HomeMy WebLinkAboutMiscellaneous - 200 CHICKERING ROAD 4/30/2018 (8)0
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NORTN TOWN OF NORTH ANDOVER
3 p
` Certificate of Occupancy $
Building/Frame /Frame Permit Fee $
3 CHus� 9
Foundation Permit Fee $
Other Permit Fee ` $
TOTAL $
Check
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JUL-25-02 09:31 AM
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ANew 126 Unit Luxury
Condominium
Community
1 & 2 BEDROOM RESIDENCES
ON SITE CLUBHOUSE & FITNESS CENTER
STARTS UN ER $200,000
DREAL ESTATE
LISTING AGENTS
SILVIIA APRANS . LINDA FITZGERALD CONNOLLY
978-687-4465 * EXT,126
www.kittredgecrossing.com
DEVELOPED dY
TERRA PROPERTIES, LLC
978-687-6200
STAR CC).
C)
HAVER '614-L, I' iA
9785215285
-.G
7/8/2016
lv
20861
This is an e -permit. To learn more, scan this barcode or visit northandoverma.viewpointcloud.com/#/records/20861
OF g10R7y 4ti
1�= OCL
F- S1
5
�9SSACHUS��
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that Jeffrey Hutnick
has permission for gas installation replace furnace
in the buildings of TWO HUNDRED CHICKRNG RD U:108B N
at 200 CHICKERING ROAD 108.B, North Andover, Mass.
Lic. No. 3532
Date: July 08, 2016
O i t,•,
44
1/1
7/8/2016
*Gas Permit #20861 Replacement of Existing Fixtures/Appliances (Commercial of Residential)
i
40
t s
Sf� \
PvE _
Applicant
�► jeffrey hutnick
978-975-1362
plumbing@callahan...
Primary Contractor
Firm's (Business) Name
Callahan A/C And Heating Services Inc
License # *
3532
License Type *
Plumbing Corporation
License Active
Mailing Address *
91 BELMONT STREET, NORTH ANDOVER MA 01845
Fax #
Alternate Phone #
Location
200 CHICKERING ROAD (108.6), NORTH
ANDOVER, MA
Owner
TWO HUNDRED CHICKRNG RD U:10813 N
Plumber-Gasfitter Name (Licsensee) *
Jeffrey Hutnick
Type of Business
License Expiration Date
04/30/2018
License Status
Active
Preferred Telephone #:
9786899233
Email
I hereby certify that all of the details and information i have submitted or entered regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. *
1/4
7/8/2016
Project Info
Is this Permit in conjunction with a Building Permit (select yes or no)
No
Occupancy Type (NOTE: For any residential building larger than two family please select Commercial)
Residential Single Family
Total # Units * Type of Work
1 Replacement
Description of Work to be Performed * Plans Submitted
replace furnace
Are you installing a generator*
No
Date Work is to Start (inspections to be requested in accordance tiwh MEC Rule 10, and upon completion)
07/08/2016
Fixtures/Appliances
Total Number of Fixtures/Appliances
Total # of Appliances/Fixtures
0
Miscellaneous Fixtures/Appliances
Gas Meter and Near Meter Piping
Remodeling of Gas Piping - Residential
Temporary Heater
# Of Residential New/Replacement of Water Heater(s)
Remodeling of Gas Piping - Commercial
Swimming Pool Heater
L.P. Gas Installation Permit
S`
7
2/4
7/8/2016
+� # Of Commercial New/Replacement of Water Heater(s)
# of Residential Furnace or Gas Boiler Replacement and Conversion Burner
# Of Commercial Furnace or Gas Boiler Replacement and Conversion Burner
Test
Total Number of Roof Top Air Conditioners
Direct Vent Heater/Fireplace
Total Number of Roof Top Heaters
Insurance
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142. If NO is selected a copy of
the signed Owner's Insurance Waiver must be attached to this application. *
Yes
If yes, indicate the type of coverage * If'other, specify
Liability Insurance Policy
Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Are you an employer? Select the appropriate type . Any applicant that selects #1 must also fill out the section below showing their workers'
compensation policy information. *
1. 1 am an employer with employees (full and/or part-time)
Type of Project *
Plumbing Repairs or Additions
am an employerthat is providing workers' compensation insurance for my employees. Below is the
policy and job site information.
Insurance Company Name (Attach a copy of workers' compensation policy declaration page showing the policy number and expiration date)
3/4
7/8/2016
guard
Policy # or Self -Ins. License # *
cawc604O73
Workers' Compensation Affidavit Signature
Expiration Date *
09/25/2016
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. *
4/4
W. Springfield, MA
(413)781-2897
Quincy, MA
(617) 479-2619
Mattapoisett, MA
(508) 758-6633
Rhode Island
(888) 881-4598
Building Commissioner or
Inspector of Buildings
Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Attention: Records
COMPANY:
POLICY NUMBER:
CLAIM NUMBER:
INSURED:
LOSS LOCATION:
DATE OF LOSS:
DESCRIPTION:
OUR FILE NUMBER
Gentlemen:
1 A
Pittsfield, MA
(888) 881-4598
Worcester, MA
(888) 881-4598
Cape Cod & Islands
(888) 881-4598
Hartford, CT
(888) 881-4598
Board of Health or
Board of Selectmen
Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Attention: Records
Narragansett Bay Insurance Company
10546204
O l MA 10546204
Charles Kwon
180 Chickering Road, North Andover, MA
06/13/2015
Water
B15-39619
Claim has been made involving loss, damage, or destruction of the above captioned property which
may either exceed $1,000, or cause Massachusetts General Law, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B, is
appropriate, please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, company claim number, date of loss, and claim or file number.
inc .r
Wj
Tom MClaims ter
P — 413-824-4201
F — 413-731-5553
butler.adj@the-spa.com
On this date, I caused copies of this notice to be sent to the persons named above at the address
indi ated above, by first class mail.
Secretary
July 15, 2015
P.O. Box 710120, Quincy, MA 02171
Date .......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that
......................................................
has permission to perform ................ . .......... 01 ... ....................
wiring in the building of ....................`t ".7 171V I .................................................
........ ... ... ..... North Andover, Mass.
at
Fee ic. No ... Ik
iC,,i INSPEC-�(O'�'**...
Check # Z. 5-5--
411\ Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. �3 Z�
Occupancy and Fee Checked
r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank
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: q - �o - /,�-
City or Town of: NORTH ANDOVER 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) [ (bQ C�;c.[ccrfn�� f�, 1Giitra 5s'e 3 i(C
Owner or Tenant 1u ,.� uN't Q in s Telephone No. &17f3- So7_aaS�
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of Meters
No. of Meters
Location and Nature of Proposed Electrical Work: �s [4 [� �, erg [,k_,T ens 1 _ J r� 01 .c,,,J
r c A01 --k\ Y,-,, .,J ecX ' 'W,
Completion of the following table may he waived by rhe Insnertnr 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 l
Above ❑ In- El
Swimming Pool rnd. rnd.
o Emergency Lighting
Battery Units
No. of Receptacle Outlets i
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
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
Totals:
Number
Tons
KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal El Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of Water Kms,
Heaters
No. of No. of
Si ns Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wui in
No. of Devices or E uivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: Tq 60 (When required by municipal policy.)
Work to Start: t( a j - (S 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 thepains andpenalties ofperjury, that the information on this application is true and complete
FIRM NAME: VIN t\eJr ,�_ Tv.e- _ LIC. NO.:
Licensee: `nJ�%s\e�1 Signature Iwe (•✓ LIC. NO.:
(If applicable, enter "exempt" in the licen a number line.) Bus. Tel. No.: 912, -ft -7(k
Address: �� k-AL;A MA_ digv; Alt. Tel. No.: 9?!✓ -376- I(G1
*Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No.
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 agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $