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HomeMy WebLinkAboutMiscellaneous - 22 RIDGE WAY 4/30/2018 22 RIDGE WAY 210/098._ B-00,,_0000.0 --- - - 9'i 09 Date. .?I F/.//. . TOWN OF NORTH ANDOVER 3+ �c PERMIT FOR PLUMBING �1 •O..r�o•I'�S� ,SSACHUSE� This certifies . . . . . . . . . . . . has permission to perform A:'?.,. . . . . . plumbing in the buildings of . . . . . . . . . . at . . . . . . F!!� . . . . . . .. Nor thAndover, Mass. Fee. Lic. No..N. ./.�.��9. ., tl.�rf .1�C::sl���?•. . . . . PLUMBING INSPECTOR Check # 7�Z MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 12rkd or Type) Mass. Date 7 l6 20�7 PemNt# Bulding Lxatlon_� /e i Dr�e wct.y Owners Name L i3 Type Of Occ Wncy New a Renovation 19" R ❑ PhM Swed: Yes❑ No 9! FDCTURES x c z y z x < .. h q q ce O z x } W W Y d 14 q ni h C7 C q z N < C < ' z tl! Od Ol W g x q h V W q Y d! N. z z = V x C m C q W Y < h g z C 0. O 6 4 ?L C W O q < rp d W q C J _z to s < x 3 O z x X G GJx O H vod W O J= tt U]G WY < 3 a m o 5U6-83MT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR Installing Company Nafie__ , Check one: Certificate AddressJQ Oxford 'Rd-d 0'Corporation 7 2 '-'/1 C :sbury, MA 01875 ❑ Partnership Business Telephone P9 85/996 7 77'1 27? zo s C-- ❑ Firm/Co. Name of Ucensed Plumber INSURANCE COVERAGE: I have a current I_Wbft Insurance policy or its substantial equivalent which.meets the requirements of MGL Ch. 142. Yes Ell No ❑ If you have checked,yew, please Indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the lkensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this pem,R application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or s Agent I hereby certify that d of the derails and Information I have submitted(or entered)in above application are true and accarate to the best of my knowledge and that all plumbing work and Installations performed under the permit issued for this appfrcation will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 ofthe General ws. By Title Signature of lAnsedPlumber Type of License: Master 3— Journeyman C]Lioensa Number / Z 7 41 The Commonwealth ofMassachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MM 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): C /ia-1 r Cc< lit C Address: City/State/Zip:_(e k s 6u.-V 4W p S 7 6 Phone#: 78 Ps / g q Are you an employer?Check the appropriate box: _ 1.❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6 El construction 2.❑ I am a sole proprietor or partner- listed on the attached sh%et. f J[7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. wor erg=comp.insurance. [No workers' comp. in 5. 8'�We are a corporation and its 9 E]Building addition required.] .officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.BT15mbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairsinsurance required.]t employees. [ o workers' comp.insurance required.] 13-El Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensationpolicy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of p criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Hereby certify u er the p 'ns and pen Ides ofperjury that the information provided above is true and correct. Signature- C'?�/ ` Date: Phone#: 976' FFIse only. Do not write in this area,to be completed by city or town official. n: Permit/Licensehority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers',compensation affidavit completely;by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,;please call the Department at the number listed below. Self-insured companies should enter their ,self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Corm-Ronweaith of PViassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia 1 I t t i 3� DC)MM4NWEAL7H..OF MASSAC I} V H�JSETT� 11 LICENSED AS,A MASTER PLUMBER 4 :—ISSUES THIS LICENSE TO " r CHRISTOPHER P ,SMITH — 80 L:OXFORD R ln Ico TEWKSBI►RY MA"'018 76;: 4'0 3._ ;12449 05/01/12 _ 7542D6` f x _ THENORFOLK DEDHAMGROUP@ January 8, 2013 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1352932 Insured: JOSEP LLORENS Address: 22 RIDGE WAY, NORTH ANDOVER, MA Policy No.: 21206099 Loss Date: 01/03/2013 Loss Type: Building or Other Structure Damage A 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, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, � ... C Lorraine A. Peirce Sr. Property Claims Examiner 1-800-688-1825 x1139 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. Fax:(781)329-1818 Location 227RI ! i No. Date o f NO"T" TOWN OF NORTH ANDOVER N O'tt.•u .•,ti0 A Certificate of Occupancy $ • ; ; Building/Frame Permit Fee $ � b''^'� ' Foundation Permit Fee $ SSACHUSE Ch Other Permit Fee $ Ch Sewer Connection Fee $ Water Connection Fee $ e - TOTAL $ jzk:� Building Inspector 8`'7 Div. Public Works ! G Location 5 No. �' v Date ¢ Y 4 YJ Th TOWN OF NORTH ANDOVEIV Certificate of Occupancy $ Building/Frame Permit Fee $ �°'•^°'"� Foundation Permit Fee $CHU =* Other Permit Fee $ -wxa A/, 885 Sewer Connection Fee $ Water Connection Fee $ �4� d $ TOTAL $tv H Idin ns or ` ^ 8 517 Div. a +c Works . Locatidn 2— No. Date �2 of �oRT: TOWN OF NORTH ANDOVER$ 3? ' 4 dot .'..' A Certificate of Occupancy $ ` ` ' Building/Frame Permit Fee s*4"o <� Foundation Permit Fee $ l aCHU -- J, Other Permit Fee $ I Sewer Connection Fee $ Water Connection Fee $ TOTAL $ S—Z (L 1. `G S37 Building Inspector �.,-� 28 Div. Public Works PERJiIT NO. ��y1�" PAGI✓ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. 2Gw�SZ MAP 4d0. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE — ZONE 'R SUB DIV. LOT NO. zy—f 4 LOCATION 22 �� �� 1PURPOSE OF BUILDING y�Q � ' OWNER'S NAME Q�1._.�a NO. OF STORIE2- OWNER'S ADDRESS L/ BASEMENT�OR LA L•LIEi • ARCHITECT'S NAME ��"1/) �y�-y/„ e ` • SIZE OF FLOOR TIMBERS IST 2ND ���A 3RD BUILDER'S NAME (tJI�IJDG�-h�7� SPAN /G � ,K• DISTANCE TO NEAREST BUILDING �� DIMENSIONS OF SILLS6 --- DISTANCE FROM STREET '" "" POSTS W I/ DISTANCE FROM LOT LINES -SIDES REAR GIRDERS �'t 14-ffl (/ AREA OF LOT2a C--�� FRONTAGE HEIGHT OF FOUNDATION G.�O 0' THICKNESS ��K IS BUILDING NEW !� > ,e SIZE OF FOOTING Q �� X O Y IS BUILDING ADDITION ^40 MATER:AL OF CHIMNEY OL IS BUILDING ALTERATION `J� IS BUILDING ON D R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ./5¢ IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY `/J IS BUILDING CONNECTED TO TOWN SEWER S/ IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY LAND COST REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST ____X S, COST PER SQ BLDG. :-FT. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. a. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 D CG PAID SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDIN 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE RE REGULATIONS PLANS MUST BE FILEDGGA ROVED—BY ILDING INSPECTOR DATE FILED V BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED GENT C � F E E LSZo© OWNERTEL.# PERMIT GRANTED PERMIT FOR FRAME/BUILDING CONTR.TEL.# 12- 19 1.1 DATE: FEE PAID:- CONTR.LIC.# c H.I.C.# m PERMIT � o - t .. 1995 =Fft too OK FRAME PERMIT$0-�Q._..�. SZ2q BUILDING RECORD 1 OCC?PJINCY 12 SINGLE FAMILY v s�ORIEsTHIS SECTION MUST SHOW EXACT, DIMENSIONS OF LOT AND DISTANCE FROM ' MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED, THIS REPLACES PLOT PLAN. CONSTRUCTION A 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 t 2 I3 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER w _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 14 y, . 3/1 FIN. ATTIC AREA _ NO B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAMEN' BRICK ON MASONRY - •ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STO E ON F AME �• - - SUPERIOR ! ADEOUATE I NONE 5 g00F 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED ATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING . TAR & GRAVEL STALL SHOWER • ROLL ROOFING MODERN FIXTURES TILE FLOOR - -a TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE lool FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM _ _ STEEL BMS. & COLS.. HOT W'T'R OR VAPOR RAFT RS AIR CONDITIONING RADIANT H'T'G � UNIT HEATERS 7 NO. OF ROOMS AS OIL } OIL 11 ?33 Tl N =19 B'M'T 2nd _ ELECTRIC 1 lsr 13rd NO HEATING • -02 AiP" M7• m frr� , pl? tf ( 0 0 Corti over No. 18 Z:�r'_u: = _ i � ,Andover, Mass., OAK _19t:9 " o - 1.{M- North�. Y �1 ., {U BOARD OF HEALTH /I L 10 Food/Kitchen PERMIT TO D Septic System t ��� �. BUILDING INSPECTOR THIS CERTIFIES THAT.S;fG.I�1G.N . ... .. Af ��S�P����5...l+�lril.l .. .. , .. ............... F Foundatio $13 l qd has permission to erect.�.... .11YL1� buildings on .. .2�.. �Q,� t•aA .(W*.......2... ! ) Rough to be occupied as.t>.%". M. ... . Ami�...... /......Z..—4?. ....��. 4U60'..............�+.. .��{.�. Chimney r it shall in eve reds ect VOnform to the terms of thea lication on file in provided that the person accepting this per Ai every p PP Final this office, and to the provisions of the Codes and By-Laws relating to the Inspect!" All fee?8Q)RjbWt% �f Buildings in the Town of North Andover. EE FFUUt� U1v� PLUMBING INSPECTOR REGULATED BY PARA. 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT E�Pi_i�i=:,`� '' r)��T +JL FEE PAiD �� Final ELECTRICALPECTOR • UNLESS Com' 5 ��JC,..T '1 : Irl %1 T`� �1Rough itz,0 Serv*, , • BUILDING JPcTSPECTOR %I QA�,�• C7ccu�)ancy I,P11 it lt: I?('gz,i.l1 C'C� to Oct tij)y Bt d ld i -1f0 Q Ql S INSPECTOR u Display in a Conspicuous Place on the Premises — Do Not Remove �afi4Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT t e FORM U - IAT RELEM 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ;-'�- UL& t 4Gt � r ,4�`r 4 Phcne��'- LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) 2, Street _ 00, St. Number 2 ************************Official Use Only************************ RECOM DA N OF WN NTS: Date Arnroved cons enzazion Adrinistrator Date Rejected Comments LOLL Date Approved ZQ1 J Town Planner ..� Date Rejected Comments *COA Date Approved Food Inspec-orJ-' ealth Date Rejected :� /l.�/L/L Date Approved Sepz_c Inspe=or-Health Daze Rejected Co=en:s Public Wcr:,s - sewer/water connections - driveway permit Fire DepartmentJ ` a,c &_ — R ceived by Building Inspector Daze '� 1995 J flow" y 330 C v T •.>. a. m ZONE S } .0 LG / / io T 6`S� 2 , F<} L O LOT � r1 Jos . So .9 100 INV = ,38o,? 10 • \ ,3 M ILL _ — T rNv= 3271(pg yt -tom c E n�f, "r REV, S-4 95 NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE GRADING / SITE PIAN SITE CONTRACTOR. iOCAM AT CORNELL C OL.DN/•9I- LOT Z S7 >,,. C �� ::, - Q S _ p ' - O ' NORTH ANDOVER HEIGHTS NORTH ANDOVER, JdA wW4M w6 wil LAND PLANNING TOLL BROTHERS, INC. LNGIIMMG & MVLY 1600 WIRT PARR DRIVE RSTHOIto, KA 01581 187 HARTFORD AVENUE. BEllINGHAX TLA 02019 (306) "6-4130 FAX (508; "0-6054 4—ZS- 95 I„ = 4G' N%.�—i•'r ? i I Lor 4E_ j /�►MC, Z . i n L ou 4 f \ r 4r N l T , E. MUINHO - 1 4A -mooFOUNDATION AS--BUILT 1 CERTIFY THAT THE STRUCTURE SHOWN IS LOCATED LOT 4-4- ON THE LOT AS SHOWN ON THIS PLAN AND THE NORTH ANDOVER ESTATES LOCATION DOES CONFORM WITH THE FRONT, SIDE, NORTH ANDOVX% ILA AND REAR SETBACK REQUIREMENTS SET FORTH IN pwam m TME Tows ZONING BYLAWS AT THE TIME OF TOLL BROTHERS INC. CONSTRUCTION. I FURTHER CERTIFY THAT THE 1300 TM ?AM iiiVi STRUCTURE IS NOT LOCATED IN THE SPECIAL a!ljM90, KA 01MI 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOT TO BE USED FOR THE ESTABLISHMENT OF PROPERTY smonsom HND PLANNING ritm ONES, ERECTION OF FENCES, OR CONSTRUCTION OF « ADDITIONAL STRUCTURES ON THE LOT. �' AVVM �°oen'j�' ;oe.°`0f° MAP NO.000sc COM NO. 25*0% DATE: G -2-y3 _ _ �- , _ 40' •l n.L ¢4 (a', ---- ------------------------------- -- ------- ------------- ---- - - - - --- ---- - - - - - - - NORTH Town of 4 over N L t;- �`y fort dower, Mass., �A A`C 1 z 19 9,:9 T' o - /j,, coclic nE wicn � 40RATED PPS\ BOARD OF HEALTH PERMIT T D n Septic System fd/vL��9j ' L�- 1j /�• - BUILDING INSPECTOR THIS CERTIFIES THAT 41,4N. �. . ... ... ? ...1+11n1.1 ....T/4 1P..;f......�.. J�p ao�naa io 5— -{ has permission to erect.LA.. .? M.TAF. buildings on ...V! Q ,tM 4. .�........... .......Z.,. .!�, Wim ¢-`wry C. '.4.4��. k! . ......� ...... .. �...�...... ..� ..`....... ..e1' 1 �,, yto be occupied as.�t1�1,�l.1�.....�.�.4Q�(lt . .... _ �-4m shall in ever refs spec tonform to the terms of the application on file in provided that the person accepting this permit y p PP ina this office, and to the provisions of the Codes and By-Laws relating to the Inspecti _A11jg�I�U�fVDUONllff Buildings In the Town of North Andover. PEEtR uur�c U PL IN ISP CTO A REGULATED BY PARA. 114.8•S. B.C. I VIOLATION of the Zoning or Building Regulations Voids this Permit. ouch MAX PERMIT EXPIRE IN-6_M FEE PAID Final qS ELE IC NSPE UNLESS C STRUC \� 3i y�' /C,IA PERMIT FOR FRAME/BUILDING �„_. .... ....... e cc.';;ILL5 /0 � BUILDING jNSPECTOR DATE: r FEEpAID:. oto - °� Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRED 7�j/ Until Inspected and Approved by the Building In a r. _ Burner � ,R, 1 1 �' )� Street No. P" PLANNING FINAt CONSERVATIO AL�rQ V ! ��w?t,�,� 1C `1 Smoke Det. ' P G SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT r CERTIFICATE OF USE & OCCUPANCY , • Town of North Andover Building Permit Number Q — 188 Date & Z+ lgq,3� r THIS CERTIFIES THAT THE BUILDING LOCATED ON ZZ ►�GE�JA� 2l ; I MAY BE OCCUPIED ASQ' AIV ACCORDANCE E WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY: CERTIFICATE ISSUED TO woo ADD 3 2A �aKY. P10 ,+:ACHUS� l Wg llSpector f , f I I Date. . , . . ..... . . . ..... . HpRTH o� TOWN OF NORTH ANDOVER ti mw 9 PERMIT=FOR-"S INSTALLATION SACHUSE�th• _ This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . .'.`. . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . at . . . :. . . f.". . .. ...: ::. . . . . . . . . . .. North Andover, Mass. Fee. . . .'. . . . . Lic. No.. .". .: .: ::. . . . . . . .. . . . . . . . . . GAS INSPECTOR Check# ; i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) y r r I N DA U�rl�/ . . Mass. Date �/ Q 19 Permit # v ' - Building Location ZZ IZ 17Owner's Name �• 17 - 1 J ��7(�� Type of Occupancy New ❑ Renovation ❑ Replacement ® Plans Submitted: Yes[] No❑ y Q y 41 Uf Y z Q N C) y V G F' 2 yS y Q O M y X H W W y. ¢ o u m s n tl J FW- < z O F' W z a W 6 W. ¢. o o z y tl W 4S z W V = ¢ Nom• W Q W W r = H rr J s z W. Y y m z 0 z W O C W fAA S 4 W > r` w Z -C rG < t O O W O ri H Q '= O tl = U. O S O tl J U C > O 6 H O sus—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR I STH FLOOR 6TH FLOOR 7TK FLOOR eTH FLOOR Installing Company Name Ah �l©IS S 'f 4-16 LJ-kl Check one: Certificate Address 'Z C> L©0 96R �5 RC e' Corporation y_y N F A Partnership Business Telephone 19 1 14 q $i'ad Firm/Co. Name of Licensed Plumber or.Gas Fitter INSURANCE COVERAGE: is or its substantial equivalent which meets the requirements of MGL Ch. 142. insurance q I have a cutren liabilrty policy Yes 9 No ❑ If you have checkedrtes, please indicate the type coverage by checking the appropriate box. A liability insurance policy �( 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: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 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 in com ' n with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By. T of Ucense: Plumber Signature of Licens&4oPUrfNeTMa ter Title Gasfitter Master License Number 31 0-(D City/Town Journeyman APNWVEff-(5FI NL w BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES - FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME# TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE a GAS INSPECTOR 0655 Date../n...7.-z�..... r k f NORTI�1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SS�cHUS This certifies that ............ ..So �G / .....�Z� has permission to perform ..... .1'lTE`- T_'_.............................. wiring in the building of..........L'o!e N. .............................................. r. .... -North Andover,Mass. r Sa®� Fee.......-"........ Lic.No.............. .................... . . . .................... .... . ..... EL ECTRICALINSPECTOR Check # � �vacinoaw•ar�o official Use Onl �•Partnurtt of�ir•s'srv/css Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev, I/07J leave blank) �— APPLICATION FOR PERMIT TO PERFORM ELECTRIC W All work to be performed in accordance with the Massachusetts Electrical Code AL WORK Q�� (PLEASE PRINT IN INK OR TYPE ALL INFf�RMATION) Date; �tMI cI,527 CMR 12.00 City or Town of: Al, 19,�oCo v�.,– — l y� 1 I By this application the undersigned gives.notice of his or her intention to Perform the Inspeclor of ires.m the electriCal work described below. 401 10— �JICII To W Locatlan (Street&Number) Owner or Tenant TQ'e Owner's Address ''L`� L _ Telephone No, b- 2," Za 13 Is this permit in.conJunction with a building permit? Purpose of Building i�,,�, � Yes N0 ❑ (Check Appropriate Box) �; '�1'n`� Utliity Authorization No, Existing Service Zy b Ams ZA New Service p , / 2 dVolts Overhead Undgrd❑ No.of Meters j --------- .Amps / Number of Feeders and Ampacity Volts Overhead. ❑ Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: -� (COAL + C W,0V C i h 44. No.of Recessed LuCom letian o the o(lowin table m be waived b the ins eclor o Wires. oiCeif.-Su minaires �8 No. s °,o p.(Paddle)Fans ON o.of Luminalre Outlets Transformers VA No.of Hot Tubs No.of LuminairesGenerators KVA Swimming Pool °YQ n- 0.0 mergency g ng No.of Receptacle Outlets /� rnd. rnd. 0 Batte Units i0 No.of Oil Burners No.of Switches FIRE ALARMS No.of Zones � No.of Cas Burners 0. 0 e ection an No.of Ranges Initiatin Devices N° of Air Cond. ota No. of Waste Disposers eat umpum,er ons ns No,of Alerting Devices Totals: - - -___.._ No.-07e - onta ne No.of Dishwashers Detection/Aiertin Devices Space/Area Heating KW Local un crpa No,of Dryers Heating Appliances Connection ❑ Omer o•o ater KW ecu ty ystems:* Heaters KW o.o o 0 No.of Devices or E uivalent Si ns Ballasts Data Wiring: No, Hydromassage Bathtubs No.of Devices or E uivalent No.of Motors Total HP a ons it ng: OTHER: No.of Devices or E uivalent Estimated Value of Electrical Work: 175-0 tllOCl�additiona(deto(/jdesired,oras required by the Inspector ojWires, Work to Start: /0 If (When required by municipal policy.) �/ 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. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ �0 I cerlof, under the pains and penallieess o per❑'u OTHER the Information,on this application is true P fy:) FIRM NAME: ^ •fp I ry' e.v t CSee 1T E(t L�, and complete. Licensee: �{N t.,� LIC.NO.: 192,0 u 8?_ . 51-7M Signature ��'' — -_ (ljapplicab(e,enter exempt In the licen a number(Ing LIC.NO.: sd Z 8 Address: _�d C,t9 0(i o�e/L Bus. Tel.No.:,7 f3 �''- �S 1-✓urc tY1la 00 87q *Per M.G.L. c )47 s 57-61,security work requires epartment of public Safe Aft.Tel.No.:Q2ic+ OWNER'S INSURANCE WAIVER; 1 am aware that the Licensee does not have the liability insurance coverage norm'37� required bylaw. By my signature below,]hereby waive this requirement. I am the(check one El ❑owner's a ent. Owner/Agent Y Signature Telephone N.o, PERMIT FEE: $ No 2114 Date 7.�9. e-'U...... It �aOR7p TOWN OF NORTH ANDOVER 40 p PERMIT FOR WIRING sS�CHU �r .�.,�..................................... This certifies that ....................�..............: - .J has permission to perform . ._:,��� - 1— �� -- �--c.............. wiring in the building of.... -.......................................................................... at.... ..�.................... ,North Andover,Mass. Fee ............. Lic h°�a c ........................................ _ ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Olfice Use ON �I�e (�ommonwetilt� of �fltiB�ttc�tc13etts Permit No.__._ Ll Etpartitttnt of Public $oftta Occupancy A Fee Checked 19 3190 peave blank) BOARD OF FIRS PREVENTION REGULATIONS 527 CMR 12.00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 0 (PLEASE PRiNT IN INK OR E ALINF RMATION) Date City or Town of � To the Ins ecto of Wires: The uderslgned applies for a permit to perform the electrical work described below. Location (Street 3 Number) , ^✓/ ; `'v Owner or Tenant J Owner's Address Is this permit in conjunction with it building permit: Yes ❑ No (Check Appropriate 80k) Purpose of Building Utility Authorization No. Existing Service _Amps_J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps_J Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and-Nature of Proposed Electrical Work No.of LIghting`Outleta No.of Hot Tubs �yM � No.of o� uicur...` VA J0 Above in•. No.of Lightirt :Fixtures Swimming ... grnd. ❑ grnd.❑ GeneratorsKVA No.of Emergency Lighting No.of Receptacle Outlets No.of 00 Sumom - Battery Units - No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones No.of Air Conal. Tbtal No.of Detection and No.of Ranges tons Initialing Devices Heat Total Tbud No.of Disposals No.ol Pumps Tons KW No.of Sounding Devices No.of Self Contained No. of Oishwishers SpscefArea Heating KW DetactionlSoundtrW Osvkes No.of Dryers Hosting Devices KW Local ❑ Municipaln ❑Other No.of No.of LOW Voi to No.of Water Heaters tin/ Signal Ballasts %Mdng ZAIZ- No. Hydro Massage Tubs No.of Motors - Tbtal HP • OTHER: 61 oIZ, 5 G� INSURANCE COVERAGE.Pursuant to the requirements of Massachusetts general taws I have a current Uabllity Insurance Policy including Completed operations Coversgs or Its substantial equivalent YES G NO O 1 have submitted valid pmol of awns to the Offlcs.YES O NO O If you have checked YES.please indicate the type of coverage by checking the appropriate box. INSURANCE O BONO. O OTHER O (Please Specify) (Expir tion ate) (act Estimated Value of),V141 Work S � � /l Work to Start 0 ' Inspection Date Requested: Rough Final Signed under the/Penalties of per)ury: UC. NO. �.....r.--- FIRM NAME �1�--- Ucensee nnna A $ LIC. NO. , 12rnnka Signature (Z'p ) NO. . 12 013 Bus.Tel.No. _• Address 111 Morse_ Street-, Norwood. MA Alt.Tel. No. OWNER'S INSURANCE WAIVER:t am aware that the Licensee does not have No Insurance cowrege or Its substantial equivalent sa to, qulred by Massachusetts General Laws. and that my signature on this permit Wolcaton waives this requirement. Owner j Agent (Please check one) PERMIT FEE i .2"� ...Telephone No. (Signature of Ownw or Aganq Y•nmi Date. . . HGRTM TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING SSACHUS This certifies that . . . . . . . . . . . .. . . . . . . . . . . . . . . . has permission to perform . . . ... . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of 1�. . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . North Andover, Mass. . .. . . . . . ... . . . . . . . . . . . . . . . . . Fee..", . . . . . . . .Lic. No....'.� . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Printor(T�&W1/j/Z «'" ' . Mass. Date 19 Permit#-j - Building Locatlon ZZ 2/)7� Gl#V Owner's Name IV- 6�-7— 176-5 Type of Occupancy s%4 e New O Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ FIXTURES Px of _z N N O z _� > to Y J 0V F<- N O O ¢ O Z Vf < W p .CZm fA 2 p 00 z 2 = Q O a c < a < 3 f~t 0 = O ¢ W ¢ '� < W — tS < off = ¢ ¢ 0 tr. ¢ W W < p N ¢ J p C p mu z < ILOZ < fu [• o > m- O S d z 0 0 H z z m m" O 0 Z < < < S O < < O < J J < ¢ ¢ ¢ < O < F- > O sue—SSMT. BASEMENT 1sT FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STK FLOOR 6TH FLOOR 7TH FLOOR STK FLOOR insW[Ing Company Name XNA WS RL6 J- WI—6, L_1-C" Check one:_ Certificate Address 1 0 C,00? K. Si`(\tt<T— %Corporation .�• C iM A 0 1,q, Q5: 'O Partnership Business Telephone 310 O O hrm/Co. Nam of Licensed Plumber INSURANCE COVERAGE: I have a current " bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142: Yes No ❑ If you have checked Les. please indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Bond O 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: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information i have submitted(or entered)in above application us true and accurate to the nest 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY Title Signature of Licensed Plumber Type of License:Master ,burn ❑ (��' Citylfown `l? (O NL License Number BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING i LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE ^.._...,....15 PLUMBING INSPECTOR r