The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 226 GREENE STREET 4/30/2018 226 GREENE STREET 210/022.0-000¢ 0000.0 Date..�.�.�:.....a.l..... w f NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACHU This certifies that . -'�-F''•—' ............................................................................ 4 has permission to perform .... wiring in the building of...... ...................................... r > ' ,North Andover,Mass. Fee............- ........ Lic.No l�/'mf .............. �.. ELECTRICAL INS2. - ' Check # N �� 6 / �' U ,per � �l 0� ack Official Use Only �\ tteinonwea oJ' asd Permit No. 7 .tare Occupancy and Fee Checked 1315 BOARD OF FIRE PREVENTION REGULATIONS ev. l/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),327 CMR 12.00 (PLEASE PRINT IN IATK OR TYPE ALL MFORMA TIM Date: 0,5-o6-07 City or Town of: 101VY V)ER- 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)oo 6 =%1/•� S-5z -,C-, 7 / Owner or Tenant L/ClH/✓ /� Y.�O(f /n �/��T� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building !�.S,��vri ,c� Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 i i i i✓iiil�' Q '� �'WYE'P�� r Completion o the ollowin table may be waived b the I Tovct,r of N'Ires. addle Fans No.of No.of Recessed Luminaires No.of CeiL-Susp.(Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators p KVA Above n- o.o mergency tg tmg No.of Luminaires Swimming Pool rod• ❑ d. ❑ Bane Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners InitiatingDevices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump Number Tons o.of Self-Contained No.of Waste Disposers 'T`ota]g- Detection/Alertin Devices Municipal ❑ Other. No.of Dishwashers Space/Area Heating KW Loral El Conn ection Heating Appliances l(W N ecoSystems:* H No.of Dryers g pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts o.of Devices or Equivalent Heaters SimsN Telecommunications inng: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail Jdesired or as required by the Inspector of lVires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 ElBOND 11OTHER C] (Specify:) I cetfify,under the pains and penalties of perjury:that the informatio n this appl cation is true and complete. �� QS �9 %. J % LIC.NO.: FIRM NAME: /d-/� -r l LIC.N Licensee: Signature .� ,zt' ti - r;�51 55<3f/� (7f applicable,enter"exempt"in the license nwnber line.) Bus.TeL No.:.. - Address: !r`/ vT: Alt.TeL No.s�n�'"`!� *Per M.G.L.c:147,s.57-61,security work requires Dep artm of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I aim aware that the censee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive s requirement. I am the(check one)❑owner ❑ownees�� Signaturent. Owner/-Agent Telephone-No.hone No. p PERMWT FEE.$�' COMMONWEALTH OF MASSACHUSETTS R9018 t R D MAST ELECTRICIAN ISSUES THIS LICENSE TO BARROS COMPANIES INC JOHN BARROS 164 EAST ST FOXBORO MA 0203S-2253 12168 A 07/31/10 289167 COMMONWEALTH OF MASSACHUSETTS AS A REG JOU NE MAN ELECTRICIAN ISSUES THIS LICENSE TO C JOHN BARROS 164 EAST ST FOXBORO MA 02035-2253 24805 E 07/31/10 289166 Date v.. . ,�! . . ..... . MORTM O 3� '' TOWN OF NO TU ANDOVER �� p ' PERMIT FOR GAS INSTALLATION o, �,SSACNUSEt This certifies that . . . . . .? -"� '�. � . . . . . . . . . . . . . . . . . . . . . has permission for gas installation, . . . . . . . . in the buildings of '. .??. :. . . ... . . . . at . .� �° ,. . . . . . . . . .� . .,. ., North Andover, Mass. Fee�,;�." . Lic. No:.: . . .'. . .. . �. � �� . . . . . . . . � GAS INSP-ECT6R Check# 6777 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:: IVOe-rH Date: 0-66-0 Permit# ` me Building Locatio �(p � ,,e.Cs,�/�/•� � Owners Name: Type of Occupancy: Commercial'_ Educational Industrial- Institutional Residential New: ,v/ Alteration: Renovation: Replacement: Plans Submitted: Yes No FIXTURES to W W Z 1.. N U = Ix 0 m 2 0 W W V N H 0 = W 0 z Z O m W m m 0 W y> LuW g m 0 W O a l- o W } X y � a a m° w 0 z 0 U) � > z w = v o o = i o a g W � > > > 3 0 SUB BSMT. BASEMENT 1 -FLOOR 2 NDFLOOR 3 FLOOR 4 FLOOR 5 FLOOR CH FLOOR 7 FLOOR g 1 H FLOOR Check One Only Certificate# Installing Company Name: V/ Corporation ,j Address:. S 65&�-r City/Town: ��jc13�,�v State: MA Partnership Business Tel: i�j� -- , Fax:._��J.StJ Firm/Company Name of Licensed Plumber/Gas Fitter: '4f Ek"//irl /-? INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes/No' If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner . Agent Signature of Owner or Owner's Agent - By checking this box❑;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 installati s performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing a and C 1 he General Laws. Type of License: By _Plumber Title j..Gas Fitter Si na ure of Licensed Plumber/Gas Fitter Master Cityrrown Journeyman License Number: APPROVED OFFICE USE ONLY) LP Installerc� FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH i PLUMBER.GASFITTER.IT INSTALLER LICENSE NUMBER: PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR Location -2 No. Date ,.ORTFTOWN OF NORTH ANDOVER O�••.•o ,•1ti.0 1 p ` Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ d Check # -+�-a �' //--Building Inspect r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED.7t r � ic v 't �1 t` SIGNATURE: / Building Commissioner/I torof Buildings Date - —C v Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ac�� OCao Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS B Front Yard Side Yard Rear Yard R 'red Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.Q..11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ 1 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No m 2.1 Owner of Record Name Pr nt) Address for Service: el Signatu Telephone 2.2 Owner of Record: Name Print Address for Service: Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 31 Licensed Construction Supervisor: Not Applicable ❑ IJicensed Construction Supervisor: License Number mn Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r Z Expiration Date Signature Telephone Y' f 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.......❑ No.......0 SECTION 5 Description of Proposed Work check all a Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: *1/ XC)o f — D 11�1-ew &1Z6 C em- -ryl SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee U 000— d J v Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 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 1, A' �) �� (( �t �"1 as Owner/Authorized Agent of subject property Hereby authorize to act o My behalf,in tt rs relative/ wo�r ,ri ed by this building permit application. Si ature o Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, _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 `/ t� ✓ �1 Print Nam Siatur of er/A ent Date R III NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVMERS 1 ST2 ND 3 RD SPAN DM ENSIONS OF SILLS DM ENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Town of Andover A No. C% LA over, Mass., 0 COCHICHEWICK ATE D Pk? BOARD OF HEALTH Food/Kitchen PER IT T D Septic System I ....... .............it...... .... ........00004.......................... ....... ..................................... BUILDING INSPECTOR THIS CERTIFIES THAT... Foundation has permission to erect........................................ buildings on .g:?W. U...... .... .............. —............ Rough to be occupied as, .. .... . .... Chimney ............................................................... provided that th persona— pting thli"poermft*shall in every—respect conform m*' o* the terms of the application on file in Final I pro this office, and to the pro s of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S3#R ELECTRICAL INSPECTOR Rough .. ................... Service .... ........ .................. BUILDING-INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner * Street No. SEE REVERSE SIDE Smoke Det. 4 �►ORTN TOWN OF NORTH ANDOVER OFFICE OF ' p BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts Ol 845 ,s$ACHUSt� D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax 978 688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: Number Street Address L Map/Lot HOMEOWNER �T� �v' ��✓ I �` �lY ll� 6�� a� Namd Home Phone Work Phone PRESENT MAILING ADDRESS .S 3t� cwt A, ,/� 0 1(" - City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. • The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply wi said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF,IPPEU.S 688-9541 CONSERVATION 688-9530 HEAT,r l 688-9540 PLANNING 688-9535 NORTH ANDOVER BUILDING DEPARTMENT ` Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: er (Location of Facility) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date Date ,,OR + TOWN OF NORTH ANDOVER .PEAMIT FOR PLUMBING � SSACMUS� i This certifies that . . . 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . .1��. .. . .... . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of .� '.c ��>�` �� at . . . . .. . . ., North Andover, Mass. Fee. . . . . .Lic. No/6. 2�, '. . . / 1 /. -. . . . . . . . / PLUMBING I SPECTOR Check # 6651 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �— �� Date l l Y e ✓ _ Building Location Z Z Co �r'T c—C- Owners Name c4-►- Permit# >"'3 2�5, Amount 3a „ Type of Occupancy Z ,��,,, New Renovation Replacement 1:1 Plans Submitted Yes No El FIXTURES Cr ed im F-BAg14FIVI' / ` MIDXR ZD FLOCR M FI" 4M HDCit 5MROM 6M BIM 7M FUM gm FIOCR (Print or type) Check one: Certificate Installing Company N 1 rca., 0 Corp. Address A--Js El Partner. vl-4 usmess a ep one - - Firm/Co. .Name of Licensed Plumber Insurance Coverage: Indicate the type of inslikance coverage by checking the appropriate box: Liability insurance policy Q Other type of indemnity 11 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 tgna ure Ow Agent I hereby certify that all of the details and info tion I have s muted(or tered)igaboeQlication are true and accurate to the best of my knowledge and that all plumbing ork and insta tions perfo ed u e A for this application will be in compliance with all pertinent provisions oft Massach etts Stat in o 1d2 of the General Laws. BySignature i n Type of Plumbi License Title 3 � City/Town License NumoerNlastero Journeyman ❑ APPROVED(OFFICE USE ONLY Date. . .. .... pppTH OF o ,°1'�'O TOWN OF NORTH ANDOVER F. 'I ISO9 • - PERMIT FOR GAS INSTALLATION CHUS This certifies that . f �. .1 . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .. . . . . .. . . . . . . . . . . . . in the buildings of .&P r. . .. . . . . . . . . . . . . . . . . . . . . . . . at .'.. . . . . . . . . . . . . , North Andover, Mass. Fee. . . .. . Lic. No.,/'-'. ,. . .. . . . . . . Check# � T GAS INSPECTOR/ � 4 �� 0L7 MASSACHUSETTS UNIF'ORMAPK ICATON FORPERNIlTTODO GAS FTITING of(Type or print) NORTH ANDOVER,MASSACHUSETTS Building Locations �Z l 'l t T rt C S7 Permit# S� 1 Amount$ f j Owner's Name New® Renovation ❑ Replacement ❑ Plans Submitted ❑ o d H o � z Q °� Q6H o ° c ° z w H a � � A z C o cUc� o z z �' 3 a °' °a A a H 0 o SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or ty / Chec one: Certificate Installing Company Name t^t t 1 c� l� Corp. Address '`^''" ' ❑ Partner. A 4a BusinessTelephoneT �� to / Firm/Co. Name of Licensed Plumber or Gas FiR2t— INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, 0indicate the typ please e coverage by checking the appropriate box. 13Liability insurance policy Other type of indemnity 13 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and iCrmation I have submit d(or entered)'n above applica'on are true and accurate to the best of my knowledge and that all plumbin and installations p rformed u er Pe ' Iss or application will be in compliance with all pertinent provisions ofassac Stat as d C t 14 ft eneral Laws. Signature of Li nsed Plu r Or Gas Fitter Title Plumber /O '?oO / Titl City/Town Gas Fitter License Number Master APPROVED(OFFICE use ONLY) Journeyman