HomeMy WebLinkAboutMiscellaneous - 228 DALE STREET 4/30/2018 228 DALE STREET
210/064.0-0013-0000.0
4�
i
Date.. ........................
x
.hi
f NORTH 1
"�,� TOWN OF NORTH ANDOVER
''R p PERMIT FOR WIRING
SS�cHusE�
i
This certifies that ....
.....t.... ............................................. .
has permission to perform .. , "Y
I
wiring in the building of... `."*`------ ..............................................
�J t/
... ,North Andover,Mass.
Fee.�I. .e ...... LIc.No. ...... �2—..... . ............ .... . . ..
ELECTRICAL I SSPECTo,
"n
j Check # _-
77 `1 5 y
Official Use Only
Commonwealth of Massachusetts
Department of Fire Services Permit No. ,77/�
Occupancy and Fee Checked
r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of: NORTH ANDOVER 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) �� V2�eGY—'
Owner or Tenant 0�54141t-a1 J-- /7�pd pz 2 A Telephone No.
Owner's Address --V Z S— Dap/� -d-.4q-
-. A- m,.,1/® ?,a-
Is this permit in conjunction with a building permit? Yes �No ❑ (Check Appropriate Box)
Purpose of Building 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: f/ � PC00
Completion of the ollowin table may be waived by the Inspector of Wires.
No.of Recessed Luminaires , No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting
rnd. grnd. Battery Units
No.of Receptacle Outlets '3 0 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches S No.of Gas Burners No.of Detection and
Initiatin Devices
No.of Ranges r No.of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers J Heat Pump Number Tons KW No.of Self-Contained
Totals: .. . ..
Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
ms,
j No.of Water KNo.of No.of Data Wiring:
Heaters Signs Ballasts
No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains andpenalties of perjury,that the information on this application is true and complete.
FIRM NAME: LIC.NO.: 131472-
Licensee:
31472-
Licensee: Signature LIC.NO.: 53 2 �5
(If applicable enter "exempt"in the_license number line.) ION Tel. No.:
Address: 1„2 C4� EAA� Kc ION Ci/4w;2!j Alt. Tel. No.: 0-0/
*Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent.
Owner/Agent a
Signature Telephone No. PERMIT FEE. $ ����
i
�1•f.
S: �\
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contracto
Applicant Information rs/Electricians/Plumbers
Please Print Le ibl
NaMe(Business/Organization/individual):
Address: CC
City/State/Zip: Cie MAITUy phone.#: �� �Q- ®j
Are you an employer?Check the appropriate boz:
1.❑ I am a employer with 4. ❑ I am a general co]rke
or and I Type of project(required):.
employees(full and/or part-time).* have hired the sutractors 6. ❑New construction
2.[ I am a sole proprietor or partner_ listed on the attaceet. 7. ❑Remodeling
ship and have no employees These sub-contraave
working for me in any capacity. employees and harkers' 8. 0 Demolition
[No workers'comp.insurance comp.insurance.i9. ❑Building addition
3.❑ required.) 5. ❑ We are a corporatd its 10. Electrical repairs or additions
I am a homeowner doing all work officers have exertheir
myself.[No workers'comp, right of exemption 11.❑plumbing repairs or additions
p GL 12.❑Roof ai s
insurance required]t c. 152,§1(4),and ve noemployees.[No w ' 13.❑Other
comp. insurance red.)
Any applicant that checks box#1 must also fill out the section below showing their workem'con;M ration Policy information.
t Homeowners who submit this affidavit indicating they are doing an work and then hire outside contractors must submit a new affidavit indicating such.
tContracton:that check this box must attached an additional sheet showing the nam of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their worker'co
trip.Policy number.
I am an employer that is providing workerscompensation insurance for my employees Below is thepolicy information, p llcy and job site
Insurance Company Name:
Policy#or Self-ins.Lic.#:
Expiration Date:
re Job Site Address:
tAttach a copy of the workers'compensation policy declaration page(showingthe policy number and ea
� Failure to secure coverage as re expiration date).
y g required under Section 25A of MGL C. 152 can lead to the imposition of 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 c
Invests ations of the DIA for insuran a covers a verification. oPy of this statement maybe forwarded to the Office of
I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct
Si lure• ��s_//�
Date / �
Phone#:
OffJcial use only. Do not write in this area,to be completed y city or town offlciaL
City or Town: Permit/Licease#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: -
Phone#:
Ph. (978)663-1770 Fax(978)663-8097
ALL Service
Plumbing • Heating
Gas, Inc.
Master Lic.#11330 Phil Stevens
Commercial 310 Salem Road
Residential "` -V Billerica, MA 01821-2121
Date !t! �� �•
TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
Ss�cMUSE�
This certifies that 4/ wet. '0.74 . . . . . . . . . . . . . . . . . . . .
has permission to perform . •l•`,.• 4 ,.,dlit/4r/� J O.,r7. . . . . . . . . . .
plumbing in the buildings of . . f71/.� . . . . . . ... . . . . . . .
dale.J./. . . . . . . . . . . . . . . North Andover, Mass.
Fee �''� . . .Lic. No�l�l3( .
PLUMBING INSPECTOR
Check #
l
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
..{.. 11 Date /0//o jo
Building Location 2 24 11_�ca.Nc_ \ Owners Name f(\ol`G0.� . �c�. Permit#
Amount o'
Type of Occupancy e.S t
New rj Renovation Replacement Plans Submitted Yes No
FIXTURES
W. CIF
W.
Go
SIDER 9C
M KLM { l
M EBB
3iR KDM
4M Float
S KOM
6MFloat
7IH ROCR
s}H Roar
(Print or type) Check one: Certificate
Installing CompanyName ��� Sec Q N,cc�x V-ci �''Cc, • �,QS ® Corp.
Y
Address ge•.,. �� � p��,
�� d Sacc" X9 Z
Business Telephone T2e elQ e 3 E] Firm/Co.
Name of Licensed Plumber. �"� ��C�r•
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 a been made aware that the licensee of this application does not have any one of the above
threeinsuranc
gn
rature Owner Agent
qz_���
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 pArformed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachus S in apter 142 of the General Laws.
r
By: Signarure of Licensea Flump.er
Type of Plumbing License
Title
City/Town rcense um er Master Journeyman El(OFFICE USE ONLY
1.
RECEIVED
.,`, I -s of �%oRTil q DANIEL LONG
�,n,�
e, TOW14 CI FfigK
tl 32 5° NOR7 I ANDOVER`^.:, ( 'irk 0
Ol p
( ' �.
in the orrice of. the Town �; .�, MAR 10 �� 59 AM 80
Clerk. ��SSACHUSE��
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
Edward Morgan * PETITION: #122-88
t228 Dale St.
N. Andover, MA 01845 * DECISION
The Board of Appeals held a public hearing on March 8, 1988 on the application
of Edward Morgan requesting a Special Permit from the requirements of Section 2,
Paragraph 2.371 of the Zoning ByLaw so as to permit construction of a family
`suite(in-law apartment) in existing garage for use by his mother, Mary Claire
Morgan on the premises located at 228 Dale Street. The following members were
present and voting: Frank Serio, Jr. , Chairman, William Sullivan, Walter Soule,
Raymond Vivenzio and Louis Rissin.
The hearing was advertised in the North Andover Citizen on February 18 and on
February 25, 1988 and all abutters were notified by regular mail.
Upon a motion made by Mr.- Wm. Sullivan and seconded by Mr. Rissin, the Board
voted, unanimously, toGRANTthe Special Permit as requested, subject to the
following conditions:
1. The premises be occupied by Mary Claire Morgan.
2. The Special Permit shall expire at the time Mary Claire Morgan ceases
to occupy the family suite.
3. The Special Permit shall expire at the time the premises are conveyed
to any person, partnership or corporation.
4. The applicant, by acceptance of the Certificate of Occupancy issued
pursuant to the Special Permit, grants to the Building Inspector or
his lawful designee the right to inspect the premises annually.
The Board finds that the petitioner has satisfied the provisions of Section 10,
Paragraph 10.31- of the Zoning Bylaw and the granting of this Special Permit in
particular will not derogate from the intent and purpose of the Zoning Bylaw nor '
will it adversely affect the neighborhood.
Dated this 10th day of March, 1988
BOARD OF APPEALS9 I3
Frank Serio, r.� MAR ( J-
Chairman <° : e b9N5DVR
U-LDH`,,!!G DEPT.
/awt
,►'Nqa:h
,r o�.•• ?ti RECEIVED
�• •� E DANIEL Lbr?G
3:r°°er°gyco
Q:,AMIL�A ;� TOWN CLERK
� 's'•. Baas ;�� NORTH ANDOVER
MAR 10 10 59 AM 88
TOWN OF NORTH ANDOVER
('.oMASSACHUSETTS
Gc,:L;v. 'Che 1OWC1
in 01,
01e BOARD Of APPEALS
Clerk.
NOTICE OF DECISION
Edward Morgan
228 Dale St. Date • • .Marc-h •10; • 1988 . . . . . . • • •
N. Andover, MA 01845 Petition No.. . .122-88. . . . . . . . . . . . .
Date of Hearing. .March, 8, 1988. . .
Petition of . . . . .Edward .Morgan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Premises affected . . . . .228,Dale. .St.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . .
Referringto the above petition for a R �from e
p tli requirements of IM.S e e Pion .2, . . , . .
Paragraph 2.371 of the Zoning Bylaw
. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
so as to permit construct-lon -of- in-law-apartment• for- mother.,. Mary•Cla•i•re -Morgan
(family suite)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
After a public hearing given on the above date, the Board of Appeals voted to . GRANT : the
Special Permit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and hereby authorize the Building Inspector to issue a
permit to Edward. Morgan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
for the construction of the above work, based upon the following conditions:
1. The premises be occupied by Mary Claire Morgan.
2. The Special Permit shall expire at the time MARY CLAIRE MORGAN ceases to occupy
the family suite.
3. The Special Permit shall expire at the time the premises are conveyed to
any person, partnership or corporation.
4. The applicant, by acceptance of the Certificate of Occupancy issued pursuant
to the Special Permit, grants to Aigned Building Inspector or his lawful
designee the right to inspect the premises annually.
Frank Serio, Jr. , Chairman
William. .Sullivan. . .
. . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
Walter Soule
Raymond. Viv.enZi4. . . . . . . . . . . . . . . . . . . . .
Louis Rissin
. . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Board.of Appeals