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HomeMy WebLinkAboutMiscellaneous - 421 MASSACHUSETTS AVENUE 4/30/2018 - / �S. � /-. -�-� 'Q . 421 MASSACHUSETTS AVENUE , IVCJ 2101045_ 00.0 _._�_ _ � - � _ -_-- �_ - -._---- �-_ _ _ i \ �. I Location No. r-- Date 1 Z' ) Z.-- ` TOWN OF NORTH ANDOVER o • r s rt Certificate of Occupancy $ ., Building/Frame Permit Fee $ � ~ � Foundation Permit Fee $ . Other Permit Fee $ kst TOTAL $ Check# 25177 Building Inspector .y S i TOWN OF NORTH ANDOVER N°RTM r' APPLICATION FOR PLAN EXAMINATION O i -A F o4go �� 1 Permit NO: QL Date Received � R^r�o'Pphty 9SSACNU`''E•( Date Issued: — 2` IMPORTANT: Applicant must comp all items on this page LOCATIONl /-//� Z I , //-a, Pit PROPERTY OWNER /5-/ GG, Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES 0 TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential IN ❑New:Building ne family 0 dition ❑Two or more family ❑Industrial j tion No. of units: LofZepair, replacement ❑Assessory Bldg ❑Commercial I . ❑Demolition ❑Moving relocation ❑ Other ❑ Others: ❑Foundation only1 DESCRIPTION OF WORK TO BE PREFORMED l ��f�GG i/lJI/>•%L .f/,�/,�_r % Fir//j✓�Ol� � i Identification Please Type or Print Clearly) OWNER: Name: ,�p7,�C � Phone: Address:-- CONTRACTOR Name: U.06 /wrUL6F�"�6eJ Phone:,7i?/ f r'1 Address: /� 3 /�GGGd✓ �i9(/G �f '�/� C/1 i 4 Supervisor's Construction License: Exp. Date: / 17- Home Improvement License: /D l/ Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ /f>iiye, x12.00=FEE:$ Check No.: I Receipt No.: D a-74- Page -74-- Page 1 of 4 ^i` I j Massachusetts - Department of Public Safet, Board of Building Regulations it-nd Standards Construction Supervisor License .License: CS 36479 Restricted-,#p,, QA MICHAEL Sz MEYEa _ 11 BAY ST','. _ u BEVERLY' A�hA 01 '1.5 Expiration: 4/1-8/201:2 ('Mullis s ollet Y TT# 21889 Office o e it $ fle eguia:t"On ' H©M;E,IMPROYEVENT CONTRACTOR Registr=.ation• , 160618 Type: Expiration tt / 12 DBA B ET WSULA ji ` „41�I ����1Q.TING ;. MICHAEL MEYE*'^ e x 163 LIf�COLM-A-VE.'� { SAUGUS,-fUTA ®1g FORTH TON M. , of Andover O - 0 No. �_ l A K E O , dover, Mass., • COCHtCHEWICK ADRATED P' C.1 'PERMIT T D`S BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.............. ... 4 ............ .................................................... Foundation has permission to erect..................k.................... buildings on ..... ... Rough to be occupied as...................... provided that the person accepting thisermit shall in ev1.�,... ..L.......C.�1. ........ .. ....................................................................... Chimney ery re ect conform to the terms of the application on file in Final' 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI .110 Rough r' ...................... ........................................................................................ Service BUILDING INSPECTOR Final. Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do, Not Remove Final T No Lathing or Dry Wall o Be Done FIREDEPARTMENTUntil Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. iAORTIy Tov- m of .''� Andover Q N No. A K E O dower, Mass., • I� COCKICMEWICK 7d ADRATE D PP 2 7`s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ` BUILDING INSPECTOR THIS CERTIFIES THAT............. !............ ... ... ........................,............................ Foundation has permission to erect..............:.... buildings on ..... ... Rough to be occupied as........ ,,,,,,,,,,, Chimney provided that the person accepting thiss$ermit shall in every re ect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI 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 R FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Bu mer `- Street No. SEE REVERSE SIDE smoke Det. } 9794 Date....... ... ......... f NORTH "�O� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ��sS�cHusE� .......... has permission to perform ............ ee�/.:'. winng in the building of :.......................................... at...... . ......f� ........!4,11,&............... North Andover,/Mass. Fee....?m��''" Lic.No..+ YI ........ ...... ...............E=t ... E CMCAt.Ir�recr Check # -5 j w ` (fommonuiealih /ft6d "ffj+ Official Use Only C� Permit No. �0 artme4 ofc7 ire Jervicoi Occupancy and Fee Checked BOARD.:OF FIREPREVENTION,R.EGUL'ATIONS . [Rev. I/07}: (leave blank) APPLICATION FOR PERMITTO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts-Electrical Code 1EQ,521 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION); Date: City or:Town'of. >q ►� To the Inspector py Wires; Bythis-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 Is this permit in conjunction with a building permit?, Yes ❑ No (Check Appropriate Box) `Purpose of Building Utility Authorization No. Existing Service Amps / Volts. Overhead ❑. Undgrd❑ No.of Meters New Service Amps % Volts"° ` Overhead . Undg ❑ rd ❑ No.of Meters Number of Feeders andAmpacity Location and Nature of Proposed Electrical Work-' �yu2 Com"letion o the ollowin .table ina be'waived:b the Inspector of Wires, A No.of Recessed Luminaires No of:Ceil:Susp.(Paddle)Fans:; No.:_or' Total �l Transformers KVA G No:of Luminaire Outlets No of Hot_ Tubs , enerrs KVA Above_ n- o.o Emergency Lighting No.of Luminaires Swiming Pool rnd._'. ." nd. .Batfe Units m No.of Receptacle Outlets No.of Oil Burners FIRE:ALARMS No:of Zones No.of SwitchesNo.of Gas Burners o.of..Detection an Initiating Devices No.of RangesNo.of Cond.,, ;Total.Tons No.'of Alerting Devices, No.of Waste Disposers Heat Pump umber:Tons ......KW o.of elf-Contained Totals: "'""' Detection/Alerting Devices No.of Dishwashers Space%Area Heating KW Local t] Municipal. ❑ Other Connection No.of Dryers Heating Appliances KWSecuritySyystems: No.of.Devices or E uivalent No.of Water No.of o.of Heaters KW Data"Wiring: Sign sBallasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of-M6 tors .Total HP Telecommunications Wirm . g No.of Devices or E uivalent OTHER: Attach addittonal detail tfdesired or as required by the Inspector of Wires, Estimated Value of Electrical Work: -(When required by municipal policy.) Work to Start. " nspections to be requested m accordance with MEC Rule l 0,,and upon completion. INSURANCE COVERAGE: Unless waived bythe owner no permit for'the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation-7-coverage or its-substantial equivalent, The undersigned certifies that such overage is-in force,.and-has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ;BOND ❑ OTHER.❑ (Specify:) I certryy;under the" gins and penalties of perjury;Yhat th information on this application is Irue and complete. FIRM NAME: 6G2tcso LIC.NO.: Licensee: -' Signature LIC:NO.: (If applicable,en xemppl, in thebcens number a Bus.Tel:No. Address: ` � ::)� � iy1 cs ��?� Alt.Tel.No.: 97 11o,3 \Q� *Per M;G.L. c,147,s. 57-61,security work requires.Departmeni of Public Safety"S"License: Lie.No, UV OWNER'S INSURANCE WAIVER. I am aware that the.Licensee does not have the liability insurance coverage normally required b law, B m signature,Below I hereby q Y Y Y g y waive t. requirement..Ham the check one Own r q ( []owner ❑owner's agent. Owner/Agent /Agent Signature Telephone No. PERMIT FEE: $ 6 O f Date. .N° . NODTA ' TOWN OF NORTH ANDOVER O P PERMIT FOR WIRING SACMUS /r } j 0 This certifies that ..........:::-t'�- has permission to perform wiring in the building of :. -*- - ..u� 7 .., . ...:................ ................ ... . ................................ at...l c�j.......�..:... '.:?cF........i2 ................... .North Andover,Mass. i Fee �. ...... � ........... Lic.Nola !/>1 ....:..:...��....... ....:................................. ELECTRICAL INSPECTOR Check # llx-S-n WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 11YC W1VL1V1U1VWG-ZMJ"Ur 1VJ/1 "LnUa)L.I 1 J vuwa Unc uIuy VADEPARTI�ZEIVTOFPUBLIC&4FETY 3"Permit No.BOARD OFMEPREVEW0NRWUMT10AS527CMR12 UO Occupancy&Fees Checked PPUCATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PR INT IN INK OR TYPE ALL INFORMATION) Datg_,1�� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. iLocation(Street&Number) u L Owner or Tenant r ,� Owner's Address Is this permit in conjunction with a building permit: Yes M No 7"T (Check Appropriate Box) Purpose of Building Utility Authorization No.'''3S 3 Existing Service o AmpsJ /Z&-Volts Overhead ►M Underground No.of Meters New Service Amps ��olts Overhead ® Underground No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Workir Cl•,`[►r n_ --1;7" 77 T. C. No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total �N FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hist mnceCovw�Rast>ilrrtbtheraglt anar<s u Ga�aalLaws lha%eaomutLiabiffdyhtstrmxPohcyrdudatgCaViftCmwdWarits oWiaf YES NO Ilmestbmsadvalidproofo#sameootheOfre YES M NO M IfjotrhmcdxdWYES,pkm rdc&thetypeofwmaWbydxckrgthe wsURANc� BOND OTHER (PleaseSpo*) E*atim D* ESt n"ad VakxdUmfixal Work$ Wait toSart 1/"„?^a/ _ hq)ectim D*ReWesWd Rargh Faral Signed u ndaS Rnah es cf FIRM NAME - LioatseNa I, ,p�_ ` 7 BtsirlessTd.Na (o��.-rj�� � A�S.,.gr:.�l6.'� ern,��7` S' 11�� �/t _ rir/t /� AlTd.N0. OWNER'SINSURANCEWANFR;I.anawaietbattheLm=domiiot Laws andditmystgEtmcti Spwngl mv�ther8w*mllent (Please check one) Owner Agent a �� Telephone No. PERMIT FEE