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HomeMy WebLinkAboutMiscellaneous - 20 SPRUCE STREET 4/30/2018N O O W W Q O O N '� O O O O O p Location 0 4� No. 3 Date °"T" TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ sE `y Foundation Permit Fee $ ee Sewer Connection Fee $ Water Connection Fee $ _ 1 00 Building Inspector �► 6 V t4 `' Div. 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Type of Work: �` ���� f o Est. Cost Address of Work O S' /] G C C cf �J Owner Name:�� S `� ��- � h Date of Permit Application:/l//l3 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under $1,000 Building not owner -occupied O'wner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: p�7 C4,A� Date Contractor Name OR: Registration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name f OFFICES OF:. APPEALS BUILDING (:ONSL'IIVA'I'tUN HEALTH PLANNING wwry 01P..."'...":., 0 Town of NORTH ANDOVER DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 12O Main Street North A11dover, M.15ti. u'11 t 15(:11S () l fi4r; (( i 17) ( iH -47 7 i In accordance witli the provisions of MGL c 40, S 54, a condition Number of Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: M (Location o Facility) r Signature of Permit Applicant Date NOTA': Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. f) _0 > C) ;z C) C/) pj CO) rl m n T ::r' T CL rz (n C/) -< CA 91 0 r) tv B7 CO) Cl) > CD Z CO) CD 1> C2. CL CA >CC C-) CD 0 CD CL =r Cr CD C-) CD 0 CD -n C) cf)cc) r m < CL = C� CD w CO CD F CO) C) CD 10 CD CD CD CD CD to 0 z C/) n 0 Q = - -1 CD 0 cu cr CA 4.1 0 E CO -0 CO) =—t c D 8 w C-) Co C'J Ca. C.) m CD cu w 0 = --w CD =r cm. CL 0 CD W m =r CD yCD CO) N 0-0 =,0 :E CD ca co CD 0 CD C2 COD S CL co CD C2 =r sr CD CD 0% CD CO3 S'cr CA CR Q3 0 6-c CZ? CA CCD CD co) C2 C/) CA C—D CD%: Cc CD ON =r O CD co CD C'm CD C* o ==rr w.o w m*4b CA C2, N • m pw C/) i3 77- M::r cn - (D In - :J 9j C/) pj n � ,* 0 m n T ::r' T CL rz (n C/) -< CA 91 0 r) tv 2) H 0 9 0 c CD 6 M Date..?.. n� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................... has permission to perform ... ............................... . Cplumbing in the buildings of . pia �f-�................... at. ..��'............ , North Andover, Mass. 2 -� r! Fee...... Lie. No—Y3,37. .... J / ,•�i !............. . G`PLUMBf4eINSPECTOR Check # y..3 �� 6341/ It (Type or p nt NORTH ANE Building Location MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING MASSACHUSETTS New `Ej Renovation Type of Occupancy Replacement 0 FIXTURES Date 179/ -?9,/f)5 sy Ll��-NP .�— Permit # Amount ��ov Plans Submitted Yes E] No ❑ (Print or type) ( P `' Check one: Certificate Installing Company Name L tl 1 ❑ Corp. % Address ! Partner. i -! A 44 a nikuq0 Business Tele one — �'—• y rm i/Co. Name of Licensed Plumber: IRt 6— U'- Q 'n N Insurance Coverage: Indicate the t e 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 j three insurance 0 Signature Owner ❑ Agent I hereby certify that all of the details and information I h v submitted (or ente a ove application are true and accurate to the best of my knowledge and that all plumbing work an in al ions performe under Permit Issued for this application will be in compliance with all pertinent provisions of the Ma u t t P bin Chapter 142 of the General Laws. By: gnatul-TY -CiVensea FiumDer T pe of Plumbing License Title City/Town icense um a MasterJourneyman ❑ APPROVED (OFFICE USE ONLY Date .a . .1 ... ° ... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ...... ................ •. �� has permission for gas installation .............. r , in the buildings of :.. .-........................... . at ...: ^ ... . ' :. '-'?-- :......... , North Andover, Mass. Fee .. Lic. No..�3�.i... /L�! �� (/ GAS INSPE TOR Check # 4 9� 5 U 5 a MASSACHUSETTS UNIFORMAPPUCATON FOR PERMrr TO DO)GAS FITInTG (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations OQ �I bep Owner's Name New ❑ Renovation ❑ Replacement E Permit # Amount $ (Print Name Addre or type) tt,A Check one: Certificate Installing Company J kk pmIJ Corp. ss � O LD KIG ❑ Partner. :ss Telephone 4c)-7-77- 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 Vis, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond 0 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 best of my knowledge and that all plumbing work and instal compliance with all pertinent provisions of the Massachu/ ICity/I'own (or entered) in above application are true and accurate to the 'ormed under Permit Issued for this application will be in s Code -and Chanter 142 of 00 General Laws. iJure of Licensed Plumber Or Gas itter t mber Fitter tcense Number IAPPROVED (OMCE USE ONLY) I rl Journeyman x � U a w o O U m a z o z w z o w a Gw w a H U m W E. z w F. w 5 w w a v, z >. a rn a O ox z 04 O H o x o U o° SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2 N D. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print Name Addre or type) tt,A Check one: Certificate Installing Company J kk pmIJ Corp. ss � O LD KIG ❑ Partner. :ss Telephone 4c)-7-77- 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 Vis, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond 0 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 best of my knowledge and that all plumbing work and instal compliance with all pertinent provisions of the Massachu/ ICity/I'own (or entered) in above application are true and accurate to the 'ormed under Permit Issued for this application will be in s Code -and Chanter 142 of 00 General Laws. iJure of Licensed Plumber Or Gas itter t mber Fitter tcense Number IAPPROVED (OMCE USE ONLY) I rl Journeyman Date. 3769 pORTM o° TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACHU This certifies that .. A..),,. �:-n ....................... has permission to perform .. �..(./.......................... . plumbing in the buildings of ..1U0.�� t'.!L.................... at .. ....... ....... North Andover, Mass. Fee. Lic. No.. .............................. PLUMBING INSPECTOR 07/29/33 12:10 20.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer . _ v�d � MASSACHUSETTS UNIFORM APPLICATION FO PERMIT TO DO PLUMBING (Print or Type) e .1-��6f1,,� 3 Mass. Date7-.a 19 Permit# 26 7 Building Location _ i' f,( GE Owner's Name 4114 ✓ //A A w New ❑ Renovation 1:1 Replacement FEATURES r'a_Type of Occupancy Plans Submitted Yes ❑ Nd -6-4- Installing Company Name V' &.1 /f _ Address�,i Business -k; 5 /-Is, Check one: Certificate 11 Corporation I7 Partnership !Co. Name of Licensed Plumber_ / mAt�--v i�lide� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes B--' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. t�4 liability insurance policy FL---�'�Other type of indemnity 1-1 Bond C] OWNERS 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: Slanature of nwnar nr (lwnnr'e A.. i C1Mrner—P—Afj{►RtZ 11URPUy V pity mat au of the details and information I have submitt*orentered) in above application are true and accurate to the best of my knowledge and that all plumbing work andinstall 'under the permit issued for this application will be in compliance with all pertinent provisions of the Massac ettsg C e and Chapter 142 of the General Laws. By igna ure Of icense Title Type of License: Master [Z,,— Journeyman ❑ City/Town License Number__ J�W O�Q rAPPROVFD OFFIRF USF ON1_Y) z Z z_ O Y Q W U) Z J U) Q U z O t.7 z Q Q cn m 1Q- w _ C} ¢= a Y Q CL O LL z z Q a O x v ¢ 0� W W 0 O¢ Q a Q 3 11 M W W j Q W to. Q F- J Q Z Y n d fW- U Q= >QQ H O = a SQ Z �' Y Z a O O v7 Z Z Q W W f- LL O Y W Y _..l m U 0 0 � H W LL O O O <1 3.. M m 0 SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR - 8TH FLOOR Installing Company Name V' &.1 /f _ Address�,i Business -k; 5 /-Is, Check one: Certificate 11 Corporation I7 Partnership !Co. Name of Licensed Plumber_ / mAt�--v i�lide� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes B--' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. t�4 liability insurance policy FL---�'�Other type of indemnity 1-1 Bond C] OWNERS 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: Slanature of nwnar nr (lwnnr'e A.. i C1Mrner—P—Afj{►RtZ 11URPUy V pity mat au of the details and information I have submitt*orentered) in above application are true and accurate to the best of my knowledge and that all plumbing work andinstall 'under the permit issued for this application will be in compliance with all pertinent provisions of the Massac ettsg C e and Chapter 142 of the General Laws. By igna ure Of icense Title Type of License: Master [Z,,— Journeyman ❑ City/Town License Number__ J�W O�Q rAPPROVFD OFFIRF USF ON1_Y) O z W W 0 z H a a O A O H H H w Pa W O w z O H H d' U H a P4 �M U z H A a H A w O W P4 _i A W W 1 1-909 Date.��� I; `7..... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that - - !! . Q. l -S -. (. (. ..... • • • • ............. • • has permission for gas installation ..: ?1� ....... • • • • • • • • . in the buildings of .S !? f C -. ,t . � Z .................... at «... �'!�'.�.� . .. ........... North Andover, Mass. Fee.. Lic. No...�-jv...................... C1�/. 9J 112:1D 'GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 1 1,��J� , Mass. Date r1 -o'3 19 Permit#IL Building Location 2-e Spam GG Owner's Name t'l (A.rz,JeAL i Type of Occupancy New ❑ Renovation ❑ Replacement D---, Plans Submitted Yes ❑ No &--- Installing Company Name_ 1 �). _�+ �r.�� {—j�( Check one: Certificate Address ! ✓!Jl —`�f-- 1.1 Corporation I I Partnership Business Telephone �� ��� ism/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE. 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes E? --r No ❑ 1 If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Llk—' Other type of indemnity 1=1 Bond l J OWNERS 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: $lanature of Owner or Owner's Aaeni—'---'— - -- O r 17en 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 the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts7�� hapter142 of the General Laws. By A ep0-License Title L umber ❑ 9Wtter igna ur Licensed Plumber or as Fitter Clty,/Town aster nr�^UF(l Of FI , _ t n [7 Journeyman License Number_1�r•�/C26Y i � • Installing Company Name_ 1 �). _�+ �r.�� {—j�( Check one: Certificate Address ! ✓!Jl —`�f-- 1.1 Corporation I I Partnership Business Telephone �� ��� ism/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE. 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes E? --r No ❑ 1 If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Llk—' Other type of indemnity 1=1 Bond l J OWNERS 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: $lanature of Owner or Owner's Aaeni—'---'— - -- O r 17en 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 the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts7�� hapter142 of the General Laws. By A ep0-License Title L umber ❑ 9Wtter igna ur Licensed Plumber or as Fitter Clty,/Town aster nr�^UF(l Of FI , _ t n [7 Journeyman License Number_1�r•�/C26Y 59 O w W w O z u z H H H H W U' O A O H H H .�H W w P4 0 ZO F-4 v W H oma O w P� n 3 o z H A Kl kr Q z 0 U W H H H W <C U O 0 w .. Q 7 w W U a W W F' F' � -.4H A P4w O H U W a 7 H En U