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HomeMy WebLinkAboutMiscellaneous - 32 SILSBEE ROAD 4/30/2018 32 SILSBEE ROAD 210/020.0-0062-0000.0 1 1 Date HaRT►, TOWN OF NORTH ANDOVER O� ,..o�•,ti0 " o PERMIT FOR PLUMBING s _ a ,SSACHUSf This certifies that . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .0.0 .171 F.6/. . . . . . . . . . . . . . . . . . . . . . at . 3", . . . ..5'.WS'k rc . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. Lic. No/o.- '7'7. . . . . . . PLUMBING INSPECTOR Check # �G `� �/ 6630 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS v Date. 2-CVS- Building -cDS Building Location C-- 5 ,5/ Owners Name /6®.3Es 2T ��✓`��'-y pet# Amount Type of Occupancy X, New Renovation Replacement Plans Submitted Yes No FIXTURES W. r SLBBflNC Bk9NEW M F10CR M ELOCR 3M FI" 4M]HIDM SII3)HIOCR 6M ROM 7M DTIC gm H OR (Print or type) -4 ` Check one: Certificate Installing Company Name 4tiis9.t 144 (�—re�t4 off/ Corp. Address �'"`O• or/y Partner. it Business ephone )Y -7 / Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityD Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the N as chusetts State Plumbing Co d ter 142 of the General Laws. 'Vkc By: Ti—gn=e Of Licensea Type of Plumbing License Title 714� 10S1 p City/Town ri"M79 NumDerMaster ' tib' Journeyman ❑ APPROVED(OFFICE USE ONLY u 61 "t2 Date.... i �10RTM °`,�``°:•�"� TOWN OF NORTH ANDOVER o A i PERMIT FOR WIRING __ i SACMUS�� This certifies that ..........................." has permission to perform ... 5�` .4et.. . !l .. wiring in the building of... .6...........�q.1...S..1. ....................... at........... ...L....S.e4.—e;..G.C.......�Q......... ,North Andover,Mass. e Fee../.70 V.. Lic.NA.74 ELECTRICAL 1N3PECT0� } � f Check # �7 7 2- DEN09 l!'OFPverlc3WMT per rdt Nal. /l BQA1fDOFFZREPREVEWMRFX;IlLATXM517aom, im 10ccUVAqFees Checked umommmmumon— APPUC4H0NF0R PE&W TO PE ORM EUCM&WORK ALL WORK TO BE PERFORMED BV ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 12:00 (PLEASE PRwr 1N DR OR TYPE ALL IImimATI0m D Town of North Andover To the Inspector of Wires: The undersigned applies for a pennit to perform the electrical work described below. Location(Street&Ni mbar) S 1 Owner or Tenant f� ' Owner's AddressJl/11L—. Ls this permit in conjunction with a building permit: Yes NO0 (Check Appropriate Box) 7 7 Purpose of Building / 4 (�o /�ji/� Utility Authorization No. 6� Existing Service j�2 40 Amps.4Z2LZ4e.2Volts Overhead ® Undemmund a No.of Meters / New Service Amps D / %o Volts Overhead ® Underground � No.of Metes Number of Feeders and AmpacitpO f4 Location and Nature of Proposed Electrical Work Na of Uandna OstkuNa of Hot Tubs No.of Tra bnoers TOW Na of Uahtins Fixtures swimming Pod Above Below ( per KVA KVA No.of ReaTtecle Ou" No.of OU Buenas No.of Eroersencp Ushtins Battery Uoin Na of Switch Outlets No.ofOss Burners No.of Ramses No.of Air Coed. Totd FIRE ALARMS No.of Tool Totrss�� No.of IXsposak Na of pumps ToW TKW—td t of Debetfau end /71MO V0� No.of Dishwuhm Space Atm Haft I(ql �Taid�Devkss 3Q�� of 30owfi s Devices 13P-)(% Na of Sdf CUUWaed No.d Dryer Hoeft Devicm Kw LocDe i cdo" �o i Derkm Co�rurec� Od dow ter No.of Won Heaas Kw Na d Na d Mos BlUmb► No.Hydro Maass Tabs No.of Molars ToW HP } OTHER. IStsuanaeCbt W PttKW1DftWq mlmbafMa=U= tGgUdLM Ih=kaaatt1!tftliut =FbLjiz dtBCornp* arlB=b*a dq vdW YES NO lnnestt T*kdvWpwdcf t m1DftommrYl� � ayouhnea,eaedYli4,pk�;,d�� � ateddt�tte hoc � L UnftdVahec( Wark$ WodcbSm hIac"' DtleF1gz*d Roo FkW P�7�2t c �i�C r tnaeNa A1,7 Buda= aLNa 92,f1-7VV 33/ OWI�WSM RAI�WAIVFR;lama mintdieLcnls dL-h aancewm*"si>beeatritl At'IliNa ardthetrrrysg"anfiittLd1,1 ioovNth—fitrewbroul e9u"��tet}tiedbYMas®cta�tGale:ilLawet ` (Please check one) Owner Ej Agt Telephone No. »>nQW.FEE 3 DERLW WOPPENJUSUM Perndt No. ,! — BOARDOFFMPREVEMONRBOiL471gV1t wadR1Zi Occupancy&Fees Checked APPUCA71ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO aE pERFORMED IN ACCORDANCE W[M THE MASSACHUSSrS®.EC=AL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to ortn the electrical work described below. Location(Street&Number) Owner or Tenant t, Owner's Address [s this permit in conjunction with a building permit: YesED No [3 (Check Appropriate Boa) '7 Purpose of Building �I AJg�0 !t"I Utility Authorization No. Existing Service 1/1 40 Amps ' o/ Volts Overhead Undergrourtd No.of Mettene / New S 00 Amps D / %0 Volta Overhead Underground 1=3 No.of Metes Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Worst -,,77717777. `i Na or UOft Outlets Na of Hot Tuba No.of Tansatrnuars TOW Na of Uandaa l ixtuaa Swtatrdng Pad' Above Below asm aoor KVA KVA Voluld allow Na of Receptacle Outlets No.of On Burma No.of Emergency UFUS Batffy Units, Na of Switch Outlets No.arose Borrrer Na of Ranges Na of Air Cond. Total FIRE ALARMS No.of zones Tari r 1 Na of Disposals Na of HoePo Total Total 1 im 'Tom No. Deteedon end deft Devices No.of Dishwasher Space Ara Heating KW No Somndhrg Davie= 73QK% Na of Sag Cmulned No.of Dryer ring HeaDevices KW Deteedod3orm Devices Lam Mudeipsl a Ot Connections v No.of Water Heater KW Na of Na of Siam BaiLsb Na Hydro Massage Tabs Na of Mobs Total HP OTHER' Iret=neQ=W Ar RWlDfie"ian *dlb MKhX Off0dLawl Q IhwkaatIiehfthrtartoeFbkbcidrftClornpk� a�sdedr�irla}ivdmt 1'� NO Its�esutrnAdvaidploddse<nedheOmm YJ� irymhmdm g��g' � dootieagby dndch>gtte bac IIVSURAM= B= OUM ERpitreiortDrb WC&IDSM Est�ireeedVakredE1hC lWC*$ �� )telxc�arDkleRec}z� �� Anel MMNMIE ee-- C i�C r a 1iatnecNo, yS� ?'-- )Itabmr'lliiva 9� 7s�% � At'Ia�Na CJftWSMURANMWAIVFls;;Ianaa®edetlhelxzmdteiassixe er,�or�a�h�rrirlegdval�tmra4rit+dbYMeasnd>taebGanaiLana anddxtrrry mea dieP=Jnappfea9rnaaheathierequiums (Please check one) Owner Apo Telephone No, pgR .FEE 3 ��'I-L-7 N°- 25 O Date..... ....�. �......... E ! NORTp, ?°•,;�`".:•�."o,� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING SCMUSE� This certifies that ��..��..G! ...t�.C ! .1..4:............................ ............ ..... ....\ has permission to perform ........ ` wiring in the building of........... . .. v'� {. e........................................... at........l..�................. ....�:e............R................ rth Andover M's. +i � Fee.'�'0............ Lic.No. ..1� ,.1../���............ �!Ir�..... /ELECTRICAL INSOECTOR Check # v WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Com.ntonuieat o f///ad�at/tuda(E! For Office Use Only (Rev. o(�O O C'7Permitt Number: nC 1Jt tnrstnt o`JI" -Saft4 d Occupancy 8 Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00)/// PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: RAO City or Town of: do. ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention toperformthe electrical work described below. Location: (Street&Number) 5 �1bvaa Owner or Tenant: J s�1 /n A "M Owner's Address: ` Is this permit in conjunction with a Building Permit? Yes ❑ No' s (Check Appropriate Box) Purpose of Building: Utility Authorization#: Existing Service: Amps / Volts Overhead ❑ Underground.❑ #of Meters New Service: Amps / Volts Overhead 13 Underground.❑ #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: J 4L) � No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground a In Ground o #of Emergency Lighting Battery Units No.of Receptacle Outlets No. of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices w No.of Switches No.of Gas Burners #of Sounding Devices: #of Self Contained Detection/Sounding Devices No.of Ranges No. of Air Conditioners TOTAL TONS: i Local❑ Municipal Connection❑ Other ❑ No. of Waste Disposals Heat Pump Totals: Security Systems: Number: TONS: KW: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: KW Data Wiring,No.of Devices or Equivalent: No.of Dryers Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: #of Ballasts: OTHER; #of Hydro Massage Tubs No. of Motors Total HP 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 fora„and has exhibitedproofof same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER o Please specify:_ �� 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. I certify,under the pains and penalties of perjury,that the Information on this application Is true and complete. /) d Firm Name: v L L/�C rel c CSO -��/C— LIC.# �- Licensee: S A .1r//, 41 Signature: LIC.# `3 3 Cy Q (if applicable,enter" empt"!n the 11/nse num r line) G Address: �G%`/�/C�i�////Q /C i7, zz,//�Q�y � A0 U/iJIJ Bus.Tel.# Alt.Tel.# 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 o OR Agent o Signature of Owner/Agent: Telephone# PERMIT FEE:S �( Location No. 1,717 Date aZ5 o S' r NORTH TOWN OF NORTH ANDOVER O � 9 + Certificate of Occupancy $ s' NUS<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ M Check # r 5 MMI Building Inspector TOWN OF NORTH ANDMR BUILDING DEPART1VTElYT APPLICATION7tiC7OlVb�i2UC WMAWOYA OR MUUM A OWROR TWO Y wl Kam 17 AI cari� UMON 1.sm wo".xla z .13 w : i.A hVcdyDboaWmw use L61MAMSTBACKSM Rota Yard Side Yard Rear Yard Provide dProvided P taws sacar cao: s�! aazt IS ,, Q a a zow o Rmazo o a an4a a oea kotv"a as.�►a. SECTION 2-PROPRRTY QWrdUlAU1"HQRI2XD AGENT 2.1 of Roomd -Z-o S./Shy 2 arse �' Name Awaes�sarSesvipe; 'z.2 owner of ttocad: m SBcnw 3-CaNSTR cnw=YtGBS 31 Lkcnwd LwwucNiae Supa%iwt flet Apps Ak ' Linenaed Qoa�rndiosi 3n�+avieor: terse xember Addmss EN*af=Oft " i Signature Tdvho" 3s a nto wr xotApp yNom N Adm ,,,. t Y ry i SECTWW 4-WORiCEttS COMPBNSATION (PLG.L C iS2 2596) Workme b+aaraaco etlldavit mt�ba aad pul�€tdod_dthia, :FaT�a to ptvvi�ties �Tir in do darid oft6e i�upaa�tfla ai ar+it A4wbW Ya......Z Na....r, SP.CTiONI S lks ofPtoobw Work eliaeico immkomo . -` N1ewCoruhstctiaa^D ExisCingBt Repai�e}. Q' Aiteiatit>a�#) '© AddrUpt .D .Aaesm BW& ❑ Aemolit oa 13 OQW 11 Speci@y BriefDesrai 6M of PropmW Work JJ C-eli-Ic d r `1 P4+rte e9 l[n e r SSCITONI6=ISMATEB co S Item EWMaW Cost MOW)to be � s� 1. Buildsng 5 (a) Btulft pemait Fee lDU 2 Electrical ,�- ®� (b) Es6mded"fatal Cost of 3 Pl !.d©t2 AC Building Fermit'fi�o W x. l A MoclaniWI f�m 6 ToW 1+2+344+ a C CI:I3a�nbec SECTION is OWN=AUMORMATION TO BE COMPUMM WHEN OWN$RS AGFNT OR t_QNTRACTOR APPLIES POR RUnDING P1iBMiT I; as Owm/AugwdzedAgat of ffi jeer.Pope# Hereby sutharize to act on My bett in all=dkM relatire tO woik aatborized by Ws Wd*wMit w&affm' S tore of Owaer Date SEMON Tb OVVNERlAUMO .AGENT DECI:ARATIoN s `� .�OwmdAvft izedApat of st et » . Herebyftlare that the its ad infaara uman the faregaingappl c WM arct W=d aec U*k to.$e best of Mybowl * and belief cbr A int Na `7 ZI3 91-gr ' Of c%UW ent N6O.OF 8TORlE3 517 BASEiNT OR SLAB SIZE OF FLOOR IFRB 1 _ $ 3 SPAN MIMIMOF•SIILS . ... AIMWIPMOFPWIS _. c` DIML:NSIONS OF OVERS •. HEIGHT OF FOUNDATION ThiICiQ+ S3 SIZE OF FOOTING X MATERIALOMMY . I8 BIIII.DINtI ON SOL@ OR FIi.LEI):LANID IS BUff DWO CONNECTED`O NATUM GAS LME t3 1G t 32- 44 2u a FORTH Town of : 4Andover No. An . C' = dover, Mass., I T �y L A COCHICHEWICK oRATED PPG �5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System hvF� BUILDING INSPECTOR THIS CERTIFIES THAT........��.:.... / /.,�i.......y............ .......... R............ ............. ........ Foundation has permission to s"..FIN1. A............ buildings on......4 .g... ��../s.. ..�..'�.............................. Rough .... . ............ to be occupied as �.. . K � � �W 48. n.................................. Chimney 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 relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. a o 76—a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N T S Rough .... . .. ... ... . ................. . .... ....... Service UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 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. Y NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: /U0 66 (Lo ation of Facility) Signatur Permit Applicant Fire Department Sign off: Dumpster Permit -7Z/ Date of NORTH 7 TOWN OF NORTH ANDOVER ao 3: �•'�` e"�� OFFICE OF p BUILDING DEPARTMENT ` 400 Osgood Street ,*,o North Andover, Massachusetts 01845 D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 7 1� o S JOB LOCATION: 3Z Si' /S �-Pt' /dal' Number Street Address Map/Lot HOMEOWNER 0- 6 d er 1L ��`� y?'Y 8? -- /.�o G Name Home Phone Work Phone PRESENT MAILING ADDRESS 0--?b 7 City Town Sta a Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/§"l comply with said-procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS()88-9541 CONSERVATION 698-9530 HEALTI1688-9540 PLANNCNG 689-9535