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HomeMy WebLinkAboutMiscellaneous - 41 RIVERVIEW STREET 4/30/2018 OEM 41 RIVERVIEW STREET ` 210/072.0-0008-0000.0 i I Date�170 7 . . . o': �oL TOWN OF NORTH ANDOVER PERMIT FO PLUMBING i � a • o _ ''a SSACMUS� This certifies that . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . .w. . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . !R.��'"���.� � . . . . . . . . . . . . . . at . . . .l! !,!+'d! . /. . . . . . . . . . . .. North Andover, Mass. Fee. ./.f. . . . .Lic. No.j. 3./v C . . . . . . . . . PLUMBING INSPECTOR Check # 723 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO'DO PLUMBING (Print or Type)// � Z00a lvd 24C IO(l° Mass. Date /2 Permit# L 3 Building Location—V/ 4MPr Z17? 1 5f Owner's Name ��//WaaclVl, Type of Occupancy q e- /e New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ FIXTURES x as z Y. < coi < • m � 1 ar N a a ¢ r- � N 2 Q. 0 h W r W0 F¢- .V ar Y < 0 ¢ ¢ A _ ¢ < C a t S T K ¢ Ut U1 O 7 < ¢. < W N G Q J = G r ti l _ < S O Z S 59 Q, p r < Y < m tc r � !- v > t- O = d O W F' Z O O tri Z Z ,� r o 0 Y s Y .t m tfJ C 0 1 < ¢ ¢ ¢ < O < r < ¢ in o SUB—BSMT. RASEMEHT 1ST FLOOR 2ND FLOOR SRO FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR ATH FLOOR Installing Company Name j)-D ) ,�O S PL-6 .fi (4-1 (-,(-, Check one:. Certificate Address 71 n C 000 C K- I i Ri- C,T— (�,Corporation `7 C L- f ly 'M iM A 0 t•q, Q ❑ Partnership Business Telephone q C 4�c) L U d ❑ hmvco, Name of Licensed Plumber S T L�6t,i ADDA P l D INSURANCE COVERAGE: I have( current " bility Insuranceopolicy or its substantial equivalent which meets the requirements of MGL Ch. 142: If you have checked Yes, please indicate the type coverage by checking the appropriate box A liability insurance policy A Other type of Indemnity ❑ Bond ❑ 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❑ I hereby certify that all of the details and information i have submitted(ort in above ap abon u true and aocu to to the gest of my knowledge and that all plumbing work and installations perfonned under tine permit issued s app' 'If be i plianoe with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 442 of the La BY rUe gnature of Lroensed Plumber Type of License:Master Jounieyrnan❑ / I Overt (O U NL License Number _ lC) BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKS Es PROGRESS INSPECT10f1S FEB , NO. APPOCATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE x.....,...19 PLUMBING INSPECTOR i Date. . .? ...... NORTH TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTAL ON . � - / ,SSA USE��( This certifies that . .i."%r'W. r` f+.! o . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . II& to". . . . . . . . . . . . . . . . . . . . in the buildings of .;Y 'v?Z.4'?�en e'(. . . . . . . . . . . . . . . . . . . . . . at . . .Ll. l . 9 ., f A !;.L- . . . . . . . . . . . . . . .. North Andover, Mass. Fee. Lic. No.. . ./. 3f.Q.6. .-- GAS INSPECTOR Check# 5865 Inspection of Gasfitting MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type)) J Iv• ��y� YU � Mass. Date / ?7- aG Permit # Building Location, UP+��/ �J Owner's Name rG� CGL� ..�. Type of Occupancy New ❑ Renovation p Replacement Plans Submitted: YesO �No❑ A � N Q X W �n N z Q X W Im 0 ccW W Q O O ..I .r... .. 0 7• N W 0 U W ~ �. Z J) y Q d y y z O ¢ O u m y F- y UJ C d O 4 H m W a W d 44 > R N p� W. x U W = N W < R: O p > W W W N a < M rt. a 0 Q W r W �' = H Q x a W J d C f.. �- N O > U_ F- W J W z a_ _ CG 0 I O � X IL 7 Q C? J G' > O 4 N O f SUB-BSMT. BASEMENT 1STFLOOR 2140 FLOOR 3RD FLOOR 4TH FLOOR (— STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name�(��(�(�r((��S U i,'l Check one: Certificate Address___ PVD t� S �nf Corporation Partnership Business Telephoneg - �FS�t - �rj3(p ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter V-r'6 INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Gh. 142. Yes N No ❑ If you have checked y.0, please Indicate the type'coverage by checking the appropriate box. s A liability Insurance policy P� Other type of indemnity O Bond ❑ 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 Uvner or Owner's Agent Owner❑ Agent O I hereby certify that all of the details and information I have submitted(or entered)in abov knowledge and that all plumbing work,and Installations performed under the permit issu Patio (f�I the best of my pertinent provisions of the Massachusetts State Gas Code and Chapter iA2 of i r ati will be i npliance with all a s. 9y T e of License. Plumber i '— Title Gaslitter ignature of License um er oras tler Master at /T Journeyman licensefVumbe �� V �, �INAl`INpEC`hb�is aKEtCHtEEE RROq:01na 11' PEC110NS N0. A"LICATI.ON!OR pERMI.T TO 00 PLUMSINO UNDIAOAOUND AQUGH ` COMPLETE RCuQN r 11NA4 INOPQGTION .� P><lllrliT 01111'MxED oats • PauM�I . IN��EctoP Location f K 1 V"F`✓ t `� w �'{ No. 3 Date NORTH TOWN OF NORTH ANDOVER ?O:t � o .�,•t•O F • Lp s Certificate of Occupancy $ CMUSE<�' Building/Frame Permit Fee $ —�— Foundation Permit Fee $ Other Permit Fee $ TOTAL $ l V V Check # J s b �1677Z V Building Inspector A • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT &PAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING vt .......... . ........... BUILDING PERMIT NUMBER: DATE ISSUED: 01— C9 SIGNATURE: �� Building Commissionedlnsv�ector of Buildings Date SECTION I-SITE INFORMATION I z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0 q- 1 RNF- RVIEW -S'-r9CGT 7,;?- B N 0 (Z-r H A N DO\J VL Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: C/v Zoning District— Proposed Use Lot Areas Frontage(ft) 1.6 WELDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: > Public 0 Private 0 Zone - -- Outside Flood Zone 0 municipal 0 On Site Disposal System 0 -q SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record V L TAY ALAAAANCVAILA 4) Vz\\JCR1\/ 1aP- 6j -.1s�RCE-To Name(Print) Address for Service 8— cl-I S— %\I 2 SignaturU J Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z M Sipatiare Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable El M-C- % -S- 1�%-) P k (-- 0 , -2 Licensed Construction Supervisor: A C )9 3 (0 (�W 0 se Number ber Mn Address > PR Aj\ �,Q_4-k serExpiraetionu ate ic Signature Telephone r 7 < 32Regi red Home Improvement Contractor NdApplicable 11 Company Name M Registration Number rM Address 4 z Expiration Date Signature Telephone Q SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check ail applicable) New Construction [I Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: V 1 N f} SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beDollar ( �� ��FF�C� �,� Completed b permit a licanta �. ,t 1. Building (a) Building Permit Fee ( � O ©d Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC l/ U 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on y behalf,in all innatters relative by this building permit application. 2 ^� 2 i afore oOawder Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2ND 3FD SPAN DMIENSIONS OF SILLS DME. NSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY f IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE °T� tom„►�.�1!/ e�.,fl�.�1� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 139366 Expiration: 7/1112005 Type: DBA M.C.J.RUFINO `JOSE RUFINO ' 8 CARIETON ST. Gl. .• ”" METHUEN,MA 01844 Administrator NORTH Town oEAndover No. �� ?, �® .A0. 2000 o� Co�"'Cx0 dower, Mass., ORATED pP_4 4 BOARD.OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT...... ` BUILDING INSPECTOR . .. .......... ............................................................. ...................................... Foundation SIIRomv-p-va $�has permission to erect...��,�� ......... .. buildings on .......... ............... .�.................. Rough to be occupied as.......6.....01. .... ..... ..........cq�%j.......4.....r........ . .�................................................. Chimney provided that the person accepting permit shall in every respect conform toe terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Ins action, Alteration and Construction of Buildings in the Town of North Andover. I � tO 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR C Rough ......... ........ ... ................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE ACORD r. CERTIFICATE OF LIABILITY INSURANCE DATE 09/15/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI JULIA I. SILVERIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC/ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL( 525 ESSEX STREET i LAWRENCE, MA 01$40-1291 I INSURERS AFFORDING COVERAGE INSURED INSURERA: LLOYDS OF LONDON Jose L. Rufino INSURER B: Dba: M.C.J. Rufino INSURER C: PO BOX 1014 INSURER D: Methuen, IMA 01844NSURERE. -- — COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SL POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LTR I DATE(MMIDDIYY) DATE(MMIDONY) IUMTS GENERAL LIABILITY I NEW POLICY 09/15/2003 09/15/2004 1 EACH OCCURRENCE s500, 000 ' X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire) s50, 000 CLAIMS MADE I OCCUR MED EXP(Any one person) s5, 0 0 0 PERSONAL d ADV INJURY 1 5 5 0 0,0 0 0 GENERAL AGGREGATE 3500, 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $I NCL U DE D POLICY ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS I (Per accident) PROPERTY DAMAGE �S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS LIABILITY I EACH OCCURRENCE I$ OCCUR ❑CLAIMS MADE AGGREGATE IS S DEDUCTIBLE S RETENTION $ i S f WORKERS COMPENSATION AND I TORY LIMITS ER I EMPLOYERS'LIABILITY !1 E.L.EACH ACCIDENT S I E.L.DISEASE-EA EMPLOYEE $ 1 E.L.DISEASE-POLICY LIMIT S OTHER I I 1 i DESCRIPTION OF OPERATIONSILOCATONSIVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA' DATE THEREOF, TH"OLD ISSUINGLL ENDEAV MAIL I U GAYS WRIT NOTICE TO THE CED TO THE LEFT, B T AILURE TO DO SO $I IMPOSE NO OBLIGAANY KIN UPON INSURER, ITS AGENTS REPRESENTATIVES. IZED REPRESEN _JULIA I SIL \CORD 25-S(7197) A RD CORPOR ION