - 19 BRADFORD STREET 4/30/2018 / BeBRADFORD STREET / 2101061 000.0 I 1�To 16 46 Date................ ......... 1� HOitTli TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,sSACHUSE� Thiscertifies that l.. ........:.....:.................- ....................................... has permission to perform �.L,< ?..n- -..- 1 �_..,........... f ` J wiring in the building of...... . ........ ............ ... ..... ........................................ ........... ,North Andover,Mass. Fee ..... Lic.No.��Z/& ......... r:1............ 'Ilk U ELECCRICAL INSPECTOR 05/05/99 01:48 40.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer L The Cott1711omlll��(11111 of o Dcl),artalcr"t of 1,11blic Safcty BOARD OF FIRE PRE -_VK NTION REGULATIONS 527 CMR 1-.00 3/90 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All -ork to be pef;vrmed In accordance With the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street ,Number) Owner or Tenant_ 14JLed Owner's Address------�Q4&9' Is this permit in conjunc ion with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building_' S'l dg"24 Utility Authorization N0. --------------------- Existing Service 1"_Amps.Aa-A 12 volts Overhead B Undgrd❑ No. of Meter-, New 'ServiceEl Volts Overhead Undgrd El No. of Meters Number of Feeders aidAmpaci ty. Lot ion ard Nature of Proposed Electrical Work RARe m"An 4- - o nf.Lithting Outlets r ,No hjtytibsINo. of Transformers-, Total . XVA: Abovc Iti- No. of Lighting Fixtures Sw. a g.P C,�_'4 -re.7- io�s greid- L-J F1 ---1-______ 1-1. — , �,__ - " a .7 INd c4ff 7_-,�rgency Lightivi N 7, f-.14�,It e P,� It al t 1 e Us lto -,W,4LC.ks ).Clefs g,�, A!" No of 7 A yo ,a 1, K All, T""Cal 7(�;: uf 'D 0. -1,La- hio"Of Dev i cep I-ILS11WAS"hert 1 nf-ScIf Cc;altained SpacelAr-a- h,P.-,A.ng- []'Hunicipal Ej. _4: No. 1`DT.:yer�.. KW 1 1 -Heating Devices Connection of r F -.No; No. of, Vat_er Beaters KW Low Voltage Sites Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP --d 0 P. THJr 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[] NO Ej I have submitted valid proof of same to this office. YES El NO El If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE nX BOND [] OTHERFJ' (Please Specify) General Liability 1 2/31 /99 (Expiration DateT Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAZIX Boissonneault Electric Corp. 'Of LIC. NO. A 118 2 3 1 License r& Licensee �1,6e Signature LIC. NO.30-< A Address 47 Salem Road Dracut, MA 0 2 Bus. 'Tel. No. 9 78)4 54—038 3 Alt. Tel. No.-( 978) 458-9977 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage.or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature application waives this requirement. Owner Agent (Please check one) on this permit Telephone No. PERMIT FEE S I? (Signature of Owner or Agent) r i Location 1 r ) r J S� No. , Date r '7 NORTH TOWN OF NORTH ANDOVER n Certificate of Occupancy $ • • * ; , Building/Frame Permit Fee $ _! CNFoundation Permit Fee $ Other Permit Fee $ +, Sewer Connection Fee $ Water Connection Fee $ n TOTAL $ f i1.�.��6s�-�-�-- E! # l Building Inspector 11:23 97.40 PAID 30 8305/12/99 I �' Div. Public Works PERMIT NO. /0 6 APPLICATION FOR RMIT TO BUILD****' *NORTH ANDOVER, MA MAP NO. (c;' LOT.NO. 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. -Q LOCATION ' a D r D Cr�/ PURPOSE OF BUILDING _ eYY� ®C.[E ylo d OWNER'S NAME /_ �� rJNO.OF STORIES SIZE OWNER'S ADDRESS (fJ ./— BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS J� 1ST 2ND 3RD BUILDER'S NAME *&VI/y � G, /� � c SPAN DISTANCE TO NEAREST BUILDING l� c� DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION eS 64,�A ` � IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM fO 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 INSTUCTIONS 3. PROPERTY INFORMATION LAND COST pp EST.BLDG.COST y � PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. 3d�� EST. BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: e PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR r'' E i DATE FILED ' OWNERS TEL# CONTR.TEL# i K OR � 6 CONTR.LIC# (p,53 6 LID Ji1t SIGNATURE OF OWNER OR AUTHORIZED AGENT H.I.C.# FEEils—PERMIT GRANTED 19 Revised 11/97 JM NORrH Town of 4:«.. over o No. Aj dower, Mass. ,A40/COCH cbE I f f 7 �A \� ,p °RATED PI? C, S H 5� BOARD OF HEALTH T D Food/Kitchen PERMIT Septic System THIS CERTIFIES THAT...... .... ..� ..... BUILDING INSPECTOR...�.�.R.................�.�.v.�.�...� is Foundation has permission to moo.. .....!PrM ...... �1►... buildings on ...........�...... r a .............a............... .. ... �.r .....�� Rough t0b8 OCCUpled as........... ................P.P.q...........................................................................o............................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms f the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, 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 ZrL UNLESS CONSTRUC ELECTRICAL INSPECTOR 3 Rough .......... ..... .... ..... ........................................................ ................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. 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. *****************************APPLICA-NT fiLLS OUT THIS SECTION*********************** kAPPLICANT � PHONE �� LOCATION: Assessor's Map Number�O;_ PARCEL SUBDIVISION LOT (S) STREET / � '� � ST. NUMBER **** * ****** *********** ** *OFFICIAL USE ONLY"""""' RECOMM DATIONS OF TOWN AGENTS: CO A ION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS i I i TOW N DATE APPROVED DATE REJECTED COMMENTS FOOD INS OR-HEALTH DATE APPROVED DATE REJECTED BSEP C I ECTOR-REACT DATE APPROVED DATE REJECTED 1 COMMENTSf7 PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm ✓/l8"1p09lNjNY7LUL O�✓6LR00¢CltUdeaL HOME IMP�IROVEMENT CONTRACTOR Regigtration 110473 ° Type(-' PRIVATE CORPORATION Expiration 10/20/00 i KEMCO CONSTRUCTION INC j _ KEVIN E. McGONIAGLE j & S ELEVENTH ST ADMINISTRATOR LOWELL MA 01850 �� _ '�'.T.l,� �anunwnure� a��aaoacfivaP,Cta Y ' DEPARTMENT OF PUBLIC SAFETYi CONS ON SUPERVISOR LICENSE y 0 _ Expires: Birthdate c i4s4oU~ 11/20/1999 11/20/1967 Rest Eted To 00 KE9 rE `KC.60NIAGLE '183.14VENTH ST LOWELL, MA 01850 r.i. � _ R The Commonwealth of Massachusetts Department of Industrial Accidents ' — 011ica 91IRMs1/917t/aos _ - 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name � >tlf /_/�� r!},_, location: CITY L- tiCs�[ � �Q�� nhon�# /� � c /f�•� C] I am a homeowner performing all work myself. �2—I am a sole proprietor and have no one working in any capacity r7 I am an employer providing workers' compensation for my employees working on this job. Company name: city phone insurance co: tzolicv# - r am a s -pro rie eneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnanY name so addren: city-. shone#• insurance co; policy# companv.name: address: phone# insurance cos yo�icv# Failure to secure coverage as required under Section 25A of MG L 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cenify under the p ins and allies of perjury that the information provided above is true and correct Signature Date / �' Print namePhone� CCOn(22Ct ly do not write in this area to be completed by city or town ufficial permit/license# f 18uilding Department C]Licensing Board mediate response is required C]Selectmen's Office C]Health Departmentn: phone q; t 10ther (rwucd 3195 PIA) c Town of North AndoverF NORTH , y OFFICE OF 3�O ,neo ,6,60` COMMUNITY DEVELOPMENT AND SERVICES ° � Y 27 Charles Street North Andover, Massachusetts 01845 `°q,,.° WILLIAM J. SCOTT 9SSgcHuS�� Director (978)688-9531 Fax(978)688-9542 In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number 1Qf 6 Iis that the debris resulting from this work shall be disposed of in a,properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: 00 - W� —Ile � ,�rev•'t.- -�� vac (Location of Facility) Sig re of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project throng-h the Office of the BuiUng Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9.540 PLANNING 688-9535 i a - Date.'Y— N2 4006 AOR7q °'.,�•° •'�o TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING .. ACMUS�� - This certifies that ./.O. u. . . . . l. .°f.�`. . . . . . has permission to perform 0."rt4 . t of S . . . . . . . . . . . . plumbing in the buildings of . . hr. . . . . . . . : at. `�'. 0/?gig CO-Q/ . . . . . . . . . . . ., North Andover, Mass. Fee. L/."�.'ssaLic. No..Ss-5. �.. . . . . . . ..:. PLUMBING INSPECTOR .�, 04/20/99 14:42 42.50 PAID M, WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB G (Type or print) NORTH ANDOVER,MASSACHUSETTS Date 54- 20- '3.�7 Building Location `y f3 t 0 0 rt-9 i- Owners Name ��_�,-F �i 0 V e i Permit# &,00 Amount Type of Occupancy wi + New ❑ Renovation Replacement ® Plans Submitted Yes ❑ No FIXTURES Ln z w a w U H i H H � a z � SWIBIAE IS'E HJOOR / 2rnFLOOR 3MlI 41H HJO(R s1H HJ0CR sli>L 7MRUR s1HROCIR (Print or type) Check one: Certificate Installing Company Name d "(D S k #e2.1 K ❑ Corp. Address3 C < v a r�k !g V16 Partner. ()i2�L-J U Business Telephone q 7 _ y3- ?- Firm/Co. n Name of Licensed Plumber: r!w k i�G'�y P6 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ 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 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu State PI b ode and Chapter 142 of General Laws. gn By: Signature of Licensea um`"eT Type of Plumbing License Title O''.Si f City/Town r7cense Mumner Master Journeyman APPROVED(OFFICE USE ONLY El