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HomeMy WebLinkAboutMiscellaneous - 502 WINTER STREET 4/30/2018 (2)I __ on �M CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit # 247 (10/7/2008) Date: February 24, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 502 Winter Street MAY BE OCCUPIED AS Single Family Dwellins ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Tracy Vogt 502 Winter St North Andover Ma 01845 Building Inspector m m m m OT CO) MI lfmmm CO) Z CD o a r. CL i CDO 0 c CL crc cc .... EL- v _• O to CD CA .O CD O 7t o NL. w CD rp CD y CO) O st CCD O CCD C �O c?t o g y Z -�j ®ro Z yaQ a 0 S O Pi lt� y 7 ®� ® C'j O HmdC .- �.CD �a a, y A N m CD CO) -1Pm� c O CD 0 V 0 0 Z O CO) !2 �oco =ro oCOD 7 CL,.._.: o a Crm O m CL CD m ca CUD H cr CL W O1 \ C yO � O O � O Ci CA 'OCD O . C W N " m m CL 0 moo: om: Cn CnCo p xto -�j ®ro T 9 Osj,�o C) Pi lt� O �� W rA v 0=3 0 9 O C APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Buildina Permit # A 117 ADDRESS/LOCATION OF PROPERTY: _o�-ea2 Map 1D Parcel Lot Number 3A - SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 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: Address RO TIN CONSERVATION PLANNING DPW - WATER METER W] IZ�I SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature b— Fite: Application for OC form revised Jan 2007 -Id I Date....... /. � .. � � 2,j. -. ".. 0 .... ..... ....... . .. . . TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ..... ................. A/ ................. has permission to perform .......................................................... ..... wiring in the building of ...... .. . ............................................... ............ �) at. - .,............................. . .............. r::5'. .. . ....... ,North Andover, Mass. jam Fee Lic. ........... '3 4, )J-*'�;,.,-`i . . . ............ EixTMIU."'."IMPE R Check # 121 8568 A I -AA-\ commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No - 14 o. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 4/T �= [Rev. 1/07] n,,,,. hl�nlrl 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 WINK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER 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),�'Op Owner or Tenant �iV Y (,p - Telephone No.(o1�. e1S I _ Owner's Address Z —7r� r....;P, I C L 4-1 un _ D 1Z. Is this permit in conjunction with a building permit? Yes Purpose of Building $I.M, 9- Existing Service Amps / Volts New Service 9-00 Amps I Zo/molts Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: No ❑ (Check Appropriate Boa) Utility Authorization No. 6-1(oid?1 Overhead ❑ Overhead Undgrd ❑ No, of Meters Undgrd ❑ No, of Meters ��. uuuu«aut ueuau y aesirea, or as required by the Inspector of Wires. a Estimated Value of Electrical Work: J� peso (When required by municipal policy.) Work to Stark kQ -012-.6& 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 li;;EDE] 'urance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cs in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: r a LIC. NO.: aO4SCI A Licensee: LIC. NO.: (If applicable, enter "exempt 11 in the lic nse number line.) d0 l Address: A'1 Sily,er r�4 Ssei ��V {� O ��or Bus. Tel. No.:47f-7(e7.o7ela Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S"License: Lic. No. 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 ent Signature Telephone No. PERMIT FEE: $ 7 ��1UG l�tifi t Date ..... TOWN OF NORTH AND VER 41 LL PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installation .....A t. . /7e . ......... in the buildings of . VA . 5.:......._ ....................... . at ... .... North Andover, Mass. Fee.A0j.'.. Lic. No4�1Y.k .. ..... �07 GAS INSPECTOR Check# -? t '16 6662 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) _tht'V1 It;1in/ Mass. Date ]Z�/i!' V 6 i9 Permit Building Location SO Z GJJwir-IY Owners Name Yy� U�� Type of Occupancy 0 New gK Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name Vq \1 n 6v_u Check one: Certificate Address Q �� ( D Corporation Partnership Business Telephone d Li 3 L3 Firm/Co. Name of licensed Plumber or Gas Fitter i VL= &A?L4. d-,., 6 `% INSURANCE COVERAGE: I have a currentfiability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 If you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy l� Other type of indemnity D Bond ❑ 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 D Signature of Owner or Owner"s Agent I hereby certify that all of the details and information I have submitted (or entered) in abRd n are true and accurate to the best of my -knowledge and that all plumbing work and installations performed under the permit issuthis.p n will be in compliance with all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene By T 'cense: umber Signal e t tensed Plumber or Gas titer Title fitterP. L E ster License Number c"Zty? Joumeyman /1PPFi0R►ED i i NL • 6 IMMEMMUMB MEN ME HOMES MEMEMMEM 'Emma IMMEMOMMEM soon MEN ONE mmosomonsonso SOME on E51 Installing Company Name Vq \1 n 6v_u Check one: Certificate Address Q �� ( D Corporation Partnership Business Telephone d Li 3 L3 Firm/Co. Name of licensed Plumber or Gas Fitter i VL= &A?L4. d-,., 6 `% INSURANCE COVERAGE: I have a currentfiability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 If you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy l� Other type of indemnity D Bond ❑ 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 D Signature of Owner or Owner"s Agent I hereby certify that all of the details and information I have submitted (or entered) in abRd n are true and accurate to the best of my -knowledge and that all plumbing work and installations performed under the permit issuthis.p n will be in compliance with all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene By T 'cense: umber Signal e t tensed Plumber or Gas titer Title fitterP. L E ster License Number c"Zty? Joumeyman /1PPFi0R►ED i i NL Date./. L�/ ��. ? . . TOWN OF NORTH ANDOVER m PERMIT FOR PLUMBING SSACMUS� This certifies that . e�411A. .'.`.......................... . has permission to perform (./, . H..`.' .......... . plumbing in the buildings of ... V. t....................... at.. `........... North Andover, Mass. Fee. Y Lic. No.. ���. ;�. ? q:- !r! .., ....... . PLUMBING INSPECTOR Check # < << < 7951 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) g il- 0�_Aj,Mass. Date 20 Permit # Building Location �— �`�`�ir Owner's Name ki� Owner Tel# Type of Occupancy w New V Renovation ❑ Replacement .❑ Plan Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name ., Jn,SI L �c Address 2 C O oy� DO O Business Telephone Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy rr"' Other type of indemnity ❑ Bond ❑ 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 ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the p t issued for this ap 'cation will be in compliance with all. pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Ge eral Laws. By Signature L ense Plumber City/Town APPROVED (OFFICE USE ONLY) Type of License: Master Journeyman ❑ License Number_--- —�T� ■■■■■■■■■■■■■■■■■■■■No MEEEE■EMENEMSiEME■■■■�■■■■■■■■■■■ ' nM©©nE■EEEE■E■MIMMEMEM■MEM■■ MENEM INS ... ... ■■■�� ■■■■ SENSE ■■■■■■■■■■■■ :::■■�■■■ NEMESES ■■■■■■■®■■MISS 00 MEMMEM ..•EEEEISMEM■■ME■■EM■■ ..: ■■■■ISIS■■ ■■■■■■■■■■iii■■Eii Installing Company Name ., Jn,SI L �c Address 2 C O oy� DO O Business Telephone Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy rr"' Other type of indemnity ❑ Bond ❑ 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 ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the p t issued for this ap 'cation will be in compliance with all. pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Ge eral Laws. By Signature L ense Plumber City/Town APPROVED (OFFICE USE ONLY) Type of License: Master Journeyman ❑ License Number_--- —�T� LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell: 978-502-5921 December 22, 2008 Mr. David Kindred P.O. Box 131 Boxford, MA. 01921 RE: Vogt Residence 502 Winter Street, North Andover, MA. 01845 Dear Mr. Cesati As you requested I visited the project 12/22/08 to review the LVL members used in the framing of the addition to the above residence. These are shown on drawings prepared by Kelloway Drafting Service dated 8/1/08 with the framing sheets and certified by me 9/5/08. Based on these site visits I can certify that to the best of my knowledge the LVL members utilized in the above structure are acceptable and meet the loading conditions required by the 7`h Edition of the Massachusetts State Building Code. Should you have any questions please do not hesitate to call. Yours truly, tence H. Ogden, P.E. Structural 27765 s , 4A RE14 r' . CS `L / v GDE ca i� 27765 r: F O .���S�N L ENG���� BRUIN SAW HILL MILL ROAD— �OAI c^rr HOLLOW ROADOW TREE LANE OPv VICINTY MAP N.T.S. N29'29'55"W 113.31' N/F w o WILKINSON ^ o co 0 co z LOT 3A 44,300 SF +/- 502 WINTER STREET ASSESSOR'S MAP 104A LOT 78 LIMIT OF WETLANDS PER DEP FILE # 242-1319 (FLAGGED BY 200.8EPSILON ASSOCOATES) 1-2 N/F 1-t ZENOILOWSKI LOT 3 co o � M `\ at -4 ` o zo 0 0 1-5 N � N/F 31.2' 23.0' o t -s `jA I OUERRERA at � � LOT 4 0 7.0,-50.7 z ' t -7 EXISTING 74.6'--4�_ -••-nnoN . 1. 0 c IM 1-8 30.0, 51.3' �(! Tt -9 TF=152.64 ' t -to 88.4' ' S22'25'59"E 2.50' \ S27'14 00"E S33'12'00"E% 50.40' l _ 1-13 46.80' 1-1 —A 50.30' J BM S3 1'40'00"E BENCHMARK PK.#2 WINTER STREET Nall Pavement EL.=145.59 USGS LOT 3A - •502 WINTER STREET IN ORTH ANDOVER, MASS RAWN FOR DAVID KINDRED P.O. BOX 531 70 BRIDLE PATH NORTH ANDOVER, MA 01845 nr. gnnn uARrtnnune Aun A"nNATM 1 0 ATION PLAN MARCHIONDA & ASSOC.,L.P. ENGINEERING AND PLANNING CONSULTANTS 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 (781) 438-6121 DATE: 10/23/08 SCALE: 1"=40' i f ,NORTH 3�6 6 TOWN OF NORTH AN OVER ' PERMIT FOR:6AS 1 STALLATION s s L } This certifies that .(;� ............. .............. . has permission for gas installation ..... in the buildings of . . .......................... at `' .... '� , North Andover, Mass. Fee... ! .. Lic. No r- d .. 4 :.. ............ GASdbtSPECTOR Check # 5�Ylol 6636 MASSACHUSETTS UNIFORM APPLICAT'ON FOR PERNIlT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Loqations 574 Owner's Name New Renovation Replacement D Date Permit# _ �1G341 Amount $ Plans Submitted (Print or type) Name e &5 7 Check o Certificate Installing Company Corp. 0 Partner. UFirm/Co. ame of Licensed Plumber or Gas Fitter 0 INSURANCE COVERAGE I have a current liability lnsurancepol r it's substantial equivalent. Yesck one If you have checked yes, please in ' ate the type coverage by checking the appropriate box. No� Liability insurance policy Other type of indemnity n Bond Owner's Insurance Waiver: IAm aware that the licensee does not ha_e the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner 13 Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the 13 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 Massachusetks Itate G"Rde and Chapter 142 of the General I.awc By: Title City/Town.. APPROVED (OFFICE USE ONLY) �,gnjfture of Licensed Plumber Or Gas FitterAuffiber Lo ? Gas Fitter kens, Nu,,,uCr v Master Journeyman Date...... --) ....�- .....- eI.R. ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......................... . ... . ......................... ...................... has permission to perf orin ..... ........... ..... ................................ wiringin the building of ................. I ....... .......................................................... at .... ................................ North Andover,,Mass. Fee.�� ......... Lic. No. ............... ILEtF� INSPECTOR P Check # 8315 Commonwealth of Massachusetts Official) Use Only Department of Fire Services Permit No. Occupancy and Fee Checked ; o� BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] leave blank 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: d ,Qto \ 0 $ City or Town of. NORTH ANDOVER 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)_Eaa l A c S t Owner or Tenant K J e I -Fre c �'f u a pe)�- Telephone No. q? k -a (of- 7(o �( Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. 6-oZ 5— %2 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 100 Amps /Z.O / Volts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'r�,,�` oruiese Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- E] rnd. grnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. -Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number ..................................................... Tons KW .. No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring.. No. of Devices or Equivalent OTHER: T-emo Slert 'C ' Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value- of Electrical Work: (When required by municipal policy.) Work to Start: g 42 G 167b 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 covera a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:pC-J LIC. NO.: 1001713 Licensee: Lj_&t._lAu Signature LIC. NO.: a0q3q A - (If applicable, enter "exempt " in the license number line.) Bus. Tel. No.: tt7t - 71. -O i Address: 61*1 S JA.,�er brtyAC r 'anAfm AJ t¢ 63y7R Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No. 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: $ �h The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizatiorAndividual): Ona� ltoktct. &►/ Address: 0 ( u of 'Q G-Ock &" City/State/Zip: 3aktrr` AU H o 3 O 7c/ Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I e loyees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. $ ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t These sub -contractors have workers' comp. insurance. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: AA e.1% QtN57- Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of •t Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ! �,�� Date: 91Q1, lor Phone #: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: