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HomeMy WebLinkAboutMiscellaneous - 236 SUMMER STREET 4/30/2018Date ... i ........ No I&ORTH 0 "'.. " 6 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ......... .......... .................................................. has permission to perform ....... ........... ...................... ................................ wiring in the building of ........ .......... ............................................................ at ......... ...................... ............................. ............... . North Andover, Mass. Fee... 1-4..: ..... ....... Lic. No. .. ............ter, .......................................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer The Commonwealth of Massachusetts Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 FOR OFFICE USE�� PermitNo. 313 Receipt No. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code. 527 CMR 122:000 (PLEASE PRINT IN �fINK OR TYPE ALL INFORMATION) Date City or Town of 11 Oi, �� 4 y 0y'e_i_ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: Location (Street and Number) !�!_3 (,5V ein P_ (" S J— Map: Lot: © Owner or Tenant _t e i- �e Y' A0 -4 Wt.Q.Vl\ Zone: Owner's Address 30, Is this permit in conjunction with a building permit? Purpose of Building Existing Service R (JO Amps /4 d / 2 o ' Volts New Service Amps / Volts Yes ❑ No C� Utility Authorization No. Overhead ❑ Overhead ❑ (Check Appropriate Box) 034 09-S Underground Underground ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �Tpd. IVl_� Sio C, No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above grnd. ❑ In-grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emerg. Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self -Contained Detection/Sounding Devices No. of Ranges No. of Air Cond. Total Tons No. of Disposals No. of Total Total Heat Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No. of Signs No. of Ballasts Local ❑ Muncipal Connection ❑ Other No. of Hydro Massage Tubs No. of Motors Total HP. Low Voltage Wiring OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts Ge�nne;�aa1 Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES LINO ❑ I have submitted valid proof of same to this office. YES L"lNO�❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 1'J BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Work to Start Signed under the p FIRM NAME � Licensee Address Work $ S of Signa Inspection Date Requested: Rough Final LIC. NO.�9/r� LIC NO. &ZS76 Z 5 Xf /11 X11-3 Bus. Tel. No. U L 3'0-6961) Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE $ �SG� (Signature of Owner or Agent) Location a23 6 =let No. 112 Date cf M0IM6, TOWN OF NORTH ANDOVER Certificate of Occupancy $ • # Building/Frame Permit Fee $ cMustt� %Foundatuon Per it Fee $ Othe ermit ee� $ �U Sewer Connection Fee $ ' Water Connection Fee $ B TOTAL $ ,f, d j �// Yt�oA Building Inspector 7253 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. I/PAGE 1 MAP 4-40. LOT NO. + J)I I 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE SUB DIV. LOT NO. I I/ — LOCATION -�6 � - w.W��1Z- � PURPOSE OF BUILDING JD i�jo�) ;u'� ,klle .,J Jai r..v4! `JU OWNER'S NAME ` E��\i �t i'11�► i NO. OF STORIES SIZE 2i AID /, [' OWNER'S ADDRESS ��^. L ,+ 7 o p� BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST 2ND 3RD ARCHITECT'S NAME BUILDER'S NAME _AVS =�` , SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS DIMENSIONS OF SILLS DISTANCE FROM STREET :moi f. -+i 1 POSTS DISTANCE FROM LOT LINES—GSIDES i C...f 631 REAR (,„� i ,G/ GIRDERS AREA OF LOT i1 °aG'?iI6"r 141j ° FRONTAGE ml HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW i �7 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE I 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 I FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING .w ATTACHED G^RAGES MUST CONFORM TO STATE FIRE REGULATIONS - 46a PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED I ZZ -1/ �1 SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE L� PERMIT GRANTED f 7 19_ :f MAY 12M a, t'�glie lr'6"�t f 6�3G' I t / ��r✓ OWNER TEL. #05.'z> C0NTR. TEL. #-6200 CONTR. LIC. # &'70 S3 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT, EST. BLDG. COST PER ROOM ,440IGN0-PERMIT NO. / 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN IVAt ZOUILDimazimspi-ecTOR 1 OCCUPANCY SINGLE FAMILY S.-ORIES MULTI. FAMILY OFFICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION I—II 8 INTERIOR FINISH CONCRETE d 1 1 2 3 BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. PIERS TILE DADO YIASItK DRY WALL _ — PIPELESS FURNACE _ — C — UNFIN, 3 BASEMENT AREA FULL FIN. BW TAREA _ 1/ 1/2 1/1 " FIN. ATTIC AREA _ NO B M STEAM FIRE PLACES _ HEAD ROOM HOT W T'R OR VAPOR MODERN KITCHEN _ WOOD RAFTERS _ 7 NO. OF ROOMS B'M'T 2nd _ 1st 13rd I AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 4 WALLS I 9 FLOORS CLAPBOARDS L CONCRETE EARTH HARDIVD COMtAr;N ASPH. TILE B — 1 �_— 2 �— 3 — _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING _ VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. &FLOOR (— CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I�POO'R' — ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP GAMBQEL MANSARD FLAT SHED BATH (3 FIX.) TOILET RM. (2 FIX.) WATER CLOSET — _ ASPHALT SHINGLES LAVATORY WOOD SHINGES SLATE TAR & GRAVEL KITCHEN SINK NO PLUMBING STALL SHOWER _ _ _ enli nnncu.ir_ MODERN FIXTURES �I 6 FRAMING WOOD JOIST TILE DADO A(3ft 'R3 I 11 HEATING PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W T'R OR VAPOR _ WOOD RAFTERS _ 7 NO. OF ROOMS B'M'T 2nd _ 1st 13rd I AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GASOI L ELECTRIC NO HEATING FORM U — IAT RELEASE 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***************** ff ( APPLICANT: Phone J0 1 ' 35 i LOCATION.* Assessor's Map Number Parcel Subdivision Street ?n �� I 1 m ER Lot (s) St. Number ************************Official Use only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -health Septic Inspector-Reaith Co=enr-s Public Works - serer/water connections - driveway permit Fire Decartment Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspecto jEig , ip.��� _ S Date 4- I=FS 25 E. t7 .-: 07i Road ENVIROMOIL- , "-W' 0 N C. "'OsIrnsford, MA 0 IF Deman P,�opos,!%L NAW (BLtye,j_ MAILADDRESS— CITY A/4s---&Lt't:�?,STATF ZIP HOME PHONF. 110 I \ ��hf - t \ ... .. G �1' °i f'..' .. ?14'\.\ :A .V+.\. it i'%V��- \�i .•p';ij ��� .fy� � ti.11. -.�K fL`.�-\� ,�����^ \ `' 1 , �, /\/\s`\ ✓� TOUiX4)iOiilUCILC!/E .\ \ 1. . 1LJ 'N7n.✓I�CQdill�U.ieC(b HOME IMPROVEMENT CONTRACTOR Registration 101083 Type — PRIVATE CORPORATION Expiration 01/29/94 Environmental Pools Inc. Andrew C. Everleigh 114 Turnpike �n Road �t MAY I 131994 t j ADMINISTRATOR (hl@lmSi OrQ MA 01e_4 ' (*` E P �Iljai r.i 1n.,,, �', �,.0 iv ;.NIT .I � g . 3 ET CECT-F/ED PLOT PL,4N � � V LOC,4TE0 /N NOR 7H.. AA/D o V�I� SCALE40,94 ,TE••.!.'.4..8.s CIVR167 Q/VSEN ENG/NEER/NG. INC //4 A ENOZA AYE., /,/�!!/E�N/LL, M,4. ,��- 24.80 .. L o -r SAY ! 31994,; Su m r -N, E K S -r n CL/ENT ..FoK SE S. l�Eac.TY.. TRUST........... / CECT/FY T�/4T TSE Off5ET5 S�/Ol-t/N �l�E F02 TN/5 LOT BU/LD/N� 5110AIN ON T/1/S ZON/N6 05TERNIN.4 TION /5 IV.4T. /N PL 4N CONFOIW5 TO T1/E ONLY AND ,42E NOT TO BE .4 FWOD ZONING B Y - L.4 W5 OF T//E U5 ED TO E574BL /5// PPO - A/,1 ZQ,PD rO W AJ .... 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Date 1--�–f— Permit # mer O Building Location (�_)l�J,� L,( %� wners Name wi _ ' 1 � �Type of Occupancy .L.J� e 1 ►n New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name EASTERN PROPANE GAS Address 131 WATER STREET DANVERS, IJA 01923 Business Telephone 508-774-1930 Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. 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 res, 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 -E! Agent n 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 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 be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the eneral4 By Type of License Plumber Signature of Licensed Plumber or Gas Fitter Title _ ~� Gasfilter q q—a Master License Number I City/Town --Journeyman APPROVED OFFICE USS ONl ��1Jv�i■ ■■■I • •BEMIRE� fell/��� . ��l�■►7i►►f►iii■ �■■■■■■ ■N■ ■■■■■■■■■■■■■■■■■■■nnr■r■■■! .. ■■■■■■■■■■■■■■ ■■■ on ONE Installing Company Name EASTERN PROPANE GAS Address 131 WATER STREET DANVERS, IJA 01923 Business Telephone 508-774-1930 Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. 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 res, 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 -E! Agent n 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 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 be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the eneral4 By Type of License Plumber Signature of Licensed Plumber or Gas Fitter Title _ ~� Gasfilter q q—a Master License Number I City/Town --Journeyman APPROVED OFFICE USS ONl I rC- • i • go ti I rC- • i • go Date ....:................ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .......................................... . has permission for gas installation ............................ in the buildings of .......................................... at .................................... North Andover, Mass. Fee.. Lic. No........... .......................... C3.17 sia..o f.^jr GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 10V Permit # Building Location. lyeX s ,;r Owner's Name,y6/9-, A— 110F��.94",� Type of Occupancy ,Ova �-- New Eq� Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing N N Y ¢ LU Z M N 0 U V7 = rn ¢ W N 6 ¢ O O u j 1- W J N W }- m .� = n . Z O ¢ 4 Q¢ O 7 O F- W VI 411 4 ¢ m of W F- 4 W = w 0 F- 1f a c` > W c v WW N W O Z 4 W ¢ CrS z W ¢ W O r 1- h ¢ c7 N r- z F Z F W W O O > LL f- w �. W 1 4 W > ¢ W = Z 4 ¢ 4 4 O O W E O ly ►.- ¢ x O O 2 LL n 3 O U W U e > a a H O I SUB—BSMT, BASEMENT 1ST FLOOR O .g _ 2ND FLOOR 3RD FLOOR I 4TH FLOOR I 5TH FLOOR $11i, 6TH FLOOR 7TH FLOOR -i- -� ;- -[1 --F 6TH FLOOR ,- 1 l h i 1 1 ' 1 1 I Installing Company Name EASTERN PROPANE GAS Check one: Certificate Address , 3. [' :TER STREET ✓poration DANVERS . MA 01923 Partnership Business Telephone 500-774-1930 E! Firm/Co. Name of Licensed Plumber or Gas Fitter / AZXr/N-x tea,V- INSURANCE COVERAGE: I have a currentli y 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 coverage by checking the appropriate box - A liability insurance policy 5� 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 Comer or Owners 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 the permit i ed for this applicati�ill be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the G era! s By Type of License: E%6���! P er griature of nsed Plumber or Gas Fitter Title Gasfitter �� Master License Number j' City/Town Journeyman APPROVED OFFIC US NLY I. Im 4 Date..................... ORTN , TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................................... has permission for gas installation ........................... . in the buildings of..............J................:.......... at ...............:.... .......... ........ North Andover, Mass. Fee......... Lic. No ....:..... 05/27/94 09:54 GAS Irk%TO%1D WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File