The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 285 REA STREET 4/30/2018c-, cn --I M 0 M North Andover Board of Assessors Public Access Page I of 1 ,%0RTjj 49 S S C14us Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial A0property Record Card Location: 285 REA STREET Owner Name: RAMOS, JOSEPH RAMOS, AMANDA Owner Address: 285 REA STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 6 - 6 Land Area: 1.14 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2776 sqft ASSESSMENTS CURRENT YEAR PREViOUS YEAR Total Value: 507,400 496,100 Building Value: 297,700 288,100 Land Value: 209,700 208,000 Market Land Value: 209,700 i Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2252264&town=NandoverPubAcc 10/7/2013 QD (.0 cc cc 04 C*4 (0 ia- cc X O� (0 co co OL co OL M CL a) 0 'C� 0 w a :2 W U.S 0- �- CL 2 c CL >, 0 LL �- c 0 L L: 0 -0 LLI Q� IX U) LLI UJ U) N LO 00 0 '0 U) 11 E U) 0 O)Zn E (o LLJ 0 cu a) ly 0 () Ul 70 8 LLI 0 < a. a) Ln -j LLI o U C� � 0: 4) cl CL 0 C) 0 < z (D 0— Cl= a w co C: CD a_ cl > 0 d) a) a) C: 00 -E z z 2 (f) CO (n 0 af 0 00 I-- C14 co 0 0 CL E x 0 m 0 0 x 00 m Q z 0 0 CD 9 LO 00 00 0 LL z X W a. tv W > 0 04 02 -34 U) z C6 ce < 00 ul C) 2 w 2? LO C5 00 , 04 Z < 4- 0 cc 0- C) 0 00 t*- 0 d 06 04 C\J -6-6 N 4) (q 2 00 > Cq 00 00 P-� C� z 0) co cc Z 04 N 0 cm LD c: c: cu cu 2 z 00 0 0:0 0 0 N C? LL C) 0 Z C:) 0 LL r - z z P.: Cd 0 0)()0 C\I C\j U. (0 Z LO Cl) "T CD 0 > m co co < 0 CD 0 CD 4) -0— 0 0) to 0 CD �D LO It CL AL 00 o af C14 0 z V) C\I I C) r-- (3) W pli 04 r- I - C4 N (D cu -�G co a) :� ca E > > 0 < (D _0 CO �:; - U) -i � U,g In z -C� C/) LL 00 (n c U) L) 0 O=== CO LL Ca U) o Ln z too (D Go w r- 0 r-- t- 1�- 04 o to C4 F- M (D N a) CU m a) W (D 0 a) i6 a) �.; -T !:� < T " a) :tf -D- rr LL C: < .5 o E c LL 00 :;-- 0 0 LL z C: LL -000 LLJ 16 CO (U C: t (D CL'a C 0 4-- 0 " 0 D < 0 �- ui >- (D 0 (L z LLI 4) tD 10 00 0) le N � M LU Ix 'n LL E co C/) E IS LD 0 C') rr La N 0 =5 5 cu m 0 0 Z6 M C) 000 00 CL a) f,*R -�i �: �:- T 0 (1) =; M x m :t.! x (n U) t: F- M LL M W M Y W M M z 0 MOMZ LM Cl a) < ip- 45 0 CL '5s 0 0 U) :3 cu (1) 0 m 0 0 Z.�= 0 0 w u) (/) W w 2 LL a: LL LL () a. 3:1 U) 4- 0 cc 0- 0—) R CY) N) Z 0 OD M (D -0 CD --I C.) CD ;:� j m 0) CA) OC) M > -t- =)7 rj) I FD ; , no T _0 C:) 10 -4 Cf) CD cn (f) CD I -A M m 0 -0 C— m 0 (D De 3 3 Z 0 0 h -, 3 M cn 0 > > if 0 CD 0 (D 0 0 D 0L 0 C/) 0 =) =3 :3 0) .. < CD C— 0 CD 0 - Z-- (n m 0 0 0 0 - CD 0 0 0 S =3 m z Ln. 0 X 0 0 CD -n z 0 < -n 0 3 0 X CD _0 > 0 X z 0 3 0 (D < 0 2 m CL U) Ks 0 0) CD N) C� CY) 2-;? d -// .... 116 Date ..... ...... 'AORT" TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION This certifies that 0 ....... . ... i;/ ............ has permission for mechanical installation .,A .4 "'1., � .... in the buildings of. -;. /4�- 7—:7 ........ at ..cWT. . . .,577� ............ I North Andover, Mass. Fee �W(9.. Lic. No...'.'<., .5:�Vl ................... � GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. I PINK: Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: Permit #_ Estimated Job Cost: $_ 161 7er - 60 Permit Fee: $ Plans Submitted: YES NO Business License # /74,501, Business Information: Name: AW/1, tAllev 44o, Street: An� d1te City/Town: 11-119 eleglil Telephone: _66pnnR Photo I.D. required / Copy of Photo I.D. attached J-1 / M-1 -unrestricted license Plans Reviewed: YES NO Applicant License # A 0 Property Owner / Job Location Inforination: Name: Z46t�) Street: Aq City/Town: Telephone: 9 7, 9 YES NO Staff Initial J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq. ft. / 2 -stories or less Residential: 1-2 family X Multi -family _ Condo / Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other "lorr 10 '-00'-� AL -K Sq. over 10,000 sq. ft. N, Sheet metal work to be* completed: Nork: Renovi-,lon: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: V INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes)<No El If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy El Other type of indemnity Ej Bond E] OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner Ej Agent 0 Signature of Owner or Owner's Agent By checking this boxE], 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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES - NO Date Date Prop-ress Inspections Comments Final Inspection Comments Inspector Signature of Permit Approval Signatup ofLicens License Number: .% Check at www.mass.gov/dpl Type of License: By gMaster Title El Master- Rest ri cted City/Town Eliourneyperson Permit # Eliou rney person- Restricted Fee $ Inspector Signature of Permit Approval Signatup ofLicens License Number: .% Check at www.mass.gov/dpl *Please indicate where the electrical panel, chimney, Window Type: sp sp/s 14,18p �] dpw/s condbriser and furnace are located, 1 0 Wall R -Value Floor R-Vall.jej�k lizv4 Doors Type: ��anel Wood LJ Insulated �orrns Avg. Ceiling Height Attic R-VaIUe S' 7 To improve proper flow through the company did you photograph? The fiont of the sysiem. * The back of the syster)]. Tile left side of the system. 0 The SLJOPlY plenum. The right side of the system. 0 Th e i etL1 19 boot. The retm n boot cut -in. The flue pipe fioinn the furnace to the chimney, or to the outside wall. Direct vent exit1terr-nination (inside and out). AIVAC \X--arningSolutions Onsite and Online RESIDENTIAL LOAD I CALCULATIONS I MC Revised 311912008 Instructions: Enter data into yoJow fields only. All other fields are required text. Grey fields are calculations. Design C3nditio s: Project: Amanda Plunket Indoor Design Heating db 75 Winter 69% cl�_ 12 tip 63 Address 285 Rea St Indoor Design Cooling db 70 Summer 1% db 87 CTD 17 City & State North Andover Indoor Design Cooling RH Sol/. Grains 26-- Daily Range I Medium.. Load Info Boston, Massachusetts Latitude 42� Elevation 20� -=o Phone # 978-258-8181 Z" ... .... .. . to a k mws W, HIM Ohii Heat Tota I Glass Heigh; Height Area Single Double Triple (Sq. Ft.) X X Heating 80.01 54.81 45.36 Cooling Total Glass (Sq. Ft.) Width Height Area N = X = = X Cooling Single 34.00 Double Triple 24.00 20.00 and Area 180.00 Sliding Glass Doors S =�XF_5 X Cooling 50.00 38.00 33.00 Area E&W= X== X Cooling 89.00 165.00 73.00 66.00 , ; 105.00 Doors # Drs Width Heigh' Area 3 1 3 X =7 J X Heating Wood 24.57 1 W/ Metal Storm Metal 17.64 18.27 X Cooling 11.31 7.54 8.41 0.00 63.00 Gross Exposed Wall Height Length Area (Sq. Ft.) X Net Wall Frame Exposed Wall less all glass and entries Area X Heating hi R-1 3, 3" 5.73 R-19, 6" No Insul 3.09 15.94 "g, X Cooling 1.55 0.83 4.30 1569.00 Net Wall Masonry Height` -Length' Area __3__ 'X X Heating 0 Insul 36.79 R-2 Insul R-4 Insul 16.95 11.03 (basement above grade) X Cooling 19.86 9. T5_ - 5.95 612.00 Net Wall Masonry Height Length Area X X Heating 0 Insul 9.32 R-2 Insul R-4 Insul 6.49 (basement below grade) Ceiling (Sq. Ft.) (Under Attic or Attic knee wall) Width Length Area X X Heating R11, 3" 5.10 R19,6" R30, 3.09 2.02 4.46 2 1.76 Cooling 2 i��l 8.00 Basement Floor Width Length Area (2 or More Feet Below Grade) X X Heating Slab on Grade Linear Ft. X Heating 0 Insul 74.3 1" Edge 2" Edge 28.3 22.4 Floor Over Open Crawl Space or Garage Width Leqgth Area X X Heating 0 Insul 32.8 R-1 I R-19 4.9 3.2 Floor Over Enclosed Unconditioned Crawl Space Width .,Length Area = FT8 3� X Heating x =_ 0 Insul 23.2 R-1 1 R-1 9 3_.6____T 2.7 or Basement - _', X Cooling 5.8 1.3 1 0.08 1064 Infiltration Total Ceiling Area 21,26' Height Mins. Leakage Factor r-Q,�577, x F-7-67. r 60 1 X� CFM F 13s HTD x 63,,,,,,, CTD Mechanical Ventilation CFM HTD X 63 CTD F_�l 7 Number of People Pes!ple 4, 1 4 X 230 Kitchen Allowance Average Or -72-50 siE ner igner FE� 0 DUCT LOSS/GAIN tl,�,,,! d: . Subtotal + 10% r Adjusted Subtotal Cooling Latent Load Latent Load -Infiltration r 0.68 X= 26 X CFM Latent Load -Ventilation X CFM Latent Load -People X Tot. Latent Heat Gainj TOTAL LOAD .. . . .... 1 040 Condenser ��nd 0 -di Selection Calculations Actual Sizing From Engineering i;ata Handbook Sensible Sensible ___L�Dr�y-,V,t tal Cooling Sensibi e CFM SIT ratio Cap. 52,131 -3,580 80��.--. 64'. 0 Latent Latent EQUIPMENT MODEL NUMBER -7,16V- Latent ratio _71-580-117 Latent 4Cap. 7,161 3,580 #DIVI01 F 59,292,-,-! 0 Check Manufacturer's Engineering Data Hanboutr to determine Total Cooling Capacity of eqiupment and the CFM required. This approach utilizes 95 degree outside ambient'ternfieiatus, 80 degree dry bulb and 67 degree wet bulb entering the evaporator coil, per ARI ratings (adjust for lower or higher temperatures throughout the country). _i_ , - . I I nillmhare in fho fAtir nAlia inalInw Important: Only insert Fold, Thcn Delach Along Al" P* i.V_ �Jlr BOARD BOARD OF SHEET METAL WORKERS Sm AS A MASTER -UNRESTRICTED ISSUES THE AROVE LICENSE TO: TYPE WILLIAM S CORSO M1 80 HAVERHILL ST SALEM NH 03079-1206 776136 02-/28/12 77613 " 6 Fold. Men [T.�2&1 Nong,,%ll Pertu,,au,n. Fold, Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS BOARD SHEET METAL WORKERS SM AS A BUSINESS ISSUES THE ABOVE LICENSE TO: TYPE WILLIAM S CORSO ,MERRIMACK VALLEY SHEET METAL :0 -B 20 AEGEAN DR METHUEN MA 01844-0000 899505 (45 08/24/11 899505 V Fold, Then Detach Along All Perforations m 41 LIC# 02COt CL -Aa m.ric 61,1933 8 -D. - 002m, r RM MR. MIMI 2 SEX Hq, WILLIAM S CORSO 5 LEE JOY LANE SALEM NH 03079 Date ...... ... 3 ... .... ..... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ 4... ...... R ...... (=. ...... t .............. e ................................. has permission to perform ..................... wiring in the building of ........... at ^North Andover, mass. ............................. . ................................................................ Fee..37�q ... ....... Lic. No. ...172-3;R'O ................ / ........................... E&IC-MCAL INSPECTOk... Check# 113' 15 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code WC), 5F CMA 12.00 (PLE,4 SE PNNT IN JWK OR TYPEA LL L VFOR AM TION) Date: RIZZ113 City or Town of. NORTH ANDOVER To the Inspector-lof Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant Telephone No. Owner's Address Is this permit in'conjunction with a building permit? Yes EY No [I (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Zn Amps IM I ZV6Volts Overhead 2 UndgrdE] No. of Meters New Service — Amps Volts OverheadEl UndgrdE:l No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a D'e h 1-� P 7 � f L ) a, W / /'11 /)),, /) V if �F o' ComDletion ofthe following table mav he i4aivpd hv the Tn.vneatnr of Wire.v. No. of Recessed Luminaires Z,No. W, of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets lNo. No. of Hot Tubs Generators KVA of Luminaires Swimming Pool Above Ei In- 0 grud. grnd. No. of Emergency Ligbting Battery Units No. of Receptacle Outlets X0 No. of Oil Burners FIRE ALARMS �' 0. of Zones No. of Switches 1 &2 No. of Gas 13 urners 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 Totals: Number 1-- *** ................ I Tons I ......................... I.NNK .......... I No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local El Mun'c'PO El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: . No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Ea uivalent OTHER: VCC d -O I Attach additional detail ifdesired, or as required by the Inspector of Rres. Estimated Value of/Elec�dcal Work: - (When required by municipal policy.) Work to Start: VaI15 — Inspections to be requested in accordance with MEC Rule 10, and upon completion, INSURANCJ� eOVARAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation7' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CBECK ONE: iNsu-PANcE El BoNDEI OTHEREI (Specify:) I certify, under thepains qndpenalties q perjury, that the Information on this application is true and com plete. FIRMNAME:. m,�e— 11,f 6 LIC. NO.: 17 X/4 - Licensee: / )-rz LIC. NO.: )IJI'44-tV ffl Signature (1fapplicable, enter "exempt" i - i; the 11_4nse nl,�Iline) / Bus. Tel. Address: Alt. Tel. No.J. 7j-'- - 362 - ZZZ-7 *Per M.G.L c. 147, s. 57'61, sWbrity workrequires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WA Re T am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one)E] owner El owner's agent. Owner/Agent Signature Telephone No. EE.- $ FP t"IT F 0 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G1 c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has detennined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. El The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. 0 Rule 8 — Permit/Date Closed: Note: Reapply for new permit El 0 Permit Extension Act — Permit/Date Closed: Trench Inspection Pass M Failed Re- Inspection Required El Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re- Inspection Required 0 Inspectors Comments: Inspectors Signature: Date: PARTL4,L ROUGH INSPECTION: Pass M Failed Re- Inspection Required ($.) 0 Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass F?1 Failed Re- Inspection Required 0 Inspectors Comments: Inspectors Signature: Date: FINAL INSPLCTIQN: Pass Failed Re- Inspection Required 0 Inspectors Cor4enls: 117 Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA . ....... dweinhold@townofmerrimac.com The Commonwealth of Massachusetts 07 Department of JhdustrialAccid�nls Office of Investigations 600 Washington Street Boston, MA 02111 W www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip; &A-V 167, Phone 4: 77Y- 36 Are y u an employer? Check the appropriate box: I - Yam a employer with —3 4. El I am a general contractor and I employees (fall and/or part-time).* have hired the sub -contractors 2. 1 am a sole proprietor or partner- [I listed on the attached sheet. t ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. D We are a corporation and its required.] officers have exercised their .3. 1 am a homeowner doing 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' V comp. insurance required.] Type of project (required): 6. n ew construction 7. EbrRemodeling 8. E] Demolition 9. E] Building addition 10.El Electrical repairs or additions 1LE1 Plumbing repairs or additions 12.EJ Roof repairs 13.[i Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. f I Homeowners who submit this affidavit indicating they gic doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that isproviding workers' compensation insurancefor my employees. Below is thepolicy andjob site information. Insurance Company Name:. A?Y&rnecc —Tol'A� Policy # or Self -ins. Lic. #: 0 PM / Expiration Date:.2zM/� Job Site Address: Tz� 41,,,oVphffcl---,CitylStatelZip:l", Attach a copy of the workers' compensation -policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 firie 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 1, ereby cerlo 4f ofperjury that the information provided abovf is trqe and correct. ,,uyider 11,ephy an"p na es I Official use only. Do not write in this area, to be completed by c4 or town official. City or Town: Permit[License ft 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 Information and Instruction* -s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defirred as "....every person in the service of another under any contract of hire, express or implied, oral or written." An employer1s defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint 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 (LLQ 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. ihe affidavit should be returned to the city or town that the' application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printedlegibly. 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 burn 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 Comm awealth of Mossachu ' 0 setts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston., MA 02111 TO, # 617-727-4900 at 40 6 or 1-877,MASS AFE Revised 5-26-05 Fax # 617-727-7749 www.mass,gov/dia I This certifies that ... AtV. u" has permission to perform.. plumbing in the buildings of ... A'M- 6-C7 ...................... at - e-� ........ North Andover, Mass. Fee (I. �'Ou c. No. . . .. ... P1 -N Check# 1%115 PLUMBING INSPECTOR 6P ol- Iq ,, 11-�0113 111�'�1-49 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK MA. DATE CITY&MA A ve- y -a �/� j PERMIT#. i�T JOBSITEADDRESS QV5 L1�10,C7- OWNER'S NAME P, a me:�,% P OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL D EDUCATIONAL El RESIDENTIAL Er' PRINT CLEARLY NEW: El RENOVATION: Rr' REPLACEMENT: PLANS SUBMITTED: YES E] NO FIXTURES I FLOOR- BSMT 1 2 3 4 5 6 7 a 9 10 11 12 13 14 BATHTUB GROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATI) GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability nsurance policy or its substantial equivalent which, meets the requirements of MGL Ch. 142. Yes 21"No [I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ER" OTHER TYPE OF'INDEMNITY BOND El OWNER'$ 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. CHECK ONE BOX ONLY: OWNER[] AGENT Signature of Owner or Owner's 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 rovision of the Massachus9tts sate Plumbing Code andy�h I pler 42 General Laws. I PLUMBER NAME _7 SIGNA1 /q AW V�te LIC # mp [] jp E] CORPORATION PARTNERSHIP /C COMPANYNAME �M U A � E, 4 ADDRESS: CITY V P 19.L"r- tcl STATE 0�0 ZIP EMAIL TEL. )7CI CELL C[2- FAX 'A'sx) 111�'�1-49 ljl� c z u zo LU IL u LU ft R LU co IL LU 0 Iz PN < co z 0 1-4 a- a_ < all U) Cd NN- "Cparuncnit VJ _tnUJULr-"".e1tXUM"8z gU Boston, MA 02111 Offwe of Invesfigadens 600 WashiVon Street www.mamgov1dia Workers' Compensation Insurance Affidavit: BuHde�rs/ContractorsMectricianstPlumbers APR Licant-Information- Please Print Leeiblv Name (au.,&ess/0rgzftwomqndmdw): M R PLUMEMG AND HFATMG Mc,. . - __ - . _ - ___ __ T - EN AIERM 5 na �I F. -Te r, V77-3 5 -. -,d 15 1 Phone -4: Axe you aim emploW. Check the appropriate box: I. Erl am a empawer with 4- 0 1 am a general contractor and I employees (full and/or pan -time-).* have hired the sub-coraractors 2. R I am a sole proprietor or parmer- listed on the attached sheet. ship and have no employees These sub-cmtractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance COMP_ insurance-,& required-] 5. 'We are a corporation and its 3- 0 1 am a homeowner doing all work officers have exercised their myseff- [No workers' comp right of exemption per MGL insurance required-] t c- 152, §1(4), and we have no employees. [No workere comD. msurance reauired-1 Tnx of project (required): 6. C] New construction 7. alemodeling 8. []Dernolition 9. [] Building addition 10.0 Electrical repairs or additions I 1 -0 Plumbing repairs or additions 12.[] Roofrepairs Un Other --Any applicamthatftcks box -41 must a1so ffil out the sazmubelowsbu�theirwrkeW cumpmsafimpoftiaffimmun. Homwwnems who subma this affidwnt indicating they we doingaff wo* and then him ouLddevantractum must submit anewaffidava indkattug such- .Canusaors that dm& this box must anadwd an additional sbm showtug the namt of do sub-conwactom and smm v6edier or not dxw entities have emploomm If thesub-conuactam hwe UVIOYMS, theY UUMProvide, &W v=1=V comp policy number am an em#oyff iftat 1spyvvJftg work=' CofirwnM10il baurmeeffir my eMloym BdOW iS Me.poLky Md,0b she h2 Insurance Company Policy 4 orSelf--ins. Lie-#:- JJ)r_AqQqPn(3AS F_xpiration Date.-_!!A9J 2 01 Z Job Site.Address- X �-7 0 n- r�T = e4 S,/ . CitylStalerZp: Attach a copy of the workers' compensation policy declamtion pap (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. I M can lead to the imposition of criminal Penalties of a fine up to $1,500.00 andlor one-year imprisonmem as well as civil penalties in dw fonn of a STOP WORK ORDER and a fine of up to S250-00 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 instnance coverage verification. I do hereby cm#5,- that Me informadon pmi&d abo! and �ve 7u correL% Si P7 7z,.'.,zZr r)21e-X 'Phone:E- Offichd use only. Do not wrke in this arev� to be conVIded by city or town oBk,&L Cluror Town: PermftlUceuse# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3- Qtyfrown Clerk 6. Other ContactPerson: f- 4. Electrical Inspector 5. Plumbing Inspector .� Phone 6� / rl COMMONWEALTH OF MASSACHUSETTS -PLUMBERS AND GASH REGISTERED AS A PLUMBING CORP ISSUES THE ABOVE LICENSE TO: FREDERICK A MANSFIELD MANSFIELD & ROBBINS PLUMBING 'qS 36 BARTLEY ST 30 WAKEFIELD MA 01880-31 2863 05/01/14 142868 L COMMONWEALTH OF MASSACHUSE TTJ PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN PLUMBER ISSUES THE ABOVE LICENSE TO: FREDERICK A MANSFIELD, 36 BARTLEY-STREET WAKEFIELD MA 01830-3130 23092 05/01/14 142866 COMMONWEALTH OF MASSACHUSETTS w PLUMBERS A ASFITTERS_ LICENSED AS A MASTPP 131 H"MCD ISSUES THE ABOVE LICENSE TO: FREDERICK A MANSFIELD 4r�, �' 36 BARTLEY STREET' WAKEFIELD MA 01880-3130 11924 05/01/14 142867 Ilk - It Date. .� �?7. This certifies that ..... .. .... ........... ..... .<. has permission to perform . . ';�?'6 k - C�47e-�E-&,'V-7�5� wiringm the buiMing of ........ ".0 �s .................... .... 577 ...... at ... C: � * * ' ' ' jt�orth Andover, Mass. Lj Lie. No. . Fee. -.T_ ?714 ............. ELECTRICAL INSPECTOR Check 1 li 159 T_� (fommnawa& ol Va-mac"16 ol3w Servicm BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 /13;%� Occupancy and Fee Checked [Rev. 1/071 (leave hinnkI APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MIEC), 527 CMR 12.00 (PLEASE PRflVT I]V NK OR YTPE ALL.TNFORMA TJOA9 Date: I DI q) IQ- CityorTownofi �_4 A To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. her) - f - Location (Street & Num 5 MA 0INS OwnerorTenant No�q 9--)E 91JI Owner's Address -19 9LE e & P - . Is this permit in conjunction with a building permit? Yes No R1 (Check Appropriate Box) Purpose of Building I�Psido_ncp Utility Authorization No. Existing Service Amps Volts Overhead D Undgrd New Service Amps Vohs Overhead Undgrd Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: rva-4, i I n /-N I No. of Meters No. of Meters Estimated Value of Electrical Work: uviuiz y aestrea, or as required by the Inspector qffires� . (When required by municipal policy.) Work to Stait I d -�61 10- Inspections to bi requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfbimance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 21 BOND E] OTHERE] (Specify:) IcetW .fy,under thepains andpenaldes ofperjury, that the infonnadon on this fication-is Ime and complete. FIRM NAME: Wo --powel-n 6pnenk)r LIC. NO. - Licensee: L Powe�-,,) Signature (7fapplicable, enter "exempt 11 in the license number line.) __ NO.: b 5q a,4 Address: --f 0 f.�)A 1Z 05 a Q Ll u . Tel. 4; 3-5 —5--7 �J H 0 5L4 Ll I Te o.: *Per M.G.L. c. 147, s. 57-61, security,";ork requires Dep en of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the ( 'check onetEl Owner Q owner's aizent. Owner/Agent U "c" Signature ERM7IT Telephone No. P PERMIT FEE: $ I )5� , OrL, ri , L — c2--1-13 Pj� ff/,( -2 - 7, 0 - /3 PO N V,, I!, MAM Date ....... .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. ...................................... ............................ has permission to perform ....... e . .......... . .......... . ................... wiringi th b,,Idin of ............. L at ..... ......................................................................... orth Andover, Mnas� 7 F . . . . ..... ... Feej .. ) ............. Lic No . ............. ................. E EaCTRICAL . INSP . 9ECTOR Check# 01 Official Use Only Permit NO. lew v BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked T [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEQ, 527 CMR 12.00 (PLEA SE PR INT IN INK OR TYPPEo LL INFORMA TY A9 Date: 14—, -/) City or Town of- IVO �4 4�7 TO ft/— To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to e f rm. th I trical work described below. v ro e e ec ZeC Location (Street & Number) i t 54ree-4- Owner or Tenant A KkC'4 VVd Ct Ph)ln k -e+ Telephone No. Owner's Address Cge,).2 77k -c9 -5S -&d1 ViL 66�1- 53 Is this permit in conjunction wio a building permit? Yes El No R (Check Appropriate Box) Purpose of Building_ dee,5)deoc kO- Utility Authorization No. Existing Service Amps Volts Overhead [:1 Undgrd [:] No. of Meters New Servic Amps Volts OverheadEl Undgrd R No. of Meters Number of Feeders and Ampacity Location and Electrical Work: C Completion ofthe.following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above [:] In- El grnd . grnd. 0. of Emergency Lighting Batte!2: Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges T46"of Air Cond. Total Tons Z-/ No. of Alerting Devices No. of Waste Disposers M eat Purnn-WSuiffb�FJ:T!�n� - - TloTa- I s: I J.W ........... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Beating KW Local Municipal El other Connection No. of Dryers Heating Appliances KW Security Svstems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent IOTHER: Attach additional detail ifdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) JA&UE Inspections to be requested in accordance with MIEC Rule 10, and upon completion. Work to Start: CID Lk ' - 'L— INSURANCE COVE*AGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such�yerage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND F1 OTHER El (Specify:) 7—L4,01(n1l (7 I cerdfy, under thepains an Penafties ojrperjury, t;h 91 the information on t is ft a n is true and iloniplete. FIRM NAME: LIC. NO.: — 5,0 7 Licensee: Signature LIC. NO.: (Ifapplicable, ent t " in file license n2�1 e) 4t us. Tel. No.: 4C - ca57 Address: 102 . T 1, in - ali-,ev,(P : *PerM.G.L. c.i47,-s-57-61, security w"OK requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (ch one) F1 owner F] owner' t Owner/Agent Signature Telephone No. [PERMIT FEE: $ ��°`� ��i � �---� - l z raj 01/18/1996 11: 57 617-279-2602 C-70NEHAM TOWN ADIA!t�! PAGE 01 Office Use Only 01 4e QMM0UWf81t4 of massu4usetts Permit No, o? 5 -22- 10epartment of Pubift 6afdg Occupancy,& Fee Chocked -:?l BOARD OF FIRE PREVENTION REGULATIONS $27 CMR 12:00 1 3190 -- (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Slectrical Code, 527 CMf1 14 0 (PLEASE PRINT IN INK,9f? T r: ALL INFORMATION) Date �, / own of L— City or T To I, -teir of Wires,. The u(jersigned applies for a permit to perforrn the electrical work described below. Location (Street & Number) a'E- fe-&, Owner or Tenant, ee,:2�g- evarfit Owner's Address 2?f -91e'l Is this permit in conjunction with a building permit: Yes [I No W (Check Appropriate Box) Purpose of Building Utility Authorization No. Rf ik" e Existing Service 200 Amps -1 V0 Volts Overhead 17 Undgrnd 11 No. of Meters New Service — Amps Volts Overhead F_] Undgrnd [I No. of Meters. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work fZeo1Q,ce—r--e--,t ry No. of Lighting Outlets No. of Hot Tubs I No. of Transformers Total KVA No, of Ughting Fixtures SWir'MrAing Pool AboveC] In gend, grhd. 0 GenerOktOes IKVA No. of E-argency Lighting No. of Receptacle Outlets No. of Oil Burners Battery units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No, of Detec,ion and No. of Ranges Total No. of Air Cond, Ions Initiating Devices No. of Sounding Devices r4o. of S0 Cc:nta1rsi<1 No. of Disposals Heat Total Total No.of Pumps Tons KW Local Mkinic1pal Other 11 Connection 0 No, of Dryers Heating Devices KIN No. of No. of Low voltage No. of Water Heaters KW Signs Bailasts Wiring No. Hydro Massage Tubs No. -of Motors Total HP OTHER: ,eej1;'1,qet--eX L< gC- INS(JRANCE COVERAGE: Pursuant to the mquimments of Massachusetts general Law$ I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial eovivalent. YES L*- NO 0 1 hAV0 Submitted valid proof of same to the Offine. YES 4!r NO 0 If you have checked YES, please indicate the tyg)e of coverage by ChilrCkinq the appropriate box. INSVRANCE 0 BOND C1 OTHER 7- (Please Specify) (Expiration Date) Estimated value of Eirctirigral Work S Work to Start ZZ74 Inspection Date Requested: Rough Signed under the Penalties of Perjury - FIRM NAME Culloi, LIC. NO. Licensee 1 Signature 5 --Te —LIC. NO, Z!!!/- 5 v S. TO 1. N 0. e—ee 3 L 0717 Addros-s 6c,,< Alt. Tel. No. . OWNEws IN5URANCE WAIVER: I am awire that the LiCeOSee does not have the Insurance coverage or its st,ibsianliat equivalent as re, quired tY MaSSaCMUSettS GGAeral Laws. anct that my signaiure �A this Permit aPPlicaflon waivos this feciutrament. Owne A�'Dnl' (Please check one) (Signature of Owner or Agerio Telephone No. --,_ PERMIT PEE $ — ��O. 2977 ,40RT)l U Date ... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . ..... T). ................... has permission to perform ...... .................................................... wiring in the building of ....... ...... .................................... at ...... 4 .................................. . North Andover, Mass. . . ....... Lic. No./Q/.).-)Z1 ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant 04/09AWAi;Uilding Depi5.00 PAPIETreasurer GOLD: File Home'Works Residential Energy Analysis Report, DUCT BLASTER TEST Locf6n: 285 Rea St., N. A over, MA Cliedt: Amanda Ramos I Date: Prepared For: Merrimack Valley Corp., srufter(a)-mvalleycorp.com, 978-689-0224 Background: Merrimack Valley Corp. requested a Duct Blaster Test to ascertain air leakage rate of a newly installed A/C system on an existing home. Methodology: As MA Code and 2009 IECC allow, the Total Leakage test was conducted. This test allows 12 cfin/ 100 sq ft or less for a passing score. This test is conducted with a door or window open to the outside. Registers are masked, duct blaster fan is attached to a central return, and pressure is tested at a supply register. Findings: Duct Blaster Tests, by Total Leakage Method: Attic -Installed System: This system served the second floor of the house and the original portion of the Is' floor. Total square footage of these section: 2100 sq ft. Maximum allowable, 12 cfin/I 00 sq ft: 252 cfin Total Leakage tested: Results: PASS 244 cfm @ 25pa