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HomeMy WebLinkAboutMiscellaneous - 216 STEVENS STREET 4/30/2018N CO rn Cly � o m o �T : z . A l/) O O 1 .. o m O A I r- 4,.z \ t. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 147-6/ Q )Q or Town of NORTH ANDOVER To the Inspector of Wires: .014t &mmnmut34 of Maggar4unttu Beltartment of Vublic 1_56afetq BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Q Permit No. �/ r) Occupancy & Fee Checked . 3190 (leave blank) The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) �� 59 e5 Sf Owner or Tenant Owner's Address LI*V�- El this permit in conjunction with a building permit: Yes 7,_ No (Check Appropriate Box) Purpose of Building 17 �Utility Authorization No, Existing Service Amps _J Volts Overhead ❑ Undgrnd C1 New Service Amps _J Volts Overhead ❑ Undgrnd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Meters No. of Meters Total No. of Lighting Outlets 2, 1 No. of Hot Tubs No. of Transformers KVA Above In - No. of Lighting Fixtures I Swimming Pool grnd 11grnd. 11Generators KVA No. Hvdro Massace Tubs I No. of Motors Total HP OTHER: �6Z__ cSi /2lyfi�� 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 the Office. YES = NO _ If you have checked YES, please indicate the type of coverage by checking the approgxtwe box. INSURANCE BOND —_ OTHER - (Please Specify) (Expiration Date) Estimated Value of Electrical Works Work to Start Inspection Date Requested Signed under the Penal/tigs of perjury: FIRM NAME '11A /, �z��C.9L �1Tit�7Q Licensee Rough Final LIC. NO. ,LIC. NO. Address .T56i All. Tel. No. .371/'77= OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent est`e- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owne 9 (Please check one) Q Telephone No. PERMIT FEE 5 !!! VV (Signature of Owner or Agent) x-5565 No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets L No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices Heat Total Total No. of Disposals No.of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices I No. of Dryers Heating Devices I KW Local Municipal ❑ Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hvdro Massace Tubs I No. of Motors Total HP OTHER: �6Z__ cSi /2lyfi�� 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 the Office. YES = NO _ If you have checked YES, please indicate the type of coverage by checking the approgxtwe box. INSURANCE BOND —_ OTHER - (Please Specify) (Expiration Date) Estimated Value of Electrical Works Work to Start Inspection Date Requested Signed under the Penal/tigs of perjury: FIRM NAME '11A /, �z��C.9L �1Tit�7Q Licensee Rough Final LIC. NO. ,LIC. NO. Address .T56i All. Tel. No. .371/'77= OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent est`e- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owne 9 (Please check one) Q Telephone No. PERMIT FEE 5 !!! VV (Signature of Owner or Agent) x-5565 - TO 14- 945 SA u 7h 7 Date...... ........... ... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .. .. �, d ....... Z-7/ ........ ..... . has permission to perform ... /�..c o. i. 0 A � .............. wiring in the building of ....... .................................... at ........ ........... ..... 5T ............................ . North Andover,,Mass. Fee-1A.—W .... Lic. No. �!�M�t ............................................................ ELECTRICAL INSPECTOR C Lf 6/20/97 15:35 15. 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. MAP 440. Q �r LOT NO Y PAGE 1 ' 2 :RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION OWNER'S PURPOSE NAME �1 NO. OF STORIES 812E OWNER'S ADDRESS SANG BASEMENT OR SLAB ARCHITECT8 NAME SIZE OF FLOOR TIMBERS IST IND 3RD BUILDER'S NAME 0.0 SPAN DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDESi REAR GIRDERS r HEIGHT OF FOUNDATION THICKNESS m 4 AREA OF LOT FRONTAGE IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION /wO MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i IS 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 METEPB MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED����. 3 PROPERTY INFORMATION LAND COST EBT. BLDG. COSTOSO, EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM 4 PERMIT GRANTED 2�� 22- SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL # CONTR. TEL N 6e 0 G'© '86 CONTR. LIC. # a4; -t [� Qz y/ H.I.C. IF BUILDING RECORD i . al ui CL O O U U I �Cm Coxo •— m o -0 F mm it �_ O O G 0 Cc O d ca O = _ v •v CL 0 O = Z ts 0 CL C.) CO) O c— a 0 a a t x a a a w a4 v U iz � oG ii, rx w a4 w w a4 ° z cn v vi ui CL O O U U I �Cm Coxo •— m o -0 F mm it �_ O O G 0 Cc O d ca O = _ v •v CL 0 O = Z ts 0 CL C.) CO) O c— R.S. Hebei ---T5_ aA_e: 102 Adams Ave. No. Andover Ma. 01845 (508)686-0786 Customer Ms.Allison Kirk 216 Stevens St. North Andover Mass. 01845 40 Rs tip 058241 Rea#108450 Date 5/8/97 job:Repair walls and ceiling in hall & stairway. Supply all material and labor required to complete the following. 1. Remove all exsisting plaster from walls and ceiling in 1st floor front hall,stairwell and 2nd floor hall. 2. Remove exsisting trim moulding from window,doors, wainscoating and ceiling. 3. Install fiberglass insulation in walls and ceiling if needed. 4. Install 1/2" sheetrock to same walls and ceiling and tape three coats and prime. 5. Reinstall lst floor door trim. 6. Install new plywood wainscoating to match exsisting as close as reasonably possible. 7. Install new door and window and ceiling trim to 2nd floor hall. 8. Replace exsisting basement door with same type. 9. Remove and replace exsisting bookcase with same type. 10.Remove floor tile from 1st floor hall and refinish exsisting wood floor. ll.Work not included,electrical,painting,frameing repairs. Total Cost Owner Contractor --- ----------------------- __$_5050.00 a AlO I "IMP 41 CD co Date./�: ��2 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .................................. ...... has permission to perform ........... plumbing in the buildings of ................ at ..... ....... North Andover, Mass. . V Fee,..?c�V'!�. . Lic. No. 1'0�nl -A�' -T-0`R.... �4---IPLUMBING'- - C/ PSPE Check, 3S-31 5415 f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location r �� 5 ! -'yc-u S - Owners Name 15 ct Seg-ew QLe &ctPermit # Amount 5 % Type of Occupancy. 5 cur c'( New Renovation ReplacementER Plans Submitted Yes ❑ No FIXTURES (Print or type) Installing Company Name /LC C;. Check one: Certificate ❑ Corp. Partner. ElFirm/Co. Name of Licensed Plumber: r C P 1 �ayc r1�C Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 3- 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 1:1 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 Massachusetts to Plurnbin ode �yi�pte�f the Laws. By Signature Licenseu iriumDer Type of Plumbing License Title 42 g City/Town icense um er Master Journeyman ❑ APPROVED (OFFICE USE ONLY Date. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ....................... has permission for gas installation in the buildings of, .............. ... ..... North Andover, Mass. Fee�-� Lic. No. -4 ......... GAS INSPECTd� Check# 4176 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTITING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS I Building Locations 1 / S ?, Permit # n Amount $ `C -D Owner's Name S toL.S New 0 Renovation Replacement [D Plans Submitted (Print or type) ^ , one: Certificate Installing Company Name / "� �-- Corp. Address Q o k 7.s_Partner. V Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter 14 * L Gt% /� Q . [/C o u X INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 Noo if you have checked L, :please indicate the type coverage by checking the appropriate box. Liability insurance policy Er Other type of indemnity 0 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 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 Massachusewt .Sete Gas Codq�and C.4ptey442 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /�l 9 Gas Fitter License um er Master Journeyman �2ND. FLOOR (Print or type) ^ , one: Certificate Installing Company Name / "� �-- Corp. Address Q o k 7.s_Partner. V Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter 14 * L Gt% /� Q . [/C o u X INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 Noo if you have checked L, :please indicate the type coverage by checking the appropriate box. Liability insurance policy Er Other type of indemnity 0 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 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 Massachusewt .Sete Gas Codq�and C.4ptey442 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /�l 9 Gas Fitter License um er Master Journeyman