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HomeMy WebLinkAboutMiscellaneous - 57 COTUIT STREET 4/30/2018 O �� y M y j)i�liFile.No." -'242-401 (To be provided by OEOE) Commonwealth Cityrrown North Andover of Massachusetts CRESTWOOD REALTY TRUST ' Applicant Lots 6 & 7 Cotuit Street Order of Conditions Massachusetts Wetlands Protection Act ind under the .Town• of No G h •Andove c. § �Bylaw, Chapter 3 n NORTH ANDOVER CONSERVATION COMMISSION P •5 A & B CRESTWOOD .REALTY TRUST SAME (Name of Applicant) (No ne of property owner) 47 ROYALSTON RD. , . WELLESLEY, MA 02181 SAME ess Address Order is issued and delivered as follows: by hand delivery to applicant or representative on (date) :)y certified mail, return receipt requested on May 21., 1987 (date) project is located at Lots 6 & 7 COTUIT STREET, NORTH ANDOVER property is recorded at the Registry of Essex North' 1391 Page 172 ficate(if registered) 40tice of Intent for this project was filed on March 31,' 1987 (date) lublic hearing was closed on April 22, 1987 (date) ngs NORTH ANDOVER CONSERVATION COMMISSION . has reviewed the above-referenced Notice.of and plans and has held a public'hearing on the project. Based or 'the information available to the dACC at this time, the NACC >. has determined that ea on which the proposed work is.to be done is significant to the IVIowing interests In accordance with 'esumptions of Significance set forth in the regulations for each Arra Subject to Protection Under the heck as appropriate): Public water supply f_ ' Storm damage prevention ePrivate water supply [ Prevention of pollution' d Ground water supply. O Land containing shellfish f Flood control 0 Fisheries t r- - ---1 57 COTUIT STREET U-2 210/023.0-0080-0002.0 1 �t Date�� ,,411....... ..�..�.1 ........... OF NOR T►�,� o?' , TOWN OF NORTH ANDOVER n PERMIT FOR GAS INSTALLATION CHU5� w This certifies that�-Ae-�.... . ..P.`"F'.............................................................. i has permission for gas installation ...... ....:...�.. �R--................................ in the buildin s of......�-� ..r.. ........................................................................................... at.........53........ ............A..,. ....... ................., North Andover, Mass. 3a Li Fee. ��.-".. Ltc. No-12,11 ....... ..................................................................... GAS INSPECTOR Check# io , , MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r A CITY A44 /�1 n day L' r MA DATE 7 It I f S PERMIT# I (M JOBSITE ADDRESS 61 Co+*,y f- Z-t- OWNER'S NAW a,4k 14�kk GOWNER ADDRESS S.oTEL970-689-.2*063FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL�— PRINT CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN j POOL HEATER 7 ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER i INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YESX❑ NO ❑ �I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICYX❑ OTHER TYPE INDEMNITY ❑ BOND ❑ 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 signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true a ccurate to the best of m k Wedge and that all plumbing work and installations performed under the permit issued for this application will be in compli c ith all Pertine provisi of e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Peter G.Viens LICENSE# 12116 SI NATURE MP® MGF❑ JP❑ JGF❑ LPGI ❑ CORPORATION ©#3631C PARTNERSHIP❑# LLC❑# COMPANY NAME Merrimack Valley Corp ADDRESS 15 Aegean Drive Unit#3 CITY Methuen STATE MA ZIP 01844 TEL (978)689-0224 FAX CELL EMAIL viens mvalle cor .com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTW OTES Yes No poz r .5; THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES r The Commoiiwetalth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Bostor, 111A 02111 www.nirass.gov/ilia `porkers' COMPeRSatrion Ii@satn-2nce Affidavit: Build e>rs/ContracWs/Elec>fric>ians/P➢umbers Aican>t Information Please Print IL,egiWy Name (Business/Organisation/]ndividual): `%, .cc�,�l• ,/� �,%.�J--/�= �;i ., _ Address:_,��� City/State/Zip: rli 'r��' i%��'it i'/ Phone #: "L%=r �� Are you an employer?Check the appropriate box: Type of project (required): 1. I am a employer with 4. ❑ I am a general contractor and l employees(fit]] and/or pant-time)." have hired the sub-contractors 6. New construction2.❑ Fl am a sole proprietor-or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. ' employees and have workers9. ❑Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.El Electrical repairs of additions 3.❑ l am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. o workers' com right of exemption per MGL y � P� 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no 13. therJ:Z,,tter Re wit employees. [No workers' comp. insurance required.] '.Srty applicant that checks box P1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. l'ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees If the sub-contractors have employees,they mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy aril job site information. Insurance Company Name: Policy lT or Self-ins. Lic. 11: Expiration Date: Job Site Address: S 7 Ce+ y,N 54— City/State/Zip: �,A inA,vfr Mol,0 l P q: -- 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 irnposition of criminal penalties of a fine tip to S 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 lip to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Ceriif} tender thepairs arrdpenalties of perjury that the informationproviclerlabove is true and correct.Sip-n�Ureby re: r��t'Ie.�i�stna,F Gb f55e ,/* Date: J'_ Phone#': Official use only. Do not write in this area, to be completed by city or town official. City or-Town: —_-- - ——Permit/License if — ------ - _-- Issiling Authol-ity(circle or,e): 1. board of Health 2. Building department 3. City/Tot.,n Clerk 4. Electrical Inspector- g. Plumbing 1nspect01- 6. Other— Contact Person: Phone#: a,'OMMONWEALTH OF MA C'HUSETI 9,.COMMONWEAL.TH OF MASICHUSETTSi . olvig 191all.-PI M91MMIGUM013:1:1011 e BOARD OF BOARD F PLUMBEkS AND GASFITTf.A PLUMBERS AIQ GASFITT'ERS ISSUES THE FOLLOWING LICENS ISSUES THE FOLLOWING LICENSE Lt-004-S1~D AS A MASTER PLUMBER L I H E* AS A JOURNEYMAN PLUMBEERRS a PETER G VIENS PETER G VIENS , 4. 9 BLUEBIRD LANE �+ 9 BLUES RD LANE ATI€INSON W 03811-2302 . tTtF 1"NSON W038.11-2302 � 12116 U/01/16 16 21 8 21635 05/41/16 213 86 u° f Commonwealth of Massachusetts ' Department of Public Safety Hoisting Engineer r License: HE-110323 46 PETER G VIENS` Peter Viens 9 BLUEBIRD LN Cert# 1023121001-12 ATKINSONNIT 03812 . Expires: 10/23/2015 Certification %4, Expiration: N.F.P.A.99-2012 ed. Commissioner 11/13/2015 ASSE 6010 Installer&ASME IX Brazer State �of Ill4v i►,Hampshire State of New Hampshire MECHANICAL IDENTIFICATION GAS FITTER$ UCENSE NAME: PETER VIENS NAME: PETER VIENS ENDORSEMENTS: STN, STP LICENSElREGISTRATION#: DATE ISSUED: 1O!?52013 � i SERVICE GFE0700587 f i DATE EXPIRES: 11130/2015 MASTER 3249 LICENSE#:GFE0700587 EXPIRATIONS: GF: i113U120iS PL: 11/3Q 50,116 Commonwealth of Massachusetts C Department of Public Safety OSHA 600316337 �� License: PMU-001088, Pipefitter Unrestricted Master , 4L US.Depa4rnent of Labor Occupational Safety and Health Administration Peter G Viens f 9 BLUEBIRD LANE Peter Viens Atkinson NH 03911 has successfully completed a 30-hour Occupational Safety and Health Training Course in Construction Safety&Health C Expiration: 11113/2016 , 8r lCE commissioner ( Date . JItP.[lzZ . . . t� �6 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . 1 '.`. .. t ` � .. . . . has permission for gas installation . Inc?c.;- . c•/•,!. .A li --n, . in the buildings of. zN)ckx . �-.I. . o.',I. . . . . . . . . . . I . . . . . . . . . . . at . 7�.7 . ? vT , c '' -.1. . . . . . , North 9�And ver, Mass. Fee .GQGu . Lic. No. . . .� GASINSPECTOR Check# S'iy7 �ssi MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY � MA DATE:/D/� '� PERMIT# / T � r JOBSITE ADDRESS 7 eO /(J OWNER'S NAME,:/ >,o%e-c OWNER ADDRESS TEL Z,96-0?e6-S FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW:: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES-1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER _ COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST , UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ! NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY - OTHER TYPE INDEMNITY BOND 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 signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 application will be in compliance with all Pepgovision ofthe Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME MICHAEL H HOUSE LICENSE# 7173 SIGNATURE MP , MGF JP JGF LPGI CORPORATION -' # 3377C PARTNERSHIP # LLC # COMPANY NAME: MERRIMACK VALLEY CORPORATION ADDRESS 15 AEGEAN DRIVE,UNIT#3 CITY METHUEN STATE MA ZIP 01844 TEL 978-689-0224 FAX 978-689-2206 CELL 978-884-3427 EMAIL Ilittle@mvalleycorp.com or srutter@mvalleycorp.com �o� �� � t �\\� �� o��` s'� n `��I�v �� k„� C � N° 9622 Date. Gp�tt�.�tt'. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SA HUS This certifies that e . . . . . . . . . . . . . . . has permission to perform . ... . . . plumbing in the buildings of . 4Y . . . . . . . . . . . at. rte. 7. U. . . . . . . . . .. Norlh Andover, Mass. Fee.3Q47P .Lic. No.. . . . . . C. PLUMBING INSPECTOR Check # v lk - WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY i MA DATE /lp o?Q/� PERMIT# JOBSITE ADDRESS /�lj ._I OWNER'S NAMELLJjr �/j�C� OWNER ADDRESSTELL FAX r, ,s TYPE OR OCCUPANCY TYPE COMMERCIAL! EDUCATIONAL ;_I RESIDENTIAL PRINT CLEARLY NEW:( -!1RENOVATION:[._ REPLACEMENT: PLANS SUBMITTED: YES l N0 FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE ' DEDICATED SPECIAL WASTE SYSTEM 1• '_. -�, i , DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM ; '.__. l i,...__.___ ......._... ._ _.. ._.__... _._..___ ..._.-__i__. -___.__ ___ ..�.._...._. -.__..__. _._.._. ...__._._. .........._.__...__.. .._._._ .... ....._... .. DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER _.__._ .__._._i FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN " SHOWER STALL SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTION ! `• WATER HEATER ALL TYPES - -- •- -----_ _____ .____ ..- _... WATER PIPING OTHER i1A INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[L] NO L,; IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F, OTHER TYPE OF INDEMNITY 37 BOND ! _J 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 signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER �3,! AGENT 3' SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 application will be in compliance with It e i ent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME i MICHAEL HOUSE l LICENSE#!7173 - = I NATURE MP; JPt CORPORATION;_ #L 3377 C--!PARTNERSHIP[,]#I I LLC( - ._._._.._1 L._ _...._... ... COMPANY NAME; MERRIMACK VALLEY CORPORATION I ADDRESS 1' 15 AEGEAN DRIVE,UNIT#3 — - CITY METHUEN - _ - --•--' ,_____ .. ._.__.—.__.—__-._._._,._ _._.___ _..�._._.�_�.�_.__w , ISTATEI MA ; ZIP 01844 TEL;978-689-0224 i FAX 978-689-2206 CELL t 978-815-4523 I EMAIL !LLITTLE@MVALLEYCORP.COM , 1 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes Noi THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES q ti The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street u,p Boston,Mass 02111 www mass gov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �jjf, �✓ Address: City/State/Zip: 'J 4 ©!8�/S� Phone#: Are ou an employer?Check the ropriate box: 1 kI am an employer with 1� 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part time).* have hired the sub-contractors 6. ❑New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity, employees and have workers' $' 11 Demolition [No workers'comp.insurance comp.insurance.# 9. C Building addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers'comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required]t c. 152,§ 1(4),and we have no 12. ❑Roof re employees.[no workers' comp.insurance required.] 13. er *Any appikaat that checks box#1 must also fi0 ont We section below showingtheir workers'com nsation H /'0 �� tHomeowners who submit this affidavit indicating they are doing all work and thea hire outside contractors must submit annew affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,tMheY most Provide their workers'comP.Policy number. I am an employer that is providing workers'compensation insurance for my employees. informaBelow is the policy and job site tion, Insurance Company Name: _ Policy#or Self-ins.Lic.#: Job Site Address: Expiration Date: jU� �j�C� City/State/Zip:A �,V,l�_wtr/L ZO 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby ce un r t p an " perjury hat the info on rovided above is true and correct Si nature: Date: Print Name: f',� t t �� Phone Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#• Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#• Date. . .1. /.. �1. .: �. .� .. . . Of NO DT1, 1'1' 3� TOWN OF NORTH ANDOVER p 9 ' PERMIT FOR GAS INSTALLATION y SACHUSEtt r This certifies that . . . . . . . . . . . . . . . . . has permission for gas installation . . . ... . . . . . . . . . . . . . . in the buildings of . %. . : /' f.�,. . !. .-,.Z . . . . . . . . . . . . . . . . . . at . .5. :. .c. . . . . . . . . .. North Andover, Mass. Fee.,).,:". .'. . . Lic. NoZS/.s. . . . . . . . . ... . . .I. . . . . ' .' . . . . . . . GAS INSPECTOR Check# 4. 2 0 MASSAcflusEmuNiFoRMAPpucA,TONTQRP` RmrrTODQGASPTrmG (Type or print) Date // NORTH ANDOVER,MASSACHUSETTS Building Locations 5� �oTy��i'_ yqT Permit# A�IA'O a Amount$ Owner's Name Sty,° ������Z1Z-7 New® Renovation ❑ Replacement Plans Submitted ❑ rA rA O(It cd z a � z H z w t7 a w H rUa .� , z t w N �• M z O z O W .t W w S z x o o w a o 04 SC O 5C �. D 4 G7 .a U oG > ra a SUB-BASEM ENT B A S E M ENT D 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH_ FLOOR (Print or type) Certificate Installing Company Name /1> 111% /fes' �`�'d� �rp Address ` UiT ❑ Partner_ usmess a ep one /�,f� ❑ firm/Co- Name of Licensed Plumber or Gas Fitter �Ll��j,� INSURANCE COVERAGE Check o I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No If you have checked mss,please Odicate the type coverage by checking the appropriate box_ Liability insurance policy El 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: Signature of Owner or Owner's Agent Owner ❑ 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 u90er Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Codedid Chapter 142 neral Laws. By: ,Signature of Licen lumber Or Gas fitter Title IEJ Plumber 11F_51 City/Town ® Gas Fitter License Number EDaster APPROVED(OFFICE USE ONLY) 0 Journeyman Date. .'. .. . . . ... .. .... . .. . NORTH 32py` „a° ,s1tipL TOWN OF NORTH ANDOVER p F • - PERMIT FOR GAS INSTALLATION • s SSACHUSE This certifies that . . .0. /: . . . . : . .. . . . . ./� ... . . . ti . . . . . . . . . . . . has permission for gas installation . . .T. ... . . . ..... . ... . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . .f . . . . ..... . . . . . . . .. North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . GAS INSPECTOR Check# ?7a7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) t Wd • AdQ(/ r 1, Mass. Date 0 Peermit # ' r? ` V 7 ('O( U! L J f Owner s Name Building Location rt Type 0Occupancy New ❑ Renovation ❑ Replacement p� Plans Submitted: Yes❑ No ❑ s w w ori Y z x vi y N rt N Q O N 2 F W W SO U fL S n O J 0 W a Y Z Z O } W m N F- y w O y 2 N C7 W = Z F' A O > W U W y 6 ¢ O 5 MW W C � W 2 ._ W F H S W W z J G W W O > LL F U J rN. W o z r z r r ,. m m z o z W o (n z z a W z w M a ¢ < a o o w o w ►- ¢ •= O c7 Y LL 3 n c7 w U y C a F- O SUB—BSMT. I 1 BASEMENT 1 1STFLOOR 1 2ND FLOOR 3RD FLOOR I� 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name OLIMATE DESIGN Check one: Certificate Address Corporationy-3C NAvpchill. MA 43930 ❑ Partnership Business Telephone (978)372-9999 ❑ Firm/Co. LIC Name of Licensed Plumber or Gas Fitter ' Plum r: Michael H. NOUS@ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Lb} No ❑ 1 If you have checked Les, please Indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ 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 a plication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued this applicall' ill b i compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General ws gy T of license: Plumber of Licensed lu r as htter Title Gaster aster Licen Number J City/Town Journeyman APPROVED 0 FI EUS .ONL BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. i APPLICATION FOR PERMIT TO DO GASFITTING e t NAME d TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC_ NO. PERMIT GRANTED DATE 19 GASINSPECTOR Location No. Y0, Date N°"r" TOWN OF NORTH ANDOVER p�,, �ao ,stip OL p Certificate of Occupancy $ Building/Frame Permit Fee $ - �' cMFoundation Permit Fee $ � s� us t Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Location No. Date "ORT" TOWN OF NORTH ANDOVER 3:pa .ao ,a1N00 Certificate of Occupancy $ � r Building/Frame Permit Fee $ �ssAcHu,E< Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ WatetConnection Fee $ TOTAL $ Building Inspector Div. Public Works PEWMIT NO. 4 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1J MAP K40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE — ZONE I SUB DIV. LOT NO. LOCATION S7 r' / 1 /T S 1� PURPOSE OF BUILDING F>Ak fTtW ' 4SEW T PoA bL t l OWNER'S NAME T ff it—Lv/I `(J L (1LV IA NO. OF STORIES r l SIZE 11 ko) v,va' x ''\ ��V OWNER'S ADDRESS 57 OT-U tT r BASEMENT OR SLAB / /\ C� ARCHITECT'S NAME 1 SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Q coQ SPAN -- DISTANCE TO NEAREST BUILDING •` DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " 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 LAND COST SEE BOTH SIDES EST. BLDG. COST S"©v PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILCt NG 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED S/9 9 1ykvvp BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGEN F E E n PLANNING BOARD PERMIT GRANTED q 5 19 BOARD OF SELECTMEN V-MER TEL.p GZa_3114(p �-- CONTR.TEL.q BUILDING INSPECTOR CONTR.LIC.# 1 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 I3 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULLFIN. B MT AREA _ 'i. /, �.> FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE ��_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY J_ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT I 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 JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS IL O B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING a 0 � F 44 H q. J 6 OL n . (z No. 206 DRIVEWAY EN i RY PERMIT - 1 C H HE WrCK w , irYc V Sq BOARD OF HEALTH L P THIS CERTIFIES THAT..............�.. .�t:��a� ..................... .. .s............................. has permission to OPM .... 4 u........ buildings on .. ... to be occupied as.a. ..�''A...Q.�-`- 17..p ?nk .... DUO...°..�! .� !........ /` C� � l'_3/z provided that the person accepting this permit shall in every respect conform to the terms of the application on file YVL I �j l�m U Il1/t ©� this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction p r; tv Buildings in the Town of North Andover. t' tNiSL� W A-CC VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS SA kasnANLESS CONSTRUC STAKS F ....... .... . . . w Q ° 1) BUILDING INSPECT Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. ET No Lathing to Be Done Until Inspected and Approved byT okeN. Building Inspector Fi' n,l A PLANNING FIV%1A� �pRTly r AL (01W� 0 6 Oq RldoveT 0 No. 206 DRIVEWAY EN I RY PERMIT '�-- - er, asp. ,] h/� � � 19?) A C n nEw BOARD OF HEALTH ((�� Q THIS CERTIFIES THAT.............. ....` .O&U ...... • o ............................... e.. BUILDING INSPECTOR has permission to e� ....... buildings on .. ,.t(,,,, ,Q d Rough • Chimney tobe occupied ... ...0.. .:.. ............... 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 this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR knangNLESS CONSTRUC STA14S Service 0: ic ...... ....... ......... .. .. Final kA 0 l7r 4h) � � A to BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by T EET N oke . Building Inspector 77 i Vr: i I I -}- ---- -o_L /Vi=i - ,- - - -- •-- --- , - _ _ . -t- � � - - -- - r - � - � ,woo--- . � - � : Y I Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE JOB LOCATION �? COTU (T ST Number �- Number Street Address Section of town 1."HOMEOWNER" Name Home Phone Work Phone PRESENT MAILING ADDRESS S/7 CO-101I S Ax), /4N1boO�p O(S� S, City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six 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 109 . 1 . 1) . DEFINITION OF HOMEOWNER: 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 to six family dwell- ing , attached or detached structures accessory to such use aid/or farm ,structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit . to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed udder the -building permit . (Section 109 . 1 . 1) 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 . North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements . �HOh1EOWNER' S SIGNATURE— APPROVAL IGNATUREAPPROVAL OF BUILDING OFFICIAL 'Note : Three family dwellings 35 ,000 cubic feet , or larger , will be required to comply with State Building Code Section 127 .0 , Construction Control . Date. ./. .'. . . . . N2 HORTM TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING SACNUS� J' This certifies that . . .`. . . . . . • . • • • • . . • . •t• • • • • • • • • • • • • • has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .'. . . . . . . . . . . . . . . . . . . 1 at. ... . . . . : . .. . . . . . ... . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . . . .Lic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer V MASSACHUSETTS .UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Lf 4- Date 7cl 7 . ate -0-d% -_� � t_•_ Permittf_ '- i Building Location N-5-7 C'Di i— �IT.CCL-x'77' E,6 /�U,�,y�A4JZ— Owner's Name c7/y Type of Occupancy New ❑ Renovation ❑ Replacement Z11- Plans Submitted Yes ❑ No 2- FEATURES z � z z o z W i U) > U Q ut z w W v) Z Q aC a . F- z Z) ' 0 a IM o w cn ct'n w w � U m U) q' Ow Z z a m = w Q w W Y aC a ¢ a ¢ 3 x v z Cr mwo � w w >-W < w � t U) z_ o ¢ cc rr ri Cc O u_ > Q Oz � Cl- � Q � Z O Q rn z z w Fw— O U = 0 u- 0 Cr o Cr Q 3 ¢ m O SUB-BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 777 7TH FLOOR 8TH FLOOR installing Company Name/Iz:�A.l2/"� 6Ouy r� 7f�' Check one: Certificate Address �i/[ L %�/(� �'/ �t ❑ Corporation G s� ❑ Partnership Business Telephone / Name of Licensed Plumber. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes G-' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy G---- Other type of indemnity [-I 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 ❑ I hereby certify that all of the details and information 1 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 application will be in compliance with all pertinent provision of the Massachusett tate Plumbing Coda and Chapter 142 of the General Laws, By igna urs o icense um er Title Type of License: Master � Journeyman ❑ City/Town License Number APPROVED OFFICE USE ONLY) Date.!!. . ... . . . . .'. N° I '} TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING SAcmus� This certifies that . . . . �.! r.1 . !. . . . .. • • • . . . . . . • • • has permission to perform . . . . ./: • . . . . . . . . . . . . . • • • plumbing in the buildings of x. . . . . . . • '. .` . . . . . . . . . . . . at . . . .S. . . . . . . . . . . . . .. North Andover, Mass. Fee. /.L. . - . .Lic. No.. .'. . . . . . : . . . . . . . . . . . . . . . . . . . . . .....I. . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ~ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT (G (Print or Type) TO DO GASFITTING -, Mass. Dately -.-_PermllH Building Location %S7 C-07-zr,; Owner's Name - 4 c Type of Occupancy New ❑ Aenovalion 1.7 Replacement �id� Plans Submitted Yes ❑ No 0- u� Lu Uj v� U ui wU)v) p m z H Z cz w 0 w t O O z w cn o� cn (D w d T � O Z Lu Z Q = m w w Q r• X cn Z w -' Q ¢ r tijw 0 > U- U cn w r= = o cc = � 2 < a ¢ m O O w ¢Lu O w li- ra c� > o F- O SUB-8310T. BASEMENT 1ST FLOOR / 2ND-FLOOR t d 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8THJIJR i FLOOR Installing Company NameAouresa Check one: Cerllllcate 1 J Corporation Bualneas TelephoneI I Partnership`�$'-p���p -Q�Q � -- i�nn/Cry. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: - I have a current liability insurance policy or its substantial equivalent which meals the requirements of MGL Ch 142. Yes t3' No ❑ It you have checked yes, please Indica 'a the type of coverage by checking the. appropriate box. A liability insurance policy 9-- Other type of indemnity 17 Bond 1_J OWNERS INSURANCE WAIVER: I am aware that the licenseoldoes not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature onthis permit application waives this requirement. SloCheck one: n r I n r or wner's A ant ----- Owner f-I Agent ❑ 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the beat of my knowledge and that all plumbing work and installations performed under the permit Issued for thisap plication will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and.Chapter 142 of the General Laws. By Type of License Title umber _�- U Master Slgrtalure of Licensed Plumber or Chas Fitter Cl /Town L� Master Z;X- APPROVED FFI U E N Y 1> Journeyman License Number_- C1 l 1-�2- _ ,- , " n Date..... No I- - I, / //�0.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ..... .... ....L.......-a.! .............................. has permission to perform ....... .............. .................................. ...:1........ wiring in the building of..... ....................................... at...........A—. .7... ...... ...........................North Andover-,N1 s! t I A . Fee.... ... Lic.No. .............. ..... A• ............... Check # 7ZZ2�-- ."tLEcrilticAL INSPECTOR WHITE: Applicant CANARY:Building Dept. PINK:Treasurer The Commonwealth of hfassachusetts Q`r<« only Dcpar7menr of Public Sofe y ovcur.a ncy 6 F« Qis cked BOARD OF FIRE PREVENTION REGULATIONS 5.27 CMR 1200 3/90 (1­1. bi#nx) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WQRK All ­oik to be perforrncd in accordance wiih the Macr-achwcru Elccirlcal Cock, $27 CMR 12;00 (PLEASE PRINT III INK OR TYPE ALL INFORMd.TI0t1) Date City or To" ofp, N��yL� To rhe Inspector of Wires; The undersigned applies for a permit Co perform Che electrical work described below, Location (Street S Number)_ 6-z ty1 7-41r Owner or Tenant 4Ze-EAj4:-WZJ � Owner's Address ! /: /M EE Is rhis permit in conjunction with a building permit: Yes ❑ No � (Check Appropriate Box) Purpose of Building Ucility Authorization NO. Existing Service Amps / Volrs Overhead ❑ Undgrd No, of Meters New Service Amps / VOlr5 Overhead ❑ Undgrd ❑ No, of deters Number of Feeders and Ampacity Location and Nature of Proposed Eleccriral Work 1 , No, of Lighting Outlets No. of Clot Tubs No. of Transformers TotalKVA No, of Lighting Fixtures SWL=ing Pool Above ((��'�� In- grnd. 11 grnd, El Genera tors KVA No, of Receptacle Outlets No. of Oil Burners No' of fEmergency Lighting BatteryNP, of Switch Outlets No. of Gas Burners FIRE ALARMS No, of Zones No. of Ranges No. of Air Cond. Total ons No. of Dececcion and Initiating Devices No. of DisposalsNo. of Heat Total Total Puw s Tons KS, No. of Sounding Devices .No, of Dishwashers Space/Area Heating n4 No. of Self Contained Detection/Sounding Devices No_ of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection •No. of Water Heaters KW No, nof Ballasts No. ot Low Voltage SigWiring- No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Lars � I have a currentLia ilit Insurance Policy including Completed Operations Coverage or its substantial equivalent, YES DNO [) 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. INSURANCE e0 BOND ❑ OTHER E] (Please-Specify) Expiration ace Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final Signed u..der the penalties of perjur,: FIRM NAME ! CFLT l L' LIC. N0. }� Licensee `JUN E+� e%�iCr/JcS Signature (/ NO_ Address �)i L�E Z '] �o �Li. % i Bus, Tel. No,-moo 57-.3�d- Alt. Tel, No. OWNER'S LNSURANCE WAIVER: I am aware that the Licensee does not have Che insurance coverage or ics sub- stancial equivalent as required by Massachusetts General laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) �� Telephone No. PERMIT FEE $ l " ado Signature of Owner or Agznt