The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 31 BRIDGES LANE 4/30/2018 (2) J r 31 BRIDGES LANE 2101104 0000.0 - - �4 i f i I • Date.... .9.7..ft-..c?.7 • NORT!{ TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSACMUS� This certifies that ..... .......--.C..�.................... has permission to perform .................N: u.. �p".t&a tp/�- .............. ........................ wiring in the building of..... v LC��r/5, ............ . .................................................. at • ....................~.........J.... .�... � . ........ .�, .No..r..t.h..Andover,Mass. ......... . Lic.No�ro.s..7.7....... E.ECTRICALINSPEOR . Check # 360 7732 \ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. / -7 ,� 2- Occupancy Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] leaveblarnk 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 INFORMATION) Date: d Z62 City or Town of. HQ, h-Ne")1.1!/I7:,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. Location(Street&Number) :S i t�7 L'- CX/ Owner or Tenant Ad ocp u.44y S Telephone No. Owner's Address .. Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building I�Lu e L L IA.L/3 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Ins eaor 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- E] No.of Emergency Lighting rnd. gi nd. Battery Units ' No.of Receptacle Outlets No.of Oil Burners { FIRE ALARMS No.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 Heat Pump Number Tons KW No.of Self-Contained Totals: ........... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW ecurity Systems:* ' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:&010-0 (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 permit issuing office. CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this app cati a is true and complete. FIRM NAME: //�Lam,{ttr S'. L�L. LIC.NO.: X16 6-2 Licensee: 316-V146611.d SignatureLIC.NO.:&=X*302S-!.1 (If applicable,enter "exempt-in the liceXe number line.) Bus.Tel.No.:-M Address: -)-4 LA-14azt Sl. Alt.Tel.No.: (0�� *Security System Contractor License required for this work;i applicable,enter the license number here: 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ r0, Crt �h 0 r COMMONWEALTH OF.MASSACHUSETTS i OF ELECTRICIANS REGISTERED MASTER ELECTRICIA ISSUES THIS LICENSE TO LEONARD SILVAGGIO 5 ANDREWS CIR i. WAKEFIELD MA 01880-514 10579 A 07/31/10 294760 - . I COMMONWEALTH OF MASSACHUSETTS I OF ELECTRICIANS AS A REG JOURNEYMAN ELECTRI �. ISSUES THIS LICENSE TO LEONARD SILVAGGIO 5 ANDREWS CIR ' WAKEFIELD MA 01880-5146 23250 E 07/31/10 294761 • o s 7� r . t t t ' � . , o • v i i The Commonwealth of lWassachusetts 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 Applicant Information n Please Print Le�bly Name(Business/Organization/Individual): L L Address: L{ City/State/Zip: �L z)� M14 Ct l n&� phone #: Are you an employer?Check the appropriate box: 4. I am a general contractor and I Type of project(required): 1. am a employer with 'F 4. employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or par zer- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "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. tContractors 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. Insurance Company Name: LL v Policy#or Self-ins. Lic.#: /7n C 2(�(� (� �/ /� 7$��,, 7d6xpiranon Date: Q Job Site Address: 3 1 9,01/�C. (jS CAJ City/State/Zip: "6. 1hyi /��✓fy �f�d�� % z�S Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as re;.uired under Section 25A of ViGL c. 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 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 fo^varded to the Office of Investigations of the DIA for in?4ance coverage verification. I do hereby certify under th ains a penalties of perjury that the information provided above is true and correct: Signature: Phone#: Date. A' . "oRTM TOWN O) ORTH ANDOVER 3r 0 p PERMIT FOR PLUMBING SA US - This certifies that . . . t.�:. . . . . . . . . . . has permission to perform . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . �. . . . . . . . . at. '3/. . . . . , North Andover, Mass. 1. . . . . . . . �. Fee 41 . .Lic. No.�. .a,3•• f,. .. . . . . . . .A' .,, '' . . . . . . . . . . . . . PLUMNG INSPECTOR Check # Av 7545 MASSACHUSETTS UNIFORM .APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) /V�rfh A�)dO ver-Mass. Gate j � Permit # - ,L�cirl ice. ` Building Location ,)Owner's Name p H e— +!7 r � 72 o c3 — Type of Occupancy Residential New ❑ Renovation ❑ Replacement Q2 Plans Submitted_ Yes D No ❑ FIXTURES E , W D UJ zI yr z o z _ a N S� x I; U I x a n = o +) 4-) w } v ?� c s a z a a ) N Ul Q {{ o s a Q { p i I 1 ti. "' :� x � Sf� -a C n ala a a -J _j a c z X a c a B I)) B 4 3 n � v > o s 3 al0 V) 3 3 3 v SUB—BSMT_ c BASEMENT i 1ST FLOOR '4/ f 2ND FLOOR 3RD FLOOR 4TH FLOOR 1 STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR k ` installing Company Name Heritage Htg- &P1q_ Co- Inc - Check one: Certificate Address 35 Pleasant Street a Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 -432-7776 n Firm/Co- Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes N No ❑ It you have checked ye-s. piease indicate the type coverage by checking the appropriate box. A liability insurance policy 1-3 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent D Signature of Owner or Owner's 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 installations performed under the permit issued for this application will be in compliance with atl Pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. S1CtBy 1_edaY _ t ll J/ll_ I! Title ynature of Licensed Plumber Type of License: Master Lei Journeyman City/Town APPROVED(OFFICE USE ONLY) License Number 8 3 2 7 i/� ' Watts 9D bfp ori,,,vatex line to water boiler — �� BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO.- APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR i FORM - U - LOT RELEASE FORM 22 INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANZ kn%!Ld t-0 (\6jlS6e-c PHONE E ASSESSORS MAP NUMBER 16q, LOT NUMBER 0 SUBDIVISION LOT NUMBER STREET f'�'(- STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS 1 `"1 �' f'�� DATE APPROVED CO SERVATIONADMINIISTRATOR _ ,. DATE REJECTED COMMENTS T /� ) "v,^`� �` F DATE APPROVED TOWN PLANNER DATE REJECTED CON RENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH / DATE REJECTED y/�!a 6 COMMENTS <6rPrlC 5 Yb7- 726 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTN 4ENT DATE REJECTED COMNIEENTS RECEIVED BY BUILDING INSPECTOR DATE ti� f 1I � {- << � n r�o� =Ju,1 L JJ.' t- , 1 ti.ou ct : IS' -`i L q,b'C_t a�. �c^Ly�1 L�':..�ti`` �i O� el Qti„Y�'Cl� � ` i. I I ol _fLC-7--{ L (3�a GnciAA : r. a; i 00I P' _ I ' kk —i ._ ll ZO I I I I I - � I I I I I I i I i I I I I Q I , i, i I 301I I I : _... ! : i i I , r T I I I i i I 1 1 I \ i , , : : ' _. ., -.... - : F Vzo 711 ! I - : I _ I i I _ ' I _ 1 .. T : , : : i ( -' -- _ or a' I I : t I I i ' I i , I I i. i l N• i F ON ^� j I I i i I I I 1 I I W� : " -- I , if .` S I �/ i i- I , � i T I I C^10' j , I r- ' VA, I I r t t r ' r r T T T 7-7 _._. . . . , .� 4 �" ' - - - - i I :I I I. L � it � 1 I I i cl IS UVII T Location / 9 l (� L/V No. f Date ' NORT1y TOWN OF NORTH ANDOVER C Certificate of Occupancy $ # yCX i 1a • , BuildinglFrame Permit Fee $ �— Foundation Permit Fee $ s�cNusE Other Permit Fee $ Sewer Connection Fee $ _ Water Connection Fee $ TOTAL $ BuIIC(ing Inspector 1Of121.99125 25.00 PAID Div. Public Works � PERMIT NO. APPLICATION FOR PERMIT TO BUILD****" NORTH ANDOVER, MA MAP NO. 164. LOT NO. 2. RECORD OF OWNERSHIP rr DATE BOOK PAG E ZONE SUB DIV. LOT NO. LOCATION ( a^�Q� PURPOSE OF BUILDING 011'NER'S NAME ��v1 J � NO.OF STORIES SIZE OWNER'S ADDRESS � q, BASEIIIENTORSLAB ARCIITTEC7'S NAME SIZE OF FLOOR TIMBER$' 1 2N 3 TI BUILDER'SNAME -' Nt SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIAIENSIONS-OF GIRDERS AREA OF LOT FRONTAGE IIEIGIITOF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION - MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTEp TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER ;. IS BUILDING CONNECTED.TO NATURAL GAS LINE INSTUCTIONS 3. P110PERTY INFORDIATION LAND COST EST.BLDG.COST PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST AR SQ. FT. EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMII'NO. ATTACHED GARAGES NIUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED llY PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# 97F-- q CONTR.TEL# SIGNATURE OF-OWNER OR AUTHORIZED AGENT CONIR.LIC# 1 FEE $ �� PERMIT GRANTED Revised 5/5/99 JNI NORT►y 'own of ` OL dover z p Q► 0 - ' L �E Q- dover, Mass., / 01?A7ED FPaG,`�� S 54 BOARD OF HEALTH PEnIV11T T Food/Kitchen Septic System THIS CERTIFIES THAT....... / r BUILDING INSPECTOR ' "' Foundation has permission to et.., . .v.................... buildings on .....� . /�( s ............... Rough Chimney to be occupied as..... ..l�.Y....w� Oow ............................................................................................................ y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough y PERMIT EXPIRES IN 6 MONTHS Final ' UNLESS CONSTRUCTION ELECTRICAL INSPECTOR /C2 + Rough � ......�C e BUILDING INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i u 3 The Commonwealth of Massachusetts Department of Industrial Accidents t wd Office of Investigations Boston, Mass. 02111 5,1'b Workers'Compensation Insurance Affidavit Please Print Name:-�l�J �. Location: P, LA, tyi,,e City AA- Phoney am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone* Insurance Co. Policy# Company name: Address City: Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby jtLunder hep and sof perjury that the information provided above is true and correct. r� �z Slgnatur Date Print name Phone# Official use only do not write in this area to be completed'bycity or town official' Building Dept ❑Check if immediate response is required Building Dept p Lincensing Board p Selectman's Office Contact person: Phone#: F-1 Health Department F-1 Other 7lf a Date. . . . . . . . . . . . . 01 `• NORTH ti TOWN OF NORTH ANDOVER .� PERMIT FOR PLUMBING 40 �,SSACNUSE� ` This certifies that. . . . . . . . . . / h . . .. . . . . . . . has permission to perform ./.'.11�.l.,. !.r: . t/ Q !4.. . . . . . plumbing j�n.the/buildings �of . . . . . . . . . . . . . . . . . . . . . . . . . . . aC. .Lzz. . . . . . . . . . . . North Andover, Mass. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # 6112 MASSACHUSETTS UNIFORM APPLICATION FOR PSKd1T TO DO PLUMBING (Print or Type) n Date 6 e-1 Permit # NJ ' Building Location Q Owner's Name. t�-AO Z/atl-c zfg e Ar Type of Occupancy Residential New U Renovation O R ` lacement Plans Submitted: Yes O No O FIXTURES 1- VI J !n O W 0 Cr W ;( N O - W H W N X U rr !!f W Z �. .. J (n ^ N N 3: 't W N X Q a , 2 m .t ¢ t7 a C ;i W z H r W 3 O a 3 J N ¢ F a Y o ¢ 0 L f- U + H O x a 1- X a O V) z z `t H w ~ a Q x `A L2 a a O 4 0 � a a - a a O Q }� m v7 0 0 J3: x r- yr ,- C, a 0 a 3 r_ a) b ft1 b b i SUR-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STHFLOOn 6711 FLOOR 7TH FLOOR eTHFLOOR Installing Company Name Heritage Htg. &Pig. Co. Inc. Check one: Certificate Address 35 Pleasant Street EX Corporation 714 Stoneham, Ma 02180 O Partnership Business Telephone 781--A38-7776 177 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No O If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner D Agent O 1 hereby certify that all of the details and information I have submitted(or enlerod)in above 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 provisions of the Massachusetts Stale Plumbing Code and Chapter 142 of the Geyeral Laws. By t 1/Ji,f7JC� Signa'tune ofTcensec um er d Title City/Town Type of License:Master[X Journeyman p APPRow(TTOWt-QSE ONLY) License Number 93,22 r f I c - BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES I . - FEE PROGRESS INSPECTIONS — NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING j LOCATION OF BUILDING f� PLUMBER I j i I - 'f i - l PERMIT GRANTED i DATE 19 i 1 - PLUMBING INSPECTOR