Loading...
HomeMy WebLinkAboutMiscellaneous - 24 MAIN STREET 4/30/2018N Date : /!Z-/.�... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....rf �!.j.. ................................................................... has permission to performs'�'7. P,4, %............�.c.. -.... !!........................... wiring in the building of ...... M .��.1.4..... at......................................................................................................... . North Andover, Mass. Fed?........... Lic. No...LEr�%c' ...........EC.TR..........IN .IC SPE..CT.............OR........ ........... E Chuck # f U5 P 11 Commonwealth of Massachusetts Official Use Only Permit No (,t' 6 Department of Fire Services Occupancy and Fee Checked a BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ), 527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL )NFORMATION) Date: /.) h 3 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersi med'snotice of his or herr'tention to perform the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address Telephone No. Is this permit in conju tion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building / &C Utility Authorization No. Existing Service Amps IoZ) /,-,VS/C2Volts Overhead ©----Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Locationand Nature /ofProposedElec/tricalWork: djl(rk(,eH ouI%� a lid &4:-"–,LCf!nr 00 JtT /k . . Cjvtto "F G.-LnT / Completion of the following table may be wailed by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA rlo. of Luminaire Outlets No. of Hot Tubs Generators KVA 4 No. of Luminaires Swimming Pool Above ❑ In- Elo. rnd. rnd. o mergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges r No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons ............. _......... I KWNo. ...................... . of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal [I Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: W — J `l Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Ylec ical Work: (When required by municipal policy.) Werk to Start: ., j Inspections to be requested in accordance with MEC Rule 10, and upon completion. C INSURANCE GE: 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: INSURA=NCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the ins and penalties of erjury, that the infornza ' n o th' application is true and complete. FIRM NAME:. C� 0 e C . LIC. NO.: 46V Licensee:�� Signature LIC. NO.: (If applicable, enter " t" m the license n rmber line.) Bus. Tel. No.- Address: w► Alt. Tel. No.: 1, *Per M.G.L c. T47, s. 57-61, s curity work requires Department of Public Safety "S" License: Lic. 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 PERMIT FEE. $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass F?1 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: - Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass R] Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH SPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Co nts: Inspectors Signature: Date: FINAL INSPECTION: Pass M Z Failed 0 Re- Inspection Required ($.) ❑ Inspectors omments: Inspectors Signatur Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com J The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name (Business/OrganizatiorAndividual): 044-41 G_2e,CL 7,�U Address: City/State/Zip: f Phone #: Q'- -df ?dI Are yo an employer? Check the appropriate box: Type of project (required): 1.LK am a employer with f 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. �• ❑Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 5. El We are a corporation and its 9. ❑Building addition [No workers' comp. insurance 10. ectrical repairs or additions required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL 11. El Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.E]Roof repairs insurance required.] t employees. [No workers' 13. ❑Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they aie 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. lam an employer that is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:. Pro ✓ i .1 Piu Cl- 0— Policy 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 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 uplto $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. I doghereby certify un#r thepg0%s gndpenalties ofperjury that the information provided above is true and correct Av Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. PIumbing Inspector 6. Other Contact Person: 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 ofhire,- 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 -contractors) 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 homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 Commonwealth ofMassachusetts Department of Industrial .Accidents Office of Investigatitons 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877rM'.ASSAFB Revised 5-26-05 Fax # 617-727-7749 wwv_mass,gov1dia b) Vehicular and Pedestrian Circulation. Pedestrian walkways, driveways, and parking areas shall be designed with respect to topography, integration with surrounding streets and pedestrian ways, number of access points to streets, general interior circulation, adequate width of drives, and separation of pedestrian and vehicular traffic so as to reduce hazards to pedestrians and motorists. c) Entrance and Exit Driveway. i) Single-family dwellings: shall have a minimum driveway entrance of twelve (12) feet. ii) For facilities containing fewer than five stalls, the minimum width of entrance and exit drives shall be twelve•(12) feet for one-way use and eighteen (18) feet for two-way use, and the maximum width twenty (20) feet. iii) For facilities containing five (5) or more stalls, such drives shall be a minimum of twelve (12) feet wide for one-way use and twenty (20) feet wide for two-way use. The minimum ; curb radius shall be fifteen (15) feet. The maximum width of such driveways at the street line 0 shall be twenty-five (25) feet in all districts. iv) The Planning Board may modify such width and radius limitations when a greater width would facilitate traffic flow and safety. All such driveways shall be located and designed so as to minimize conflict with traffic on public streets and provide good visibility and sight distances for the clear observation of approaching pedestrian and vehicular traffic. d) Surfacing, Drainage, and Curbing. Parking areas shall be graded, surfaced with asphalt, concrete, or other suitable non-erosive material, and drained in a manner deemed adequate by the Planning Board to prevent nuisance of erosion or excessive water flow across public ways or abutting properties, and natural drainage courses shall be utilized insofar as possible. Curbing, with the addition of guardrails wherever deemed necessary by the Planning Board, shall be placed at the edges of surfaced areas, except driveways, in order to protect landscaped areas and to prevent the parking of vehicles within required setback areas. Entrance and exit driveways shall be clearly defined by curb cuts, signs, and,striping. All curbing installed within the public way of such driveways shall be of granite. Design standards and specifications for parking surfacing, drainage and curbing shall be those set forth in the Rules and Regulations Governing the Subdivision of Land in the Town of North Andover, as amended, unless waived or modified by the Planning Board in accordance with Section 8.1.8. e) Loading Say Requirements. i) In all districts, unless otherwise stated herein, off-street loading spaces shall be provided and maintained in connection with the construction, conversion, or increase in units or dimensions of buildings, structures or use, such spaces to be provided in at least the following minimum amounts provided below. 85 Date.............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING , C This certifies that ................... ...... 0 ............ �.—. �!ty ........ 4 :'!� ...... has permission to perform ....... Uj I.e.l. k.,'.� ... ..... ..................... wiring in the building of ..... 5' .... . .... at ............ .°2. ..... 5 .. 7 ............. . North Andover, Mass. Fee... N ................. ................ Lic. o . ............. ELECTRICAL INSACTOR ef 'V Check # 8235 Lommonwealth of Massachusetts umcial Use Only "t Department of Fire Services Permit No. T� r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL E&ORMATION) Date: City or Town of. NORTH ANDOVER By this application the undersigned gives notice of his or her inttion to perform, To the Inspector of Wires: enthe electrical work described below. Location (Street & Number) -Owner or Tenant Telephone No. Owner's Address Is this permit in conjunctio$13th a b ding permit? Yes Purpose of Building p. i C F C I t Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of No t -j (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead Undgrd ❑ No. of Meters Estimated Value of Electrical Work: Attach additional detail if desired, or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10, and upon completion INSURANCE COVERAGE: Uniess waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability inanrance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov is in force, and has exhibited proof of same to the permit issuing office.. CHECK ONE: INSURANCE V BOND ❑. OTHER under the p I certify ❑ (Specify:) pains and penalties perjury, that tfie information on this application is true and complete. FIRM NAME: Licensee: LIC. (If applicable, enter "exempt "in th�l. nse number line.) Signature LIC. NO.: Address: u A7 Xy l�H Bus. Tel. No. � 3 - c �, *Per M.G.L c 147, s 57-61, security work requires D Alt. TeL No.: OWNER'S INSURANCE WAVER: o. I am aware thattthh��t� a does notSafety havet the liability insurance License: Lic. ooverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's anent Owner/Agent Signature Telephone No. PE RMIT FEE: $ The Common wealth of Afassachuseft Department o, f IndustrW Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mmsgov/dia Workers' Compensation Inshrance Affidavit: Builders/Contractors/Eiectricians/Plambers �Iint ormation caInf Dt—.._ n-!- T .. . Name Address: CW �J, �/, -� City/,State/Zip: r'?` Phone_21�� # . Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. [] I am a general contractor end I employees (full and/or part-time).* 2Z I am.a sole proprietor. or partner- ship and have no employees working for me in any capacity, [No workers' comp, insurance required-) 3-0 I am a homeowner doing all work myself. [No -workers' comp, insurance required:] t have hired the sub -contractors listed on the attached sheet: These suls-.contractors have workers' comp. insurance. 5. ❑ We are a corporation and its . officers have dxerctsed their right of exemption per MGL c..152, § 1(4),' and we have no .employees. [No workers' cmnp• insurance re uired_) U 9s�?4, Type.of project (required): 6. ❑ New construction 7- Q Remodeling 8• Q Demolition' 9. ❑ Building addition 10•13 Electrical repairs or additions I I -❑ Plumbing repairs or additions I2 -Q Roof repairs qI3:❑.Other *Any applicantthat checks hole111 must also fill out the section below showing their workata' bompensuion policy mformaho& i Homeowners who submit this atiitlavit indicating they are doing all work and then him outside aonuactots must submit a new affidavit indicating such 4contractors that cheap this box must attached an additiousl sheer showing. the name of the sub-conuactoua and they ' comr . Policy iti%nnaluc I ant an employer thar.&Providing:workers' compensation insurance or information. f ar employees: Below is.the policy and job site Insurance Company Name - Poli _.T ame:Policy # or SaIf--ins. Lic. #: Expiration Date: Job Site. Address: City/State/Zip. Attach a copy of the .workers' compensation policy declaration page (showingthe policy Dumber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal Densities of a of up to $250.00 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 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 under the p and pen o e ' ry that the information provided above ' true and correct Si natatre: � Date: �- • � Phone #: Ofj`icW use Only. Do not write in this area, to be co feud np by city Or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2- Building Department 3. CityPfown Clerk 4. Electrical Inspector 5. Piumbing inspector fi. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all emp 3 oyers 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, assodiation, corporation or other legal entity, or any two or more ofthe`foregoing engaged in a joint enterprise, and including the legal representatives of a decreased employer, or the receiver or tmstee-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 wdrk on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." MGL chapter 152, §25C(6) also states that "every state ov- 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 inw 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 -contractors) 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' cornpensation 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 Accidergs 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 ifyou .am required to obtain a workers' compensation policy, pleasecall the Department at the number listed below. Self-insured companies should enter their self-insuranc*C14cense number on the'appropriateline. 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 NvilI be used as a reference number. in addition, an applicant that. must submit multiple permitliicmw applications in any given year, need only submit one affidavit indicating,current policy information (if necessary) and undo,, "Job Site Address" the applicant should write "all locations in (city or town)." A copy of'ffie affidavit that has been officially stamped or marked by the city or town may beprovided 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investipptions would Iilee 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. W The COMMOnwealth of Massachusetts Dcparttnent of Industrial Accidents Office of Investi ations 600 Washington Street Boston, MA 82111 Tel. 9 617-7274900 ext 406 or 1 -877 -MA SSAFE Fax 4 617-727-7744 Revised 5-26-05 WWW.Mem.gov/dia A YOU U AGAIN WAS IN --- --- --- - ' URGENT ❑ TO DATE TIME FJ FROM Y PHONE( OP _ 1 0 OJ FAX( ) N PHONE( ) H EEA OF dN4 e--eleot M s `-s ' 14 E A J Tfl gcl M G E t ) N E-MAILADD ESS SIGNED PHONED ❑ BACK ❑ CALLURNED ❑ WANTS E YOUO ❑ AGAIN ALL ❑ WAS IN ❑ I URGENT ❑ YOU U AGAIN WAS IN --- --- --- - ' URGENT ❑ TO DATE TIME AM fflede--7( np PM P FROM PHONE( ) H OF CELL( ) 0 FAX ( ) N _ f ✓t4loA 19c: EE e JAm--r , t , S ( c Eo A b M G ' E VA 0 E -M ILADDRESS SIGNED PHONED ❑ BACK ❑ CALL RNED ❑ SEE TS TO ❑ AGAIN ALL ❑ WAS IN ❑ URGENT ❑ YOU U AGAIN WAS IN --- --- --- - ' URGENT ❑ (3) a) ZZ rr ti 0o J a; LU .O N J O N 22 1� Q U C U U U Cl. CU a ac) N a) C O N O. .siEwUS O o I -a2 O O 0 N I N >- ai 2D o U- a F- ~ L: L: m W @ U wt 3 -p W O N f6 a) -C V cn 0 � o 0 N O C'? 0 0 p a N UO m 0 E a) O N w Of O N z maU U 0 O U ✓ is r{ Q z. O'W aw �o O U I F- `U.) CL o Q inoa(7Q Loi an O (D a) ;o U d= } O aOFT> o m Ec () a) a) a) � E o o (4 (n t4inO c UO J Cl) r OMf co r ~ T- O M N O F- M O O C O Y U aa)) o a`ai Q \ mO m c� UUE_cj a E 0 -6 -6 a) co �x --FF-H W N w� ��� O CL o� O Q f` IX _ ON Qo F=- CD Z oo O ZO o 0 U CD O Q L) M r p ;° C9 O ;T ao 00 O O O W 2 C o Fi a z Q Z O ::i F— 2 N y m Ja' W W o W it 00:00 o J O) m W ILLI F- N -�, O N W CO 0 o a �Z zz - a a as w CO UMQ: F- N O O c00 200 - Q W 3rn U'D p 0 Q N O O N R O O N R U r N N V 0 M (D C) NCD N0) O 'a' p a « N p�j J jZ ✓ is r{ '? O'W o0 00 } Z M c O Zm C9 O OMv ~ r} C O LL 0 CO 00 F -W Z o �� C C 4i:k az U) w� ��� 20 �,�; o� O f` IX _ ON Qo F=- CD Z oo LL N N Z NN Z Ln p ;° C9 O ;T 0(J) LLrn C7QQ MM W y m W �� N^ 00:00 o J O) m -�, � U W > m Z z U F- N O O - r W p a1 O O V V L'> o v co 00 ' Q NLii N O co N 00 OCL afy`f% T U I a — E O 0 F- F - p MUUF- a) a Z ins U) 0 < U d a ao m O m O o -0) m UC' r UN w m m L } L } 00 CO N W W a mo papo c c U) L �- L C) mo >- moor Z O Lo U)) to HR R () U U W am J L)m0 LLL Lf) m0 LL. -r N Q �L Cl) L M W 2 U Q 0x Q ?% J Z` J O L) 2 a)- O LL L) a) O CD LL It L) Li O �cnN m� �fnN m�20� L) L L Q Q LL N LL C-2 -6 O 6M c vLO c v L) L) L) mac!) UM L(7r C)MP7 CJ O c 0 2 U C 00 iii vi o O 2 3 O U O Y CO UUt,iD-a_ U)L)1--( :2 U North Andover Board of Assessors Public Access Page 1 of 1 NORTH SLS --r Srh,AndoverBoard. of Assessors 41 " MATCHING PARCELS +rm rr"49 1SSACowsFt Click on a column title to sort data by that column Click Seal To Return 2 items found, displaying all items.1 Search for Parcels 2 items found, displaying all items.1 Search for Sales http://csc-ma.us/PROPAPP/newSearch.do?town=NandoverPubAcc&from=NewSearch 7/7/2008 00 00 LL U) m LL 00 LL W MU p W cn �JwU) J F- U Q F-uj F-�Y F- Cn W }SSSpCLCL z�22 �� OOp >OJ ��fn�zz:wW F- SwwaF- F - w> > M -�a SQ0 UU�SZ �J F-S�a(4 Cn W F- (A S F- Q > 0 O F- UU QCnCnQ SSz j p Q J 2O �= U) F- }- U Cn w} cn W �� F- J J S Q Q0J 2 U cn� DF- J W -�� S �I-ca F- W W � J Z �� 2 z J UU J J 2-- U mm = Q JZF-m0.i-F- QF- QQfnJ U Q J Q �F-�0 F -J Q W J02D O Q Q �- } �J� F-� _QF Q ~ -F- }(n F- w F- C7 Z Q W Q 2 W 2Q Q000' WSS-UU�Q' =_F- ��0w=J�wwU ��0}O W z W�>>2�� J W W w }} J� W ui JCn2 W (Z - }QJS}ZJ J W 1- QO F- P cn -Q� �Q- W~QF-�ZQ2� UwF- J� w >�F- OcnZQQZQQZQF- w000f'UULLC) F- F- QIX m U w wO w ZQwZ�� }Q Of O Y Q J O}F- Z� J Q JWwJZQ Q Y xoZ W S W U - ZS�U)U)< Q O W w m U z cnQ w lZ Z O w F-MZZ Z-- W JJO QzJ p> p Q Q' ZJQLOJ�� m. m J SwwU p 2 q O p J = Q F Z JU J Z} U Qw>Q0 z �<oo J XQQJ00Z -1 00Uw � CO mQ <co t[[°�w X00 w ggYgo W 2 o(Dz Z'0 CA Z Q aaow w co m Q r¢ Q O U U F- Z J J .� > Q U- 2 00 Ir WWwWWwWWWwWwWWWwWWwWWWwWWWWwwWwWWwwwWWww F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- i-WWWwWWWWWWWWWWWWWWWWWWWWWWWWwwwwwwwwWWWW WwmwtYwww0�wxwwW-ftw(twwctwww=wwwww0� Q�ww0�wwQ� ll�wcl�it Lld IYmm(nmU)U)(nmmmmmU)mm(nmmmmmmmmmmmmmmmmmm(nmmm�m F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- F- �zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz QQQQQQ :Fc QQ :Tc QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ F• W 0 0 0 0 0 0 0 0 O r r r M r- T N N N M N LO N CO N � M M M LO CO Q 'Ct tC1 LO LO CO LO O LO ti CO r t- I- Il- � CO LO CO O CO O O r Cn M O V, m CO O O r co O r O O r O N r y I 0000000000000000000000000000000000000000 0 0 0 0 o O o 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O O O o o O p Cl 0 Cl 0 o 0 0 O 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O o o 0 0 0 0 0 O 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 J W d' r O � T o lO rd' 0 O 0 LC') T 0 CO O 0 O 0 T 0 T 0 O 0 N 0 r 0 T 0 r 0 T 0 CO T 0 M r 0 r 0 0 r 0 0 r LO o r N COO M LO 0 M 0 O r 0 CA M 0 O "' 0 r 'd' 0 N 'tLV 0 lO 0 M 0 O V' 0 N 0 0 O W 0 6 'It 0 CO N 0 O M 0 4 LO Co r CO o 't 0 4 M 0 V o 0 o O o o O o 0 0 o 0 0 0 0 o O 0 o O o Cl 0 O 0 0 0 o Cl 0 0 0 0 0 0 0 0 0 o O Q CO N o N O CM O M' o -CT r I' T h LO CO N CO N CO N m N CO N CO N r w N CO N 6 N CO r O N O N 6 N CO T O N O N 6 N 6 N 6 N 0 N 0 N 0 N 6 N 6 N 6 N 6 N O N 6 N 6 N 6 N 6 N 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 o 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 T N T N r N T N T N T N T N T N r T N 5� r N T N r N T N T N r N r N T N r N r N T N T N T N r N T N T N T N r N T N T N T N T N r N r N T N T N r N T N r N r N T N /y 'i O O O O O O o o O) 0 0 0 0 0 0 0 0 0 0 0 CA O O O CA O O O o O 0 o O O O.o o CA o O Q W O O o o 0 0 0 0 0 0 0 O 0 0 0 O 0 o 0 0 0 0 0 0 0 0 0 0 0 O 0 o o 0 O 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �, N N N 04 N N N N N N N N N N N N N 04 N N 04 N 04 04 N 04 04 N N N N N N N N N N N N 04 c 1' Date.................... ....... °��``° '• "° TOWN OF NORTH ANDOVER PERMIT FOR WIRING 1� This certifies that ........iL...``................. has permission to perform.........G....��.[!�f.`�............. wiring in the building of .....................M ............. l.............. . �/ ................... at ..... S .�................... , North Andover, Mass. Fee ........ per.. Lic. No.....7c�..�... ....................... ��✓z'. 7 YiC►/ ELECTRICAL INSPECTOR Check # loo )6 8261 4 (commonwealt=h of Ma.4dac4wetb 2eparEmentz of 7ire Services r` BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. :�72'Y l Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME ), 52 CMR 12.00 (PLEASE PRINT K OR TYPE A L INFO TION) Date: / 0 City Tow of: L To the Inspoe lot f Wires: By this application undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street &Number) �4 YV Kiln --r. I Owner or Tenant t _G Telephone Nof-n Owner's Address 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:J h %� ��Gl/Y� 4-l/,L Completion of the following table may be ivaived 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- El rnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Number J.yp!!s J.KWNo. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW L Municipal Other No. of Dryers Heating Appliances KW Security S stems: No. of Devices or Equivalent No. of Water KW No. of No. of irin Heaters Signs Ballasts No. of Devices or uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required bj, the Inspector of N"ices. 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:) p I certify, under the airs and p nalties of perjury, that the information on this application is true and complete. FIRM NAME: rl(l \rme, ,6fcurI J, LIC. NO.: 7 4 f L Licensee: Iohn �(� �')'i e5 Signature n� 9� LIC. NO.: ss c c, D e i t (Ifapplicable, enter "exempt" in the license number tine. �� Bus. Tel. No.:61,g' 5%" ��y3 Address: l"5J`� hi�54- 'ST', � V�i�lt'l�nA.16k__� MA of 90 Alt. Tel. No.: ' CC+ (�(> ►� *Per M.G.L. c. 147, s. 57-61, security work requs Department of Public Safety "S" License: Lie. No. 5 __92 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-- Signature Telephone No. PERMIT FEE: $ 021ny/Z19.1U t74:Its 7!00010040 F February 9, 2010 Zoning Board of Appeals Town of North Andover 1600 Osgood Street North Andover, MA 01845 RE: Request for 1 time extension For variance granted 219109 Rear Lot, LLC 24 Main. Street North Andover, MA FO _ 9 20,E BOARD OF APPEALS Dear Zoning Board: Pursuant to MOL.A ch.40A see 10 Rear Lot. LLC hereby requests a 1 time extension of the Variance granted by the North Andover Zoning Board of Appeals February 10, 2009 filed with the Town Clerk on February 17, 2009, and recorded at the Essex North Registry of Deeds Book 11521 mage 1.39, attached hereto and made part hereof. Thank your for your consideration with, respect to this ,matter. Very truly yours, REAR. LOT, LLC Albert P. Manzi. Jr., Manger 10 CJJqAOF. 02/09/2010 04:18 9786816628 NWNZi r-Rur- til Iu� i 0 February 9, 2010 Zoning Board of Appeals Town of North Andover 1600 Osgood Street North Andover. MA 01845 RE: Request for 1 time extension For variance granted 2/9/09 Rear Lot, LLC 24 Main. Street North Andover, MA Dear Zoning Board: Pursuant to MGL.A ch.40A sec 10 Rear Lot, LLC hereby requests a 1 time extension of the Variance granted by the North. Andover Zoning Board of Appeals February 10, 2009 filed with the Town Clerk on February 17, 2009, and recorded at the Essex North Registry of Deeds Book 11521 Page 1.39, attached hereto and made part hereof Thank your for your consideration with, respect to this .matter. Very truly yours, REAR. LOT, LLC Albert A. Marmi. Jr., Manger r- 02/09/2010 04:18 9786816628 Q MANZI PAGE 02/0b Bk 11521 Pg139 07958 Town of North Andover ZONING BOARD OF APP.EAL,vt Albeit P. Morw III, Esq. chAm m am P. Mcltmr_ VIn4&im•a Riehl J.Bpas, l aq. rift*J� D. ft RidwM M. VdQawalt Tbomm D. Ippolito D -W S. Bram. Esq. bschmd P. Ilporro 1;. H019 M-91 "IA. Tour. Cie* Toric %n)p Thld Is b oatttgr dldt hNMngqrr ¢O) Qyis Any sppedl dUM be Mad witbfn Netlee of D&ddon hm oWpud f1 m ddb ofdufti , Mod (20) drays d W the date DfMft Year ZOO Ahml fol d 4 craps Doom irk The alboe of *c Tows Clerk per Maas, Goa. L da. t=n... 'Iiia Norte Audwar Bard a f AOpeaid hdA a public htar;nR m ire rggstr erexa qg is the Tt►wu M mp now moaprts room. 120 Iiia 2"01, Tim& Audava. MA on Tatarddy. Fftmy 1o, 2on9 at 7.30 PM op= tiro: appiicption of Resr Lot LLC.1K Mdh 9tred (Map 28- Proed 14 Nm& Andaver. MA mpc twig dimtaasi" Vsti m= Emu SM60 7. Pang qkX) 7.1, 7.4 7.X & 7.6 trod Table 2 0fdW ZOWAR Bylaw forrdioforlot arca. Area ti=121 ie, dde MbwA aed floor arm ratio is adder to coaatrnet a note ca m xdd m ttcUft as d prr existhI& Wn400tm1b6 lot. Said praaiae -fk,- ed is ptapoly with frnew on tlm Ew. aids ofMris Street within rho 1-S racing diiteiat. � aotica.rara seat tp 1111 trsnrrs as the abntta's fiat pad ware peabiitgted m Eta F.�la1'nbunG u nesvtgeper ofgaand cccol-6- intine i`awn�l�rtb�lo�oavt ti Nwem6tt-2d k Deee iier [.-2008 — Tbc fWfm X vetiai n=bm we m prewar: Qlpa P. bk1u M Jam* D. Latirarae, RickW J. 8,wa. llieberd M. YatTlaMaolal, and Dmid S 8taem 7be tlbHowlagvm-% dW m®bets were pra =L Tb me D. 1ppolito and M;" P. Limm. Lkm a mofi m by Joseph D. LaGrtaae =d a by DwM S.1%mt% ; dao il< Wd to C-jL&.NTa dletsxtsl l VtYeiaaere Som Sxdttn 7. PsrldrapA 7.1 and TUU 2 of dw 7Oi09 Byiatr fm rdisf of 25.(M square feel }tots the lu dtcmams for LAt Anna: Upmt s wotioD by Asaph D. LOOMM and 2i° by fthud NC V9UUc0raet, the DOW WAW to CRANI., dbnensiaaW Vaelmw Erma Suchen 7. Paeegaptt 72 mid Table 2 arca Tagog Wsw far vdwr of 1 ia, rmm me MWA mrmm for sheet FRUMM Ltm a mOtim by b. LmOtene ande by Riebmd M. Vdilbmmt, the Board voted to CRANT a ditaanknW Ydrtamm fim S"= 7,' Peragnrph 7.3 mad 7ltbie 2 of rhe ZOO* Bylaw lbr mWof 6,2- aeon an !tit Oft selbeet and Upon u motion by losep►A D. Lt►tiitasae sad 2'A by Dtutlel S. BMsk dtts Bwad voted to GRANT a ftmsiauat Variattae from Sm>:tioa 7- f'asVgq* 7.6 aced Table 2 *COO Zm ft 6)Ibw fb r adidof 0.23:1 iron► dke MpkemeW for Floor Mea Rano in ceder to oonm 1 d 1 1111 A Dew self dorsge eesrdraam per f.•w a.a.sapsoeml roan Mom blrlXL MOM Andover. hsA. Aatao6 $ 28, Lot 14. prgmvd tbt Roar Lot. LLC 2t Mbia Stroet. Nath Andm r. �� ssau® AL aorto Nm& Arran MA 01845 Muaatlflof1.Bie#135212.09y06 . Page 1 ora 1600 t7 VOW Street. &Wdim 20. Suite: 2.36, North Anclater. uae tts O�ih95 . 'L Phone - 97MW9541 Fsx - 97&688-9542 Web - www.toivtta$I�� 02/09/2010 04:18 9786816628 MANZI PAGE 04/05 1- a Ek 11521 P9141 #7958 Town of North Andover ZONING BOARD OF APPEALS Albert P. Mona III, $.q. Owemm Elk -A P. Mckgm rnmc""" KithmI , fiw} CIO* qmw Rwwd M. vmtbnwm Anm6k Minim s Thumm D.lppollto Mkhw P.1omft a`aneMts� Tour Clerk rhino Sump Ptirtlter—.. ifthe dga archaized by llie vaimm armor evicerdaad willow ate (t) year Ofthedate oftbe gram it" low and mey be M-nmbli4ted amty after nod m ad a am h=4 Pbfaaw re, if a 8peoW Pas%h VWdW endtr die prawWM ouatak►ed >we6t dml be denied to b m bgwed after a roa M) yeas Period frmn a w doe m WWch *c Specid Petnit Baas fitted amlras mbtuatid ma W a mmutim ==*me& k droll k*w +md may be roeWtblis W a* titer oatiee; and a Am h Tvocm Zotaas d e mat P. Mcle4u. VkW CW~ Ridard L Byem Eaq., r1p* JGSCPh D. tACaraoe ltidmd M. vaillamoutt Amadare fry maid S. Bracer 614. Dloiaica �tIUB-014. MLtPtA Patio 3 of 3 1600 068m d Street, 819 ft 20 - S$te 2-36. Nardi AG&Wea. MoNgd >mfts 01845 Phare - 97L -6U-9541 Fax - 9786116-9542 Wcb - wwW kwno&m*&ndam.totn 02/09/2010 04:18 9766616628 MANZI PAGE 03/05 Bk 11521 Pg1.40 #7958 Town of North Andover ZONING BOARD OF APPEALS Albw P. Magi M F q. CUs. Emm P, t dom rum r mwhe RWmd j. 9ye:,, EAq. CJ * jweph D. LaGracee Richard M. VmMm"= Amddi Me+inr ` Theam D.ippoueo Mirhecl P. Lporto + Town OrA Time S" With the fwQViagcoad 6=: 1. VAaaee 2001W I4 tbaQ be meat oa • PieoegllDsutl Site pbtia Ralq► SpoeW i't7tadt With the: 290000AWft epi"pica, mrd the Ca mvetien C maWden order of Cmn<kbrua with the Se a d Mfr !1 Flom ftd beft � lien m BoaRaw LA rd o der pa 2R, lmta! 14 md aopiea d Tering Ro�rd dAppealR 2• TMe fled Sine i*bn as re+Metl M Immmr the Mumk g SaaM Mu Ilan xwaw'a am r+mgt, 1N0 Pi+� ktteb>o, ii f ► 100OW11% M4" be eabpdped to dtePooftg bawd of Appeds file befox+e m bWkd4s prank mW fie !raced to @tier U PIOW to bm ddy aahq, cmvmbaoe And tend wethre er 9k ldmhlta t of the Teva by pror4d 6r It aeview Of phme drr wen cad aancrort r whdcJt lluve dpleeat huW-rim ks1b wtthb tk *k =d l0 IdWft to mdjaw%t M'eteld" Aad atrsetd ern pedetbtoa aid v&kwlwtrelB - flVotint as fsvar: Ells P. Mcbstyin lmq& D. LAG(Me. Ri AW 1. SycM Rids& M. Vali ocami and Dame! S The Bond finds that aWmg /o Catadtawns rdudag to the 1119p and bopgpqft of do hm4 apaddty jkff*Wus Ws Mop X Pawd 14- but aur getardry ma hw m w S ="Ws dwdct i m Aida k istonated, a !lead amemeat of tbepravWOM of Seetlor 7, P111109005 7.1.7.2, 7.3, and 7.6 d:' dit 2 and 8epion 10, Paragepp ltl.4 uvald involve submand l bat4ft &mid a a&awire to &e. gli m The Boast 604 Sul appoorimetehr half of the ttmd lice ttrifhitt the Itlo' BodRrx ?,ase funs Soften Pam, The tloaed � � three eWWL Dow= Brotbota LamdKq tg, iac.. 855 RNWY Tf4K and Tdpno"b ReftL l.i.0 wtotc left % of tntpport. WbBo pbalogm*c and agt*m oppa fen from the aeeido" abutters ayes pttetet0ed m the Boattl. the 801211 (fads tha elle aboces ofinerns 1br ltaremtnd Utile And bet bw appetreme Jibe psfpaod WktW40: aadunme nor be tlddtetsed w;th mppropdAte barna aF apvaUoe. detyfl, a 7* Rand ib* tient &c RW%c et sinned the haW of d w pniposod 101110e0ge aatmbouee item 45•. Nle Aaahm m 14 he 4 tt beds 55-. to 15'm mind an the mwWW 14W49 Deedopaaat pip, The Basal ae dam ft aPRtitsm-t: am&aw. Henjomot Osgood 1:,'a idly of Rabntaq 3, 2W19 addattara Dowd amd nl*AmdW dattter co m- dmwlite uwck Amdog fOu, mm wm'cb%w tnffic valum Aodmui warehoare fmpa am= The Board lands do dariteble retiefmoy be At I widtow athg ntiel deWimm to to pobra good and wigwm totlMWMW or wbmmmeRy dcro6,nino ant ire ieamt or powe of the Nadh ,Amiow 11)U v, NOW 1. This deacon dal not bo in~ until U espy oftMs decWm is rmemW ut the Esa m County ltegt'.4Vy of Deeds. Northam Di:ltitt at the appfiraat's erpimsa 2.7M paodRg afdw Vwimet mdlor Speaat Pamit as raq=dW by the oppiiesm dna aft neoeeeat Y tnssrt the SmAng aft by all applicable tocol, stat. and ltdadkaft 0°g l� d Ota must snide regnirad by the of Boildi� union mad regoelsabmte,prior tethe iapmpoe of* bm7daig patnit as Pap 2 of3 Pboae • 9 TB 688+1 1 OVOW Stneel, ODUMS 2U - Suite 2.36, Nodh Andover. Maunhumm 01845 Fax . 478.68&9542 Web . Www townvfixahsndover.=n 02/09/2010 04:18 9786816628 MANZI mut n�ino iF= MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Z Z- Date �f ) / Building Location2y /�j/J S E Owners Name �/ Permit 4 Amount Type of Occupancy?/ L y New Renovation Replacement Plans Submitted Yes No FrAT'11RES • .r .J M1 (Print or type) Check one: Certificate Installing Company Name /, I % LI15WI.c/ < v 7 iO�L x',71 9-v,, (o t tf Corp. .i Address r° 3 �' 3 ��� Partner. _ l S�77771 7, - /f Business Te ep one �� (% - 5 y - 3.2 /S'_ irm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the t e of insurance coverage by checking the appropriate box: Liability insurance policy ff Other type of indemnity ❑ Bond ❑ i Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance ISignature Owner Agent F1 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 for this application will be in compliance with all pertinent provisions of the Ma tts State Plumbi Codeand Chapter 142 of the General Laws. By igna ure 01 Mcenseaum er Type of Plumbing License Title 7) 4 ,�, ty/Town cense Mumoer Master ❑ Journeyman APPROVED (OFFICE USE ONLY 1 THE00MM0NWE4L7H0FMM5:I4(!iUaE113 v �� DEPARTALENTOFPUBLICS4FE7Y Permit No. BOARD OFMEPREVEM70NREGMTIOAS5270MR 12:00 Occupancy & Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 LEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 2-C. To the I specto of Wires: wn of North Andover e undersigned applies for a permit to perform the electrical work described below. cation (Street & Number) 2. Z 2 ,17/ S T xner or Tenant +� /ftp �'''� L e-C_ .ter xner's Address /i0c' 4 ^ -X `�' ��L .' c� ri ✓�Q�t /�/�1 this permit in conjunction with a building permit: Yesm, No (Check Appropriate Box) 96 � irpose of Building C G Kisting Service 6 (( Amps / 3 yff olts ew Service _/_Ampss� /��ib Volts Utility Authorization No. Overhead �-urrd round No. of Meters Overhead r__1 Underground r__J No. of Meters umber of Feeders and Ampacity acation and Nature of Proposed Electrical Work � � -S /stl/ � l.-4 I-,- - T I No of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No of Ranges No. of Disposals No. of Dishwashers No. of Dryers No of Water Heaters No. Hydro Massage Tubs �No. of Transformers oto KVA Swimming Pool Above r -n Below r-1 nerators KVA No. of0il Burners No. of Emergency Lighting Battery Units )THER rnua=Coaage Ptasuatttotheregtmt3natsafMassad�se!$Cra�aalLaws or�ssubstar�ialaquivalat YES NO F1 haKeaa�aiLiabt7�'ir>Su'arel'bh�-y��g �� NO r7 I�ha�edteckedYES, plea9eeidicatethetypecfcaaagebYd�rgthe ha,,eabnittedvalidptmfofsametotheOffioe YES n bo`c. NSU E [a --'BOND r7 OTHER r7 may) E*i-itim Date WorktoStat - hspactionDameRa ested sig a uxkr,& Pay dtim ofpa)tay �� / b FIRM NAME _ U Estimawd ValuedBectcid Wait $ Ratgh .. Paul lioaiseNa /I � r } -►2 G�t c i Sigrl�ine .cam Limmisb / s � Lb:MM ����e + (' a Business Tel Na r?d - 7 Adder. % x Y / /c, s cX d -��� G� AkTeLNa OWNER'SWSURANCEWAIVER-,Iana%&mthatthetic=du ttteaiSstraioeoaer ordssut�artialet�avatertiastecltmadbYM Gataa!Laws aod@�tmysag>attaernthis p�H applic�tionwanesdas ��' /'/) (Please check one) Owner M Agent a PERMIT FEE �/ D Telephone No. ' No. of Hot Tubs No. of Gas Bumers No. of Air Cond. Total FIRE ALARMS No. of Zones Tons No. of Detection and No. of HeatTotal Total Pum s \ Tons KW Initiating Devices No. of Sounding Devices Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Connections r_1 Other Heating Devices KW No. of No. of Si Bailasis No. of Motors Total HP )THER rnua=Coaage Ptasuatttotheregtmt3natsafMassad�se!$Cra�aalLaws or�ssubstar�ialaquivalat YES NO F1 haKeaa�aiLiabt7�'ir>Su'arel'bh�-y��g �� NO r7 I�ha�edteckedYES, plea9eeidicatethetypecfcaaagebYd�rgthe ha,,eabnittedvalidptmfofsametotheOffioe YES n bo`c. NSU E [a --'BOND r7 OTHER r7 may) E*i-itim Date WorktoStat - hspactionDameRa ested sig a uxkr,& Pay dtim ofpa)tay �� / b FIRM NAME _ U Estimawd ValuedBectcid Wait $ Ratgh .. Paul lioaiseNa /I � r } -►2 G�t c i Sigrl�ine .cam Limmisb / s � Lb:MM ����e + (' a Business Tel Na r?d - 7 Adder. % x Y / /c, s cX d -��� G� AkTeLNa OWNER'SWSURANCEWAIVER-,Iana%&mthatthetic=du ttteaiSstraioeoaer ordssut�artialet�avatertiastecltmadbYM Gataa!Laws aod@�tmysag>attaernthis p�H applic�tionwanesdas ��' /'/) (Please check one) Owner M Agent a PERMIT FEE �/ D Telephone No. ' No. of Hot Tubs Division of Registration Office of Investigations 239 Causeway Street, Suite 400 ti Boston, Massachusetts 02114 www.state.ma.us/reg/boards/hd '4 D -P- 617-727-7406 (jo p U ARGEO PAUL CELLUCCI / Governor C WILLIAM WOOD Director PHILLIP C. SMITH , Chief Investigator JERRY DECRISTOFARO Assistant Chief Investigator Plumbing Inspection Form DATE: Z O This is to certify that I am a Plumbing Inspector in the State of Massachusetts, and that the plumbing alterations or installations for NAME OF SHOP OWNER NO. STREET A410 S t CITY Al . Al e vq 30 is in accordance with the specifications of the plumbing ordinances of the City or Town of fes© cs-C�/ 14111 ` NAME OF CITY OR TOWN WHERE SHOP IS LOCATED and the State of Massachusetts. NAME OF PLUMBING CONTRACTOR PCX. % L LICENSE # 7 ? 3 EXP. DATE d i ADDRESS SIGNED r /yl /'Y1(�' %>/ d ZZ/ S 15 2 �— O Z ING INSPECTOR REF: F:\lnvestig\Docs\Forms\PLFORM LICENSE # EXP. DATE LA The Commonwealth of Massachusetts ID Division of Registration = 100 Cambridge Street, Boston, MA 02202 ' Office of Investigations, Room 1509 www.state.ma.us/reg/boards/hd H 617-727-7406 Electrical Inspection Form Date: A O This is to certify that I made such additions and corrections to the electrical wiring and electrical fixtures used for lights, heat, and power in the premises located at: "/ `I/I rk l :A 5�� L Street Number Street Name -r lV o . A d %Ae,r /Y 14 G/ (f y J City State and occupies /—/e C U Le Name of Owner of Shop as were necessary to make the same comply with the Rules & Regulations of the Board of Fire Prevention Regulations of the Department of Public Safety as adapted pursuant to the Provisions of Sections 3L of Chapter 143 of the General Laws (inserted St. 1950, c617) Name of Electrical ContractorlYa .4 2-; Address _ PO Q Holder of Master Electrician License # Signature Holder of Journeyman Electrician License # Si ature Signed: ty De �<� v/ Ele rical Inspector License # Exp. D to U:1Adm InS taffTorms\Salon_inswcti6ns. DOC 07/14/00 ()il / be Cct'ew j'o You Y'b0 rA , 4n, The Commonwealth of Massachusetts Division of Registration 100 Cambridge Street, Boston, MA 02202 Office of Investigations, Room 1509 www.state.ma.us/reg/boards/hd 617-727-7406 Electrical Inspection Form a Date: d O This is to certify that I made such additions and corrections to the electrical wiring and electrical fixtures used for lights, heat, and power in the premises located at: Street Number Street Name /l/y 144 cQor�e.r /V 14 G/ �- y 1 Citv State and occupies Ale U Name of Owner of Shop as were necessary to make the same comply with the Rules & Regulations of the Board of Fire Prevention Regulations of the Department of Public Safety as adapted pursuant to the Provisions of Sections 3L of Chapter 143 of the General Laws (inserted St. 1950, c617) Name of Electrical Contractor �l��,� e %P MDL ,r 2—; / Address !/I 0 Q c X ydo, ,Vo • 0,4A cec"o-, , 11�0/,Py Holder of Master Electrician License # Holder of Journeyman Electrician License # Signed: ical U: W dmin$taffTorrns\Salon_instructions. DOC 07/14/00 Signature 7!7 Si ature J, License # Exp. �)j11 be- Ccvreol --1-6 Vo v Kh0 fA " 4a3 /- 6 Division of Registration Office of Investigations 7. 239 Causeway Street, Suite 400 Boston, Massachusetts 02114 www.state.ma.us/reg/boards/hd P 617-727-7406 ARGEO PAUL CELLUCCI Governor WILLIAM WOOD Director PHILLIP C. SMITH Chief Investigator JERRY DECRISTOFARO Assistant Chief Investigator Plumbing Inspection Form DATE: 00 This is to certify that I am a Plumbing Inspector in the State of Massachusetts, and that the plumbing alterations or installations for NAME OF SHOP OWNER NO--AP—if—STREET 1911 14 S 74-- -- CITY�/7� is in accordance with the specifications of the plumbing ordinances of the City or Town of A CIO 1-4? NAME OF CITY OR TOWN WHERE SHOP IS LOCATED and the State of Massachusetts. NAME OF PLUMBING CONTRACTORj L j� al C 0 LICENSE # 920 7 2 EXP. DATE d i ADDRESS SIGNED (../�'1/'►� / o 2Z PLU ING INSPECTOR REF: REF: F:\Investig\Docs\Forms\PLFORM �( t" 19 757 LICENSE # �e dl�/f- (-, VU EXP. DATE TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . <.i fs�%�./.�!f.� •jr • • �� 1 ...... • • • • • • has permission to perform .... %3c'f!I............. . plumbing in the buildings of .. T5-- -. 7�: ....'% ! . ............. at . .................... . North Andover, Mass. c' Fee. . . Lic. No.. 2. . ?. .j ........�/� ... c._,� v ..... PLUMBING INSPECTOR Check # i UC' 5`33 G?J MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 1 Z 0 Building Location ;2y �f % ll -i f Owners Nan_,e_ �/� /jf Z27' Permit #_ Amount Type of Occupancy New M Renovation El Replacement ri Plans Submitted Yes ❑ No 13 FIXTURES (Print or type) , / Check one: Certificate Installing Company Name % L /6'�'/A c f, � �7 - f7 ❑ Corp. Address P r� �' - Partner. Business Telep one 6 /� _ 91Q & U j r IE Firm/Co. — Name of Licensed Plumber: /QA-j�,2 % (_1Pf/N C ,57(7 --" Insurance Coverage: Indicate the tyqY6 of insurance coverage by checking the appropriate box: Liability insurance policyIT Other type of indemnity ® 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 Signature Owner El Agent 11 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 luiowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PI Code and Chapter 142 of the General Laws. By: SignaLure of 171censcamer Type of Plumbing License Title a fJ') ? -� City/Town Icense Nuinuer Master hJ Journeyman APPROVED (OFFICE USE ONLY MM ER=@7_yMMMMMMMWMMMMM WMW J 1 e!'WIMMMMMMOM -----m----- M-� MMWWN� W1..1 e. mmmmmmmm M M mmmmmmm =11,120-1jum N MM M OWN ' 1 iiia MMMMOMM MMM MMM MW M W.111,1213TEMMM Wrmm Wm am MMS M (Print or type) , / Check one: Certificate Installing Company Name % L /6'�'/A c f, � �7 - f7 ❑ Corp. Address P r� �' - Partner. Business Telep one 6 /� _ 91Q & U j r IE Firm/Co. — Name of Licensed Plumber: /QA-j�,2 % (_1Pf/N C ,57(7 --" Insurance Coverage: Indicate the tyqY6 of insurance coverage by checking the appropriate box: Liability insurance policyIT Other type of indemnity ® 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 Signature Owner El Agent 11 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 luiowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PI Code and Chapter 142 of the General Laws. By: SignaLure of 171censcamer Type of Plumbing License Title a fJ') ? -� City/Town Icense Nuinuer Master hJ Journeyman APPROVED (OFFICE USE ONLY Date. ��.:5 . 0/. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .:... �.... ....... ,has permission to perform . - -' � ... .... . . . plumbing in the buildings of ........... .. � .... . 7-7 gat ... !-/ ... 1:-: _ �. *.... Vii¢' ....... , No n over, Mass. Fee ....... Lic. No .......... ............ ........... PLUM IN INSPECTOR Check # Z 5U23 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) ' NORTH ANDOVER, MASSACHUSETTS 14? NZ2r Date 0/ Building Location/ Owners Name AL Permit 02 V ' Amount Type of Occupancy f ?/ I- y P New Renovation Replacement Plans Submitted Yes No (Print or type) Installing Company Name /✓ T Lld6Q/14J C o 7-,/ Address ra Check one: Certificate ❑ Corp. Partner. irm/Co. Name of Licensed Plumber: r 77 - Insurance Coverage: Indicate the t e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 Signature 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 for this application will be in compliance with all pertinent provisions of the Ma tts State Plumbi Code and Chapter 142 of the General Laws. By 1gnSTe01 iceens�e Pum er Type of Plumbing License Title /lid 7 City/Town icense um er Master ❑ Journeyman APPROVED (OFFICE USE ONLY i (Print or type) Installing Company Name /✓ T Lld6Q/14J C o 7-,/ Address ra Check one: Certificate ❑ Corp. Partner. irm/Co. Name of Licensed Plumber: r 77 - Insurance Coverage: Indicate the t e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 Signature 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 for this application will be in compliance with all pertinent provisions of the Ma tts State Plumbi Code and Chapter 142 of the General Laws. By 1gnSTe01 iceens�e Pum er Type of Plumbing License Title /lid 7 City/Town icense um er Master ❑ Journeyman APPROVED (OFFICE USE ONLY