HomeMy WebLinkAboutMiscellaneous - 231 WAVERLY ROAD 4/30/2018Xv
Location
Z,
No. Date
40RT" TOWN OF NORTH ANDOVER
Certificate of Occupancy $ L5720, d C)
Building/Frame Permit Fee $ C)
Foundation Permit Fee $
C U
Other Per mit Fee $ ---------
Sewer Connection Fee $
7099
Water Connection Fee $
TOTAL $
Building tnspector
Div. Public Works
Location
7o 19
Date ;" - -� ' / Z
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
Building Inspector
Div. Public Works
W
N
N
�
Q
i
> uA
p
Z
x
F
• 0r
z
I
.m
a
a
Z
0
IL
O
�
W
N
a
_Z
p
'�
m
O
N
a
Id
0
m
IL
0
Z
m
J
0
W
I
W
m
I
O
I�
0
H
I
U
Z C,�
7
V
F'
01
0
09
J V
I
N
W
d
i ^
Z
Q
V
Z
r
z
<
Cw
N
�
W ~
N
~
u
O
Z
N.
^ j
N 1
CL
Z
Z I
O
a
o
Z
O
W
W
1
o
J
(n
( ,
;
u
m
I
p
O
W
f
W
Ix
0
O
Z
O
<
Z
a
<
i
IL
W
Z
a
U
rn
W
Z
H
Ix
W
z
{
4
N
O
O
11
W
17
0 1
Ff
N
d
I a
It
0
rc
m
p
z
N
r
N
N
IC
W
ID
i
F
K
0
0
J
LL
4
O
W
N_
N
Z
aal
N C
N
Ir
W
0
K
Z
O_
r
a
p
Z l7
] Z
O F
U. O
LL O
O LL
4
I 0
t7 w
W N
W
a
r
Z
O
C
LL
z
O
0
D
W
p
O
u
LL
O
N
r
z
W
I
W
K
] z
a z
w a
K LL
r z
� 0
rc r
LL 0 a
Z N
O J
U <
0 W
z a
d
o <
J LL
] 0
m p
rc
J_ <
m
J
14
C
W
L
F
u u
0 a 0
u J J
m m
p
z F� F
J' W W
2
g
C
W
G
t
u
J
J
m
r
m
W
,x
I
sa
Z
I
O
I�
H
I
U
Z C,�
7
V
j
01
J V
I
N
Z
1
r
z
<
Cw
N
�
W ~
N
�
^
N
^ j
N 1
Z
Z I
O
0
1
W
W
;
N
m
I
p
O
O
J
J_
x
LL
LL I
0
N I
m
W
W j
W
17
0 1
N
d
d 1
It
,x
I
sa
I�
W
Z C,�
UO U
V
01
J V
r
z
<
Cw
�
W ~
W
U. d
yT0C,
� N°o O0 zmNn�nn.
mmAGaS7
0 G1 ZOpZi
O DDDZ
O�=Oa On0a x Z
3 N D v w Z p T
3 N in z O v -K
_ N
77—
I TTL _ I I I I I I III I 1 1 1 1 1 1
Z;2ocADxm px a'^O-2A 30 O,. mTx
O QD
O -<�
0TmODO my2D
O�vymmp DmN-timzZ20- C ZOAw DOti ON�mA
x R. 2 OZ
OAO O TO 3
Z C_pZN O D DV_
ti n m N C p
O Z < A D -si A ~ _T 3 A
1 m m
O p m N x z O O c
O z zI0
DD*vr'1 mIZ _�D vm 11 fl
�CC'o, DOJO p00
Q.Or)M,- ni) N
00 o N O m
O O v N x o A O, c O m
p3G)C,Gov D O9m c
1 3 O � N \ T Z D
^ Z N Z
y
11_1 I I
Dnx n 3„mm c0J::?
woApOZ om?? T<NDZi OD
z 0 Z m Z O
1 I III O-ii
L L I I1I-
. _L LILI I L I I I I IN
III _I i I I� i III ' I IIII"
S
D
A
N
I
0
z
LO
-4 _
M c
V
Z
;ar-1 _
a0x
n�N N
NrN
zm
mmn
• yo
NZZ
*9 C
MXN
DU)
n
0 0
u)v*
mim
• mx
-4 z >
_IN_n
z
NO0
�1 -
mU3
�OZ
�N
m00
Ws z
r N
�g0
0Zr
-um0
DSD
Z -z
xv
vN
0�
Ma
0
in
Nm
00
D0
3
�u
F
0
0
a
O
U
E�
w
w
z
z
z
w
x
O
A
Qj
z
Q
zz
a
a
CD
d
w
O ;
m1.14 �
o �
,
O °'
m E m
� a is
U
w
W "ion •> �
� r
d
w o
, I z .�
rz° Uw
rz° w
cL cn w
� ii
m cit cn
c�
o
CO c
c v
o �
N
O C
V V
•Q=
d C',
C
�c
:s o
4 �
:0L- : o °'
N
Ea
= ca
m
CL
N
C
00
. co S E
CL= 1-.
CD a
L V
N N
N r
N R O
N R
d
Jo.v L.: m
.�= o cm
a•• "" 'a c
r oa =o
V pI •O
m G - m
.G� y O i
CD
��cc
o c cm
c
H � N m C •C
S
CL.— p N
~ •O.• C, o ~ Oi
L
co
•V! CZ O C Z
m C., m •N O
CW.D •`d p m= C
CODO' m :2 O '�
2 tyv co) •� O
Sam �lm
OE�
J
Q
Z
LL
W
Q
w
W
J
o
z
E
U-
coL
0
o
�
Z
CD
d
O
0
y
CD cm
z
o
O •=
Q
co
yo
m
W
z
CO
0_
o
s
O�
O
i Co
co
R
0 Q
CL
Ca
y
CD
cccc
.0O2G
CD
Z
Z
CD
U
CO)
O
G
.G
t�
_a
CA
�
r
U
z
z
fs
OE�
J
Q
Z
LL
W
Q
w
W
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG
(Print or Type) 9 C t
C NORTH ANDOVER Mass. Date
Ihuilding Location Permit #
• Owners NameS�� d�+T Tze Z 244
• New .7 Renovation D Replacement IN Plans Submitted
FIXTURPS
(Print or Type) Check one: Certificate
Installing Company Name C4eege P/(J41Corp.
Address c-(. C HfR f / �w��r,r L] Partner.
0&t I Firm/Co.
Business Telephone: 90S 6�S
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
.appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
this pplication oes of have any one of the above three insurance coverages.
Signature of o er/age t of property Owner 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 fox this application will -lx In compUanca with all pertinent
Provisions of tho Massachusetts Slate Gas Code and Chapter 142 of tho General Laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber- L' <� !'- -"
Gasfitter- Signature of Licensed
Master Plumber or Gasfitter
Journeyman _
Licens Number
Y
•
0000
000n
MENNEN
MM000000
.. -
o0000000000■
MENNEN00MEESE
. ., .
■0000000000■
000000toot00000
.. ...
o0000000000000000000000000
...
■0000000000000000000000000
...
o000000000000000EMEME0000
. .. -
0000000000000000000000■»�'
..
■0000l000000000»�����»»�
.. -
o000000r00000000000000000■
(Print or Type) Check one: Certificate
Installing Company Name C4eege P/(J41Corp.
Address c-(. C HfR f / �w��r,r L] Partner.
0&t I Firm/Co.
Business Telephone: 90S 6�S
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
.appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
this pplication oes of have any one of the above three insurance coverages.
Signature of o er/age t of property Owner 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 fox this application will -lx In compUanca with all pertinent
Provisions of tho Massachusetts Slate Gas Code and Chapter 142 of tho General Laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber- L' <� !'- -"
Gasfitter- Signature of Licensed
Master Plumber or Gasfitter
Journeyman _
Licens Number
TO 2216
AORTN
0 *
1 0
Date... -4? <-, - I.
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that.. (214. ..............
has permission for gas installation
. ......................
in the buildings of. Z':� ..............
- 44?. -
at .. .. ..... PK04..., North Andover, Mass.
Fee.
PAID GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
Claim # 2509859
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 or
Inspector of Buildings
Town Hall
North Andover, MA 01845
Re: Insured: Carmelina Dagata
Property address: 231 Waverly Road
North Andover, MA 01845
Policy #: 2509859
Loss of: 2011/06/07
File or Claim No. AD 9483
Board of Health op!
Board of Selectmen
Town Hall
North Andover, MA 01845
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. Adjust«:r
On this date, I caused c=opies of this not -ice to be sent to the persons
named at the addresses indicated above by first class mail.
06-13-11
Signature and date