Loading...
HomeMy WebLinkAboutMiscellaneous - 205 BRENTWOOD CIRCLE 4/30/2018 (2)Claim # Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner dr Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: Timothy G. Galvin Property address: 205 Brentwood Cir North Andover, MA 01845 Policy #: 2037119 Loss of: 2015/02/21 File or Claim No. AD 1766 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. _ Gen. _ Laws,_Chapter_143,_Section_6 to be applicable. If any notice under Mass_Gen_Laws,_Ch._139_Sec._3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 04-24-15 Signature and date 14 2485 Date... l......�.... No `4 �10RTN °�<„'°;•�"a TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUSE� This certifies that has permission to perform .,r:....< ............................................................. wiring in the building of ...... -- ............................................................... .............ti............................................ ,North Andover, Mass. Fee.. 7...L.r.� LIC. NO:.........../j�...},...:.: �l L L.t Cry ELECTRICAL INSPECTOR Check # 4'=q z;;! . WHITE: Applicant CANARY: Building Dept. PINK: Treasurer AuaEYlJUl lU DEPARTMET0FPUBLIC&4FM Permit No. ,3 BOARD OFFIREF'REVEMONREGMT70NS5270V 120 v�v_ Occupancy & Fees Checked ARA1—PL.dCATIO FOR PE.f®LY.f [ TO PERFORM ELEC l' CAL WORK OR 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 -s 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) 0 J CeMl Owner or Tenant j rt,t.,�,,y�� ,,�,� Owner's Address 0-05 Cuvr�e. Is this permit in conjunction with a building permit: Yes® No ® (Check Appropriate Box) Purpose of Building �� ..f�- , Q, . Utility Authorization No. Existing Service 2,�0 Amps /Z o/ Z- a Volts Overhead Underground ® No. of Meters New Service �� Amps / Volts Overhead ® Underground ® No. of Meters Number of Feeders and Ampacity 312G a Location and Nature of Proposed Electrical Work a -111-d No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and ground No. of Receptacle Outlets 10 No. ofoil Burners No. of Emergency Lighting Battery Units 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 4%. of Disposals f 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 ..r; utStratC LaArcve Laws Iha%eaamtitLiab yl Lm=Pbhynad zgCci> Cae-dwtrkss agtivalsrt NO IhmstTxnifmdvalid afsatt>e0flie0� YES NO ® Ifjwharedt 3olYES,p�udicobtheNmof &apbyct�tgthe WSURAM E BOND ED OU -I R[] ftaseSpecdy) S 2 0 0 t-, E*abc zDa1e Estim&dvahrdBactti AWak $ 5o 0 Weds loStatt ` Z -0 0 htspcction DaleRaft ?-Z6-00 Fatal Sgredu dxMPtdofpctjtay: FIRM NAME LimnseNa Ise F/c' �f nl fC S �� W Qr+ Sime •�LmseNb } 16 Z 3 q BtL,QtcssTdNa 17F-2LS 9-6.77 77-77— AItTdNa 9?'!Q ER' - OWNS1NSIMANCEWA1VER,l.rnawaretat htftel.a X t�eflieumaa�etz oritss l astu�dby n�tsGaalLaws anda�my s��semthsp�onwai�d>�stequat3raag (Please check one) Owner Agent ®o�J Telephone No. PERMIT FEE �'7�0 N° 1827 Date .... //yl.0./„/ ... s NORTH 0 TOWN OF NORTH ANDOVER o 7D PERMIT FOR WIRING �sSUS' This certifies that .......Dc”, ') `.C�.........C: \-FC f if �.,..L .......................... has permission to perform .... :. ........� e.4!:ln...1 �l.l �. 1 C!. L..... wiring in the building of ......... N�. �C.........G.-.�S <<.! �. �J. �.1. �............................... .............. 4Northp oveass. � Fee .......... J..... Lic. No./ a`t ....� A� i ., ... _ !! ....... ` ELECTRICAL NSPECTOR 7 C� 4 t(:a 4 0 08/16/99 14:38 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 4 FOR RD I a:t(ce Use only == mmonLvealth of Massachusetts "� Per .ie So: Department of Public Safety = Occupancy d Fee Checked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance wish the Massachusetu Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datee -) a, , /Cf' City or Town of �_ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Ia„ . /1 /-- Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No N-11, (Check Appropriate Box) Purpose of Building'Z2euz 11 ✓ r, cc Utility Authorization NO Existing Service (A) Amps I )-U / Oq6 Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity C Location and Nature of Proposed Electrical Work L0 I A e , A ) Q LxZ r V % ✓i C= C P No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above D InF]grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency LightingBattery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑Other Connection No. of Ranges Total No. of Air Cond. tons No. of Disposals No. of Pats Total Total Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers y Heating Devices KW g No. of Water Heaters KW No, of No. of Signs Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: 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 ❑ .I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES,,please indicate the type of coverage by checking the appropriate box. INSURANCE F-1 BOND ❑ OTHER ❑ (Please Specify) Expiration Date Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NA License LIi;. N0. ) y 96 3J7 LIC. NO. -E Oc> 0 Address _<:(o Ic 11 a �s Trre—T V ---- - Alt. Tel. No. 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 on this permit application waives this requirement. Owner Agent (Please check one) 1 Telephone No. PERMIT FEE Sf�J, Signature of Owner or Agent C ��� T REMARKS BY ELECTRICIAN: t Location 020r-pu>oaCl� No. .,3 170 Date gORTM TOWN OF NORTH ANDOVER f 1 0 ..o ti0 �? • • • 0 F 9 iCertificate t t ; . of Occupancy $ • ,•1° t� SAC MUSE "orb+ S Building/Frame Permit Fee $ R ` Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 16L--1-- 14007 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER710 DATE ISSUED: g7- 0 0 SIGNATURE: C Building CommissioneE/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: X 1.2 Assessors Map and Parcel Number: Map Number Para Number �aGr1 An&o * r t M4 1.3 Zoning Information: �'^ 5 ' -Proposed Use U 1.4 Property Dimensions: �l , 3 C)'_3Zone Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infomration: Public 0 Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner off Record roltL rMAN �"Jld'a 3r,,-, 64vin Name (Pri Q `Address for Service 21c� �l Signature'_Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tel hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: '"TTrnoiy)y 15er1nc4q Licensed Connstru ion Supervisor: M C('O%bOvZ Address �..►t>d1r i�,�dv� (i1�n. `i?F11���, ZZ2(a Signature Telephone Not Applicable ❑ /� C` W (S License Number t Expiration Date 3.2 Registered Home Improvement Contractor Lt -T, rt�1) Not Applicable 0 � a� 213 Company Name til u-' U1- Registration Number t 0 % /C)o / Expiration Date -� Add s Q 7 a� � ��� Si a Telephone v z M 90 O 10 M SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... VIL No ....... 11 SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Pei ations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: rre w 76Ik nw, i<4 C abs o,"A cvi� view Cc,,A SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed bypermit applicant < OCIAL UfiE; ONLY 1. Building ` coo 00 (a) Building Permit Fee Multiplier 2 Electrical 3 i coo . 00 (b) Estimated Total Cost of Construction 3 Plumbing 1 c? o o . oo Building Permit fee (e) X (b) �� t 4 Mechanical HVAC �—YA- 5 Fire Protection l A 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMERS 1ST 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print i u 0t J� Sp a.\f') Location: d 0S- , b � X00 fl G Q� City 4A ' kjk CM Phone 71 am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Q Address Ci : Phone #: 625(o iQrO Insurance Co. PdUQ� �'< � Q> ''`��� Policy # Address City Phone #: Insurance Co c Policy #1 G 5� � SAD 0 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) 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 herby certify under �e-)Jjins and p jWfigs of ly6ury that the information provided above is hue and correct. 1 ,' . 0 0 Print name �(I rY10�11 Phone # Official use only do not write in this area to be completed by city or town official* ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION A ORD, CERTIFICATE OF LIABILITY INSURANCE o��8i20 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 WAVERLY ROAD NORTH ANDOVER, MA 01845-241 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EXPIRATIONLTR DATEIMMJDDtYYI 04/28/2001 P:978-686-2266 F:978-686-6410 INSURERS AFFORDING COVERAGE INSURED INSURERA: ASSURANCE CO OF AMERICA Spring, Timothy 111 Cross BOW bane INSURERS: MARYLAND CASUALTY INSURER C: North Andover 1411 01845- INSURERD: INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: IF]POLICY ❑ PECjRO ❑ LOC COVFRAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR DATEIMMJDDtYYI 04/28/2001 LIMITS EACH OCCURRENCE $ 500,000 A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY IT CLAIMS MADE F9101 OCCUR ❑ SCP32977283 04/28/2000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 500,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: IF]POLICY ❑ PECjRO ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) 1NON-OWNED ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS AUTOS BODILY INJURY $ (Per accident) ❑ PROPERTY DAMAGE $ (Per accident) ❑ GARAGE EDF LIABILITY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY ❑ OCCUR FI -11 CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ InDEDUCTIBLE ❑ RETENTION $ $ $ WORKERS COMPENSATION AND® WC RYSTATU. ❑ OTH. is— B EMPLOYERS' LIABILITY TC195575602 04/28/2000 04/28/2001 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE$- 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS,LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS VCR I IrIVH I G nvLIJCR IL -j I ADDITIONAL INSURED: INSURER LETTER: _ GANUCLLA I ILIN TOWN OF NORTH ANDOVER BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR NORTH ANDOVER MA 01845— (978) 749-2406 H%,Vf%U coo mail ©AGORD CORPORATION 1988 6 i - :1tJP CnU7JJIRUJJf[JPffl�fi U� 'l1llJJ(ICIZ(/rP��J DEPARTMENT OF PUBLIC SAFETY ! — CONSTRUCTION SUPERVISOR LICENSE Nuiber: Expires: Birthdate CS 071493 02/11/2002 02/11/1959 Restricted To: 00 TIMOTHY G SPRING III CROSS80V LANE r{" NO ANDOVER, MA 01845 � 1 � � ;Ifte 'C�rn�xan[rxa�lli ttf. ✓4UJ6XtA'+G.it�J - HOME IMPROVEMENT CONTRACTOR Registration 127,293 Type - INDIVIDUAL Expiration 10/05/00 TIMOTHY SPRING t TIMOTHY G. SPRING ! UCROSSBOW LANE ADMINISTRATOR ­NORTH ANDOVER MA 01845 m M M CD 0 m CO) Cl) CD V z y CL O n. CL ? C � y >u O o CD CD cro CD CD O CD w R G CD y nCD C y CD i 0 `b F C c?�oCL 0 s cm m O�:mO m Cl) to0ao m o asn o y m CD O m y S m ' m > > to y • m .0 0: l9 to 0 O Z�.W O y C7 00 �c'm C' s C0 -.x: co CLam,. o Sco CD CO) ?: tc ^om ID ,1j1./.•C��J, p IS V y Ot 1: CL til : 6c O W a , N C -CD 0 m: H y� :MMICD` N d VJ n "• Q r. o oQ; O � co 1 � o i cmc: r^ gym: ,o: S 5 6C=L �0 d El rA M v CD a ro CrJ w CD o°cQ CL pa HT1 o °o o El rA M v PER111T NO. 11 7 'APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. II— — LOCATION OWNER'S NAITF OWNER'S ADDRESS PURPOSE OF BUILDING NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST 2ND 3RD ARCHITECT'S NAME BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES'- SIDES REAR lad / GIRDERS AREA OF LOT F' /, L Nf�/ FRONTAGE HEIGHT OF FOUNDATION THICKNESS - IS BUILDING NEW SIZE OF FOOTING 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 METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BF ­FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED i /g �� SIG ATURE OF OWNE--R OR AUTHE)RTAD AGENT F E E PERMIT GRANTED 19 7s 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST CA EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM RxTT7C'PERMIT NO. 1T13 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR .,_9NI1V 3H ON P�£ isI 'NV -Id 107d S3aV7d3U SIHl 'S3!)" -V9 'S3H:)UOd H11/0 'S°.9NIa'lln8 d0 SNOISN3WIa lavX3 aNV S3N11 101 W0NA 33NV1Sla aNV 1 7 M 0-Id0SNOISN3Wla 1VX3 OHS1SnW N0I103S SIHJL Z! AONVdnoao L aS0:)38 JNlalInI t _I P"L 1.W.9 OR11�313 110 SWOOE d0 'ON L SVJ S831V3H 11NII 9.1,H 1NVIaVB 9NINOI11(IN0-) 61V _ S2131jVd (I00M bOdVA 110 i1.I AllOH'S10D '8 'SW9 1331S WV31S 'Ndf13 8IV lOH 03O80d 3:JVN2J(13 SS3l3dld _ 'Slw S 'SW9 M39WI1 1SIOf QOOM ONllV3H L L I ONIWVHI 9 OdVd 3111 80011 3111 siyiX11 Nb340W 9NId008 11021 d3MOHS 11V1S 13AVdO 8 8Vl 9NI9wnld ON 31V1S ANIS N3H:)IIN S30NIHS QOOM kdOIVAV, 1310NIHI 11VHd1V 13301D L'31VM I'Xld bl 'WN 131101 43HS 1V11 13b9WV9 319V9 0bVSNVW ('Xli £1 H1V9 dIH ONismid OL dOoH 5 3NON �I 31770347 BOOB 80183df15 ONIHIM 3WVd1 NO 3NO1S A8NOSVW NO 3NO1S 83aNO 80 'ONO5 3WV83 NO X7189 8'0011 9 Sd1S OI11V ABNOSVW NO XJI89 _EF £ Z t _ 9 3WV83 NO ozom kdNOSVW NO O»l11S 3111 'HdSV 9NIaIS 'AM NONlWO� WOD 9NIQIS SO1S99SV d,/i1 9NI41S 11VHd SV H16V3 S310NIHS 400M 9NIOIS d080 313d�NOD Sa8V09dVlD sl 1d 6 I s11VM b • 'N3HDiDl Nd300W S3DVld 3813 VMV D111V 'NI1 V3dV .1.W.9 'NI1 WOOb GV3H 1.W,9 ON %i `/i 'h 11(11 V38V 1N3W3SVS £ £ L t _ 9 N13NP �l1VM 1 Ad(1 831SV1d Sd3ld IJ.M48VH 3NO1S 80 N:)IH 3NId 'X.19 3138DNOD 3198:)NOO HSINIi aOIN31N1 8 I NOI1VONnoi z NOI lon UISNOD SiMW18VdV _—� S3J1110 A11W7d 'aim _ S3180!S A1IWV1 319NIS Z! AONVdnoao L aS0:)38 JNlalInI Mr.. Michael Kasabuski 205 Brentwood Circle North Andover, Mass. Dear Mike: We can find no record of any permits for the swimming pool at this office immediately for the CHF: Enc. See regulations November 7, 1975 m . Apply to ary ts. yours, H. STER INSPECTOR 2�ql 17 zsdf f)vo!i xa' A, � ��iud 7o J.so-soa ym 'to laoos7 on brdl nso s',: "IVA" n lco:t 4n1.r_r,r-3 hr.f X l z�i ey V. -s sd� sc3 �t ��t�; nai esl3'to ulri,f Vp anos�slu,%s7 59L i BUILDING INSPECTOR },,A..XA4,A r� NOM'y TOWN OF NORTH ANDOVER, MASSACHUSETTS �.* O;.••'�''• ;id rr i 34`t►�CitPWZgTFp BUILDING DEPARTMENT ; �°.: APRILM z « �; 1855 • ' � k SACHU5 November 21, 1975 Mr. Mike Kasabuski 205 3rentwood Circle North Andover, Mass. Dear Mike: Your building permit for the swimming pool is still held up pending the issuance of an electrical permit for the same. Please have your electrician come to this office immediately to take out the necessary permit. Very truly yours, CHARLES H. FOSTER .BUILDING INSPECTOR D ate. N2 4511 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING -TS, US . This certifies that I ......................................... has permission to perform . - ......................... 1XII plumbing in the buildings ofkA.4,-q. �. .............. North Andover, Mass. at Fee,VS'. dw Lic. No.......... ...... ....... P S P E CTO R Check# (WO (� L.� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer . 4 .� MASSACHUSETTS 'UNIFORMAPPLICATION FOR PERMIT "DO PLUMBING aoTr Mass. Date Permit # Building Locatlonj-��� �'ir7f �' / Owner's Name n a v / vt `� Ty a of Occupancy New p Renovation p Replacement -------------------- i/ Plans Submitted: Yes p No ❑ B.P • # SEWER# FIXTURES SEPTIC# of r- 71 1 y Z Y O 2 Q i- y W CJ N X J N 4( U N 7 W 4J a J N y N = H V a V)W y Y < N W 0. O X Q W O O W d y 0: < W - O V2 a, N J = Q 6 = c rr� f. < V F- < t.. < O _. H d. y _ Y 0. Q yr f = O C F N Q x X W = F L IL U. V J S t v Y -� m N d. D J 3 Z �<• N 4J. V . W2ND-FLOOR IST I I 3RD FLOOR I 4TH FLOOR I 105H FLOOR I H FLOOR H FLOOR Ll I HFLOOR I 1 Installing. Company Name_Adoyer Pl by & Htq Co Inc • eck one: Certificate # Address__20 Aaean Dr Unit -10 Corporation 2122 MPthiien Ma01844 C3 Partnership Business Telephone (978) 685-8383 a ❑ Firm/Co. ' Name of Licensed Plumber George LaRose INSURANCE COVERAGE: I have a currenth'ability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes U No O _ If you have checked yes; Please indicate the type coverage by checking the appropriate box. A liability Insurance policy Lel11" 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: ,+gnature of Owner or Owner'sAgent Owner p Agent C1 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 nder thpermit issued for this application will be in corripiiance with all ;ertnent provisions of the Massachusetts State Plumb,,,,,e General laws. „y All Signature o Lj sed Plumber :rty own Type of License: Master [ Jcumeyman O & 4j./ IpPftOVED O FI USE ONLY) License Number 9981 J 2 J J Date. :. ��..-.. S .... . NORTH TOWN OF NORTH ANDOVER A 9 O PERMIT FOR GAS INSTALLATION F ;• 9 lf7 i � t ,SSACNUSEt M This certifies that I..) -JI ? • •�) ; 1I has permission for gas installationP......... � . in the buildings of . 6 /'? ...................... :9. at ........ ,-North Andover, Mass. Fee.../..? a.. Lic. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer /s, J MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITfING r (Print or Type) K f & A!1(UUCAQass. Date /' 42 /41 19 92 Permit # d2 3 S Building Location �0� ��/1J%dUc19Vner s Name Type of Occupant � y New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No x AV I FIXTURES MAP PAR Installing Company Name _ BRADFORD PLUMBING & HEATING - Check one: Certificate Address Lic. #12580 Tel. #(978) 521-0262 _ -eCorporation P.O. Box 5269 BRADFORD, MA 01835-0269 ❑ Partnership Business Telephone - ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a curren liability insurance policy or its substantial equivalent which meets the requirements of MGI. Ch. 142. Yes No D If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance polio 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 applicalion waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate_ to the best of my kn-0eciRe and that all plumbing w rk and installations performed under the permit issued for this application will he in compliance with all pertinent provhions of the Massachusetts state Gas Code and Chapter 142 of the General ( asys. I ype of License:By >4 I'lurnber —� Tule ❑ Gaslitter - --_-- ----- -- >9.Master Sig r of Lice sed Plumber or Gat Fitler F1 Inurneyman /� ci'vlTona _ //' -cnse Number (J Cf APPROVED IOFFICF USE ONI-Yl (/ e e ' mommommomm MMMmmMMMMMMMMMM MEMO NEON mmmmmmmmmmmmm • • ■o...mm■.. a.®emommm■■.■■ MmMMMmMMMMMMMM Installing Company Name _ BRADFORD PLUMBING & HEATING - Check one: Certificate Address Lic. #12580 Tel. #(978) 521-0262 _ -eCorporation P.O. Box 5269 BRADFORD, MA 01835-0269 ❑ Partnership Business Telephone - ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a curren liability insurance policy or its substantial equivalent which meets the requirements of MGI. Ch. 142. Yes No D If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance polio 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 applicalion waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate_ to the best of my kn-0eciRe and that all plumbing w rk and installations performed under the permit issued for this application will he in compliance with all pertinent provhions of the Massachusetts state Gas Code and Chapter 142 of the General ( asys. I ype of License:By >4 I'lurnber —� Tule ❑ Gaslitter - --_-- ----- -- >9.Master Sig r of Lice sed Plumber or Gat Fitler F1 Inurneyman /� ci'vlTona _ //' -cnse Number (J Cf APPROVED IOFFICF USE ONI-Yl (/ If I ;z 0