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HomeMy WebLinkAboutMiscellaneous - 32 SAUNDERS STREET 4/30/2018 1 w Q r b Z Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that .................. f4Z 7 .................................................... has permission to perform A ........ � r....... wiring in the building of.......(A)e �!T;V..................................... at......... .... . ........ .. North Andover,Mass. . .. . Lic.No . .............. LECTi CA INSPECTOR Check # _ = Permit No. � -_—_._ Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] ---- ZS 'y _(leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),5/7 CNIR 12.00 (1)1,F-4,V,, PRINT ININ_K OR TYI? ALL INFlORMATION) Date: �p p City or Town of: 6 _ _ .To the Insp ctot of Wires: By this application the undersigned gives notice of is or her intention to perform the electrical work described below. Location (Street &Number) 51 �II I -- _. Owner or"Tenant t , Telephone No. Owner's Address — Is this permit in conjunction with a building erniit? Yes ❑ No (Check Appropriate Box) Purpose of Building S.V-kv l 1-e Utilit Authorization No. 3 / Existing Service P0 Amps IW I ZOverhead Undgrd ❑ No. of Meters l _ Ne„v Service 100 Amps 'W! Qi .d Volts Overhead Undgrd ❑ No. of Meters 1 _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LAO e Conpletion of the following table may be waived by the Inspector of YYirus No,of Total ! No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA j No. of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ o. o -Units cy ,ig> ing'= __ rnd. rad. Batter Units _ II No. of Receptacle Outlets No. of Oil Burners FIRE ALARMSNo. of Zones No. of Switches No.of Gas Burners No. of Detection and Total Initiating Devices I 1 No. of Ranges No.of Air Cond. Tons No. of Alerting Devices Heat Pum Number Tons KW No.of Self-Contained No. of Waste Disposers Totals ............................ Detection/AlertimgDevices Al -- ---- — ---- -- Municipal --_----- --- �i No. of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other — 11 No. of Dryers Heating Appliances Key Security Systems:” -- No. of Water No.of No. of No.of Devices or Equivalent KW Ballasts Data Wiring: Heaters � Signs No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors ` Total TIP Telecommunications Wiring: _ No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wir�sJ Estimated Value of Electrical Work: ��^ (When required by municipal policy.) Werk 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 unl--ss the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove;rWf is in force, and has exhibited proof of same to the ermit issuin off ce. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) AXBla /Zd Q8 X certify, under the pains and penalties o peijur thqutAe information on this application is true and mplete. _ FIRM NAME: (j is o 9 LIC.NO.: �� �3.3 —_ Licensee: Ste 0 104 Signature LIC.NO.: _ (If applicable, enter "exe t"in the�license num tne.) Bus.Tel. �_ �� Address: C i�l t ( t-h d I Alt.Tel.No.: *Security System Contractor License r&Juired for this work; if 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 PERMIT FEE: $ ®� Signature Telephone No. — _ I r�G �0 t A �o� �� � � . z Date.. NORTH TOWN OF NORTH ANDOVER pf LU ^,gyp 3? Y PERMIT FOR GAS INSTALLATION f 9 SACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . has permission for gas installation in the buildings of . . ... ... . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . rz�.�,..: !��?. t ' North Andover, Mass. Fee.,:,-... . . . . Lic. No.. . . .�7. . . . :. . Z CCS�U a GAS INSPECTOR WHApplicant�/ CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF11 TING (Printf or Type) Mass. Date /O?- , oa 19_Zj Permit # Building Location ane*-AC Owner's Name we4 " .. Type of Occu ncy New Renovation ❑ Replacement ❑ P ns Submitted: Yes[] No ❑ N N � X W N NN U Z Q y Cr. of oC O W J0 a O 0 � F- F- W F- m .� S 0 d < o W ~ Q x Z O W z Ix H d w a = z ~ N a > < N cc W Z V W W W < G: O' a W r- d }- Z j !- Z F, W W d 0 > u. I- U J 1. W Z Q W Q F" y. N M Z O Z a 0 (A X Q W > W 2. Q itQ a '.x O d Z u. n 3 c d a � > c nd h- O SUB—BSMT. BASEMENT 1STFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: certificate # Address 55 MARSTON STREET )C7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone 508-68,7--1105 ❑ Firm/Co. Name of Ucensed Plumber or Gas Fitter Francis X. Corkery INSIdRANCE COVERAGE: We acu renntt liability insuranceNoEl policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If yqu have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy 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 ❑ Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted(or entered)in abo pplication are true and accu�te to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (/ By Tvne of License: Plumber Signature of licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/To`an OFJourneyman APPROVED FICE SE ONLYI BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO ADO GASF1TTING l .r, NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE .19 GAS INSPECTOR t Location f No. Date ,.ORTN TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ u ACHUndation Permit Fee $ sSE +.I` Other Permit Fee $ ewer Connection Fee $ c�nj %Wa er,,,C$nnection Fee $ t6TAL $ ra`� Building Inspector It"D Div. Public Works J 'ER T No. 2-2-7 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION oe!4 —3 /1 ,, ,, PURPOSE OF BUILDING /1 OWNER'S NAME11�. NO. OF STORIES SIZE OWNER'S ADDRES `_._ 17 BASEMENT OR SLAB ARCHITECT'S NAME L SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF 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 CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST ,fes PAGE t FILL OUT SECTIONS 1 - 3 EBT. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY, ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH TU RE OF 01(VNER R LITHOAGENT FEE PLANNING BOARD PERMIT G AN D �} l 19 BOARD OF SELECTMEN BUILDI 1 ECTOR I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT- DIMENSIONS OF BUILDINGS.• WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE 3 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T- AREA _ 114 1/7 'A FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMtACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY - STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) - FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK 4 SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES — tI TILE FLOOR TILE DADO - - 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR - WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING FINAL ��NNING FINAL44WSERVATiON FINAL NORT►y a Town of :. .:. . ndover 1Z f O ... .� co No. JRIVEVISAY ENTRYPERMIT -_ � � - �r _ K er, Mass. 1 IM A C HE 1C \ oR p� SS BOARD OF HEALTH .PER T 0 THISCERTIFIES THAT. .. ..... ..... ................. .. ..•..•••.•.••••.•••••• .`���� �� BUILDING INSPECTOR has permission to erect ...... ............. buildings on ..•.•..•• Rough lir • W Chimney to be occupied as............ •••• Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES ONTHS ELECTRICAL INSPECTOR Rough UNLESS CONS UC A S Service Final .. . .... ............... BUILDING INSPECT O GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector � Date. �. .. .� . G.. .... .. ,,ORTk pf „eo ,tiO TOWN OF NORTH ANDOVER WOW PERMIT FOR GAS INSTALLATION SACHUSE�� This certifies that . . . . . . j. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . .P. !4 .%t / . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .�. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. . Lic. No.. ?%C=.3.6 . . . . . . . . . J.-.:T '�. . . . . . . . . •j• GAS INSPECTOR i Check# / MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date Z64 L- NORTH ANDOVER,MASSACHUSETTS Building Locations �/✓"J Permit# ( y/ Amount$ / Owner's Name rlx�, New❑ Renovation ❑ Replacement 13/Plans Submitted ❑ w U 0 a o H w w O x 97 W E+ OM a O w 3 A ta7 U a > A a H O SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) // Ctc one: Certificate Installing Company Name ���/GL1sl� P d' /7- U Corp. Address Sy �3d k �� le `� - 7� ❑ Partner. Business Telephone U GTiirm/Co. Name of Licensed Plumber or Gas FitterC7 /P4-fz o-z- - INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [3— No❑ If you have checked M please indicate the type coverage by checking the appropriate box. Liability insurance policy ©.- 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: ❑ Signature of Owner or Owner's Agent Owner ❑ 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 perflorriled under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus ode an;Chh ter 142 of the eral Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town ❑ Gas Fitter eNumoa um aster APPROVED(OFFICE USE ONLY) ❑ Journeyman