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HomeMy WebLinkAboutMiscellaneous - 33 CRICKET LANE 4/30/2018 (2).` N O O V D 0 N N Q O O O O O 113 0 Date..!.1VK......... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. .��. ....................t.._.........................:............. has permission to perform ... V� ' plumbing i%the buildings of......t..14.A...`.......1.......................... at ............ �.cc e �a................................ North Andover, Mass. ............................. Fee..�.�............. Lic. No....�'-�1.................................................................................... PLUMBING INSPECTOR Check # MV 6� �p �1 < ✓e -e c U � j vin �' �� I j MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I North Andover MA DATE 0912412015 j PERMIT # JOBSITE ADDRESS 33 Cricket Lane OWNER'S NAMEJ Marua Homdahl P OWNER ADDRESS TEL978-500-3722 � FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL Q RESIDENTIAL D PRINT CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT: F_,j PLANS SUBMITTED: YES ® NO❑- . FIXTURES -1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM I DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM =�a^�,;z.. #; _� DEDICATED WATER RECYCLE SYSTEM-- �_ DISHWASHER j '�� @ DRINKING FOUNTAIN FOOD DISPOSER I w-1�__._�w 1 _...'I FLOOR/ AREA DRAINi INTERCEPTOR(INTERIOR)i l-_01— r _ , , KITCHEN SINK'- LAVATORY l` i __ ROOF DRAIN i r, �iT 11.x. '. - _ �! - I. ( { a� .l SHOWER STALL SERVICE MOP SINK I __ _� .. �� � ------ _ TOILET TOILET URINAL - r - ' i i _ L 1 WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 0Jill { 1 _-� WATER PIPING : 'I' _ w OTHER {Back Flow 1 �+ s, I -" , -- — _. {� a—, I INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES 0 NO ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my kn ledg and that all plumbing work and installations performed under the permit issued for this application will be in complia iMrlt�ertinent provision of Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �/ off' PLUMBER'S NAME Thomas Weeks LICENSE # 8437 SIGNATURE MP F71 JP❑ CORPORATION ❑# 3083C PARTNERSHIP❑#LLCF_1#�� COMPANY NAME DiPietro Heating and Cooling ADDRESS 5 South Summer Street CITY I Bradford STATE = ZIP 101835 �� TEL 978-372-4111 FAX 1978-241-7325 CELL EMAIL deanna@calldipietro.com 6� �p �1 < ✓e -e c U � j vin �' �� I j Date... ................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Thm i-i-rfifli-C that .. . ................................................................................ has permission for gas installation UEDA ... in the buildings of x . ................... ............................................................... at .......... . .................................... ...... .............. North Andover, Mass. Fee..S� . . ...... Lic. No . ..... Wj ..................................................................... GASINSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Anodver MA DATE 09/24/2015 PERMIT # is JOBSITE ADDRESS 33 Cricket Lane OWNER'S NAME Marua Horndahl GOWNER ADDRESS TEL 978-500-3722 FAX V,/ TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL J RESIDENTIAL J CLEARLY NEW: RENOVATION: l REPLACEMENT: PLANS SUBMITTED: YES I NO APPLIANCES 1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER 4 FIREPLACE FRYOLATOR FURNACE _ J --i ! GENERATOR _a i GRILLE INFRARED HEATER LABORATORY COCKS , MAKEUP AIR UNIT OVENIL POOL HEATER i ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER _ — - . �� _ !a _� ; �J WATER HEATER OTHER INSURANCE COVERAGE_ I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES .-:L, NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ,; BOND I OWIIVER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER —' AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowled and that all plumbing work and installations performed under the permit issued for this application will be in compliance ww t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ..� /Obi PLUM BER-GASFITTER NAME Thomas Weeks ; LICENSE # 8437 SIGNATURE MP , . MGF _. JP _, JGF ,_,_, LPGI _, CORPORATION —,.# 3083C PARTNERSHIP ®*# j LLC COMPANY NAME: DiPietro Heating and Cooling____ ADDRESS 5 South Summer Street I CITY Bradford STATE MA 'ZIP 01835 TEL 978-372-4111 FAX 978-241-7325 CELL _ — EMAIL deanna@caMRietro.com CONTROL # J 2 2 5 6 9 3 IMPORTANT If your license is lost, damaged or destroyed; is inaccurate; or needs to be corrected, visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal Application and,any other correspondence. This license is subject to Massachusetts General Laws and regulations. Your license is a privilege, and cannot be lent or assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or regulations. CONTROL#J225694 IMPORTANT If your license is lost, damaged or destroyed; is inaccurate; or needs to be corrected, visit our web site at mass.gov/dpi for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and regulations. Your license is a privilege, and cannot be lent or assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or regulations. CONTROL# J225692 IMPORTANT If your license is lost, damaged or destroyed; is inaccurate; or needs to be corrected, visit our web site at mass.gov/dpi for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and regulations. Your license is a privilege, and cannot be lent or assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or regulations. CR V Date.al? t......:1..�. f.�i.................... i TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .............................................. irY`Q -i �� has permission for gas ins allation.... ................................. ..........�—'...��..I............ in the buildings of .... =1...� .N. U .......................................................... at .........i2.!........ ................... . North Andover, Mass. Fee. P 0.:.c;T'3 Lic. No. 1. ..... lm. ..................................................... (',� _ GAS INSPECTOR Check # _ t 6I U� O'06•20 w G TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS �IFITTING WORK CITY ��oy Q� MA DATE I /2014 PERMIT # " I ZU JOBSITE ADDRESS OWNER'S NAME dX,� OWNER ADDRESS I Same ITEt�- FAX OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL NEW:E] RENOVATION: El REPLACEMENT: APPLIANCES Z FLOORS - BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER Gas BSM 1 1 1 2 1 3 1 4 1 5 1 6 1 7 INSURANCE COVERAGE RESIDENTIAL E] PLANSSUBMITTED: YES® N0[] 8 1 9 1 10 1 11 1 12 1 13 1 14 I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY FTI OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 c liance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMB ER-GASFITTER NAME Joseph Marino LICENSE # 8736 SIGNATURE MPEI MGF ® JPEI JGF ® LPGI CORPORATION E]# 3285C PARTNE SHIP ®# LLC ®# COMPANY NAME: RH White Construction Co ADDRESS 141 Central St UY I Auburn STATE MA ZIP 01501 TEL (508) 832 3295 r 508-926-4347 j CELL 508-832-4614 EMAILJMarino@RHWhite.com w F O z z F U � w d z w Jv a Z❑ z o N❑ � w � ~ w o w o F 0- LU 3 w > Na a w ° w d o a d a a � U x =� F a a Q � � w x w H U- W F O z z 0 F U W a z x 0 a I N B �, HE Pf DCE THE PROVIDENCE MUTUAL FIRE INSURANCE COMPANY FORM OF NOTICE OF CASUALTY LOSS TO BUILDING R_, UNDER MASS. GENERAL LAWS, CH. 139, SEC. 313> c, 'c=oo � < cRo.,.y To: BUILDING COMMISSIONER OR BOARD OF HEAf;,_T - OR S INSPECTOR OF BUILDINGS BOARD OF SELEG'TMEN PQ TOWN CLERK'S OFFICE , 120 MAIN STREET NORTH ANDOVER, MA 01845 RE: INSURED : LISA SHAW PROPERTY ADDRESS :33 CRICKET LN., N. ANDOVER, MA 01845 POLICY NUMBER : HP0063205 DATE OF LOSS :2/4/2011 CLAIM NUMBER :11-0979 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 1S APPROPRIATE, PLEASE DIRECT IT TO THE ATTENTION OF THE WRITER. INCLUDE A REFERENCE TO THE CAPTIONED INSURED, LOCATION, DATE OF LOSS AND CLAIM OR FILE NUMBER. . n &ALM %, �Atll 1-01 aI 1 S A DTE PROVIDENCE MUTUAL FIRE INSURANCE COMPANY P. 0.. BOX,6066. PROVIDENCE, RHODE'ISLAND 02940. TEL. (401) 827-1800 FAX (401) 822-1921 EMAIL: CLAIMS@PROVIDENCEMUTUAL.COM 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. (Lez, SIGN, uwrATE CC: FILE .. 340 EAST AVENUE, WARWICK, RI 02886 TEL: (401) 827-1800 MAILING ADDRESS: P.O. BOX 6066, PROVIDENCE, RI 02904 TOLL FREE: 1-877-763-1800 • FAX: (401) 822-1921 ,,location 3 �fi ;No. G Date y d 2- .3 N°RTFI TOWN OF NORTH ANDOVER 3? �� , oL Certificate of Occupancy $ rig, U +Building/Frame Permit Fee $ , 0 O + o ,> a ssCHus t� Founcption Permit Fee $ Other/F`frni3`Fee� $ Sewer Cori`' 1'wafer Connection�9 $ TZA X� n �g Building Irispector tv �� Div. Public Works PERMIT Na. D APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. v PAGE 1 MAP KVO. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. �I LOCATION :3 L' e 1Jj[/L 1 �,y�/ /\/�/�/� PURPOSE OF BUILDING Lj�f i' i* yT �, �SIIZZiE// / l eao Al OWNER'S NAME �^ T'j� /�/�j `7 / G/�Yl/TG 1'J�C "//!�-V �d� NO. OF STORIES OWNER'S ADDRESS /.'� J //Tf lj BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2 y )n2ND 3RD7 9 BUILDER'S NAME' / SPAN B DISTANCE TO NEAREST BUILDING J (� , �- DIMENSIONS OF SILLS DISTANCE FROM STREET y POSTS DISTANCE FROM LOT LINES - SIDES �v lJ REAR U-� / GIRDERS AREA OF LOT / %/Lr AA /T l./�� FRONTAGE HEIGHT OF FOUNDATION 2 THICKNESS f"/ f� IS BUILDING NEW SIZE OF FOOTING IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION/V-o" J tet t�1/ l' 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 7- IS BUILDING CONNECTED TO NATURAL GAS LINE N INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 P ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING } ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPR7,9 D BY BUILDING INSPECTOR DATE FILED 3 0 - SIGNATURE OF OWNER OR AUTHOR I AGENT FEE tS/all- PERMIT GRANTED I; ippU.� OWNER TEL, CONTR. TEL, #4 'ONTR. L1f'. # a liZ,f"�ya (LJ C > /d/7 sl1)4A 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST NItl EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNINQ BOARD BOARD OF SELECTMEN aA) MeAd�, 4 lOe& NUILDINQ INuPECTOR /belt C. BaileyFinish Work a Specialty Quality Workmanship �l_g & Remodeling Free Estimates <99 Waverly Road North'Andover, MA 01845 Telephone (508) 682-7087 Builder's License #025620 TO iir. & fir's. Stephen Mac_�er 33 Cricket Lane Nortn Andover, plass. 01845 same I L JOB LOCATION I DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. ``XXX OF PAGES JOB DESCRIPTION: Completion: of cellar area =or all +Materials ano labor as outlined on pp. 1-2: $7873.65 (incluc}ing applicable state sales tax) Hereby Propose to furnish labor and materials complete in accordance the with above specifications for the sum of $ r,llf(I,Ar Spj• jr % `l ^c< Jnr _ I----6511 1 F)(' With payment to be made as follows: '1 + f (+141("'n C O M Dif c t• d ,1 i r G QYi n S +' l d1 1 ,r v'iock 5;'50%1 upor installation of (Door units am win6low trim $,1,0(j,0 All material is guaranteed to be as specified.Q All work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above Authorized t i y n . specifications involving extra costs will be executed only upon written orders and will Signature become - an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other Note: This proposal may be withdrawn by us if not necessary insurance. accepted within days. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Signature �� " .� !j';-.^/ authorized to do the work as specified. Payment will be made g --;� �— as outlined above. Date 1� Signature Accepted r a w W 0—z Ct LL N N O <W G w Cr oo W cr z w O � �+ N z 2 LL J � m U t' C p w m a 0 -us , 1 Q w cr O Q az LLO w ui C'7%j ",�. > °m 0 UA w (r w w ~O ss- LL1 Ct a O w _c -z w � cAW .C7_ � f a O i� D:z w U V CSN z; AiL� FOLD ALONG LINE U. - - a W c w !i W N Z w O i G F— H , Q OG N LL o zQ ' o o z m v v N ? r -Z . �r-m�� �m < o Z z N�i O WAP wF y��cc V WCL' J r -Z y NW H40 Jo o z "m> za _ aQ�N W O WQ r w Q` CCIOQ L6 o< CU a U. O Z U N 11 aQ V LL z w y G �' c �O< Z J ! r OG I V ham• W �cZce GOG OQC S 22 i O= aV N Z U O U-\ o WNW Q 1n?C °o\� `> a J O a m Q U-�O OMQ jj a w o y z •'' ¢ Dam W O �r-O NE FOLD AIDNG LINE---777— Z a .oz. J a A. MWzU VrZ Q O ., wI� W • Z F i y Q 'z 000. 0, oz w r' w O i LL x o 0 vv W N m M M Z 3 Z U. O Cr 1 o a risk;. o yQ v) Z �O O n �o- V O O W in K.. 'a rn M�� \�O S m m o G bwz N w O y o x i �. g o g l 2, 7-= ---------- FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: C Phone b/ LOCATION: Assessor's Map Number Parcel Subdivision Street 3-3 A-/ 1 Lots) St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Buil+..,, y..�r=%_k-Wl Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected uate CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 105 (199-1) THIS CERTIFIES THAT THE BUILDING LOCATED ON 33 CRICKET LANE Date JUNE 15, 1993 MAY BE OCCUPIED AS RECREATION TOOM - FINISH OUTSIDE WALLfN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Stephen Mader 33 Cricket Lane ADDRESS North Andover,MA ,�JACMUS Building Inspector 11 cm CO) O CO) Cl) 10 0 CD Z CO) Q cl) C) CO) >cc -0 loo CD 0 CD CL CD CD 0 CD w C" a CD rA, CD CL 1= CA CO CD CO) 10 z CD O CD O CD O I I Cos 0 cr CO) Cm a0 10 A CD 0 co Cl) cc cli — C7 CL C.) m CD CO) CD =r.0 C4) CD — CL. 0 =r CL m 0 =r CD CO) O CO2 PQ ohm: CD CS) CA CD cli um CW3 co y ccols) CL > cn CL. 0 -C = CD CD yCD 0 CD CL a COS ocr C, CL w CD VJ co IL CO2 -0 a a CD W CD O o •CA CD CD C=2 CA► CD =r CD W -S M Cl) O O O Cos C=2 as - C/) C/) W B - a 0 It P7, CD �Tl C: co OQ ::r- :3 0 tTl ct :3 0 0 0 CD A) W rA N 9 m aw Z 0 m 0 a m U aWI W Z Zii 8 p Y Z Y I Lw U • n 0 0 0 0 0 H W L 0 1 w a Z m V W N W N v LL ` m r� i N OC W W Z 1 3 m 0 O Z W m • Z li p m J m O J _ J ~ m 4 = IC m W o O~C 0 W 0 O 0 m O U 0 J Z z W N a W 4 O 1-.0 0 Z 0 m W Z W I a hwi < f �b i z m m y a m O � 1 W d t O CL v �►Z- C CL � -j l• Z IQ Z F- m 0 1 t C \F W r1 D N W W CC w a ~ < m W W < w W i p Z t Z 0 Z< a m Z 0¢ Z < r w C O m m V y W W ~m w V V W W ,a Ce Z Z O d Z U . 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