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Home My WebLink AboutMiscellaneous - 252 SUTTON HILL ROAD 4/30/2018I 5/27/2016 20463 This is an e -permit. To learn more, scan this barcode or visit northandoverma.viewpointcloud.com/#/records/20463 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that Jeffrey Hutnick has permission for gas installation new gas line for furnace in the buildings of L & A PAHIGIAN IRREVOCABLE TRUST at 252 SUTTON HILL ROAD, North Andover, Mass. Lic. No. 3532 Date: May 27, 2016 1/1 X� - ----------- E m: C L•`rtS�a�ma.vie"xpoadtharl.com/?i!r�c..�1�a53—....---------- 3roP. Town of North A. icov.•er, :vtA - -_ 4 S'a .."...- 20463 'Gas F--k-!m ccr bl tiara tCcrwlanaf wFundmbal Nu o co o."-w6,lt a Big Pe -m TIMELINE ty sttrAetiaelr,.cmiw�p j�^'�j Cotwrequestisinpwgr2ss gyp/ "25'wt6.&l5— \ J Y.clixywkamise—ji es mnl Ifreete cF.eck •�^le -OTBFV61001F Wed May_25 2016_12:28:.PDF iea li ftwymr[ aprq ^ am P, C"'IIrj '� — , 3"� -k6�� Wednesday, May 25, 2016 08:29 AM s'c>�s cavy tiax try eceiel iu#:��s Gid Gas Permit Review k Pam oretrrit Fee - •• X q Piceae Sae b\ts�y'1IOEV fFBf7AE -® Capy lRmpeF �� oremix Ns—ll=_ aea�taz ., je$req btnF'.k 252 SUTTON HILL ROAD, NORTH • ANDOVER, MA c-., L&RPAHKI M0.+P..-XAEtEiFAJSr -OTBFV61001F Wed May_25 2016_12:28:.PDF iea li ftwymr[ aprq ^ am P, C"'IIrj '� — , 3"� -k6�� Wednesday, May 25, 2016 08:29 AM MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTH ANDOVER MA DATE 5/2512016 PERMIT # JOBSITE ADDRESS 252 SUTTON HILL RD OWNER'S NAME PAHIGIAN GOWNER ADDRESS TEL FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES -1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE 1 GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHE �) INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES . NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY v OTHER TYPE INDEMNITY BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. C HECK ONE ONLY: OWNER AGENT _ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME JEFF HUTNICK LICENSE # 15212 SIGNATURE MP -,, MGF JP JGF LPGI CORPORATION �, # 3532 PARTNERSHIP # LLC # COMPANY NAME: CALLAHAN AC AND HTG ADDRESS 91 BELMONT ST CITY NORTH ANDOVER STATE MA ZIP 01845 TEL 978-689-9233 FAX CELL EMAIL PLUMBING@CALLAHAN AC AND HTG r 11 425 Date ... . /./... ... �S TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................ ...b...K'-......-'r^'�.`P.`'3---...... has permission to perform ........ ✓***. r?'..*.0 * .../...... .... plumbing in the buildings of .. /... �`! ,/..................................................... at ...Z:. Z TT'. �1....."'! :............... North Andover, Mass. ............................... . Fee .l....... Lic. No. kQ p...... . ................................................................................ PLUMBING INSPECTOR Check # 2e 1102-2Cl,(v !o,- /Al3l, �'�'� r INSURANCE COVERAGE: I have a current labilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 YES NO E) W YOU CHECKED YES. PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY *CAMANCE POLICY 0 OTHER TYPE OF INDEWATY ❑ BOND ❑ OWNER'S INSURANCE WANVER: I am aware that the licensee does not have the insurance cave" required by Chapter 142 of the Massachusetts General laws. and that my signature on this permit appftationwaines this requirement CHECK ONE ONLY: OWNER ❑ AGENT ( SIGNATURE OF OWNER OR AGENT 1 Hereby cr,61y that all d the details and Wormation 1 have submitted or ~ed regarding*app6cabOn are Uue and acnrate to the best d my t�noNAe and that a0 ptuow" wort and tnstasattons perkloned under the permit Issued Nor Il appbcabon will be in mMilliance with all PertineiA ovision of the MassadWSCIts State PkXnbbV Code and Chapter 142 of the General taws. n PLUMBER'S NAME %�� S,o%►-�� LICENSE I t� �3� SIGNA ,, MP 14 JP ❑ CORPORATION # .33 / % PARTNERSHIP ❑ X LLC ❑ � pr�\�� COMPANY NAME J �,9 /�/u ADDRESS I CITY l✓�`G!� STATE ZIP 0) a 9 TEL i -AX C� C F t 1 �'I ` 7 3 �� EMAIL 4--/) 1/SLA a> .06 C , �a7� _-CITY MA DATE PERMIT I "SITE ADDRESS_ OWNERADDRESS TEL FAX TYPE .- �, PRINT NEW F PLANS SUBWTED, YES NO[] RIF , t •. . t WA7ER-HEAIER ALL TYPES INSURANCE COVERAGE: I have a current labilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 YES NO E) W YOU CHECKED YES. PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY *CAMANCE POLICY 0 OTHER TYPE OF INDEWATY ❑ BOND ❑ OWNER'S INSURANCE WANVER: I am aware that the licensee does not have the insurance cave" required by Chapter 142 of the Massachusetts General laws. and that my signature on this permit appftationwaines this requirement CHECK ONE ONLY: OWNER ❑ AGENT ( SIGNATURE OF OWNER OR AGENT 1 Hereby cr,61y that all d the details and Wormation 1 have submitted or ~ed regarding*app6cabOn are Uue and acnrate to the best d my t�noNAe and that a0 ptuow" wort and tnstasattons perkloned under the permit Issued Nor Il appbcabon will be in mMilliance with all PertineiA ovision of the MassadWSCIts State PkXnbbV Code and Chapter 142 of the General taws. n PLUMBER'S NAME %�� S,o%►-�� LICENSE I t� �3� SIGNA ,, MP 14 JP ❑ CORPORATION # .33 / % PARTNERSHIP ❑ X LLC ❑ � pr�\�� COMPANY NAME J �,9 /�/u ADDRESS I CITY l✓�`G!� STATE ZIP 0) a 9 TEL i -AX C� C F t 1 �'I ` 7 3 �� EMAIL 4--/) 1/SLA a> .06 C , �a7� The Commonwealth of Massachusetts Deportment of Industrial Accidents IVY 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dfia Worker' Compensation Insurance Affidavit: BoOdems Cestracto mbem TO BE FILED WITH THE PERb9TM4G AUTHORITY. Address: - Ci ry/S 12 JeJZ ip: ddress:City/StatelZ.ip: 1 1r 0/ P�rgfhone a: '4" ys o as emvuy"? Chet* the srprew sn twos: 1.� t ten a omployyer with )— amloyees (fax so&- prr-+i " 2_[]1 sm s sok pop.ic+or w prmersbip and bare no tmployees --king for me is easy Capacity -)No workers' COW imnraocc rogorod) 301 m s bomeowou doing an rah orpelL )No worters' eooV. inmranoe FegLli' d)' 4. p 1,m a bomooroa and win be truing coo&wwn socoodw AM work on my property_ twill Coast that an eostracwts Cubo have rooters' oomPasSWO iawraooe e>. arc sok propridors witb no empbyoes. So I ,m a Scnc W eosaraeter and t bave hired the n&coovacbn listed on me -bed sbea. T brsc ooh-oaetra[wrs bout Csnyloyacs area bout workers' Comp_ i anwaCwc.' 6.0 We we a corporation and its of iiem bow Caaeisod tbew ngbe of mcnipum Per WL C. 152. f 1(4), and we bwe oo employ eea p av wohas' comp im wnxx mquinA ) Type of project (re"ircdr 7. p Arca► construction 8. p Rcmodciing 9. ❑ Demolition 10 p BuOdmg addition 1 l.p Eletxiical repairs or additions 12,0 Plumbing repairs or additions 13.01toof repairs 14. pOdmx %my appiiom dna chmk box 01 mum also 611 ons the weber blow sbowmg tbew rorkeas' compemaboo policy afoemstioa 40moowoUS wbo subos &is sffmb" adumnog dscy we doing all wort and thea Dirt ouuidc motrwwn mum sabot s new affsdays wdkatag seri oetraoors &a cbaf this bow smum ataaebW ars ad wasl oboe sbowmg the same of the suer-eontraaors and sac wbesbo or bot those entities bout Wky«s if the sarb-ooeslM"M bvw aWkyecs, dKp must pvvide dick workcrs comp policy asober. into an employrr drag b prorifimg ww►os' compensas on h sucance for my rwrphyrom Bdow is the policy axe job site Jorxaadon. � /j awwwx Company Name: cJq rlicy p or Sclf ins. Lic. !l: Expiration Date r '/C— b site Address: �� SL//T- , �I✓'� City/Stalt:rLiP:A.,6Qfk? %i '/L1V * %_"� tad a copy of the wort M' compensation policy dedaratiou Page (&bowing the policy number and e:phraden date)L 'fire to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to S1,5W.00 d/or ono -year imprisonment, as wdl as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a y against the violator. A copy of this statemcn! may be forwarded to the Office of Investigations of the DIA for inawmee venagc vcrificatioo. ra hmty c,7i* xxirr dine p w andpaaafnles of pgf rry,drat die ixformad" p ori&d ab~ it &W air cev, t MCC-�Baa OpTeW use oxly. Do not write in dds area, to be compksed by city or bwx o,( trial City or Town: Permit/License K Issuing Authority (bide one): 1. Board of Health L Building Department 3. CitylTown Clerk 4. Electrical Inspector S. Plumbing Inspector i. Otber Date.1.a................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that H I C- � -A �UN1 �' ............................................................................................................................ has permission to perform4^^.........i"�� +(..�U'A S ...................................................................................... wiring in the building of ..........,!„� ........................................................................ at ....�................ P l� .�....... .`......... .`.:......... , No 'Andover, Mass. f�------- Fee.... ........... Lic. No�,��.V1� ......a.. . �.�.......... ELE TRICAL INSPECTOR Check # 12791-1 r - Commonwealth of Massachusetts oma1tn v00 CWY Department of Fire Services Permit No. SOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRIC WORK All work to be peffonwd in accordance with the MWWAusetta MecttiW Code Oqq,,s27 0a 12.00 (PLEASE PRINT 1NINK 0R TYPE ALI FRMAT10h) Date,. 6 City or Town of: , _Al,—, A -t- To the Inspector of Fires: By this application the undersigned gives notice of b# or herintend',m �erfoan the electrical work descabed below. Location (Street &Nunsher) � 5�% ��// d Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ Building Permit # Purpose of Building Utility Authorization No. Existing Service :--e0 Amps /-;90 Volts Overhead ❑ Undgrd ❑ No. of Meters New Sebe Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:- ---V ' /'....nza4m+ nrtiA rwinruiwp inhip may he umdvad by the Inspector of Wires: No. of Recessed Fixtures nal No. of Ceil.-Susp. (Paddle) Fans No-. o Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Na at7.ighting Fi:ttrres SAB Food 15.'d e D D Ursa a U, rgseucy g No. of Receptacle Oudets �2 No. of Off Burners I= ALARMS jNo. of Zones No. of Switches.. 3 No. of .Gas Burners Nn at-ewod o. Initis Devviiices No. of Ranges No. of Air Cond. T ns of Alegi Devlcea No. of Waste D osers �P Number ons Totals: o. a on m ed Deteetien/Ale Devices No. of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other No. of Dryers Heating Appliances KW No of suites or Equivalent o. o . iter. Heaters KW a of No. of SIES Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP No. f Devices or u3ingva101 OTHER: INSURANCE COVERAGE: - Unless waived by the owner, no permit for the performance of electrical work may issue ess the licensee, provides proof of liability ins uance including "c ompleW operation" coverage or its substanW Wvdcd- The m0e:rsigaed certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. cnm oNE: INoRANCE V BOND OTHER 13 (Specify:) (Expiration Date) Estimated Value of Electrical Work %S21Z) (When required by municipal policy) Work to Start:10 _S Inspections to be requested in accordance with NEC Rule 10, and upon complerion. I cert&, wider dwpdins and penalties ofPerjurs', that the information on this application is true and contpletu Current lnawrnnca eertlj*ata xWtGe oa file lu our q! jke u v&m" afiv h,rfrlled opt w&k each Wheatsm FIRM NAME: DE, LIC. NO.; iib%S Licensee• LIC..NO.: i7f appficab�� '�l" "t license comber ) Bus. TeL Address: J W/ - ,/W 1J.) 9 Alt. Tel. No: OWNER'S WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signa= below, I hereby waive flus rte. I am the (chcek one)❑owner owner's ern. Owner/Agent �a Telephone No. PERMIT FEE. $ 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 Name (Business/Organization/Individual): �G' �j�:�Z ' O VICJ 4 Address: 'S Phone #: '199 Are you an employer? Check the appropriate box: 1. CY I am a employer with c- 4. [] I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ -required.] 5. ❑ 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.l 119 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.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information t Homeowners who submit this affidavit indicating they are 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. J , Insurance Company Name: �J`'JCN- 11tSt��Yd�%c �— Policy # or Self -ins. Lic. #: G(%�rV �'�1/� 7 / Expiration Date: Job Site Address: a �'' /1) Il 65 `'� City/State/Zip: ��G�'�` ✓%' G�� 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 certify under theRaos and genaltie*of perjury that the information provided above is true and correct: Ojfwial 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. Plumbing Inspector 6. Other Contact Person: Phone #: October 28, 2014 THEPA DP8fFOdOQ�d0[EDL�OARAGROU Po U FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1481455 Insured: LAZARUS PAHIGIAN ALICE PAHIGIAN Address: 252 SUTTON HILL ROAD, NORTH ANDOVER, MA Policy No.: F0103281 Loss Date: 10/24/2014 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Michelle M. Roust Senior Property Claims Examiner 1-800-688-1825 x1171 NORFOLK & DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street, P.O. Box 9109, Dedham, MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone: (800) 688-1825 FITCHBURG MUTUAL INSURANCE CO. p Fax: (781) 329-1818 October 24, 2014 THER70P8If00.06(:b-*'01EDC-0AWGR0UPm FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1481303 Insured: LAZARUS PAHIGIAN ALICE PAHIGIAN Address: 252 SUTTON HILL ROAD, NORTH ANDOVER, MA Policy No.: F0103281 Loss Date: 10/14/2014 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Michelle M. Roust Senior Property Claims Examiner 1-800-688-1825 x1171 NORFOLK & DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street, P.O. Box 9109, Dedham, MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone: (800) 688-1825 FITCHBURG MUTUAL INSURANCE CO. e Fax: (781) 329-1818 Date ..Cl-. ?."(-.`.'.. N° 4413 "c TOWN OF NORTH ANDOVER • �. 0 UP0 PERMIT FOR PLUMBING a This certifies that .. .......� ... �. h ��^, . `............... . has permission to perform plumbing in the buildings of .,l?�t`1./. �r1 / !?' lam ... . ..... . . . . . at :,.J..�.. S'�_.. %.,..�,�.!.l %- . . .... , �'. North Andover, Mass. Fee...�-.... Lic. No.� �.j � .. ..... �/ PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 0 J // / � Date Building Location 5^ �/'� 4 1 Owners Name �`!��/! J �O //'ti Permit 61 Amount Tvoe of Occunancv New Renovation [3 Replacement [:] I lanyubmitted Yes E—] No 11 (Print or type) /2Check one: Certificate Installing Company Name ti �7 /`�ifiLc_ rj Corp. Address A)d iI . Partner. 11 Business Telephone �„ 6 aFirm/Co .J • (Print or type) /2Check one: Certificate Installing Company Name ti �7 /`�ifiLc_ rj Corp. Address A)d �� . Partner. 11 Business Telephone �„ 6 aFirm/Co Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Or Other type of indemnity 11 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 ri 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 install ' s p rmed and Permit Iss for this application will be in compliance with all pertinent provisions of the MassachuA tat um ' g C and Cha er 142 o General La By:igna ot Licensecium er pe of Plumbing License Title City/Town kens d um er Master Journeyman ❑ APPROVED (OFFICE USE ONLY Location 2-5Z— No. `o 7` . l Check #26 Date « `� TOWN OF NORTH ANDOVER' e Certificate of Occupancy $ Building/Frame Permit Fee $z� r r Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ e�Av�— Building Inspector