HomeMy WebLinkAboutMiscellaneous - 34 MAY STREET 4/30/2018-4
Date. �A?"A
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMB14G
SS US �^
This certifies that r..`' .................. .
has permission to perform ..... ` '
plumbing in the buildings of ..% '� ' n .J �/� .l . L .............
at .. .�� %. �.'.� ! . `................ . North 'Andover, Mass.
Fee .u.7..... Lic. No.D r ..... .............
NUMBING INSPECTOR
Check � % �
7610
VERMONT MUTUAL INSURANCE GROUP®
89 STATE STREET - PO BOX 369
MONTPELIER, VERMONT 05601-0369
® Claims 800435-0397
Since 1828 Property/Liability Claims Fax 802-229-7647
Auto Claims Fax 802-229-8941
E -Mail claims@vermontmutual.com
March 13, 2015
Building Commissioner/Inspection Services
1600 Osgood Street
Building 20, Suite 2035
North Andover, MA 01845
978-688-9545
NOTICE OF CASUALTY LOSS UNDER MASSACHUSETTS
GENERAL LAWS, CHAPTER 139, SECTION 313
RE: Insured:
Claim No.:
Policy No.:
Date of Loss:
Property Location
Type of Loss:
Ladies and Gentlemen:
Marshall, Nancy
HC207157
H017060194
2/17/2015
34 May St
North Andover, MA 01845
Ice Dam
The above insured has filed a claim 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 undersigned and include a
reference to the captioned insured, locations, policy number, date of loss and claim or file number.
Thank you for your cooperation.
Sincerely,
Scott Faehnrich
VERMONT MUTUAL INSURANCE COMPANY - NORTHERN SECURITY INSURANCE COMPANY, INC.
GRANITE MUTUAL INSURANCE COMPANY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS /
Building Location 3 3 (o ff N/��/Gy �jl/�� (� L� Date Z ^( Z'0
7 % Owners Name Permit # O
Amount
Type of Occupancy ' 7
New Renovation0 Replacement 1:1 Plans Submitted Yes No 11
(Print or type) _ p � Check one: Certificate
Installing Company Name s/ f�/y2IC/en-!- L ❑ Corp.
Address _- d) Y tl/L(�1 6-1t 'q% Partner.
Business Te Telephone n Firm/Co.
Name of Licensed Plumber: S�% //1 fi%G�%ZEP,
Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy E 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 Owner ❑ Agent M
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 Massachusetts�,,ta Plumbing Code ChaptW 142 of the General Laws.
IBy:
(APPROVED (OFFICE USE ONLY
Type of Plumbing License
10
License NumBer Master ❑ Journeyman
2 P"
-.�-.-�-.--------
IMMMMMM
NNW
MMM
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MMMM
MOWN
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MMMMMMMMOMM��
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MMMMMMMMMM
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0 1. M
---M--MMMIM
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IMMMMOOMM
(Print or type) _ p � Check one: Certificate
Installing Company Name s/ f�/y2IC/en-!- L ❑ Corp.
Address _- d) Y tl/L(�1 6-1t 'q% Partner.
Business Te Telephone n Firm/Co.
Name of Licensed Plumber: S�% //1 fi%G�%ZEP,
Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy E 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 Owner ❑ Agent M
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 Massachusetts�,,ta Plumbing Code ChaptW 142 of the General Laws.
IBy:
(APPROVED (OFFICE USE ONLY
Type of Plumbing License
10
License NumBer Master ❑ Journeyman
2 P"
D/ate./ t ... .I/..... .
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ... P !.C. r? If r, l�4 (�
has permission for gas installation .. P A ! `�............ .
in the buildings of . 14'm. ? 5.1 p.(.L
at .............. . North Andover, Mass.
' • F�
Fee.3� ..... Lic. No. 1. 1. ? .. .
GAS INSPECTOR
Check # P �-
6278
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date l02 - 1,2 �D
NORTH ANDOVER, MASSACHUSETTS
Building Locations
Permit #
Amount $ Q
Owner's Name
New Renovation Replacement D/
Plans Submitted D
(Print or type)
Name_. . 'Q/CK&%2, Pi Check one: Certificate Installing Company
Y
Corp.
Address � /' t—
�l D Partner.
i�� vrrc c�d,�G il/�� • 6330 �
Business a ep one Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance' policy or it's substantial equivalent. YesNoD
If you have checked es please ' dicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond D
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.
Signature of Owner or Owner's Agent Check one:Owner Agent
hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
13
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 #-Gas C9de andhapter 142 of the General Laws.
By: .
Title
City/Town,
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber aaF�?-v
Gas Fitter License um er
Master
Journeyman
U
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SUB -BASEMENT
IF
a
B A S E M ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or type)
Name_. . 'Q/CK&%2, Pi Check one: Certificate Installing Company
Y
Corp.
Address � /' t—
�l D Partner.
i�� vrrc c�d,�G il/�� • 6330 �
Business a ep one Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance' policy or it's substantial equivalent. YesNoD
If you have checked es please ' dicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond D
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.
Signature of Owner or Owner's Agent Check one:Owner Agent
hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
13
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 #-Gas C9de andhapter 142 of the General Laws.
By: .
Title
City/Town,
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber aaF�?-v
Gas Fitter License um er
Master
Journeyman
Location 3 3 'C6lA�( St
No. ds Date k3
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Perrk,%ee $
Foundation Permitl:ee $
Other Permit Fee $ P
Sewer Connection Fee .
Water Connection Fee $
TOTAL$
ct43 1c( (`� Building Inspector
_ 7913
Div. Public Works
PERMIT NO.
I
t
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP i-40.
LOT NO.
I
2 RECORD OF OWNERSHIP ;DATE
BOOK ;PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
34/36 May Street, No. Andover�
PURPOSE OF BUILDING
V
OWNER'S NAME Fidelity House, Inc
NO. OF STORIES 2 SIZE
OWNER'S ADDRESS
One Parker St.. Lawrence
BASEMENT OR StMA.
ARCHITECT'S NAME
Yes -
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME
SPAN
DIMENSIONS OF SILLS
"' "' POSTS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES Scope of work - Updating of electrical,
plumbing, new dry wall and 1 set of kitchen cabinets.
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12 "w„ ```�
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING q00 �-ti "a- �'\
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILEDy AND APPROVED BY BUILDING INSPECTOR
DATZ FILED
OF OWNER OR AUTHORIZED AGENT
FEE
a
PERMIT GRANTED
19 ��
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 16
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL.# 508-685-9471
CONTR. TEL. #
CONTRA IC. 011756
H.I.C.# 107738
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
S ORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
—I
8 INTERIOR
FINISH
CONCRETE
PINE
HARDW D
B
1
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
UNFIN.
_
3 BASEMENT
AREA FULL
FIN. B M AREA
_
1/1 1/2 '/,
FIN. ATTIC AREA
N_O B M T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
_
4 WALLS I 9 FLOORS
CLAPBOARDS
B
_
1
2 3
�_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARDVJ D
COMtACN
VERT. SIDING
_
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER ELK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I I POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
GAMBREL
FLAT
HIP
BATH 13 FIX.)
MANSARD
TOILET RM. 12 FIX.)
SHED
WATER CLOSET
_
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
_
_
TILE FLOOR
TILE DADO
6 FRAMING I
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
to 13rd
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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� * Office Use Onl�f
0��4c l'iommunliur# of 14finsar4use11,s Permit No.
_- i9epartmIent of Public t6afrtq Occupancy & Fee Checked
' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank)
w
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK"
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
(X* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a rlpermit to perform the electrical work described below.
Location (Street & Number) �7 `T 34
Owner or Tenant
Owner's Address . 12 " �_.,
Is this permit in conjunction with a building permit: Yes C No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Amps Volts Overhead ❑ Undgrnd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets I No. of Hot Tubs I No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In- r—
g g grind. grnd. ! Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets O No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Air Cond. Total No. of Detection and
No. of Ranges tons Initiating Devices
Heat Total Total
No.of
No. of Disposals Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers I Heating Devices KW Local MunicipalE]Connection `f Other
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Comoieted Operations Coverage or its substantial equivalent. YES = NO - I
have submitted valid proof of same to the Office. YES = NO — Ifyouhave checked YES. please indicate the type of coverage by
checking the appropriate box._ :: / �/�/���•. �,L G
INSURANCE — BOND — OTHER (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work S
Work to Start Inspection Date Recuested: Rough Final
Signed under the Pe Ities of perjury:
FIRM NAME (i LIC. NO. = `
Licensee Signature LIC`. NO.
/) Bus. Tel. No.
Address [ r ���* o�'A'� —��=� Alt. Tel. No.
OWNER'S INSURANCE WAIVER: ^t am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Peas checK one)
Telephone No. _ PERMIT FEE S
(Signature of Owner or Agent) x•5565
Date..........// .!..........yl..
U
t NORTH � �
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
D, ... ,asp•
SSACMUS�
This certifies that ...............I ....`t......../, �....... .� ...... ko
i ca
1 j
has permission to perform ,.....:: ..:..<..-.:...............��1 �.. T.'.....:/.!.'f.
wiring in the building of ..........I.. .�.. ! ......! ... �.f'' : r... .....M �............
a ...........' r......,r�. .! ' .........�.1................. .North Andover, Mass.
Fee ... `�....... .. Lic.No....:...1..:. `��/.................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
-No 2602-
-7177 Date.....! x..1�...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .............:..4.. Y✓......:4..!...:.................................................
has permission to perform ..... %�? . �.'.......... �,l .(-. ........................
wrong in the building of .......... ..1.4.<....�........................................................
N
`......
r7 -
'at
IFe51y1.1 �..�........................ ' North Anndover,a.
ss.
/.i.�GlLic. No ......TipM
i1
ELECTRICAL INSPECTOR
(��4, C�&
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Then,F;�'°:C3aLucalth of Afassachusctis
�_.a .--t�:, r t�• c
Dcpartmcnf of Public SaJc4y
`,•� Ckcunancy� 6 F" Ducked
BOARD OF FIRE PREVENTIONF,EGULATIONS 527 C?.IR 1--00 3/90 itea.� Clank)
APPLICATION FOR PERMIT TO PERFORM ELE9FRICAL WORK
All work to be performed In accordance unth the Macsachuseru Electrical Code. 527 CMR 12:00
(PLEASE PP.I11T IN INE; OR ME ALT IliFOPHATION) Date /%- l d _ 9 �
City or Town of N• J.'j /1/& G V 0 (L - To the inspector of hires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
3 �/ 1'%,y s r
w
Owner or Tenant ` Z A-) rL �— S ,L A c.1( ( Pd / yydZ.
06.+ner's Address
Is this permit in conjunction with a building permit: Yes ❑ No (Check AppropriatesBox)If
/
Purpose of Building �l�ii1% ��1�1 /� Utility Authorization NO. 90_zll/ to
Existing Service ?- OQ Amps j/ /adol Q Volts Overhead er 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 J/02,1,1aJ/ f% Llf& ;7
No.
of
Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
iVA
No.
of
Lighting Fixtures
SwimmingPool Above In-
oogrnd. ❑ grnd. ❑
_
Generators
No.
of
Receptacle Outlets INo.
of Oil Burners
No. of Emergency Lighting
Battery Units
No.
of
Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
g
No. of Self Contained
Detection/Sounding Devices
'4unicipal
Local 1:1Connection[]Other
No. of Ranges
Total
No. of Air Cond. tors
No. of Disposals
P
No. of }peat Total Total
uWps Tons KW
No. of Dishwashers
Space/Area Heatin I'
g ,W
No. of Dryers
Heating Devices K''W
No.
of
Water.Heaters KW
INo, of No. of
Signs Ballasts
Low Voltage
Wirine
No.
Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES F1 NO F1 I have submitted valid proof of same to this office. YES ❑ NO D
If you have checked YES,. please indicate the type of coverzge by checking the appropriate box.
INSURANCE P-1 BOND ❑ OTHER ❑ (Please Specify)
d"
Estimated Value of Electrical Work S -Z'_IQ 6'49
Work to Start Inspection Date Requested
Signed under the penalties of perjury:
Rough
Expiration Date)
Final
FIRM NAIKE K 6( No. l4 ,(X
Lic^_nsee - AJ_! J �►�,olL� Signa re
�T B�sT�IN 67'
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Address --
— Alt. Tel. No.
OWNER'S INGUP.ANCE WAIVER: I an aware that ti:e Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERI -11T FEE=���
(Signature of (n.mer or Agent)