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HomeMy WebLinkAboutMiscellaneous - 45 COLGATE DRIVE 4/30/2018 2101091.0-0011-0 45 COLGATE DRIVE \ 000.0 I I l f i Date....6.14' ................... OF NONTN,� TOWN OF NORTH ANDOVER f � p PERMIT FOR GAS INSTALLATION HUS�S.I r This certifies that .. it.V!,,.......—,C4).................................... has permission for gas instaIlation ............................................................................ inthe buildings of.................................................................................................................. at... .. ... ,q .................... . No h Andover, Mass. Fee . -.U.. .... Lic. No. ..... GAS INSPECTOW Check# s a1•d`a r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTWG.WORK CITY NnGt'�,x .a.sa.as MA DATE _ 1a << t PERMIT JoAI ") JOBSITEADDRESS 'N' D0._ OWNER'SNAME sMe"\ �r^st-z iT -0WNERADDRESS [ FAX TYPE OR. i PRINT . OCCUPANCY TYPE COMMERCIAL[]. EDUCATIONAL® RESIDENTIAL, . CLEARLY EW. RENOVATION:Q REPLACEMENT:[ PLANS SUBMITTED: YESE] NOQ APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 1 9 10 17 12 1 13 j 14 BOILER BOOSTER CONVERSION BURNER _ COOK STOVE - DIRECT VENT HEATER - - - - DRYER - FIREPLACE --- FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATERORATORYCOCKS MAKEUP AIR UNIT OVEN - POOL HEATER - _- ROOM!-SPACE HEATER ROOF TOP UNIT - — — - - -- - TEST UNIT HEATER UNVENTED.ROOM HEATER - - - - - - — - -- i WATER HEATER ' - OTHER - - bn 4s .r�C%>t_ 4x%b s our — - - - - - --- - INSURANCE COVERAGE I have a current llabTfir insurance policy or ifs substar►dal equivalent Which meets the requirements of MGL Ch.142 YES Q NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW I LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY Q BOND Q OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signatureon this permit application waives this requirement CHECK ONE ONLY: OWNER Q AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and infomrallon I have subm.'rtted or entered regarding this application are true and accurate to the best of my bwMedge . and that all plumbing work and Installations performed under the permit issued for this application finall be incomptianoe P provision of the Massachusetts State Plurnbing Code and Chapter 142 of fibs General Laws. PLUMBER-GASFITTER NAME 6 Ct97r_ LF&y:rLICENSE# 203"2 I NATURE MP® MGF Q JP© JGF® LPGI® CORPORATION[J#F3_b_0_47_j PARTNERSHIP©# LLC Q# COMPANY NAME Fta-f, ADDRESS X0'3 Lr-P►•t-ts� S-C CITY 'OO�c-te2�s- � _ _ STATE ZIP _71TEL FAX CELL ISI 3 IEMAIL j 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: in accordance-with the provisions of M.G.L.C.143,§,3L,the /\\ permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. " Permits shall-be limited as to the time o£.ongoing construction.activity,and may be.deemed_bythe.inspector_of--Wires ab andoned.and.invalid,ifbe or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain-permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically dxtends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008.and extendmg'through August 15,2012. Rule B—Permit(Date Closed: ! L2 Y. / ***Note:Reapply for new permi ❑Permit Extension Act—Permit /Date Closed: 101 13 Date..s.. .. .... ... ....... t AORTPI 1 3:;�t;�`"-; o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SS^CHUS� t This certifies that ...�.!... has permission to peifvnn ........................ v wiring in the building of .,% ........... �f H.`..u.�.......................... ~ at.. .>5....... .�..�9A....:.`............ .................. ,North Ando r,Mas , w Fee.�6.:..�k.. Lic.No.............. ....:,�2/..........r.... . . .. x.. .......... ELECTRICAL!NSA60R Check # �� __ Commonwealth of Massachusetts Official Use Only Permit No. M Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leave blank kawl 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 ALL INFORMATION) Date: H141 3 ( d29 ! City or Town of: m4% Ang:btxr To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7s CO Q06,1(C Dr j ugP Owner or Tenant D wC 4ketr4 R t A haN Ig Telephone No. 179#123 1/7 Owner's Address AIX,^ Co talc Is this permit in conjunction with a building permit? Yes ItNo ❑ (Check Appropriate Box) Purpose of Building Dtty, Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the ollowin table may be waived by the Inspector of Wires. r No.of Recessed Fixtures' No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs r Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ n- ❑ o.o Emergency ig mg rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection an No.of Switches No.of Gas Burners o. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I. I I Detection/Alerting Devices i No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW o.o o.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiling No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 cove age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [7 BOND ❑ OTHER ❑ (Specify:) � (Expiration Date) Estimated Value of Electrical Work: 1 AGO (When required by municipal policy.) Work to Start: s"-31*f I Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under thepains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: •c LIC.NO.: Licensee: "—W�GNGe F— Qp•/ Signature LIC.NO.: (1f applicable, enter "exempt"in the license num line Aer lrr us.Tel.No. y Address: .SyMSe"� ROGV CJJ Am Aaee lit 4 011PAO Alt.Tel.No.. OWNER'S INSURANCE WAIVER: I at 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/AgentPERMIT FEE: $ y��G� Signature Telephone No. , /v I Location No. 6 Date �aRT� TOWN OF NORTH ANDOVER O?Or.`t`,o ,•,�O R . ►' D " Certificate of Occupancy $ CHU Building/Frame Permit Fee $ CJ Foundation Permit Fee $ Other Permit Fee $ j TOTAL $ 3 D r f Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOV R, A OR DEMOLISH TE. LI H A ONE OR TWO FAMILY DWELLING 4 BUILDING PERMIT NUMBER. DAA ISSUED: — �� D X SIGNATURE: A4 A, Buildin Commissioner/Ifor of Buildings Date SECTION 1-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Ahlber 1.3 Zoning Information: 1.4 Property Dimensions: 1 Zoning District Proposed Use Lot Area(sf) Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Re uired Provided 1.7'Water Supply M.G L.C.40. 34) 1.5. Flood 7we Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record t ' I'd W" Ou I Name'(Prmt) ddress for Service Signa a Telephone 2.2 Owner of Record: r r ( . Name Print Address for Service: ® r Z Signature Telephone rn SECTION 3-CONSTRUCTION SERVICES OW' 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address m Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name rn Registration Number Address I Expiration Date Signature Tele hone i 3 t 8 —ap 1 . INSTRUCTIONS: This form is used to verify that all necessary approvals/pe t Z s rY , Boards and Departments having jurisdiction have been obtained. This does rrnits from ' the applicant and/or.landowner from compliance with an applicable or re U nn relieve p Y pP q rements. *********APPLICANT FILLS OUT THIS SECTION APPLICANT � l . . �L) PHONE c-- LOCATION: Assessor's Map Number ' PARCEL SUBDIVISION r/ — LOT(S) STREET r' ST. NUMBER Z�-�" OFFICIAL USE RECO ENDATIONS'OF OWN AGENTS: CO E VAT10N ADMINI TOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE.APPRQVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTEp SEPTIC INSPECTOR-HEALTH DATE APPROVED i DATE'REJECTED COMMENTS 1 i j l 1 I 1 PUBLIC WORKS-SEWERAVATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT i RECEIVED BY BUILDING INSPECTOR DATE ----_ _ Revised 9197 jm '. , Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE°1 rC 17, 4 D JOB LOCATION Number Street Address Map/lot "HOMEOWNER W r I t o w� V 6 Name ome P one Work Phone PRESENT MAILING ADDRESS Y I City Town State Zip Code The current exemption for"homedwners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 1 �l NORTH ® o 6Andover I No. S(o 3 _ � _ o C% dower, Mass., 3 y coC MIC HE WICK S RATED C) U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT..........���.I...... .j....................... .....Irl.. ..... ...A.......y.............................................................. Foundation has BrmISS10n t0 erect........... buildln Son .......-1....... 7 4. ........ Rough to be occupied as.........�5."h0 R A i ........... ......... ........ ....... ............. Chimney .......�. provided that the person accepting this permit shall in every respect 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 Ins ction, Alteration and Construction of Buildings in the Town of North Andover. dy/" W PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N"TTaA S 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 DoneFIRE DEPARTMENT - Until Inspected and Approved by the Building Inspector. Burner. Street No. SEE REVERS E SIDE Smoke Det. I t .q, G r s CA N q Cd 1 Location No. ► `' Date TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ ° Foundation Permit Fee $ JACHUSE Other Permit Fee $ Connection Fee $ PPS ater Connection Fee $ TOTAL ., , GOp' 01 Building Inspector Nt N0• Div. Public Works PER31ff NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1 MAP a40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE . I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWt`,R'S NAME i �< Jin ��� NO. OF STORIES SIZE OWNER'S ADDRESS 41 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME -5— L C l SPAN I DISTANCE TO NEAREST BUILDING s-z- ^JQ-1 DIMENSIONS OF SILLS DISTANCE FROM STREET ��� 3A`' to POSTS l� DISTANCE FROM LOT LINES-SIDES d6filPUIL'82 l�/f GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X .IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS � 3 PROPERTY INFORMATION l V�}" G LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE i 'FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APP OVEED BY BUILDING INSPECTOR DATE FILED ♦ ��/ _ BOARD OF HEALTH SIG T E OWO' WNER OR AUTHORIZED AGENT F E , PLANNING BOARD ERMIT GRANTED OWNER TEL. 'S-= 7 CONTR.TEL. �_ ts f f t9 CONTR.LIC.s'_02 t BOARD OF SELECTMEN ■U a-iNtCECTOR _ F i W rl►-� - / ■ .`� -.J�. _. - - - - - T j n L� - ■ ^ ��I N - -- 11' .: r' - - - .--__--- 1 W A L CCC u W A L. - - )� NORTH � own of 6 ndover :! AIVEWAY ENTRY PERMIT er, Mas=FA=AE � 1 Z.. 1A C Q� Q�� SS � BOARD OF HEALTH PERM 0 P THIS CERTIFIES THAT...I0:W. C4 � . t BUILDING INSPECTOR has permission to erect buildings on ............. Rough � Chimney tobe occupied as.......... .�W �......SAO �............................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids thi mit. PERMIT EXPIRES,,K MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONS U T Service Final . .. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises - - ~- FIRE DEPT. -- - Do -Not Remove Burner No Lathing to Be Done Until, Inspected and Approved by Smoke Det. Building Inspector