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Home My WebLink AboutMiscellaneous - 30 CAMPBELL ROAD 4/30/2018 (2)I ca m >0 a 0 &0 CAMPL,111 d Location No' I/ �0 (., Date z-.'O;o �-, �". - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C/ 1114 44 r (.-- — Building Inspector 3 1 016 Q5717/99 14:01 32-00 PAID Div. Public Works en I u z CN z z z u lw ow z 0 u 0 z z u bo�-, z zzz�,C, �C) �T. zzz=OW5 40 pro z C) z Z u Z Z Z Z z C-) zzzo.J,�-j u u ll�- kQ— u z CN z z 0 u lw ow z 0 u 0 u z CN z z 0 u lw z CN lw North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of IVIGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by IVIGL c 11, S 150 A. The debris will be disposed of in: 1"Af 5 7— ///f — M /? TH 1��A 5 7— I&�=�e V C, (Location of Facility) Signature,df Permit Applicant bate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector --T HOME IMPROVEMENT CONTRACTOR Registration 108503 Type - PRIVATE CORPORATION Expiration 08/19/00 J N R GUTTERS, INC. JonAthon P. Raymond zx" f!4f Hale St. ADMINISTRATOR Haverhill MA 01830 Client#: 13716 JNRGU DATE (MM/DDfYY) -ACORD. CERTIFICATE OF LIABILITY INSURANCE 03/17/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION B.K. McCarthy Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 100 Cummings Center Suite#101F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Beverly, MA 01915-6105 978 532-5445 INSURERS AFFORDING COVERAGE —INS-URED INSURERA. The Travelers Insurance Company JNR Gutters, Inc. 114 Hale Street, Suite 204 INSURERB: Tlie---T-r---av-el[��-r-s---In-d��mnl-t-y---- om any INSURER C: Haverhill, MA 01830 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE Pr�- -'ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. K �RF— - — ---- -- -, -- -0—OLICY-EFFECTNIE CYEX I5-1RA-ffI1CUN-- L S TYPE OF INSURANCE POLICY NUMBER LIMITS TR DATE (MM/DDNY) !PODLATE (MM/DDNY) • GENERAL LIABILITY 1680877Y616598 06/12/98 06/12/99 EACHOCCURRENCE $1, 000, 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE IF v] OCCUR FIRE DAMAGE (An y on a fir 9) s 3 0 0,000 MED EXP (Any one person) $ PERSONAL& ADVINJURY 0 00 0 0 0 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRO- LOC POLICY F-1 JECT PRODUCTS - COMP/OP AGG s2 0 0 0 0 0 0 • AUTOM0131LE LIABILITY ANY AUTO AOBAP672K744898 06/21/98 06/21/99 COMBINED SINGLE LIMIT (Ea accident) $500,000 BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS $ X HIRED AUTOS NON -OWNED AUTOS X X BODILY INJURY (Per accident) $ ,X,Drive Other Cay $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTOONLY_- EA ACCIE OTHER THAN EAACC ANY AUTO —] ' , . AUTO ONLY: AGG $ A EXCESS LIABILITY X I OCCUR EICLAIMS MADE ISFCUP881D1332IND9 01/08/99 0 6 12 9 9 EACH OCCURRENCE s4 000 000 AGGREGATE A 0 0 0 0 0 0 $ DEDUCTIBLE $ RETENTION �'l 0 0 00 i WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 830UB824K632398 09/20/98 109/20/99 I WC STATU- 'OTH- ------jj0RY LIMITS ER EACH ACCIDENT $100,000 -E.L. E.L. DISEASE - EA EMPLOYEE $ 10 0 0 0 0 E.L. DISEASE - POLICY LIMIT s5 0 0 , 0 0 0 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER AD0111ONAL INSURED; INSURER LETTER: CANCELLATION SHOULD YOFTHE'jiOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPiRATION JNR Gutters, Inc. D THERE F, T1 1, SUING INSURER WILL ENDEAVOR TO MAIL 1-0--- DAYS WRITTEN H U L gDFC HE 0 Y 0 T HERE /F T 114 Hale Street, Suite 204 OTICETOTH C F�ICATIE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SOSHALL Haverhill, MA 01830 IMPOSE GATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR IREPR E A� ESr �:A U 7TH� ESENTATIVE I ACORD25-9(7/95)j7 of 2 #28950 APD 0 ACOWD CORPORATION 19L 1= CO2 Cl) CD c') ca CL ck) CL q CO) CD C.) CD CD Q CL t= %< CD CD 0 CD w w a. CD Vi CD CL CO) CD a- tp W cm 10 CD n CD CD 0 0-cl n 0 C/) 2 0 z C/) CD to s cu CA CIO CD w -w = -* = --I cr ca S a COD CL cl CD C") co Ca. 0 ' m C4 C D _.CC =F-0 11. --n CL CL 0 — CAO) m 3E =!R W IL CCD C2 0 C.) CA CL 0 c CD ra*: CD n-0 CO C D CD V) C13 = CO) CL cr cl) c<, Q CD CD cm :f CD CD CD CO) ccc-D, CC. CD CD CD C', & ml� CLIC C') C42 a CD ip CD I Ono m 4 z CD N 0 fm n 0 C/) 2 0 z C/) CD to s cu CA CIO CD w -w = -* = --I cr ca S a COD CL cl CD C") co Ca. 0 ' m C4 C D _.CC =F-0 11. --n CL CL 0 — CAO) m 3E =!R W IL CCD C2 0 C.) CA CL 0 c CD ra*: CD n-0 CO C D CD V) C13 = CO) CL cr cl) c<, Q CD CD cm :f CD CD CD CO) ccc-D, CC. CD CD CD C', & ml� CLIC C') C42 a CD ip CD 10=3 0 9 I Ono m 4 C/) F 0 C/) - Z -jcj 0 COD :V �p 0 rz RL 0 r_ — :!i :j n - 0 :I -- cn 0 10=3 0 9 w N46 CL 0 41� I Ono m 4 w N46 CL 0 41� v saw %ousissiswiswenoin at mumchusetts ; V4FV.- 80ARD 1OF FIRE F'REVENT)ON REGULATMIS 627 CMR 12.0o "o FIR APPLICATION coke ft"M No oft"aftv a IV** wo oft" L--� FOR PERMIT TO PERFORM ELECTRICAL WORK MEASE PRINT INNNK Op ryplE ALL WpORMAMN - / — j --Z -4-- ---7 QIV*rT~ot—J0,D-/4.t-� R&)DGUet,— -- rho 40"r"SnOt! 110,06" for a Parma to pwwm ate siscmaN'M doftnbed Wow. d" b"Psaw *t w": LOM(on (Sinw 4 "WrOWL L-5 C> Owns, or Tonant —H -;l I 0~3 Addr <-- -- I* "" po"71i, its commm"M with a building pwrm Yes 0 no (Cho-,* Appmoriate PUP of sullon -- —UIi9iIV ALshantaftn No. -- Luang Swvws - J. - OVOrbeed Ua" 0 Ak,w SO%4cs NwMbW Of Neddis and Amp LOC4110A and Nar%& 41A U 1wwwwww Illattrwtv No. No. of OT)4vt; HP TRE ALARMS No. at Zen" 10, Of Delaccon ow IniW" 0evc" b. Of SOUnding Dow 0. *a $a carjawed D"00waso"no Dewcos RSURAWA C -OVERAGE: Pwsuwi —toift rellIllwomer" of ma��oIa I now 4 currow Usoft Ansunme poscy wqwwv cwwated oftetalms Come" of a suoslan" GwjivgjIen,. YES &xd--O- b4avo awbmated vwd ~ of same to two ofte. yes -0-10 a It You hawv c"ecked V95. Osage w4cew I" ?me Of aware" by ch"" the appropriate fts. INSURANCE 3-166NO OTHER C] Mgege Spgc.#�) carriesse VaNe of zweview ww% s JAN 1 5 " - map"Illan 00*1 War* to ow" at RM r4 Uceft" �771 vapsawn 004 P"Umed-, Acu" - — Flnm .1c, No,— W IE Aft. Tel. No. ==.%.wMslUQ=wwc'E' 'MV R' Met "%* I"C"MM d&M not he" III* jn2unwwe covera" its subst ""a. and Sn" Mw G*"&usr* on &W spogstion wavveg We Mqu'remont. amw r0QUww javasu" of os"er Talepnone pie. (Plain chalt aft) w_rw it -------- nft-&A� � - ct q �� Date ......... ... ... ...... .... 699 111�117 ,AORT#q TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ....... J. .......... has permission to perform .......... �..��AA.L.-Sk .............. to r wiring in the building of at ...... 2f �z� ........ I ........................... . North Andover, Mass. M A Ac vq G� Feej.'d".k�0.... Lic. No . ........ ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Tommunwralt4 of Office Use Only Department of Public Saj�ty Permit No. 7o BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked 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) Date 1-22-97 City or Town of TOWN OF NORrrH ANDOVER To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 30 Campbell Road Owner or Tenant Kathleen Panopoulos MEC JOB #604 384 Owner's Address Same Tel. No. 975-2002 Is this permit in conjunction with a building permit: Yes 0 No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 1:1 Undgrd El No. of Meters New Service -----Amps Volts Overhead El Undgrd 1:1 No. of Meters Number of Feeders and Ampacity Upgrading service from 100 to 200 Amp/ Location and Nature of Proposed Electrical Work — sTib -panel OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachustte5 General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. of same to this office. YESXKNO 0 if you have checked YES, please indicate the type of coverage by checking the appropriate box. R5a Nationwide Mutual Ins. Co. INSURANCE r___] BOND El OTHERO (Please Specify) Estimated Value of Electrical Work $ Work to Start Signed under the penalties of perjury: FIRM NAME Inspection Date Requested: Rough Laroche Electrical, Inc. YEM NO 0 ! have submitted valid proof 3-11-97 (Expiration Date) Final — LIC. NO. .Licensee Arthur W. Laroche, Jr. Signature (/ K Ae,'_�_I— �k ;e LIC. NO. MR 13 Or ;of J603) 437-8352 Add ress 16 Wiley Hill Rd., Londonderry, N.H. 03053 Bus. Tel. No. Alt. Tel. No. .OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts Generall Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above In - No. of Lighting Fixtures Swimming Pool grnd . grnd. Generators KVA No. ot Emergency 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 Detection and Tota I No. of Ranges No. of Air Conditioners Tons . Initiating Devices No. of Sounding Devices' Heat T-otal Total No. of Disposals No. of Pumps Tons KW No. of Self Contained Detection/Sounding Devices. No. of Dishwashers Space rea Heating KW Municipal LocalET Conne Other No. of Dryers Heating Devices KW No. ot No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors- Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachustte5 General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. of same to this office. YESXKNO 0 if you have checked YES, please indicate the type of coverage by checking the appropriate box. R5a Nationwide Mutual Ins. Co. INSURANCE r___] BOND El OTHERO (Please Specify) Estimated Value of Electrical Work $ Work to Start Signed under the penalties of perjury: FIRM NAME Inspection Date Requested: Rough Laroche Electrical, Inc. YEM NO 0 ! have submitted valid proof 3-11-97 (Expiration Date) Final — LIC. NO. .Licensee Arthur W. Laroche, Jr. Signature (/ K Ae,'_�_I— �k ;e LIC. NO. MR 13 Or ;of J603) 437-8352 Add ress 16 Wiley Hill Rd., Londonderry, N.H. 03053 Bus. Tel. No. Alt. Tel. No. .OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts Generall Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) A Date ....... ........ - 7 1110 707 ,&ORTOI 0 1 0 US TOWN OF NORTH ANDOVER PERMIT FOR WIRING <7" 0" This certifies that . ..... - -:� .... A4, ,has permission to perform y1/j A . . ........................ wiring in the bu gof.. e--1 - - ...... . ........................... at --,30 ..... ...... ... . . ......... . Worth Andover, Mass. Fee...So .. L ...... Lic. No.P4 .. /.—:� ......................................................... ELECTRICAL INSPECTOR . ''4 50. 00 PAID 24/97 11:48 WHITE: Applicant CANARY: BU01V4 Dept. PINK: Treasurer