HomeMy WebLinkAboutMiscellaneous - 201 BRADFORD STREET 4/30/2018 (2)N2 Zi:/
Date. . ` .�.. �f...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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Thiscertifies that Ir.........................................................................................
has permission to perform .�!"� . c''.. ................................
wiring in the building of ........................................
at........ �... ............... ..:............... X47............... ,North Andover, Mass.
Fee -AS.,.....:...... Lic. No�: 7 .3 ...............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant
10/23/98 15:21
CANARY: Building Dept.
25.00 PAID
PINK: Treasurer
J
T 09WONWF.ALTHOFMASSACHI1SE77S Office Use
only -_
DEPARTAIENTOFPUBLICSAFETY Permit No. ( l r
B0ARD0FMEPRLVEW0NRWM4T70AS527CMR r Occupancy &Fees CheckedJ% Fri Qajila
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APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date . b Z Z
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street &Number) Zo t�,Aj-b ,`� 5 i
Owner or Tenant Q, &—i - -+A b AA -v- {� A—
Owner's Address S A tMt
Is this permit in conjunction with a building permit: Yes [ZfNo M (Check Appropriate Box)
Purpose of Building ✓- i ? CYC_- Utility Authorization No.
Existing Service / Volts Overhead Underground Q No. of Meters
New Service AmpsVolts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work C,)t)�� n op M
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
Z.
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
andground
171
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery
Units
to
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
Irst==Covw� Rm antbthe►e pemaZofTv%mduq&G aalLaws
IhawaaalLiabihtyhw aioePoicyitrhtdrtgCcrnpkte a .£o�aagearAss<abstat�ale4un'ala�t YES NO M
Iha%estfxnittadvMproofofswr1DtheOffi=YES NO IfyutmedtadwdYES,pimenbol6ethet)Wcf maWbydte"gthe
INSURANCE OTHER (P1emeSpeafy) Date
Estimakd ValuecfEkctri W Wait $
WaktaStatt 1 0 -Lr, lrspedatD*Ragti.Wd Rough r.��Z3�9 X Final
Sgrted taxier ofpew.
FIRM NAME N - S G,J t S Ljmws a 114 e -<-t h
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OWNERS WSURANICEWAAW;Iamawatethattheljoawdm not thestkria!egravalattastegtmadbyNbBsx B&GaiaalLaws
anddutmysiguLmonthis permitappf Edmwailthis tergum[
(Please check one) Owner Agent
Telephone No. PERMIT FEE
Location
No. Date
TOWN OF NORTH ANDOVEP
Certificate of Occupancy
$ g
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
m
Water Connection Fee
$
TOTAL
120/18
Building Inspector
Div. Public Works
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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.
--_- --- "* ***APPLICANT FILLS OUT THIS SECTION*
(�P HONE GAS- 2,45 3
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APPLICANT i?- 6 I� rk��
LOCATION: Assessors Map Number___W,. PARCEL 7D
SUBDIVISION LOT (S)
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STREET /�Q�/J/C� ��� ST. NUMBER jk
._: .-...+--+.�*..*.*�'••'**""""."OFFICIAL USE ONLY",,,y.,,.,..,....
RECOMMENDATIONS OF TOWN AGENTS:
CONSE VATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
Dsr4j
COMMENTS
TOWN PLANNER
COMMENTS
W ��
FOOD INSPECTOR -HEALTH
DATE APPROVED
DATE REJECTED,
DATE APPROVED
DATE REJECTED_
SEPTIC INSPECTOR HEALTH DATE APPROVEDDATE REJECTED_
COMMENTS
PUBLIC WORKS - SEWER/WATER CONNECTIONS—__
DRJVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTO
r
DATE
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FROM: LILLIAN MONTALTO REMAX PREFERR PHONE N0. 508 686 5300 110
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Commonwealth Engineering Associates, Inc. i
MORTGAGE SURVEY
This ceriffication on this plan Is made for mortgage purposes only. The undersigned will not be responsible
if this plan is used for boundaries, fences, plantings, special permits or variances �: : , •_- -
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of -mewl° � Deed and Plan Reference:
NOV. 12. 1995 6:02PM P 7
FROM LILLIAN MONTALTO REMAX PREFERR PHONE N0. 508 686 5300 110
sum
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Commonwealth Engineering Associates, Inc.
MORTGAGE SURVEY
This certification on this plan Is made for mortgage purposes only. The undersigned will not be responsible
. If this plan Is used for boundaries, fences, plantings, special permits or variances,=::.,:.'--'
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Ro1i0" -IDate pec�,9,1,994 Scale: 1 inch - 0 feet
No. 31312
air—as w Deed and Plan Reference:
T RELEASE FORM �f
FORM U - LO
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.
---******—`**APPLICANT FILLS OUT THIS SECTION*
t,
/APPLICANT PHONE 5 S 7-
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT (S)
STREET ';01 i�1 Y 2 `J1, ST. NUMBER
rrt-r--tYf'Af'***'�1"***RROFFICIAL USE ONLY""
RECO NDATIONS OF TO N AGENTS:
i�"K
144 tL�
CONSERVATION ADMINISTRATOR
COMMENTS
TOWN PLANNER
COMMENTS
DATE APPROVED
DATE REJECTED_
DATE APPROVED
DATE REJECTED.
FOODINSPECTOR-HEALTH DATE APPROVED
/ ��- DATE REJECTED
SEPTIC INSPE TOR HEAL DATE APPROVED
DATE REJECTED
COMMENTS G'iz- , S�
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRJVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTO
DATE
Location 201 a
No. % Date D
NORTH
TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee $
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Foundation Permit Fee $
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Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
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TOTAL $—'
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�,. TOWN OF NORTH ANDOVER
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$
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Foundation Permit Fee
$
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Other Permit Fee
$
Sewer Connection Fee
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Water Connection Fee
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TOTAL
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DEPARTMENT Of PUBLIC SAFETY
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HOISTS �GINEER LICENSE
' Number-....... Expires: Birthdate:
01J25J2000 01125/1446
28
RAVERIIILL, NA 01832
HOME IMPROVEMENT CONTRACTORS REGISTRATION
,Board of Building Regulations and Standards
One Ashburton'Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 113091. Expiration 05/17/99
Type - INDIVIDUAL
PAUL J SMUTNEY
PAUL J. SMUTNEY
220 WILSON ST
HAVERHILL MA 01832
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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.
*-�* ***"*1**APPLICANT FILLS OUT THIS SECTION*
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-...•***********—*******OFFICIAL USE
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NI�TRATOR DATE APPROVED
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DATE APPROVED
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INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
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the applicant and/or landowner from compliance with any applicable or requirements.
*-*�•*-••••****'**""""*"***APPLICANT FILLS OUT THIS SECTION* ll ii�
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o HOME IMPROVEMENT CONTRACTORS REGISTRATION
;Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 113091 Expiration 05/17/99
Type - INDIVIDUAL
PAUL J SMUTNEY
PAUL J. SMUTNEY
220 WILSON ST
HAVERHILL MA 01832
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o'<"•� °T ���o TOWN OF NORTH ANDOVER S
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PERMIT FOR PLUMBING
4
This certifies that "'
' 9
has permission to perform . r.-.!--> ................... �
plumbing in the buildings of.. ..........
at. ! .............. . North Andover, Mass. s
Fee . .. Lic. No l� (i .. ............................. .
PLUMBING INSPECTOR
?
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHII$ETTS n f Date 8�
Building Locations n20 % !�S �'�J�-Cl s Permit #
// Amount
�-e
Owner's Name ?G,
New ❑ Renovation ❑ Replacement ❑ Plans Submitted
FIXTURES
(Print or type) Check one: Certificate
&stalling Company Name �e 12U � >' -� � � ❑ Corp.
C� El Partner.
Address n 3�
Business Telephone (o a 3 - 3 8� `'� a ❑ 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 ❑ Bond
Insurance Waiver: I, the undersigned, have been made aware tlfat the licensee of this application does not have any one of the above
three insurance
Signature Owner ❑ Agent ❑
best of my 1-nowled ge mid tm BE phmmbmg work tmd p�us'" �d+a Parra iss for tizs in
gompliance with all pertinent provisions of the Mas efts State Plu Codeand Chaptir 142 o e General Laws.
[City/Town
y: i re o icen um er
t Type of Plumb=license
tle '�j/1f PF
1cen mer Master �Joumeyman
❑
APPROVED (OFFICE USE ONLY Y
3868
Date. % /./.
',�.!
OWN OF NORTH ANDOVER
`rERMIT FOR PLUMBING
This certifies that 7:-r .... f) ................... .
has permission to perform .... ('.4"/!N- 4-.�9.0. t^ ............... .
plumbing in the buildings of/. .Rv?�.f./Z ..................
at .. 4 ,2 % . m3 /9� tr /.? �° .......North Andover, Mass.
Fee .3.s (..... Lic. No. //5. J F .... .�.. .......
PLUMBING INSPE TOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
(Type or Print) /
17
NORTH ANDOVER ,Mass. -4; . '• . Oate: a�` ,1=i
Building Location oQ O/ f312Permit 1
` Owners Name`,
v New '[] Renovation ]�` Replacement [] Plans Sybmitted ❑' :'`
FIXTURF '
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BASEMENT
IST FLOOR I
2NO FLOOR
3RD FLOOR
ATH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR F-iBTH FLOOR
A
(Print or Type)f _ Check one: Certificate
Installing Company Name Z5 -f jC Ll -e, Y- Corp.
Address_ Partner.
//eLy-1--oxv 00t!d3�S'� C'j Firm/Co_
Business Telephone 6e 3
Name of Licensed Plumber:
Insurance Coverage:. Indicate the type of insurance coverage by checking the
appropriate' box:
Liability insurance policy f tA"Other type .of indemnity 0 Bond
Insurance Waiver: I, the undersigned, have been made aware - that the licensee of i
this application does not have any one of the above three insurance coverages. , •
Signature of ownerlagent of property Owner U Agent.❑
I b mbr ccaXy Most all of lllc dclails and in(000mlion I Isa•c su(Pico if Icd (of enicicd) in aM•.e applicolioa Ne fuseatN assa/e 10 Ute best r we
ksiowkdge aad tbal all plumbing walk and installs (inns 1•ct(at mcd undo rcrniit (tsucd (of this spplicalias wiU be iFoaar" «w1
dsloas of lbs bU"acLusctls SUlc Pluasbiat Codc and Cluplcl 142 of Clic (knual Laws• I at
By •
Title•
City/Town:
A DDRf)VF1') 70FFICF USE ONLY1
Signature of Licenseat riumoer
-;LPI,-- Tye of Plumbing License
License Number U Master ❑ JOurneYD"
1 • Y
Date .52'(00 ........
Z. ..........
N2
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that . . .. .. ............................................................
has permission to perform .... . .........................
wiring in the building of..4f�-2 � I — , ': .---1
...................................................
...................
at ................. North Andover, Mass.
Fe5Z ........ Lic. Nor -9 7A5 � . ..............................................................
ELECTRICAL INSPECTOR
11/12/98 13:52 75-00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TnFco woNWF.ALTHOFMASSAG &4m Office Use only
DEPARDEWOFPIIBLICPermit No.
RD� -
BOAOFFIREPREVENI70NREG A , OI�:S527CMR 12(10
Occupancy &Fees Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) Z,0 ) �j� 47 %b-- ,� ST
Owner or Tenant gj i f 13A --k^ �,—' t✓�
Owner's Address
Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box)
Purpose of Building 4,�S t -1--)H N, t Utility Authorization No. O Lt 1
Existing Service Amps ( Volts Overhead r,,7rUnderground M No. of Meters j
..
New.Service --4=aW — Amps / Volts Overhead [= Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work K c_lZkA , J fE---t�5c 1»
e
No of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No of Lighting Fixtures
Swimming Pool Above
ED
Below
Generators
KVA
round
ground
No. of Receptacle Outlets
No. of 0il Burners
No. of Emergency Lighting Battery
Units
I�
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No of Zones
No. of Ranges
No. of Air Cord. Total
Tons
No. of Detection and
No of Disposals
No. of Heat Total Total
1
Pumps
Tons
KW
initiating Devices
No. of Sounding Devices
No of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
No. of Dryers
Heating Devices KW
0 Connections
No of Water Heaters KW
No. of No. of
Signs
Bailasis
No Hydro Massage Tubs
No. of Motors
Total HP
OTHER
hmranoe Cveage Pustmrt to the tagtma� ofMassadusel� Gaal Laws
I hase a osrat Liabt* ht xwx Pnhcy etdudwg CcrrVkle �or ils s EtFtial a Fmiait YES E]�NO
IhawahneredvatiddptoofofsarnetDtheOffice YES r7 If}cuha%edtadcedYES, pimseirdi iveft WofeovaaWbydWatgthe
MxWiae bcDL
INSURANCE ✓'BOND MHDI a (Pleasesp- y)
Estimakd ValuedEkcuical Wcak $ 30 oo . ao
Wak>oStan I1 ti Y htspactimDaiReWested RDuglt )1I I,�Fstal
Sg,� t�� paJtay:
FIRM NAME oc AA LiomseNla �21k ,�l 6
Licensee_(`AL SigrMue LioaseNo L7 ?r0
BtRm- Tel Na 6QZ :S62 -2p5 /
Addn =j,,'—Ooh 57. P�4�s:o.c�, .��{ O'�`�&T-- AIL Tel Na
OWNER'S NCE WAIVER; I am not
�tgigthectscranea orizss�r�alagt>;valartastegc�adbyMasadtsef�Gaterallaws
and that my sigruUmon this pamit appticatim waiv s this neat.
(Please check one) Owner Agent a
Telephone No. PERMIT FEE $
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