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Home My WebLink AboutMiscellaneous - 45 WAVERLY ROAD 4/30/2018NORTH ANDOVER BUILDING DEPARTMENT AwRATFD': ��y 27 CHARLES STREET Tel: 978-688-9545 Fax: 978-688-9542 DATE: ADDRESS C9 y �-cl-phanI5 nd- w ver la Aoo,& An over ZONING DISTRICT: G::: TYPE OF BUSINESS: z/ Q e —/1, o J,o BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: ZONING BY LAW USAGE: YES NO BUILDING INSPECTOR SIGNATURE N p le r i o r TM * * * * EXAMINATION SCORE REPORT * * * * STEPHANIE M REILAND 45 WAVERLY ROAD NORTH ANDOVER MA 01845 Congratulations on successfully passing the Massachusetts Electrology Licensing examination administered on 03/20/04: WRITTEN SCORE: PASS PRACTICAL SCORE: PASS **If any information on this letter is incorrect, please notify Experior at the address listed below (prior to the 30 days). It is the obligation of the licensee to inform the Board of any changes in you name or address. If you do not inform the Board of any changes your renewal will not reach you and your license will expire. If you have any corrections to your name or address as shown above, please make the necessary corrections next to your name. All new licensees are required to obtain a copy of 238 CMR (CODE OF MASSACHUSETTS REGULATIONS) from the State House Book Store, Room 116, State House, Boston, MA 02133. Telephone number (617-727-2834). These regulations do change from time to time. It is the responsibility of the licensee to keep up with the changes of the Laws & Regulations. You will receive your license within four to six weeks. 0 Experior 2 Mt. Royal Avenue - Suite 250 Marlborough, MA 01752 (508) 624-0826 Experior AssessmentsTM, LLC • 2 Mount Royal Avenue, Suite 250 • Marlborough, MA 01752-1962 Ph; 508.624.0826 • Fax: 508.624.5596 • www.experioronline,com Yom. Vl� I MA" Location AUkY No• .6 C7 Date 46�& TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ a' Foundation Permit Fee $ -� Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL$ c' jl C Building Inspector �� 2 91 tt��98 �:�� 52.E PAID Div. Public Works Location ri Na h C Date h I C- I t r� TOWN OF NORTH ANDOVER Certificate of Occupancy $ r Building/Frame Permit Fee $ �'�'•�°.•�� Foundation Permit Fee sACMuSE $ Other Permit Fee $ Sewer Connection Fee $ 'p Water Connection Fee $ _ TOTAL $ Building Inspector 11/24!1.33 13:11 520. CO PAID ' Div. Public Works t - I I N I C d S i - Y S D D D Z z D Z z D T z z Z Z 7 V Z h Y v D y �a r• VS 7 7 Z Z Z Z N z M D [Ny v. 1 .nn Y' » Z O//p�Dpr� ^r I rZ^, i - N r X X X U•' � x I\ I I I I - ip1 � t i z Z Z �, L Z GN Z z Z z- ? ? Y X 1 7 Z i = Z Z Y V M - - - - - T ✓� J a z D 2' U Z F > Z v z i I Z � I f i tejl Ilii � t - I I N I C d S i - Y S D D D D Z z D T z z Z Z 7 V Z h Y v D Z T r• VS Z D [Ny S » Z � I I z z Z �, L Z GN Z z Z z- ? ? Y X 1 7 Z i = Z Z Y V M - - - - - T ✓� J a z D 2' U Z F > Z v z i I Z I Q I .. I I - 1� I � z I LAI 1� I � I I lig t - I I N I C TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units ... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work:_ Est. Est. Cost Sys Address of Work Owner Name: me, Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Qse Only Work excluded by law Pemit No. Job under $1,000 Date Building not owner -occupied _Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL C. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: �i (3 Owner N e Date '�i Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street WII,LIAM J. SCOTT North Andover, Massachusetts 01845 Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 1 11, S 150A. The debris will be disposed of in: 74- LS 46r. (Location of Facility) Signature of Per it Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 0 NpRTH Oe„” 1ti0 �.Q. • pL t s SSACHUSB r.� BOARD OF APPEALS 68&9541 BUUDINO 688-9545 CONSERVATION 689-9530 HEALTH 699.9140 PT ANNTNr; FRR_9111 A L� A. � O CD C7 Z y C. ? y 0 0 CDCL crCD r CO o CD .. —v O CC COD a vi, CD CA O Q O CCD O co I C y p Q y = dO�O,a y 7 m Ma 0 m C7 H O dC .� ^► m O T a �om� o -� Co O O H O O�� 7 W. O N 0 , m iry -�- a �A OC CD m N 1c� 4 CL -4 N O N O CL �t C SD N CA m CD: • 0 0 '� O � c m CA c n -c� o _CD cl � o � COA o W o ' o 'fl av :. C 0 Cxt9 Ir z 0 v H 0 0 c �s Tzile G p d c� C G tz C) trod � 0 Cxt9 Ir z 0 v H 0 0 c �s Date.`!"a..�� - 3889 NaRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACHUS� A M �' Q his certifies tha .. .,�......... .. .. ...................... . has permission to perforT"-'�_ ."- '— -:-� ..................... g plumbing in the buildings of�... ............... . at ..`^...... North Andover, Mass. Fee,�AP.#.... Lic. No.. .......................... . PLUMBING INSPECTOR -+ m D+ N WHITE: Applicant CANARY: Building -Dept. PINK: Treasurer tj (Type or Print) NORTH ANDOVER ,Mass. ,Building Location VOWners Name New D Renovation Replacement { Date:-- CSa �-- Permit Gi Plans Sybmitted I� (Print or Type), Check one: Certificate Corp. Installing Company Name Address Partner. Firml Co_ Business Telephone Name of Licensed Plumber: _ •. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 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 insurqince cayerage5e -• Signature of ownerlagent of property Owner Agent\� ❑ i I h4abr ccttify wal au of dlc dctaila and infataoalian I havc iubwil Icd (at cn(ucd) in AM- appticaliott Ne Itwta�d� 694 to ties dta r M1p kAawkdf c aad "all plumbing walk and int(311,46ons lict(amcd undo fciwi( Baud fat this appticatioa wiN be iPM, viiloaa of tbs Us"adwactu Sufic riumbiat Codc and Cluput 11I a( (Iic i:cnual I ML .It By Title-. City/Town: Signature of Licensed Plutaber Tvpe of Plumbing License License Number ❑ Master ❑ Journeywm (Type or Print) NORTH ANDOVER ,Mass. Building Locution q Y-` New Renovation Er/ Replaceme Oate: - 3 ..• � Date` /3 1 ,3 ,?F Owners Name nt ( Plans Submitted V (Print or Type), so w nn Check one: Certificate Corp. Installing Company Name , Address S S� ��,• S 1 .s lTti�-e Partner._ Business Telephone C(70, Name of Licensed Plumber: /,�j '-- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy D Other type of indemnity Bond Insurance Waiver: I, the undersigned, have been made aware -that the licensee of i this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner ED Agent\ 0 I Aatobr ccttify Wal all of We dcuilt and Wosnulion 1 ha•c subusincd los cntcicd) in at"soc application lase live ZAN to 94 bstl r ■I • kwwkd&s and tlul all pluacbing walk and installations t.cc(ncnicd undo Pccuik lcsucd (os this applialion wilt be Uk so F00µ P� viiia" of lbs Matsacbuxtls Slatc Muatbiag Code and Cluptcc 142 of (tic Ccnual laws. 64 By Title City/Town: AOODr11/1=r1 7ng:clr0 coca: nut V1 011 Signature of License lumber Type of Plumbing Licens License Number ❑ Master Journeym4 3 0 J J Date. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 9 ,SSACNUSEt a This certifies that ..> :...:f...1 .......` ................. • • has permission for gas installation ....... ............ in the buildings of ..'.: " ��• at :.... '/....... 14, '..�'?'` ........ North Andover, Wass. r r' co Fee . `.' ... Lic. Noy! �:, ................ GAS INSPECTOR N CU WHITE: Applicant CANARY: Building Dept. PINK: Treasurer n! MASSACHUSETTS UN'ORM A.PPLICATON FOR PERMIT TO DO GAS FITTING or print) tvvxIH ANDOVER, MASSACHUSETTS Building Locations A w -e A c1 Lam. i ,_n {- -e(�2.,iJ 2-22,4 Owner's Name New ❑ Renovation ❑ Replacement Er Date rZ_ (3 19 Plans Submitted ❑ Permit # &D Amount S a (Print or type)' Check one: Certificate Installing Company Name d �U �- �, lam- ` 4� ❑ Corp. Address L � L A -- c e— ❑ Partner. $usiness Telephone 4-1 Z C) 2 I [ Firm/Co. Name of Licensed Plumber or Gas Fitter C k/,l �-- L ^ -` L I INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond El 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 ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true ana accurate to me best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas C�de a�Chapt5r1'l 42 o9he General Laws. itle ityiTown APPROVED (oFr• cr usE OiNLv� Signature of Licensed Plumber Or Gas Fitter ® Plumber 2t 3 S-�2 ® Gas Fitter 7 Icense 7, u m o e rl ❑ 10aster journeyman rn G N z ryj C F- C m C cnzt Cn ? � � rn G ".fir � m T_ %' C C C � it 'sl V1 sl Z �_ ^' .r .cl 1.1 y 91 " ;4 Z W i C W Z C 4 C C i1 C sus -6A SEM ENT BASEM ENT IST. FLOG R 2ND. FLOOR 3RD. FLOOR Try. FLOG R ST 11. FLOG R 6T It. FLOOR 7T 11. FLOOR sill. FLOG R (Print or type)' Check one: Certificate Installing Company Name d �U �- �, lam- ` 4� ❑ Corp. Address L � L A -- c e— ❑ Partner. $usiness Telephone 4-1 Z C) 2 I [ Firm/Co. Name of Licensed Plumber or Gas Fitter C k/,l �-- L ^ -` L I INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond El 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 ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true ana accurate to me best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas C�de a�Chapt5r1'l 42 o9he General Laws. itle ityiTown APPROVED (oFr• cr usE OiNLv� Signature of Licensed Plumber Or Gas Fitter ® Plumber 2t 3 S-�2 ® Gas Fitter 7 Icense 7, u m o e rl ❑ 10aster journeyman 1615 -e") . Date. �-t. . ........ ... ... .. . . ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 1--7 This certifies that. ....... ........ .... ...................................... has permission to perform ................. wiringin the building of......... ............... . ........................................... R�............ . at ...........�6 .......................... . Y'..r .................... North Andover, Mass. &—,a ......... 'ELECTRICAL INSPECTOR 04/2`'4/9914:44 55.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer •� nEGOMMONVE4L +� Office Use only DEPART7�IDVlOFPUBLICSAFETY Permit No. BOARD OFFIREPRE[�FM70NREGMTIOM-V 1200 Occupancy & Fees Checked UVAPPLICATIONFOR PERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. , Location (Street S Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes L_! No U (Check Agropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead r7 Underground No. of Meters New Service lld Amps��i/_` / Volts Overhead 1= Underound No. of Meters % Number of Feeders and Ampacity I.xaiion and Nature of Proposed Electrical Work el ',_Ile r No. of Lighting OutletsjD No. of Hot Tubs No. of Transformers Total KVA N . of Lighting Fixtures Swimming Pool Above Below Generators KVA and around No. of Receptacle Outlets q O d` No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges / No. of Air Cond. Total Tons No. of Detection and No. of Disposals / No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal F7 Other No. of Dryers Heating Devices KW r7 Connections No. f Water Heaters KW No. of No. of Signs Bailasis RC1° No. Hydro Massage Tubs No. of Motors Total HP t v '� i• • • .9• . •ra- �:a I�f// iii �.�✓�/ /�/./ I ,-ice/� � /1 •- • OWNER'S INSURANCE WAIVER; I amawatedx ttheL==does fiint halve dr amaaraamq and thamystg33�irecntmpeurtaa wanesthisterestt. (Please check one) Owner F7 Agent Telephone No. PERMIT FEE S