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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 IOZV ZZ -0 ,�O,d 69k 4 -Y,c9 7 /��l v w 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 O= - ®R IVA TOM —24 VA m re'. Eve - F A Z,67C U=mNa W� 16 3 F-5�- ammTeub q7f SS'7 -Z-q -5r 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