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HomeMy WebLinkAboutMiscellaneous - 39 ADAMS AVENUE 4/30/2018 (2)[�1 L �W V O r O O Y U O J in a LO 0 d Q O O O O 0 00 O 0 0 ui IV O 0 N 0 JI W U Q a rno; 0 0[ t oO O O C-4 B N v (7 R Or'r is N. U� CO CO 00 'X U) U a din: mO r 'N :O 0 c c J J a�j@ a� a' >,� 00 N OC ami OVA W 'IT .S M1W OrN U5 O. O i Z aLL Cl) w ikk ;, 3 a' 0 . cow zr.- O io p � I- a. ' HLL QZ N0 Zee W;C gcc JJ CC v O Q 0 0 t J ON vN VQ Z o0 a E U 4 N N m N LLL) Z c {Q �'-L Z 6C6 d U' 0 'C -0 . . LL C)< f:OD CL Q' W N t 3:(/) i ;o ZQ CO N . Q ,m f 0 ,S Oo J o> a� -9-0 o. 2 }0 Q a C o v wr > mm W M�JN OMI (y = r2 m W �O 00 00 OOfQM Z 0 N00 ¢U O m rO M "T Y NIS 0 I'J E E Y1.U0 mM - O cm O f6':i N M aiU J, W O U W p 'd; O �_m O N L) Pa - w°- O p O W ' J O Q (n � C O ?.r Q OMS lit a: G Z d y 'r 7a = ai r, 2 p w -N <n U a pp o 'o CL 0+- > N P. - ;w ;w 'a r ti Q! r' WO a i cu -0r N rn #`Y -M Jai) L r aty V C9 VD -I My. 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V' CL Za2 �a ~ E ..= 0Q� a�: 2: m c gyp` m,m ~ U � o;o� m f6:d a� c Y OOc�Z Q (1) U) LL =u LL C-) a°(n to N rn N CL `m M CO f North Andover Board of Assessors Public Access Now]-" K j • i � Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors —AQproperty Record Card Parcel ID :210/045.G-0018-0000.0 FY:2013 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO A0 Pictuqw Available ttion: 39 ADAMS AVENUE ier Name: MAHAN, JAMES ier Address: 39 ADAMS AVENUE City: NORTH ANDOVER State: MA Zip: 01845 ;hborhood: 5 - 5 Land Area: 0.23 acres Code: 101-SNGL-FAM-RES Total Finished Area: 1344 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 332,200 347,800 Building Value: 170,900 183,400 Land Value: 161,300 164,400 Irarke' Land Value: 1.61,300 avter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2253031 &town=NandoverPubAcc 3/19/2013 Datemllolf. z-.. , 1 . �xrtLxo fs.� I I TOWN OF NORTH ANDOVER i PERMIT FOR GAS INSTALLATION This certifies that.. has permission for gas installation .. ,� ,� ,.%s. ........ . ...... . ..� in the buildings of ... ,/`''� �. �i ........................... at............. .. , North Andover, Mass. Fee. Lic. No.... .. -C . GAS INSPECTOR Check # 8337 i:����1, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK - CITY I North Andover MA DATE PERMIT # JOBSITE ADDRESS 39 Adams OWNER'S NAME I Mahan GOWNER ADDRESS Same TELF--IFAX� TYPE OR PRINT OCCUPANCY TYPE COMMERCIALQ EDUCATIONAL Q RESIDENTIALO CLEARLY NEW: ❑ RENOVATION: Q REPLACEMENT: Q PLANS SUBMITTED: YES NOF] APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER 1 BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE i INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT L Li OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YESE] NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICYED OTHER TYPE INDEMNITY Q 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 accur o the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with II Pe nent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAMEMike Capeless LICENSE # 15851V SIGNARE MP Q MGF © JP F� JGF ❑ LPGI Fj CORPORATION Q# PARTNERSHIP [--]#0 LLC 0# COMPANY NAME: The Boiler Guy/ Mike Capeless ADDRESS 1160 A Pleasant St CITY I North Andover STATE Ma ZIP 01845 TEL FAXI –1 CELLI 1EMAIL i:����1, Sit 11+�tv1C�l �l; ;.SSAC HUSETTS PLUMBERS AND GASFITTERS LICENSED AS A MASTER PLUMBER MICHAEL N CAPELESS 105 TYLER ST METHUEN MA 01844-1905 _ 1585I 05/01/14 1763.78 9 N° 9617 Date . /611011z.� RTM Npgo TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s � •• a ,• ,SSA—USE f This certifies that ......./A**0.. .. .... . ...... . . . . . has permission to perform ..4/3J..S/-,-r% plumbing in the buildings of .......... ................... at .. V. �.. i`t�-!a!+?3 .,/!,!!v...... .. , North And ver, Mass. Fee,3l%4�V .. Lie. No%?�57 .. .... ....... C� PLUMBING INSPECTOR Check # J � /� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I North Andover MA DATE 10/10112 71 PERMIT # JOBSITE ADDRESS 139 Adams Ave 7 OWNER'S NAMEJ Mahan POWNER ADDRESS I same TEL FAX 0 TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ❑ RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ No F] FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE x E E EE F— F= Fnn� DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET E Fz E=F— URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142, YES 0 NO 0 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY ❑ BONDF-1 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 rate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance i al ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I Mike Capeless LICENSE # 15851 SIT, ATURE MP❑ JP❑ CORPORATION❑#PARTNERSHIP ❑#OLLCO#0 COMPANY NAME 1. The Boiler Guy/Mike Capeless ADDRESS I 160A Pleasant St CITY I North Andover ISTATE Ma ZIP 101845 TEL FAXI CELL EMAIL L ' JIIv,C i r4 r.'.SSAGHUSLTi S ti PLUMBERS AND GASFITTERS LICENSED AS A" MASTER PLUMBER MICHAEL N CAPELESS 105 TYLER ST - METHUEN MA 01844-1905, 15.851 05/01/14 176378_ i ':t[a(' F•i� :t"�. :�,(i t f 1f sL' .j td.= a:itF_ :<<� N° 9 5 9 0 Date .. - NORTry •1"o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING :: s o� ,�,•• s SACHU This certifies that ........................................... has permission to perform . S .!`��!?...... r .............. . plumbing in the b it Ings of ..!ie ^. ................. . at ..... 1539 . . ...... . .......... rth AnMass. Feeld : .... Lic. No ./O:? f! , ....... PLUMBING INSPECTOR Check I/ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer -VVL/ UloruoCR FLOOR /AREA DRAIN INTERCEPTOR (INTERIO KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK U PTY MA DATE[j / � (PERMIT # WASHING MACHINE CONNECTIONi _; 7,..... - _ate_ WATER PIPING ! _— i 1 _._.__._.! _ _4 JOBSITE ADDRESS OWNER'S NAME POWNER ADDRESS TEL FAX -+ TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL 0 RESIDENTIAL PRINT - -CLEARLY NEW: RENOVATION: +' REPLACEMENT: Q PLANS SUBMITTED: YES NO© FIXTURES 'l FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM ____ _I _.._._l ! DEDICATED GASIOILISAND SYSTEM I ._. ( _ ! .,. __..., I _I _-_._.__._ DEDICATED GREASE SYSTEM ....___..! JI ------- IF- __..! ___..._J I _._.._._.l ......... -I DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM __. _....! DISHWASHER DRINKING FOUNTAIN -VVL/ UloruoCR FLOOR /AREA DRAIN INTERCEPTOR (INTERIO KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTIONi _; 7,..... - _ -- --- WATER HEATER ALL TYPES _ _ - �_:_I - WATER PIPING ! _— i 1 _._.__._.! _ _4 OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [iff'NO IF YOU CHECKED YES, PLEASE INDICATE THE T PE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE Ti POLICY _ . OTHER TYPE OF INDEMNITYEJ 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 IFJJ SIGNATURE OF OWNER OR AGENT E 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 i comp nce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAMEy SIGNATURE MP [r JPDi CORPORATION FI # _ PARTNERSHIP _-_'s #=LLC COMPANY NAME -; ADDRESS��_ CITY1 _.---- - ._........_iSTATETEL �h I zip - G-� 5_ r� _ � �i FAX CELL _. i EMAIL L3 A,/ r - I v w - � Cl) « O wl LU a ui w LL t The Commonwealth of Massachusetts De02 partment of Industrial Accidents Office of Invesfigations UV. 600 Washington Street Boston, 3M 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers mlicant Information Please Print Legibl, Name (Business/Organization/Individual): Address: I O 6A1c£;C/y7 eJ1_ 3 V V City/State/Zip:. "" 41,P d Phone #: q7p 7d � ci O -j y Are you an employer? Check the appropriate box: 1. ❑ I a employer with 4. ❑ I am a general contractor and I ployees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] I employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. [?Plumbing repairs or additions 12.❑ Roof repairs 13. [Other_ ,�tsx.�.�t. `Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp, policy information, am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site nformation. nsurance Company 'olicy # or Self -ins. Lic. #: ob Site Expiration Date: City/State/Zip: attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine ,f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of avestigations of the DIA for insurance coverage verification. do hereby c ander the pains and penalties of perjury that the information provided above is trite and correct. hone #: + q 7 7-2 9 2dr 5; 54— Official ttse only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # — .2n,— /Vr Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Phone Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), addresses) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ''-7- 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1,$77-MASSAFE evised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia 0 cn —S - - ..0 in Ld m 0 N lki to a Co ui Z v LL �4. w - a 0 Z oa p i 11. = m CQ a. Ln c ; Q w 1nN � a f- N N W Wd' Lail Q W Z CO 0 Z. -m¢¢ltl; cn U - c9 i �.. 0 3.. .: 0 N W l3l - a Date........`.. NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SA US This certifies that/ ............ I .......... - ........... I .................. has permission to perform .......... . ................................ wiring in the building of .......... ............................................. at ............ .............. .......... . North Andover, Mass. Fee .>T$�� Lic. No...-31.3.%� ...... . .. . ....... ELECTRICAL INSPE�MR Check # 8RO Official Use Only Commonwealth of Massachusetts Permit No. 83PO -- ', Department of Fire Services A 11` 1� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] 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 INFORMATION) Date: �- 02 7,zl� City or Town of: f QkJ# fi1YDoYL-P To the Inspector of Wires. By this application the undersigned gives notice of his or her intention to perform the electrical work deseribed below. Location (Street & Number) _?9 fiPAm5 A ►'C j Owner or Tenant JAME,5 IOA HA/Y Telephone No. Owner's Address 3f AOR145 /V8 Is this permit in conjunction with a building permit? Yes [' No []//(Check Appropriate Box) Purpose of Building K� S ID CNC Utility A orization No. Existing Service Amps 1 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: W l p-,6 8 AS E m EAJ 7� ADD r c_6 5u, L 6417) IG,, 0tJ i c -C -%S AAJD ,�LE�%RSC 6t ?s 60ARp NeAT Completion of -the followinv tahle may he waived by the hi.mPr/nr nf lVi— No. of Recessed Fixtures /9 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 oven- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets 2 No. of Oil Burners FIRE TLARMS No. of Zones No. of Switches 9 No. of Gas Burners o. o Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Number I Tons KW No. of elf -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local E]M Connection necti l ❑Other No, of Dryers Heating Appliances KW ecuritysystems: No. of Devices or Equivalent No. of Water K`1 0. of o. 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 tjdesired, 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: -?-4- 08 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: / LIC. NO.: Licensee: R d �N�,eD . L" • C 1 ULGA Signature c�444 LIC. NO.: 313 7 9 (lf upplicuble, enter "exempt " in the license number line) Bus. Tel. No.; 9 79 P 166 -8/ 7 Pi Address: 27 blYZy bk /7)1bP4t, 0Y, fn19. OINJ Alt. Tel. No.: y98 -3041-1o36 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insu ance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one)►LJi owner ❑ owner's agent. Owner/Agent Signature �Z Telephone No. q,;795 61326-0 PERMIT FEE: $ t9 it lq_ 2, � -,v 9 A� 10 -ly o A� 4 ,o