HomeMy WebLinkAboutMiscellaneous - 443 WAVERLY ROAD 4/30/2018CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 048 ,7/28/20061 Date: March 5 2008
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 443 Waverly Road
MAY BE OCCUPIED AS One Unit of 4 Dwelling Units IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Stephen Smolack
762 Dale Street
North Andover Ma 01845
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Building Inspector
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APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # Q
ADDRESS/LOCATION OF PROPERTY:
Map 2,Z... Parcel Lot Number
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION ,1— 5` �7 ?
CLOSING DATE ON PROPERTY: Loi'
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
DOES NOT MEET ALL APPLICABLE CODES.
Permit Issued to: l°loll
✓
Address 7e Z' 61)G" /p /L4,
SIGNED
CONSERVATION
PLANNING
DPW - WATER METER
SEWERIWATER CONNECTION
NOTE
ROU G
F710, - 19/'; 1/0 -2
��� 3/S/ OX
d (�d�aQea
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST
File: Application for OC form revised Jan 2007
a (1%
0
Date. . - e .......
TOWN OF NORTH ANDOV
PERMIT FOR GAS INSTAWATION
This certifies that ....... 7?;� * fl*
has permission for gas installation ...
......................
in the buildings of ..... f . ...................
at ..... ...... I North- Andover, Mass.
Fee ... I.Q 9. Lic. No. . L . ........ I ........ .......
GASINSPECTOR
Check #
V
MASSACHIJSEM UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations V/ 3 W AVe,Je, t %
Owner's Name
New Er Renovation ❑ Replacement ❑
Permit # 'k-) U ?/ _
Amount $ �� v
Plans Submitted ❑
(Print
Name
V�Vlc�- RB-): -,L
Name of Licensed Plumber or Gas Fitter—XJ6)e, 01 AAj d,
Che k one: Certificate Installing Company
Corp.
ElPartner.
E]Firm/Co.
1C)e
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No
If you have checked des, please ind to the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 13Bond
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 13 Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application aree true and accurate to the
best of my knowledge and that all plumbing work andinsta ations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massaes State Gas Coil, nd Cha�l42 0 General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
/gnature of Licensed Plumber Or G Fitter
Plumber /S�
0 Gas Fitter License IN um er
�IOfaster
Journeyman
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SUB -BASEMENT
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BASEMENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4T 1-1 FLOOR
5TH. FLOOR
6TH. FLOOR
H
7TH. FLOOR
8TH. FLOOR
I
(Print
Name
V�Vlc�- RB-): -,L
Name of Licensed Plumber or Gas Fitter—XJ6)e, 01 AAj d,
Che k one: Certificate Installing Company
Corp.
ElPartner.
E]Firm/Co.
1C)e
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No
If you have checked des, please ind to the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 13Bond
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 13 Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application aree true and accurate to the
best of my knowledge and that all plumbing work andinsta ations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massaes State Gas Coil, nd Cha�l42 0 General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
/gnature of Licensed Plumber Or G Fitter
Plumber /S�
0 Gas Fitter License IN um er
�IOfaster
Journeyman
Date.
TOWN OF NORTH ANDOVER
0-1
C
PERMIT FOR PLUMBING
This certifies that .... �. .........................
has permission to perform ... .............
plumbing in the buildings of .... Y'/1'. ...................
at ... 1�1 �/. ) . . (:-�- A� .— .—. . . (/
.............. , North Andover, Mass.
Fee.0
.. .... Lic. No.. . ... .........
PLU BING NSPECTOR
Check # '3 4 -, -, - ) ' , ,
7 C11" 6 li�
a
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building LocationyB� 1✓e�y jam(, Owners Name ,
of
New 13/ Renovation 1:1 Replacement
V1VT11D VQ
Date O `�
Permit
Amount
Plans Submitted Yes 0 No ❑
(Print or type)
Installing Company Name IFO% Ube P( �. Check one: Certificate
❑Address o2 4^ /.'IV C-04-0C-04-00�ied Corp.
�- Partner.
Business' e epnone (j ° `--::L-�2 —
'� � Firm/Co.
:Name of Licensed Plumber: X)i0 j?AP /st
Insurance Coverage: Indicate the t. e of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity 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 ;f the details and information I have submitted (or entered) in above application are true and aecurate to the
l;cst of my knowledge and th,.tt gull plumbing work at nstallations performed under Permit Issued for this ;application will he in
compliance with all pun-tinent provisions of the �i , husctts State 1'I I ging;Gee and� General Laws.
By:
1a LIrL' It 1CM777 rilinT,
Title
Typ-
e Of Plumbing License
City,Town SQ4y
.� License t um er Master1 �.Y Journe1 man
.APPROVED (OFFICE GSE ONLY LLL...�III 11