HomeMy WebLinkAboutMiscellaneous - 29 MAPLE AVENUE 4/30/2018---------- r
Date ......... 0.77
.. .... . ....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
P47—R t c �,-- /S V/?tUS
Thiscertifies that .......................................................................................
S"-1CLoe-F-.yeW,.f -�- '�� ....
has permission to perform .......... ..............
wiring in the building of ...... 10A. Ry ........ 1)4�� ....................................
at ........... r2 .. 9 ...... Mn&!!� ....... 4 ..... North Andover, Mass.
e)3 6 qh-
Fee..................... Lic. No . ............. ................
-i(�M� L S E�'Mi
Check # /� 9
7384
Commonwealth of Massachusetts
Official Use Only
Permit No.
Department of Fire Services :Z
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 (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORA14 TION) Date:
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) Qol 1-161PLI AIM
Owner or Tenant �Ak&� bALLJ Telephone No. 148) 4613 -3
Owner's Address 'C�.& . , e -
Is this permit in conjunction with a building permit?
Purpose of Building
Existing Service 106 Amps IPW qO Volts
New Service JL56 Amps 1,��dldlffl Volts
Number of Feeders and Ampacity
Yes No [:] (Check Appropriate Box)
Ut'l*t Authorization No. At-11)qqq
Overhead 7 Undgrd 0 No. of MetoeNrs
Overhead!E�/ Undgrd El No. of Meters
Location and Nature of Proposed Electrical Work:
Completion of the followine table mav be waived bv the Insoector of Wires.
No. of Recessed Luminaires
No. of Ceill.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above o In-
grnd. grnd.
No. of Emergency Lignting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
INo. 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
Hea
umber
I Tons
KW
I
No. of Self -Contained
Totals:
I
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
I
Local 0 Mun'C'PP' 0 Other
Connection
No. of Dryers
Heating Appliances KW
Security Systerns:*
No. of Devices or Equivalent
No. of Water
KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. "ydromassage Bathtubs
No. of Motors Total
elecommunications Wiring:
mp--7
No. of Devices or Equivalent
OTHER: I
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the pen -nit issuing office.
CHECK ONE: INSURANCE F-1 BOND n OTHER E] (Specify:)
I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete.
FIRM NAME: ? - 6LAlKi-I's 9E6e--T1ZtLI&Q LIC. NO.: ap,36Z109
Licensee: )81A#,Aj,5 Signature LIC. NO.: 0?63�914
(If applicable, enter "exempt "in t6e license number /J1 �e.) 4�� Bus. Tel. No.: .3,7g; 559 69 1 t
Address: 4,0 t;J . -TA ],-� -rE R �, UAj 6 p4mf-L M 4 , 0 ) -L11k Alt. Tel. No.::?7;9 -50 �L 50�38
*Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) n owner F1 owner's agent.
Owner/Agent
Signature Telephone No._ PERMIT FEE. $
4
Ar
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ZZ -0
,�O,d 69k 4 -Y,c9 7 /��l
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The Commonwealth ofMassachusetts
Department ofIndustrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lej!ibly
Name (Business/Organization/individual):
Address: ("o U�, ::!DUD�J�80b 0,
City/State/Zip: kA,()Lq�Thone#: 1125 _5 3 �2_ - 6 0 11
Are you an employer? Check the appropriate box:
1. El I arn a employer with 4. El I am a general contractor and I
_,,/,ernployees (full and/or part-tii-ne).* have hired the sub -contractors
2. 9 1 arn 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.
[No workers' comp. insurance 5. El
required.]
3. El I am a homeowner doing all work
myself. [No workers' comp.
insurance required.] f
workers' comp. insurance.
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.]
Type of project (required):
6. n New construction
7. EJ Remodeling
8. E] Demolition
9. n Building addition
10.0 Electrical repairs or additions
I I.F] Plumbing repairs or additions
12.F1 Roof repairs
13.n Other
*Any applicant that checks box # I must also fill out the section below showing theirworkers' 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 their workers' comp. policy information.
I am an emph�yer that is providing workers' compensation insuranee.for my employees. Below is thepolicy andjob site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Job Site Address:
Expiration Date:
City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the forin 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 thepains andpenaltieslofperjury that the information provided above is trueand correct.
0
Phone #: :T? 6 509 - �#i/(/
Official use only. Do not write in this area, to be completed ky 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#:
,I OWN-01'"'ORTF1 0DOATER
Offike of the Buil"Ung Departmel-itt
Coi-nniumity Develop nmie�nt and, S-�,-ft-
V'; , es
27 OUrlcs St.rect
orth Awiloi-er,
et.ts 0 1845
D� Roboil. Nicclt,,,
8'aildiiWl Conind"siouer
January 30, 2003
Conseco Finance Loan Company
195 Farmington Ave. Suite 307
Farmington, Connectecut, 06032
Attn: Diane Barboe Hannon
Loan Officer
RE: 27 — 29 Maple Ave. North Andover, MA 0 1845
Dear Ms. Hannon:
'" IfePh � i J �
1978) 6S8-9545
I -AX (97SVi 69'(""-9_542
Upon review of your letter and the files that the Building Department has, your assumption that
the subject property is legal non conforming may be correct. Please be aware that the zoning
bylaw has a provision for rebuilding after a catastrophe which states " Any non -conforming
building or structure destroyed or damaged by fire, flood, lighting, wind or otherwise to the
extent of sixty-five (65) percent or more of its reproduction cost at the time of such damage shall
not be rebuilt, repaired, reconstructed nor altered except for a purpose permitted in that zoning
district in which such building is located, or except as may be permitted by a Special Permit or
otherwise by the Board of Appeals acting under G.L Chapter 40 A."
I hope that this answers your question and should you have any further questions I may be
reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at 978-688-9545,
Respectfully,
Michael McGuire
Local Building Inspector
1-13
I r
JAN-28-�UUJ WE UJ:UJ FM MX NU. F. Ul
Ccl,\,.�rno VwA K,,,. r.,... CONSECO,
"N
j91 Avow,:, S114C
3A
Zollilli?
North Andover (,ifV T-wl
146 Main Street ';
NOM, Andover. MA 01845
sJtUl 27-29 Njapic, AVCnUC, Nor,,, Alldovot n I
—L. vuccua:
WO! �.Vm -- I - - -
—1 --ALS tj MiLUMconjifination
North Adi nchl� XAA Alad� 'AV -)1 -7-1-10
to the efrect lbal Jhc Prol)L
""."';u prior jo /Onin
211OW for The rnh"ildi— �r and is a logal non'r-011rormirILT sife T)
,v,,�vjuvlihffif il9c M,111-1 Proper Permits and 311 bCinMeoUaj.j.q of lb*,c,4,
C' In YOU Please coafirl-n tlds in "t;n. —i
. �-- - -.b.- --- Wizi amucst.
Picase - 1,1X 10 (800) 670,1011 -,uld return oripinAl ?n
Avu., Firiningtoll, CT 06032. jk;j VJVLU9 L;Grp,, 195 Farmington
JuA Your llefl) "'this maticr.
Very frjAv,,,,,—
,.OlalN 9-Irboe I lannon
(I-OallPfficer
0
JHN-2�-2UUJ WED 11'-W 0
? AX No. K U1
CON S LCO,,
PINANC.1- IXIAN tAIAWANY
SOP41.1f,"S 1) , :f-isie'll
7
j a r Ua ry : -1 ! �, 211111 -1
Mr. RoberE Nice -Ela
ZoningEnforcerrient Officer
North Andover City Hall
14b Main Street -
,North Andover, MA 0 1845
SURIECT- 27-29 Manle Avenne Nnrt.h AndnverOIX45
,vidlim ^venue, iNurEn -tLnuovcr, ivi^ u x a-t�) exisica prior To zoning and is a iegal non-
conforming site. Frescm by4aws aflow for the reDuiiding of a non -conforming use wifn
proper permits and ah being equal as oi this date.
Can you please confirm this in writing and sign off on this request.
Please flix to (8001676-3011 and return oriainal to Conseco Finance Servicine Com. -
195 Farminaton Ave , Aviita 107. Farm;notnn. rT 06019.
V �Iy t1usy -YuLn.-J,
piane-EfarVoSe Hannon
LhIn Officer
]XIII'sh tax 19781-688-9.�42
- , , 4
TOWN OF NORTH ANDOVER
OFFICE OF THE BUILDING DEPARTMENT
COMMUNITY DEVELOPMENT AND SERVICES
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 0 1845
D. R. Nicetta. OORTH
Building Conunissioner
0
4�
FAX TRANSMISSION
TIME: DATE —3 NO. OF PAGES
TO: grf'-A'k"c '�c
FROM: M " 4:2- c, t
SUBJECT: P �- F- '5
BUILDING DEPT FAX NUMBER 978-688-9542
To Fax # -86P — �,,) t.- — 3 c)
REMARKS:
P 4,, -3),AA-)'P— P—,A— Uvo j�—)
Telephone (978) 688-9545
FAX (978) 688-9542
BOARD OF APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
2027 Date./ - ;"�
No..........................
ULM-*-
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....
....... ......................... .. ............................................
has permission to perform . ....... ................................................
wiring in the building of ...... ........ Z ..................................
at .......... ;'_' -1
........................... . North Andover, Mass.
Fee./ -S ...... L �Ic . N o/.Q. /.k .......... ..........
'EilicrRICAL iNspEcroR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. ofUghting Fix==
Swimming Pool Above.
Below f
G eneratom
KVA
ground
Uound
No. of Receptacle Outlets
No. of Oil BumcTs
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. ofRanges
No. of Air Cond. Total
TOM
No. ofDetection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
N.. of Dihwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal.
Other
No. of Dryers
Heating Devices KW
Comccbom
I I
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. ofMotors
Total 13P
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6—&-aeb A4 AIL TeL Nh
o��S14SUFANCEWAIVEF,jmnaw&e#ia-�rL=- dmnothaw
(Please check one) Owner M A - ent F-1 Telephone No. PERMIT FEE
—Sumanze of owner or Agent