Loading...
HomeMy WebLinkAboutMiscellaneous - 441 WAVERLY ROAD 4/30/2018cc ww�t CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 048 7/28/06 Date: Aumast 30 007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 441 Waverley Rd MAY BE OCCUPIED AS Single Unit Dwelling of 4 Units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Stephen smolak 762 Dale Street North Andover MA 01845 Building Inspector .0 - B CA m m m m CA y v m ®. y d CA CD n Z y CL o -0. ? O O.= y CDCL o Q % d CD CD O CSD y. CL D y �• O t0 COD v CA O CD Z CD O CD O CCD O �r1 t w ] w GG r. ®r. "b �' G a b p a cn b cn n o. r�" c� C PC G7 ;, 0 C cn q t"? � V rn � O 9 CD ►-fir cn c cn GON x z c G' y b n Am t 0 0 Z L m 0 m O c EK cc O ccS. O 0 CLCAN m c"s7go -4 d y < m y �US M mc0� m C'3 ceoac 3 3 d m'sCO, wo �a o T 1O mfn o y --1 fm� m za oo'0 Z � O y 4�� <CD 0?: CL CD co) d y . �= c CL so W- a gym: <: m O y H �� O �� OC co O O . CD co CD o� o C' CD 0 H m �. r. � m d d i oma. a'fl nomrx:: c� c o �o O = ' C/) cn tzy o �r1 t w ] w GG r. ®r. "b �' G a b p a J �V o. r�" C.� C PC G7 ;, 0 9 CD GON x z c y z 0 Q ec omi 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildina Permit # D Y� ADDRESS/LOCATION OF PROPERTY: Map Parcel Lot Number / d SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION ?-,3e-O 7 CLOSING DATE ON PROPERTY: g -,j /- 0 7 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE ArrucAdLt GUMb. Permit Issued to: Address SIGNED CONSERVATION PLANNING DPW - WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 L "I Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..... Q'r-'. V'. �-. .� . :-:� ........................ has permission to perform .... AL L1.1 -r. .............. plumbing in the buildings of ..... y /1.7.1 ............... at ....... /,A. ........... North Andover, Mass. FeetO Lic. No.. . i.() -i ......... I. ....... — — — ------ PLUMBING INSPECTOR Check # 7 6) MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Owners Name S771-- of TH of Oc New Renovation Replacement FIXTI iA PQ Date N4? " d ,D 6,;OkPermit # t— Amount i'V C Plans Submitted Yes ❑ No ❑ (Print or type) i Installing Company Name Zf 1c J 1 e, Address A) ' fY Check one: Certificate !t ❑ Corp. Partner. ® FimvCo. :Name of Licensed Plumber: -,oVQ IeMA 4,14 f", 13—e✓t C/l,,�-.. Lnsurance Coverage: Indicate the tv e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that ,.ill of the details and information 1 have submitte d (or entered) in above application are true and accurate: to the best of my knowledge and that all plumbing wcrk a nstallation,s i ormed under Permit Issued for this application will he in compliance with ;ill pertinent provisions of the chusctts Sta Pl imhing Plewle an t 1� y: Title , City;Town i APPROVED OFFICE USE ONLY A,4,-0— _ ; _gyp E ff „t the Gcncral Laws. Date ... /� A /-� ......... V40RTH ...... TOWN 6 -F -NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION This certifies that P F. /I. .......... ............... has permission for gas installation ... ... .......... ......................... in,�hje,,buildings of .... � A, �.. �. �!. /I at t. �k. /:� ( ....... North Andover, Mass. Lic. No././*)-.,t*/� E -SIN* S*P*E*CTOR Check # � '.- '-' ') - 1� "'t� R MASSACHUSETTS UMFORM APPUCATON FOR PER UT TO DO GAS F MING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations �7 ��� Permit #2— Amount $-- Owner's Name �%—C (�f✓ �� � � � — New Er Renovation Replacement ❑ Plans Submitted ❑ (P or pp Ch ck one: Certificate Installing Company Name _ Corp. c Address �`1 1-1 Partner. ,2)eu i C)N &3 Bus ❑iness Te ep one p � 9 Firm/Co. Name of Licensed Plumber or Gas Fitter A—)Q j.t/y� ,� ` /Q F-cx, eA0 -e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1 No 13 If you have checked yes, please in ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ 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 E3 Agent 1 h—uk , ,A, :L...t ..11 ,.F ♦L... .1...,.n_ .--A ove n are, true and rate best of my knowledge and that all plumbing work�andiinstall, ions�perforn rd ue ler Permit t [sPPed for this application wall be in the compliance with all pertinent provisions of the Massachu • s State Gas Cod a d Cha ° 142 ofAhe Gener I Laws. s By: Title City/Town APPROVED (OFFICE USE ONLY) el nature of Licensed Plumber Or Gas Fitter Plumber 4-rpp Gas Fitter License Number Master Journeyman �a � F z z ° z W G c7 � W d I. '° �O 00 Z ° Z aWW CG 0 U O SUB -BASEM ENT B A S E M ENT 1ST. FLOGR 2ND. FLOOR 3RD. FLOOR 4T 1I. FLOOR 5TH. FLOOR 6TH. FLOOR 7 T H. F L O O R H±9± STH. FLOOR I .--F- (P or pp Ch ck one: Certificate Installing Company Name _ Corp. c Address �`1 1-1 Partner. ,2)eu i C)N &3 Bus ❑iness Te ep one p � 9 Firm/Co. Name of Licensed Plumber or Gas Fitter A—)Q j.t/y� ,� ` /Q F-cx, eA0 -e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1 No 13 If you have checked yes, please in ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ 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 E3 Agent 1 h—uk , ,A, :L...t ..11 ,.F ♦L... .1...,.n_ .--A ove n are, true and rate best of my knowledge and that all plumbing work�andiinstall, ions�perforn rd ue ler Permit t [sPPed for this application wall be in the compliance with all pertinent provisions of the Massachu • s State Gas Cod a d Cha ° 142 ofAhe Gener I Laws. s By: Title City/Town APPROVED (OFFICE USE ONLY) el nature of Licensed Plumber Or Gas Fitter Plumber 4-rpp Gas Fitter License Number Master Journeyman P Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ........... .................................................... has permission to perform ..... .............. V -- 7 -z:0' Z, ................................. wiring in the building of .............. ........................................ at ... 4Q.:!i� ...... ......... qj� ......... ..... ..... .. ............. .. ..... NorthAndover, Mass. F,e..q F -3P.375 Lic. No. ...... .1 .......... .............. . Check # -7, 1 '7 ELEcmicAL INSPWMR 6841 J' q41 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only { Permit No. � rj 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 LL NFrTION) Date: k 3 " 0-6 City or Town of: ov e- y To the Inspector of Wires: By this application the undersigned gives notice of his or her intention o erform the electrical work described below. Location (Street & Number) 1 �� t VP��� � 3 y3 V,411 - 7 1�3 Owner or Tenant�? V we ' G�� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ll'No ❑ (Check Appropriate Box) Purpose of Building i �p,r� �® Utility Authorization No. ICO YQ 6q Existing Service AIA Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps( /}Volts Overhead ❑ UndgrdZ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �/U ; f ` f, &Ae t,(jL40. L �f7 .viucrn uuumonar aerau � desired, or as required by the Inspector of'Mres. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ©�o 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 ET- BOND ❑ OTHER ❑ (Specify:) I certify, under the pai hs an e allies of per , drat he iirfprmation on this application is true and complete. FIRM NAME: �:� ✓-,f )te11 V �1 � - J/ � LIC. NO.: Licensee: ,, Signature /% LIC. NO.:� j/ l/f upp/icuble, enter " xempt " in the /ic nse number line.)A� , J Bus. Tel. No.: . �sl Address: � Int' �N Alt. Tel. No. . ).3 1 *Security System Contractor License required f this work; if applicable, enter the license number here: 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 Signature Telephone No. PERMIT FEE: $ • ,���..�... iuU,c Irtuy ue wutveu oy the in ecror o7 wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans ° ° to Transformers KVA No. of Luminaire Outlets No. of Hot Tubs ' Generators KVA No. of Luminaires Swimming Pool Above ❑ n- ❑�o. o mergency Lighting rnd. grnd. Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. oeteeI an Initiatin Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers HeatPump Number ons o. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KWLocal ❑ un'cipa [I Other Connection No. of Dryers Heating Appliances KW Security Systems: No. No. o ater of Devices or Equivalent Heaters KW o. o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunhcations Wiring. No. of Devices or Equivalent OTHER: .viucrn uuumonar aerau � desired, or as required by the Inspector of'Mres. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ©�o 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 ET- BOND ❑ OTHER ❑ (Specify:) I certify, under the pai hs an e allies of per , drat he iirfprmation on this application is true and complete. FIRM NAME: �:� ✓-,f )te11 V �1 � - J/ � LIC. NO.: Licensee: ,, Signature /% LIC. NO.:� j/ l/f upp/icuble, enter " xempt " in the /ic nse number line.)A� , J Bus. Tel. No.: . �sl Address: � Int' �N Alt. Tel. No. . ).3 1 *Security System Contractor License required f this work; if applicable, enter the license number here: 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 Signature Telephone No. PERMIT FEE: $ To,k,& 01-C Eg V r',� F, - 3 0, 0 -Z 4��