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Home My WebLink AboutMiscellaneous - 32 UNION STREET 4/30/2018Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Inspector 1600 Osgood Street North Andover, MA 01845 RE: Insured: Property Address Policy Number: Date/Cause of Loss File or Claim Number: Donna Hayes 32 Union Street HP2265503 2/17/2015, Water/Ice Dams 31199-W Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Wade Anderson On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. j Signature and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 Claim # 2211833 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner v/ Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA 01845 Re: Insured: 32 34 « 34 A Union SL. Condo Property address: 32 Union St. North Andover, MA 01845 Policy #: 2211833 Loss of: 2012/09/10 File or Claim No. AD 9732 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws,_ Chapter_ 143,_ Section _6 to be applicable. If any notice under Mass_Gen_Laws,_Ch._139_Sec. _3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 09-10-12 Signature and.date - 3 Claim # 2265503 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner p�Y Inspector of Buildings Town Hall North Andover, MA 01845 Re: Insured: Donna J. Hayes Property address: 32 Union St. North Andover, MA 01845 Policy #: 2265503 Loss of: 2012/09/10 File or Claim No. AD 9731 Board of Health or Board of Selectmen Town Hall North Andover, MA 01845 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws,_ Chapter_ 143,_ Section_6 to be applicable. If any notice under Mass_Gen_Laws,_Ch._139_Sec._3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 09-10-1!2 Signature and date 7Date./e •. / ..11.4 . 11, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACHUS This certifies that - .. `! .. !................ . has permission to perform plumbing in the buildings of ...... ....................... . at �3 ,� . ..!-' ....� ...... , North Andover, Mass. FeedLic. Noa.�f .�-:...,.,•.e.,/�cs PLUMBING INSPECTOR Check q .,// 6996 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) _ NORTH ANDOVER, MASSACHUSETTS Building Location O� 0*77—.Alt— Owne of Date � —,/?— 0 Permit # Amount New M Renovation 1:1 Replacement 01*� Plans Submitted Yes ❑ No a Ll 1' / .J I -.---.-.-.M-.-----,.. --. WMWWNWMMMN0M.M®MN. O.N�.� MW MW 1 11.' .mmmmmm.mommmmm.m.®...--. (Print or type) Check one: Certificate Installing Company Name C'A /i/aW P ❑Corp. A ss w Partner. . J � � Business e ep o - Name of Licensed Plumber: Insurance Coverage: Indicate the type of i ance coverage by checking the appropriate box: Liability insurance policyla-� Other type of indemnity ❑ Bond ❑' Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner I hereby certify that all of the details and information 1 have ii best of my knowledge and that all plumbing work and inlat' s compliance with all pertinent provisions of the Massa s State Title City/Town APPROVED (OFFICE USE ONLY ❑ Agent ❑ ted (or entered) in above application are true and accurate to the pert rmed uner Permit Issued for this application will be in Pmbin de and Chapter 142 of the General Laws. �iType of Plumbing License �eniNumrier — Master ❑ Journeyman ®�� 9 Date./G.: �1: G 7 pitao ,eye �L TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that /u..- / IIIA � I �14 /1 .. `.... has permission for gas installation. h.?.-.,. ! r{ ��/? + :P.. in the buildings of ... f: 5 ............................ at .... s. r ........... North Andover, Mass. r - Fee. .: .... Lic. No........� GASINSPECTOR Check # 44� j 1' MASSACHUSETTS UNBDRM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date & 2�^ NORTH ANDOVER, MASSACHUSETTS Building Locations . ?Q l Lj/i!Q �^ Permit # r6 Owner's Name NewElRenovation M Replacement ❑ Amount $ 37 t/p11�4 1 Plans Submitted Name of Licensed Plumber or Gas Fitter- / (cl o W Id (� t�►-cK CDone: Certificate Installing Company Corp. ❑ Partner. Finn/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ Ifyou have checked yg� 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 in ti I have bmitted (or tered) in a a ication are true and accurate to the best of my knowledge and that all plumbing w and ins ations perf under P ued for this application will be in compliance with all pertinent provisions of the assac etts State Cod C 42 ofthe General Laws. ICityaown OVED (OFFICE USE ONLY) Q-1 I Plumber Gas Fitter Master Journeyman Plumber Or Gas Fitter //)3G/ License Number TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. e!` Axl x?, ................ ............ has permission to perform .... ............. plumbing in the buildings of ... ....................... at ... ................ North Andover, Mass. Fee. � ....... Lic. No../. .......... ............. PLUMBING APECTOR Check # ) " (� 576.)' It MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS � Date Building Location Owners Name _ r/am Y J Permit # Amount�'- Type of Occupancy New RenovationA Replacement 1:1 Plans Submitted Yes No ❑ FIXTURES (Print or type) , Check one: Certificate Installing Company Name 1 IN _ ❑ Corp. Address G 6 J "-t�� ' Partner. t-kl– 4, 1�pDS Business Te ephone _ C cl _. �-2^7 Q P Firm/Co. Name of Licensed Plumbe�� , Insurance Coverage: Indicate the type of insurap& coverage by checking the appropriate box: Liability insurance policy �0 ther type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance I hereby certify that all of the details and infor best of my knowledge and that all plumbing � compliance with all pertinent provisions of the By: Title City/Town APPROVED (OFFICE USE ONLY Ow r ion I have s mitted (or and install ons oerfod Agent above pl' ion are true and accurate to the V142 for this application will be in Ch1 of the General Laws. Type of Pluml(ng License icense um er Master Journeyman ❑ LVA 91 Date lx �/"*G'.�../(--:? TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ................................................ r - has permission to perform . Pc v 1 ......................................... wiring in the building of ..nn !�.....}` ...................................... at ..... c-5.�........................................ . North Andover, Mass. Fee.K.6.12...... Lic. No. / ..q ............... ELECTRICAL -INSPECTOR Check # 4849 TRE COA MONWEUTHOFARAWHUSETTS Office Use only- DEPARTA1UVT0FPUBUCS4FE7Y Permit No. � BOAROOFFIREPREVEIVHONREGUT4TIONS527CMRI2:019 -� Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /I Mgr. d 3 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 3Z (11-ilpAy j'7- Owner `TOwner or Tenant D6,Z4 Arm., Owner's Address Is this permit in conjunction with a building permit: Yes EyNo (Check Appropriate Box) Purpose of Building f /V I°GC-R /�F$ r1>;;7,c4 Ti,q L Utility Authorization No. _ Existing Service Amps120/ 2YaVolts Overhead Underground M No. of Meters New Service Amps / Volts Overhead =1 Underground M No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work FIAJIS14 WoRpe 5D4-472FD Ry A&10'!e CouT�29cT0.2 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures i 0 Swimming Pool Above El Below F1 Generators KVA round ground I No. of Receptacle Outlets 3o No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets ZQ No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges f No.'of Air Cond. Total 1 Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r --j Other -s No. of Dryers 1 Heating Devices KW j Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHERr'rOTC ' Pq llb EI,EctktL 41,04•re7 PROSECT OTEK5 1t20G�'�cD s# f �trr►T�D ka anceCovmW- Pursuant to theregmerriff itsofMassadmsettsGeDffalIam Ihaw aam ILia WIrmran cePolicy irrchxbigCorrtplete Covaageorits, abstant ialegtuvalat YES NO Ihaw a b rAedvandpfoofof sanrtothe0ffim YESEr Ifyotrhawdrc�edYESpleasenAc&thetypeofcovaageby d"Idnatho. bo INSURANCEx BOND OTHER Worktostart 9— Z L/-(23 h>tspecfimDaeRegtlestod SignedrmderTry HRMNAME ftaso SpedfY) EVimfion Dale FAmaledVahreofl kbu Wodc $ M. ;,A -MENIF60711 Li No. IW634 Aries JZ 3C"U46 S7' z4y/oscr-- /;Ai AIL Tel. No. 9.7s 6:r2 czcz 17f 375-6--2350 OWNER'SIlNSURANCEWAIVER;IamawarethattheLigedoesriothavetheinstn=covorageoritssub�amalegtuvalentasmgtmedbyMamchusettsGenerallaws and that my signature on this peanut application wa i*ws this requiter ru tt (Please check one) Owner 1-1 Agent Telephone No. PERMIT FEE Signature ot Owner or Agent October 9, 2003 Donna JK Hayes 32 Union Street North Andover, MA 01845 Town of North Andover Plumbing Inspector & Electrical Inspector North Andover, MA 01845 RE: Building Permit for 32 Union Street, NA To whom it may concern, I am writing to inform the Plumbing Inspector and the Electrical Inspector of the Town of North Andover that on August 6, 2003 at approximately 0900 I terminated my contract with my contractor Greg Salamida, and all of his sub -contractors for renovations being done at the above-mentioned property. The renovations are not even '/2 way complete after 10 '/2 weeks of work. The contractor has taken all of his equipment from the premises and also my building permit, I am requesting a copy of my permit to resume work with a new contractor. Thank you in advance for your assistance regarding this matter. Sincerely, Donna Jt� �'Htayes� 49 11% NORTry TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S$AUS� This certifies that n 6."' ..."...t`. �?............... . has permission to perform ... �:P ..... �:e .................. . plumbing in the buildings of ... I-.!!4. �'`. S .................. uti(0 k) s f- at ..... ................................ . North Andover, Mass. Fee.. � 0... Lie.Al C J'/ `J^ _ PLUMBING I SPECTOR ~ Check # 5631 nx MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) 19,AID/1 U,!5;e , Mass. DateJG[/lr-- 0 d -S Permit # Building Location 3R OX)10A) Owner's Name j�/��%/I/moi Type of Occupancy S'/NG' �,Uf% New ❑ RenovaUon/"Q Replacement ❑ Plans Submitted: Ye`s O No g S t!8 -BS MT. BASEMENT !ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7THFLOOR _ BTHFLOOR �� N a) N t• (n J } W SC J M < (n Z N 4 ¢ ¢ O N W I- W N I- ¢ m f» _ U Go W 0 0 C d W¢ ¢ W z X CL < H << 0 N W Q a r X J O N C a J FIXTURES z = � Y _z 4 O Z I' > QW ¢ _¢ V W N N Y< N 0 W d X H < 'A = - C O a 4 O7 p z < ¢ a < C O .� F J Lr !L W < O = Z < r- O -� H O 1 u N < v Z ¢ ¢ a W a < I < 31E O O 0 < m 2 i,- o Installing Company Name BRADFORD PLUMBING & HEATING —/Check one: Certificate Address Lic. #12580 Tel. #(978) 521-0262 1d Corporation P.O. Box 5269 BRADFORD, MA 01835-0269 O Partnership Business Telephone O Fmi/Co. , Name of Licensed Plumber INSURANCE COVERAGE: 1 have a curt liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have c ecked Yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 o1 Owner or Owner's agent Owner D Agent' D 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 all pertinent provisions of the Massachusetts State Plumbing and Chapter 142 of the General Laws. ��' &gnat of n Plumber �a 't7 T of License: Master Journeyman ❑ City/Town �i(']], ryy^' �jn^'(/ jJ� t ��,v� •OM1ti w-(1 I/1rr./�r I�rr �... ... .. y„-/ / / J i m z M a O m D S rn O f!1 a � m A r m } b � Z � O O T Z �f m N O G_ y F m _ z - o D � O v O r c m z D � Location �: -<'• �� - ��'" No. ° Date MpRTN TOWN OF NORTH ANDOVER 9 ` Certificate of Occupancy $ tt�' Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ r Other Permit Fee $ TOTAL Check # �65�9 Building Ins r ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: p DATE ISSUED: SIGNATURE: 11111A ( Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: �, apt f 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: C / A/ O t /\- 2P2cleNTfd-) glvoni ZoningDi:ii It Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record PC4A Name(P ' t) Address for Service V� Signature Telephone 2)2 Owner of Record: 6 Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: r�e�0`- Licensed Con ction upervisor: Address' f $z Si�gnature Telephone Not Applicable ❑ License Number Ct'7 Expiration Da 3.2 Registered Iflodie Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone ou M ic Z O M o� N W O Z M 90 O Mn ic v M r r ^Z Q , SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) • , ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work (check all applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Building Permit fee (a) X (b) Brief Description of Proposed/Work: ' (U° y yh . 2 40 CJF%C, - V _ �� LU"L/ 5 . /a1, V'7 L4 e- 404 a�L �r �� f� IA? f �'1 (te+ SL's CF.CTinN A - Fv%TTMATF.TI CONS TCTTnN STS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total1+2+3+4+5 - V _ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Herebv authorize to 4ct on My beha n all matters lelatiQo Vrk auth ed by this building permit application. , Signature of OWr Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, / as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2 ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I1EIGIiT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 Number J-03 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A.. The debris will be disposed of in: (Location of Facility) V Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Location: k f City V 1 dr-Ir-yer Phone # 7B 1 am a homeowner performing all work myself. [ 7Q- lz-�-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 # 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 $1,5w.00 and/or one years' imprisonment_as_well_as_civil.penaltiesin-thelnrn-f-aBTOP.WORK ORDER.Aid_a fine-cf_($111o.00).ajdayagainstme, I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I I do hereby certrly ugder the pains and penaAes oft perjury that the information provided above is true and correct. Print Official use only do not write in this area to be completed by city or town official' SY 3 V D - 7W-,2 9?2 City or Town Permit/Licensinq Building Dept []Check if immediate response is required Licensing Board [] Selectman's Office Contact person: Phone #.• E] Health Department O Other Greg Salamida 7 Clifton Ave Salem Mass. 01970 978-741-2982 Office 978-594-5081 Fax Z.,, d z/ / /G¢c,4Z. ; 2 ;�,> rxga,3" ,,, S evj-Lt3 z -rub . 65 �.e-�� • -��`'s-zt�:; � ��-- � two � C��-�1.acc Ptd. >t'�-ems %t i 1\ & ' A -6l T3 b Iw" � -t-oAf."\ co ->4- 60 �jucju does Nab ,44cj(.3 n 4 G Z �6 VAJ U -+��i ... #r ✓/ze -�anvmo�uuea� a�✓�aaac�ic`°P't!a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 056054 Birthdate: 05/11/1963 y Expires: 05/11/2004 Tr. no: 23792 Restricted: 00 GREGORY M SALAMIDA 7 CLIFTON AVEC SALEM, MA 01970 Administrator Board of Building Regulations and Standards - HOME IMPROVEMENT CONTRACTOR Registration: 114929 Expiration: 11/9/03 _ Type: DBA. SALAMIDA CONSTRUCTION GREGORY SALAMIDA t 7 CLIFTON AVE i SALEM, MA 01970 �Administretor'' 0 z r� �¢ A w° T cn °° U z c w° to � v Ea U w W 94 w 2 W0 U U a w°' c� w � z bow ao' ii F w w A w c cc ° cn p o cn c c as c cts O_ C "~ O V U •ate o, c m c I:z o 0 EaO •r 14 . m c E aS N Q1D N c cc 0 M = c N C4 c • O O 4aft' Em1 2 2 :yCD = O Cf act _ COD m V Z O :moo v' c_ m_, N O y ~ r0. m Z N ev W C w+�Rpt r y atZ cr uj E 5.0 CD N O o.5 mS g co a mO.0 Z eyv H'� C CL.- CO T V! O .y O L CD C 0 CD C.) /_R a: CA 0 .y C O V 0 CD CD v o O d c � C cc O CO Z CDCLH G LU _0 U) LIJ U) crW w czW LLI CO Tel: 978-688-9545 Town of North Andover Building Department 27 Charles Street North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 32— U U l D r-) "HOMEOWNER Number Street Address Number Home Phone "o, 0_1 . .4 Section of Town Work Phone PRESENT MAILING ADDRESS ✓ 2– Ury 6 a /V 3 (_-iti. J oto/ /yk 19( 4 City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six 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 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance 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 No. Andover Building Department minimum inspection procedures and requirements and that he/she,will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIA Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. August 7, 2003 Donna JK Hayes 32 Union Street North Andover, MA 01845 Town of North Andover Michael McGuire, Building Inspector North Andover, MA 01845 RE: Building Permit for 32 Union Street, NA To whom it may concern, I am writing to inform the Building Inspector of the Town of North Andover that on August 6, 2003 at approximately 0900 I terminated my contract with my contractor Greg Salamida for renovations being done at the above-mentioned property. The renovations are not even'/2 way complete after 10 %z weeks of work. The contractor has taken all of his equipment from the premises and also my; building permit, I am requesting a copy of my permit to resume work with a new contractor. Thank you in advance for your assistance regarding this matter. Sincerely, Donna JK ayes Date ..... .......... ... .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING P This'certifies that 11A..N .A. .-2 ..p. .4................................................. hasOermission to perform.............................................................................. wiring in the building of.C� .... .................................................... at ...... a'.3.`.�... V. N .!. �............................ . North:Andover, Mass. Fee ...... �P. .... Lic. No. ..� 59� A......... I:D Y (u �A I A!. (.. (D , ELECTRICAL INSPECTOR Check # IQ 0 S THE COMMONWEALTH OFIVIASSACHUSETTS office u Zj DEPAR7NMT0FPUBIICS9FETY BOARDOFFIREPMEVT70NR EGUTA770NS527CNIRI2.0 0 Permit No. 437 Occupancy & Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover i Date 4 —— ,� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street &Number) — }--- Owner or Tenant 4/ � Owner's Address q F d� �� ( DO VF7 Is this permit in conjunction with a building permit: Purpose of Building �-F-S i V F' 4 Existing Service Amps/ (1J Volts New Service Amps / Volts Number of Feeders and Ampacity Yes M No ED L Overhead C Overhead r (Check Appropriate Box) Utility Authorization No. Underground a No. of Meters UndergioundIM No. of Meters Location and Nature of Proposed Electrical Work P' oy E k Fe—M �� rC No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total No. of Lighting Fixtures Swimming Pool Above BelowKVA Generators No. of Receptacle Outlets No. of Oil Burners round round KVA No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners No. of Ranges No. of Air Cond. Total FIRE ALARMS No. of Zones No. of Disposals No. of Heat Tons Total Total No. of Detection and No. of Dishwashers Pum s Space p ce Area Heating Tons KW KW Initiating Device g s -� No. of Sounding Devices No. of Self Contained No. of Dryers Heating Devices Detection/Sounding Devices No. Water KW Local Municipal Other' of Heaters KWConnections No. of No. of No. Hydro Massage Tubs Signs No. of Motors Bailasis Total HP j OTHER H (V E GL —Eu IT a .Tb AW S (D OSP .a.• . e -It havestlhnkh2dvandpt0of0fsatrtetDdr011iM YES C hedarlgthebow vSURANCE BOND Orh� IotkroSt, . k onD&RNue*d I RMNAME censee NV�Y Signahlte alar M LA NO 0 ff}�,u have dmW YES, please u>dicate the type of covw,ge by (�) kXpffafimDft EstarlaW ValueofE6t cal Wotk $ Z Rao final ' — 7 Al -2-T ,`7-�J C_ limise No. _V5 5 ��. IicumNo I `7'Z A Btt�nessTelNo. �7G'v ichrcc_—� ` �. /� J (-- 1�p ►/� V i"l�H • Ah Tel No. "VN SINSURANCEWANEKIamawatethatdrL=edoesnothavethemam)cecO�eor&ss bUtalequivalataste#edbyMa��Gm�alLaws dthatmysigmttueondmparmtapp � ftregkerrmt lease check one) Owner Agent M Telephone No. PERMIT FEE Igna re o caner or gen Date ... lr -- O - e 3 AORTM TOWN OF NORTH ANDOVER .s o PERMIT FOR GAS INSTALLATION PAC��d P�-gThis certifies that ... . ... has permission for gas installation .P,?jor??�! `�. ......... in the buildings of .... at ....a .! N(U.... ....... , North Andover, Mass. Fee. p.s� Lic. No..�.°��.$� 7:.)�'��` /,{ �it�C4—, GAS INSPECTO� ;; Check x;33? MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO GASFITTING ftnnt or Type) _ Mass. DateJUWF %- - i2 4.3 Permit .7 •~ V C!� Building Location s QA)l®ll Owner's Namezaz2A 9 '11h I/F ,Type of Occupancy, -511t16/1- '47s/D�iUT 1 New p Renovation Ey' Replacement Q Plans Submitted: Yes❑ No-[ Installing Company.Name_ Address Business Telephone BRADFORD PLUMBING & HEATING Check one: Lic. #12580 Tel. #(978) 521-0262Corporation P.O. Box 5269.. p . Partnership . BRADFORD, MA 01835-0269 0 Firm/Co': re of Licensed Plumber or Gas Fitter. 1 F�HES ,D R17 f71, --L L. Certificate INSURANCE COVERAGE: I have a current liability insurance u a cb policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. If you have. checked yes. please indicate the type coverage* by checking the appropriate box A liability insurance policy (' Other type of indemnity d Bond 0 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 Owned]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 f r this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene Tao of license: `moi4��-� 4ftmber Sig ure ot 1-Mnsed Plumber or GasFitter er er cense Number SO Journeyman i ran .. ■��t��llit��■®��n® VON Installing Company.Name_ Address Business Telephone BRADFORD PLUMBING & HEATING Check one: Lic. #12580 Tel. #(978) 521-0262Corporation P.O. Box 5269.. p . Partnership . BRADFORD, MA 01835-0269 0 Firm/Co': re of Licensed Plumber or Gas Fitter. 1 F�HES ,D R17 f71, --L L. Certificate INSURANCE COVERAGE: I have a current liability insurance u a cb policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. If you have. checked yes. please indicate the type coverage* by checking the appropriate box A liability insurance policy (' Other type of indemnity d Bond 0 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 Owned]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 f r this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene Tao of license: `moi4��-� 4ftmber Sig ure ot 1-Mnsed Plumber or GasFitter er er cense Number SO Journeyman W a \ N Z . N , W ¢ O 6 • O C. N z lz O W F - d • f„ r N J O. < . O C � W ° W N Z. 14 W . C . L6 z Z Q J r W 16 ° ° m h A _ ,a V >. u A J .. . Z rlu W z v d"+ N Z J a z Date ..... 71o.v. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ....... ....... /r. C .... ....... ,has permission to perform ........ ............ idle ............. ............... .... wiring in the building of .......... 'if; ................................................. it ...... 7;�. ................................................... , Northdov r Fee... ... ..... Lic. No. ........ ...... ... ...... ELECTRICAL INSPE R Check # 6 4 TDECOMNIONWEALTHOFAl'ASSACHUSETTS Office Use only DEPARTAflMOFPUBIICS4FM permit 150. BOARD 0FFMPREVEVH0NREGUT4T70NS527CMRI2 M Occupancy &Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 ``yy (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant 4 U4 1 fell Owner's Address Lwv o� t_j Is this permit in conjunction with a building permit: Yes lzrNo (Check Appropriate Box) Purpose of Building Utility Authorizatio Existing Service Amps /o7UVolts Overhead' U rground No. of Meters New Service Amps17 ) /.?yo Volts - Overhead Underground No. of Meters Zoe Number of Feeders and Ampacity _ _ e'l CA./ � Location and Nature of Proposed Electrical Work 73777, 4 G 1.. n. .., No. of lighting Outlets No. of Hot Tubs No. of Transformers Total Y KVA No. of Lighting Fixtures '` Swimming Pool Above Below 17 Generators KVA (J round round No. of Receptacle Outlets / ` J� No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW 1No. of Self Contained A Detection/Sounding Devices Local Municipal Connections Other No. of Dryers /� _ pG1:1 Heating Devices KW No. o.*Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• InstuanceCovaaga RmatittothetegtumrletttsofMa%achusettsGenaallaws Ihawaoi=Liabilitykmt o=Pdtcyin kdTCompl Covageorilswbbu>tial*valent YES =r NO IhawstibmittedvMpmfofsameiodie Offim YES Ifyoubaveclncl�dYES p the type ofcovaageby drd& diewo4 INSURANCE BOND MHER F1 (P1�e SP�y) ! b 0 o (4D _74tEsfmatDd Vakie Wodc $ Waik!DStatt kgectimDateRniesW Rough Final SignedunderTe of FEMNAME e. v 2 + Lice=No. I / 9 sj� Licee e. ! 1/r,S'J�BSS SSigrrahue Lic wNo L' _� 73 ./TeLNo. Armec /Q 4 %L LTeNo. OWNER'SINSLRANCEWAIVIP,IamavmethattheLmwdoesnothawdeimtuatmoo�erageorfisabstanhalamvalattasm4medbyMa%ad mettsGen WLaws and d9mysignattneonthispennitapplicawn waivestizoWitement (Please check one) Owner M Agent y} Ce, Telephone No. PERMIT FEE Signature ot Uwner or Agent