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HomeMy WebLinkAboutMiscellaneous - 33 WENTWORTH AVENUE 4/30/2018Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 RE: Insured: Property Address: Policy Number: Date/Cause of Loss: File or Claim Number: Judith Murphy 33 Wentworth Avenue HP3055988 2/15/2014, Water/Dishwasher 29231-R 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. Ryan Werner 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. .4 7 Signaty)e aKd Date ANDERSON AD4USTMENT CO., INC. 50 Nashua/Road, Suite 303 PO Box 1098 Londonderry, NH 03053 /y G Date.........'^. J.......... 3:°��`" TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..........C. .1`?". ../! L......4-C..G 2P .................... has permission to perfo, ........ . wiring in the building of` .. M. . r c U /1 /�+ / at ...........',-�..'�..D % Tit/.....ST .... , North Andover, Mass. e Fee ......... ......." Lic. No. .l. f. rtle .............. t ELE ICAL INSPECTOR Check # 6f1,6/- 0 1 _., Commonwealth of Massachusetts Department of Fire Services r` BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. zc;� Z— Occupancy and Fee Checked [Rev. 9/051 (leave blank) 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 NFO TION) Date: City or Town of:jp���/�f. 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) 3-7 aleo f 4 j .6,..7-4 s Owner or Tenant I M pCgTt/ Owner's Address �4wte- Telephone No. Is this permit in conjunction with a building permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building /' es /�.P/1 C P 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: ,/ f V ,e f s14d1®� Completion of the following table may be waived by the Inspector o 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 Above In- Swimming Pool rnd. ❑ rnd. o. o Emergency ig mg 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 an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pum Number Tons KW No. o Self -Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municippil❑Other Connection No. of Dryers Heating Appliances Kms, Security Systems: No. of Devices or Equivalent No. o Water KW o. of No. o 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: (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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the airs and pei ies perjury, that the ' zf rmati n on this application is true and complete ?? _ FIRM NAME: / Qs oyt �G �� p LIC. NO.: Licensee: C �p,/� Gym Signature LIC. (If applicable, enter "exempt" �' the license number line.) //���� Bus. Tel. No.: g' % Address: Zz �%c`"dai �� /�o�?P,S�t�y'c� �6'`� Q/� Alt. Tel. No.: ? *Security System Contractor License required for this wor , 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. 1 am the (check one) ❑ owner ❑ owner's a ent. Owner/Agent PERMIT FEE. $ Signature Telephone No. p6ta �6111A r"p— (Dec- /3_a C, 5 r Commonwealth of M sachusetts Official Use Only AXIMEM Department of R Services Permit No. >� BOARD OF FIRE PREVEN ION REGULATIONS Map &Parcel APPLICATIO OR PERMIT TO PERFORM ELECTRICAL EO WORK All work to be performed in acc, rdance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: jf t/ t✓ 0 City or Town of: ___AI' /. 4 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) '�?, 1A 1 Pn-)?'t~ Owner or TenantJ t � /L v Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ Building Permit # Purpose of Building, Utility Authorization No.H Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps 11)_(,) Volts Overhead ❑ Undgrd No. of Meters ---k — Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 7) ttiij f -e- -. Attach aaatttonai detail tf desired, or as required by the Inspector. of Wires. 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 J�gl- BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: L.zo _4--,- e'� 9- c Signatur LIC. NO.: _ (If applicable, enter "exempt" in the !'cense numbe ine.) Bus. Tel. No.: 7;W- Sal -d io Address: r �! Alt. Tel. No.: (e(--1 --Xr OWNER'S INSURANCE WAIVER: I am ware�t�ate�icensee 'does have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement T nm the (check nn'A 1-1 ,,,me_ n . ,,,r ,nate may oe waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures `;)LU Swimming Pool Above ❑In- ❑ o. o mergency Lighting rnd. grnd. Battery Units No. of Receptacle Outlets�G No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 7 rJ No. of Gas Burners No. of Detection and Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons L No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons K No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances Kms, Security Systems: No. of Water No.KW No. No. of Devices or Equivalent as Si Ballasts Signs Balts Data Wiring: No. of Devices or Equivalent Bathtubs No. of Motors Total HP Telecommunications Wiring: pNoHydromassage No. of Devices or E uivalent R: Attach aaatttonai detail tf desired, or as required by the Inspector. of Wires. 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 J�gl- BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: L.zo _4--,- e'� 9- c Signatur LIC. NO.: _ (If applicable, enter "exempt" in the !'cense numbe ine.) Bus. Tel. No.: 7;W- Sal -d io Address: r �! Alt. Tel. No.: (e(--1 --Xr OWNER'S INSURANCE WAIVER: I am ware�t�ate�icensee 'does have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement T nm the (check nn'A 1-1 ,,,me_ n 0 Lel COmmcmweaCfh oJ /Y/asdacl Ara,'I..l 013ine &r Cm BOARD OF FIRE PREVENTION APPLICATION FOR PERMIT All work to be performed in accordance wit) (PLEASE PRINT IN INK OR TYPE ALL IM City. or Town of: AJ, By this application the undersigned gives notice of Location (Street & Number) Owner or Tenant Owner's Address Official Use P_a ly Permit No. s Occupancy and Fee Checked -2- ' G aULATIONS (Rev. 11/99) (leave blank) PERFORM ELECTRICAL WORK Massachusetts Electrical Code (MEC , 527 C%R 12.00 Date: l � To the Inspector of Wires: on to perform the electrical work described below. r Telephone No. ~/ permit in conjunction with a building permit? Yes ❑ No a (Check Appropriate Box) f ;e of Building 'Urd ity AUthorizatlon No. ( 1,•1 kg Service Amps. Volts Overhead ❑ Undgrd ❑ No. of Meters ervice G Amps a Z,Overhead Undgrd ❑ No. of Meters ter of Feeders and Ampacity on and Nature of Proposed Electrical Work: %= ✓t'� �P_ (?tet //G of Recessed Fixtures O of Lighting Outlets of Lighting Fixtures of Receptacle Outlet.5 of Switches of Ranges of Waste Disposers of Dishwashers of Dryers Hydromassage Bathtubs OTHER: No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool Abovde grnIr No. of Oil Burners No. of Gas Burners No. of Air Cond. Total Tons Heat Pumo .N_v1Phr _ _ Tbns _ _ _ ■❑ KVA FIRE ALARMS I No. of Zones No. of Alerting Devices Devices ❑ Other Attach additional detail if desired, or as required by the Inspector of Wires. 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. BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifi; under the pains and penalties of perjury, that the information on this application is true and complete. 0 FIRM NAME: (h NV ( r t e - c c f` / P G? ru LIC. NO.: Licensee: ✓tet )�E P Signature6gQ:�) f LIC. NO.: Ilj'applicable, en er "exempt" in the license number line.) Bus. Tel. No.: e)4? ( Address: S R Pip I s'r�c, AAA a I J 6 a Alt. Tel. No.: In 1 7 mac/ - S SS OWNER'S INSURANCE WAIVER: 1 am aware that the I icen%ee doe. not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the (check one) ! owner l_ ..i owner's agent Owner/Agent Signature Telephone No. [PERMIT FEE: $ Space/Area Heating KW Mill Local ❑ Conn Heating Appliances KW ecunty Systems: No. of Devices or No. of No. ofata trig: KW Sips Ballasts No. of Devices or e ecommuntcations' No. of Motors Total HP No. of Devices or ❑ Other Attach additional detail if desired, or as required by the Inspector of Wires. 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. BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifi; under the pains and penalties of perjury, that the information on this application is true and complete. 0 FIRM NAME: (h NV ( r t e - c c f` / P G? ru LIC. NO.: Licensee: ✓tet )�E P Signature6gQ:�) f LIC. NO.: Ilj'applicable, en er "exempt" in the license number line.) Bus. Tel. No.: e)4? ( Address: S R Pip I s'r�c, AAA a I J 6 a Alt. Tel. No.: In 1 7 mac/ - S SS OWNER'S INSURANCE WAIVER: 1 am aware that the I icen%ee doe. not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the (check one) ! owner l_ ..i owner's agent Owner/Agent Signature Telephone No. [PERMIT FEE: $ Date..AXAX ........ sw OL TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that A ... 7 . .... 114. �.. ......................................................... has permission to perform .... i ..... * ................................. ........................ wiring in the building of ..... .. . ............. ..... -ft� ...................... -e ........ . ........ ...... at ...... ...f?.............................. .................. North Andover,, Mass. !GSW' . ............. lop F ........ ... .. Lic. No. ..... iecibR --NSPE . . ....... ELECTRICAL Check # 5529 N ammonwea114 of 741as6ai Jim �W- eL.Jeparfinent o��ir,e �e BOARD OF FIRE PREVENTION APPLICATION FOR PERMIT All work to be performed in accordance witl (PLEASE PRINT IN INK OR TYPE ALL A City or Town of: /iJ &A - By this application the undersigned gives notice of Location (Street & Number) Owner or Tenant Owner's Address Official User3l�- 1 Permit No. / Occupancy and Fee Checked ✓ `� < G ULATIONS (Rev. 11/99) (leaveblank) O PERFORM ELECTRICAL WORK Massachusetts Electrical Code (MEC ,;Fo R [1,2.00 Date: /o 7 To the Inspector of Wires. :ion to perform the electrical work described below. Telephone No. Is this permit in conjunction with a building permit? Yes E]No Q" (Check Appropriate Box) LAI Purpose of Building / 'dN6' l fUMityy Authorization No. 1 Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service — Amps IRO / Zk2Volts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �� ✓t't qe-r l e- `e Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Sus . (Paddle) Fans P (P No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn Swimming Pool gmd. ❑ gmd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones o. lection and No. of Switches No. of Gas Burners Initiating Devices t No. of Ranges Total No. of Air Cond. No. of Alerting Devices Heat Pump �_lntpJigr __Fogs _ __ 'E _ No. of Self -Contained No. of Waste Disposers Po Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P $ Local ElMunicipal Connection El Other No. of Dryers Heating Appliances KW SecuritySystems: No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW 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. 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 BOND ❑ OTHER ❑ (Specify:) (Expiration Date) 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 certib,, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: %f) W k/ (o f c e -r o e P cLi`rt C-- LIC. NO.: Licensee: ���� nil (0 �l , L/ a Signature _ / J LIC. NO.: /3., 3., 5�� (Ij'applicable, en er "exempt" in the license number line.) A Bus. Tel. No.: 9;% c7: -/](e( 7 Address: —5 L�>°�L ,/Ste� b�Sr_—�,6,J,—�/v(� 19l CI Alt. Tel. No.: Ca i 7 mac/ OWNER'S INSURANCE WAIVER: I am aware that—the icensee doe • not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the (check one) ❑ owner L i owner's agent Owner/Agent Signature Telephone No. PERMIT FEE: $ 0 Date ..'..lYIA9g! TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��r� ! o This certifies that ... CD has permission to perform wiring in the building of.. K �... at ........... Jj tn%r�✓% 9 2 I .......... , North Andover, M s. Fee ..Lic. No.. 4 4A? f ...........,4 9LECTRICAL INSPECTOR L Check # M�p� 5480 _0 Commonwealth of M sachusetts Official Use only Department of Fi Services Permit No. 6� BOARD OF FIRE PRE VEN ION REGULATIONS Map & Parcel_f�t3 r/ Gf , APPLICATIO OR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acc.Vd ance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 Q 1 I ql O t, I City or Town of: A/, 4ALT— _ 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) -23 (A )-e_.v711 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes Purpose of Building Qt` Izl l�4 Telephone No. No ❑ Building Permit # Utility Authorization No.� •- Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Ila -0 / ?.,c Volts Overhead ❑ Undgrd [jgt No. of Meters Number of Feeders,and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table ma be waived b the Ins ector o Wires No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans ZZ - No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures `(;)-U Swimming Pool Above ❑ In -of rnd. rnd. o Emergency. Lighting Battery Units No. of Receptacle Outlets SQ No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 3 Q No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges g No. of Air Cond. Total Tons L No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number .......................................................... Tons K' No. of Self'-Contained Detection/Alerting Devices No. of DishwashersSpace/Area Heating KW Local [:]Municipal El Other Connection No. of Dryers No. of WaterKms, Heaters Heating Appliances KW No. of No. of Si ns Ballasts Security Systems: No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: . No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 ;9- BOND ❑ OTHER ❑ (Specify:) (Expiration Date) 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 andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: F (s7��t�- LIC. NO.: Licensee:. xJ� �Q, P c d _ Signature—� ( LIC. NO.: (If applicable, enter "exempt" in the1'cense number ine.) Bus. Tel. No.: 177 t? Address: 9A CAlt. Tel. No.: C6,1.—c1- S OWNER'S INSURANCE WAIVER: I am hware that fhe Licedsee 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 Siunatnre Taia.,►,— w,. PFRUTT FFR- X' Trench Temp Service Perm Service Rough Bonding Final INSPECTIONS Mass c�A'c0 ('�- S cc / 3-25, Deo [ ! 0 � a as0 t No OF STORIES S� BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE x 1� - b" PE.r PVA ►� VA 4 3LL �, �f sa�So - a�ot I, -a5 NO. OF STORIES S� BASEMENT OR SLAB SIZE OF FLOOR TDABERS I S SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DR,AENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL. GAS LINE . S ` f A U � � Q U 3 O Z od Q 0© � a LL 0116 0 W z 20 FM01 #yfi k �FA v 0 Poo w; q C/) O O v O 4: ■ ii Z C CL O y p C I Ccm 0.— ca p '0 _ m cc i 3.0 as � p o cc �a c cc v C z ts CD CL V NA O C C ■� C c y p 3mc Q3:cy � C O CL C : !p A is dye o� 3 Ea fj G�a o� c �-+ u'II w C Ca •`xU � w nG ij, W Wl� o !`• C r V �❑ � o E� � AM Nil C/) O O v O 4: ■ ii Z C CL O y p C I Ccm 0.— ca p '0 _ m cc i 3.0 as � p o cc �a c cc v C z ts CD CL V NA O C C ■� C c y p 3mc Q3:cy � C O CL C : !p A is dye o� 3 Ea 2 m t ,. r E� � AM Nil �0+ CL:i E y 0 3 1 CO0.3 z Ulc m o im ` y q : co c 0 E o e: 0 yC0-7 m CC r • t = O ` ' OQ Cf C g �• C ` h O Jam: leCo c CL ` o c io C*s CD f- h :CL OZv • r az o V m � CD CL F= Go a �� gCO O .0.a=mzip C/) O O v O 4: ■ ii Z C CL O y p C I Ccm 0.— ca p '0 _ m cc i 3.0 as � p o cc �a c cc v C z ts CD CL V NA O C C ■� C c y p McGuire, Mike From: Nicetta, Robert Sent: Wednesday, October 13, 2004 12:21 PM To: McGuire, Mike Cc: Griffin, Heidi; D'Agata, Donna Mae Subject: 33 Wentworth Avenue Mike -- Permit No: 229, Dated: Oct. 4, 2004 was issued to a James Murphy for the construction of a 24'x 34' two stall garage at the above address. Inspection reveals that the existing dwelling at that location has been demolished without proper sign offs and demolition permit. The plan as submitted by the applicant also indicates that a new dwelling is to be built. This AM it was requested that you investigate how this happened. It is Mandatory that you report, in writing your findings and how the problem will be solved, prior to days end. Bob PE) 3fff NO. n -s APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE ZONE SUB DIV. LOT LOCATION PURPOSE OF BUILDING ( OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME J - SPAN DISTANCE TO NEAREST UILD NG 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 REQUIREMEN S 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 SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE 9'LfD SIGNATURE OF OWNER OR AUTHORIZED FEE PERMIT GRANTED Q/ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY Z�E .- BUILDING INSPECTOR OWNER TEL. N 8 2- d U -76- CONTR. TEL. # "' 7-3 7- CONTR. LIC. # /CONTR.LIC.# 02- Z -'(v Fo H.I.C. N 103 3s"" -ay --'-1 1 OCCUPAN&Y M _ MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH d 1 2 I3 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. 8'M'T' AREA _ 1/. 1/2 % N_O B M'T FIN. ATTIC AREA FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDY✓'D COMMON ASPH. TILE &AIC::iT­RS. STUC N MASONRY STU F ME BRICK N M BRICK ON FRAME & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I -I POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE I HIP BATH 13 F '(.1 _ GAMBREL MANSARD ET RM, FIX. FLAT SHED L K CI N atib ASPHALT SHINGLES WOOD SHINGES _ SLATE NielPLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO FRAMING WO I 11 HEATING PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. b COLS. STEAM STEEL BMS. C OT W'T'R OR VAPOR WOOD RAFTERS IR CONDITIONING _ ADIANT H'T'G 7 NO. OF ROOMS HEATERS GAS OIL 2 d ELECTRIC BU`LO NG RECORD` 12 THIS SECTION MUST SHOeAC SI LO ADI E FROM LOT LINES AND EXACTF HES. GA - ETC. SUPERIMPOS�FDv�I R S O B'M'T n ltt 13rd NO HEATING - " N2 2340 Date.....: /. '�... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 4 o At Alto SACMUS� This certifies that has permission to perform wiring in the building of .................................................... at .&U.... ......:.....:.......�...... , North Andover, Mass. 1 Fee .............. Lic. No/ ..7.-%s? ........................................................ �ELECTRICAL INSPECTOR Check # l S WHITE: Applicant CANARY: Building Dept. PINK: Treasurer SIN Bill.* On O.Ar 77)e Commonwealth of Afassochusetts 623 Departmerlf of Pubric Safcfy y. DOAAD OF FUZE PIIEVEI171011 REGULATIONS S77 CMR 1200 1/90 ll.,.e ►s..sl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORI< AN writ so Le performed M accerdar.cc to,40%abe }iac,achvreru Worleal C"c. S27 CM 12:000 (FLVSE PRINT I21 INK OR STYE 1LL I11FOMILTI010 • Date. . . /"'/ �/ e ­o City or Town Of �/� �O7/�'� To the Inspector of uirest Si undersigned applies for a permit to perform the electrical vork described bclov... Lmation (Street L Humber) Omer or Tenant 0•oer's Address • �-e Is this permit in conjunction with a buildingpermit:permit: Yes ❑ No � (Check Appropriate Box) h -rose of � Building .Z 1—" ri( 4 Utility Authorization 110. Existint Service Anps / Volts Overhead ❑ Und;rd ❑ Md. of Meters— liea Service/ 1' Amps /; Volts Cverhesd ElUndgrd 1:1 fro. of deters Tw—loer of Feeders and Ampacity c iKatlon and Nature of Proposebilectrical Work No_ of Lighting Outlets No. of Not Tubs Total No. of Iransformers KYA Fa_ of Lighting Fixtures AboveQIn Swlaing Pool rnd. grnd❑ Generators KYA %_ of Receptacle Outlets 110. of 011 burners No. of Emergency Lighting Battery Units Fa_ of Switch Outlets No. of Gas Burners FIRE ALAMIS lio. of Zones iso. of Detection and Initiating Devices oung No. of Sdin Devices 110, of Sel( Contained Detection/Sounding Devices Local ❑ ,Municipal [] Other Connection Ira. of RangesHo. oE'Alr Gond. Total [ons Set- of Disposals 110. of licat TTotal Pumps • Tions K'a ons =s_ of Dishwashers S ace/Ares llcatin K'�t P g Pa_ of Dryers Heating Devices TN %_ of Water heaters KW No, of No. of Slxns Ballasts Low Voltage s !Tiring Sm. Ilydco Massage Tubs No. bf Motors Total UP GMIEA: IMSURA1C'n COVERAGE, Pursuant to the requirements of Massachusetts General Lais 2 have it current Lf bili[ Insurance Pollcy Including Completed Operations Coverage or S -a aubstantlxi elrtivalent. YES [ 110 [� I have suhmIttcd valid proof of sane to this office. YES Er 110 L] 11 you have checked YES, please indicate the type of coverage by checking the appropriate box. rNsURAIiCE (3"Bolm ❑ OILIER 0 (Please Specify) - _7xp ret on ate Estimated Value of Electrical Work S =ark to Start K, d -'Q Inspection Date Requestedt Rough Final e:t�cd under the penalties of 1•e, j.- 7, El m ![km � � �L�c7� / (1 Cid Z/�e . ' LIC. 110. Licensee Signature �= AV'LIC. 110. fBus. Ief. iro. 6 Alt. Tel. 110. CXWtX'S INSURAIICE WAIVER: i an aware that tits Licensee does not have the insurance coverage or Its su - stantlel equivalent as required by llaasncirusetts General lives, an that my signature on this permit a1+p11eation valves .this requirement. Owner- Agent (Please check one) _ Telephone No. PERMIT FEE S Sltnatute of Owner or, rent ` •.1 r z 0 I GEF rts► Y+.w4ft! yi �O r ca PS pMp1 +4a`rt � z Q a � W vo o° a 06 a W = O LL z 0 0 W Q o W V C --r s 9 91 Ll - R 1w 0 W W cc F� W CL r i3�1 tz 6 .�o Z t 2 u x qk— I cn W CL Date. . . c, .`l ..... ,,ORTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..... . ..... ............ ....... A/ ha's permission for gas installation 46� ......I............. in the buildings of ... k-9,% A /.. f.,l ..................... at ..U!` -e:.........AS North Andover, Mass. Fee. Lic. No. . . ....... Z�, -.V- . . . . . INSPECTO Check # 4976 P MASSACHUSETTS UNIFORM R PERIVHT TO DO GAS FTITING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS � / 2 4— Permit # u S 1 '� Building Locations -33 ° pw 2" 2412 Amount $ % Qd ✓ Owner's Name L14 �— M et ti rliaki New Renovation Replacement Plans Submitted ° U a L7 O H U yi °] F WW W ga O H O OG O a A F 1 C7 H W p0 O W�W R� Op4 G4 A C7 .a O U ai a H SUB-BASEM ENT ENT BASEMENT 1T. FLOOR 2ND. F L O O R 3RD . F L O O R 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR f-, — Chec one: Certificate Installing Company (Print or type) Name Li Corp. Address El Partner. a,L< usmess a ep one Firm/Co. Name of Licensed Plumber or Gas Fitter rPJ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ID M, If you have checked yes, please indicate the type coverage by checking the appropriate box. D Liability insurance policy 1 Other type of indemnity 13 Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ss. eneral Laws, and that my si ture on this permit application waives this requirement. Check one: ❑ ature of Owner or Ownegg Alght Owner Agent I hereby certify that all of the deWls 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 0 Plumber ,/&^SE& Gas Fitter License Number Master Journeyman Date/1'.1 `' . . V HORTN + o<�`•°„•_ �ti0o TOWN OF NORTH ANDOVER FO 9 PERMIT FOR PLUMBING This certifies that .,,�,�9�!�!i.*..f.... .�.��. lam ................. has permission to perform ....�.P....('' `� `� ................... plumbing in the buildings of..1114.c. 1!'A. /..................... . .at. h `� .............. . North Andover, Mass. Fee.. ' . Li c. No.. . ` ......... PLUMBING INSPECTOR Check # 0 MASSACHUSETTS UNIFORMAPPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER, MASSACHUSETTS r,,,,,. � �^ Date -I l -o y Building Location ¢�U M Ow ers ame.� M V N Permit # L Amount L f�jr7 Type. of O anc New Renovation Replacement 0 Plans Submitted Yes No FIXTURES (Print or type) �-- Check one: Certificate Installing Company Name �%/Am,•� ni aI'l ek( Corp. Address C37 /Ii v rc i Partner. if h74 14 KQ iru 4-1_ Business Te ep one Firm/Co. Name of Licensed Plumber.: ` /itiI 1'YltJ1^ pKy Insurance Coverage: Indicate the type of insurance c6verfge by checking the appropriate box: Liability insurance policy 4 Other type of indemnity D Bond 07 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above e insu nce ign re Owner Agent E I hereby certify that all of the details and information 1 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 husetts State Plumbing Code an Chapter 142 of the General Laws. By:0-1 Licensea Flumeer Type of Plumbing License Title City/Town ce e um r Master 0 Journeyman 11 APPROVED (OFFICE USE ONLY M