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HomeMy WebLinkAboutMiscellaneous - 48 Matthews Lane V rb 1 1 +...sv—��...�..a-'f!-^'{-++�WY'�+W+� .wd+r'++r `r...`l�ri R€.Y."r'� `�r.d V.�i+y��wprry� r'.':w•n. s Date.... 1035 f N°RTM 1 "� TOWN OF NORTH ANDOVER I. PERMIT FOR WIRING This certifies that .......�:.. �.�.. F. �'l.... .................... ? . has permission to perform ........... x.....:.......5... 1�.. .................................. wiring in the building of t� ' r W 0 Q �. {� �`...�........ ............�. o at ff ...... W. S.....�....Q:.................... .North-Andover,Mass: `t . .. F7.... ..... Lic.No. ............. .............................. ..................... ELECTRICAL INSPECTOR' . WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Uly I z The Commonwealth off Massachusetts Officee Onty J �= r /d� Department of PUb1,C Safety � `= :� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy c —� ) APPLICATION FOR PERMIT TO PERFORM paitcmMd In.m,'Ian"�" Md„���u,An�61—C21 ELECTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION t:oa"•ser CMR lzoo Date City nd rs Town of�a,�r,� Q R The undersigned applies tot pgrmit to perform the electrical work described below. (O/ To the Inspector of Wires: L,r::ation (Street & Number) woe or Tenant O-0� Owner's Address gx--� �' is this permit in conjunction with a buildiLgpmyes C no (Chr:k Purpose of Building ,� 6 !^ ,v Appropriate Box) �L —Utility Authorization No. Existing Service -_Volts Overhead C1 Undgrd C]New Service No, of Meters_ —Amps .J_...___... Volts Overhead ❑ Undgrd ❑ fl,�mber of Feeders and Am aci No. of Meters Location and liar•^ of Proposed Elec;rir_a1 Wer. No. o_f IIS 4 Outlets No. of Hot Tubs TOTAL No. of Li htin Fixtures INo• of Transformers Above In KVA Swimmin Pool rnd.❑ rnd❑ ""�•—•— Generators No. of Receotacle Outlets KVA No. of Oil Burners No. of Emergency Lighting No. of Switch Outlets Batte Units No. of Gas Burners No. of Ranges FIRE ALARMS No, of Zones No. of Air Conditioners TOTAL No. of Detection and "----- TONS Initiating No. of Disoo!,als HEAT TO rAL TOTAL g Devices ”— No. o} Pumps. TONS KW No. Sounding Devices No. of Self Contained No. of Dishwashers _ Detection/Sounding Devices Soaca/Area HEfatirtq KW -------- No. of Dryers Heatin Devices KYV Municipal �--- Local ❑ Connection ❑Other No. of Water Heaters }�yy No. of No. of Si ns _ Ballasts No. of Hvdro Massae Tubs !—'�" _ No. of Motors Total HP OTHER: — -- INSURANCE COVERAGE: Pursuant to the requirements of Mas,achusetts General Laws 1 have a current Liability Insurance Policy including Completed Oneratlons Coverage or its Sub- :tntial equivalent. YES ❑ NO ❑ I haave submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify)__�y_ Estimated Value of Electrical Work S (Expiration Date) Work to Start_ Inspection Date Re(tuested: Signed under the penalties of perjury: Rou gh t t1 Foal._ FIRM NAME"S T- C ��rr _ /i ,eJ gl`1�� CO p Licensee lJt7ly/4� RLIC �}6/�/ / . NO. - '616 L' Signari�re / xJ Address`/�' —�7��� LIC. NO. 3I Bus. tnl. No. /0 0 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Insurance coverage or its substantial .w Massachusetts General Laws, and that my signature on this aoplication waives this requirement. Ownef Alt. Tel. No._ A ant equivala t required by 9 (Please check one) (Sianarurw-ri.....__ _ �Telephcne No. Date.....77 ..� ./....% ° 1029 NORTH " TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... a.. e......4F-f ...:....4. ....�.......... has permission to perform p l�.. . .. . . .... .. .. wiring in the building of...... ..f n.h.lU'?........... L'..... :....................... a at... qq?t...� .... 1K.4 . ..,� ...... �a7 f W�.5....L...... ,North Andover,Mass., Feer.7tO..Od Lic.No. ........................................................... n ELECTRICAL INSPECTOR Ck \q?7 07/07/9712:25 262.00 PAID r WRITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only 4e Towinvil eatfli of MaBn ljuBeflB Permit No. 35e}rttrtutcttt of Public eufct0 Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) V APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (� ` 36 P 7 City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address _,(JLC P(�A,� f,� , /l_)ut �n eaAll . Is this permit in conjunction with a; building permit: Yes No ❑ (Check Appropriate Box)�r Purpose of Building _ oc, Utility Authorization No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service 2-6oAmps Z��Volts Overhead 0 Undgrnd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Le fA dLP lea No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP ..OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Compl ted Operations Coverage or its substantial equivalent. YES NO ❑ 1 have submitted valid proof of same to the Office. YESNO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. ✓1 INSURANCE # BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Ki " 3o :2 Inspection Date Requested: Rough r-c-t Final Signed under the Penalties of per ury: j� �� FIRM NAME / 11 I LIC. NO. &7 A Licensee,,MnLC Ca w r-e o Cg. Signature LIC. NO. /////��J Bus. Tel. No. gq& �9 Address W }�,r�ai22Gc'/l.2 /�, /4/ r-.-1-141t" Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own Agent (Please check one) I Telephone No. PERMIT FEE (Signature of Owner or Agent) _ x•6565 'JLocation `T lid � No. ` Date L.2' r N°RT" TOWN OF NORTH ANDOVER ptt ..o : 14,0 p -Certificate of Occupancy $ Building/Frame Permit Fee $ © AcHU <� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ' i /?`7L � c & /6uilding idspector 10 ag2j/97 14:21 1,036.00 PAID ._--- Div. Public Works Location 110 �1 3' No. Date Z 3?0� NORTM TOWN OF NORTH ANDOVER �,••q�•1a'po F p Certificate of Occupancy $ ` * > : • Building/Frame Permit Fee $ Foundation Permit Fee $ J s�cHug Other Permit Fee $ Se: Connection Fee $ % f W tieronnection Fee $ TOTAL $ Building Inspector T6150.40 PRI 10652 01/24!97 11-39 Div. Public Works a� Location d (C � c `leo l G� 9 / No. Date 1219 A� G • { 4 N RTh TOWN OF NORTH ANDOVER Q 0 "Go 1, . p Certificate of Occupancy $ Sow Building/Frame Permit Fee $ CNEt�' Foundation Permit Fee $ # Other Permit Fee $ Sewer Connection Fee $ 4��.y Water Connection Fee TOTAL $ q 't ' ingl e 6 /01/24/97 11:39 1;ON.OC► j , gig® Q .Prublic Works PERlirr NO. APPLICATION FOR .PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4,40. LOT NO. � 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE - R D SUB DIV. LOT NO. q LOCATION 4/ T7/_�L���, / d✓1 'C� PURPOSE OF BUILDING S', d 'P S• OWNER'S NAME pl H f 12)O O U• Col _ NO. OF STORIES �l�� IZE S.. /, OWNER'S ADDRESS 33 Tu 'j�- -5J BASEMENT OR SLAB �s e4,7- ARCHITECT'S NAME JLI�� � F !�� SIZE OF FLOOR TIMBERS IST y� 2ND � � v 3RD / reQBUILDER'S NAME a.N 1: U)od a �- or a SPAN js --- ✓[ � DISTANCE TO NEAREST BUILDING f„f v DIMENSIONS OF SILLS L --- DISTANCE FROM STREET POSTS �j� DISTANCE FROM LOT LINES-SIDES REAR op-iL " GIRDERS �/ AREA OF LOT 2C"239 FRONTAGE! /0-0 HEIGHT OF FOUNDATION /y GL l THICKNESS l� ' IS BUILDING NEW )] SIZE OF FOOTING b' X � ass IS BUILDING ADDITION a MATERIAL OF CHIMNEY Af 15 BUILDING ALTERATION `� IS BUILDING ON SOLID OR AILLED LAND O / n rf WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i`�S` IS BUILDING CONNECTED TO TOWN WATER �y BOARD OF APPEALS ACTION. IF ANY t '%p TY IS BUILDING CONNECTED TO TOWN 657ER S IS BUILDING CONNECTED TO NATURAL GAS LINE s INSTRUCTIONS A X PROPERTY INFORMATION LAND COST / ern SEE BOTH SIDES r EST. BLDG. COST Y, � COST PER ER SQ. FT: `PAGE 1 FILL OUT SECTIONS 1 - 3 EST. '](6 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 PPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS X PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 'DATE FILED zh `Q�p BUILDING INSPECTOR SIGNATURE OF OWNER OR;ArylqORI AGEN i } ttf� t� F'E E /, OWNER TEL.# i PERMIT GRANTED ACONTR.TEL.# �� � 7y 19 T �6t © V CONTR.LIC.# l 6 7 d Fm Pam cc> H.I.C.# C JAN 1 5 _ Y -BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONSOF�LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF`BUI.LDINGS.:WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED:"THIS,REPLACES PLOT PLAN.- CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE tai 11 _ d 1 2 13 t , i CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER _ DRY WALL r UNFIN. - 3 BASEMENT I t C AREA FULL FIN. B'M'T' AREA O 1/1 1/1 1/1 FIN. ATTIC AREA fl NO B-M'T FIRE PLACES HEAD ROOM MODERN KITCHEN L 4 WALLS 7I 9 FLOORS 1 CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE —I_ r•., WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\P4'D _ ASBESTOS SIDING _ COMtACN _ VERT. SIDING ASPH.TILE' STUCCO ON MASONRY-•'- STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ �} BRICK ON FRAME CONC. OR CINDER-BLK. STONE ON-MASONRY WIRING STONE ON FRAME SUPERIORI� POOR _ '} ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE C HIP BATH Q FIX.) _ GAMBREL MANSARD TOILET-RM. )2 FIX.) I FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOISTPIPELESS FURNACE , ti t FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM f STEEL BMS. &COLS'. HOT W'T'R OR VAPOR �•� WOOD RAFTERS AIR CONDITIONING pwrr • RADIANT H'T'G 1 RIM UNIT HEATERS �• �i , 7 NO. OF ROOMS GAS OIL B'M'T t0, 2nELECTR d IC 1st 7 13rd I NO HEATING r. OR Town o g over No. o3j * _ 1AXE doves, Mass., -z— 19 19 -COCH IC H EWICX BOARD OF HEALTH Food/Kitchen Septic System PERMIT . T D BUILDING INSPECTOR THIS CERTIFIES THAT...................................F/. 1b.a.D............. ...................... ................................................... Foundation has permission to erect......................................... buildings on.......-fs........eleff�.5......... ....... Rough tobe occupied as.................................................4��'0-4-E................. .......................................... Chimney, provided1hat the pEirson accepting this permit shall in every respect conform to the ter of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatftto.the Inspection, Alteration and Construction of Building.-- in the Town of North Andover. PLM,!n 3ING INSPECTOR VIOLAT14H of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TSS Rough ....................................... .... .... ... .................................................. Service UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or. Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke 'P—. i • 7� 0 2S, 738 s, i .0RAiuAaCE \ F"9JE/Y16.VT' \ b � 00 a bD �b r a o �R- pb y A JAN 1 5 �o �.eo•�as�-p /'�'o�E Lac,a�-.cw'.4.vo 0{F eiq 10 o4 A/ m/agcy- /N JEFFREY yap, .s S HOFMANN y O.PAI�N FD.P �OF�S.raO`,p E'vt•e6•�EE.V /�.a•v.+st.h�'�r P (4°►nmo /997 itlE.P,P%rN.rlGt'E,�/G�.t�EEP/.1/6 SE.PI�/lES 6� PA.P.(�.ST•PEET A.VOOYE.� �l.4SS,4C.f///SET�.S O/8/O Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) ap and Parcel : Purpose of Application (check below) P Zg b��f Applicant: Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits..required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. B4The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning 1 aB law. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently open as designated o ace and/or farmland.The land to be preserved shall be protected from development by an 9 Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. 4t� / ature of Owner or Authorized Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit. i JAN 15 i FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: f{'r 4[ 61_e P T�Y Phone C 3.1 >L/ LOCATION: Assessor's Map Number Parcel Subdivision a/ Lots) Street L St. Number Use Only************************ RECOMMENDATIONS RECOMMENDATIONS OF ::7/�AGENTS:. Date Approved Conservation Administrator Date Rejected Comments C Date Approved Q Town Planner c Date Rejected Comments ' j Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected I ' Comments i Public Works - sewer/water connections - driveway permit Fire De p a r t m e n Zd it, -7 7 Receiv d by Building Inspector Date Y a G JAN .1 1 a k i CERTIFICATE OF USE & OCCUPANCY Towyn of North Andover , Building Permit Number C� ` i Date ' THIS CERTIFIES THAT THE BUILDING LOCATED ON —' MAY BE OCCUPIED ASCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS S ATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 10RT/ �� .;••° o CERTIFICATE ISSUED TO o ADDRESS ;sAcHus� i i ui ing nspector �t� F NO R TEy Tovm ' ofdover 0 m * i dover, Mass., zz_z- 19 0 LAKE I� 9-COCHICHEWICK ��•` 7� OR'4 E D�PP`� S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................................. .............c , �iv. ...................................................... Foundation 1�2 "f�FvcJ s�l,� has permission to erect........................................ buildings on ......�".�. ....�.........�...�#:................. ................ ............................. . tobe occupied as................................................. /.Cl l.�.k-E.................. .�.. ....................................... Chimney provided that the person accepting this permit shall in every respect conform to the term of the application or. file in 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. in ' i - PERMIT EXPIRES IN 6 MONTHS ELE C INSPECT. UNLESS CONSTRUCTION ST TS - / ._ .............................................. .... .... ................................................... UILDING INSPECTORLl�� ' F. -- Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove ou a 7�( PY P No Lathingor D Wall To Be Done ��P 4 � Until Inspected and roved b the Building Inspector. FIRE PAR ENT P Approved Y 9Burner Street No. pp l 0 6 �3 Smoke Det. ' p 1, !y i y ` 2 5 81 Date.(,/,!�!. /.���....... NpRTM TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION, s o + + SACMUSES This certifies that .K.r , ? iso. f.��j. ./�'�.� . . . . . . . . . . . . . . . . has permission for gas installation . . h P. . . .� �:E� . :. . . . . r, in the buildings of . ! .*. :1 .(.C. J. . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . NoAndover, Mai Fee.6'A . . . Lic. No. ci 1.. . . . . . . . . . . . AS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 1. ..1..r• ,. .. ... rs' � 1 � f, rt Fav Wri���, t• ��tt MAS5ACIIU5ETTS UNIFORM APPLICATION, FOR PERMIT TO UU G SFITIING ,^-i (Print or - �' Mass. Date �`� 19 permit p Building location Owner's Narne ► �� �- �,,�,, SINGLE IFAHILY Type of Occupancy New t! Renovation U Replacement O Plans Submitted: Yes Ll Ho IJ FIXTURES z in 1A 0 0 o e � o - � � µµ!! G S > a 3 °` z o 3 u 0 � o axon = � � 3 SU8.8SMT. BASEMENT ( I 1st FLOOR 2nd FLOOR 3rd FLOOR Ch►LOOR Sth FLOOR $11,11 FLOOR Tlh►LOOR 81h FLOOR Installing Company Name GALINSKY PLUMBING & HEATING INC. Check one: Certificate Address P t 0.BOX 1701 NJ Corporation 190(- __ HAVERHILL, P1A 01831 EJ partnership nusiness Telephone 508-374-1743 Ll Firm/Co. Name of licensed Plumber or Gas Fitter STEPHEN C. GALINSKY INSURANCE COVERAGE! I have a curr�enrt liability Insurance policy of Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Pe No U Ir yrn1 have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policyR other type of indemnity U Bond U (jWNER'S INSURANCE WAIVER- I am aware that the licenser docs not have the insurance coverage required by Chapter 142 of the Mass. Genrial I awt, and that my signature on this permit application walves this requirement. Check one: Owner 0 Agent C Cip,nahlrt, of Oronrl nr Owner's ARrnt 1 hr..0,tntifl shat all of thr drtaih And tafn.matinn I ha.-r suhmiilM in,entrted.In Ihr ah+.c application art pin.and srcutate In thr t"t of my knnwtrdpe and drat all rlumbint—A a„d�n.,aa,�tions prrimmrd,rndr•r Ihr m—it I..t.rd In,IN%arphratton will tr In tnmrl-ance with at!pettinrnl pmrisiont at the Massachuseels slate G8 Code and C.haMet III of Hr Genual t A— Islr nl lit rnsr r,ri• slartrr s'l nalme of lice0` rH hluml.rt or Gas tine, [-Inumrsn,an license Nun•t� .._. --- . lam'"-".•N.`K+."+'-'e-`.... -ti.,7`-ti.s�y.,��a,uY, `•;'���..... -�` .�`�•-..�' - - ,.. _.. Date. 3386 ".O STM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SS CMOsE� This certifies.that . . . . . . . . . . . . . . . . . . . . . . has permission to perform . .� a.y� . . . . . . . . . . . . . . . plumbing in the buildings of . . .P1!1 r. ��?. . . . . . . . . . . . . . . . . . . . 4 at. . . . GY! { P .S. . . . . . . . . . . . . .to.r.th Andover, Mass. Feeo. . . . .Lic. No..�.Cf3T-e . . . . . . . . . . . . . LUMBING INSP CTOR 06/25!97 11:57 273.04 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO PLUMBINGc,)2 3 (Print of Type1 ez NORTH ANDOVER, Mase. Date Building Pem-A 3 3 Location Owner i Namei . New Q� Flanovalion ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ FIXTURES I � w s at W » 0 s " U M J a �, w a 0 v 1z aw ez a M `3 16 J el w M = eT t ~ w ! M S w t s N :# u = O a t e1 t >1 r O s J s16 X t t ez • w t n a U as v u i > 1- o w ar o o w s s er xs 1 i : c o s ! z i i a o i s s '4110 o - sue—iektT. 6A*II1eHT ` f IST FLOOR + 1 1 2110 FLOOR !RO FLOOR I 4THFLOOA I I aTH FLOOR LITH FLOOR ( I I ( I TTH FLOOR ' aTH FLOOR C.'ieck one: Cartfnvuie Installing Company Name t% /A v �' � 2 m / 96Vv Address /� �'� 1600 1 /a C3 Partnership Id P-,g/ 1j L L M r d A4 0(,57 1 ❑Firm/Co. Business Telephone S2�'p - -77'i 17y3 Name of Ucensed Plumber 6'TeV'f- .A� INSURANCE COVERAGE: C411acx one I have a current liability Insurance pollcy or Its substantial equivalent. Yes ®", No ❑ It you have checked�Lej, pfesse Indicate the type coverage by checking the appropriate box. A Itabllty Insurance policy ❑c-"� Other tyre of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licenses does not have the Insurance coverage required by Chapter 142 d the Mass. GeneW Lswe. and that my signature on this permit application walves this requirement. _-- Check one: Owner ❑ Agent ❑ S�qnsturs of Owner a Owner a bent I hereby eerilly that aR of the detaAs and Inlormatlon I hays subenffled kx entersal In above app&atlon us true and ac=ats to the bast of my knovAodgs and that aA plumbing work and Ins(Oattons Wormed under the pem A iasied for Wa aPPAcatlon vnl be InRa with a.1 pwilnenl proviuons of the Massachusetts Slate P!unbing Case erbd Chapter 142 of the deneraf By 6ignatwe W Lkensed Piurnow TitN Lkansa Number /� C1� � Qty/Town Type of Pkrmbing License: Master ArPrJOYED (OFFICE USE ONLY) Journeyman 0 lob /� . T� Date:. . .. . ...... .. A HpRT1y TOWN OF NORTH ANDOVER -� PERMIT FOR GAS 'INSTALLATION+ � F This certifies that . . . . . . . . . . .. . . .M. has permission for gas installation . . . . ... . . . in the buildin of . o ' at . . ( 4� . . North Andover, Mass. Fee.70. Lic. No.ftp V.J .. . . . . . : . . . . 3 GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File .. AiASSAC11U5E1"tS UNIrURM APPLICATION. FOR PERMIT TODO G SEITIING 111rinl or Typr► i Mass. Date 3— 1 19 Permit N � A ►� Building Localion� Owner's Name aitt SINGLE rMlILY Gvtsa� Type of Occupancy New O Renovation U Replacement O Plans Submitted, Yes U No IJ FIXTURES z 1Aa� 0a �' G I v b z 0 in VA 0 0 z O F toV taS = z V F W `+ Z t + Vyy In 1116 QQ d : � > 'ai � z � ot3u « YY�aI { F latxo � � 3 sue-11SMIF. I BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 41h rLOOR Sib FLOOR 61h FLOOR 71h FLOOR alh FLOOR Installing Company Name GALINSKY PLUPIBING & HEATING INC. Check one: Certificate Addiess _ P.O,BOX 1701 KJ Corporation 1906 HAVERHILL, h1A 01831 ❑ Partnership Business Telephone 508-374-1743 _ UJ firm/Co. Name of Licensed Plumber or Gas filler STEPHEN G. GALINSKY INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 141. yes'pe No U IF ynu have checked yes, please Indicate the type coverage by checking the appropriate box. A liability inmtance policy Other type of indemnity O Bond O O%VNER'S INSURANCE WAIVER: 1 am aware that the licensee fines not have the insurance coverage required by chapter 142 of the Mass. General I awc• and that my signature on this permit applicatinn valves this requirement. Check one: - - ---- ---------- --- Owner 0 Agent C Cipntlury of O%vnrr or Owtim's Aprnl 1 ht.•,�F,(fall$ that All of thr di lAdt and inln,marinn r in thr ahn.r appli(alinn art hue and a(ruralr to the htsl of my and that all rlumbinr-4 mrtf in"A'hgnnt t—fmmr•d under thr r':'—ilk—ord Inr Ihit Aprlit Alinn will hr In(I phAntt with a1t prrilnrnt rrmitiont of the MASSAChUtettt Stitt Gar COdt and Chamer tq pI d,t Grntral l a+� it rntr _,'_/K: r,d.- r NAvrr S,RnANne of(I(t�trd rinmhrf at Ga(titlrr i"Inurnryman life-Num. •_--_ '-- 3ti Date. 3270 i4 NORT" - 3?�,,� °.;.��ao� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSS . �� ° This certifes that . �.,�!{h.F Ay. . . j . . . . . . . . . . . . . . . . . . . r, has permission to perform . . . ./V C. . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . Viz. . �aIt. C�.�a. . . . . . . . . . . . at. 1161%.4-ce -. . . . ., N rth Andover ass. x Fee. .toZ. . . .Lie. No. L( . . . . . . . . . . . Aoy PLUM BI INSPECTOR 63MIS 13:30 262.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer x MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) N., Mass. Date " (r— 1 19 Permit # 4 Building Location47 ?Iuyiop Owner's Name I► '`J I [Cl il'ipm �s s`0 Type of Occupancy SINGLE FAMILY Newt/ Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Z Z 0 Z FF< to U < Z vi tA hF- Z tri N Z Z Z 0. 3zc S p 'r' om " Oo = 3 � " of OW 3 � Sm = o 'cS3s � � ie < 3eOco� O SUB-BSMT. BASEMENT 1 1st FLOOR 2 11311 i tj 2nd FLOOR I 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name GALINSKY PLUMBING & HEATING INC. Check one: Certificate Address P.0.BOX 1701 ® Corporation 1906 _ HAVERHILL, MA 01831 El Partnership Business Telephone 508-374-1743.. ❑ Name of Licensed Plumber STEPHEN C. GALINSKY INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. yesr No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond O 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: Owner❑ Agent O Signature of Owner or Owner's Agent I herehv certifv that all of the details and information I have submitted for entered)in the above application are true and accurate to the best of my knowledge and that all plumbing work and installation;performed under the permit issued for this application will be in compli ce with al rtinent provi{ionsof th ' sacIt s Sta lumbing Code and Chapter 142 of the General law;. /1Z 11 By Signature of Licensea Plu her Title Type of License:Master Journeyman O CitvfTown License Number_.103.(j8 - APPROVFD 01P FICE USE ONLY)