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Miscellaneous - 24 SKYVIEW TERRACE 4/30/2018
Date ......3- 2 .. -/ / (7 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......................��.�% ?(..... - ,�, 7.v.......� has permission to perform .......... �.!.. T..lr w .................................. wiring in the building of ....... !� C ..................... .................................................. at ....... U7 - .... - Kk 4.!v ..... E'C�- ..............�`, North Andover, Mass. Fee ....2....'"`..... Lic. No. !. y 3.. Z.................. ! :..� ...............: .,fir . LECTRICAL INSPECTOR j . �..� Check # s97 9299 :pasola aluculiluna—lair uotsua;xa;tuiaaa ❑ uzad eau xoj Sidduag :a;off * ........... •, j`� `— :pasoiD a;uQ/;!mrzad — gain ZIOZ `ST isu2ny g2nojgl_gulpualxa puu gooZ `Si Isngny uo 2u?uu?2aq pouad 2u!41junb aql 2uunp ,,aouals?xa jo 1oa33a ul„ sung Iugl lunojddu jo I?uuod Xuu `olup uolluj?dxo olquo?Iddu ostAuaglo sll puoS*q sreaA ino3 zoj `spuaTxo S??souucuo;ne ;oy aq; `suol daoxa pal[cu?? qi?M •f4iodoid luaj3o luauidolanap jo osn agl2u?ujaouoo sosuoo?I puu sl?uuod ui,e O3 o? uo?sua;xo ivafiano; o?luujolnu uu 2unls?Iqulsa Cq asodmd s?gI sioiwtl3 loy uo?sualxg lluuad aqI puu 6janoom o?uzouooa uuol-2uol puu qljtod qof olomoid of s? ;au s?lp;o osodmd auy -ZTOZ3o s;ay gig 3o g£Z jaldug03o SL puutL suo?}oaS Sq popuoixo puu o loZ3o slog ogljo obZ jai ugZ)3o ELI uogoaS Sq poluajo sem lo -V uo?sualxa I?uinj aqsEl •uo?luogddu I?uuod oql uo poluls%Sl?lua 2u?llulsu? agljo joueno oig jagl?a3o Isanbaj ual}tjm agI uodn poluu?uuol oq llugs l?uuod y •osnuo olquuosuaj jo3 pall?uuod aq llugs sljoajo uo?laldujoo jo3 aun}3o uo?suoixo uu `uo?luo?Iddu uollrjm uodn •po?jad gluoui-ZI 2utpaoajd aql 2uunp possaj2ojd lou suq jo paouounuoo lou suq 3Ijom poz?joglnu oig lEgl pau?uualap suq oqs jo —--agt3rp?luno? pue pauopuuqu saj?M 3o joloadsul aql iq pauzaap aq,iuui puu `u?ntlou uo?Ionjlsuoo 2u?o2uo 3o aujll aql oI se pal?ut?I ag hugs slruuad "I£ § `£f�I 'o "I'J'Y�I u? pas?nbaj su �Ijom ag;3o uoi;alduioao uo?Iuag!lou agI jo3 alq?suodsaj ag hugs SI?Iua gonS uotluo?Idda I?uuod aql uo poms uouuTndjoo jo uug `uosjad aql oI panss? aq Ilugs l?uuad Iuoploala uu `Z£ § 1991 'o TrD *W of luunsjnd paluloddu sojiPA jo joloodsul uu ,iq paid000u uaaq seg uo?luorlddu I?uuod u jolly •uuo3 poquosajd aql uo polg oq hugs suoguoilddu puu `glluannuounuoo oql luognojgl uno3?un aq llugs 2uulnn3o uo?lullulsu?3o as?lou op?nojd of uuo3 uo?luoilddu I?uuad aq3 "IE § `£bl 'o "I'jJ'Y�I3o suots?nojd aqI gltnn aauupj000u uI :g aIn2I § 00'ZI 2IIAi� LZS s;uampuauty apo lua?jlaal� s;;asngausseySl ZIOZ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 2-`i e7 BOARD OF FIRE PREVENTION REGULATIONS Date Issued: 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: 3/16/10 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) 24 Skyview Terrace Map: Lot: Owner or Tenant Kevin Willoe Telephone No. 617-510-7313 Owner's Address same Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity same Location and Nature of Proposed Electrical Work: Kitchen No. of Meters No. of Meters COmDletion Of the following, table may he waived by the In.enectnr of Wiro.c No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. of Emergency Lighting rnd. grnd. 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 No. of Waste Disposers Heat Pump ......................................................... I Tons 1KW 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 No. of Water KW No. 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: Disconnect and reconnect appliances Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $700.00 (When required by municipal policy.) Work to Start: 3/16/10 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licen- see provides proof of liability insurance including "completed operation" covera r its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit is;fig office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)/ 1 certify, under the pains and penalties of perjury, that the informatiogdn this FIRM NAME: Inc Licensee: Robert 3. Branca Signature *Per M.G.L. c. 147, s. 57-61, security work requires Departme of lic (If applicable, enter "exempt" in the license number line.) Address: 19 Dale St Andover MA ZiD: 0181 OWNER'S INSURANCE WAIVER: I am aware that the Licen e does not have signature below, I hereby waive this requirement. I am the (check one) ❑ owner Owner/Agent Signature Phone Safety "S" License and complete. LIC. NO.: 14302 LIC. NO.: LIC.NO.: S: Bus. Tel. No.: 978-475-4995 Alt. Tel. No.:_ 978-423-8350 the liability insurance coverage normally required by law. By my ❑ owner's agent. permit Fee: Date .. �✓.� �.. ... . TOWN OF NORTH ANDOVER 9 PERMIT FOR GAS INSTALLATION . '> `R' v This certifies that .. � has permission for gas installation : ' - -? ,'i. - .............. . in the buildings of ... �-- : °� '�- �'? ..................... . at y. ..� ..� .M�-4--�� North Andover, Mass. Fee :. .. Llc. No.�§. ......... GAS INSPECTOR Check # 7196 1. MASSACHUSETTS UNUORM APPLICATON FOR PERMUf TO DO GAS FMING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Aarj � d7, )u/6 Building Locations 9 q Skv U+ w I P//1QC C Permit # Amount$ Owner's Name 1 j` � k New1:1Renovation 1:1 3110, � Plans Submitted ❑ (Print or type) I I, Check one: Certificate Installing Company II Name_ tclaiS Vr►��j�ag ❑Corp. ;Address acf %C c, lC Ilc ❑ Partner. usmess a ep one 776 ❑ Firm7Co. Name of Licensed Plumber or Gas Fitter 11--- —11— .a. A l �,/C%_ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑-"' No 13If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑/ Other type of indemnity ❑ Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and 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 Massa u�etts State Gas Code and Chapter 142 of the General Laws. 6 Title I City/Town 'APPROVED (OFFICE USE ONLY) Sigfiature of Licensed Plumber Or Gas Fitter ❑ Plumber D 76 ❑ Gas Fitter icense Number ❑ Master 0 Journeyman U w a d a H o w x F w p O a z a N w w m U a0 d x z w N W a C) s> Q F z x x a 9 o a H x 3 0 SUB-BASEM ENT o a > a BA EM ENT 1ST. FLO O R j 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8.TH. •FLOOR (Print or type) I I, Check one: Certificate Installing Company II Name_ tclaiS Vr►��j�ag ❑Corp. ;Address acf %C c, lC Ilc ❑ Partner. usmess a ep one 776 ❑ Firm7Co. Name of Licensed Plumber or Gas Fitter 11--- —11— .a. A l �,/C%_ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑-"' No 13If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑/ Other type of indemnity ❑ Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and 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 Massa u�etts State Gas Code and Chapter 142 of the General Laws. 6 Title I City/Town 'APPROVED (OFFICE USE ONLY) Sigfiature of Licensed Plumber Or Gas Fitter ❑ Plumber D 76 ❑ Gas Fitter icense Number ❑ Master 0 Journeyman N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Mlieant Tnfnrmafi..n Name (Business/Organizafion/Individual): I Mllef )UM �t Address: 3 0 p /C- C",/" jc City/State/ZiP:_1/ Ie//,( yh ltr im rI Phone #:l -C - 37T (l/?Z Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.7 Roof repairs 13.❑ Other omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contactors and their workers' comp. policy information. I am an employer that is providing workers' compensation information. insurance for my employees Below is the policJ� andjob site Insurance Company Name: 71 p V �N , rd, Sv cc V Policy IF or Self -ms. Lic. #: j Expiration Date: Job Site Address: -� LI � �y (11 e� '��,i---------- City/State/Zip: no /A )q,.j&„ 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 up to $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 do hereby cerk• y under the pains and penalties of perjury that the information provided above is true and correct 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. Plumhino in.---+ - 6. Other Contact Person: Phone #: Are you an employer? Check the appropriate box - 1. ElI am a employer with 4. ❑ I am a general contractor and I mployees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ElWe are a corporation and its required.] 3. ❑ I am a homeowner doing officers have exercised their all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] *.=.ny applicant that checks box #I must also OR � the section be :ow shot: ^^ :iz�r vie•; �' �o fig Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.7 Roof repairs 13.❑ Other omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contactors and their workers' comp. policy information. I am an employer that is providing workers' compensation information. insurance for my employees Below is the policJ� andjob site Insurance Company Name: 71 p V �N , rd, Sv cc V Policy IF or Self -ms. Lic. #: j Expiration Date: Job Site Address: -� LI � �y (11 e� '��,i---------- City/State/Zip: no /A )q,.j&„ 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 up to $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 do hereby cerk• y under the pains and penalties of perjury that the information provided above is true and correct 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. Plumhino in.---+ - 6. Other Contact Person: Phone #: Information aad 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 of hire, 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 coxnpliance 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 applicafion for the perait or license is being requested, not the D=armlent 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 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 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 of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax it 617-727-7749 w 'v,.mass._govfdia Date.. '. 4:. ". Ir." TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................ J ... 41 .................. has permission to perform .................... plumbing in the buildings of .................... at .. ..... , .............. ,North Andover, Mass, rs 5_ Fee 4%� ..... Lic. o..... ... T2s . _ .!` ............ . _ PIUMB IG INSPECTOR Check It �%�Z 85uJ 4 E MASSACHUSETTS UNIFORM "PLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 2 � J ky 1), e -,, �T Owner �� 1 New woll®� Renovation [] Replacement E FTYTY TEb-VC Date— % D Permit # Amount 4/;Z Plans Submitted Yes rl No (Print or type), i Installing Company Name [00s Q l � Check one: Certificate ��!o —� [:] Corp. Address _ 0 aic `I /i (C C A � Partner. Business Telephone _qT� S r G Firm/Co. Name of Licensed Plumber: Insurance Coverage• Indicate the type dinsuraiice coverage by chert�tt....i..,,, the appropriate inrnranrP n rOPnate Liability policy � Other type of indemnity Bond Insurance waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Age ❑ I hereby certify that all of the details and information 1 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 permit Issued for this application will be in compliance with all pertinent provisions of the M"Acliusetts State Plumbing Code and Chapter 142 of the General Laws. own ZOVED (OFFICE USE ONLY Type of Plumbing License rc a umber Master El Journeyman rl—/ 1-19 J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UIP 600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contracto Applicant Information Name (Business/OrganizationnndividuO): Address: A City/State/Zip: Phone #: Are you an employer? Check the appropriate boa: 1 • ❑ I am a employer with 4. ❑ I am a general contracto and employees (full and/or part-time).* 2. ❑ I have hired the sub -con actor am a sole proprietor or partner- listed on the attached heet. ship and have no employees These sub -contract s have working for me in any capacity. [No workers' comp. insurance workers' comp. ' urance. are 5. ❑ We are a corpo required.] on and its have a ercised their 3. ❑ I am a homeowner doing all work right ofeX, tion per MGL myself. [No workers' comp. C. 152, § 14(4 and we have no insurance required.] t employee 1/rNo workers' comp. %-Y applicant that ch tiles box #i must also fill out these rion beteg• sh, t uomeovLmers who submit this affidavit indicating they are doing all wo, $Contractors that check this box must attached an additional sheet showin I am an employer that is providing workers' information. Insurance Company Name: Policy # or Self -ins. Lie. #: Job Site Attach a copy of the workers' as 1, ance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. [1 Other co::,pwsatiou poiicy tido ation and then hire outside contractors must submit a new affidavit indicating such. the name of the sub -contractors and their workers' comp. policy information. for my employees Below is the policy and job site declaration page k,, \, Failure to secure coverage as required under Section 25A of MGL c. 152 cal fine up to $1,500.00 and/or one-year imprisohment, as well as civil penalties of up to $250.00 a day against the violator 'Be advised that a copy of this stc Investigations of the DIA for insurance coverage verification. r I do hereby cerk:fy under the pains Official use only. Donor City or Town: Expiration Date: _ City/State/Zip: wing the policy number and expiration date). lead to the imposition of criminal penalties of a n the form of a STOP WORK ORDER and a fine e� ent may be forwarded to the Office of of perjury that the information p\ovided above is true and correct in this area, to be completed by city or town official Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 6. Other Contact Person: 4. Electrical Inspector 5. Plumbing Inspector Phone #: 0 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 of hire, 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-contractor(s) 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 bereturned to the cit; 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 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 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 of Massachusetts Department of Industrial accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAEE Revised 5-26-05 Fax # 617-72.7-7749 u*vNru,.mass..govfdia 0 '1 Date. -. :. °. I..... TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that . ........... has permission for gas installation---.-4���... .............. in the buildings of . 1' :.......................... at ....... ,North Andover, Mass. Fee--,�?... Lic No.. & ...... .......................... GAS INSPECTOR Check # /--5�36 696z< SUB BSMT_ BASEMENT T FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR I 7 FLOOR 8 FLOOR RIIACCA�-tact-r 90 UNIFURM APPLICATION FOR PERMIT TO C}O GAS FITTING City/Town: _ Date1011-15 Permit# Building Locatic_, 2? '�fv y,� ,owners Name: Type of Occupancy: — l�:JI l.o W_ Commercial Educationali Industrial InstitutionalResidential New: Alteration:. Renovation: eplacemenf_: Plans Submitted: Yes _ No Ifistalling Company Name: < Address:. -057- City/Town:AWjJ� State: VABusiness Tel:�G� � WIG, ajc+ Cell: ZIP Code:y y i Fax: Name of Licensed Plumber/Gas Fitter: - INS UEz Am Fi= itter: INSURAmFi= r-nv=, ..-r Check 'One Only t//6orporation Partnership Finn/Company Certificate # Z4icQ Cal I have a current liabiti insurance policy or its substantial equivalent which meets the requirements of If you have checked Y� please indicate the t MGL. Ch. 1 es No ype of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance Massachusetts General Laws, and that my signature on this permit application waives this --_ coverage required by Chapter 142 of the requirement_ Signature of Owner or Owner's A entOwner Check One Only By checking this box 01I herebcAgent y ertify that all of the details and information I have su accurate to the best of my Knowledge and that all plumbing work and installations perf, compliance with all Pertinent provision of the Massachusetts State Plumbing C and By Type of License: _ Plumber I Title Gas Fitter �— Master Signature of Lice Chyli own Journeyman APPROVED OFFICE USE ONLY LP Installer License Number: d (or ente ed) regarding this application are true and under rthpermit issued for this application will be in 4 t e General Laws. t�11rllu7mjetiGas Fitter 4 .1' FIXTURES u1 U) LU rn zF- M < 111 U)U IY U) Y rn m F O Q [7 Lu J V >- W Elf t— _ Cl) lr C 1— Cn of W > to LUO !1�! Q to O � � � O H Cl) uui > W z w w 0 w F O Z W to = rn ru oa t- Q w n _ u a a t— x LL O v► L o o Q w Q m w O z OCl) t=- F W w w w u_ c� c� r r_j o a 0 UJ > o Ifistalling Company Name: < Address:. -057- City/Town:AWjJ� State: VABusiness Tel:�G� � WIG, ajc+ Cell: ZIP Code:y y i Fax: Name of Licensed Plumber/Gas Fitter: - INS UEz Am Fi= itter: INSURAmFi= r-nv=, ..-r Check 'One Only t//6orporation Partnership Finn/Company Certificate # Z4icQ Cal I have a current liabiti insurance policy or its substantial equivalent which meets the requirements of If you have checked Y� please indicate the t MGL. Ch. 1 es No ype of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance Massachusetts General Laws, and that my signature on this permit application waives this --_ coverage required by Chapter 142 of the requirement_ Signature of Owner or Owner's A entOwner Check One Only By checking this box 01I herebcAgent y ertify that all of the details and information I have su accurate to the best of my Knowledge and that all plumbing work and installations perf, compliance with all Pertinent provision of the Massachusetts State Plumbing C and By Type of License: _ Plumber I Title Gas Fitter �— Master Signature of Lice Chyli own Journeyman APPROVED OFFICE USE ONLY LP Installer License Number: d (or ente ed) regarding this application are true and under rthpermit issued for this application will be in 4 t e General Laws. t�11rllu7mjetiGas Fitter 4 .1' Dec -01-00 09:55A Nobilis Software, Inc. 41 North Gate Road TMKSBURY, MASSACHUSETTS 01876 ) Phone/Fax (978) 851-0306: , .. TO Li \� TERMS: 617 556 0272 P.02 1726 R N=�Ep ❑ DAY WORK ` '❑ Co�tQ�iCr '~ .t-�a" Xb MONE F a 0 0 O o: v J a 0 Dec -01-00 O9:54A Nobilis Software, Inc. 286 Congress Street ut i Floor SWOn Md 11-159 nnn. /e SA VLL+y Phone: (617) 556-9288 Fax: (617) 556-0272 To_ 6A r,2��,t Fax; 617 556 0272 P.01 obifi - - - -- Ph olte: ~t--- ----� _ — _ —Pages: [ q Urgent q For Raylsty p Please Comment C Please Reply CJ Pleas — - e Recycle *Comments. 11 I If/co G - L -Q- C -k, .� C i p� %7 1- lss3 . 1/14.00 TUE 15:14 FAX 9789883819 AT$ CARGO 001 01 DEP1JRTNtla 0FP1S CS41iM Perntit No. ` BOARD OHM, PREMWONREaZ9770V 527(W 12W q Occupancy & Fees Checked APPUCARON FOR PER1Vli'T'TO PEM. ORM ELE=CAL WORK ALL WORK I2 BE PERFORMED iN AQCOItDANCE WITH TEL MASSACHUsrm ELECTRICAL coDE, 527 ms 12:00 (PLEASE Pi NT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Ltc:ation (Street 6c Number) .����.._�:�,3 Owner or Tenant _fiyt . 'lel fn /� Owner's Address o c ek Ve- Is this permit in conjunction with a building permit: Yes ® No 0 (Check Appropriate Sox) Purpose of Building MA EL n f Q ar.:g kyr ka oto I - Utility Authorization No. Existing Service Amps. LJ4 1,�YLVQlts Overhead Underground rM No. of Meters New Service Amps�l Volta Overhead Underground =3 No. of Meters Number of Feeders and Ampacity Location and Nature or ftposed Electrical Work �--- No. of Lighting Oudo S ria. ofFfot Tubs No. ofTransfonners Towl KL No. of Lighting Fixtures Swimming Pool Above, Below Oanortum KVA _grourid pored No. nfReccptack Outlo s No. oroil Butnrxs No. ofErnetgency Lighting Battery Units 'No. nfWtch outlets No. 0170,b i3urnun FIRE ALARMS No. of Zones No. orRangn No. pfAir Cond, Total .. Tons No. ofDateation and NO. of Disposals No. of tient Total Total r s Tons KW Initiating Devices No. of Sounding Devices h;y. of Dishwashers Space Arca Heating KW No. of self Contained LkteeiiWSou ading Devices Lixesl Municipal Other No. of Dryers . Heating Devices KW Connections No. of W. -ver heaters KW No. of No of Signs Bailsais No. Hydro Massage TubsI Mcvurs 'Total HP OTHER- C i 2� �s c-- e..- -_CF c7— 1)d,6c\.�w Ir�moet:�er� N�a�ttto•Qretoc}rrtertrz>�ir��Gr1r®1Laws Ilta�eaamatIisTdyltt�urarxxE�licyirid�i�Corr+per Ctxte�igstItttntralci}td►n�ratt YES ® alp It test ti vt5dptrbt�san tottre:ltT�e' ' 3 IfUh;0edWWYES, pt=iticgedL,ype(fam ebydvsthe >NSURAI Wo1kloSkit FIRM NAME BOND 01lik ® nm*=y) FDt>te E tm&dVakmdE0ical Wolk S Rani Forel aiUv Ika-MTIkk Livsev Sita LibETONo Bt&M,TCL Na Art,in!cc -- ALTdNa obV1VER'su�sURANCBwAIv{'�i;Isrrta�t�4ractiteLio�e�� meT}te:rrs�raracv�aui�t�tryli;;�,�„�e1� F�rti d�xrrry ��6sae{� �r� �tt,a t�liQ,io., w�i� iter; tssr , (Please check one) Owner M Agent El 3'eh;phone No. FERMTT FEE • f NORT/Town Of North Andover ~?O�sta•a�0� Community Development & Services p + 27 Charles Street North Andover, Massachusetts 01845 Fax 978-688-9542 November 6, 2000 William J. Scott Division Director (978) 688-9531 Deplartment th Enclosed you will find a letter received by the building department on October 24. (978) 688-9540 The issues in this letter, if true, could be harmful to your life and possibly illegal in some Public Health Nurse areas. Please contact me so that we may discuss these issues and the abatement of same. (978) 688-9543 I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at (978) 688- Planning Department 9545 (978) 688-953 5 Zoning Board of Appeals Respectfully, (978) 688-9541 Michael McGuire Local Building Inspector Cc file Dpw Assessors Electrical inspector Plumbing inspector If you have any questions please contact the number indicated in the above box. Building Daya S. & Sandhya Singh Department (978) 688-9545 24 Skyview Terrace North Andover, MA 01845 Conservation Department (978) 688-9530 Dear Mr. & Mrs. Singh g November 6, 2000 William J. Scott Division Director (978) 688-9531 Deplartment th Enclosed you will find a letter received by the building department on October 24. (978) 688-9540 The issues in this letter, if true, could be harmful to your life and possibly illegal in some Public Health Nurse areas. Please contact me so that we may discuss these issues and the abatement of same. (978) 688-9543 I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at (978) 688- Planning Department 9545 (978) 688-953 5 Zoning Board of Appeals Respectfully, (978) 688-9541 Michael McGuire Local Building Inspector Cc file Dpw Assessors Electrical inspector Plumbing inspector If you have any questions please contact the number indicated in the above box. �Aq� 968 AS To: Chief Building Inspector Town of North Andover 120 Main Street North Andover, MA 01845 Dear Sir/Madam: Re: Complaint From John D. Miller 17 Kessler Farm Dr., Nashua, NH 03063 October 24, 2000 I wish to inform you that certain job myself and others have done in the following house are constructed without building code and without obtaining legal permit from the town by me and the owner of the house. Permit was not obtained because the owner wanted a cheap job and he was concerned about rise in real estate taxes. All of the work done about 5 years ago in finishing basement and outside of house, electrical and plumbing work areitw hout; building code. The water connection for outside lawn watering is plumbed bypassing the water meter to avoid paying water bills. The house where this job done Is at 24 Skyview Terrace Terrace, North Andover, MA 01845. This house is on sale, and you may inspect this basement construction during an open house on Sundays 1-3pm without knowledge of the owners. I am complaining because the owners did not pay me for the job they asked me to do recently. I hope you can fine the owners and collect all back taxes on improvements made without permission. Very truly John D. Miller v 0 ©00[3 EM02MV [22W(OM2 P.O. Box 53068 • Medford, MA 02153-0068 Tel 978-589-9611 • Fax 978-692-8658 Toll Free: 1-888-393-8511 24 Hour/ 7 Day Service Available Fully Licensed and Insured in Mass and NH MA #A 16199 - NH # 10166M FIND US FAST IN THE BELL ATLANTICYELLOW PAGES CUSTOMER , 1 k/"- _J C pick,/ a, I- J e C t,,,,rJ -S. (r ) t( �_ 1 I 1 r ..t k r" %f dl 'I r- -, G t� _ ► I /-Ili:' rc,a.c_.? L { &,Q(' FF`Jt. £ r I DATE ADDRI=SS `� r A a V�,kv I tl'rrG CITY •- d° . " f.'3 STATE ZIP PHONEI PHONE2 ( � ),J i �,(c, - S o 31 t� c 13 1 ( ) ❑ VISA ❑ AMEX ❑ MasterCard ❑ Discover CARD # CARD HOLDER EX. DATE AMOUNT AUTHORIZATION # AUTHORIZED SIGNATURE X The Issuer of the card identified on this line is authorized to pay the amount shown as TOTAL upon proper presentation. 1 promise to pay such TOTAL (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. • Payment in full is to be made by cash, check, or credit card upon completion of this service work, diagnostic charge, estimate or contract price (VISA, AMEX, Mastercard, and Discover). • Material and equipment used in the described work shall remain the property of Electricman, Inc. until payment in full is made. • A $30.00 fee will apply to checks returned for any reason. • Labor is calculated by the full hour only, any portion of an hour will be charged as a full hour, example: 1 hour and 10 minutes will be a 2 hour charge. • Work will be done by an Electricman, Inc. employee or by a subcontractor. • All money owed to Electricman, Inc. will be charged 1 1/2% monthly (18% annually) until full payment has been received. • All payments made are final, no part of any payment or deposit will be refunded. • If collection activity is necessary, you will be responsible for all fees Electricman, Inc. may incur in retrieving all money owed including collection costs and attorney fees. • If the authority having legal jurisdiction determines that more work than specified is required, Electricman, Inc. will perform that work at an additional cost to the customer. Please sign if you understand that diagnostic work or testing is necessary to determine the extent and cost of the electrical work you need done. The diagnostic work or testing will be performed at a charge of $ "_ per hour or flat rate. If at the end' of the diagnostic work or testing, no additional work is required you will only be responsible to pay for the diagnostic work or testing. If additional work is necessary you will be given an estimate for that work. "' `' Ji z < it, X, �y+ (A 4 4., i•.5 t 1\ I e.# t_, Authorized SicnfatureDate ff 1 have read and hereby acknowledge the Schedule of Terms & Conditions, labor and TOTAL materials, or job rate and I am the owner or the owner's agent and I have the authority to authorize the above named company to do the work as outlined in the work description section and any additional work necessary for the completion of the work as described in the work description section of this customer invoice. The signing of the work authoriza- tion on this customer invoice shall constitute a contract. ALL CHECKS MUST BE MADE PAYABLE TO ELECTRICMAN, INC. bate Authorized §igpature We will perform the work as described above, for the sum of I have inspected the described work that was performed under the work authorization and hereby acknowledge the satisfactory completion of same and acknowledge the receipt of my copy of the Invoice/Contract. F dollars ($ ) x _X lie Electrician's Signature Authorized Signature Date i / WHITE - OFFICE COPY YELLOW - ELECTRICIAN'S COPY PINK - CUSTOMER COPY FROIi : DAYA SINGH FAX NO. 19786818025 Nov. 28 2000 07:54AM Pl 900 0 0 �TQ c Coj CL 's Pap ex, 'n'rr)Q" C- 0 0 CX ave, 41 pre lqs -44 FROM : DAYA SINGH FAX NO. : 19786818025 Nov. 28 2000 07:54AM P2 y 11/27/2000 17:22 9766928658 ELECTRICMAN INC PAGE 01 A 4 r� rhe Commonwea lfh of Massachusetts a""' "' Dcponrnenr of PvbJir Sojery 90AR0 OF nAI: PAeannorr RCcwAnoms Sty cmA 1203 ]/9d ove..a_, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI •VIU ro be 00T4►tnu4 M ettord,ece "')'rhe M`01uselu Eitcl9kal Code. SIi Cl:R 11.100 (rLWE P&In IN INK OR Mr, ALL I1M0M ,100) Dato��� Cicr at Town of ��! � To Cha Inspacter of Ilirw The undersigned applies for �a1 "p�ermi/t to perforce the electrical work otscribed Delev. LO"rien (Street, 8 Nnaober) �(Y fit�es .�i� � n Amar or ?ane Ayi¢ Ovner's Adore:: Or/ Is this pernit in conjunction WIK& bui:ding permit, YesNo O ❑ (Cheek Appropriate Desi Nrposa of auLidin Utility Authorization Ib. rte: Zziscin= Service bps�� L volts OvarP►aad L—l. lae►agr4 ❑ Ko_ et Heters�� Naw Setriee _Aopa / Volts Overhand ❑ Undgrd O No. as sinters l"O%r of Faeders and Aneaeiev location and Nacura of Vropese4 gleecricai Mork M. of Lighting Ontroes Mo. of Not rubs Me. of Trahl re once Me, Of Lighting Fixtures above In• Sr+iacaing Pool ❑ ❑ ( AwA grad. gtnd. iGenerators XVA No. or 14cepcacla Aitlets ho. of oil Burners NO. of F.erergeney Lightinr KO. of SwitchOytleea Sattarfinita No. of Gas Burners FIRE AL.M No, of Zones No. of kanges No. of Air Cend. Total No. of Oatection and No. of Disposals tons Ib. of T°t°l =owl Initiating Devices Pmes No, of Sounding DevicesUns No, of Dishwasherm Space/Area heating kLt No. of Self Contained NO. of Dryers peceetionlSovnfing Devices Reatiag Devices IM Local Q H utieipaL Gonrection ❑Other No. of Nater skaters Lv Nof o. o Si fav Voltage s Sallamn:s Wi in No. Kraro Pvssage Tuba No. of Mtors Total NY *THU: i. doW7 .► / --V i AO INSURANCE ODVERAG£i Pursuant to the equi"Ments of lLissacAysetts Cenral Lvs I Aava ♦ cvTrent Liabilit Insurance Policy including Complered Operations Coverage or its Substantial equivalent. 1'ES {B N08 I have submitted valid Proof of Same CO this office. YES( NO If you have checked YES, please iedieate the type of coverage by cDecking the Appropriate box. INSURANCE ® BONb O 0=1 n (Please Specify) Estimacea Value of Electrical Work SiExpCi►t oa to Work to Start .. Inspectlon Date Requested: Rau h g Finel Signed under the penalcics of perjury' P1kH NAPM 'LIc. no. g g LicenscePa t e r Mce n s 1 T i T T Signature Address..gq LIC, NO. bus. Tel_ PiOQU-$92_956,d_ OWNER'S INSURuiCE vAIV Alt. tat. ria. :,.I as ovate that the Licensee does not hese the insurAnee coverage orcm a scantial equivalent as required by Massachusetts Ceneral vsT.a -apd pat ety signature pn this peroit applieation vaivts this requirement. Owner Agent (Please check one) Telephone No. _aQ� FRCM : DAYA SINGH e FAX N0. : 19786818025 Nov. 28 2000 07:55AM P3 '�� ._ • r 1 I DATE • Payment in full is to be made by Cash• Check, or credit card upon Oompietion of this �c Wra.s service worts, dragrostfc Charge, estimate or contrast price (VISA, AMEX. Mastercard, and Dissever). E m- i ' A"t"th�c,14 Material and equipment used in the described work shall remain the property of Electriormn, Inc. undl payment In till is made. + w W cork i -+ A $30.00 fee will apply to checks returned for any reason. • Labor is Calculated by the full hour only, any portion of an hour win the charged as a full P A j r hour. example: t hour and 10 minutes will be a 2 hour charge• • Work will be done by an Eleetricman, Irtc, employee or by a subcontractor. .:.�:. _..._ :._ ....: Allmon owed-toPleci=. W,(�-116I,bS;cbarge9��� A.roantMy.(}9g,annua0y) until full payment has been received. j ) Ail payments made are final, no part of any payment or deposit wits be refunded: r t� L. 7'...-.. C i'CI-•r �I L '� - I Ir,� l:a . if oal2Ctipn activity necessary. you VMI ba responsible for all fees FACtricman, Inc, may incur In retrieving an money owed including collection costs and attorney fees. ' • If the authority having fegal jurisdiction detetmine9 that.more work than Specified is requlre0, C ; EI6Ctncman. Inc. will perform that work at ani(aldonal Cost to the customer. DIAGNOSTIC C w� s . (' ,'ic �. r -1- ✓fie Ul�.t�m 's AUTHORIZATION irC+� a Please sign if you understand that diagnostic work or testing is necessary to determine the exterit and cost of the electrical work you need done. The diagnostic work or testing will be performed at a S charge of _ V 9 Per hour of fiat fate., If at the end' of me diagnostic work of testing, no addltionat work is required you Win only be responsible to !R 16(). Gv Day for the diagnostic work or testing. If a0aftional work is necessaury yooat be given an estimate for that work. AF /Jt' . r.- ; ,, ,•, i r `° � a . N. It X .• %S . 4: 1^•11`. if Authorized SiMturs WORK AUTHORIZATION I have read and hereby acknowledge the Schedule of Terms & Conditions, labor and materials, Or 0 fate acid I am the owner or the owner's agent and I have the authority to TOTAL atmrorize the above named company 10 do the werk as outlined in the work description section and any additional work necessary for the compielion of the work as, described in the work descri tion section of this custo p mer invoice. The signing of me work authori7,a- tion an this customer invoice shall constitute a contract. �- ALL CHECKS MUST OF MADE PAYABLE TO ELECTRICMAN, INC, FLAT BID COST Authorized �S(g stirs ... Date We will perform the work as described above, far the Sunt of I have inspected the described work that was performed under the work authori;ad0li and I hereby acknowledge the Sattsraetory completion of same arta acknowledge rite receipt of my of the Invoice/Contract, dollars ($ Electrician's ftnaturs Aumoriied-`%�natare- J� J WHITE - OFFICE COPY YELLOW - ELECTRICIANDate f S COPY PINK - CUSTOMER COpY ! ADDRESS II ' CITYV t.fSt;JVU] �:iL7lfJlst! 1!] ! /, . STATE ZIP P.O. Box 53068 • Medford, MA 02153-0068 ► Tel 978-589-9611 • Fax 978-692-8658 PHONE 1 S- �, 3 PHONE 2 Toll Free: 1-888-393-8511 24 Hourl7 Day Service Available 0 VISA n AMEX M MasterCard u Discover Fully Licensed and Insured in Mass and NH MA #A 16199 - NH # 10166M CARD: FIND US FAST IN THE BELL ATLANTIC YELLOW PAGES CARD HOLDER Ex. DATE • ID NUMBER AMOUNT AUTHORIZATION !t q ^1 %i ! AUTHORIZED SIGNATURE X The Issuer of the card id•ntified on this line is authorized to pay the • • • ` • • • - amount shown as TOTAL upon proper presentation. I promise to pay Such TOTAL (together with any Other Charges due thereon) eubjecr to and in accordance with me agreement governing the use of such carr!. } f r , h r I &%e--1 t. f G " C,- t. Cl - ... . . 1 • Payment in full is to be made by Cash• Check, or credit card upon Oompietion of this �c Wra.s service worts, dragrostfc Charge, estimate or contrast price (VISA, AMEX. Mastercard, and Dissever). E m- i ' A"t"th�c,14 Material and equipment used in the described work shall remain the property of Electriormn, Inc. undl payment In till is made. + w W cork i -+ A $30.00 fee will apply to checks returned for any reason. • Labor is Calculated by the full hour only, any portion of an hour win the charged as a full P A j r hour. example: t hour and 10 minutes will be a 2 hour charge• • Work will be done by an Eleetricman, Irtc, employee or by a subcontractor. .:.�:. _..._ :._ ....: Allmon owed-toPleci=. W,(�-116I,bS;cbarge9��� A.roantMy.(}9g,annua0y) until full payment has been received. j ) Ail payments made are final, no part of any payment or deposit wits be refunded: r t� L. 7'...-.. C i'CI-•r �I L '� - I Ir,� l:a . if oal2Ctipn activity necessary. you VMI ba responsible for all fees FACtricman, Inc, may incur In retrieving an money owed including collection costs and attorney fees. ' • If the authority having fegal jurisdiction detetmine9 that.more work than Specified is requlre0, C ; EI6Ctncman. Inc. will perform that work at ani(aldonal Cost to the customer. DIAGNOSTIC C w� s . (' ,'ic �. r -1- ✓fie Ul�.t�m 's AUTHORIZATION irC+� a Please sign if you understand that diagnostic work or testing is necessary to determine the exterit and cost of the electrical work you need done. The diagnostic work or testing will be performed at a S charge of _ V 9 Per hour of fiat fate., If at the end' of me diagnostic work of testing, no addltionat work is required you Win only be responsible to !R 16(). Gv Day for the diagnostic work or testing. If a0aftional work is necessaury yooat be given an estimate for that work. AF /Jt' . r.- ; ,, ,•, i r `° � a . N. It X .• %S . 4: 1^•11`. if Authorized SiMturs WORK AUTHORIZATION I have read and hereby acknowledge the Schedule of Terms & Conditions, labor and materials, Or 0 fate acid I am the owner or the owner's agent and I have the authority to TOTAL atmrorize the above named company 10 do the werk as outlined in the work description section and any additional work necessary for the compielion of the work as, described in the work descri tion section of this custo p mer invoice. The signing of me work authori7,a- tion an this customer invoice shall constitute a contract. �- ALL CHECKS MUST OF MADE PAYABLE TO ELECTRICMAN, INC, FLAT BID COST Authorized �S(g stirs ... Date We will perform the work as described above, far the Sunt of I have inspected the described work that was performed under the work authori;ad0li and I hereby acknowledge the Sattsraetory completion of same arta acknowledge rite receipt of my of the Invoice/Contract, dollars ($ Electrician's ftnaturs Aumoriied-`%�natare- J� J WHITE - OFFICE COPY YELLOW - ELECTRICIANDate f S COPY PINK - CUSTOMER COpY ! Peter Chase 5 Silver Dr, # 3 Nashua, NH 03o6o November 14, 2000 To: Mr. Michael McGuire Chief Building Inspector Town of North Andover 27 Charles St. North Andover, MA 01845 Dear Mr. McGuire: This letter is written to formally complain of some remodeling work done at 24 Skyview Terrace, North Andover in "North Andover Estate" near route 114 without applying for building permit. In 1996, the owners asked few contractors like me to remodel their basement without getting permit so they don't have to pay high real estate taxes. The work performed was all plumbing for Sprinkler system before water meter to avoid registering water consumption. Build walls, ceiling, full bathroom, kitchen, bedroom, dinning room, and a playroom in cellar. All electrical work in cellar inside and out. Build outside deck floor etc. Please inspect at your earliest and charge necessary water consumption charges and real estate taxes, as this house is for sale for $699,900 and the original purchase price was $ 431,900 and the owners still live at that location. Nm w Peter Chase Town of North Andover Thursday, November 2, 2000 To whom it may concern, Please let it be known, that as of September of 2000, I have vacated the premises located at 1615 Osgood street. I have enclosed my occupancy permit as well as my classIi used car licence. There were several health and safety issues involved with the property. I was notified by the Town of North Andover at the beginning of this year, in regard to a test of the septic system. This request was forwarded by my attorney to the pioperty owners. The property owners, George Farkas and Attorney George Stella have refused to comply with the request. Since the licence was issued subject to the test being completed, I felt this would hinder my getting the license renewed again this year. The septic system is backing up into the building, during heavy rain, or when the toilet is flushed repeatedly. Raw sewage fills the garage area, creating an unhealthy work environment. Additionally, the roof is leaking so badly, that it pours water directly into the electrical panel, causing an unsafe condition. The property owners have failed to act on this as well. Respectfully, Edw drags President Marilyn Motors Inc. 0"ice Use only The Commonwealth of Massachusetts YeFa(c :o. Dcpamnent of Public Sofcty °s (.,cupincy a Fee Chocked BOARD OF FIRE PREVENTION REGUlAMNS :27 CMR 1''_ 3/90 (te��e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ail Work to be periormed In accordance with the Massachuseru Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN I14K OR TYPE ALL INFOP,MATION) Date /� City or Town of To the In;pecto: of Wires: � The undersigned annlies for a Dermit to perform the electrical work described below. v.. Location (Stree 9 Owner or Tenant 1O-. ner's Address L t p conjunct k: Appropriate Box) Is this emit in con ion wit a building permit: Yes ❑ No ❑ (Check Purpose of Building Utility Authorization N0. 1 � / i131� /�� r Overhead ❑ Undgrd ❑ No. of Meters (� Existing Service Amps / Volts Undgrd ❑ No. of Meters N2 2747 Date.. /......U....�.�.......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING C� '1-'C"��,.�..,t.,-cam-�-•r•�--r�-;.-G''i •.r`�„`° Thiscertifies that ....................... .............................................................. has permission to perform ..:.: ... .,2�....................................... wiring in the building of .................. M. k `i�'....................................... at . "'/.. y. .'"`:! t ........ ::..``................. , North Andover, Mass. Fee' '` .............. Lic. Noll. A/ff.. s 1 � . %. �, :...............:...... ..ELECTRICAL INSPNSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer No. of Transtopners K -VA IkGenerators RVA INo. of Emergency Lighting Battery Units FIRE ALARMS No. of Zores No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices ❑ Municipal ❑ Other Loca Connection I—ILow Voltage — i1 f'Wirinc INSURANCE COVERAG ursuant o �e s General Iaws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES[2 NO ❑ I have submitted valid proof of same to this office. YES ❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER (Please Specify) Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: LIC. NO. A16199 FIRM NAKEELECTRICMAN INC Licenseepp MariZelll TT Signature LIC. N0. OoV Bus. Tel.. No.978_6c)—85 A Address 99 Main St—.r—et, Westford, MA 01886 Alt. Tel. No. OWNER'S INSUPkNCE WAIVER: I an aware that the Licensee does not have the insurance coverage or its sub- stantial 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. ,r At,, PER.111T FEE S Date ../ . /.-..�% .:c......... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ....�.?:.r. has permission for gas installation .. t :. ..... ?. �: �......... . in the buildings of .......................................... at ...?..1:... f :,� .�........ ............... . North Andover, Mass. r Fee. .3 ..... Lic. No.. ? :...... 'x. t....._`? ........... 'GAS INSPECTOR Check # / f 3 31 s MAS UCHUSE I IS UNIFORM APPL tCATION FOR PERM TO DO OASn TTMG T � G a 1 Man. nate Z 3 maw wwwn-al'5—^ ItTj Owner's Name d0 Type of Occwwxv—v9s NOW O Repfamw1,% ❑ Plons StIntitted: YOGI, NO p Cot1�/ Nanta YANKEE GAS Address 1 MIDDLETON, NA 01949 Business Tie 978-774-2760 NwuO of I JcWMM Pltmdw or ties Fftlar AM -R. URRIS— Check one: CetINlCate IN Oorpmallon 103C Q Pam 13 FbWCo. - II�ISURANCE COVERAGE: I Mn a anent ftbft *==Poe policy or qs MbstaMbt a rrhtch meets the ragWMno s of MOL Ch.142 Yes X8 No G It you hme checked ", please bullate the type coverage by A edchg are .pproprIate box. I A aabIMY lana policy ®C omen type of indemnity D Bond 0 OWNER'S INSURANCE !WAIVER: I atn avmm atat the UCensee does no bore the ktwrsnc® CrAnp "Xp*W by Chapter 142 d On btasa. as nud taws„ and tttat my std on oft patmQ spoftom wdv df Mgkwnw* Cheek one: of w s Owwo A9at* I3 t hapd�► Gm* VW aft a1 go detolls aad bdomm ion I have =&xjtted W anwaQ In atm ass lnie and aoat►ata io bat a4 my MarledDe and that aB Ioao�dtp wtxa Md dt +e+oraC� Aor 8* wan bt 1k + a9 P 0 of rho matt: Sibas a and Chapw 142 Go LM& �►T Imalumm TMe PkM*w H OMMIM as On FM tt 3785 own --kw�nan N° 2747 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING tiZ e ley= l �/ — A Thiscertifies that .................................................................................... has permission to perform .::" wiring in the building of .. • " ' at ...�.�....� "... ..:..' .': " .:. �........ , North Andover, Mass. Fee ..:�J .....`....... Lic. No............. ............:................................................. `> % ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer The Commonwealth of Massachusetts Office Use °"`y . . pe.R,r CP 2417 F Department of Public Safety t t:. (�cupancy S Fee Qiecked J' BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1---00 3/90 .I leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be periormed In accordance with the Massachuseru Electrical Code. S27 CI•'.R 12:00 (PLE&SE PRINT IN I1iY, OR TYPE ALL INFORKLTION) Date // ` Q� City or Town of G!�lGi't _ To the.Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.Location (Street & Number)l�� L14C7 Owner or Tenant_ �j�, /� j C�� i�/%�(T'l� Owner's Address C//i�iC,l/lf%/�.�� �%�� /!i/✓.2�' Is this permit in conjunction wily a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building /A 1"'VAJ Utility Authorization 110. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Numbcr of Feeders and Ampacity. Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transfopiers Total i.'VA No. of Lighting Fixtures Swimvin Pool Above In- g grnd. ❑ grnd. ❑ IG�nerators KVA No. of Receptacle Outlets No. of Oil Burners (No. of Emergency Lighting Battery knits 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 Local 11Connec Muni.cip�al i.on ❑Other No. of Ranges g Total No. of Air Cond. tons No. of Disposals p No. of Heat Total Total Pumos Tons Kt; No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters LWt`o� of No. of Si ns Ballasts Low Voltage Wirine No. Hydro Massage Tubs No. of Motors Total HP _ OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General 'L;Is I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES[2 NO ❑ I have submitted valid proof of same to this office. YES ❑ NO D If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work S ✓v( Work to Start — 14 Inspection Date Requested Signed under the penalties of perjury: FIRM NAMEFT.VrrPPTrMAAT TTT(' Rough Expiration Late) Final LIC. NO. A16199 Licenseepeter Manzel 1 i TT Signature LIC. NO. Address 99 Main Strant. WP�ifnrc3, MA (I1ARF, Bus. Tel. Ko lb7R_6c� ?-8564 Alt. Tel. No. OWNER'S INSURkNCE WAIVER: I an aware that the Licensee does not have the insurance coverage or its sub- scantial 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 ,r Ar•: n i a ,�oX,.Of-- Location o2 I S6we.u) /�frACC. No. 6S& Date /a_2-0Q „ORTq TOWN OF NORTH ANDOVER Ot+"•O '•,�O i _' • OL Certificate of Occupancy $ Building/Frame Permit Fee $ �%r — sACH S Foundation Permit Fee $ Other Permit Fee $ / TOTAL $ 17/' Check # 13' s 0 v Y /Vl (rq-A�� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: / / V Building Commissioner/In ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 PropertyAddress: 4� 1.2 Assessors Map and Parcel Map Number Number: �J Parcel Number _ CLl%(7 1.3 Zoning Information: Zoning District Proposed Use W T � &,QPC 1.4 Property Dimensions: Lot Areas Fronta e ft oru,111�"y 79 - 1.6 BUILDING SETBACKS ft Sign a Telephone 2.2 Owner of Record: Front Yard Side Yard Signature Telephone Rear Yard Required Provide Required Provided Required Not Applicable ❑ Provided 1 Licensed Construction Supervisor: License Number 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 JEUIIUIN 2-PHOPEHTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record -G ` / A 1yC H W T � &,QPC Name (Print) AddiessT for Service oru,111�"y 79 - Sign a Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (AG.L. C 152 & 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTPtUC i'ION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant UFI ICIA, YTSE,y ._' - 1. Building —1 ®® (a) Building Permit Fee Multiplier 2 Electrical ® © ® (b) Estimated Total Cost of Construction 3 Plumbing Q Building Permit fee (a) X (b) 4 Mechanical (HVAC)171,5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, a , as Owner/Authorized Agent of subject property Hereby authorize to act on My beh - in all matters re give to work authorized by this building permit application. Or it Si to u of rer Date SECTION 7b OWNER/AU ORIZED AGENT DECLARATION I, C4'y1 ,as Owner/Authorized Agent of subject grope Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name F • �/ � D lJ d Si atureo A enI Date' / NO. STORIES SIZE BASEMENT R SLAB SIZE OF FLOOR TIMBERS iST 1ST2 N D 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE A Sl I A c W� z ol . D. Robert Nicetta Building Commissioner (978) 688-9545 688-9542 Fax Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 HOMEOWNER UCENSE EXEMPTION Please print. DATE I I cC / O 1 JOB LOCATION Ky/ N u mber—T— "HOMEOWNER T- "HOMEOWNER _ hJ Name Street Home Phone PRESENT MAILING ADDRESS<z6 a // "' w ZZE'R City Town Map / lot Work Phone Zib Code The current exemption for "homeowners" was extended to include owner-0ccupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (state Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 1 HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL • • y Cl) m m CD 0 m CO) 10 CDZ CD O d ncc -00 o p CD Q CD O Q O co CD OM. C) CD 0 CD CD y. CD CA 0 O CD O CCD O -•y O Q H dO�m CA c y CO) a � 111 m Z ?m W 0, .5 —CD C M m a CD y VJ N O : 2 gslo 0 �p a. C _ n o LA. H co '^ _ V(^J m m H VJ to C7� �Sc M C d \ J l+, y o d 0 H Z c y CL V � C o - CL CL CD CA �m y y -W 1 �; m: �j. O �a ` ,`ate,,, 0 A zo CD O CD,,,r r j o m � CD y At CD d mm a C�C C) Gi � � y 0 O C O �i ►r , •, M 7. z �. 11� WW..11 to Podry T C n .7 d y 0 O C m m C m 0 m CO) ,co z CD O d y0. i� O CDOp C� Q CD o CO) .0 CD O C) . y 'v d O CO) C�� O CO) d C7 CDO CD CD P. Cos CD CO) O CD O CD C W?� p 0 _ O C y O Q ao5a'o y m� C7 mc�ao m Z N �-c F C .oma. d C 40 aN C:, �m CD N _ O J y Occ n O O H' O t� 0 CD 'o C � y ,�„� r Cr] a Cl) o � : VJ W O O N cCD o 0 np� as Om 0.toy f�^ cnCD Cn �3 C� y OB c d fA t O all �+ ; z o Ir # :�- A cn mg .. m o� o CD o 0 mcn' VJti Oj CD d C CD Co rlr CC 0 0 4E , oma_ a H "t7 : -' C O W n n CA ,r� � z � GO �' o` T O �' � � O � � �br O � �. w aj t� oOo "�• as Csi i �Olt �. hh omi 0 0 c N2i "/ N- J C .> This certifies that Date // ..� ...`. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ./7-1� .,-( ... � '-/. .,!, / .............. has permission to perform .... .... - plumbing in the buildings of ..................... at S Y..0 ! f .'�- ............ North Andover, Mass. Fee.Lic. No. ).C,-).: ........ :.-'�r�........ PLUMBING INSPECTOR Check # ? WHITE: Applicant CANARY: Building Dept. PINK: Treasurer YQ ,— MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building `/ SKyt'o..etJ ��rt c Date (- 3 G - Cc )wners Name S i 6rmit # , Amount of Occu anc New M Renovation F1 Replacement M Plans Submitted Yes No—�� (Print or type) 1 � C Kau � Check one: Installing Company Name ' l Corp. r _ Address /GG 16 e V ` �e Partner. . Business Telephone `% `/ (p Firm/Co. Name of.Licensed Plumber -Y G V'-\ s` C n C'� , l-:�' Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Certificate 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 F1 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 Pqmit Issu for this application will be in compliance with all pertinent provisions of the Massach=S(Illumbi Code Chaptpt142 of the General Laws. By: SignaturToT.Licensea Flumoer Type of Plumbing License Title L', '� 12 City/Town License iNumoer Master❑ Journeyman APPROVED (OFFICE USE ONLY L_..1 a (Print or type) 1 � C Kau � Check one: Installing Company Name ' l Corp. r _ Address /GG 16 e V ` �e Partner. . Business Telephone `% `/ (p Firm/Co. Name of.Licensed Plumber -Y G V'-\ s` C n C'� , l-:�' Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Certificate 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 F1 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 Pqmit Issu for this application will be in compliance with all pertinent provisions of the Massach=S(Illumbi Code Chaptpt142 of the General Laws. By: SignaturToT.Licensea Flumoer Type of Plumbing License Title L', '� 12 City/Town License iNumoer Master❑ Journeyman APPROVED (OFFICE USE ONLY L_..1 i To: Mr. Michael McGuire Chief Building Inspector Town of North Andover 27 Charles St. North Andover, MA o1845 Dear Mr. McGuire: Peter Chase 5 Silver Dr, # 3 Nashua, NH 03o6o November 14, 2000 This letter is written to formally complain of some remodeling work done at 24 Skyview Terrace, North Andover in "North Andover Estate" near route 114 without applying for building permit. In 1996, the owners asked few contractors like me to remodel their basement without getting permit so they don't have to pay high real estate taxes. The work performed was all plumbing for Sprinkler system before water meter to avoid registering water consumption. Build walls, ceiling, full bathroom, kitchen, bedroom, dinning room, and a playroom in cellar. All electrical work in cellar inside and out. Build outside deck floor etc. Please inspect at your earliest and charge necessary water consumption charges and real estate taxes, as this house is for sale for $699,9oo and the original purchase price was $ 431,900 and the owners still live at that location. Nm V1j Peter Chase q � CO c43 � 7 Ln M S 0 M � c � � \ - �w0 ?/f 772 ƒk0 . ' � '- Cq3 ; s 4 m 0 j I'd Fax 978-688-9542 Building Department (978) 688-9545 Conservation Department (978) 688-9530 Health Department (978) 688-9540 Public Health Nurse (978) 688-9543 Planning Department (978) 688-9535 Town Of North Andover Community Development & Services 27 Charles Street North Andover, Massachusetts 01845 i Daya S. & Sandhya Singh ' L 24 Skyview Terrace North Andover, MA 01845 Dear Mr. & Mrs. Singh November 6, 2000 e- N William J. Scott Division Director (978) 688-9531 Enclosed you will find a letter received by the building department on October 24. The issues in this letter, if true, could be harmful to your life and possibly illegal in some areas. Please contact me so that we may discuss these issues and the abatement of same. I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at (978) 688- 9545 Zoning Board of Appeals Respectfully, (978) 688-9541 Michael McGuire Local Building Inspector Cc file Dpw Assessors Electrical inspector Plumbing inspector If you have any questions please contact the number indicated in the above box. 9613 AS To: Chief Building Inspector Town of North Andover 120 Main Street North Andover, MA 01845 Dear Sir/Madam: From John D. Miller 0 Kessler Farm Dr., Nashua, NH 03063 October 24, 2000 Re: Complaint I wish to inform you that certain job myself and others have done in the following house are constructed without building code and without obtaining legal permit from the town by me and the owner of the house. Permit was not obtained because the owner wanted a cheap job and he was concerned about rise in real estate taxes. All of the work done about 5 years ago In finishing basement and outside of house, electrical and plumbing work areitw hout building code. The water connection for outside lawn watering is plumbed bypassing the water meter to avoid paying water bills. The house where this job done is at 24 Skyview Terrace Terrace, North Andover, MA 01845. This house is on sale, and you may inspect this basement construction during an open house on Sundays 1-3pm without knowledge of the owners. I am complaining because the owners did not pay me for the job they asked me to do recently. I hope you can fine the owners and collect all back taxes on improvements made without permission. Very truly Jv4-A. John D. Miller Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT A1ND SERVICE, 27 Chanes Street North Andover, Massachusetts 01345 Date: ff 17 —00 FAX TRANSMISSION Time: No. of Pages �5 To: NJ Y` From: l f lZv, yo (6, U/ e Subject: c�,2 /Y Ul Building Dept Fax Number 978-688-9542 Send to Fax No: 17/7Y qs� REMARKS: Oma; Fax (973) 633-9512 PL.��T iT fG 633-9575 BOARD OF ATHE a1S 633-9541 3ULL 'I NG 633-95- 5 CO`fSERVA70N 633-)570 (E ILTH 635-9`40 Peter Chase 5 Silver Dr, # 3 Nashua, NH 03o6o November 14, 2000 To: Mr. Michael McGuire Chief Building Inspector Town of North Andover 27 Charles St. North Andover, MA 01845 Dear Mr. McGuire: This letter is written to formally complain of some remodeling work done at 24 Skyview Terrace, North Andover in "North Andover Estate" near route 114 without applying for building permit. In 1996, the owners asked few contractors like me to remodel their basement without getting permit so they don't have to pay high real estate taxes. The work performed was all plumbing for Sprinkler system before water meter to avoid registering water consumption. Build walls, ceiling, full bathroom, kitchen, bedroom, dinning room, and a playroom in cellar. All electrical work in cellar inside and out. Build outside deck floor etc. Please inspect at your earliest and charge necessary water consumption charges and real estate taxes, as this house is for sale for $699,9oo and the original purchase price was $ 431,900 and the owners still live at that location. pz 6vl-j Peter Chase NORT1� oa , Town Of North Andover Community Development & Services William J. Scott * 27 Charles Street Division Director North Andover Massachusetts 01845 (978) 688-9531 Fax 978-688-9542 Building Daya S. & Sandhya Singh Department 24 Skyview Terrace (978) 688-9545 North Andover, MA 01845 November 6, 2000 Conservation Department Dear Mr. & Mrs. Singh (978) 688.9530 g Health Enclosed you will find a letter received by the building department on October 24. Department (978) 688-9540 The issues in this letter, if true, could be harmful to your life and possibly illegal in some Public Health Nurse areas. Please contact me so that we may discuss these issues and the abatement of same. (978) 688-9543 I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at (978) 688 - Planning Department 9545 (978) 688-9535 Zoning Board of Appeals Respectfully, (978) 688-9541 Michael McGuire Local Building Inspector Cc file Dpw Assessors Electrical inspector Plumbing inspector If you have any questions please contact the number indicated in the above box. 98i3��1� To: Chief Building Inspector Town of North Andover 120 Main Street North Andover, MA 01845 Dear Sir/Madam: Re: Complaint From John D. Miller 17 Kessler Farm Dr., Nashua, NH 03063 October 24, 2000 I wish to inform you that certain job myself and others have done in the following house are constructed without building code and without obtaining legal permit from the town by me and the owner of the house. Permit was not obtained because the owner wanted a cheap job and he was concerned about rise in real estate taxes. All of the work done about 5 years ago in finishing basement and outside of house, electrical and plumbing work are without,, building code. The water connection for outside lawn watering is plumbed bypassing the water meter to avoid paying water bills. The house where this job done is at 24 Skyview Terrace Terrace, North Andover, MA 01845. This house is on sale, and you may inspect this basement construction during an open house on Sundays 1-3pm without knowledge of the owners. I am complaining because the owners did not pay me for the job they asked me to do recently. I hope you can fine the owners and collect all back taxes on improvements made without permission. Very truly John D. Miller v' To: Building Dept., Town of North Andover. 27 Charles Street North Andover, MA 01845 Dear Sir/Madam: Re: Illegal Improvements From: John D. Miller 17 Kessler Farm Dr. Nashua, NH 03063 October 25, 2000 I wish to inform you that certain job myself and others have done in the following house are constructed without building code and without obtaining legal permit from the town by me and the owners of the house. Permit was not obtained because the owner wanted a cheap job done and he was concerned of increase in real estate taxes. All of the work done about 4 years ago in finishing basement, outside of house, electrical and plumbing were without building codes. The water connection for outside lawn watering is plumbed bypassing water meter to avoid paying water bills. The house where this job is done is located at 24 Skvview Terrace, North Andover. MA 01845. This house is presently on sale through realtors, and you may inspect this house during open house on Sundays, between 1- 3 pm without the knowledge of owners. I am complaining because the owners did not pay me for job they asked me to do recently. I hope you can penalize the owners and collect all back taxes on illegal construction for walls, plumbing, electrical etc in the basement and around the house inside and out. Very truly, j00AIV` John D. Miller Office Use Only ul�i L11MM11n1Ug# Of .411 agoalr4uSittg Permit No. f9epartment of Public _*ufetg Occupancy & Fee Checked I - BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (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 IN INK OR TYPE ALL INFORMATION) (X* or Town of NORTH ANDOVER The udersigned applies for a permit .too Location (Street & Number) Owner or Tenant Owner's Address /D Date To the Inspector of Wires: e electrical work described below. Is this permit in conjunction with a bu' ding permit: Yes 2 No El (Check Appropriate Box) Purpose of Building r Utility Authorization No. 17Q5, Existing Service mps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps 4w/ 09y0 Volts Overhead ❑ Undgrnd P-__ No. of Meters % Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wo OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Complete erations Coverage or its substantial equivalent. YES Ne = I have submitted valid pro of same to the Office. YES NO If you have checked YES, please indicate the type of coverage by checking the app ro to box. INSURANCE ' BOND OTHER (Please Specify) (Expiration Date) Estimated Value of ectri al Work S Work to Start Signed under th Pe(ties gif perjur FIRM NAME Licensee Inspection Date Requested: Rough r ure Final LIC. NO. LIC. NO. Bus. Tel. No. S'202( Z127iC77 Address �i f ` ��� ` Alt. Tel. No. c i If �r OWNER'S INSURANCE WAIVER: I am aware tha/th4rLicensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Own r Agent (Please check one) / Telephone No. PERMIT FEE S C � � Dq (Signature of Owner or Agent) x•6505 1� Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures g 9 I Swimming Pool Above In- g grnd. ❑ grnd. ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges 9 No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Self Contained No. of Disposals Dis P No.of Heat Total Total Pumps Tons KW No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal Local ❑ Connection ❑Other I No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Complete erations Coverage or its substantial equivalent. YES Ne = I have submitted valid pro of same to the Office. YES NO If you have checked YES, please indicate the type of coverage by checking the app ro to box. INSURANCE ' BOND OTHER (Please Specify) (Expiration Date) Estimated Value of ectri al Work S Work to Start Signed under th Pe(ties gif perjur FIRM NAME Licensee Inspection Date Requested: Rough r ure Final LIC. NO. LIC. NO. Bus. Tel. No. S'202( Z127iC77 Address �i f ` ��� ` Alt. Tel. No. c i If �r OWNER'S INSURANCE WAIVER: I am aware tha/th4rLicensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Own r Agent (Please check one) / Telephone No. PERMIT FEE S C � � Dq (Signature of Owner or Agent) x•6505 1� *6 Date.. 2 No 0;L TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING US This certifies that ..... ......... C k, L. ................................... has permission to perform .... Pk ..... "k ...................................... wiring in the building of ..... ........ ........ 7—A.( ........... 9 ... .. ....... ......... .. ..... . ...... North And Fee.-�d ........ Lic. No./. ............... jv ........................................ R1 ECTRICAL INSPECTOR C (I d /VO7- WHITE: Applicant 046WRAY14k4oing Dept. 414.00 PINK: Treasurer GOLD: File PAID MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI' NG (Print or Type) C NORTH ANDOVER Mass. Date l dui ng Locationn'- S? Permit 0 / w New7' Renovation D Replacement F1YTl1PE::(z ers Name Plans Submitted 0 (Print or Installing Address .� / Check one: Certificate Q Corp. ]a -'-Partner. ED Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Covera e: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ,[ZOther type of indemnity 0 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 coverages. Signature of owner/agent of property Owner 17 Agent E] I hcteby certify that all of the dcuils and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performcd under Permit isseed fo: this application will -be In compliance with all pertinent Provisions of the Massachusetts State Gas Code and tvapter 142 of the General Laws. By TYPE LICENSE: Title Plumber Gasfitter- Signature of Lice sed City/Town: Master Plumber or Gasfitter Journeyman (-2 93/6' APPROVED (OFFICE USE ONLY) ��/ License Number V • ���■�►�:CJI/■.���5.�.���������I MEESE MENNEN ENRON ME Monson (Print or Installing Address .� / Check one: Certificate Q Corp. ]a -'-Partner. ED Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Covera e: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ,[ZOther type of indemnity 0 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 coverages. Signature of owner/agent of property Owner 17 Agent E] I hcteby certify that all of the dcuils and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performcd under Permit isseed fo: this application will -be In compliance with all pertinent Provisions of the Massachusetts State Gas Code and tvapter 142 of the General Laws. By TYPE LICENSE: Title Plumber Gasfitter- Signature of Lice sed City/Town: Master Plumber or Gasfitter Journeyman (-2 93/6' APPROVED (OFFICE USE ONLY) ��/ License Number T" 2189 Date........... AORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �Uu This certifies that ... leg ....... f has permission for gas installation ...........................6" in the buildings of ..... —7 , (V// .... S ............. at Y () 6-'e— J......... , North Andover, Mass. Fee. .7.57. Lic. No..ZZ3/.Z. .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Location / 7 No. � Date 9581 TOWN OF NORTH ANDOVER Certificate of Occupancy $ �,�^ Building/Frame Permit Fee $ // f�, ti Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ti �U TOTAL $ � S � Building Inspector o Div. Public Works Loca� �n A R,;t 9 No. _ Date 4 TOWN OF NORTH ANDOVER Certificate of Occupancy $ S Building/Frame Permit Fee $ Foundation Permit Fee $-- / d Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ / O Building Inspector _ 9522 Div. Public Works Locations v��$ I`� �L�/tgCe o i No. 1 % Date l - 1'7- 96 A a a ow TOWN -OF NORTH ANDOVEFf Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ipz t Sewer. Connection Fee $ ?� Water Connection Fee $ TOTAL $ f �o BuiIdin Ins `tor Div. ubl' Works Uj 0 PERMIT NO;—. APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MASS. 7yP ac�R PAGE 1 MAP 4•10.0 I LOT NO. S/ 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. C� 1I — LOCATION PURPOSE OF BUILDING _ S� rAt44t Y OWNER'S NAME �21c�5tw�-� WoxeS���tt?c���'i2�te.5�d� �/ NO. OF STORIES SIZE a OWNER'S ADDRESS ? lo� 1A/•��Ug, ��, 7�i� BASEMENT O SLAB ARCHITECT'S NAME // p SIZE OF FLOOR TIMBERS 1ST 2ND a0 3RD BUILDER'S NAME SPAN lS r DISTANCE TO NEAREST BUILDING � DIMENSIONS OF SILLS ��Lb POSTS q - DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES 'TS REAR "' GIRDERS t,,, fel AREA OF LOTQ FRONTAGE I HEIGHT OF FOUNDATION / THICKNESS Of IS BUILDING NEW S SIZE OF FOOTING Otos Z�/ 't -I x IS BUILDING ADDITION MATERIAL OF CHIM Y IS BUILDING ALTERATION �l(.p IS BUILDING O OLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ,Q L, v/ IS BUILDING CONNECTED TO TOWN WATER `(�S (��-j BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE y 5 INSTRUCTIONS SEE BOTH SIDES yZ S -L Pf.GE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 t El,ECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATYACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST FILED AND APPROVED BY BUILDING INSPECTOR DATE FI SIGNATURE OF OWNER OR FEE PERMIT GRANTED 1 AGENT 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. Pt. �S EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY -x7zBUILDING INSPECTOR OWNER TEL. !/62�� CONTR. TEL. # CONTR. LIC. N eS o6 a 966oL966 H.I.C. # fZ- . •.rte' t 1• y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. c CONSTRUCTION 2 FOUNDATION J 8 INTERIOR FINISH CONCRETEv�11) 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PLASTER _ DRY WALL UNFIN. PIERS 3 BASEMENT J AREA FULL N. B'M'TAREA '/, 1/7 '/, FIN. ATTIC AREA _ NO B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B 1 2 vi 3 - _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING HARDW'D COMMCN VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRIC ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. _ WIRING STONE ON MASONRY STONE ON FRAME V SUPERIOROR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I A HIP BATH 13 FIX.) TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COL5. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING �z:)5f7 _ RADIANT H'T'G UNIT HEATERS GOAS 7 NO. OF ROOMS 8'M'T ELEIL CTRIC 12nd I� tst 3rd NO HEATING c J im FORM U - LOT 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***************** APPLICANT: NFTA Phone LOCATION: Assessor's Map Number Parcel Subdivision kaTv A -N,6000 -n-- Aer*&1-5, Lot(s) Street 5 Kv Q Z pec,& I -e -g& � 2 St. Number 2 y L ************************Official Use Only************************ RECO NDATIONS O TOWN AGENTS: Co ervati4 Administrator Comments Date Approved Date Rejected V Cx,uk). 9-Q Date Approved Town Planner Date Rejected Comments Food Inspector -Health Septic Inspector -Health Comments - S z "-, ✓ Public Works - sewer/water connections Date Approved Date Rejected Date Approved 9 Date Rejected I :T -L,! 1-17— 94- - driveway permit ��T� - 7 - Fvl' Fire De artmeA A nt� dc"eive'd by BAlding In pector Date FROM : LAND PLANNING BELLINGHAM PHONE NO. : 508 966 5054 SEWER DETAIL 78' OF 6" PVC N`F 0 S=P- OX GREATER LAWRENCE INV 0 HSE= 362.20 COMMUNITY ANTENNA INC. INV 0 S LINE=349.95 x17.40' 358- - Lor 50 k.-o � - 77,35p - 39.95" AC gyp , z9�/f /_ E � AT CNC LOT 51 25,104 S. F. ti oo N d'5146' , 7__..—__- -44 ��kA ft - (50' W DE APP WAY) 43 61 1-16 0 NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VLHIFIED BY THE SITE CONTRACTOR. CEDARBROOK YEUL1tAL SETBACKS., F-20' R-20' S-20' between buildings LAND PLANNINCO IV ENGINEERING & 3URVEY 167 HARTFORD AVENUE. BEWNGHAM, MA 0201P (508) 960-41M PAX: (508) 966-5054 19u LOT 5R ��110F NDRKSAK���!' ti 'o.31R87.C1 GRADING f SITE PLAN LOCATIM AT LOT til (9) NORTH ANDOVER ESTATES NORTH ANDOVER, MA PRSPAM PVR TOLL BROTHERS, INC. 1000 WEST PARK DnIVE, WESTSORO, MA 01681 ? '1aj95 1"=4Q' NAE -51(9) P02 v y C o N! � CD CD o -a =CO ? 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