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Home My WebLink AboutMiscellaneous - 401 STEVENS STREET 4/30/2018 i 1 BUILDING FILE I �!. P L O T p,L_AN ! ff 371 Stevens Street I Na. Andover, Massachusertte Scale: 1f 401 {) Date: Aqgust 24, 1978 V I I-o r B I 1• o.oo EI ! ! r 1 \Q. ri 11 � i ,C D T �q ,� ^ 240, 19 =X30, 000 14z.5 o i h � o J rele.- p 9 N.B.- Do not use offsets for establishing lot lines for the erection of fences wells hedges, e I hereby certify that the bALj .ng on thisro P PAY is located as shown on plan but does not comply with the :' 1 :; Building and Zoning Laws of the Town of No. Andover. �ti �.: . R*.a a � � N� -, NOTE: REAR DINE REQUIREMUS - 30.01 �•' ter �; CUR ENGINEERING SERVICES INC. CAN 4 . 300 AI, STREET LAWRENCE, MASSACHUSETTS Discussion with the North Andover Building Dept, Charles St., Nov. 18, 2002 Plan#6892, non-compliance of measurement (29ft 6in.) per code 30ft. poses no problem when selling property , only if an addition were to be made on that particular dimention. SXefo a,4 r-r- ')s /-S I-e C4/ � US- V�D N /�faC 4. �-C'�''rK r T �l ��LC e r�'�C d`,..� ��P" a n�•-c._ �n41A rti u Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . .41�(� has permission to perform wiring in the building of . . ./. .( f'a �` P.✓/�:� ,e. . . ._ . _ . . . , at . . . . v . J. P r !^ � . . . . . . . . , h Andover, Mas 4 Fee -� . . . Lic. No.jvw. . . � . . . ELECTRICAL INSPECTOR Check# b 11205 � Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MECO,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date!_// ,�Ak City or Town of. NORTH ANDOVER To the Inspector of Wiles: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant ► �. Telephone No. Owner's Address ed X �/// 15 Is this permit in conjunction Nyith a bR ng permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 1-522 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service r Amps C) / Volts _ Overhead❑ Undgrd�` No.of Meters Number of Feeders and Ampacity p (/ AIV11 o1G� i1.� Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. of No.of Recessed Luminaires No.of Ceil: TransSusp.(Paddle)Fans Total Trsformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators - KVA Above In- W0--.0f Emergency Lighting No.of Luminaires Swimming Pool rnd. rnd. 11 Batter Units I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No, of Zones l No.of Switches No.of Gas Burners No.of Detection and f Initiating Devices k No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices ' No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: ' " " Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications 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 U%- BOND ❑ OTHER ❑ (Specify:) I certify,under thepait s and penaltie�s of�erjury,that the information on this ap lication is true and complete. FIRM NAME: . v t r-> I, , ,, " -Z ., tC' , LIC.NO.: Licensee: I'V ct Signature LIC.NO.: `31�&JC7- (If applicable,en .11eyempt11 in the license nu a line.) Bus.Tel.No. Address: S s�' ./ Alt.Tel.No.• *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. • 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. I am the(check one)❑owner ❑ owner's agent. Owner/Agent [PERMIT FEE. $ Signature Telephone No. Information and Instruction's Massachusetts General Laws chapter 152 requires all employers to provide workerscompensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,- 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 Iicensing agency shall withhold the issuance or renewal of a license orermit too operate a business or to p p 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 ofpublic 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-contractors)name(s),address(es)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 nt 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 bum 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 600 Washington Street Boston,MA 02111 Tel,#617-7274900 ext 406 or 1-877,7MASSAF) Revised 5-26-05 Fax#617-727-7749 www.mass,govldia