HomeMy WebLinkAboutMiscellaneous - 340 JOHNSON STREET 4/30/2018 (4)Date ........-. °.. n...... . NORTN Oya�..ao ,a,�00 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION i This certifies that :-�-� `' ....?..... f ....... . has permission for gas installation in the buildings of, . / �-�c. .................... at .�'� `?� (.. �`^�-? �-.. ....... North Andover, Mass, z�.`sU... L c. No.�:-.7 Fee- ......... . �� GAS INSP&CTOR Check # 7 (, MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date ^ g` NORTH ANDOVER, MASSACHUSETTS Building Loqations 70 X101 70 �) 0 J11 Permit # Owner's Name / Amount $ �� NSA New Renovation Replacement Plans Submitted (Print or type) � Name �L�'�-1 Address COW Name of Licensed Plumbeior Gas Fitter (/ yyt Opo K Check one: Certificate Installing Company 0 Corp. Partner. Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes No If you have checked es please indicate the type coverage by checking the appropriate box. Liability insurance policy EP Other type of indemnity Bond 0 ED 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 13 Agent 13 1 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 State echoer 142 of the General Laws. IBy: (APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1Z7Z/ Gas Fitter License 114umber Master Journeyman zw a vi O w W d O = z F z U z O F a o Op a> w w w ., d x a w w F C F x F z W F Z W w O > w W U y C x x O d 3 A d C7 d O O w O (A W O SU B-BASEM ENT .a U C > O C6 F BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR (Print or type) � Name �L�'�-1 Address COW Name of Licensed Plumbeior Gas Fitter (/ yyt Opo K Check one: Certificate Installing Company 0 Corp. Partner. Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes No If you have checked es please indicate the type coverage by checking the appropriate box. Liability insurance policy EP Other type of indemnity Bond 0 ED 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 13 Agent 13 1 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 State echoer 142 of the General Laws. IBy: (APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1Z7Z/ Gas Fitter License 114umber Master Journeyman Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE/%% /W4�— JOB LOCATION Number Street "HOMEOWNER"T6V/1) - . Name Jam! L0 OX si dress 6:"1 O S'6s Home Phone PRESENT MAILING ADDRESS S 4M ection of town ork Phone 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 HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use 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, on a form acceptable to the Bulding 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 .North Andover Building'Department mi requirements and that he/she wil requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDIKG 'SIAL. that he/she understands the Town of 722 U�ctvon procedures and edures and Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. 1 ti 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 HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use 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, on a form acceptable to the Bulding 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 .North Andover Building'Department mi requirements and that he/she wil requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDIKG 'SIAL. that he/she understands the Town of 722 U�ctvon procedures and edures and Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. • s 1 `tom Y • 1 , o y =goo �' z �' z 90. oo • � U N �tp N 65•24'Sg Ile LA m 14 W N IA � 0 3 N� z N 0 s c4 a 4s=32 -,L/ J 3 FORM U TOWN OF NORTH ANDOVER .� LOT RELEASE FORkI H SUBDIVISION ASSESSORS MAP 3 %/J d6 SUBDIVISION LOT(S) 1,C)6f O ��s'.4«CIfeeI- PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET Ja �d ✓lJf/U/� J%/f' CJD �iUI�GVc�i /� APPLICANT �/�(�/d �% �f (/t/! C U GC / PHONE 6f[- V00d DATE OF APPLICATION9�- PLANNING BOARD TOWN PLANNER CONSERVATION COkDIL6SION CONS-ERVATI BOARD OF HEALTH HEALTH SANITARIAN TOWN USE BELOW THIS LINE DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED DATE APPROVED Z" j • q�, DATE REJECTED DATE APPROVED DATE REJECTED This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP 3 '76 d(,l SUBDIVISION LOT(S) 1&e /j X-1�,oC/C� PERMAN�NT ADDRESS (ASSIGNED B) STREET 3(� gee C 111MR! APPLICANT PHONE 6ff-V% Ie6 DATE OF APPLICATION PLANNING BOARD TOWN PLANNER CONS VA ON COPD: CONS RVATIO ADMI BOARD OF HEALTH HEAL'T'H SANITARIAN SI TOWN USE BELOW THIS LINE DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. DATE APPROVED DATE REJECTED DATE APPROVED Z" �/ • �'� DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTION 15 1. DATE fi'ri� ' DEFT ` This form shall be signed by the agents of �!hte-planning—and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. m z 40. oo' U Z N 65 2¢:55��� N 4 Z _ z N ll� Z N G4 e 45=32 " lJ R r 0 rQ ***TOw � Z O o 7A J� y 0 �� ° n T x J..' '.0 o i 0 o cc /1 lJ ^^ a j_ a n 0) Q I �`ci--t o9 0 0 3 3 , 3 o �1 gZ M rF CD v 3m O Q O �D 3 N '� 1 C 7 m m a w Q m Cl) M v —� Z a rfl 69 64 64 m ID N N v 0 3 0 FM4 h C1 LU CIL LU LU o > Z e W O LJ.J O� OBD W ou it C� aw �CL 0 ec C �C O N r w 0 O U U I W ZD Q) L S 0 CL .0 qw O v a V I --M-1 oc cc oc 0 ..� u oc 96LLIO 1L Z Z ? 0. 0 J H Z z �► m C � jm O L 10' Y � C6 � a 3 3 O O OO O cc U 11 cc lL cc fn LL Q LL m (A W O LJ.J O� OBD W ou it C� aw �CL 0 ec C �C O N r w 0 O U U I W ZD Q) L S 0 CL .0 qw O v a V I --M-1 LocationGl� V�� p �� y YMENT No. Ot? D to / r N /cc,)* NOR7►� TOWN OF RW"ANDOVER O?: 1 t•OA p Certificate of Occupancy $ Or Building/Frame Permit Fee $ Foundation Permit Fee $ s.�cHusE r Other Permit Fee $ / Z 5 - Sewer Connection Fee $ ~ Water Connection Fee-) $ TOTAL 2 ��• Building inspectors c i Div. Public Works r 310 CMR 10.99 L Form 2 M �.- Commonwealth i - N"it°=� of Massachusetts jc :c :6% :1 DEP Fite Na. VObebe wovidnd by DEV) c,tyoown North Andover _ AUUt�cdnt navi ri Mini G1lCC� Date nequest Filed February L-,,10192 Lot C-1 (4340) Johnson Street Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131, §40 From North Andover Conservation Commission Issuing Authority To David Minicucci (Name of person making request) (Name of property owner 1 Address 340 Johnson St N- Andnizer, Me Address 01845 This determination is issued and delivered as follows: 0 by hand delivery to person making request on /� (date) 9 by certified mail, return receipt requested on �'q• / �9d DSS / Id rtcrl Pursuant to the authority of G.L c. 131, §40, the North Andover Conservation Couuniss i cin ___ has considered your request for a Determination of Applicability and its supporting docunterttatiort. and has made the following determination (check whichever is applicable): �,bcation: Street Address --- -- --- Lot Number: Lot C-1 (44340) The area described below, which includes all/part of the area described in your rewi st, is art Area Subject to Protection Under the Act. Therefore, any removing, filling, dredginy or altering of that area requires the filing of a Notice of Intent. 2. ❑ The work described below, which includes all/p,111 of the work described in your tettut".t, i, within an Area Subject to Protection Under the Act and will remove, fill, di edge or alter that, fore. said work requires the filing of a Notice of Ir)tertt. Effective 11/10/89 2.1 3. ❑ The work described below, which includes all/ par I of the work described it vol. r reuuest. IS within the Buffer Zone as defined in the regulations, and will alter an Area Subject to f •rolecfion Under the Act. Therefore, said work requires the filing of a Notice of Intent This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under It le Act 2. C:1 The work described in your request is within an Area Subject to Protection Undcr tyle Act. but will not remove, till, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. 3. The work described in your request is within the Buffer Zone. as defined in the icoulallons. but will not alter an Area Subject to Prptectfon Under the Act. Therefore, said work does not reUtnre the filing of a Notice of Intent. Erosion controls will be installed and inspected prior to construction. 4. O The area described in your request is Subject to Protection Under the Act, but silicci Ute work described therein meets the requirements for the following exemptfon.as specified Irl the Act and the regulations, no Notice of Intent is required, — Issued by North Andover Conservallon C:onrrffi—ion ' Signature(s) `' i This Determination must be signed by a majority of the Conservation Conlnlissror �- brilvrr. viii �f C On this '�7•' day of �%%�y`C�� 1 u personally appeared GAO to me k ovitl to be the person described in, and who executed, the foregoing instrument. and acknowledged Ulat rl^'r,rle executed the same as his/her free act and deed. 61I' Septelliber 9,99 1h _—.._-_-- rV 1 , otary Public My commission expires o +I r 010i11Jnces. TMs DDeterrmnalion aces nor relieve the apollCanl from COmDlymo with Ill other acnh�+DIP reCI ir. Sl,lle O IUC.•t'•L IUIr's by-laws or regulations. This Determination shall be valid for three years form the care of Issuance The applicant, the owner. any person aggrieved by this Dotormtnation. any oMvier of I nd nhutnnn trin t;inn UPrrn 1.111 ii Ihr rnnh: '•i'r) v.wV it to be done, or any len residents of Inc city or town in which SUCK land is IOC lied, ere lininhy 1101 il red 0t Inim IKIIII In rr••1 tfw'It, i,, l in I. ;If Ininnl of Environmental Protection to issue a Superseding Determination OI Applicnbihiy, vtovidion trip'soup;l i•_ rn:i•1n h, c- wwri map, or tumrl delivery to the Depanment. with the appropitate filing loo and Fee 1ran;mnlai roan n' p,ovided in 310 C'Mrl Ili Uv -i v oimi Inn nny•. lamp the date of tssuanco of this Dotormmation. A copy of trio request Shnll of trio rennin linin fin r.nnt Uy cnililiptl lu;ul lir 11111rf nnhvniy Iii thn Conservation commission and the applicant. 2.2A v lyZ NO. -0'4 7.,,- APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP KVO. 3 7 D i LOT NO. a `�� —1— 2 RECORD OF OWNERSHIP iDATE BOOK PAGE �QNE (�_ ? I SUB DIV. LOT NO. ,t 7 C/LC/ 6� Va 7 ? LOCATION 2 //a J,' 7nI7JN PURPOSE OF BUILDING ICII NI` yy /' I [ OWNER'S NAME) �`•` NO. OF STORIES SIZEoz OWNER'S ADDRESS✓ 2(%l/ TG A�19/ (-i� /Sr�9p�% BASEMENT OR SLAB /•l t ARCHITECT'S NAME �,C U�✓��f%�f� O SIZE OF FLOOR TIMBERS IST V%/1 /2,2ND 3RD BUILDER'S NAME _/IGL�p� SPAN SPAN �3 DISTANCE TO NEAREST BUILDING d.�-` DIMENSIONS OF SILLS 7— DISTANCE FROM STREET Y7 �l / POSTS DISTANCE FROM LOT LINES - SIDES REAR 3e -0b " GIRDERS AREA OF LOT 51 7, / 73 FRONTAGE HEIGHT OF FOUNDATION THICKNESS /U IS BUILDING NEW / SIZE OF FOOTING �� X ,/ IS BUILDING ADDITION y/`T MATERIAL OF CHIMNEY IS BUILDING ALTERATION /.) 0 IS BUILDING ON SOLID OR FILLED LAND soe /{may J 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. L IS BUILDING CONNECTED TO NATURAL GAS LINE 1ps INSTRUCTIONS 1X4tIYI`.It-Hq*: PAGE i FILL fbUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS I - 12 r 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 FD -Cr SIGNATURE OF OWNER' ALTTHOFr1 D AGENT / OWNER TEL. CONTR. LIC. # PERMIT Fz/�, / 19 ' MAR 2 71992 ; , _ I 1 3 PROPERTY INFORMATION LAND COST S-) EST. BLDG. COST 9 � j G / Q EST. BLDG. COST PER SQ. FT. �yU EST. BLDG. COST PER ROOM � 60 /t/Y/rl SEPTIC PERMIT NO. A11-4 �c 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN 'NV1d 101d S30VM1d3U SIHl 'a3SOdW12i3dnS '013 'S39VM -V9 'S3H0MOd H11M 'S9N1a-ime d0 SNOISN3W1a 10VX3 aNV S3N11 101 WOUal 30NV1Sia aNV 10-1 d0 SNOISN3WIa 10VX3 MOHS 1SnW N01103S SIHl rl d_ . lib" zl I AONVdn00o 1 Gb0D3b ONlalins `JN11V3H ON _ I PIC I / +' L r P -L 1.W.9 D180313 110 SWOON dO 'ON L SVJ SM31V3H 11Nn 0.1.H 1NVIOVM ONINOIIIONOJ MIV MOdVA 210 b.1.M lOH _ Sa31dVb QOOM 'S10:) B 'SW9 13315 WV31S _ 'S10J I 'SW9 M39WI1 NMn3 bIV "' 03J2iOd 3JVNMn3 SS313d1d 1SIOf DOOM ONIMN Il I ONIWVNd 9 OOVO 3111 210013 3111 3321n1X13 Nd340W 9NIJ008 110?1 _ 83MOHS 11VIS JNI9Wnld ON 13AVMO '8 MVI 31V1S ANIS N3HJ11X S30NIHS BOOM _ A8OlVAV1 S310NIHS 11VHdSV 13SO1J M31VM C13HS 1V13 1369WVJ I'XI3 LI 'WM 131101 OMVSNVW XF3 EI H1V9 dIH ^ 319VJ `JNI9Wflld 61 i00N 9 3NON 131VnO3OV MOOd dOIM3dnS ONINIM 3WVM3 NO 3NOlS AdNOSVW NO 3NO1S X19 M3ONIJ bO ':)NO:) -I3WVd3 d0013 8 'SMls JI11V NO XJId9 kMNOSVW NO XJId9 — E F 9 3111 'HdSV NOWWOJ 3WVM3 NO OJJniS �. AMNOSVW NO OJJn1S _ _ `JNIOIS '1M3A ONMIS 10IS31SV Q MOdVH ONIOIS llVHdSV S310NIHS DOOM H1dV3 313dJNOJ 109dOMj SOdV SNOOK 6 II S11VM b N3HJ11X N83OOW WOOS OV3H S3JVld 3d13 1.W 9 ON V3dV JI11V 'N13 % 1/1 'L V3dV .1.W.9 N13 N13Nn ll VfA AMO M31SVld O.MOMVH _ 3NId E� L E HSINH N0I1131N1 8 lln3 V3MV 1N3W3SV9 £ Sd31d 3NO1S NO XJId9 'X.19 313dJNOJ 313dJN0J NOILVONnoi Z N0110nUlSN00 S1N3W1MVdV _— S3JI33o It kllWV3 'I1lnW S31d0!S AIIWV3 31JNIS zl I AONVdn00o 1 Gb0D3b ONlalins Location 3 y �_ -� ° ^ ^` S -f ev No. Date 9/ rl P y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # B J - Building Inspector % r CommonwealCh of Massachusetts Sheet Metal Permit Date Ti /�/ / Estimated Job Cost: ) to i Plans Submitted: YES -tom j`0 Business License # Business Information: Name: Street: 1 4 s S AAA- -7 A - Telephone: q `7 `� - (� ° 5 Permit # 3 v F S 7 Permit Fee: $ Plans Reviewed: YES NO Applicant License # Property Owner / Job Location Information: , Name: T) h S_4 vAA jyt i (QCc i Street:.3 4 0 -75-0 'An So n) City/Town Telephone: 1 7e6 3 5 Photo I.D. required / Copy of Photo I.D. attached: YES NO Building Type: Residential: 1-2 family Multi -family Condo /Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. over 35,000 cu. ft. Renovation: She metal w rk to be completed: New work: HVAC Metal Roofing Kitchen -Exhaust System Chimney / Vents Provide brief description of work to be done: 5--- VIot r c eat t 5 0Ac 10 1-7 I AkW s glo®'/ \'J�\I b I a V INbUKANCE COVERAGE: I have a current liabili insuranc policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes No ❑ If you have checked Yes, indica the type of coverage by checking the appropriate box below: A liability insurance policy Other Moe of indemnity (-1 n..,,1 r-1 OWNER'S INSURANCE WAIVER: l am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CheckQne Only Owner ❑� Agent ❑ of Own c( Owner's Agent By checking this boYX 1 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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Progress Inspections Comments Final Inspection ------------ Type of License: By ❑ Master Title ❑ Master -Restricted City/Town ❑Journeyperson Permit # ❑Journeyperson-Restricted Fee $ nspector Signature of Permit Approval Comments Signature of Licensee License Number: Check at www.massgov/dpl/dpl k Yes No f Sheet Metal Commercial Guidelines / Life Safety / Critical Systems Inspection Checklist NIA, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to-apprentice ratios / Fire dampers with access door properly installed and checked for operation Smoke and combination fire/ smoke dampens with access doors properly installed - actuator checked for proper operation (May also be verified by fire department during Ere alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke / atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed (where required) and operation verified (May also be verified by fire department during fire alarm testing) Case / kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper 6161anees, fire rated enclosures and essure testing required: %.� F} i,esu 2ffit6 install'6.ff Yepq red 'oil equipment and d1=; tv. o:r:~< Duct penetrations in fir'e'rtU sVall:� and floors sealed Metal roofing systems installed watertight using proper materials and fasteners Flexible duct rans installed 6'•-0" maximum length Ductwork installed using proper hanger spacing, hanger stock, threaded rod and angle iron / Ductwork / plenum connections sealed substantially airtight { Ductwork insulated by means of extemal covering or internal lining Volume dampers installed for each supply air branch duct New/clean - properly sized filters installed (final inspection) Testing and Balancing report complete (final sign -oft) y a 41 Sheet Metal Residential Guidelines / Inspection Checklist Yes No N/A f Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating / cooling load calculations Duct work sized per manual "D" calculations h / shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximuin flexible run 8'-0" 'duct Flexiblen to " E t run s is fled 1A• �0 maximum length /volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) y r, 0 L FEW ef� I 4 CUSTARD INSURANCE ADJUSTERS 3135 Avalon Ridge PI Suite 200 Norcross, GA 30071 3/10/2015 CITY/TOWN BUILDING COMMISSIONER Gerald Brown Inspector of Buildings 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Claim Number: Policy Number: Company Name: Date of Loss: Insured: Property Location: 033552945 44079400004 Arbella Mutual Insurance Company 2/25/2015 David Minicucci 340 Johnson St North Andover, MA 01845 To Whom It May Concern: Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Lav, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, Arbella Mutual Insurance Company CC: City/Town Fire Dept, City/Town Health Dept Date.. ;!.07...... 6'6 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . �.T+. s`j A 14 Ileel""'°' C_ . has permission for gas installation OP ......... in the buildingsof.:r' —"7.­�..................... . at U J' �.^-4- F✓!� North Andover, Mass. Fee. ? S .7"7' Lic. No..TTU. .. ?^GAS -L.. -/INSPECTOR Check # 1153 & J23s L MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Lgcations Permit # Amount $ Owner's Name 114 (ilnA�s�gz� New Renovation Replacement ©' Plans Submitted 11 (Print or type) Name �, r __ Address ,�?_l _-7111 'T v --e -7- Name of Licensed Plumber'or Gas Fitter S� 0 Check one: Certificate Installing Company Corp. Partner. 13•-Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes [a- No13 If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy [I/ Other type of indemnity 13 Bond 13 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 L. L. : e..e.. ., ..ar- .�_ n -r— - -j ••, ...,.. — — —miia aim miumiatwn 1 ..ave suommea (or emerea) In above application are true and accurate to the best of my knowledge and that all plumbing work and instal lati rformed under Permit Issu d for this application will be in compliance with all pertinent provisions of the Massachus S Mode and Cpter 14f the Gyral Laws. Title City/Town, (APPROVED (OFFICE USE ONLY) Signature of I QPlumber ❑ Gas Fitter 13 --master Journeyman seff lumber Or Gas Fitter 036 License Nurrrber � a w v� z v7 cx sC V O W x F w a O W F a a o F z F z x W w w W u a z d w e x F. F �� cw7 v, m z o z w o �, x x 'o x 3 c 4° °x > o a F o SUB -BASEMENT BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) Name �, r __ Address ,�?_l _-7111 'T v --e -7- Name of Licensed Plumber'or Gas Fitter S� 0 Check one: Certificate Installing Company Corp. Partner. 13•-Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes [a- No13 If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy [I/ Other type of indemnity 13 Bond 13 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 L. L. : e..e.. ., ..ar- .�_ n -r— - -j ••, ...,.. — — —miia aim miumiatwn 1 ..ave suommea (or emerea) In above application are true and accurate to the best of my knowledge and that all plumbing work and instal lati rformed under Permit Issu d for this application will be in compliance with all pertinent provisions of the Massachus S Mode and Cpter 14f the Gyral Laws. Title City/Town, (APPROVED (OFFICE USE ONLY) Signature of I QPlumber ❑ Gas Fitter 13 --master Journeyman seff lumber Or Gas Fitter 036 License Nurrrber Ef roc >. O a N Q. Z CA (A O .3�z ? 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MIdingson I ..... to be occupied as.,P .� ••• •••�Ir••• ............ provided provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. "VIOLATION of the Zoning or Building Regulations Voids this ermit. „I. 1 z17t / BUILDING INSP OF Display in a Conspicuous Place on the Premises Do Not Remove , No Lathing to Be Done Until Inspected and Approved by Building Inspector e• . r f ' T ilii , r, �i ��:;; . r U0103dSNl 'sj n `, s 1018 8891 !hedsui , 33e6ej sn lleo aseald .W .V J aged N0I1:)3dSNI ONIM0110d Vi 3)IdW 01 a311V:) 3AIMN3911d3b bn0 �s ©� No boo P-12, BOARD- OF HEALTH BUILDING INSPECTOR Rough Chimney Final PLUMBING INSPECTOR Rough Final M' ' ELECTRICA I'W�ECTT�OR Rough Service Final GAS INSPECTOR Rough Final FIRE DEPT. 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