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HomeMy WebLinkAboutMiscellaneous - 54 FERNVIEW AVENUE 4/30/2018 54 FERNVIEW AVENUE U4 Apt. 4 290/464.9-.0054-0004.0 I j I I I� I it I I' I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN' G (Print or Type) l NORTH ANDOVER Mass. Date 4uilding Location S t'1 Ild X11 �7 # S"^ Permit # 1 31 Z r� , ' 0 ners Name BPo.)J 166clell)a New Renovation D Replacement Plans Submitted FIXTUP,FS df { N •_ . z z s � ILI v, a as arc .o :2 rn i lr 0 uut GF" a x = O z al a m N N e tr: ° ° a x *- W tt! t- N p• CC W CC a W z < x a W W V7 OC ° y W .. a i- ZJ H 2 l.. W W t7 ° > LL F. O. 1 f- tC Z d W G a •. f' Y- N lul Q ,u > c: W 2 4 tt 4 Q O O W tt ° W iz- R x O O u. A (2 r U s > a a t-- ° SUa—BSMT. BASEMENT IST FLOOR 2N0 FLOOR 3110 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name $'/L Co Pi-0'n&1Jt, [Z?"'Corp. Address _ _ E] Partner. U Firm/Co. Business Telephone: qa�r Name of Licensed Plumber or Gas Fitter jyd - Insurance Coverage: Indicate th type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner Agent 1 hereby certify that all of the dctails and information I have submitted (or entered)in above application are true and accurate to the best of my knowledge and that aU plumbing work and installations performed under'Permit isseed for this application will-be in compliance with all patincat provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By TYPE LICENSE: Plumber Title r Gasfitter Signatu a of Licensed City/Town: Master Plumber or Gasfitter ourneyman APPROVED (OFFICE USE ONLY) License Number �. � i � e...r ♦ -'nw r. lr�l-.n-. it�t i.., �... v. ..r1 � -u ry, .•. .q. -,.. ^. _ , Date.`3 . .J!. . q 4124 �i. � NcaTM I� "OR TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUSEt M � . . . . . . . . . This certifies that . . .t n M has permission to perform . . .. ... . !- ' . . . . . . . . . . g plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . ., North Andover, Mass. p p � Fee. .'. .Lic. No��!�!(?f �-?�,�-?c . . TOR PLUMBING I, WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 4 r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) -tE i �✓ Y ' Mass. Date -0710 19V57.�._Permit# —,ow4 Building Location/ Owner's Name /71&L7-/- x ofOccupancy x .r New ❑ Renovation ❑ Replacement L�-' *Plans Submitted Yes ❑ No l� FEATURES z _z z Y Q O W M _ a ~ Q W u)ir Y Q a W Q a Q w0DWQwC QWZoaU) ZMaaCOur H V _ S a Z (_ Y a 0 `� z Q Y W Q H Q fn fn 0 Q p ZQ OJ OJ Q (L Q c Q 0 V = 01 to cn o 0 5 3 = F- cn u_ C7 o ¢ 3 ¢ m 0 Y SUB-BSMT. BASEMENT 1ST FLOOR f 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 8TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company NamerQwe)'K 67gayc;:-� Pzy Address /� Check one: Certificate L�S`��.�����/� �'� El Corporation c ❑ Partnership Business Telephone 7 �ry —,9 r-191©0 W-195m/Co. Name of Licensed Plumbar_,?e�g zy ( INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes Com' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Com— Other type of indemnity ❑ Bond ❑ OWNERS 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: Si nature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 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 permit issued for this appllcation will be in compliance with all pertinent provis�g2aure s of the Massachusett tate Plumbing Code and Chapter 142 of the General Laws. B t Y Title o icense um er Type of License: Master er� Journeyman ❑ Clty/Town License Number _' APPROVED OFFICE USE ONLY) ._r Date. ..... . . .. . .. . . .. . . . ... r` r7 NpRTM TOWN OF NOR�W HANDOVER pf4��.o ,e1ti0 - 0 �� `p PERMIT FOR GAS INSTALLATION 3I S...o...Sty SSACMUSE , This certifies that . . .�.�t!�?r . . .r� �! :!-. . .% . % . . . . . . . . . . . has permission for gas installation . . :. :... . .'. . . . . . . . .. . . . . . . . . in the buildings of . . . . . . . . . . . .. . . .`.: _ . . . . . . . . . . . . . . . . . . . . at :.!.. . . . . . . . . . . .. . . . . . . .'. .-. . . . .. North Andover, Mass. Fee. Lic. No.`.�. .'. :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4� —fk _ GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File i AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS BUILDING INSPECTOR/COMMISSIONER, BOARD OF HEALTH AND/OR BOARD OF SELECTMAN Building Inspector Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Insured: Henderson Reinold Address: 54 Fernview Avenue Unit 1 North Andover Policy: 1175641 Loss Date: September 10, 2015 Loss Type: Water leak ACS File: 32204 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim file number. Tim McLaughlin Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. Date 9/15/15 7 KIMBALL LANE,BUILDING C,LYNNFIELD,MASSACHUSETTS 01940 TELEPHONE (781)245-9516/FAX(781)245-1077 E-MAIL—daims.aes@verizon.net N2 1 U 14 Date...... 051 ............ ........... pORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING Lr5 '23ACHU This certifiesthat ........... ............................. has permission to perform ... ............................... wiring in the building of... 08 ........... --North Andover,Mass. Fee...A-i.... . Lic.No1-....m ', )""4 =--...... ..... ......... ELECTRICAL N ......... R WHITE:Applicant CANARY: Building Dept. PINK:Treasurer O!llce Y.. Owls The Commonwealth of Massachusetts ►.r.,t ao. Deportment of Public Safety ac e."wcY a ►.. ta..ewlug � BOARD OF FIRE PREVENTION REGULATIONS S27 CMR IZ-00 7/90 (�.•.. u.wal APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All writ a W p.tionned In accordance with the Maataehusens Electrical Cade,527 CMR 12.00 ill. -ry. � ` (PLEASE iRRl?3�T IH.I2iK 08TYP/EJ.6LLI2iFORtSATION� � '", Data" City or Tova of�. / i✓DC�V�=R At, To the Inspector of Wires: The undersigned applies for a permit to perform the electrical uvrk described below. Location (Street & Number) Owner or Tenant Owner's Address �/h - Is this permit is conjunction with a building permits Yes ❑ No n (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps Volts Overhead [:] Uttdgrd❑ No. of Meters k ?lam Series Amps // Volts Overhead ❑ Uodgrd❑ No. of Maters ! Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Yogi a No. of Lighting Fixtures Swimming pool Above❑ In-d. grnd. ❑ Generators . ICYA No. of Receptacle Outlets No..of Oil Burners No. of Emergency Lighting Bette Units No. of Switch Outlets No. of Cas Burners FIRE ALUM No. of Zones No. of Ranges No.•of Air Cond. Total N . of Detection and tons Initiating Devices No. of Disposals No. of Heat Total Total PUMPS -TonsR1i No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. o of Detection/Sounding SelCotaineDevices No. of Dryers Heating Devices gK Local❑Municipal ❑Ot6er Connection No. of Water Heaters 1W Si' at of Ballasts No. of Loringw oltage tl No. Hydro Massage Tuba No. of Motors Total HP e OTHER: INSURANCE COVER1lt.'E1 Pursuant to the requirements of Massachusetts General Laws have a current Lia assurance Policy including Completed Operations Coverage or its substantial equivalent. TES iU I have 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. INsmwcE ❑ BOND ❑ orim, ❑ (Please Specify) • Estimated Value of at of Electrical Work S �.1J0 Work to Start Inspection Date Requested: Rough Final Signed a.Acr the penalties of perjur;: FIM NAME_ LIC. NOILE4 Licensee Signature N0. Addreaa '— tf-0'V Bus. Tel. No. — Alt. Tal. No. OWNER-S INSURANCE WAI t I as aware that the Licensee does not have the insurance coverage oris su - stantial equivalent as required by Massachusetts Ceneralws-Ia,and that my signature on this permit application waives this requirement. Owner Agent (Please check one) i Telephone No. PERMIT FEE S Signature of Owner or Agent ' 4 . BOARD OF HEALTH °` HORTh,` Julius Kay,M.D., Chairman e.. '. . NORTH ANDOVER o R. George Caron MASSACHUSETTS t Edward J. Scanlon 01845 SSACHUSEt� TEL. 682-6400 August 6, 1981 Mr. Ahmed E1—Mandawy 54 Fernview Ave., Apt. 4 North Andover, Ma. Dear Sir: The management of Heritage Green Apts. informs us that they have been unable to gain access to your apartment on repeated occa— sions in order to spray for the elimination of vermin. According to Chapter II Minimum Standards for Fitness of Human Habitation, Laws of the Commonwealth of Massachusetts, Section 410.55, the owner must keep the building free from rodents and insects and each apartment must be sprayed. According to the same chapter, Section 410.80, the occupant shall give the owner reasonable access to said apartment. The management of Heritage Green will have the exterminators in your building again on Wednesday, August 12th, and every Wednesday thereafter until the problem is solved. Kindly cooperate with the manager and provide access for the spraying of your apartment. Every other apartment in the building is being sprayed. Very truly yours, r_s: , M.D. Charan Received: lcL Date: 8/7/81 / l i C� BOARD OF HEALTH °,tNo°T Julius Kay,M.D.,Chairman 3r °o • NORTH ANDOVER ° R. George Caron p Edward J. Scanlon MASSACHUSETTS * s 01845 SSACHU$ TEL. 682-6400 August 6, 1981 Mr. Ahmed El—Mandawy 54 Fernview Ave.# Apt. 4 North Andover# Ma. Dear Six: The management of Heritage Green Apts. informs us that they have been unable to gain access to your apartment on repeated occa— sions in order to spray for the elimination of vermin. According to Chapter II Minimum Standards for Fitness of Human Habitation# Laws of the Commonwealth of Massachusetts# Section 410.55# the owner must keep the building free from rodents and insects and each apartment must be sprayed. According to the same chapter, Section 410.80, the occupant shall give the owner reasonable access to said apartment. The management of Heritage Green will have the exterminators in your building again on Wednesday, August 12th, and every Wednesday thereafter until the problem is solved. Kindly cooperate with the manager and provide access for the spraying of your apartment. Every other apartment in the building is being sprayed. Very truly yours, Julius Kay, M.D. Chairman Received: Date: 8/7/81 � BOARD OF HEALTH f NORTH °.<•••°;b�ti° Julius Kay,M.D.,Chairman BOA NORTHANDOVER ° R. George Caron , "0 p MASSACHUSETTS + • Edward J. Scanlon 01845 ,> SSACHUSE� TEL. 682-6400 August 6, 1981 Mr. Ahmed E1—Mandawy 54 Fernview Ave., Apt. 4 North Andover, Ma. Dear Sir: The management of Heritage Green Apts. informs us that they have been unable to gain access to your apartment on repeated occa— sions in order to spray for the elimination of vermin. According to Chapter II Minimum Standards for Fitness of Human Habitation, Laws of the Commonwealth of Massachusetts, Section 410.55, the owner must keep the building free from rodents and insects and each apartment must be sprayed. According to the same chapter, Section 410.80, the occupant shall give the owner reasonable access to said apartment. The management of Heritage Green will have the exterminators in your building again on Wednesday, August 12th, and every Wednesday thereafter until the problem is solved. Kindly cooperate with the manager and provide access for the spraying of your apartment. Every other apartment in the building is being sprayed. Very truly yours, Julius Kay, M.D. Chairman Received: Date: 8/7/81 t � � r i BOARD OF HEALTH fNORT1y Julius Kay,M.D.,Chairman 3? •� ° o NORTH ANDOVER o c R. George Caron ' MASSACHUSETTS a Edward J. Scanlon « 01845 9SSACMUSEt.fi TEL. 682-6400 August 6, 1981 Mr. Ahmed E1—Mandawy 54 Fernview Ave., Apt. 4 North Andover, Ma. Dear Sir: ` The management of Heritage Green Apts. informs us that they have been unable toain access to g your apartment on repeated* occa— � sions in order to spray for the elimination of vermin. According to Chapter II Minimum Standards for Fitness of Human Habitation, Laws of the Commonwealth of Massachusetts, Section 41.0.55, the owner must keep the building free from rodents and insects and each apartment must be sprayed. According to the same chapter, Section 410.80, the occupant shall give the owner reasonable access to said apartment. The management of Heritage Green will have the exterminators ! in your building again on Wednesday, August 12th, and every Wednesday thereafter until the problem is solved. Kindly cooperate with 'the manager and provide access for the spraying of your apartment. Every other apartment in the building is being sprayed. Very truly yours, i I Julius Kay, M.D. Chairman Received: i Date: 8/7/81 lI I i /address My—,IF—i 4 U , Title of File page of Date File Open: Date File closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes: action Document/ document/ Num. Action Department 1 Board of Appeals - Board of Health - Planniing Board - Conservation Commission - Building Department